Medtronic MyStim 97740 Quick Manual

AREA OF GLUE
MyStim® Programmer
QUICK GUIDE FOR CHRONIC PAIN
MODEL 97740
Programmer Keys
Programmer Screen Overview
Programmer Functions
• Turns neurostimulation on.
NEUROSTIMULATOR OFF
• Turns neurostimulation o.
SYNC
• Communicates with neurostimulator.
• Press at the beginning of each session or to activate a new group.
POWER
• Turns programmer on and o.
• Holding key down turns screen backlight on or o.
NAVIGATOR KEYPAD
• Press up s and down t keys to move the selection box to desired row.
• Press left t and right s keys to see additional options in a desired row (if your doctor has made them available).
MyStim® Programmer
QUICK GUIDE FOR CHRONIC PAIN
Model 97740
INCREASE
• Increases a parameter.
DECREASE
• Lowers a parameter.
Selection box
• Shows which row is selected.
Parameter row
• Shows icons and settings for program’s parameters that you can change.
• Options icon
s
t
appears only when
other parameters are available.
Amplitude
Changes how strong the stimulation feels or the spread of the stimulation area.
Pulse Width
Changes how strong the stimulation feels or the spread of the stimulation area.
Rate
Changes how smooth the stimulation feels. Rate feels like “tapping.”
Amplitude Group Adjust
Changes all program amplitudes for the active group at the same time.
Turning the neurostimulator ON or OFF
• Hold the programmer over the neurostimulator and press the NEUROSTIMULATOR ON or OFF key.
Synchronizing the programmer and neurostimulator
• Hold the programmer over the neurostimulator and press the SYNC ke y.
Side View
Status row
• Neurostimulator ON/OFF
• Implantable neurostimulator battery level
• Programmer battery level
Group row
• Shows current group.
• Checkbox shows active group.
• Group Name is identied by a letter (A-H).
• Options icon
s
t
appears only when
other groups are available.
Front View
Program number
• Shows program for group displayed.
ON
OFF
Checking MyStim programmer battery level
1. Synchronize the programmer and neurostimulator .
2. Examine the programmer battery icon in the top row.
Replace batteries
New batteries
Programmer battery level
Tips
• Always synchronize your programmer and neurostimulator at the beginning of a programming session .
• Center the programmer within two inches of the neurostimulator when programming.
• The neurostimulator must be on to increase a parameter for an active group.
Audio alerts
One long beep
• Programming was successful.
Three short beeps
• Highest or lowest parameter limit reached,
OR
• Programming was not successful because:
– stimulation is turned o. – programmer could not communicate
with the neurostimulator.
– changes are being made to an
inactive group.
Return to Clinician Settings
1. Verify the appropriate group is active on the Group row.
2. Use the up s and down
t
NAVIGATOR keys to select the Status row.
3. Use the left t and right
s
NAVIGATOR keys to select Return to Clinician Settings.
4. Synchronize the programmer and neurostimulator .
Changing a group
1. Synchronize the programmer and neurostimulator.
2. Use the up
s
and down t NAVIGATOR
keys to select the Group row.
3. Use the left t and right s NAVIGATOR keys to select a group.
4. Synchronize the programmer and neurostimulator .
5. Verify that the group is active .
SYNC Key
Using AdaptiveStim®
If your clinician has programmed AdaptiveStim® and AdaptiveStim is turned on, the AdaptiveStim On icon
(A) will appear in the Status row on the Therapy screen.
Status row
• If AdaptiveStim is on and your therapy is on, your amplitude settings will change automatically in response to your position changes.
• If AdaptiveStim is turned o, only the Neurostimulator On icon ( ) and Neurostimulator O icon ( ) will display in the upper left corner of the Status row.
• AdaptiveStim must be turned on in order to view AdaptiveStim information on the
Therapy screen.
Making adjustments to AdaptiveStim
If you make an adjustment to your stimulation with AdaptiveStim on and want to have that adjustment remembered for a certain position: – make the adjustment and; – stay in that current position for at least
three minutes.
Note: If you change position while increasing or decreasing your stimulation amplitude, the AdaptiveStim icon or text will blink, indicating the MyStim programmer has updated to the current AdaptiveStim position.
Use the denitions listed on the inside cover of the Quick Guide to understand the AdaptiveStim position names and icons on the Therapy screen.
Turning AdaptiveStim On and O
Complete the following steps to turn AdaptiveStim On or O.
1. Synchronize the MyStim programmer and neurostimulator.
a. Hold the MyStim programmer
directly over your neurostimulator with the screen facing outward.
b. Press the SYNC key. The Therapy
screen appears.
AdaptiveStim On
2. Press the up s arrow on the NAVIGATOR key to move the selection box to the Status row.
3. Press the right
s
arrow on the NAVIGATOR key to move the selection box to the AdaptiveStim preference.
Note: The preference screen displays the AdaptiveStim state that you will change to.
For example, if AdaptiveStim is currently turned on, the AdaptiveStim O icon will be displayed on the Preference screen.
4. Press the SYNC key to send the change to your neurostimulator and return to the Therapy screen.
AdaptiveStim O
Note: With the AdaptiveStim O, you
will not see the AdaptiveStim On icon, position name next to the Group, or position icon.
AdaptiveStim groups and positions
Your clinician can program specic amplitudes for each of the following six positions:
Position Icon Position Description Position Abbreviation
Standing or sitting upright Upright
Lying on your back Lying B
Lying on your front Lying F
Lying on your right side Lying R
Lying on your left side Lying L
Mobile while upright Mobile
Position abbreviation
Position
icon
Detailed instructions for activating and deactivating MRI Mode using your patient programmer (Model 97740 or later) are available at mrisurescan.com/prepare. A high-level summary of those instructions is provided here.
MRI Mode should be activated before you enter the MRI scanner (magnet) room. Do not turn stimulation back on before your MRI scan. Leaving stimulation
on during the scan could increase the potential for uncomfortable, unintended stimulation.
To activate MRI Mode:
1. Synchronize the patient programmer and the neurostimulator. Hold the patient programmer directly over your neurostimulator with the screen facing outward. Press the SYNC key. The Therapy screen will appear.
2. Press the up arrow on the NAVIGATOR key to move the selection box to the Status row on the Therapy screen.
3. Press the left or right arrows on the NAVIGATOR key to move the selection box until the MRI Mode Activation screen appears.
4. Hold the patient programmer directly over your neurostimulator with the screen facing outward and press the SYNC key.
MRI Mode is now activated and your stimulation is turned off. The MRI Scan Eligibility screen will display a set of icons indicating your MRI scan eligibility. Do not press any other keys once MRI Mode is activated.
To deactivate MRI Mode:
1. Hold the patient programmer directly over your neurostimulator with the screen facing outward and press the SYNC key.
2. Hold the patient programmer directly over your neurostimulator with the screen facing outward and press the NEUROSTIMULATOR ON key.
3. Verify that the Neurostimulator On icon is displayed on the Status row of the Therapy screen.
Adaptive Stim®
MRI Mode
AdaptiveStim position abbreviations are displayed on the Group row of the Therapy screen. AdaptiveStim position icons are displayed on the Parameter row.
Note: If you change positions after synchronizing, re-synchronize in order to view updated positions and settings.
Information Screens What to Do
Upper Limit Lower Limit
(amplitude shown) (amplitude shown)
Press any arrow on the NAVIGATOR key to clear the screen.
Synchronize Synchronize the programmer and neurostimulator.
Press
NEUROSTIMULATOR ON
key
Turn your neurostimulator ON and try communication again.
Programmer batteries are low
Replace the MyStim programmer batteries before the batteries become depleted.
Poor communication
Reposition the programmer over the neurostimulator with the screen facing outward and try again. If using a detachable antenna, check to make sure the antenna is connected properly, reposition the antenna, and try again.
Warning Screens What to Do
Replace programmer batteries Replace the MyStim programmer batteries now.
Call doctor
Write down the code shown on the screen. Call your clinician.
Communication Screen What to Do
Communication Normal communication. No action is needed.
Situation Action
AdaptiveStim stimulation for a specic position is uncomfortable.
While in the applicable position, decrease amplitude(s) and remain in that position for at least three minutes.
AdaptiveStim stimulation for a specic position is not adequately covering your pain.
While in the applicable position, increase amplitude(s) and remain in that position for at least three minutes.
You are unable to adjust AdaptiveStim stimulation while in a specic position.
Make the desired stimulation adjustment, then get in the desired position within three minutes and stay there for at least three minutes.
Stimulation becomes uncomfortable while riding in a car or another type of transportation.
Turn AdaptiveStim o.
Stimulation becomes uncomfortable while moving in an elevator, escalator, etc.
Turn AdaptiveStim o.
You do not want to feel therapy when in a certain position.
Adjust your amplitude to zero to turn your therapy o instead of turning the neurostimulator o.
Patient is in unknown position. The AdaptiveStim icon displays in the group line instead of position text.
Make a position adjustment and resynchronize in order to verify position.
See your MyStim programmer user manual for complete instructions and information on warnings, precautions, risks, and benefits. Rx only.
NEUROSTIMULATION SYSTEMS FOR PAIN THERAPY
Brief Summary: Product Technical Manuals and Programming Guides must be reviewed prior to use for detailed disclosure.
Indication for Use: Chronic, intractable pain of the trunk and/or limbs-including unilateral or bilateral pain. Contraindications: Diathermy. Warnings: Defibrillation, diathermy, electrocautery, MRI, RF ablation, & therapeutic ultrasound can
result in unexpected changes in stimulation, serious patient injury or death. Rupture/piercing of neurostimulator can result in severe burns. Electrical pulses from the neurostimulator may result in an inappropriate response of the cardiac device. Precautions: The safety and effectiveness of this therapy has not been established for: pediatric use, pregnancy, unborn fetus, or delivery. Follow programming guidelines & precautions in product manuals. Avoid activities that stress the implanted neurostimulation system. EMI, postural changes, & other activities may cause shocking/jolting. Patients using a rechargeable neurostimulator should check for skin irritation or redness near the neurostimulator during or after recharging. Adverse Events: Undesirable change in stimulation; hematoma, epidural hemorrhage, paralysis, seroma, CSF leakage, infection, erosion, allergic response, hardware malfunction or migration, pain at implant site, loss of pain relief, chest wall stimulation, & surgical risks.
For full prescribing information, please call Medtronic at 1-800-328-0810 and/or consult Medtronic’s website at www.medtronic.com.
USA Rx Only Rev 0313
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