St Jude Medical CRMD TR-3000 Defibrillator Interrogator and Transtelephonic follow-up system transmitter User Manual manual

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Document Description	manual
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Document Type	User Manual
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Filesize	35.06kB (438290 bits)
Date Submitted	1999-01-12 00:00:00
Date Available	1999-03-18 00:00:00
Creation Date	1998-12-21 16:31:58
Producing Software	Acrobat Distiller 3.0 for Windows
Document Lastmod	0000-00-00 00:00:00
Document Title	manual

q} lransm2.cvr Page I Tuesday‘ December 15. 1998 9:58 AM
5 Venlrliex
Housecall“ Transtelephom'c
Follow-up System
Model Til-3000
Transmitter
mm mm
$ Transmihk : unnsm2.cvr Page 2 Tuesday, December 15, 1998 9:47 AM $
CAUTION: mam us.» My ranricis this am» lo sale by man m.
may a - phyucim wnn comm-to "minu-
v-nwm um Nausea-II m Immune cl 5L mm Mall, me.
or m. m m sum-nu
e mu m Jud. maul, lumen-Wu mum-nu All mm mm.
$ Transm2.bk ' Tmnsm2.TOC Pagei Tuesday, December 15‘ 1998 9.47 AM $
T8b|8 of Contents
mtmauction r
lmponant Safeguards 4
Setting Up the Transmitter 5
uslng the Transmitter 10
Troublesnnollng rz
Caring tor the Transmitter us
Glossary 14
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$ Tmnsmlhk : lranst Page 1 Tuesday. December 15, 1998 9:47 AM
Introductlon
Your deem: has givml you a Tmnsmilm‘ [hill 18 purl of “he
Venlmex'm House-m"TM System, This booklel describes Illis sys-
Lem and explains how in set up and use rhe Transmitter.
What I: the Vfinlrllex Haunt-I] Syslem?
When you received your Venm'rex'" delibrillawr, your doom
programmed ir lo suil your individunl medic-l condiliml. Every
so ollen‘ your doctorahecks u lo make sure um cverylhmg ls sull
us it phduld be ahd Io see whn has happened Slnoe your last fol-
low-up. H: or she may also wunr in check in when you upon rim
you have experienczd an arrhydnhia or have received in shock
from me defibrillalol. Usually you would have lo rezum lo lhe
doctor's office (or these follow-lip sessions. Wilh your doctor's
permlssion, however‘ the Hal-secs." System allows you no mn-
$ duct ruuhne follow-up sessions remolely, You slay home while u
lmined persuthe manner—reads the dura sloled in your
defihnllamr
The Hausecall Sysrenr consists oflwo compomnls: rhe Tmnsmil-
tel“ that you lake home wuh you and the Receiver loaned in lhe
monitor‘s office, The Tmsrniuer is shown in Figure 1. A
descnpkion oflhe pans of the Tnnsminerlollows the illustmion.
Th: Receiver ls located in Lhe monilol‘s omen During a follow-
up session ir sends insrmnonr over he phone line up lhe Trans-
rnnrer. The Transmmex then reads the data from yunrdefibnllawr
and sends in to rhe miyer Yourdoclof can look ur rhir dam in
lulp judge me performance of your defibrillator
Your defibl‘ilhlor cominues lo walk nomully Whlle vhe Trans-
miller leads lhe dnlav
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Pull-M hummn card
(meme-m Tunlmmer)
Haws n The Hansen}! T’s/75min»!
During a follow-up session, you hold the wand over your defibril-
mm m transmit data to me Receiver.
The power button ls loomed under the wand. When you Iifl Lhe
Q} wand, (he Transmmer lums nself on When you replace the
wand, lh: Transmiller mms itself off,
The light: lei you know what is happenmg Be sure no pay men-
lien to me lights mmugnom (he pmcednre.
The pull-om imlruclmn card nndemezlh me Transmiuer pro-
wdes a qmck reminder ofhow m use me Tnnsmiller
What Does the Honwull System Do?
During a follow-up session, me Transmmcr collects and sends
the dam stored in you) defibrillalur 10 lb: Receiver. That dB"
includes:
~ The type and seml number 01 your defibrillator
- The sflungs [or your dcfibnlllwl
- wmn has happened since your last follow-up mm.
$ Transmibk : Lrallsm2 Pug: 3 Tuesday, December 15, 1993 9:47 AM
- Any elecuognrns (EGMs7 me defibnllamr has recorded
. An elecuogram of your currenr oondnion
How Dnee due Transmit-er Alfect Your Phone?
The Trunsminer plugs mm ynur phone line und uses rhe rele-
phone nelwork lo Iransmil dala n:- die Receiver. As fur as your
phone is concerned, rhis isJusr like any orher phone call. The cost
of the phone call is rhe same as a norml phone call. When rhe
Transmiuer is not being used. ir is off and the phone works nor-
mally,
During mosr of die session, you will be ulde to speak re the mom-
[or using ihe relephone. However. when rhe Transmmer is sand?
ing darn In rhe Receiver, the ielephone is disabled. If you need no
speak lo lb: monitor while me Transmiuer is sclldlllg din, pick
up rhe phone and place he Tmsmiuer wand in its cradle.
G} ll someone calls during me follow-up seisron, they will receive a
busy signal jusr ls may would during any ouher phone cull
it you have Call Wuiring and salmon: cells while dam ls being
sent, Cull Wuiring will inunupr communienrion. To preyenr rhis.
disable Call Wailing during your follow-up session For informa-
uon ml how mdo um, consuli the informauon on Call Wailing
provided by the ielephone compuny.
Before you sum Lmlsmiuing data, it is all righl lfsomemw else
speaks ro ihe moniror on an exrension phone. l-lnwener, when you
hegin lo send aura, rhui person should hang up. Only ihe phone
eonneered ro rhe Tmnsmiuer should be off ihe hook.
Replaeing rhe wand in rhe cradle uurornaheally him of! the
Transmillen If you forger lo place he wund in rhecmdle, rhe
Transmillel will lurn irself qff nher on minnres. Leaving rhe
Q Tmnsmlbk , Iranst Page‘l Tuesdiy‘ December 15, 1998 9:47 AM $
Transmilur on does not emu your phone. You can slill mukc
and Men/c calls,
Cl“ You Use Ibe ‘l‘nnsmilwr while Traveling?
cheek wnh your doctor hero-e lmvcling wilh lhe Tmnsmilul'. If
he or she agrees ma all right, carefully repackage the Tull:-
miuer m its ongiml hon You may wall! In carry a phone plug
adxpwr as dcscnbed on page a in case you need (0 plug Lhe
Transmluer into u 4-pln jack.
Important Safeguards
Basic safety precautions should alwlys be lalluwed when using
clcclrical pmducls, especluuy when chlldlen are pmenl. These
6} molude lhe following, <9
READ ALLINS‘IRUCflONS BEFORE USING
DANGER—To reduce the risk of electrocution:
1. Do not use lhe Tmnsmiuer while hauling.
1 Do nol pine or slorc lhe Transmitlzr where n can fall or be
pulled inlo a lub or sink.
3 Do nol plane or drop me Trmsmilur imu wale! or other Ilqllid.
4. Do nol reach for aTmnsminer lhn hes lullen lnw wen
Unplug immeamely.
WARNING—To reduce the risk of bums, elulmcudofl. rne, or
|njury m penons:
l. Supervislon ls necessary wlml lhe Tnnsmilber IS used by. on.
or near children.
$ Transtbk : Lrallsml Page 5 Tuesday, December 15, [998 9:47 AM
2. Use the Tl-ansinillel- only for lls inunded use as described in
this manual Do not use allachlllellls nut lecommendcd by SI.
Jude Medical Cumin Rhymm Mnnngelnenl Division
(CRMD),
3. Never opsms llseTullsnlilurifilhss a usmugsd cold or plug.
Ifll is not walking pmpsrly, ilitlms been dropped mdamagad,
ori this been dropped ' to water. Tell Em monilor About the
problem and lelum ma Tlallsmilterlo su Jude Medical CRMD
for service 0! replacement.
4. Ksop the mid away from heated sulfms.
5. Never drop or insert any object inm uuy opening.
6. Do ncu use olllduors of operate whale nemsol (splay) pmducls
are being used Do IIDl opemle in an oxygen-rich envimnmem
iron example, in an oxygen lent cl oxygen chamber).
KEEP THESE INSTRUCTIONS
Senlng Up the Trans or
You can use either 2 puslulsunon os rotary phone with the Trans-
miller. Mos. sonilsss phones will also walk, llowoyar. we we-
omrllelld am you so no! use a digital sprand-spsclrum caldless
prions, Tusse pnonss may cause an Tmnsminn lo malluncuon.
Th: phone mus! have a soamiusd (RI-ll modular) plug that fill
me jack on me back ol lhe Tiansmilm, Your wall phone jack
mus! also map! a smndxld plug ll you have the older, 4-pln
plugs and jacks, yml call use an adapter ms: WIII allow you to use
[he Transmluer. (See Figure 2 [or examyles ufmo plugs and
ninplals ) lfylmr ulcphmle is wired inlo the wall, you will not be
Able lo use me Tmnsmilm unlass you mslall sununni jacks. I!
you wnm lo do so, call mo telephone compuuy lurlislp.
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Tmnsm2.bk :
lrallst Page 5 Tuauay. December 15, 1998 9:47 AM
i: = D
4pm |o 31an
plug name,
Standard 4-5"
plume P109 phm plug
Figuls 2. Phone plugs and adapter
Follow these instructions fur selling up the Tlansmlmr. Forma-
gnms oflhe ulephone-Tmsmiuer conmnunn see was a and
9.
Please keep me ongiml shipping box In cast you need to lemm
file Transmilier [or service
I. Phol n- Tr-mmlnor on - may, "at sun-co.
We mommend um: you chem aconvcnlenl spoi ncal a
ulieyhone jack, an electrital oullel, and u chui You will be
Sskfld lo hold in; wind may over your deflbrillamr for
several minuus at u um», This will b: usier if you are semi
comfortably. Malt: sure that the wand mulls: the chair and
lhak yml me able lo m m ligms.
Once you hm set lhe Tmnsmmer up, leave n in place. Do not
unplug and put n away bclwecn “5:54
2. Plug you! til-phone Into m0 lick on no luck OHM
Tnmmmr.
if you hav: a leleyhone answcrmg machine, plug us phone
Cold inm the jack on lhe buck cl m: Transmiuer, Plug the
lelepfione mlo die answering machine. m answering muhine
mu operate normally.
$ Transt bk : lranst Page 7 Tuesday, December 15, 1993 9:47 AM
TMephonl jack Phone PM
1pm Phone or mwa- ow mm:
my machine in new
Fivure 3, rm back panel oi rho Transmitter
3.91", m Tnmmmu'l phone cord um um mll wephom
lick.
1. Plug u» inmlolmof and 00 m. mm and [mo lam-nu
man-ml cum.
m Tmnsminer um ilulfm nuke sun mu everyllnng ls
working During an self-lest. each oflhe Iighls blink one alur
$ me other. Ifthc Tmnsmmfl passes nu self-wesl, me llghls slop
blinking and mam off. The Transmimr is now ready to use
If m Transmilur does not pass the sell-um, all or me lighls
hlmk and me Tmnsmilm beeps. Unplug m Transminer from
me eleclrical 0mm and plug 1: in ngain. lm still does not pass
me self-(5L tell me momwr
<3} Tmnsm2.bk : msmz Pages Tuesday, December 15, 1998 9:47AM Q3“
mommy
| ®
w.- fl-mul
9mm
figure 4, relephmmmnsmmfl canneclim vmhoul an answering machine
WellMlld I
Transtbk : lransml Page 9 Tuesday, Dmmber IS, IQQB 9:47 AM
8.593 «Egan E 5; 52:8 kgflflhéefimfi 6 93mm
69
Transtvbk : Lranst Page 10 Tuesday, December 15‘ I998 9147 AM
Uslng the Transmmer
The instructions in mis chawr describe how to use me Transmi-
let. The manner may give you additional mammal-s. There is
also 3 slide-om quick-mfelence cam “mic! me base of me Trans-
milieu
Before you sun, make sine you aie seam: comfoflably. You may
be asked to hold the wand steady over your defibrillator for sev-
eral mimllcs,
1. To booln (In unlun, m-Iw eonhct win- in. monitor by
phone
You can call me monilor or lhe manila! can call you.
2. Lu: Ihe wand to mm mo Tun-mum on.
Lining me wand lums me Transmlnfl an Replacing me wand
mms me Tnnsmiuer on. when you first Iifl me wand. me
Power light goes on, if me Transmiuer demons an mlemal
problem, all or me liglns will blink. Figure 6 shows me
position of me lighls.
Wmd
Figure 5. The Tlansmtllel's leg/us
s. wnm mo Noumea wand llgm bllnkl, place in. mud war
yvur Mlblllllior and hold ll nutty. no not HANG UP ME
FHoNEl Watch in. Pulflorl Wind "QM on m. Trlmmm-L
10
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Tmllsm2.bk v lranst Page I l Tucsday, December 15. 1998 93” AM
Winn Lhe wand is in (ht correctpos1uon,l||b Posilion Wand
lighl slaps blinking and remains on.
lime wand is in ihe wrong spol, me Posilion Wand llght
camimles lo blink. Move the wand slowly lnllil lhe hghl slaps
blinking, lhen hold lhe wund steady.
The wand wlil work Illmugll a dim slim. if your elnlhing is
lhiek or if you have lmubie gaung lhe wand to oommunicale
willl lhe defibrillalor. plaoe lhe wand against you. skin,
llil lakes more lhan 45 seconds Io find lhe righl spol for Lin
wand, (he Tmnsmiuer sounds n long heep and lhe peailion
Wand hghl goes off The monilol will lell you whal to do nexl.
When lhe wand is in lhe nghl posi one the dam collection can
begin. The Pos lan Wand lighl slope blinking and slays one
The Tmnsmiuel slaps beeping.
The mollilor will lell you when data eolleelian begins. The
Tmllsmiller beeps while il colleels lhe dala. You Wlli noi be
able to speak in lhe mmliiordumlg collectinll.
lrlhe wand moves oul ofposilion dun'ng dale eolleenan,
communieanon Slops, The Posnion Wand lighl blinks and lhe
Tlansmilm beeps ane die wand slowly unlil lhe Iighl stops
blinking l-lold lhe wund sleudy. ll il lakes more lllan zo
seccmds to find lhe righl spot for lhe wand or if lhe
lrarlsmission ls inlemlpled, lhe Pick Up Phone lighl blinks und
lhe Tunsllliller makes u ningmg sound. Pick up lhe phone and
follow lhe mcrnilm's inslmclivlls.
Colluling dala usually lakes less than a millllle. Somlimti,
llmugh, lhe momlor may wanna retrieve elecimgmns (EC-Ms)
stored in lhe defibrillalol This may mke lwa lo lhm minules.
NOTE lrcommunicalinn isdisrupled, lhe daia eolleeuon musl
sun ngain. This means lhal dul- cullecLioll will lake longer
lhan expecled.
11
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4. who" “ Plck Up Phonl light Mink], pick up m- phon-
and talk tom- monk/av.
The rmisniiwrings ships Linus up nun you (0 pick up his plume.
The monitor may wnni lo collect more data Follow his OI ha
instrucfiuns. The monitor will let you kmw when the follow-
up is finished,
5. Win" the Iollw up “won in Hui-Md. run; up (In
phono. we. in. wind In in cm“. to am on me
run-mm“
Troubleshootlng
1his secllon lists some problems you inny enwunur when using
the Tunsmiuer aha how in solve them "you have uicd mess sug-
gesliims and the Tiansmilmr slill dwfi no! work, tell me mollllnr.
No iiphis go on when you pick up ihs nun-i,
Explanation. No power is inching she Tnnsmmu in i! is not
(“mad mi.
Aaron Make sine ihn lhc power cord is plugged m. rim an
wand back in the crudlz and pick it up again.
All onlle Ilghts bllnk mniinnwsiy.
Explanation: The Tunsmilur has failed 1|s self-lest of 1:5 soil-
wsre and cimniis.
Anion. Unplug Ii): Tmnsminel’ from me elem-10a] mule! and plug it
in again Ifall oldie lights snu blink wnnninnisiy, all the monitor.
12
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Transm2.bk : lrallst Page 13 Tuesday, December 15, 1998 9:47 AM
The Podllon Wand “gill Is blinking.
Explmlmh. The wand is in 1h: wrong posllion 1. can no. mel
.he chm {mm yonrdcfibrillalor.
Actinn. Move lhe wand nmil the Fashion Wand Iighl snyps blink-
ing. Please hold me wand many, lfyon am wearing heavy cloth-
ing‘ phee lhe wmd against your skin. Pressing down gently to
deanase me «mam bemoan the wlnd and me defihnllnle. may
also help.
Make sure lhsl mm are no solutes olelectncu mlerfereme in
lhe arcs (fm' example, lelevlslon sets, campuler monlnm, fluores-
cent lighls, em). If mere me. turn me... off arr set me Tmsmiue.
up fmhe. lwzy from men.
Make sure Lhauhe Wind is al least six inches from file body unhe
Trans-nine.-
lf yml can't find lhe nghl position. the Plck Up Phone Ilghz
blinks fick up In: phone 1nd follow the monilor‘s inslmcllmls.
Caring for the Transmlnar
If necessary. you cnn clean me onlslde onhe Tmnsmilwr wall. A
damp elolh And a mild delergenl Donal immem 1h: Transmitter
in any liquid'
The Tune-nine. does no. eonuin any user-serviceable pans, Do
nol open [ha case. lnhele is - pwblem wnh the Tmnsmiuer. lell
me mmilor. He or sh: will call St. Jude Medical CRMD and
arrange for us u. send you n eeplacemem Transmitter.
13
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Transtvbk : lrulsm2 Page 14 Tuesday, December 15. 1998 9 47 AM
Glossary
Data—(Ire rnrpnnnupu stared rn your aenbnllnrpr. The informa-
Lion includes the type and serial nurnlser olypur defibrillator, the
serrings for your defibrillalora an account of wha has happened
whn rhe defibrilllwl rlnee your larr (allow-up session, and any
elemmgrams (EGMs) lhe defibrillator has, recorded,
Defibrillamr— also known as a pulse generaror or an ICD
(lmplanuble cardlovener-defibrillalovl.
EIet/mgram (EGMlvohelr culled elecrrowdlogram, EKG or
ECG, ll is a record of "re eleclrical crrrmus produced by me
heart.
Fullvw-up sessim—l check-up during whreh your duclor looks
ar an reuings of your manual." as well us the repons of any
evems rhar may have occurred since me Iaslcheck-llp,
Innmctlon Card—a cald snared undemcadl me lronr pl lllc
Transmiller lhal pulls mil ID pmvid: a quick reminder of how lo
ure rhe Transmlrrer.
Monitor—ill: trained techlli nn who uperrres the Receiver nna
condncls Ill: follow-up procedure.
Receivcr—Lhe pm a! the Hausecall System located in the moni-
lor‘s office. The Receiver sends insrmcrruns lo lhe Tnnsrrrlrrel-
and receives the dam lhur rhe Tmsmiuer reads lrom your
defibrillrlor,
Tramml'uen—llle pun pnhe Hansen]! Sysrarn lhnl reads lhe dam
in your dcfibrillawr and sends ll lo me Receiver.
Wand—tile pan. onhe Transmilur rnar you hold over your
dehbrrllarur.
14
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Transm2.bk : lransml Page 15 hesdny, December 15, 1993 9:47 AM
FCC Informmlon
nu mm... mmvliss with PM as mtc ml= 0" we bovmn om; summer" u .
lahd u cmmns. mot-1. om inlomln-w hewcc Mixlmmn may nu mum
squint-km: Numbfl mm ”of lhstqnpmml "mm. mm mu mm m
m mam Cami-fly
m n EN 131mm! u. mummy-e mmhelnldevulymmwnm m mm
mm.» Ime man-unmnum Mmsnnxwhenymnnumbelnclllad |.. m,
m m m 1"qu nun m m n E N a a“) dens; mm 11-31ch five (5; To a:
Mnnneflfiw mm. widen-3‘s me... warm m w... ..=_ K Muir—i by m u an.
m m.“ c.u m. lat-l "mm mm m Mm...“ m mm... x a n fut m.
mum nu
"muffin-smut“) km W m mm mm, m- mprm campny n-y
aluminum mu mm umpwmly "9mm, mty wm muy you n- mm M
mm: muse mm mm“. Wu Ml] he mm 11 m n mm m wm be mm
unomm’nmmummxmmnmefix.
m, ulevm my my um cum. m mum aqnpmml open-mm u
wean-es mu could m. we mow-mm of minimum-m mm flu, m wnlbe
we. mum "once 30 m w gm you n- ovpomnily m mm... mun-mm mm-
nm “mm, "mm m. yw’huummtr. plan mm s. Jude Mull cm.»
mm... Mum,“ ansmMCRMDnn me u s A u musms 1». mm
mm, "dorm-mu m lekvhw- many any n m. m almanac! un- «nun-mu
[mm mmwknnfll me mm. mmwnuwduryw “ flue mun-e mm."
.; m muiuncllmm‘
Thnznmnwnlhnmbemlfle m meclmamm MTV-“mum
nlxeqmpmgm my m be m m m. m“ pmwdtd Ivy 1»: 1mm camp-fly
Cmmmn m pally mm “mm m m unfli (Cow-ml yonrm mm m. y
wmmmmn u emporium wmmmmn m mlmvmdmy
CAUTloN Per rec Rule! chnld av "mime-mm: of mg Humility-1m w m.
WM) by 5. M1: mam mm) ma ma ymrnm In W a. Nausea"
1mm .
NOTE m eqummx n. um. mm and mm to wmpxy m. an um «n Cln a
mum device wnnml to pan u um FCC m¥= TIM Inn": n: saw u) mm
mmemummml "lemma“ “mm-u... mailman nu
amp-w “mu. nus um ca. name mm Mummy wrrry um um inmlzd m:
m: m mum will: me I‘m-mum mny «use hmniul mm to mm
oommlmunmn How I»!!! n In m an male-m In“ M w u. .
lelw "mall-Ion. u may.“ on. mm mm “daft-am m mime!
hkvlsim mum ma can u mum-x by mm the aqnipmmllm m. we mu
u emlgcd m try mm. a: mkwt w on: or more om fullwnl Inn-m
~ mm or mom: me mum mm.
~ mum in: Hpmmun hum mg mummy-1m mam
~ Canned Ihtoqnlpmem m u. mm m. a m... Mam lmm mu m Wm m.
mlva 3 mm
~ Cmmlx m hale: w u. exventnod "am/w Wm... 1a. m,
15
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Transm2.bk : lnmst Page 16 Tuesday, December 15, 1998 9'47 AM
Limited 90 Day Warranty lor the
Housecall Transmmar
st m. Mad-cu Cudlls lhymm Minimum mm. (CIMD) w-nnlx n.- for .
mm: 0191] am Mam-u mm m m mm: mm, m mum] 1mm
m“ be (In 1m Han m me m: whammy
1m wnmmy fins m cover m m w emu! cnsn, mm... um um "mu (0
mm. enema: mm momma. mm": m mnmna by s. Jude mam own,
as]; m m handing mm mm. mun-mm, mm m perfum mm mm.»
minute-use, am. ma mlmse.
nun-u me 90 «y win-my paw. s- [we mum cum mu rev-In)! mum -
mm...“ Tummma m. u mum-1 m 5L huh Mafia! cwn ‘l‘nqmllfy fur
ml nwrwlep‘wemell, 3 1m Medlzll emu mu bummed wlllln ind-y: om
minimum m. My mm by 5L 1m anw an». m, mum-m realm me
Tun-mm to: mm or anflun u my sen-woe u mums, 1m Mmul
cum: m.“ mule . um... Mum! “Mum Numhq Vm m. flip m. mm
wk m s. we Med a; cum) i.. «mm... M a. “was... m shiwnn‘
dunes. ma you mm mm m mm. M mm m "(k all»! n. am." am-
mm 5: 1m mam cmn willlfllmbe mum “Mm Tmmmzrw
m 1m... pm
us. me Madly! cmn mean a mum Your Tmmmler me many tum wlll In
an m mummy our-e «mm m. a a) days. Mum-ever n luv-m
mls wnkmrv xErxisENTs 1m! ENHRE onuamon o? sr nu):
MEDICAL cmn AND IS MADE m LIEU or my mum wmunms.
wwrmn amiss on mum maunma w/muvmrs OF
mcmmmm on muss sou A PARHCULM warms
sr IUDE MEhICAL cmn wu war 5: Luau mu ANV mmm
quml-zl mm, cmszqusmuL on umnsnnL CAUSED -v
m mums. on MAchnoNs or m rmnucm wmfltl
sucu A cum [5 sum cu WARRANIY.OONTRAFL10R‘LDI
oruznwlsz
some sum a not xllrrw llwenulusm Mir-21nd“ u swam mm m u
mam Ilmllum m utluswn my w. my some mm an m um Ilmlmmm a.
m m: u- mun wnmy nus. in m. M} mum may nawpiy
16
<1
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ST, JUDE MEDICAL
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