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Medtronic, Inc. (“Medtronic”) offers RemoteView, which permits a user (“Programmer User”) of the Medtronic CareLink® 2090 Programmer (“Programmer”) to allow the viewing of information presently displayed on the Programmer screen with one or more individuals in remote locations anywhere in the world (“Remote Viewer”), including remote health care professionals or Medtronic representatives.
Limited License Grant. You are hereby granted a nonexclusive, nontransferable, terminable, nonassignable, nonsublicensable, limited license to install and use a copy of the Licensed Software solely for authorized and legitimate purposes. You may not otherwise copy, use, modify, reverse engineer, decompile, disassemble, create derivative works based on, or integrate with other systems or programs the Licensed Software without the prior written consent of Medtronic. You shall have sole responsibility for any fees or charges, including service or data charges, incurred by you in connection with your use of the Licensed Software. You shall not remove any proprietary or other legend or restrictive notice contained or included in the Licensed Software or other documentation associated with such Licensed Software. You agree to maintain any and all copyright, trademark, and other notices on the Licensed Software and any associated documentation.
Licensed Software Functionality and Data Use, Collection, Viewing, and Transfer.
“Active Remote Viewer” as referred to herein shall mean a Remote Viewer that has installed the Licensed Software and has at the relevant point in time an active network connection to a Medtronic server via the Licensed Software.
By installing or using the Licensed Software or clicking any acceptance button in connection with this Agreement, you acknowledge, understand, agree to, and consent to all of the following, including when you are an Active Remoter User:
) Registration. To obtain access to the Licensed Software, you must register at the Medtronic RemoteView website and establish a user name and password. All information that you provide in connection with such registration must be complete, accurate, and truthful. The user name and password are personal to you and must not be shared with anyone else. You will also not attempt, directly or indirectly, to disable, bypass, or defeat any password protection associated with the Licensed Software. Medtronic reserves the right to deny or disable any user name or password or request for any user name or password.
) Your Personal Information. Medtronic will collect information in connection with your registration and installation and use of the Licensed Software, including your first and last name, your email address, a selected security question(s) and your corresponding answer(s), your address, and your telephone number. You agree that Medtronic may store this personal information about you on a Medtronic server, including a server located in the United States of America.
) Session Key. To view the information on the Programmer, the Remote Viewer must generate a Session Key that must be shared with and entered by the Programmer User. “Session Key” as used herein means a unique token active for a limited period of time generated by the Remote Viewer. You agree not to share this Session Key with anyone other than the Programmer User who has initiated the specific session.
) Logging of Session Activity. Each time you log in to the Licensed Software, Medtronic will collect information about your activity, including in an aggregated log or database, regarding you and your session, including your name, username, computer name, IP address, operating system details, and session details (including transferring and sharing activity, start and end times, view only or control activity, and any chat messages between or among any Active Remote Viewers. You agree that Medtronic may store any personal information about you on a Medtronic server, including a server located in the United States of America.
) Active Remote Users. When you are an Active Remote Viewer: (1) you will be able to view the name and/or user name of any other Active Remote Viewer who is logged into the same Medtronic server; and (2) any other Active Remote Viewer who is actively logged into the same Medtronic server will be able to view your name and/or user name. The Licensed Software also permits one Active Remote Viewer to share the information being viewed to any other Active Remote Viewer. You must not share any information from the Medtronic programmer, including with any other Active Remote Viewer, absent the express permission from the Programmer User that is allowing you to view the information.
) Availability. Medtronic has limitations on the number of users that can concurrently log in to the Licensed Software at any given time. Thus, installation of or accessing the Licensed Software does not guarantee that it will be available to you for use at any time.
Permissions. By installing and using the Licensed Software, you represent that you have permission to do so from any associated clinic, hospital, or medical practice and that your use of the Licensed Software complies with any policies or requirements of such associated clinic, hospital, or medical practice. You are also responsible for confirming that the Programmer User has obtained any necessary patient consent before allowing you to view any patient information via the Licensed Software.
Your Acknowledgements. You acknowledge that the Licensed Software is not the exclusive method of viewing information from the Programmer and that the Licensed Software is not the exclusive method by which to obtain a patient’s implanted cardiac device data, including any data on the Programmer. You also acknowledge that the Licensed Software is not intended to be used as a life-sustaining or interventional tool during medical emergencies. You further acknowledge that Medtronic is not, and shall not be deemed to be, a provider of patient health care services by virtue of its provision of access to the Programmer screen information via the Licensed Software. You also acknowledge that information from the Licensed Software is not an electronic medical record and use of the Licensed Software does not in any way relieve you from using your best medical judgment to determine a proper course of treatment for patients.
Security/Privacy of Patient Data. Your use of the Licensed Software and any Session Keys shall be solely for legitimate and lawful purposes and not for any malicious purpose. You are solely responsible for and will use your best efforts in maintaining the confidentiality and security of any copies of the Licensed Software as well as any user name, password credentials, and any Session Keys that can be used in accessing the Licensed Software, a Medtronic server, or any information from a Programmer. You are solely responsible for and will use your best efforts in keeping any patient information you may receive or view in connection with the Licensed Software confidential and secure, and you will not attempt to capture or copy any patient information you view in any electronic or hard copy format without the express permission of the Programmer User. You will be responsible for any obligations or liabilities associated with any lost, stolen, or otherwise compromised patient information.
Reporting Issues and Feedback. You agree that you will report any issues or questions, technical or otherwise, regarding the Licensed Software promptly and directly to Medtronic. If you submit any comments or ideas to Medtronic, in the absence of a separate agreement regarding such submissions, you grant to Medtronic an unrestricted, royalty-free, irrevocable license to use, reproduce, display, perform, modify, transmit, and distribute such ideas in any medium and agree that Medtronic is free to use them for any purpose. In addition, Medtronic has no obligation to provide continued maintenance and support to you in connection with the Licensed Software. Any maintenance and support services provided by Medtronic shall be at Medtronic’s sole discretion.
Limitations of Liability.
THE LICENSED SOFTWARE IS PROVIDED TO YOU “AS IS,” AND MEDTRONIC EXPRESSLY DISCLAIMS ANY AND ALL WARRANTIES WITH RESPECT TO THE LICENSED SOFTWARE AND YOUR USE THEREOF, INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NONINFRINGEMENT. MEDTRONIC DOES NOT WARRANT THAT THE USE OF THE LICENSED SOFTWARE WILL BE UNINTERRUPTED OR ERROR-FREE.
Legal Compliance. You shall at all times use the Licensed Software in compliance with all applicable laws. You shall ensure that your installation and use of the Licensed Software complies with all applicable export and import laws, regulations, orders, and policies of the United States of America and any other applicable jurisdiction. You represent and warrant that (i) you are not located in a country that is subject to a U.S. Government embargo, or that has been designated by the U.S. Government as a “terrorist supporting” country, and (ii) you are not listed on any U.S. Government list of prohibited or restricted parties.
Term, Termination, Modifications, and Support. This Agreement shall be in effect from the date when you first install or use the Licensed Software. Medtronic may modify, amend, or terminate this Agreement at any time, including by providing notices or an updated version of this Agreement on a Medtronic website. Medtronic may modify, disable, or terminate your use or Medtronic’s support of the Licensed Software at any time, including by providing notices on a Medtronic website. All obligations which are ongoing in nature shall survive termination or expiration of this Agreement. At any time upon Medtronic’s request (including via a notice on a Medtronic website), you agree to promptly delete and terminate use of any and all copies of the Licensed Software. In addition, upon Medtronic’s request, you agree to provide written verification that you have destroyed all copies of the Licensed Software together with the manner, date, and time of such destruction.
NayaMed International Sárl Customers: Whether the RemoteView feature shall be used in connection with NayaMed customers or devices shall be solely within the discretion of NayaMed International Sárl. If the Licensed Software is used connection with NayaMed customers or devices, this Agreement shall be directly between you and NayaMed with respect to those uses.
Spinal decompression procedures create more space for the nerve, relieving pressure and reducing pain.
Put a straw in your fist. Now squeeze. You’ll notice not much is able to pass through the straw. This is, essentially, what is happening in your spine when you have a pinched nerve. Your spinal cord or nerves (the straw) are being squeezed because of the impinging by bone/and or disc material.
Decompression is a surgical procedure to relieve pressure and alleviate pain caused by this impingement. A small portion of the bone over the nerve root, called lamina, and/or disc material from under the nerve root is removed to give the nerve more space.
Learn more about underlying conditions that may result in a pinched nerve.
There are three common types of spinal decompression procedures, all of which can be done using minimally invasive techniques:
Each of these procedures can be performed as an independent surgery or can be combined together. For example, a laminotomy may be done together with a discectomy. Your doctor will determine which procedure or procedures will give you the most relief.
Laminotomy and laminectomy are spinal decompression surgeries on the lower spine that involve removing bone, called the lamina, to relieve pressure on the spinal nerve(s).
Laminotomy and laminectomy are commonly done to relieve symptoms of spinal stenosis, including pain, and weakness or numbness that can radiate down the arms or legs.
Your doctor may recommend one of these procedures if non-surgical treatments do not improve symptoms, or if muscle weakness or numbness makes standing or walking difficult.
There are many other spinal conditions that may be treated with a laminotomy and/or laminectomy:
In some cases, these procedures may be necessary as part of surgery to treat a herniated spinal disk. Your surgeon may need to remove part of, or the complete lamina to gain access to the damaged disc.
Laminotomy/laminectomy can be performed as open surgery, where your doctor uses a single, larger incision to access your spine, or using a minimally invasive method, where a smaller incision is made and muscles are gently separated instead of cutting them.
The operation is performed with the patient on his or her stomach.
First, the surgeon makes a small incision. Through this incision, the muscle will be gently and gradually dilated, or separated, and a tubular retractor will be inserted to create a “tunnel” through which the surgeon may perform minimally invasive surgery.
Part of the lamina is cut away to uncover the ligamentum flavum — a ligament that supports the spinal column. Next, an opening is cut in the ligamentum flavum, through which the spinal canal is accessed. The compressed nerve is now visible, as is the cauda equina (the bundle of nerve fibers at the end of the spinal cord) to which it is attached. The cause of compression may now also be identified: a bulging, ruptured or herniated disc, or perhaps a bone spur.
At this point the surgeon will assess and perform a discectomy (removal of a disc or bone spur) or a spinal fusion, if necessary.
Your surgeon will then close the incision, which typically leaves behind only a small scar, if a minimally invasive procedure is performed.
The minimally invasive procedure allows many patients to be discharged the same day of surgery; however, some patients may require a longer hospital stay. Many patients will notice immediate improvement of some or all of their symptoms; other symptoms may improve more gradually.
A discectomy is a surgical procedure to remove a herniated disc that is causing back pain and/or leg pain, numbness or muscle weakness.
When an intervertebral disc ruptures in the spine, it puts pressure on one or more nerve roots (often called nerve root compression). This causes pain and other symptoms in the neck, arms, and even legs.
Your doctor may recommend one these procedures if non-surgical treatments do not improve symptoms, and if you are experiencing leg pain that limits your normal daily activities or weakness or numbness in your leg(s) or feet.
Like the laminotomy/laminectomy, this procedure may also be performed using an open or minimally invasive approach. Your doctor will determine what is the best method for your spinal condition.
The operation is performed with the patient positioned on his or her stomach.
In a minimally invasive discectomy, after a small incision is made, the muscles of the spine are dilated, or gently separated, and a tubular retractor is inserted to create a “tunnel” through which the surgeon may perform surgery. A microscope or an endoscope is used to look down the tube and visualize the spine. Through the tubular retractor, a portion of the lamina is removed to expose the compressed area of the spinal cord or nerve root(s).
The disc is visualized underneath the nerve root and pressure is relieved by removing the source of compression — herniated disc, a bone spur, or in some instances a tumor. Implants may or may not be needed to stabilize the spine.
The small incision is closed, which typically only leaves behind a minimal scar.
This surgery may also be performed as a microdiscectomy, using a surgical microscope and microsurgical techniques. A microdiscectomy requires only a very small incision and will remove only that portion of your ruptured disc, which is "pinching" one or more spinal nerve roots.
This minimally invasive procedure allows many patients to be discharged the same day of surgery; however, some patients will require a longer hospital stay. Many patients notice immediate improvement in some or all of their symptoms; other symptoms may improve more gradually.
At home you will have medication to help with any discomfort. Any severe increase in pain not controlled with the medication should also be reported to your physician or the physician's nurse. You should report any elevation in your temperature, drainage from your incision, or increase in numbness or weakness.
Potential risks to any surgical procedure include unforeseeable complications caused by anesthesia, blood clots, undiagnosed medical problems such as silent heart disease, and rare allergic reactions. Complications of spinal surgery can include neurological damage, paralysis, damage to the surrounding soft tissue and, where used, instrument malfunction. Most of these complications can be treated once they are detected, but sometimes they require a longer period of hospitalization or recovery, additional medications, and sometimes even additional surgery. Depending upon the type of surgery you are having, these risks will be explained by the primary surgeon. As a patient, it is important to understand and follow your doctor’s advice so that the best possible outcome can be achieved. This surgery is not for everyone. Please consult your physician.
Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.
Disclaimer: This page may include information about products that may not be available in your region or country. Please consult the approved indications for use. Content on specific Medtronic products is not intended for users in markets that do not have authorization for use.