Medtronic KSR403 Programming Guide

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KAPPA®400 SERIES AND DX2

PACEMAKERS

Software Model 9952 2.0 Vision™ Programmer Software

Volume I, Pacemaker Programming Guide

Medtronic.Kappa® 400 Series Pacemaker Information and Programming Guide

Volume I - Pacemaker Programming Guide

A Guide to Using the 9790 Series Programmer with Medtronic.Kappa K

401, KDR403,

KSR401, KSR403, Pacemakers

This guide also applies to Medtronic® DX2 7970 and 7972 pacemakers as described in Section I at the back of Volume II.

Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.

Checklist, Fast Path, Kappa, Marker Channel, Medtronic, Medtronic.Kappa, Medtronic.Vision, Quick Look, Rate Profile Optimization, Remote Assistant, Significant Events, Sinus Preference, and Vision are all trademarks of Medtronic, Inc.

How to Use This Guide

Information is Contained in Two Volumes

Product information about Medtronic.Kappa® 400 Series pacemakers and Medtronic.Vision™ software is presented in two volumes.

Vol um e I -- Contains information about using the programmer. This volume is made up of Chapters 1 through 9.

Vol um e I I -- Contains pacemaker information and includes Chapters 10 through 18 and Sections A through J. Section I includes information on using Volumes I and II with Medtronic® DX2 pacemaker models.

About Volume I

Volume I presents the following information about using the 9790 programmer.

How to Use This Guide

■

How to setup and configure the programmer and access online help.

■

How to start a patient session, use the various follow-up features during the session, and properly end the session.

■

How to use Checklist to streamline a follow-up session.

■

How to view and print the patient’s ECG and EGM waveform traces.

■

How to set the pacemaker up to collect diagnostic data and how to retrieve and view this information.

■

How to measure stimulation thresholds and sensing levels.

■

How to program parameter values, initialize the MV sensor, and verify rate response parameters settings.

Medtronic.Kappa® 400 Series Pacemaker Programming Guide iii

How to Use This Guide

About Volume II

Volume II describes how the pacemaker operates and specifies the capabilities of each model.

■

Chapters 10 through 17 describe the pacing modes, rate response options, special therapy features, telemetry types, and data collection options. In some cases, guidelines are given on how to configure the pacemaker operation.

■

Chapter 18 contains troubleshooting information for electrical and hemodynamic problems.

■

Sections A through E specify parameter and data collection capabilities, longevity projections, and mechanical and electrical specifications.

■

Sections F through H provide general warning and cautions, potential interference sources, and general indications for pacing.

■

Section I is a special supplement covering use of Volumes I and II with Medtronic® DX2 pacemaker models.

■

Section J contains a glossary of terms.

iv Medtronic.Kappa® 400 Series Pacemaker Programming Guide

How to Use This Guide iii

1. Programmer Basics

Setting Up the 9790 Programmer 1-2 Connecting the Programmer to Skin Electrodes 1-4 Positioning and Using the Programming Head 1-5 About the Display Screen 1-8 Programming Emergency Parameters 1-15 Recording an ECG Strip 1-16 Using the On-line Help Feature 1-19

2. Conducting a Patient Session

Important Reminders About Medtronic.Kappa® 400 Series Pacemakers 2-2

Starting a Patient Session 2-5 Proceeding with Task Selection 2-9 Interrogating the Pacemaker 2-11 Taking a Quick Look at Pacemaker Operation 2-12 Viewing Battery and Lead Measurements 2-16 Checking the Present Parameter Settings 2-19 Viewing Patient Information Stored in the Pacemaker 2-21 Recording an ECG Strip of Magnet Operation 2-22 Checking the Patient’s Underlying Rhythm 2-25 Printing Data Reports 2-28 Ending a Patient Session 2-33

Tab le of Co nt en ts

3. Streamlining Follow-up with Checklist

About the Checklist Feature 3-2 Using Checklist to Streamline a Follow-up Session 3-3 Creating a Custom Checklist 3-6

4. Viewing the Patient’s ECG and EGM Traces

Viewing the ECG and Other Rhythm Waveforms 4-2 Freezing and Analyzing a Waveform Strip 4-14 Recalling and Viewing Waveform Strips 4-23

Medtronic.Kappa® 400 Series Pacemaker Programming Guide v

Tabl e o f C on te nt s

5. Collecting Diagnostic Data

About Data Collected by the Pacemaker 5-2 Displaying Collected Data 5-8 Setting Up Data Collection 5-21 Choosing Clinician-Selectable Detailed Data Collection 5-24 Programming Data Collection 5-38 Clearing Data From the Pacemaker 5-39

6. Evaluating Parameter Settings

Measuring Stimulation Thresholds 6-2 Determining a Sensitivity Setting 6-15 Using Temporary Programming to Evaluate Parameter Settings 6-23

7. Programming Pacemaker Parameters

Programming Parameters 7-2 Saving/Retrieving a Set of Parameter Values 7-12

8. Setting Up the MV Sensor and Rate Response Parameters

Setting the MV Sensor Baseline 8-2 Using the Exercise Test to Verify Rate Response 8-5

9. Miscellaneous Setup Options - Programmer and Pacemaker

Selecting System Operating Preferences 9-2 Adjusting Programmer Time and Date 9-4 Improving the Detection of Pacing Artifacts 9-5 Programming Patient Data into Pacemaker Memory 9-6 Connecting an External Printer 9-8 Checking the Software Version 9-12

vi Medtronic.Kappa® 400 Series Pacemaker Programming Guide

Programmer Basics

General Desciption

This chapter provides an overview of setting up the programmer and covers information you should be familiar with before you begin a patient session.

This information includes such things as using the programming head and stylus, programming Emergency parameters, and recording an ECG strip. Sections include an introduction to features of the display screen and use of the on-line Help system.

Setting Up the 9790 Programmer

1-2

For more detailed information on setting up your programmer, refer to Programmer Description and Setup, a guide supplied with your 9790 series programmer.

Medtronic.Kappa® 400 Series Pacemaker Programming Guide 1-1

Connecting the Programmer to Skin Electrodes

Positioning and Using the Programming Head

About the Display Screen

Programming Emergency Parameters

Recording an ECG Strip

Using the On-line Help Feature

1-19

1-4

1-5

1-8

1-15

1-16

Programmer Basics

Setting Up the 9790 Programmer

The following topics summarize the basic steps for setting up your 9790 series programmer. For more complete information on setting up your programmer, refer to the guide, Programmer Description and Setup, supplied with your programmer.

Programmer Setup Check List

Verify that the components illustrated below are properly connected to the programmer.

Power Cord

Selector Pen (Stylus)

Do not disconnect

NOTE:

the stylus.

Programming Head

Figure 1-1. Setting Up the Programmer

1-2 Medtronic.Kappa® 400 Series Pacemaker Programming Guide

Compartment

Latch

ECG Cable

Connecting an External Monitor/Recorder

To connect an external monitor or recorder to your programmer you need the optional adaptor shown below. Connect the adaptor to the analog output port on the right side of the programmer.

Signal Output Adaptor

Programmer Basics

Setting Up the 9790 Programmer

±1V

±5mV

Connect the optional adaptor to the Analog Output port on the programmer.

Adaptor Output Signals (after model selection):

- Patient’s ECG (upper most ECG on display)

- Telemetered EGM (uppermost EGM on display)

- Telemetered EGM (other EGM if programmed)

- Marker Channel™ Telemetry

Connector Type: Output Signal:

BNC

1 Volt or ±5 mV (switchable)

Figure 1-2. Connecting the Optional External Adaptor

Using the Calibrate Button

Calibrate Button

Marker Channel and EGM Calibration Signals

Atrial Pace (AP) Atrial Sense (AS) Atrial Refractory Sense (AR)

Vent. Refractory Sense (VR) Vent. Sense (VS) Vent. Pace (VP)

5 mV

1 mV

Selecting the Calibrate button located next to the analog output port adds a reference signal (as shown in Figure 1-2) to the trace of Marker Channel™ and EGM telemetry.

The Marker Channel signal shows the relative marker amplitudes, which are not annotated with character codes on an external device. The EGM calibration signal acts as a voltage reference for the displayed EGM.

Medtronic.Kappa® 400 Series Pacemaker Programming Guide 1-3

Programmer Basics

Connecting the Programmer to Skin Electrodes

At the start of a patient session, the programmer must be connected to skin electrodes on the patient. The ECG display and measurement functions will not operate without detection of the surface ECG signal.

Use an electrode lead to connect each skin electrode to the appropriate port on the ECG cable. Typical electrode placement is shown below. Use standard procedures for attaching disposable skin electrodes to the patient.

RA (R)

RL (N)

Figure 1-3. Connecting the Programmer to Skin Electrodes

Refer to the guide, Programmer Description and Setup, supplied with your 9790 programmer for more details on this procedure.

LA (L)

C (C)

LL (F)

( ) = IEC Coding

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Programmer Basics

Positioning and Using the Programming Head

In many of the procedures described in the following chapters, you will be directed to position the programming head over the patient’s pacemaker.

When to Position the Programming Head

You must position the programming head over the patient’s pacemaker whenever a procedure initiates communication between the programmer and pacemaker. Examples are:

Positioning the Programming Head

Light

Array

Green

Amber/Green

■ At the start of a patient session when you select the

Identify

button. The programmer automatically initiates

Start

Auto-

an interrogation that takes a number of seconds to complete.

■ Prior to executing any command that results in a telemetry or

programming transmission.

■ To view or record Marker Channel™ or EGM telemetry.

CAUTION: Do not position the programming head over an implanted pacemaker during electrocautery or defibrillation procedures.

How to Position the Programming Head

The programming head must be properly positioned as described below. An incorrectly positioned programming head can result in the failure of a transmitted command and the loss of telemetry.

1. Hold the programming head directly against the patient’s

skin with the face of the programming head parallel to the pacemaker.

2. Position the programming head so that the amber light in

the light array goes out and one or more of the green lights come on. Move the head a little in each direction to find the position that lights the greatest number of green lights. This is the optimum position.

Medtronic.Kappa® 400 Series Pacemaker Programming Guide 1-5

Programmer Basics

Positioning and Using the Programming Head

Effect of the Programming Head on Pacemaker Operation

If model selection and application (software) loading are complete, positioning the programming head over a Medtronic.Kappa® Series 400 pacemaker does not put the pacemaker in the magnet mode of operation, as is the case with previous pacemaker models. The programmer automatically sends a Cancel Magnet command to the pacemaker, which causes it to continue to operate as programmed.

An exception to this operation can occur if the programming head does not establish a telemetry link with the pacemaker (because of strong electrical interference or because the programming head is improperly positioned). In such cases, positioning the programming head would result in magnet mode operation until a telemetry link is established. You can easily verify the present

The present pacing mode shows in the status bar at the top of the screen.

pacing mode by observing the Status Line at the top of the screen.

Pacemaker operation returns to its permanently programmed state about 2 seconds after you remove the programming head from its position over the pacemaker.

Observing Magnet Mode Operation

To observe magnet mode operation during a patient session, you must conduct the Magnet test described in Chapter 2. Initiating the Magnet test results in a Threshold Margin Test (TMT) and causes the pacemaker to operate in the magnet mode.

NOTE: Between patient sessions before you select the pacemaker model, positioning the programming head over a Medtronic.Kappa® Series 400 pacemaker will result in magnet mode operation.

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Programmer Basics

Positioning and Using the Programming Head

Alternative

PROGRAM

and

INTERROGATE

Buttons

To initiate the Program and Interrogate commands, you have the option to use the on-screen Program (

Interrogate

The P or I button on the programming head is active only when its counterpart is displayed as an active button on the display screen.

) and Interrogate (I) buttons on the programming head.

Light Array

Button

Figure 1-4.

Alternative

Program

and

Interrogate

Programming Head

and

Interrogate

buttons or the

Program

Buttons

Button

Automatic Interrogation at the Start of a Session

At the start of a session when you select programmer automatically interrogates the patient’s pacemaker for all the data contained within the pacemaker. For this process, you must position the programming head and hold it steady in place until the interrogation is complete.

At the bottom center of the screen you will see an indicator showing the progress of the interrogation. Because this interrogation retrieves all the data stored in the pacemaker, including diagnostic data, the process may take a number of seconds.

Medtronic.Kappa® 400 Series Pacemaker Programming Guide 1-7

Start

Auto Identify

, the

Programmer Basics

About the Display Screen

The programmer display screen is an interactive device that not only displays information in the form of both text and graphics, but functions as a control panel by displaying buttons and menu options that you can select using the stylus.

Features and Conventions of the Display Screen

This section describes the features and conventions of the display screen. The Therapy Parameters screen below shows the main elements of the typical screen.

Status Bar

Live Rhythm Monitor Window

Task Area

Command Bar

Active Fields Buttons Tool Palette

Figure 1-5. Main Elements of a Display Screen Example

1-8 Medtronic.Kappa® 400 Series Pacemaker Programming Guide

Status Bar

Programmer Basics

About the Display Screen

The Status Bar

The status bar at the top of the screen shows:

■ The present pacing mode.

■ When any one of a number of test conditions is occurring.

■ The pacemaker model.

The Live Rhythm Monitor Window

This window is a partial view of the full-screen display of ECG, Marker Channel™, and telemetered EGM waveform traces. You can expand this window to its full size by selecting the small square button in the upper-right corner of the window or by selecting the

Adjust...

button.

Heart rate and rate interval show if the programming head is positioned over the pacemaker.

Annotations above the waveform trace show the point of programmed parameter changes.

The waveform trace or traces that show in this window depend on the selected task screen and how traces have been arranged in the full-screen view. Refer to Chapter 4 for information about the live rhythm monitor.

The Task Area

The portion of screen between the live rhythm monitor window at the top and the command bar at the bottom changes according to the task or function you select. The example in Figure 1-5 shows the Therapy Parameters screen for programming pacemaker parameter settings. This task area would appear much different if you selected, for example, the Threshold Test Setup screen.

Medtronic.Kappa® 400 Series Pacemaker Programming Guide 1-9

Programmer Basics

About the Display Screen

Active fields show as unshaded areas on the screen.

The Command Bar

The bar at the bottom of the screen always shows the command buttons for programming “emergency” parameters settings, interrogating the pacemaker, and ending the patient session.

Programming emergency parameters is covered later in this chapter; interrogating the pacemaker and ending the session are discussed in Chapter 2.

Active Fields

Unshaded areas, or boxes, appearing in the task area are “active fields” that respond to the stylus.

Selecting a value, word, name, or phrase that appears in an active field opens a menu or window of alternative options for whatever is represented in that field.

For example, touching the amplitude value “3.50 V” in the Atrial Lead field with the tip of the stylus opens a window of amplitude value options. Selecting any one of these options replaces the original 3.50V value with the selected one.

Selecting an active field opens a menu or window of alternative options, or in some cases, an on-screen keyboard.

1-10 Medtronic.Kappa® 400 Series Pacemaker Programming Guide

Buttons having a less distinct shaded label are not presently active.

Programmer Basics

About the Display Screen

Selecting some fields (those with terms ending in an ellipsis, such as “Rate Response...”) open a window displaying additional fields. Some fields that require entry of information, such as patient data, open an on-screen keyboard. How to use this keyboard is described later in this section.

Buttons

Buttons like those shown below let you operate the programmer using the stylus. You can “press” a button by touching it with the tip of the stylus.

Buttons

Icons

Buttons may directly execute a command, such as the

Program

button, or they may open a window that prompts another action. Usually such buttons have a label ending with an ellipsis, such as the

Save...

buttons shown above.

Get...

A procedure may instruct you to “press and hold” a button. In such cases you should touch the tip of the stylus to the button and continue to maintain pressure against the button until it is time to “release” the button.

The Tool Palette

The collection of buttons and icons along the edge of the screen is referred to as the “tool palette.” These are the controls you will use to choose the task or function screen you want displayed. Once you have started a patient session, the tool palette is always displayed, making it quick and easy to move to the desired task or function.

Each of the icons acts like a button. To select an icon, touch the icon with the stylus. The “<“ symbol adjacent to three of the icons indicates that selecting one of these icons opens a menu of related options. The icons without the < symbol directly open a task screen.

Medtronic.Kappa® 400 Series Pacemaker Programming Guide 1-11

Programmer Basics

About the Display Screen

Refer to Table 2-1 in Chapter 2 for a brief explanation of the purpose of each button and icon in the tool palette.

Using the On-Screen Keyboard

Certain fields on the screen allow you to enter data, such as the patient’s name or file number. Selecting such a field automatically displays the on-screen keyboard shown below. By touching the letter or character buttons with the stylus, you can use this display feature like an actual keyboard.

Text Entry Window

Space Bar

Figure 1-6. Keyboard Screen

The function of the on-screen keyboard buttons are very similar to the keys on a typewriter or computer keyboard.

1-12 Medtronic.Kappa® 400 Series Pacemaker Programming Guide

Cursor Position Keys

Table 1-1. Keyboard Buttons

Button or Feature Function

Programmer Basics

About the Display Screen

Text Entry Window (See Figure 1-6)

Shows the text as you enter it using the keyboard. You can enter only as many characters as can fit in the selected field.

Clears all characters from the Text entry window.

Closes the Keyboard screen without changing the selected field.

Deletes the character to the left of the cursor in the data entry window.

Has no effect.

Locks all characters into upper case until the

key is selected again. While the

Caps

down, the

Shift

and

Shift Lock

keys operate as

Caps

key is

described below except that characters will shift to lower case.

Shifts all of the characters into upper case and replaces the top row of numbers with commonly used symbols. This shift cancels automatically after you select a character or symbol.

Locks all of the characters into upper case and replaces the top row of numbers with commonly used symbols. Press this key again to return to number keys and lower case.

Shifts the keyboard to a limited set of characters. Selecting a character or symbol cancels Alt.

Space Bar

Inserts a blank space.

(See Figure 1-6)

Moves the cursor one space to the left or the right.

Closes the Keyboard screen and enters the text in the text entry window into the selected field.

Medtronic.Kappa® 400 Series Pacemaker Programming Guide 1-13

Programmer Basics

About the Display Screen

Audible Tones

Certain events in the operation of the programmer result in an audible signal. The following tones alert the user to the success or failure of an action.

■ A two-tone beep (low-to-high) indicates confirmation of an

Interrogate or a Program command.

■ A single low-tone beep indicates that an Interrogate, Program,

or Emergency command was not confirmed. It can also indicate that the selected command cannot be executed.

■ A single, short beep coincides with pressing the Interrogate

or the Program button. It also occurs upon automatic identification of the pacemaker.

1-14 Medtronic.Kappa® 400 Series Pacemaker Programming Guide

Programming Emergency Parameters

The Emergency programming command is a safety feature that overrides all other functions and immediately programs the pacemaker to preset emergency values intended to provide pacing support under a variety of conditions. This programming cancels any temporary function in effect and restores magnet mode operation.

To program Emergency parameters:

1. Position the programming head over the pacemaker.

2. Take either of the following actions:

Programmer Basics

■ Press the square red

button on the left side of the display panel.

■ Or, select the on-screen

Emergency

button in the

Emergency Button

(Red)

Deliver Button

(Yellow on Blue)

+ Emergency

lower left corner of the screen.

3. Hold the programming head steady until a confirmation

message appears. If programming is not confirmed, verify that the programming head is properly positioned and then reselect the

Emergency

button or the square red button.

Emergency values are permanent settings that provide higherthan-normal energy output. It is not intended that the pacemaker be left at these settings. Refer to Section B in Volume II for a list of Emergency parameters settings for the Kappa® series 400 pacemakers.

Medtronic.Kappa® 400 Series Pacemaker Programming Guide 1-15

Programmer Basics

Recording an ECG Strip

At any time during a patient session, you can initiate a continuous, real-time ECG recording as described below.

To start an ECG recording:

➤ Press the desired paper speed button (

25 mm/sec

2.5 mm/sec

Paper Advance

Figure 1-7.

ECG Chart Recorder Control Buttons

25 mm/sec, 12.5 mm/sec

To stop the recording:

➤ Press the same paper speed button again.

Before you tear off the ECG strip, press the button to advance the strip to a perforation.

Paper Advance

1-16 Medtronic.Kappa® 400 Series Pacemaker Programming Guide

Annotations

ECG Trace

Programmer Basics

Recording an ECG Strip

About the ECG Recording

Because the printed recording provides a higher resolution, it may show artifacts and events that do not appear on the display.

Annotation of Executed Commands – Information on the ECG printout includes an indication of when certain commands to the pacemaker occurred. When confirmation of the command is received, the command name is printed at the appropriate point in the margin above the waveform grid. A recording made during use of the following test functions will show the programmed test values as they are programmed: Magnet, Underlying Rhythm, Threshold, Manual Sensing, and Temporary.

Marker Telemetry

EGM Telemetry

Figure 1-8. Example ECG Printout with Marker and EGM Telemetry

Marker Channel™ and EGM Telemetry – If the programming head is positioned over the patient’s pacemaker, the recording will include a trace or traces of the telemetry being received from the pacemaker. In this example, the patient’s ECG is accompanied by Marker and EGM telemetry.

ECG and EGM Trace Adjustment – The ECG and EGM are recorded according to control settings accessible from Adjust window (see Chapter 4). The ECG source (Lead I, II, or III) printed is the ECG trace appearing first in the live rhythm monitor window on the programmer screen.

Medtronic.Kappa® 400 Series Pacemaker Programming Guide 1-17

Programmer Basics

Recording an ECG Strip

Missing Markers – A programming command or interrogation momentarily interrupts the transmission of Marker Channel™ telemetry. This interruption can result in missing markers. The point at which the command occurred is marked above the ECG trace by a “down” and/or “up” arrow. The down arrow (▼) indicates a transmitted command from the programmer; the up arrow (▲) indicates a telemetry response from the pacemaker.

1-18 Medtronic.Kappa® 400 Series Pacemaker Programming Guide

Using the On-line Help Feature

The On-line Help system provides information on-screen about many of the features and operations of the programmer. When you request Help, a Help window opens (covering much of the workspace temporarily). If the initial Help window does not have the information you were seeking, you can find another one that does by using the buttons and icons listed in Table 1-2.

When you are ready to leave the On-line Help system, simply close the Help window. You will return to the workspace that was in view before you requested Help.

Table 1-2. Getting Around in the Help System

Button or Icon What It Does

Specific Help — If this icon is displayed within a screen or window, select it to get specific help related to that screen or window.

This icon is displayed only if Specific Help is available.

General Help — Select this button at any time to enter Help, starting with a Topics list.

button Displays the Help window last viewed or closes

the Help window first opened.

button Closes the Help window.

Programmer Basics

Using the On-line Help Feature

button Displays a list of terms discussed in Help. From

Index

button Displays a list of all available Help topics. From

Topics

(underlined phrase

Scroll bar Use this if a Help topic extends beyond the

this list, you can select a Help topic to learn about one of the terms.

this list you can select any topic.

Link icon — Indicates that more Help is available. Select this symbol to jump to a related topic.

Some pictures may have links also.

) Definition available — Select the phrase to see

a pop-up window that defines the phrase. Select

window size.

to close the pop-up window.

Medtronic.Kappa® 400 Series Pacemaker Programming Guide 1-19

Programmer Basics

Using the On-line Help Feature

Entering the Help System

Figure 1-9 shows ways to enter the Help system:

■ If the

icon is present, select it for specific help about the

screen or window in which it appears. This icon appears near the window’s title bar when specific help is available.

■ Select the Help… button, which is always present. This leads

you directly to a topics list so that you can search for information. You can also search by using a Help index.

Once you have entered the Help system, you can use the built-in links to jump from the current Help window to other related Help windows.

button for

Help…

general Help

icon for specific

Help

Title bar for window having specific Help

Figure 1-9. Entering On-line Help

1-20 Medtronic.Kappa® 400 Series Pacemaker Programming Guide

Programmer Basics

Using the On-line Help Feature

Using the Links in Help

Figure 1-10 shows the links that allow you to see additional Help windows:

Topic window

Pop-up definition window

■ The basic link, whose icon is

, indicates that more Help is

available. Select it to jump to a related topic.

■ The definition link, whose symbol is an underlined phrase,

indicates that there is a pop-up window to define the phrase. Select the phrase to open the pop-up window. Select outside the pop-up window (or select

) to close it.

Note: Some pictures may have links also. Each of these pictures has instructions on how to select the links and where they lead.

If you have viewed a series of topics and wish to return to a topic viewed earlier in that series, you can use the

button to go

backward through the series of topics one at a time.

Link to definition window

Help push buttons

Figure 1-10. Typical Help Windows (Topic and Definition)

Link to another Help topic

Medtronic.Kappa® 400 Series Pacemaker Programming Guide 1-21

Scroll bar

Programmer Basics

Using the On-line Help Feature

Exiting the Help System

When you are ready to leave Help and return to the programmer workspace, select the the programmer screen displays the same information that it did when you entered Help.

button. The Help window closes, and

Note: Except for the

Emergency

button, no other functions on the programmer screen are usable when Help is open. To use other programmer functions, you must first exit the Help system.

Searching for Information in Help

If you do not find the information you were looking for in the current Help screen, there are several methods for searching for it:

■ Topics List — Select the

having two columns. The column on the left lists categories of Help topics. One of these categories is always selected, and the topics for that category are listed in the right-hand column. You can view:

– any of the topics listed (on the right) by selecting the link

icon ( ) next to its name, or

– another category by selecting its name (on the left).

Figure 1-11 shows what happens when you select a different category. In this example, the category “Initial Help” is selected first. The right-hand column lists topics included in this category. Suppose that you are searching for Help on one of the pacing therapies. If you select “Pacemaker Features” as a new category, notice that the right-hand column changes. You can then select a link icon ( ) for the specific topic you would like to view.

push button to open a window

To pi c s

■ Help Index — Select the

lists indexed terms in alphabetical order. Like a book index, the terms are not limited to titles in Help. You can go to a Help window explaining any of the indexed terms by selecting the link icon ( ) next to that term.

Figure 1-12 shows some typical index entries.

1-22 Medtronic.Kappa® 400 Series Pacemaker Programming Guide

button to open a window that

Index

+ 192 hidden pages

Medtronic KSR403 Programming Guide

Specifications and Main Features

Frequently Asked Questions

User Manual

How to Use This Guide

Table of Contents