Neurological Medtronic Confidential Title Model 7439 Patient Programmer User Manual Global Medtronic Confidential This Document is the Property of Medtronic, Inc. and must be accounted for. Information hereon is confidential. DO NOT reproduce it, reveal it to unauthorized persons or send it outside Medtronic without proper authorization. Part No. Writer Part No.
Medtronic Confidential NeuroPatntR00 7439_FC.fm 10/13/04 9:26 am Size 4.625" x 6.
7439_FC.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 The following are trademarks of Medtronic, Inc.: Medtronic®, MyStim™, SoftStart™, Synergy Plus+™, Synergy Compact+™, and Synergy®. c FCC Information The following is communications regulation information on the Model 7439 Patient Programmer. FCC ID: LF537741 This device complies with Part 15 Rules.
Medtronic Confidential NeuroPatntR00 7439TOC.fm 10/13/04 9:27 am Size 4.625" x 6.
Medtronic Confidential NeuroPatntR00 7439TOC.fm 10/13/04 9:27 am Size 4.625" x 6.
Medtronic Confidential NeuroPatntR00 7439TOC.fm 10/13/04 9:27 am Size 4.625" x 6.
Medtronic Confidential NeuroPatntR00 7439TOC.fm 10/13/04 9:27 am Size 4.625" x 6.
Medtronic Confidential NeuroPatntR00 7439_Sym.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Label symbols Explanation of symbols on products and packaging. Refer to the appropriate product to see symbols that apply. CE Conformité Européenne 0123 (European Conformity). This symbol means that the device fully complies with AIMD Directive 90/385/EEC (NB 0123) and R&TTE Directive 1999/5/EC. The use of this device might be subject to individual country licensing regimes in Europe.
Medtronic Confidential NeuroPatntR00 7439_Sym.fm 10/13/04 9:27 am Size 4.625" x 6.
7439_Ch01.fm 10/13/04 9:27 am Size 4.625" x 6.
Medtronic Confidential NeuroPatntR00 7439_Ch01.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN A company dedicated to patients Introduction 1 Medtronic was founded in 1949 by Earl Bakken, a graduate student in electrical engineering, and his brotherin-law, Palmer J. Hermundslie. Today Medtronic is the world leader in medical technology, pioneering therapies that restore health, extend life and alleviate pain.
Medtronic Confidential NeuroPatntR00 7439_Ch01.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN develop new ones. Although we are a large company, individual patients and their needs are still the driving force behind what we do and how we do it. Our goal is to improve the quality of your life. This booklet, which provides information about your neurostimulation system, is one small way we try to help. Welcome to the Medtronic family. We wish you well.
7439_Ch01.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 system, and the risks, benefits, warnings, precautions, and patient activities related to your neurostimulation system. • Chapter 3, “Introduction to stimulation,” describes the therapy, neurostimulation system components, and recovery and care information. • Chapter 4, “Using your patient programmer,” describes the patient programmer and how to perform specific tasks.
7439_Ch01.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Patient guides You should receive the following documents after a neurostimulator is implanted. • Medtronic Model 7439 Patient Programmer Quick Reference Guide: provides instructions for common patient programmer tasks. • The Patient Identification Card: provides information about you, your neurostimulator, and your doctor.
Medtronic Confidential NeuroPatntR00 7439_Ch01.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Patient identification card When you leave the hospital, your doctor will give you a patient identification card. This card supplies information about you, your implanted device, and your doctor. Your identification card may allow you to bypass security devices. Carry this card with you at all times. If you move, change doctors, or lose your card, contact Medtronic for a replacement card.
7439_Ch02.fm 10/13/04 9:27 am Size 4.625" x 6.
Medtronic Confidential NeuroPatntR00 7439_Ch02.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Purpose of the neurostimulation system (indications) Important therapy information 2 Refer to the indications sheet that is packaged with the patient programmer for the purpose of the neurostimulation system and related information.
Medtronic Confidential NeuroPatntR00 7439_Ch02.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN and can cause tissue damage, resulting in severe injury or death. Refer to “Appendix A: Electromagnetic interference (EMI)” on page 105 for more information. Risks and benefits Risks of surgery Implanting a neurostimulation system has risks similar to spinal procedures, including spinal fluid leak, headaches, swelling, bruising, bleeding, infection, or paralysis.
Medtronic Confidential NeuroPatntR00 7439_Ch02.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN complications such as hematomas that could result in paralysis. Possible adverse effects Adverse effects of stimulation are usually mild and go away when stimulation is turned OFF. These adverse effects could include radicular chest wall stimulation, uncomfortable stimulation, a jolting or shocking sensation, or persistent pain at the neurostimulator site.
7439_Ch02.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 the position of the electrode(s), loose electrical connections, or lead or extension fractures. It is also possible that the implanted materials could cause an allergic or immune system response. Your neurostimulation system might unexpectedly cease to function due to battery depletion or other causes.
7439_Ch02.fm 10/13/04 9:27 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 However, strong sources of EMI can result in the following: • Serious patient injury or death, resulting from heating of the implanted components of the neurostimulation system and damage to surrounding tissue. Important therapy information 2 • System damage, resulting in a loss of or change in symptom control and requiring additional surgery.
7439_Ch02.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 jolting or shocking sensation. Although the unexpected change in stimulation could feel uncomfortable, it does not damage the device or injure a patient directly. In rare cases, as a result of the unexpected changes in stimulation, patients have fallen down and been injured. Important therapy information 2 Refer to Table 2.
22 221244001 Rev X English 7439 2004-08 Printing instructions: Household items High-output ultrasonics /lithotripsy Electromagnetic field devices (eg, arc welding, power stations) ✓ ✓ ✓ ✓ ✓ Electrocautery Electrolysis ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Momentary increase in stimulation Device damage ✓ ✓ Serious patient injury Diathermy, therapeutic Dental drills and probes Defibrillation/ cardioversion Bone growth stimulators Device/procedure ✓ ✓ Device turns OFF or ON ✓ ✓ ✓ ✓ Intermitten
221244001 Rev X 7439 2004-08 English Printing instructions: ✓ ✓ Serious patient injury ✓ ✓ ✓ ✓ ✓ ✓ Momentary increase in stimulation ✓ ✓ Device damage Important therapy information 2 Theft detectors/security devices Therapeutic magnets Radiofrequency (RF)/ microwave ablation Radiation therapy Psychotherapeutic procedures Magnetic resonance imaging (MRI) Laser procedures Device/procedure ✓ ✓ ✓ ✓ Device turns OFF or ON ✓ ✓ ✓ ✓ Intermittent stimulation page 114 page 122 pag
24 221244001 Rev X Transcutaneous electrical nerve stimulation (TENS) Therapeutic ultrasound Device/procedure Device damage ✓ Serious patient injury ✓ ✓ Momentary increase in stimulation ✓ Device turns OFF or ON ✓ Intermittent stimulation page 119 page 106 See guidelines Table 2.1 Potential effects of EMI from devices or procedures (continued) Important therapy information 2 7439_Ch02.fm 10/13/04 9:28 am Size 4.625" x 6.
7439_Ch02.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Neurostimulator interaction with cardiac implantable devices – When a neurostimulator and an implanted cardiac device (eg, pacemaker, defibrillator) are required, the doctors involved with both devices (neurologist, neurosurgeon, cardiologist, cardiac surgeon) should discuss the possible interaction between the devices before surgery.
7439_Ch02.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 should reprogram your neurostimulator to a bipolar configuration and a minimum rate of 60 Hz. The cardiac device should be programmed to bipolar sensing.
7439_Ch02.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 neurostimulator. To verify that inadvertent programming did not occur, clinicians familiar with each device should check the programmed settings before you are sent home from the hospital and after either device is programmed (or as soon as possible after these times).
7439_Ch02.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 pacemaker, defibrillator, another neurostimulator). The patient control device could accidently change the operation of another device.
7439_Ch02.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Patient activities Component manipulation – Do not manipulate or rub your neurostimulation system through the skin, sometimes called “Twiddler’s Syndrome.” Manipulation can cause damage to your system, skin erosion, or stimulation at the implant site.
7439_Ch02.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Important therapy information 2 Scuba diving or hyperbaric chambers – Do not dive below 10 meters (33 feet) of water or enter hyperbaric chambers above 2.0 atmospheres absolute (ATA). Pressures below 10 meters (33 feet) of water or above 2.0 ATA can damage the neurostimulation system. Before diving or using a hyperbaric chamber, discuss the effects of high pressure with your doctor.
7439_Ch02.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 some patients have described as uncomfortable stimulation (a jolting or shocking sensation). You should reduce your amplitude to the lowest setting and turn OFF your neurostimulator before engaging in activities that could become unsafe for you or others if you received an unexpected jolt or shock (eg, driving, operating power tools). Discuss these activities with your doctor.
7439_Ch02.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 • you are not an appropriate candidate for surgery. • you cannot properly operate the system. • you do not receive satisfactory results from test stimulation.
7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.
Medtronic Confidential NeuroPatntR00 7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN How stimulation works Nerve signals from all over your body travel to your spinal cord and then to your brain. Your brain translates the signals into sensations such as pain. Introduction to stimulation 3 Stimulation delivers electrical pulses to the area where your pain signals will be blocked as they move to the brain (Figure 3.1).
7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Note: Stimulation will not cure your pain, nor will it block sharp pain caused by a recent injury. Area of pain Area of stimulation Figure 3.2 Stimulation feels like tingling in the area of pain. Generally, people experience a fairly constant sensation of stimulation. However, you may feel changes when you suddenly move or change position.
Medtronic Confidential NeuroPatntR00 7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Parts of your system A typical neurostimulation system has implanted parts that deliver the electrical pulses to the area where your pain signals are blocked. Typically the implanted parts are: a neurostimulator, one or two leads, and one or two extensions (optional) (Figure 3.3). Neurostimulator Extensions Introduction to stimulation 3 Electrodes 36 221244001 Leads Figure 3.
7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Detachable antenna (optional) Medtronic Confidential NeuroPatntR00 Patient programmer Carrying case Figure 3.4 Patient programmer with accessories. Lead(s) – A lead is a thin wire covered with a protective coating. A lead has small metal electrodes near the tip. The electrodes transmit electrical pulses to the area where your pain signals are blocked.
7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 detachable antenna is also available if you have difficulty reaching the neurostimulator implant site. Understanding your therapy Stimulation delivers electrical pulses to the area where your pain signals will be blocked as they travel to the brain. The electrical pulses are made up of parameters called amplitude, pulse width, and rate.
7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 A menu of groups can be designed to meet a patient's specific needs. Typically, each group is designed for particular activities, symptoms, or time of day. For example, Alex has pain in his low back. Typically, Alex’s pain doesn’t vary; however, sometimes Alex has additional pain in his right thigh. Alex’s clinician designed two groups for Alex to choose from.
Medtronic Confidential NeuroPatntR00 7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Controlling your stimulation Your neurostimulator only accepts programming from the clinician programmer or patient programmer; other devices are not able to program your neurostimulator. What your clinician controls Introduction to stimulation 3 Your clinician uses a clinician programmer to communicate with your neurostimulator and your patient programmer.
Medtronic Confidential NeuroPatntR00 7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN group. Talk to your clinician about the settings that apply to your therapy. Recovery and care Recovering from surgery It takes several weeks to heal from surgery. It is normal to feel some discomfort from the incision(s) and to have some pain at the implant site for 2 to 6 weeks. Your doctor may also prescribe physical therapy or medication to help manage your pain.
Medtronic Confidential NeuroPatntR00 7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN • Avoid activities where you must bend, stretch, or twist your body; these movements can move your leads which affects your stimulation. • Avoid lying on your stomach. • Avoid reaching over your head. • Avoid turning from side to side. • Avoid bending forward, backward, or from side to side. • Avoid lifting more than 2.3 kilograms (5 pounds).
Medtronic Confidential NeuroPatntR00 7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Remember, returning to your daily activities should make you feel better, not worse. Note: As you adjust to life with better pain management, you may want to try activities that you could not perform before your surgery. Discuss your activity level with your doctor.
7439_Ch03.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Care schedule Your clinician will schedule follow-up visits to make sure you are receiving the most appropriate therapy. Introduction to stimulation 3 Note: Bring your patient programmer to all appointments with your clinician. When groups are programmed, some settings are stored in your neurostimulator and some settings are stored in your patient programmer.
7439_Ch04.fm 10/13/04 9:28 am Size 4.625" x 6.
7439_Ch04.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 How the patient programmer works Using your patient programmer 4 The patient programmer communicates with your neurostimulator by sending signals to and receiving signals from the neurostimulator. To send and receive the signals, the internal antenna of the programmer, or the detachable antenna, must be placed over the neurostimulator (Figure 4.1).
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Patient programmer Neurostimulator Internal antenna Figure 4.1 Place the patient programmer over the neurostimulator. The patient programmer is used to: • turn the neurostimulator ON or OFF. Using your patient programmer 4 • change stimulation settings.
7439_Ch04.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Synchronizing and displaying the THERAPY screen Synchronizing sends the settings from your neurostimulator to the patient programmer. All communication with the neurostimulator begins with synchronization.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN NEUROSTIMULATOR ON NEUROSTIMULATOR OFF SYNC Figure 4.2 Synchronizing your neurostimulator and patient programmer. Status row Group row Parameter row A 1 3.40 Figure 4.3 THERAPY screen. Icons on the THERAPY screen indicate your neurostimulator settings and the patient programmer battery level (Table 4.1).
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Table 4.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Table 4.1 THERAPY screen icons (continued) Row Parameter Icons a Description Amplitude Amplitude Pulse width Pulse width Rate If you cannot change any parameters, this row is blank. If your clinician scheduled a time when stimulation is OFF (eg, when you sleep), the DAY CYCLING ( ) icon is displayed in the Status row (Figure 4.4).
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN An example of Day Cycling is shown in Figure 4.4. The screens and timetable show the following: • When stimulation is ON, the NEUROSTIMULATOR ON icon is displayed. Stimulation is ON for most of the day. • When stimulation is OFF, the NEUROSTIMULATOR OFF icon is displayed. Stimulation is OFF during the time you would be asleep.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:28 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Guidelines for adjusting your stimulation To receive the most effective therapy, some days you may need to adjust your stimulation several times; other days you may not need to adjust it at all. Your clinician will provide complete guidelines about when you may want to adjust your stimulation. Table 4.2 provides general guidelines for adjusting your stimulation.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Using your patient programmer 4 Table 4.2 Stimulation adjustment guidelines (continued) 54 221244001 Situation Action The pulses (tapping sensations) feel too slow Increase rate The pulses (tapping sensations) feel too fast Decrease rate You have unexpected changes in stimulation 1. Turn OFF the neurostimulator. 2.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Table 4.2 Stimulation adjustment guidelines (continued) Situation You will be passing through a theft detector or security device You will be using potentially dangerous equipment Action Before engaging in these activities, consult “Appendix A: Electromagnetic Interference (EMI),” for details. You will be having a medical procedure 1.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN ON OFF A 1 A 1 3.40 3.40 Figure 4.5 Turning your neurostimulator ON or OFF. Using your patient programmer 4 Caution: To prevent possible uncomfortable or unexpected stimulation (jolting or shocking sensation) when stimulation is turned ON, decrease all amplitudes to the lowest setting before adjusting the pulse width or rate and after turning OFF the neurostimulator.
7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Adjusting stimulation settings There is often more than one way to change stimulation settings. These instructions describe the most common ways. Notes: • Ask your clinician to print a report with your programmed settings. • When a stimulation setting is changed, you will see the change on the THERAPY screen. – One tone means the stimulation setting was successfully changed.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Using the NAVIGATOR key The NAVIGATOR key arrows move the selection box on the THERAPY screen (Figure 4.6). Using your patient programmer 4 Figure 4.6 NAVIGATOR key. 58 221244001 • To move the selection box between rows press the up and down arrows on the NAVIGATOR key. • To move the selection box across a row that continues, press the left and right arrows on the NAVIGATOR key.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN neurostimulator. However, you must hold your programmer over your neurostimulator when pressing all other keys except the POWER key. A row continues when the OPTIONS icon is displayed at the end of a row (Figure 4.7). Selection box OPTIONS icon A 1 3.50 Figure 4.7 The OPTIONS icon and selection box. 1.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Group row Figure 4.8 Group row. Using your patient programmer 4 3. Press the left or right arrows on the NAVIGATOR key to move the selection box to the desired group (Figure 4.9). 60 221244001 Caution: Select the group that your clinician has recommended for the current activity or posture.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN 4. Hold the programmer over your neurostimulator and press the SYNC key to send the change to your neurostimulator (Figure 4.10). Note: If an UNKNOWN GROUP icon is displayed, there is a conflict between the group settings stored in the programmer and the group settings stored in the neurostimulator. Select a different group. on Figure 4.10 Active group.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Increasing or decreasing a parameter (amplitude, pulse width, or rate) Notes: • To increase a parameter, the neurostimulator must be ON. Using your patient programmer 4 • To decrease a parameter, the neurostimulator may be ON or OFF. 62 221244001 1.
7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Notes: • To change a parameter, it must be in a group that is active . • Changing a parameter takes one to two seconds. 2. Use the left or right arrow on the NAVIGATOR key to move the selection box to the desired parameter (Figure 4.11). Figure 4.11 Move to parameter row.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN 3. Hold the programmer over your neurostimulator and press the INCREASE or DECREASE key as needed (Figure 4.12). The increase or decrease occurs immediately and is saved in the neurostimulator. DECREASE INCREASE Using your patient programmer 4 Figure 4.12 DECREASE and INCREASE keys.
7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Table 4.3 Parameter limit screens Lower limit You tried to decrease a parameter (amplitude, pulse width, or rate) below the lowest value allowed. Press any arrow on the NAVIGATOR key to clear the screen. You tried to increase a parameter (amplitude, pulse width, or rate) above the highest value allowed. Press any arrow on the NAVIGATOR key to clear the screen.
7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Patient programmer batteries Always keep two new AAA alkaline batteries available for replacement. New batteries provide about two months use, depending upon how often the programmer is used. Caution: If the device will not be used for several weeks, remove the batteries from the device. A battery left in the device may corrode, causing damage to the electronic components.
7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Battery level A 1 3.50 Low: Replace batteries New Figure 4.13 Patient programmer battery level. If the programmer batteries need immediate replacement, one of the screens in Table 4.4 appears. The patient programmer batteries are low. You can finish programming. Press any arrow on the NAVIGATOR key to clear the screen; then continue programming.
7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Replacing patient programmer batteries Using your patient programmer 4 1. Open the battery compartment cover (Figure 4.14). 68 221244001 Figure 4.14 Opening the battery cover. 2. Remove the depleted batteries. (For disposal information, see “Battery and programmer disposal” on page 101. 3. Insert the new batteries as shown on the battery compartment label. 4.
7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Summary of keys DECREASE NEUROSTIMULATOR ON NEUROSTIMULATOR OFF SYNC INCREASE POWER/ BACKLIGHT NAVIGATOR Using your patient programmer 4 Figure 4.15 Patient programmer keys.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Table 4.5 Summary of keys Key Function Turns the neurostimulator ON OFF . ON OFF or • The programmer must be held over the neurostimulator while pressing the NEUROSTIMULATOR ON or OFF key. • Pressing either of these keys also automatically synchronizes the neurostimulator and programmer and displays the THERAPY screen. Synchronizes the neurostimulator and programmer.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Table 4.5 Summary of keys (continued) Key Function Decreases parameter. Decrease Increase or increases a • The programmer must be held over the neurostimulator while pressing the INCREASE or DECREASE key. • Pressing and holding the INCREASE or DECREASE key changes the parameter approximately every halfsecond.
7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Preferences: Changing the audio, contrast, and number format Programmer preferences are accessed from the Status row of the THERAPY screen. Table 4.6 lists the preference icons. Table 4.6 Preference icons Icons Preference Audio Contrast Using your patient programmer 4 Number format 72 221244001 1.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Status row A 1 3.50 Figure 4.16 Preferences are accessed from the Status row. 3. Press the left or right arrow on the NAVIGATOR key to move the selection box to the desired preference (Figure 4.17). Figure 4.17 Move to desired preference. 4. Press the down arrow to move the selection box to the Change row (Figure 4.18). Change row Figure 4.18 Move to Change row.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:29 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN 5. Follow the steps in Table 4.7 to change the selected preference. Table 4.7 Changing preferences Audio 1. Press the left or right arrow on the NAVIGATOR key to move the selection box to audio ON or OFF . 2. Go to step 6. Contrast Using your patient programmer 4 1. Press the left or right arrow on the NAVIGATOR key to make the contrast lighter or darker . 2. Go to step 6.
7439_Ch04.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 THERAPY screen. Scrolling to the THERAPY screen saves the change in the patient programmer. 7. Press the left or right arrow on the NAVIGATOR key to move to another preference or return to the THERAPY screen. Using the carrying case and labeling the patient programmer The case also has a loop on the back that attaches to a belt. Figure 4.19 Insert the programmer into the case.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Place an identification label on the back of your patient programmer in case the programmer is lost (Figure 4.20). ID label Figure 4.20 Place the adhesive label on the back of the programmer. Using your patient programmer 4 Optional detachable antenna 76 221244001 The detachable antenna is available if you have difficulty reaching the neurostimulator.
Medtronic Confidential NeuroPatntR00 7439_Ch04.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN 2. Pull the fabric of your clothing through the large opening in the antenna. Then, wedge the fabric in the narrow slit to secure the antenna in place (Figure 4.22). a b Figure 4.22 Pull the fabric through the slit (a) and wedge in place (b). 7439 2004-08 English 221244001 Rev X Printing instructions: Using your patient programmer 4 Figure 4.
7439_Ch04.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 3. Push the antenna plug firmly into the antenna jack ( )on the patient programmer (Figure 4.23). Using your patient programmer 4 Figure 4.23 Insert the antenna plug into the antenna jack. 78 221244001 Using the antenna After the antenna is connected, follow the instructions for using the patient programmer.
7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.
Medtronic Confidential NeuroPatntR00 7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN This chapter will help you solve problems with your programmer. It also provides information on when to call your clinician. Note: If you cannot solve a problem or if your problem is not described here, contact your clinician.
Medtronic Confidential NeuroPatntR00 7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN provides instructions (see blue text) on how to resolve the problem and clear the screen. Table 5.1 Warning screens Screen Cause and action Synchronize programmer and neurostimulator The programmer and the neurostimulator are not synchronized. Synchronize the programmer and neurostimulator. Replace programmer batteries The programmer batteries are depleted.
Medtronic Confidential NeuroPatntR00 7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Table 5.1 Warning screens (continued) Screen Cause and action Call doctor EOS: Your neurostimulator battery is depleted. Stimulation is not available. Other code: The system is not working correctly. Stimulation might have stopped. Write down the code shown on the screen. Call your doctor.
Medtronic Confidential NeuroPatntR00 7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Table 5.2 Communication screen Screen Description and action Communication The programmer is communicating or attempting to communicate with the neurostimulator. Information screens The information screens show the programming status and the battery level for your programmer and neurostimulator. Table 5.
Medtronic Confidential NeuroPatntR00 7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Table 5.3 Information screens Screen Description and action Poor communication The programmer attempted to communicate with the neurostimulator, but communication was unsuccessful. Reposition the programmer over the neurostimulator with the screen facing outward and try communication again.
7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Table 5.3 Information screens (continued) Screen Description and action Upper limit (amplitude shown) You tried increasing a parameter (amplitude, pulse width, or rate) above the highest value allowed. Lower limit (amplitude shown) You tried decreasing a parameter (amplitude, pulse width, or rate) below the lowest value allowed.
Medtronic Confidential NeuroPatntR00 7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Table 5.3 Information screens (continued) Screen Description and action Sync up You tried to unsuccessfully change to a different group, then tried to turn the neurostimulator ON. Synchronize the programmer and neurostimulator. You tried increasing or decreasing a parameter for an inactive group. Synchronize the programmer and neurostimulator.
Medtronic Confidential NeuroPatntR00 7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Table 5.3 Information screens (continued) Screen Description and action Patient programmer information These screens provide information to your clinician or Medtronic during troubleshooting.
7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Possible problems and solutions Table 5.4 will help you solve problems or identify when to call your clinician. Problems are described in the left column (bold black text). The right column lists possible causes of the problem (plain text) and how to correct the problem (bold blue text).
221244001 Rev X Troubleshooting 5 The selected group or stimulation settings are not suitable for your current activity or posture. Uncomfortable stimulation: You are too uncomfortable with the current stimulation to think about how to change it. 3. Turn the neurostimulator ON. • Change the group if the active group is not one that is recommended by your clinician for your current activity or posture; or adjust the amplitude, pulse width, and rate to values that provide adequate pain relief.
90 221244001 Rev X Intermittent stimulation: You feel stimulation only some of the time. Your clinician programmed SoftStart/Stop so that stimulation starts and stops gradually: Delayed stimulation changes: You do not feel stimulation right away after turning ON the neurostimulator or you feel stimulation after turning OFF the neurostimulator. Your clinician may have programmed your neurostimulator to turn ON and OFF at regular intervals.
221244001 Rev X Troubleshooting 5 Stimulation is OFF. No stimulation: You do not feel stimulation but you think stimulation should be ON. Use your patient programmer to increase the amplitude(s). The amplitudes for each program in the active group are set too low to feel. If stimulation is desired, turn stimulation ON. Your clinician has programmed Day Cycling and stimulation is scheduled to be OFF at this time. Use your patient programmer to turn your neurostimulator ON.
92 221244001 Rev X Dropped programmer: Your patient programmer falls off a cabinet or table. You are pressing two or more patient programmer keys at the same time. Patient programmer is unresponsive: The display screen is blank when you press a key. Try the patient programmer; it should work. The patient programmer is designed to withstand a short drop to a hard surface and still operate normally, even if the case is chipped or nicked.
221244001 Rev X 7439 2004-08 English Printing instructions: Troubleshooting 5 ??? Cannot access or use group. The patient programmer is not waterproof, and water can damage the device. Fluid on the programmer: Fluid was spilled onto the programmer or the programmer was dropped into water. Choose a new group. (See Page 59). Press the Sync key. There is a conflict between the group stored in the programmer and neurostimulator.
94 221244001 Rev X A No group is selected. Cannot use group. Choose a new group. (See Page 59). Press the Sync key. Causes and actions Problems Table 5.4 Troubleshooting problems (continued) Troubleshooting 5 7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.
7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 User assistance The patient programmer has been designed and tested to provide trouble-free service. If repair or service is needed, contact your clinician or a Medtronic sales office. Refer to the list of Medtronic contacts at the end of this manual. The serial number is located in the battery compartment. This number identifies each patient programmer.
Medtronic Confidential NeuroPatntR00 Troubleshooting 5 7439_Ch05.fm 10/13/04 9:30 am Size 4.625" x 6.
7439_Ch06.fm 10/13/04 9:31 am Size 4.625" x 6.
Medtronic Confidential NeuroPatntR00 7439_Ch06.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN This section describes how to care for and dispose of your patient programmer and accessories. Cleaning and care Follow these guidelines to ensure that the patient programmer and accessories function properly. Caution: If the device will not be used for several weeks, remove the batteries from the device.
Medtronic Confidential NeuroPatntR00 7439_Ch06.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN • Follow all warnings and precautions in Chapter 2 “Important therapy information” and “Appendix A: Electromagnetic interference (EMI)”. • Handle the device with care. Do not drop, strike, or step on the device. • Do not dismantle or tamper with the device. • Clean the outside of the device with a damp cloth when necessary. Mild household cleaners will not damage the device or labels.
Medtronic Confidential NeuroPatntR00 7439_Ch06.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Safety and technical checks Periodic safety and technical checks or periodic maintenance of the patient programmer are not required. If the patient programmer requires repair or is nonfunctional, send it to the address listed below. The patient programmer contains no user-serviceable parts. Maintenance 6 USA Medtronic, Inc.
Medtronic Confidential NeuroPatntR00 7439_Ch06.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Battery and programmer disposal Dispose of depleted batteries and worn out devices according to local requirements. If you no longer need your programmer and would like to donate it, contact your clinician. Neurostimulator disposal Maintenance 6 The implanted device should be removed before burial or cremation.
Medtronic Confidential NeuroPatntR00 7439_Ch06.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Declaration of conformity Medtronic declares that this product is in conformity with the essential requirements of AIMD Directive 90/385/EEC and R&TTE Directive 1999/5/EC. Maintenance 6 For additional information, contact Medtronic at the telephone numbers and addresses provided on the back cover.
Medtronic Confidential NeuroPatntR00 7439_Ch06.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Specifications Table 6.1 Patient programmer specifications Item Specification Power source 2 AAA alkaline batteries (non-rechargeable, LR03) Operating temperature +9 to +43°C (+49 to +110°F) Storage temperature -40 to +65°C (-40 to +150°F) Operating/storage 30% to 95% relative humidity Size Approximately 9.4 x 5.6 x 2.8 cm (3.7 x 2.2 x 1.
7439_Ch06.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Table 6.2 Neurostimulation system specifications Description Specifications Typical materials in contact with human tissuea Neurostimulator Case Connector block Recharge coil Grommets, seals Setscrews Insulation Adhesive Lead Polyurethane Platinum iridium Extension Polyurethane For a complete list of materials in contact with human tissue, contact your clinician.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.
Medtronic Confidential NeuroPatntR00 7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Appendix A: Electromagnetic interference Please review “Electromagnetic interference (EMI)” on page 19 and Table 2.1 on page 22 for additional information. 106 221244001 Before any medical procedure is begun, always inform any health care personnel that you have an implanted neurostimulation system.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 diathermy can be transferred through your implanted system, can cause tissue damage, and can result in severe injury or death. Personal injury or device damage can occur during diathermy treatment when: • the neurostimulation system is turned ON or OFF. • diathermy is used anywhere on your body (not just where your neurostimulation system is located).
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Warnings Appendix A: Electromagnetic interference EMI from the following medical procedures or equipment can damage the device, interfere with device operation, or cause you harm.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 • The lowest clinically appropriate energy output (watt seconds) should be used. After external defibrillation, your doctor should confirm that the neurostimulation system is working as intended. • The insulation on the lead or extension can be damaged, causing the lead or extension to fail or causing induced currents that can damage tissue or stimulate or shock you.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 • The neurostimulator should be turned OFF before using electrocautery. • Bipolar cautery should be used. • If unipolar cautery is necessary: – only low-voltage modes should be used. – the lowest possible power setting should be used.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Magnetic resonance imaging (MRI) – Medtronic recommends that an MRI should not be prescribed for you if you have any part of an implanted neurostimulation system. Exposing you to an MRI can potentially injure you or damage your neurostimulator.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Note: This warning applies even if only a lead or an extension is implanted in your body.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 • An MRI can permanently damage the neurostimulator, requiring it be removed or replaced. • The neurostimulator can move within the implant pocket and align with the MRI field, resulting in discomfort or reopening of a recent implant incision. In addition, the MRI image can be degraded, distorted, or blocked from view by your implanted neurostimulation system.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Appendix A: Electromagnetic interference Theft detectors and security devices – Use care when approaching theft detector and security devices (such as those found in airports, libraries, and some department stores). When approaching these devices, do the following: 114 221244001 1.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Double Security gate Medtronic Confidential NeuroPatntR00 Single security gate (stay as far as possible from gate) Note: Some theft detectors might not be visible. 3. Proceed through the security device. Do not linger near or lean on the security device. 4. After you pass through the security device, turn your neurostimulator ON again.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Precautions Appendix A: Electromagnetic interference EMI from the following equipment is unlikely to affect your neurostimulation system if the guidelines below are followed: 116 221244001 Bone growth stimulators – The coils of an external magnetic field bone growth stimulator should be kept 45 cm (18 in) away from the neurostimulation system.
Medtronic Confidential NeuroPatntR00 7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 • Television and radio transmitting towers (safe if outside the fenced area) If you suspect that equipment is interfering with the neurostimulation system, do the following: 1. Move away from the equipment or object. Appendix A: Electromagnetic interference 2. If possible, turn off the equipment or object. 118 221244001 3.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Radiation therapy – High radiation sources such as cobalt 60 or gamma radiation should not be directed at the neurostimulation system. If radiation therapy is required near the neurostimulation system, lead shielding should be placed over the device to help prevent damage.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 discontinue using the TENS until you talk with your doctor. Notes Appendix A: Electromagnetic interference Household items – Most household appliances and equipment that work properly and are properly grounded will not interfere with the neurostimulation system.
7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 • Radio frequency sources: Keep AM/FM radios, and cellular, cordless, and conventional telephones at least 10 cm (4 in) away from the implanted neurostimulator. • Stereo speakers and radios for the home or car: Do not lift or carry them close to or touching the part of your body where the neurostimulator is located.
Medtronic Confidential NeuroPatntR00 7439_Ch07.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN 15 cm (6 in) away from the neurostimulation system. • Diagnostic X-rays or fluoroscopy Appendix A: Electromagnetic interference Note: Tight pressure in the area of your neurostimulator, such as used during mammography, can damage the neurostimulator or disconnect components of your neurostimulation system. This will require surgery to replace or repair the neurostimulation system.
7439_GLS.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Glossary Amplitude – The strength or intensity of an electrical pulse. Caution – A statement describing actions that could result in damage to or improper functioning of a device. Clinician – A healthcare professional such as a doctor or nurse. Clinician programmer – A device used by a clinician to send instructions to the neurostimulator and the patient programmer.
7439_GLS.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 muscle spasms, reduce joint contractures, reduce swelling and pain after surgery, and promote wound healing. Electrode – A metal piece near the tip of the lead. Electrodes deliver electrical pulses to the area where your pain signals will be blocked.
7439_GLS.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Indication – The purpose of the neurostimulation system and the medical condition for which it may be implanted. Information screen – A screen displayed on the patient programmer that alerts you to a problem with the programmer, antenna, or neurostimulator. Lead – A thin wire with protective coating that has metal electrodes on one end and a connector on the other.
Medtronic Confidential NeuroPatntR00 7439_GLS.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Parameter row – The bottom row on the THERAPY screen. Icons indicate the parameters that a patient can adjust. Patient programmer – A hand-held device that allows you to turn your neurostimulator ON and OFF. It is also used to adjust some stimulation settings. Program – Stimulation directed to a specific pain site.
7439_GLS.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 SoftStart/Stop – This feature, programmed by your clinician, starts and stops stimulation gradually by slowly increasing or decreasing to the programmed amplitude or OFF. Spinal cord – This is your body’s information center. Nerve signals from the entire body travel to your spinal cord, and then to your brain. Status row – The top row on the THERAPY screen.
7439_GLS.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Synchronize – The process of sending and receiving information between the patient programmer and neurostimulator. Therapy – Treatment of a disease or condition. When neurostimulation therapy is prescribed, a neurostimulation system is used to deliver stimulation to one or more sites. Therapy screen – The main screen displayed on the patient programmer.
Medtronic Confidential NeuroPatntR00 7439IX.fm 10/13/04 9:31 am Size 4.625" x 6.
Index 7439IX.fm 10/13/04 9:31 am Size 4.625" x 6.
7439IX.fm 10/13/04 9:31 am Size 4.625" x 6.
Index 7439IX.fm 10/13/04 9:31 am Size 4.625" x 6.
Medtronic Confidential NeuroPatntR00 7439IX.fm 10/13/04 9:31 am Size 4.625" x 6.
Index 7439IX.fm 10/13/04 9:31 am Size 4.625" x 6.
7439_bcv.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Contacts: Asia: Medtronic International Ltd. Suite 1602 16/F, Manulife Plaza, The Lee Gardens, 33 Hysan Avenue, Causeway Bay, Hong Kong Tel. 852-2891-4068 Fax 852-2591-0313 Medtronic Asia Ltd. 3 Floor Peter Building, 570-6 Shinsa-Dong Kangnam-ku, Seoul 135-120, South Korea Tel. 82-2-548-1148 Fax 82-2-518-4786 Australia: Medtronic Australasia Pty. Ltd.
7439_bcv.fm 10/13/04 9:31 am Size 4.625" x 6.0" (117 mm x 152 mm) UC200xxxxxx EN Medtronic Confidential NeuroPatntR00 Manufacturer Medtronic, Inc. 710 Medtronic Parkway Minneapolis, MN 55432-5604 USA Internet: www.medtronic.com Tel. 1-763-505-5000 Fax 1-763-505-1000 Medtronic E.C. Authorized Representative/Distributed by Medtronic B.V. Earl Bakkenstraat 10 6422 PJ Heerlen The Netherlands Tel.