Medtronic 2696 Patient Assistant Medical Device User Manual 2696 Technical Manual

Medtronic, Inc. Patient Assistant Medical Device 2696 Technical Manual

Users Manual

220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_fcv.fm 3/13/03 10:11 amUC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02MODEL 2696 INCHECKTMPatient AssistantCaution: Investigational device. Limited by federal law (USA) to investigational use./Physician’s manual
220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_fcv.fm 3/13/03 10:11 amUC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02Explanation of symbols on the packaging and literaturewAttention: See accompanying documentationyType BF equipmentBattery polarity as shownnSerial numberiStorage temperaturecFor United States audiences only Caution: Federal Law (USA) restricts this device to sale by or on the order of a physician Medical deviceTelemetry (communication signal) status light litonly
220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_fcv.fm 3/13/03 10:11 amUC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02Explanation of symbols on the deviceQuery button (Press to request implanted device to check for AF)OK symbol (AF is not present)AF symbol (AF is present)Therapy button (Press to instruct implanted device to deliver atrial cardioversion therapy)Record Symptoms button (Press to instruct the implanted device to record cardiac activity)Record symbol (recorded cardiac activity)yType BF equipmentLow Batteries symbolBattery polarity as shownwAttention: See accompanying documentscFor United States audiences only Caution: Federal Law (USA) restricts this device to sale by or on the order of a physician AF?only
220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_fcv.fm 3/13/03 10:11 amUC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02
5220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875TOC.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02Table of contents1 Description and intended use 72 Contents of the Patient Assistant box 82.1 Inspection 92.2 Installation and setup 93 Checking the patient’s heart rhythm 93.1 How to check the patient’s heart rhythm 93.2 Response when a query is requested 124 Requesting atrial cardioversion therapy 134.1 How to request cardioversion therapy 134.2 Response when therapy is requested 154.3 When the Therapy button will appear 164.4 If therapy is not delivered 165 Recording cardiac information 175.1 How to record cardiac information 175.2 Response when record symptoms is requested 186 Battery information 196.1 Replacement batteries 196.2 When to install batteries 196.3 How to install new batteries 207 Maintenance 217.1 Care and handling 217.2 Cleaning 227.3 Service 22
6220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875TOC.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R027.4 Disposal 228 Troubleshooting 239 Specifications 259.1 Device specifications 259.2 Safety and compatibility standards 26
7220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R021 Description and intended useThe Model 2696 InCheckTM Patient Assistant shown on Figure 1 is a hand-held, battery powered, radio frequency communication device. The Patient Assistant communicates with certain implantable Medtronic cardiac devices that provide patient-activated features. See the manual for the implanted device for compatibility information.The Patient Assistant can send simple programming commands to the implanted device, and receive and display information about the patient’s cardiac rhythm.Figure 1. Patient Assistant (Not actual size)Intended use – The Patient Assistant is intended for unsupervised patient use away from a hospital or clinic. The Patient Assistant activates one or more of the patient management features in the implanted device, depending on the implanted device model and the programmed features:■To verify whether the implanted device has detected a suspected atrial arrhythmia.AF?Query button, press to checkfor AT/AF episode detectionRecord Symptoms button, press to record cardiac event dataTelemetry statuslightWrist strap connectorSymbol and buttondisplay area
8220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02■To initiate recording of cardiac event data in the implanted device memory.■To request atrial cardioversion therapy, if supported by the implanted device and patient activated therapy has been previously programmed by the physician. Therapy is allowed when the implanted device is currently detecting an atrial arrhythmia episode and all conditions for delivering therapy have been met.Note:■Ventricular arrhythmia therapy cannot be patient activated using the Patient Assistant.2 Contents of the Patient Assistant boxThe following should be found in the Patient Assistant box:■One Patient Assistant■Two N-size 1.5 V batteries ■One carrying case■One wrist strap■One physician’s manual■One quick reference guide/patient ID card■Two warranty cards (USA and outside USA)■One patient manualThe Patient manual includes blank lines in sections 3 and 7 for the patient’s prescription information. This information includes when to use the Patient Assistant, which button to press and what actions to take for each reply.
9220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02The Quick Reference Guide/Patient ID Card provides a more portable version of the basic instructions for using the Patient Assistant. Blank lines are provided for name and telephone number information.2.1 InspectionInspect the Patient Assistant for damage or defects. If the case is cracked or other defects are discovered, return the Patient Assistant to Medtronic.2.2 Installation and setupPlace new batteries in the Patient Assistant (see page 20).Press either front panel button to test the Patient Assistant. The telemetry status light flashes green for about 15 seconds, and the Patient Assistant gives a short beep. This confirms that the batteries can operate correctly.Provide the necessary information in the Patient manual and Quick Reference Guide/Patient ID Card.Refer to the implantable device reference manual for information about its features that apply to the Patient Assistant.3 Checking the patient’s heart rhythm3.1 How to check the patient’s heart rhythmNote: The Patient Assistant may not communicate at full strength outside the range of 8 °C (16 °F) to 43 °C (110 °F). 1. Press the Query button. Verify that the telemetry status light flashes green, and the Patient Assistant gives a short beep. If these responses do not occur, see page 23.
10220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R022. Place the Patient Assistant against the implanted device. See Figure 2. Figure 2. Positioning the Patient Assistant3. Listen for a long beep or look to see if the telemetry status light is solid green. Lift the Patient Assistant to see what appears on the display area (Figure 3).Note: If the Patient Assistant does not respond in about 15 seconds, it did not communicate successfully with the implanted device. Repeat steps 1 through 3.Note: Pressing the Therapy button will cause the implanted device to deliver atrial cardioversion therapy. See page 16 for information about when the Therapy button will appear.AF?
11220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02 Figure 3. Patient Assistant with all symbols displayed for referenceAF?
12220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R023.2 Response when a query is requestedThe Patient Assistant displays the appropriate symbols for about 10 seconds after receiving a response from the implanted device.Display DefinitionOK symbol: The implanted device is not detecting an atrial tachyarrhythmia episode.AF symbol: The implanted device is detecting an atrial tachyarrhythmia episode.Therapy button: Atrial cardioversion therapy is allowed. See “Requesting atrial cardioversion therapy” on page 13 for more information.Telemetry status light flashes for about 15 seconds and goes out.The Patient Assistant did not communicate with the implanted device.Low Batteries symbol: The Patient Assistant batteries are low and should be replaced soon.
13220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R024 Requesting atrial cardioversion therapy4.1 How to request cardioversion therapyNote: The Patient Assistant may not communicate at full strength outside the range of 8 °C (16 °F) to 43 °C (110 °F). Note: Pressing the Therapy button will cause the implanted device to deliver atrial cardioversion therapy. See page 16 for information about when the Therapy button will appear.1. Instruct the patient to sit down or lie down in a comfortable position. Use the wrist strap if desired.2. Press the Query button. Verify that the telemetry status light flashes green, and the Patient Assistant gives a short beep. If these responses do not occur, see page 23.3. Place the Patient Assistant against the implanted device (see Figure 4). Figure 4. Positioning the Patient AssistantAF?
14220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R024. Listen for a long beep or look to see if the telemetry status light is solid green. Lift the Patient Assistant to see what appears on the display area (Figure 5).Note: If the Patient Assistant does not respond in about 15 seconds, it did not communicate successfully with the implanted device. Repeat steps 1 through 4.5. Press the Therapy button (if lit after pressing the Query button). The telemetry status light will flash red.Note: The Therapy button will stay lit for about 10 seconds after the query. If the Therapy button goes out before it can be pressed, repeat steps 1 through 4.6. Place the Patient Assistant against the implanted device.7. Listen for a long beep and look to see if the telemetry status light is solid red. Lift the Patient Assistant to see what appears on the display area (Figure 5).Note: If the Patient Assistant does not respond in about 15 seconds, it did not communicate successfully with the implanted device. Repeat steps 1 through 7.
15220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02Figure 5. Patient Assistant with all symbols displayed for reference4.2 Response when therapy is requestedThe Patient Assistant displays the appropriate symbols for about 10 seconds after receiving a response from the implanted device.Display DefinitionOK symbol: The implanted device is not detecting an atrial tachyarrhythmia episode. Appears if the AF has stopped since pressing the Query button.AF symbol: The implanted device is detecting an atrial tachyarrhythmia episode.Flashing Therapy button: Therapy will be delivered soon. In most cases, therapy will be delivered in about 10 seconds. The maximum time it takes the implanted device to prepare to deliver therapy is about 1 minute.AF?(flashing)
16220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R024.3 When the Therapy button will appearThe Therapy button appears after pressing the Query button when the following conditions are met:■The implanted device supports patient activated therapy.■Patient activated therapy is enabled in the implanted device.■The patient is in AT/AF.■All conditions to deliver atrial therapy are met.4.4 If therapy is not deliveredIf the Patient Assistant gives a long beep and the Therapy button goes dark without flashing, the atrial cardioversion therapy was cancelled before delivery. The typical reasons are:■The atrial rate cannot be confirmed.■The ventricular rate is too fast.Refer to the reference manual for the implanted device for more possible explanations and programming options.No Therapy button. Therapy will not be delivered. Telemetry status light is solid red with no flashing button. See section 4.4.Telemetry status light flashes for about 15 seconds and goes out.The Patient Assistant did not communicate with the implanted device.Low Batteries symbol: The Patient Assistant batteries are low and should be replaced soon. Display Definition
17220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R025 Recording cardiac information5.1 How to record cardiac informationNote: The Patient Assistant may not communicate at full strength outside the range of 8 °C (16 °F) to 43 °C (110 °F). 1. Press the Record Symptoms button. Verify that the telemetry status light flashes green, and the Patient Assistant gives a short beep. If these responses do not occur, see “Troubleshooting” on page 23.2. Place the Patient Assistant against the implanted device. See Figure 6. Figure 6. Positioning the Patient Assistant3. Listen for a long beep or look to see if the telemetry status light is solid green. Lift the Patient Assistant to see what appears on the display area (Figure 7).Note: If the Patient Assistant does not respond in about 15 seconds, it did not communicate successfully with the implanted device. Repeat steps 1 through 3.AF?
18220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02 Figure 7. Patient Assistant with all symbols displayed for reference5.2 Response when record symptoms is requestedThe Patient Assistant displays the appropriate symbols for about 10 seconds after receiving a response from the implanted device.Display DefinitionRecord symbol: The implanted device successfully recorded heart rhythm information.Telemetry status lightflashes for about 15 seconds and goes out.The Patient Assistant did not communicate with the implanted device.Low Batteries symbol: The Patient Assistant batteries are low and should be replaced soon. AF?
19220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R026 Battery information6.1 Replacement batteriesThe Patient Assistant operates with two N-size 1.5 volt batteries. The recommended battery type is alkaline manganese dioxide, type ANSI/NEDA 910A and IEC LR1. This battery is available from the following manufacturers:■Duracell Model MN9100■Kodak Model KN■Rayovac Model RN-2■Panasonic Model AM5■Varta Model 4001■Energizer Model E90These batteries can be purchased at a retail store, camera store, battery speciality store, electronics store, or from an Internet retailer.6.2 When to install batteries■Install new batteries before giving the Patient Assistant to a patient.■If the Low Batteries symbol appears, replace both batteries soon. The Patient Assistant will operate for several more uses after the initial appearance of the Low Batteries symbol.Note: Follow local regulations for proper disposal of used batteries.
20220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R026.3 How to install new batteries1. Slide the battery cover tab toward the center of the Patient Assistant and push upward to open the battery compartment.Figure 8. Replacing the batteries.2. Remove the old batteries.3. Insert the new batteries according to the polarity shown on the battery compartment.4. Snap the battery cover closed.5. Verify that the Patient Assistant beeps and that the telemetry status light flashes when the Query button or the Record Symptoms button is pressed. This confirms that the new batteries have sufficient charge to operate the Patient Assistant.
21220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R027 Maintenance7.1 Care and handlingThe Patient Assistant is designed for robust use, to be carried and handled on a daily basis. However, it is a precision electronic instrument and precautions should be taken to avoid damage.To preserve battery life, remove the batteries when the Patient Assistant is not used for long periods of time or exposed to temperatures below 15 °C (60 °F).Electronic devices are susceptible to many environmental stresses. Precautions should be taken to avoid damage to the unit, including (but not limited to) those listed here.Precautions:■To prevent unintentional delivery of patient-activated therapy, instruct your patient not to carry the Patient Assistant in a pocket directly over the implanted device.■Do not immerse the Patient Assistant in liquid.■Do not clean the Patient Assistant with solvents or chlorine based cleansers (for example, nail polish remover or bleach).■Do not drop the Patient Assistant or mishandle it in a way that might physically damage the Patient Assistant. ■Avoid spilling fluid on the Patient Assistant. Do not immerse in liquid.■Do not open the Patient Assistant, except to install batteries.■Do not sterilize the device by gamma irradiation and do not steam sterilize (autoclave) the Patient Assistant.
22220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02■Electromagnetic interference (EMI) can impair the proper performance of the Patient Assistant. Normal operation can be restored by moving away from the source of the interference.■Other environmental factors may impact proper performance of the Patient Assistant. Use of good electronic device practices will help to prevent environmental damage to the unit.7.2 Cleaning■Be careful to prevent moisture from entering the Patient Assistant. The Patient Assistant is moisture resistant, but not waterproof.■Clean the outside of the Patient Assistant with a slightly damp cloth. Mild household cleaners will not damage the case or labels.7.3 ServiceThe Medtronic Model 2696 InCheckTM Patient Assistant has been carefully engineered, manufactured and quality tested to provide long, trouble-free service. Should service or repair be necessary, contact your local Medtronic representative at the appropriate address or telephone number on the back cover of this document. Please refer to the model number (Model 2696) and serial number (located on the rear panel) when calling Medtronic.7.4 DisposalFollow local regulations for proper disposal of the Patient Assistant at the end of its useful service life.
23220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R028 TroubleshootingThe following list can be used to help solve possible problems with the Model 2696 Patient Assistant.Problem Possible causes Possible solutionsTelemetry status light does not flash, no beep.The batteries are inserted backwards.The batteries are depleted.Wrong type batteries.A button is broken.Component failure.Re-install the batteries.Replace the batteries.Verify that batteries are N-size, 1.5 V.Replace the Patient Assistant.Replace the Patient Assistant.Telemetry status light flashes, no beep.The speaker has failed.• Use response on the display area.• Replace Patient Assistant.
24220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02Telemetry status light stops flashing without a response after the button press.Insufficient telemetry.Patient Assistant did not communicate with the implanted device.Electromagnetic interference.Reposition Patient Assistant.• Improve Patient Assistant position over implanted device.• Circle the Patient Assistant slowly over the implanted device.• Move away from the source of interference.Repeated failures Patient Assistant is outside its temperature range: 8°C (16°F) to 43°C (110 °F).Patient Assistant needs repair.Move to warmer or cooler surroundings.Contact a Medtronic representative.Problem Possible causes Possible solutions
25220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R029 Specifications9.1 Device specificationsDimensions: Approximately 96 mm x 56 mm x 22 mm (3.77" x 2.20" x 0.86")Power source: 2 N-size 1.5 volt batteries, alkaline (manganese dioxide)Battery dimensions: 10 mm diameter x 30 mm (0.39” x 1.18”)Battery longevity: 180 uses minimum, when used once a day at room temperature.1Operating temperature: 8 °C (16 °F) to 43 °C (110 °F)Transport and storage (batteries not installed):Ambient temperature: -40 °C (-40 °F) to 66 °C (150 °F) Relative humidity: up to 95%Audible output level: 65 dBA minimum at 96 mm (6")Classification with respect to electric shock: Internally poweredProtection from electric shock (IEC 60601-1): Type BFProtection against ingress of liquids: Ordinary equipmentMode of operation: Short term1Operating the Patient Assistant below 15 °C (60 °F) for extended periods of time will shorten battery longevity
26220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_CH.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R029.2 Safety and compatibility standardsThe Model 2696 Patient Assistant complies with the following standards:IEC 60601-1, Medical electrical equipment safetyIEC 60601-1-2, Electromagnetic compatibilityEN45502-1, Safety, marking and information of medical devicesThis device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.
220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_bcv.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02Sales offices:Asia: Medtronic International Ltd.Suite160216/F, ManulifePlaza,The Lee Gardens, 33 Hysan Avenue,Causeway Bay, Hong KongTel. 852-2891-4068 Fax 852-2591-0313Medtronic Asia Ltd.3 Floor Peter Building, 570-6 Shinsa-Dong Kangnam-ku,Seoul 135-120, South KoreaTel. 82-2-548-1148 Fax 82-2-518-4786Australia: Medtronic Australasia Pty. Ltd.Unit 4/446 Victoria Road, Gladesville NSW 2111Tel. 02-9879-5999 Fax 02-9879-5100Austria: Medtronic Österreich GmbHMillennium Tower, Handelskai 94-96, 1200 ViennaTel. 01-24044 Fax 01-24044-100Belgium: Medtronic Belgium S.A.Boechoutlaan 55, 1853 Strombeek-BeverTel. 02-456-0900 Fax 02-460-2667Canada: Medtronic of Canada Ltd.6733 Kitimat Road, Mississauga, Ontario L5N 1W3Tel. 905-826-6020 Fax 905-826-6620Denmark: Medtronic-ViCare A/SBirkerød Kongevej 150B, DK-3460 BirkerødTel. 45-823366 Fax 45-823365Finland: Medtronic Finland OY/LTDSahaajankatu 24, PO Box 230, FIN-00810 HelsinkiTel. 9-755-2500 Fax 9-755-25018France: Medtronic France S.A.S.122, avenue du Général Leclerc,92514 Boulogne-Billancourt CedexTel. 01-5538-1700 Fax 01-5538-1800Germany: Medtronic GmbHEmanuel-Leutze-Straße 20, 40547 Düsseldorf, PO Box 110738Tel. 0211-52930 Fax 0211-5293100Osterfeldstraße 86, 85737 Ismaning,Tel. 089-321-4000 Fax 089-321-40010Willhoop 1, 22453 HamburgTel. 040-554-9480 Fax 040-554-94822Leipziger Chaussee 191g, 06112 Halle/SaaleTel. 0345-58081-11 Fax 0345-58081-22Greece: Medtronic Hellas S.A.Agias Varvaras 5, 15231 Halandri, AthensTel. 30-2-10-677-9099 Fax 30-2-10-677-9399Italy: Medtronic Italia SpAViale Fulvio Testi, 280 - Scala A, 20126 MilanoTel. 02-661641 Fax 02-6427488Via Lucrezio Caro, 63, 00193 RomaTel. 06-328141 Fax 06-3215812Japan: Medtronic JapanSolid Square West Tower 6F,580 Horikawa-cho, Saiwai-ku,Kawasaki, Kanagawa 210-0913Tel. 044-540-6112 Fax 044-540-6200Latin America Headquarters: Medtronic, Inc.710 Medtronic ParkwayMinneapolis, MN 55432-5604 USATel. 763-514-4000 Fax 763-514-4879The Netherlands: Medtronic B.V.Earl Bakkenstraat 10, PO Box 2542, 6401 DA HeerlenTel. 031-45-566-8000 Fax 031-45-566-8668Norway: Medtronic Vingmed ASFjordveien 1, Postboks 366, 1323 HøvikTel. 67-580680 Fax 67-101212Portugal: Medical Implant Portugal, Lda.Rua Tomás da Fonseca, Torre E 8, andar A,B, 1600 - 209 LisboaTel. 21-724-5100 Fax 21-724-5199Spain: Medtronic Ibérica, S.A.Centro Empresarial Miniparc III, Edificio K, Calle Caléndula, 93, El Soto de la Moraleja,28109 Alcobendas – MadridTel. 91-625-0400 Fax 91-650-7410Sweden: Medtronic ABDackevägen 33, Box 265, S-177 25 JärfällaTel. 08-5222-0000 Fax 08-5222-0050Switzerland: Medtronic (Schweiz) AGRoute du Molliau 31, Case Postale 84, CH-1131 TolochenazTel. 41-21-803-8000 Fax 41-21-803-8099U.K. and Ireland: Medtronic U.K. Ltd.Suite 1, Sherbourne House, Croxley Business Center, Watford,Herts WD1 8YE, United KingdomTel. 1923-212213 Fax 1923-241004
*220875001* © Medtronic, Inc. 2003All Rights Reserved220875001March 2003220875001 Rev A Printing instructions: doc#163256; refer to “Implant man.” row in the applicable table.220875_bcv.fm 3/13/03 10:11 am UC200203829 EN 4.625 x 6 inches (117 mm x 152 mm) Medtronic Confidentialimplant_R02ManufacturerMedtronic, Inc.710 Medtronic ParkwayMinneapolis, MN 55432-5604USAInternet: www.medtronic.comTel. 1-763-514-4000Fax 1-763-514-4879Medtronic E.C. Authorized Representative/Distributed byMedtronic B.V.Earl Bakkenstraat 106422 PJ HeerlenThe NetherlandsTel. 31-45-566-8000Fax 31-45-566-8668Europe/Africa/Middle East HeadquartersMedtronic Europe SàrlRoute du Molliau 31Case PostaleCH-1131 TolochenazSwitzerlandInternet: www.medtronic.co.ukTel. 41-21-802-7000Fax 41-21-802-7900

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