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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.
CVI is a progressive medical condition that may worsen over time and affects the veins and vessels in the leg that carry oxygen-poor blood back toward the heart. CVI signs and symptoms may include pain, swelling and fatigue of the legs as well as skin damage and ulcers. CVI is often preceded by varicose veins.¹
The leg venous system comprises a network of veins, including:
Veins in the leg that become swollen and have disease or damaged valves are known as varicose veins. Veins can become varicose when the vein valves that regulate the direction of blood flow become damaged or diseased, weaken and no longer function properly. Instead of blood moving toward the heart like it should, blood stays in place and pools in the vein of the leg.²
Often covering the legs, these damaged veins appear to be similar to varicose veins, only thinner. Often red or blue in color and appearing like thin spider webs or branches, these veins are closer to the skin surface and can spread; however, unlike varicose veins, spider veins are typically not raised above the skin’s surface. Spider veins can be treated with sclerotherapy or laser treatment. Though spider veins may be associated with varicose veins or CVI, the issue is seen as cosmetic and treatment is generally regarded as elective.²
Healthy leg veins contain valves, or small delicate flaps of tissue that open and close to help regulate blood flow to the heart. These veins are designed to allow blood to flow against gravity from the legs back up toward the heart. The valves help control the flow of blood to make this happen. With age and other stresses on the body¹, these valves can weaken and lose the ability to regulate the direction of blood circulation.
Venous reflux is the term that describes what happens when the valves in the veins grow weak or damaged and lose the ability to regulate the direction of blood flow. When blood “leaks” down past a bad valve, it is called reflux. Reflux causes blood to pool in the leg veins as opposed to moving upward toward the heart.
If CVI is left untreated, legs can sometimes develop painful sores or wounds on the skin’s surface called ulcers. Ulcers may indicate a more severe and progressive state of the disease.¹ Normally ulcers appear near the ankles or lower leg and are brought on from the increased build-up of fluid and blood pressure from veins affected by CVI.1
This is a commonly used test to screen for varicose veins or CVI, which utilizes sound waves to measure the speed of blood flow through vessels. The ultrasound test also produces an image of vein structure, offering doctors a visual of veins, valve damage and any vein obstructions that may be causing CVI.
This is an older form of CVI detection, in which doctors use a hand-held device that generates ultrasound waves to measure the velocity of blood flow in the veins. This tool uses audible sound to listen to blood flow and detect vein valves that are not working properly.
This is an imaging test that uses x-rays to view the leg’s blood vessels. This test involves an injected dye called contrast, which makes the blood in your veins appear on an x-ray. A doctor studies images on the x-ray to detect vein obstructions that can develop into CVI.
This testing method typically uses air cuffs placed on the leg. While one cuff is inflated then deflated at set times, the second measures changes in the volume of blood flow in the leg as veins fill and empty.
Sclerotherapy is a varicose and spider vein treatment done under local anesthesia in which a drug is injected into affected veins. The drug thickens the vessel walls, sealing them so that abnormal veins can then no longer fill with blood. After successful treatment, the diseased vein will be absorbed by the body and blood flow will be rerouted to other veins.
This combination of procedures is typically performed under general anesthesia by a surgeon in an outpatient setting. First, the surgeon will perform the ligation, where the diseased vein is tied off. Then the surgeon will surgically remove, or strip, the diseased vein through two small incisions in the groin and calf.
Phlebectomy is a mini-surgical treatment to remove small varicose veins from the legs. Veins are removed through a series of small incisions in the leg and the procedure is performed under local anesthesia with minimal scarring.
Long, thin tubes extruded from medical grade materials called catheters are used in minimally-invasive endovenous ablation treatments for varicose veins. The process of inserting a catheter into the body is called catheterization.
“Within” or by means of a vein.
A treatment that involves the insertion of a thin, flexible tube called a catheter into the vein to seal it shut by heating the catheter tip or segment. After the vein is sealed off, the blood is re-routed to other veins back to the heart. The treated vein then dries up, shrinks and is absorbed by the body.
There are two types of available thermal ablation treatments:
This unique approach eliminates the risk of thermal nerve injury when treating the small saphenous vein, which is a risk sometimes associated with certain thermal-based procedures. The procedure is administered without the use of tumescent anesthesia, avoiding patient discomfort associated with multiple needle sticks. The VenaSeal™ procedure is the only nontumescent (no anesthesia required), nonthermal (without the use of Radiofrequency Ablation or Laser Ablation), nonsclerosant (without the use of Sclerotherapy) procedure that uses a proprietary medical adhesive delivered endovenously (“within” or by means of a vein) to close the vein.
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.
Chronic Venous Insufficiency.” Vascular Web. Society for Vascular Surgery, Jan. 2011. Web. http://www.vascularweb.org/vascularhealth/Pages/chronic-venous-insufficiency.aspx.
Varicose Veins and Spider Veins.” Department of Health and Human Services, June 2010. Web. https://www.womenshealth.gov/files/documents/fact-sheet-varicose-spider-veins.pdf.
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.