Patient Information Guide CardioNet Home Ambulatory Cardiac Monitor This 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 interference received including interference that may cause undesired operation. CardioNet Inc. 510 Market Street San Diego, CA 92101 Tel. 619. 243.7500 Fax. 619. 243.
Copyright 2002 All rights reserved.
Table of Contents 1. Introduction ............................................................. 1 How the CardioNet Service Works........................................................ 2 The CardioNet Monitoring Kit ................................................................ 4 Who to Call for Help .............................................................................. 8 2. Setting Up ................................................................ 9 Connecting At Home .........................
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Introduction We Help Find Answers The CardioNet Service was developed to help doctors detect and treat heart problems that may not happen often enough to be found during a routine ECG in the physicians office, since an in-office ECG may only monitor the heart for ten or fifteen seconds. By monitoring heart rhythms continuously, we can help physicians detect problems that may occur infrequently perhaps only once or twice a week even while you are asleep.
1. Introduction How the CardioNet Service Works Lightweight Sensor monitors each heartbeat. CardioNet Monitor sends heart data to the CardioNet Center Patient Wears CardioNet Sensor When youre using the CardioNet Service, youll wear a small, lightweight Sensor. The Sensor monitors each heartbeat and sends data to the portable CardioNet Monitor. The CardioNet Monitor can be tucked away in a pocket or purse.
1. Introduction At the CardioNet Service Center, which operates 24 hours a day, seven days a week, specially trained cardiac technicians analyze your heart data and report results to your physician. The CardioNet Service Center Monitors Heart Data Your physician reviews the results, discusses results with you and prescribes or adjusts treatment.
1. Introduction The CardioNet Monitoring Kit To avoid extra charges, return all kit items except used batteries and used electrode pads to CardioNet when service is completed. The CardioNet Monitoring Kit contains the supplies you will need while you are on the CardioNet Monitoring Service. If any items are missing or broken, or if you have any questions about how to use them, please call the CardioNet Service Center at 1-866-426-4401.
1. Introduction 2. The CardioNet Base Station The CardioNet Base Station is connected to your home telephone line and plugged into an electrical outlet in the bedroom or a central location in your house. The Base Station recharges the CardioNet Monitor overnight and allows the CardioNet Monitor to communicate with the monitoring center through the regular phone system. You will not be charged by the telephone company for calls made by your monitor.
1. Introduction 3. CardioNet Sensor 3 The CardioNet Sensor The CardioNet Sensor, which can be worn around the neck or on a belt, senses each heartbeat and constantly sends the information to the CardioNet Monitor. To communicate with the monitor, the sensor must remain within 30 feet of the monitor. Walls and other obstructions can reduce the range. If you go out of communication range, the sensor will beep to alert you so you can move back within range or pick up the monitor and take it with you. 4.
1. Introduction 10. Patient Guide and Pocket Reference Card This guide which contains information about CardioNet Monitoring Service and helpful reminders about using the equipment. You can carry the pocket reference card with you while on service. 11. Patient Information Video This contains the key information about the monitoring service, presented in a short video. 12. Return Address Label and Shipping Form Use the label and prepaid shipping form to return the kit after monitoring is finished.
1. Introduction Who to Call for Help If you have any questions about your monitoring service or billing, please call one of our toll free numbers. Customer service is available 24 hours a day, 7 days a week.
When you get home with your CardioNet Service Kit, youll need to take a few steps to set up the CardioNet Base. This section of the Patient Guide walks you through: n Connecting the CardioNet Base n Recharging the Battery n Staying in Communications Range n Wearing the Sensor 2.
Connecting At Home 2. Set Up Find an electrical outlet and phone jack in a central location, preferably in your bedroom to connect the CardioNet Base. As long as you are within range of the CardioNet Monitor, your CardioNet Sensor can continue sending heartbeats to the Monitor. If you go out of range, the Sensor beeps to warn you.
4. Locate the second telephone line, included in your CardioNet Service Kit. Plug one end of this line into the slot on the Base labeled Line Out. Plug the other end of this line into the back of your telephone. 5. Locate the Power Cord in your CardioNet Phone In (your phone line) Line Out (included phone line) 2. Set Up Service Kit. Insert the small, round end of this line into the slot on the Base labeled Power. Plug the other end into an outlet.
2. Set Up See Using the Monitor for more details about checking battery power. At home, leave the Monitor in the base whenever possible. Checking Battery Power When your Monitor is in the Recharging Base, touch the battery icon on the screen and the unit will tell you whether or not the battery is fully charged. If the battery is not fully charged, leave the Monitor in the Base for a full recharge, which takes four hours.
When the CardioNet monitor has urgent data to transmit, and is unable to connect with the center via cellular telecommunications, it will notify you to contact the CardioNet center through a regular telephone. The monitoring specialists at the Center will instruct you on how to download the information on that phone. 2.
Wearing the CardioNet Sensor 2. Set Up The CardioNet Sensor uses three electrode patches, carefully placed on your body to detect heartbeats by sensing electrical changes on the surface of your skin. The electrode patches are attached to the Sensor by three lead wires, a white wire, a black wire and a red wire. The lead wires can be snapped on and off from the electrodes, so you can remove the wires from the electrodes and remove the Sensor before showeringwithout taking off the electrodes.
Placement of Lead Wires and Pads The Electrode Pads are placed as shown in the diagram below. White lead snaps on a pad placed just below the center of your right collarbone. 2. Set Up Black lead snaps on a pad placed just below the center of your left collarbone. Red lead snaps on a pad placed just on your left side, on the lower part of your rib cage.
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! Using the Monitor 3. 3. Monitor Monitor The CardioNet Monitor is your link with the CardioNet Center. The CardioNet Sensor sends each heartbeat to the Monitor, which has been programmed by your physician to detect changes in targeted heart rhythm.
Keep the Monitor On Refer to Caring for Your Sensor for more information about how to remove the Sensor while bathing or showering. The green button at the bottom of the Monitor turns it on and wakes it from sleeping. To turn the Monitor off, you must use the touch screen. Keep the Monitor on at all times while you are on service, unless you are changing the Sensor batteries or taking off the Sensorfor example, when you take a shower. 3.
Monitor is On The LED indicator light flashes green when the monitor is sending information to the CardioNet Center and you are being actively monitored. When the light flashes red, the Monitor is trying to get your attention. An alert screen will appear with help or information. Monitor Screen is Asleep The screen is blank when the Monitor is asleep or turned off. 3. Monitor To save on battery power, the Monitor screen becomes blank while you are not using the touch screen menus.
Navigating the Screens The CardioNet Monitor has a simple touch screen that is easy to view and use. By touching lightly with your finger you make selections; each screen prompts you with icons, text and navigation buttons to step you through an activity. For the most part, the menus follow a simple pattern. At the top of every screen youll find a prompt line that tells you the next step to take. The midsection shows options that you can choose.
Symptoms Menu (2 screens in a row) Prompt Line Selection Options Navigation Buttons 3.
Navigation Buttons The Navigation buttons at the bottom of each menu move you from screen to screen. The following buttons will appear. Confirm accepts your selection and moves to the next menu. 3. Monitor OK acknowledges that youve read the information on the screen and closes the current menu. Back moves backward to the previous menu. Next moves forward to the next menu. Help moves to a helpful information screen.
Record a Symptom Your symptom and activity data is very important information that helps your physician treat or manage your condition. By entering your symptoms and activities each time you have an event, you will assist your physician in determining the best treatment. To Record a Symptom 1. Make sure the Monitor is on. If the screen is blank, press the On / Wake button to turn on the Monitor. The Main menu appears.
The first of two Symptoms menus appears. 3. Monitor Remember that there are two Symptoms menus. Select, one by one, each and every symptom that you feel. A check mark appears for symptoms you select. Touch Next. The second Symptoms menu appears. Select any or all symptoms. When done, touch Confirm to move to the Activities menu.
The Activities menu appears. 3. Monitor 3. Choose the activity that best reflects your level of exertion when you felt the symptom. When done, touch Confirm. The following screen appears. 4. Touch OK. The Monitor then sends your activity information and your ECG data to the CardioNet Monitoring Center.
When You Are Without Cell Phone Coverage 3. Monitor When the CardioNet Monitor is not in its Base Station, it uses wireless telecommunications to communicate with the CardioNet Monitoring Center. If you are in an area without cell phone coverage and the Monitor is unable to establish a connection with the Monitoring Center, the Monitor stores the information it has collected and sends it later.
Changing Monitor Options Your CardioNet Monitor lets you make adjustments to suit your needs. Adjustable features include: n Volume n Contrast Cellular Power (on or off) Monitor (on or off) n n Adjust Features 1. Make sure the Monitor is on. The Main menu appears. 3. Monitor 2. Touch View Options.
3. Monitor The Options menu appears. 3. Choose any of the following options. Volume adjusts the tone to high, medium, low or vibrate. After you make your selection, youll hear the volume you have chosen. For Vibrate, you can feel the Monitor vibrating. Contrast adjusts the screen contrast to high, medium or low. After you make your selection the screen adjusts to the new setting. You might find you need a different setting when you are outdoors rather than indoors.
4.After making adjustments, a menu appears to ask you to confirm the selected option. Touch Confirm. Checking Monitor Status By touching either the battery or the cell signal icon on the Main Menu, you can easily view more information about both. View the Battery Status 1. From the Main menu, touch the Battery icon. 3. Monitor Choose the Battery icon to see how much power your Monitor has left. The Monitors rechargeable battery provides 16 hours of use for every four hours of recharging.
3. Monitor The Battery Information menu appears. 3. You can now see how much time remains for both the Monitor and Sensor batteries. Touch OK to return to the Main menu.
View the Cell Signal Status 1. From the Main menu, touch the Cell Signal icon. The Signal Information menu appears. Choose the Cell Signal icon to see how strong your cellular signal is in the current location. 3. Monitor 2. This menu tells you how strong your cellular signal is in your current location. When done, touch OK to return to the Main menu.
Warnings and Alarms See Troubleshooting, Section 5, for more information about warnings and alarms. For warnings and alarms, the Monitor beeps to let you know there is a concern and explains on the touchscreen exactly how to respond. Warnings are brief beeps. Alarms last longer and grow louder. Warnings can sometimes fix themselves, but alarms always require action on your part. For both, you can immediately silence the audio tones by touching the OK button on the touch screen.
" Care for the Sensor The CardioNet Sensor is comfortable, easy to wear, and only requires a small amount of care. We recommend that you change the electrode pads every two days. When you shower or bath you dont have to remove the pads, but you do need to remove the Sensor and electrode leads. 4.
Changing Electrode Pads We recommend that you change your electrode pads every two days. Changing the electrode pads more frequently may cause irritation to the skin. Changing electrode pads less frequently may cause the electrode pads to wear down and weaken the heartbeat signal to the Sensor. Any time you change your electrode pads you should turn your Monitor off first using the touch screen. This prevents the Monitor from alarming because it cannot detect your heartbeats.
The Main menu appears. Place the new pads in the locations you were shown when you enrolled in the CardioNet System. 2. Touch View Options. The Options menu appears. 4. Sensor 3. Touch Power Off. A warning appears and asks if you really want to power down. 4. Touch Yes to confirm. A message briefly appears to let you know that the Monitor is powering down. Wait for the Monitor to completely power down. The touch screen will become blank.
Remove Sensor and Pads 1. Unsnap the Sensor leads from the electrodes. 2. Remove the electrode pads from your skin. Throw them away. Apply the New Pad Tip: If you need to change your electrode pads, its easiest to do so when you shower or bathe. 1. Snap a new electrode pad onto the lead. 2. Peel off the paper in the back of the electrode pad. 3. Check the new electrode pad to make sure the gel on the back has not dried out electrodes with dried gel should be thrown away. 4. Apply pad to the same spot.
Placing the Leads and Pads Remember that it is important to put the new electrode pads in the right spot. It is also very important to connect the right color lead to the right electrodeso the CardioNet monitoring center receives accurate heartbeat information.
Tip: a convenient time to remove your electrode pads is when you shower. Showering or Bathing Youll need to remove your Sensor before taking a bath or shower, but you can keep the electrode pads on. Be careful that they dont get soaked. Before removing the Sensor, turn off the Monitor. You will remove the Sensor, but keep the pads in place. Gently wash the skin around the electrodes. After drying, repress the pads to the skin. Turn Off the Monitor 1.
After showering 1. Repress electrode pads worn during showering or apply new pads. 2. Reattach the Sensor lead wires to the electrode pads. 3. Press the On / Wake button to turn the Monitor on and resume monitoring. Changing the Sensor Battery. 4.
Changing the Battery + The AA battery in the Sensor must be replaced with a new, unused battery every 24 hours. We recommend you turn your Monitor off before changing your Sensor battery. This prevents the Monitor from alarming because it cannot detect your heartbeats when the Sensor has no power. Turn Off the Monitor Insert the battery, negative (flat) end first, 1. Press the On / Wake button located on the front bumpy side out. of the Monitor. 2. Touch the View Options button on the touch 4.
# Trouble Shooting 5.Troubleshoot This section provides suggestions for troubleshooting as well as precautions and warnings.
Responding to Warnings and Alarms For warnings and alarms, the Monitor beeps to let you know there is a concern and explains on the touchscreen exactly how to respond. Warnings are brief beeps. Alarms last longer and grow louder. Warnings can sometimes fix themselves, but alarms always require action on your part. For both, you can immediately silence the audio tones by touching the OK button on the touch screen.
Low Sensor Battery Install new battery - or - Inspect battery compartment, clean contacts if necessary. No Power in Base Reinsert the power cable in the base and into the wall plug. 5.
If the electrode patch loses contact or dries out you need to replace it immediately. The monitor detects when leads are disconnected and will alert you. Sensor Lead Wire Disconnected Make sure the electrode patches are pressed onto your skin. Check all the lead wire attachments. 1- 800- 426-4401 5.Troubleshoot Poor Sensor Communication Move closer to your monitor. The Monitor and Sensor need to be in closer range to communicate.
Scheduled Upload Failed Either go to an area that has cellular coverage or put the Monitor in the Base. 5.
Troubleshooting Troubleshooting involves taking precautionary measures, sometimes a bit of detective work, and responding to known problems. For the most part, the Monitor will detect problems for you. The Monitor beeps to let you know there is a concern and explains on the touchscreen exactly how to respond. A warning prompts you to resolve a problem by displaying an alert screen and beeping an audio tone. For some warnings the problem can fix itself and you wont need to do anything.
Precautions Dispose of Batteries Properly. Observe all local laws for the disposal of alkaline batteries. When Not in Use, Remove Sensor Battery. Do not leave the battery in the Sensor when it is not in use. Damage from corrosion could result. Avoid Electromagnetic Interference. For the best recording results, you should avoid close proximity to heavy equipment or other sources of electromagnetic interference such as electric blankets, heating pads, etc.
Warning: Use with Telephone System. Any patient whose life may be put at significant risk by the unavailability of the telephone system should not be monitored by the CardioNet System. Warning: Not an Apnea Monitor. The CardioNet Monitor is not to be used as an apnea monitor. Warning: Telephone Use. Do not use any telephone other than the phone that is connected to the CardioNet Base while you are being monitored.
Service If you experience additional problems with any components of the CardioNet Monitoring System, review the problems and solutions listed in the trouble shooting section. If additional assistance is required contact customer support by phone of fax. Telephone: 619.243.7500 Fax: 619.243.7700 Call customer support before returning a CardioNet Monitoring System to make shipping arrangements. 5.
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) Specifications and Symbols This section lists specifications and symbols.
Specifications Dimensions Sensor 4.1 x 0.7 Weight: 2.1 oz Sensor neck strap 12 x 24 x 0.2 Monitor 5.9 x 3.3 x 1.0 Weight: 11.0 oz LCD 3.0 x 2.3, touch screen, monochrome, EL backlight Base 4.0 x 4.0 x 3.6 Weight: 6.1 oz Functional 52 Specifications Channels 2 Resolution 12 Bit Recording Full Disclosure Sample Rate 250 Samples / sec Frequency Response 0.
Base Connectors Power in (12V 1.
Equipment Symbols Consult Manual Year of Manufacture Type B Equipment SN Serial Number Hardware Requirements In Home Requirements Touch tone telephone AC powered outlet PC Requirements Serial port installed 54 Specifications