Abbott Clinician Virtual Clinic Appointment with Patient User Guide

June 6, 2024
Abbott

Abbott Clinician Virtual Clinic Appointment with Patient User Guide
Abbott Clinician Virtual Clinic Appointment with
Patient

An instructional guide to prepare for and conduct a Virtual Clinic Remote Care session with your movement disorder patients.

  • Maintain a well-lit, quiet environment
  • Position the iPad‡ mobile digital device vertically or consider the use of an iPad device stand for hands-free use
  • Remember, your video feed  to the patient will remain continuous;even if  you minimize the video within your Clinician Programmer application, the  patient will still see you

ALL PATIENTS AND CLINICIANS MUST BE REGISTERED IN THE VIRTUAL CLINIC PORTAL. PLEASE WORK WITH YOUR ABBOT T REPRESENTATIVE TO C R E AT E N E W U S E R R E G I S T R AT I O N S.

Topics Covered in the Guide

  • ONE
    Logging into Virtual Clinic

  • TWO
    Initiating a Virtual Clinic Session with Your Patient

  • THREE
    Confirming the Protected Recovery Program

  • FOUR
    Navigating NeuroSphere™ Virtual Clinic

  • FIVE
    Closing a Virtual Clinic Session

ONE LOGGING INTO VIRTUAL CLINIC

ONE LOGGING INTO VIRTUAL CLINIC
ONE LOGGING INTO VIRTUAL CLINIC

  1. Launch Virtual Clinic from your Clinician Programmer

  2. Select ‘Generators’

  3. Select ‘Remote’

  4. Select ‘Login’
    NOTE: A ONE-TIME VERIFICATION CODE WILL BE REQUIRED DURING YOUR FIRST LOGIN ATTEMPT.

  5. Enter the email you used for registration and password

F O R G O T PA S S W O R D?
PLEASE CONTACT ABBOT T TECHNICAL SERVICES AT 1-800-727-7846.

TWO INITIATING A VIRTUAL CLINIC SESSION WITH YOUR PATIENT

WE RECOMMEND YOU BEGIN EACH SESSION BY CALLING YOUR PATIENT AND WALKING THEM THROUGH THE STEPS BELOW FOR INITIATING THE VIRTUAL CLINIC SESSION.

  1. Open Virtual Clinic on their iPhone‡ or iPod touch‡mobile digital device

  2. Click the ‘Remote Care’ option on the therapy screen
    TWO INITIATING A VIRTUAL CLINIC SESSION WITH YOUR
PATIENT
    NOTE: THE REMOTE CARE FEATURE IS TURNED OFF BY DEFAULT WHEN A SESSION IS CLOSED.

  3. Toggle the Remote Care switch to ‘On’ and wait for the clinician to connect
    TWO INITIATING A VIRTUAL CLINIC SESSION WITH YOUR
PATIENT

  4. Once the clinician connects, a ‘Session Ready to Start’prompt will appear.  Select‘Start’ to begin the Virtual Clinic session

AFTER YOUR PATIENT TOGGLES REMOTE CARE TO ‘ON’ (SEE  STEP 3 TO THE LEFT), CLICK THE REFRESH BUT TON ON YOUR CLINICIAN PROGRAMMER. YOUR PATIENT’S IPG SHOULD NOW APPEAR. SELECT TO ESTABLISH CONNECTION.

  1. Click the refresh button
    TWO INITIATING A VIRTUAL CLINIC SESSION WITH YOUR
PATIENT

  2. Select your patient’s generator to establish a connection and begin the Virtual Clinic session
    TWO INITIATING A VIRTUAL CLINIC SESSION WITH YOUR
PATIENT

THREE CONFIRMING THE PROTECTED RECOVERY PROGRAM

AT THE START OF EVERY VIRTUAL CLINIC SESSION, THE PATIENT’S INCOMING PROGRAM WILL BE COPIED AND SAVED AS THE PROTECTED RECOVERY PROGRAM.THIS PROTECTED RECOVERY PROGRAM SERVES AS THE DEFAULT PROGRAM THAT A PATIENT’S DEVICE WILL REVERT TO SHOULD AN  UNEXPECTED DISCONNECTION OCCUR DURING THE VIRTUAL CLINIC SESSION.

The patient must have at least one existing program to initiate a Virtual Clinic session.

  1. The incoming program is automatically set as the Protected Recovery Program at the start of a Virtual Clinic session. A ‘Program Protected’ prompt will appear
    Select ‘Dismiss’
    THREE CONFIRMING THE PROTECTED RECOVERY PROGRAM

  2. The active stimulation settings will be copied as the Protected Recovery Program for the session
    THREE CONFIRMING THE PROTECTED RECOVERY PROGRAM

  3. The copy of the incoming program is stored as a new program

NOTE: THE PROTECTED RECOVERY PROGRAM CANNOT BE E  D I T E D. I N O R D E R TO E D I T, SET A DIFFERENT PROGRAM AS THE PROTECTED RECOVERY PROGRAM.
THE CLINICIAN SHOULD EVALUATE THE PROTECTED RECOVERY PROGRAM AT THE START OF A VIRTUAL CLINIC SESSION TO CONFIRM THE APPROPRIATE PROGRAM IS SELECTED.

  1. Select ‘Manage Programs’
    THREE CONFIRMING THE PROTECTED RECOVERY PROGRAM

  2. Select the program with a ‘Lock’ icon to review the Protected Recovery  Program settings
    THREE CONFIRMING THE PROTECTED RECOVERY PROGRAM

  3. Stimulation can be toggled ‘On’ or ‘Off.’ Ensure this is set to ‘On’ if you intend the Protected Recovery Program to default to Therapy On
    THREE CONFIRMING THE PROTECTED RECOVERY PROGRAM

  4. To set a different program as the Protected Recovery Program,select the  desired program from the program list and click the‘Protect’ button in the  upper right-hand corner
    THREE CONFIRMING THE PROTECTED RECOVERY PROGRAM

  5. Select whether stimulation for the Protected Recovery Program defaults to  ‘On’ or ‘Off
    THREE CONFIRMING THE PROTECTED RECOVERY PROGRAM

FOUR NAVIGATING NEUROSPHERE™ VIRTUAL CLINIC

NORMAL VIEW IN REMOTE SESSION

  1. Video display on/off

  2. Network status indicator – Clinician

  3. Network status indicator – Patient

  4. End session

  5. Camera reverse

  6. Full screen video

  7. Mute/unmute
    NORMAL VIEW IN REMOTE SESSION
    GREEN
    Good network connection
    YELLOW
    Slowed network connection
    RED
    Very slow network connection
    FULL SCREEN VIEW IN REMOTE SESSION

  8. Stimulation settings

  9. Stimulation toggle button

  10. Collapse full screen

  11. Stop stimulation
    FULL SCREEN VIEW IN REMOTE SESSION

FIVE CLOSING A VIRTUAL CLINIC SESSION

IN ORDER FOR PROGRAMMING CHANGES TO BE SAVED, THE CLINICIAN MUST END THE SESSION.

  1. To end a Virtual Clinic session,select ‘Done’ and ‘End Session’
    FIVE CLOSING A VIRTUAL CLINIC SESSION

  2. Programming changes will be saved to the IPG
    FIVE CLOSING A VIRTUAL CLINIC SESSION

  3. A programming report will automatically be generated
    FIVE CLOSING A VIRTUAL CLINIC SESSION

NOTE: IF A PATIENT ENDS A VIRTUAL CLINIC SESSION P R I O R TO T H E C L I N I C I A N, PROGRAMMING CHANGES WILL NOT BE SAVED AND THE CLINICIAN WILL RECEIVE THIS PROMPT. THE PATIENT WILL REVERT BACK TO THEIR PROTECTED RECOVERY PROGRAM.

FIVE CLOSING A VIRTUAL CLINIC SESSION

Rx Only

Brief Summary: Prior to using these Abbott devices, please review the Clinician’s Manual for a complete listing of indications, contraindications, warnings, precautions, potential adverse events, and directions for use. The system is intended to be used with leads and associated extensions that are compatible with the system.

Indications for Use: Bilateral stimulation of the subthalamic nucleus (STN ) or the internal globus pallidus (GPi) as an adjunctive therapy to reduce some of the symptoms of advanced levodopa-responsive Parkinson’s disease that are not adequately controlled by medications, and unilateral or bilateral stimulation of the ventral intermediate nucleus (VIM) of the thalamus for the suppression of disabling upper extremity tremor in adult essential tremor patients whose tremor is not adequately controlled by medications and where the tremor constitutes a significant functional disability

Contraindications: Patients who are unable to operate the system or for whom test stimulation is unsuccessful. Diathermy, electroshock therapy, and transcranial magnetic stimulation (TMS) are contraindicated for patients with a deep brain stimulation system.

Warnings/Precautions: Return of symptoms due to abrupt cessation of stimulation (rebound effect), excessive or low frequency stimulation, risk of depression and suicide, implanted cardiac systems or other active implantable devices, magnetic resonance imaging (MRI), electromagnetic interference (EMI), proximity to electrosurgery devices and high-output ultrasonics and lithotripsy, ultrasonic scanning equipment, external defibrillators, and therapeutic radiation, therapeutic magnets, radiofrequency sources, explosive or flammable gases, theft detectors and metal screening devices, case damage, activities requiring excessive twisting or stretching, operation of machinery and equipment, and pregnancy. Loss of coordination is  a possible side effect of DBS Therapy, exercise caution when doing activities requiring coordination (for example, swimming), and exercise caution when bathing. Patients who are poor surgical risks, with multiple illnesses, or with active general infections should not be implanted.

Adverse Effects: Loss of therapeutic benefit or decreased therapeutic response, painful stimulation, persistent pain around the implanted parts (e.g., along the extension path in the neck), worsening of motor impairment, paresis, dystonia, sensory disturbance or impairment, speech or language impairment, and cognitive impairment. Surgical risks include intracranial hemorrhage, stroke, paralysis, and death. Other complications may include seizures and infection.  Clinician’s Manual must be reviewed for detailed disclosure.

Abbott
One St. Jude Medical Dr., St.

™ Indicates a trademark of the Abbott group of companies.
‡ Indicates a third party trademark, which is property of its respective owner.
© 2021 Abbott. All Rights Reserved.
MAT-2100118 v1.0 | Item approved for U.S. use only.

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