EnPulse - Programming Guide - AB Medical Group

340 Pages·2003·2.81 MB·English

ENPULSETM
E2DR00/20/30 Series
E2D00 Series
E2VDD00 Series
E2SR00 Series
Vision Programmer Software Model 9991
Pacemaker Programming Guide
2003
0123

EnPulse Pacemaker Programming
Guide
A guide to using the 9790/C and
2090 programmers with EnPulse
pacemakers
Refer to the EnPulse Pacemaker
Reference Guide for information on the
pacemakers.
The following are trademarks of Medtronic:
Capture Management, Checklist, Fast Path, EnPulse, Implant Detection, Key Parameter History, Marker
Channel, Medtronic, Medtronic Carelink, Rate Profile Optimization, Remote Assistant, Auto-PVARP,
Quick Look II, Search AV+, Sensing Assurance, Observations, Sinus Preference, and Vision.
How to use this guide
How to use this guide
Information is contained in two guides
Product information about EnPulse software and pacemakers is
presented in two separate guides.
The Pacemaker Programming Guide (PPG) accompanies EnPulse
software and contains instructions on how to use the programmer and the
programming software.
The Pacemaker Reference Guide (PRG) provides detailed information on
EnPulse pacemakers.
About the Pacemaker Programming Guide
The Pacemaker Programming Guide presents the following information to
use the 9790/C and 2090 programmers.
■ How to setup and configure the programmer and access on-line 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 configure the pacemaker 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 and verify rate response
parameters settings.
■ How to run EP Studies.
EnPulse Pacemaker Programming Guide v
How to use this guide
About the Pacemaker Reference Guide
The Pacemaker Reference Guide describes in detail, how the pacemaker
operates and specifies the capabilities of each model.
■ Describes 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.
■ Contains troubleshooting information for electrical and hemodynamic
problems.
■ Specifies parameter and data collection capabilities, longevity
projections, and mechanical and electrical specifications.
■ Provides general warning and cautions, potential interference
sources, and general indications for pacing.
■ Contains a glossary of terms.
vi EnPulse Pacemaker Programming Guide
Table of contents
Table of contents
How to use this guide v
1. Setting up the programmer
Operating differences between the 9790/C and 2090
programmers 1-2
The 2090 programmer system components 1-5
The 9790/C programmer system components 1-11
Connecting an external printer 1-16
Connecting peripheral devices 1-20
The display screen 1-24
2. Using the programmer
Setting programmer preferences 2-2
About the Checklist feature 2-7
Using Checklist 2-8
Creating a custom checklist 2-9
Connecting the programmer to skin electrodes 2-13
Positioning and using the programming head 2-14
Programming Emergency parameters 2-19
Recording an ECG strip 2-21
Using the On-line Help feature 2-24
3. Conducting a patientsession
Programmer features 3-2
Automatically adapting parameters 3-2
Starting a patient session 3-4
Proceeding with session tasks 3-11
Interrogating the pacemaker 3-16
Taking a quick look at pacemaker operation 3-17
Viewing Battery and Lead Measurements 3-22
Checking the present parameter settings 3-25
Viewing and programming patient information stored in the
pacemaker 3-26
Recording an ECG Strip of magnet operation 3-27
Checking the patient’s Underlying Rhythm 3-30
Printing reports 3-33
Saving session data on a diskette 3-36
Ending a patient session 3-38
4. Viewing the patient’s ECG and EGM traces
Viewing the ECG and other rhythm waveforms 4-2
Adjusting and arranging the waveform traces 4-7
EnPulse Pacemaker Programming Guide vii
Table of contents
Freezing and analyzing a waveform strip 4-16
Recalling and viewing waveformstrips 4-23
5. Collecting diagnosticdata
About diagnostic data collection 5-2
Viewing the collected data 5-8
The automatically collected data displays 5-11
Clinician-selected detailed data displays 5-30
Programming data collection options 5-45
Clearing data from thepacemaker 5-47
6. Evaluating parameter settings
Measuring stimulation thresholds 6-2
Determining a sensitivity setting 6-21
Using temporary programming to evaluate parametersettings 6-29
7. Programming pacemaker parameters
Programming parameters 7-2
Saving/retrieving a set of parameter values 7-15
Retrieving Key Parameter History information 7-18
8. Rate Response setup
Using Exercise test to verify RateResponse 8-2
9. Using the EP Studies function
About the EP Studies function 9-2
Starting the EP Studies function 9-9
Setting up and executing a PES protocol 9-16
Setting up and executing a Burst protocol 9-21
Setting up and executing a VOO Burst 9-25
PES parameter definitions and values 9-27
Burst parameter definitions and values 9-30
A. Appendix: Parameter values and restrictions
Programmable modes and parameters A-2
Automatic and clinician-selectable diagnostics A-14
Programming restrictions A-19
B. Appendix: Implant information
Warnings B-2
Precautions B-5
Device operation B-11
Device information B-14
I. Index
viii EnPulse Pacemaker Programming Guide
1
Setting up the
programmer
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 chapter briefly explains the components associated with
the 9790/C and 2090 programmers. This chapter also
includes information on connecting an external printer,
connecting peripheral devices, and using the display screen.
Operating differences between the
9790/C and 2090 programmers 1-2
For more detailed information on setting up your
programmer, refer to your programmer manual.
The 2090 programmer system
components 1-5
The 9790/C programmer system
components 1-11
Connecting an external printer 1-16
Connecting peripheral devices 1-20
The display screen 1-24
EnPulse Pacemaker Programming Guide 1-1
Setting up the programmer
Operating differences between the 9790/C and 2090 programmers
Operating differences between the 9790/C and 2090
programmers
Medtronic pacemakers (IPGs) can be programmed with either the
Model9790/C programmer or Medtronic CareLink programmer
(Model2090). There are operating differences between the Model 9790/C
and Model 2090programmers.
The major operating differences between the Model 9790/C and the 2090
programmers include:
■ display screen changes
■ calibration button
■ built-in keyboard
Display screen changes
■ A task bar has been added at the top of the screen on the
Model2090 programmer. It includes two new indicators:
– Position Head Light Array
– Remote View icon
Refer to the Medtronic CareLink Programmer Reference Guide for
complete information on these features.
■ Additional waveform display. (This display screen change applies
only to Vision software applications.)
All screens display an additional waveform. For example, if a screen
displays two waveform on the Model9790/C programmer, this screen
displays three waveforms on the Model2090 programmer.
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