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VNS Therapy SENTIVA M3000 Programmer User Manual

VNS Therapy SENTIVA M3000 Programmer
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Technical Guide
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VNS Therapy SENTIVA M3000 Programmer Specifications

General IconGeneral
ModelSENTIVA M3000
ManufacturerLivaNova
Power SourceRechargeable battery
Device TypeProgrammer
Intended UseProgramming and managing VNS Therapy devices
CompatibilityCompatible with VNS Therapy generators
FunctionProgramming, data retrieval, and device interrogation for VNS Therapy Systems.
Programming ParametersOutput Current, Signal Frequency, Pulse Width, Duty Cycle, On Time, Off Time
Data LoggingStores therapy history and device diagnostics
DisplayTouchscreen display
ConnectivityWireless communication with VNS Therapy implant
Safety FeaturesPassword protection, data encryption

Summary

Product Overview

Introduction to VNS Therapy

Overview of the VNS Therapy System and its four main components.

Generator and Lead

Details on the implanted portion of the VNS Therapy System, including the generator and lead.

Programmer (M3000)

Information on the external programmer (tablet and software) and its function.

Wand (M2000)

Description of the programming wand (Model M2000) and its operation.

Magnet

Explanation of the patient-controlled magnet feature and its uses.

Product Compatibility

Generator Model Compatibility

Table detailing compatibility between VNS Therapy generators and other system components.

VNS Therapy Modes

Normal Mode

Generator initiates stimulation at preset ON and OFF times throughout the day.

Magnet Mode

On-demand stimulation initiated by the patient using a VNS magnet.

AutoStim Mode

Automatic stimulation based on detected heart rate changes.

SenTiva System Management

Getting Started

Initial steps and component collection to begin using the VNS Therapy System.

Before Using the System

Pre-session checks for programmer and wand batteries, date, and time.

Programmer Operation

Turning the programmer on/off and navigating its interface.

Programmer Battery Check

Procedures for checking programmer battery status using the indicator.

Wand Battery Check and Replacement

Procedure to check wand batteries and replace them if needed.

Setting Date and Time

Ensuring accurate time-stamping by setting the programmer's date and time.

Programmer Interface Navigation

Screen States: Main vs. Summary

Understanding the differences between the Main and Summary screens.

Accessing Features

Using bars for settings, system info, and additional features.

Patient ID Bar Functionality

Identifying session status and ending a session.

Connecting System Components

Wireless Wand Connection

Steps for establishing a wireless connection between the wand and programmer.

Wired Wand Connection

Instructions for connecting the wand to the programmer using a USB cable.

Generator Interrogation

Performing Initial Interrogation

Steps to communicate with the generator, including advanced vs. rapid modes.

Summary Screen Functions

Actions possible after a successful generator interrogation.

In-Office Programming

Manual Programming

Procedure for manually adjusting stimulation and detection parameters.

Detection Features

Setting up Tachycardia, Heartbeat, AutoStim, and Prone/Low Heart Rate detection.

Guided Programming

Using guided steps to adjust parameters per protocol.

Scheduled Programming

Automatically changing parameter steps according to a schedule.

Day/Night Programming

Configuring distinct therapy schedules for day and night.

Therapy Protocol Management

Accessing and Creating Protocols

Navigating to therapy protocols and creating custom protocols.

Device Data Viewing

History and Session Reports

Viewing device history, session reports, and data transfer options.

Events and Trends Data

Reviewing stimulation events, magnet, and inhibited stimulation timestamps.

Trend Data Analysis

Viewing Histograms

Displaying histograms for various event types like tachycardia or AutoStim.

Magnet Functions

Magnet Usage and Assessment

On-demand stimulation, inhibition, daily checks, and evaluation of magnet mode.

Magnet Replacement

Procedure for ordering replacement magnets.

End of Service

Device Diagnostics

Performing Diagnostics Tests

Running System, Magnet Mode, AutoStim, and Generator diagnostics.

Interpreting Diagnostic Results

Understanding lead impedance, battery status, and output current results.

In the Operating Room

Initial Implant and Preoperative Checks

Overview of implant steps and preparing the system before surgery.

Patient Data Entry

Entering patient ID and implant date before surgery.

System Diagnostics and Interrogation

Performing diagnostic tests and final interrogation in the OR.

General Dosing Guidelines

Phase 1: Output Current Adjustment

Guidelines for increasing output current to therapeutic effect.

Phase 2: Duty Cycle and Additional Settings

Adjusting duty cycle and configuring detection/threshold settings.

Side Effect Management

Managing Side Effects

Strategies for adjusting parameters to manage side effects.

Additional Information

SenTiva MRI Guidelines

MRI Scan Conditions (Group A)

MRI scan conditions for generator in upper left chest.

MRI Scan Conditions (Group B)

MRI scan conditions for generator implanted lower than rib 4.

MRI Special Cases

MRI conditions for suspected lead breaks or lead-only scenarios.

MRI Procedure Preparation and Follow-up

Pre-MRI Generator Preparation

Steps to prepare the generator before a patient undergoes an MRI.

Post-MRI System Assessment

Assessing the VNS Therapy system after an MRI procedure.

Troubleshooting

Contact Information and Screen Freeze

Contacting support and resolving a frozen programmer screen.

Connectivity Issues

Troubleshooting wand connection to programmer and generator.

Device Responsiveness

Resolving non-responsive programmer or wand issues.

Troubleshooting Stimulation Issues

Patient Cannot Feel Stimulation

Diagnosing why a patient cannot feel stimulation.

Patient Cannot Feel Magnet Stimulation

Troubleshooting lack of perceived magnet stimulation.

Patient Does Not Perceive AutoStim

Diagnosing why a patient does not perceive AutoStim activation.

Troubleshooting Lead Impedance and Output Current

High/Low Lead Impedance Issues

Troubleshooting lead impedance problems during OR or follow-up.

Low Output Current Issues

Addressing situations where programmed current is not delivered.

Troubleshooting Generator Battery

Low Battery/End of Service Indications

Identifying and resolving low battery or EOS issues in OR and at office visits.

Heartbeat Detection Issues

Inaccurate Heartbeat Detection

Adjusting heartbeat detection settings for accurate readings.

Tachycardia Detection Issues

Inaccurate AutoStims

Troubleshooting inaccurate AutoStim events due to detection settings.