HOME HEART MONITORING Patient Education Guide
DRAFT TA B L E O F C O N T E N T S 1. INTRODUCTION ...................................................................................... 1 How the CardioNet Service Works ............................................................ 2 The CardioNet Monitoring Kit ................................................................... 4 Who to Call for Help ................................................................................... 8 2. SETTING UP ......................................................
DRAFT Caution: Federal law restricts this device to sale by or on the order of a physician.
1 I N T R O D U C T I O N We Help Find Answers The CardioNet Service monitors your heart rhythms continuously. This helps your doctor detect problems that occur infrequently, even while you sleep. 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 physician’s office. CardioNet monitors heart rhythm continuously, while people go about their normal daily activities.
1. Introduction HOW THE CARDIONET SERVICE WORKS When you’re using the CardioNet Service, you’ll 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. It sends wireless communications to the CardioNet Center automatically when it detects an event, or when you report an event using the touch screen on the monitor. Lightweight sensor monitors each heartbeat.
1. Introduction CardioNet Patient Service Center Monitors Heart Rhythms The CardioNet Patient Service Center operates 24 hours a day, seven days a week. At the Center, specially trained cardiac technicians analyze your heart rhythms and report results to your physician. Your physician reviews the results, discusses results with you and prescribes or adjusts treatment.
1. Introduction THE CARDIONET MONITORING KIT Avoid extra charges. Return all kit items except used batteries and used electrode pads to CardioNet when service is completed. You might receive the latest version of the CardioNet Monitor, which has a color screen. The CardioNet Monitoring Kit contains the supplies you will need while you are on the CardioNet Monitoring Service.
1. Introduction 2. CardioNet Base Station 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 6 Introduction 3. The Car dioNet Sensor and Lead W ir es CardioNet Wir ires 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.
1. You have the right to be treated with dignity, courtesy and respect 2. You have the right to high quality service 3. You have the right to excellent training on how to use the CardioNet technology and service 4. You have the right to receive high quality service regardless of race, religion, political belief, sex, sexual preference or source of payment 5.
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. MONITORING QUESTIONS: (866) 426-4401 BILLING QUESTIONS: (866) 426-4402 IMPORTANT INFORMATION CardioNet home monitoring is a service used to help doctors diagnose and treat rhythm problems, not an emergency response service.
2 S E T T I N G U P This section describes: " " " " Connecting the CardioNet Base Recharging the Battery Staying in Communications Range Wearing the Sensor Setting Up 9
CONNECTING AT HOME To connect the CardioNet base, find an electrical outlet and phone jack in a central location, preferably in your bedroom. 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 alert you. 2.
2. Set Up PHONE IN PHONE OUT PC POWER Phone In (your phone line) Line Out (phone line from Service Kit) Power (Insert power line) SETTING UP THE BASE 1. Find an electrical outlet located close to a phone jack, preferably in your bedroom. 2. Unplug the telephone line from the back of your telephone. 3. Take the telephone line that you just unplugged and plug that line into the slot on the base labeled “Phone In”. 4. Locate the second telephone line included in your CardioNet Service Kit.
CHECKING BATTERY POWER See Page 20 for more details about checking battery power. When your monitor is in the base, touch the battery symbol on the screen and the unit will tell you if 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. 2. Set Up STAYING IN RANGE At home, leave the monitor in the base The monitor’s rechargeable battery provides between 12 whenever possible.
When the CardioNet monitor has data to transmit and is unable to communicate with the CardioNet center through cell phone communications, it will save the data and transmit it to the Center through the phone line when it is replaced in the base. 2.
WEARING THE CARDIONET SENSOR 2. Set Up The CardioNet sensor uses three electrode pads, carefully placed on your body to detect heartbeats by sensing electrical changes on the surface of your skin. The electrode pads 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 the electrodes. This allows you to take off the lead wires and attached sensor before showering – without removing the electrodes.
Placement of Lead Wires and Pads The electrode pads are placed as shown in the diagram below. White lead – snaps on an electrode pad placed just below the center of your right collarbone. Red lead – 2. Set Up Black lead – snaps on an electrode pad placed just below the center of your left collarbone. snaps on an electrode pad placed just on your left side, on the lower part of your rib cage.
SKIN PREP 2. Set Up This is a protective barrier for patients with known sensitivity or adhesion difficulties. Apply to clean, dry skin before electrode placement and allow to dry completely. Use one skin prep pad for all 3 electrodes. Alternate Placement Areas Alternate Placement for Pads If redness or irritation develops, you can place the electrode pad at another location near the original site. If redness or irritation develops at the alternate site, please call the CardioNet center immediately.
3 U S I N G T H E M O N I T O R This section describes: " " " " " " " Monitor On and OFF Using the Touch Screen Recording a Symptom Cell Phone Coverage Changing Monitor Options Checking Monitor Status Warnings and Alarms The CardioNet monitor is your link with the CardioNet Patient Service Center. The CardioNet sensor sends each heartbeat to the monitor.
MONITOR ON AND OFF Keep the monitor on at all times while you are on the CardioNet Service, unless you are changing the sensor batteries or not wearing the sensor – for example, when you take a shower. 3. Monitor See pages 38 - 41 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 or off and wakes it up. To turn the monitor off, you must also use the touch screen to confirm that you want to turn the monitor off.
MONITOR IS ON The LED indicator light flashes green when 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 To save on battery power, the monitor screen becomes blank while you are not using the touch screen menus. You can tell that the monitor is still on because the LED indicator light will be flashing. 3. Monitor To wake the monitor up press the On/Off button.
USING THE TOUCH SCREEN The CardioNet monitor has a simple touch screen that is easy to view and use. To make selections, lightly touch the screen with your finger. Each screen that appears will guide you through the next step, using menus – choices you select. 3. Monitor Most screen menus follow a simple pattern. At the top of each there is a prompt line that tells you the next step to take. The midsection lists options that you can choose.
SYMPTOMS MENU Prompt Line Select Symptoms Skipped Beat Light Headed Selection Options Fainted/Fell Short of Breath Back Navigation Buttons Next 3. Monitor NAVIGATION BUTTONS The navigation buttons at the bottom of each menu move you from screen to screen. Here’s what the buttons do: Confirm OK Confirm accepts your selection and moves to the next menu. OK acknowledges you have read the information on the screen and closes the current menu. Back Back moves backward to the previous menu.
HELP MENU The help and alert screens are slightly different in that the middle section provides additional information. Press Back Prompt Line To recharge Monitor battery: A) Place Monitor in Base OR Helpful Information 3. Monitor B) Insert the charger cord into the bottom of your Monitor.
RECORDING AN EVENT 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/Off button to turn on the monitor. The Main menu appears. 3.
A confirmation screen appears asking if you want to report an event. Remember that there are two Symptoms menus. Press Yes or No Do you want to report an event? 3. Monitor Yes No 3. Touch Yes. If you have touched the Record Event screen by accident and do not wish to report an event, touch NO and you will return to the Main Menu. The first of two Symptoms menus appears.
Select, one by one, each and every symptom that you feel. A check mark will appear next to symptoms you select. Touch Next. The second Symptoms menu appears. Select Symptoms Chest Discomfort Fatigue Heart Racing 3. Monitor None of the above Back Confirm Select any or all symptoms or touch None of the above. When done, touch Confirm to move to the Activities menu. The Activities menu appears.
4. Choose the activity that best reflects your level of exertion when you felt the symptom. When done, touch Confirm. The following screen appears. Press OK for Main Menu Selections recorded. 3. Monitor Attempting to connect to the CardioNet Center. OK 5. Touch OK. The monitor then attempts to send your activity information and your ECG data to the CardioNet Patient Service Center.
WHEN YOU ARE WITHOUT CELL PHONE COVERAGE When the CardioNet monitor is not in its base station, it uses wireless telecommunications to communicate with the CardioNet Patient Service Center. If you are in an area without cell phone coverage and the monitor is unable to establish a connection with the Patient Service Center, the monitor stores the information it has collected and sends it later. Press Help or OK Cell phone unable to connect. 3. Monitor Your Monitior will continue to redial.
CHANGING MONITOR OPTIONS Your CardioNet monitor lets you make adjustments to suit your needs. Adjustable features include: ! Volume ! Contrast Cellular Power (on or off) Manual Transmission ! ! Adjust Features 1. Make sure the monitor is on. The Main menu appears. 3.
2. Touch View Options. The Options menu appears. Select Option Volume Contrast Cell Phone Manual Transmission Back More ... 3. Monitor 3. Choose any of the following options. Volume adjusts the alarm tone to high, medium, low or vibrate. After making your selection, you’ll 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 will adjust to the new brightness setting.
VERIFYING MONITOR SETUP 1. From the Options menu, touch More ... The Password menu appears. Enter Password 3. Monitor **** 1 2 3 4 5 6 7 8 9 * 0 # Clear Enter 2. Enter the password. The options to verify the monitor setup appear. The following landline dial conditions can be modified. Pulse dialing vs. Tone dialing Dial prefix (For example, 9 to dial out, or *70 to disable call waiting.
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. Press Any Button Record Event View Options The monitor’s rechargeable battery provides between 12 and 16 hours of use for every four hours of recharging. See Setting Up (Page 12) for more information. 2. The Battery Information menu appears.
VIEWING THE CELL SIGNAL STATUS 1. From the Main menu, touch the Cell Signal icon. The Signal Information menu appears. Press OK 3. Monitor Cellular signal strength: Strong Choose the Cell Signal icon to check the strength of the cellular signal in your current location. OK 2. This menu tells you how strong the cellular signal is in your current location. When done, touch OK to return to the Main menu.
WARNINGS AND ALARMS The monitor will beep to alert you when it is not able to function properly. The screen display will explain exactly how to respond. Warnings are brief beeps. Alarms last longer and grow louder. Warnings can sometimes resolve themselves, but alarms always require action on your part. With alarms, you can immediately silence the audio tones by touching the Silence button on the touch screen.
WARNINGS AND ALARMS CONTINUED Press Help or OK Press Help or OK Cell phone unable to connect. Sensor lead wire disconnected. Your Monitior will continue to redial. Press Help for instructions. Press Help for options. 3. Monitor Help OK “Cannot Establish Phone Connection” Warning Press Help or OK Your Monitor can not detect a dial tone. Press Help for instructions.
4 S E N S O R C A R E This section describes: " " " " Connecting the CardioNet Base Recharging the Battery Staying in Communications Range Wearing 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 bathe you don’t have to remove the electrode pads, but you must remove the sensor and electrode leads.
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 On/Off button and the confirmation on the touch screen.
Turn off the Monitor 1. If the screen is blank, touch it to wake up the monitor. 2. Press the On/Off button located on the front of the monitor. A warning appears and asks if you really want to power down. Press Yes or No Warning: Monitoring will stop! Are you sure you want to turn the Monitor off? Yes No 4. Sensor 3. 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 Tip: If you need to change your electrode pads, it’s best to do so after showering or bathing. 1. Unsnap the sensor leads from the electrodes. 2. Remove the electrode pads from your skin. Throw them away. Apply the New Pad 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 place the new electrode pads in the right spots, as close as possible to the original pad locations. It is also very important to connect the right color lead to each electrode – so the CardioNet Patient Service Center receives accurate heartbeat information. Electrode Pad White lead – snaps on an electrode pad placed just below the center of your right collarbone.
SHOWERING OR BATHING You can wear your electrode pads while showering or bathing. But be sure you remove the sensor and electrode leads. After showering, press the pads to the skin to assure tight surface contact. You’ll need to remove your sensor and electrode leads before taking a bath or shower, but you can keep the electrode pads on. Before removing the sensor, turn off the monitor. Remove the sensor and leads, but leave the pads in place.
Remove the Sensor 1. Remove the sensor leads from the electrodes. 2. Leave the sensor electrode pads in place if you are not going to change them. 3. If you are going to change the pads, remove them and apply a new set after your shower or bath. After showering 1. Press electrode pads worn during showering to the skin or apply new pads. 2. Reattach the sensor lead wires to the correct electrode pads. 3. Press the On/Off button to turn the monitor on and resume monitoring. 4.
CHANGING THE BATTERY Call the CardioNet Patient Service Center’s toll free number if you are getting low on replacement batteries. Call: (866) 426-4401 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 signaling an alarm because it cannot detect your heartbeats. Replace the Battery 1. Pull open the battery door. 2.
5 T R O U B L E S H O O T I N G This section describes: " " " " " Responding to Warnings and Alarms Trouble Shooting Precautions and Cautions Cleaning Service Trouble Shooting 43
RESPONDING TO WARNINGS AND ALARMS The monitor will beep to alert you when it is unable to function properly. The touch screen will explain what to do. Warnings are brief beeps. Alarms last longer and grow louder. Warnings can sometimes fix themselves, but alarms always require action on your part. For alarms, you can immediately silence the audio tones by touching the Silence button on the touch screen. With both warnings and alarms you can also touch the Help button for more information.
LOW SENSOR BATTERY WARNING Problem: Sensor battery is low. Solution: Install new battery. Or, if the battery is new, inspect battery compartment and clean contacts if necessary. Press Help or OK Your Sensor battery power is low. Replace battery soon to ensure continuous monitoring! Press Help for instructions. Help OK NO POWER IN BASE WARNING Problem: Power cord is disconnected. Solution: Reinsert the power cable into the base and into the wall outlet. Press Help or OK No power to Base 5.
If the electrode pad 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 WARNING Problem: Either leads or pads are loose. Solution: Make sure the electrode pads are pressed onto your skin. Check all the lead wire attachments. Press Help or OK Sensor lead wire disconnected. Press Help for instructions. 5.
POOR SENSOR COMMUNICATION WARNING Problem: Sensor and monitor are having trouble communicating. Solution: Move closer to your monitor or move the monitor closer to you. The monitor and sensor need to be in closer range to communicate. Press Help or OK Poor communications between your Monitor and your Sensor. Press Help for more information. Help OK 5.
SCHEDULED UPLOAD FAILED WARNING Problem: Monitor needs to transmit data but can’t establish a connection. Solution: Put the monitor in the base. Press Help or OK Your Monitor is trying to send data automatically and can not establish a phone connection. Press Help for options. 5.
POOR SENSOR COMMUNICATION ALARM Problem: Sensor and monitor are not communicating. Solution: Check for causes. Is there too much distance between them? Are there battery problems with either the sensor or monitor? Press Help or Silence No communications between your Monitor and Sensor. Press Help for more information. Help Silence 5.
EVENT TRANSMISSION ALARM Problem: Monitor has stored ECG data to transmit, but can’t establish a connection. Solution: Move to an area that has cellular coverage or put the monitor in the base. If you still are unable to establish a connection, call the CardioNet Patient Service Center for instructions. Telephone – (866) 426-4401. Press Help or Silence Your Monitor has detected an event and can not establish a phone connection. Press Help for options. 5.
EMPTY MONITOR BATTERY ALARM Problem: Monitor is out of power. Solution: Place the monitor in the base. Press Help or Silence Your Monitor battery is empty. Recharge your Monitor immediately. Press Help for instructions. Help Silence EMPTY SENSOR BATTERY ALARM Problem: Sensor battery is out of power. Solution: Install a new AA battery. Press Help or Silence Your Sensor battery is empty. Replace Sensor battery immediately. Help 5.Troubleshoot Press Help for instructions.
INTERNAL MONITOR ALARM Problem: Monitor is not functioning. Solution: Call the CardioNet Patient Service Center for help. Telephone – (866) 426-4401. Press Help or Silence Internal Monitor Error Call CardioNet at 1-866-426-4401 for technical assistance. Press Help for more information. 5.
TROUBLE SHOOTING Trouble shooting sometimes involves a bit of detective work, but usually the monitor detects problems for you. The monitor beeps to let you know there is a problem and explains on the touch screen exactly how to respond on the touch screen. A warning prompts you to resolve a problem by displaying an alert screen and beeping an audio tone. With some warnings the problem can fix itself and you won’t need to take any action.
PHONE BUSY? When the monitor is in the base station and has information to send to the CardioNet Patient Service Center, it will use your telephone line to transmit ECG data. You will not be charged by the telephone company for these calls. If someone calls you while the monitor is using the line, they will get a busy signal. If you try to place a call while the monitor is transmitting data, you will hear a highpitched sound. This is the sound of ECG data being transmitted.
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, water beds, etc.
CAUTIONS CAUTION: POWER DOWN AND REMOVE SENSOR BEFORE SHOWERING Power down the monitor and remove the sensor before showering. While the CardioNet sensor and monitor are water resistant, they are not waterproof. Refer to the section: Care for the Sensor (Page 35) for complete instruction on removal and reapplication before showering. CAUTION: DO NOT GET THE MONITOR AND SENSOR WET Make sure the monitor and sensor stay dry at all times.
WARNING: DO NOT TAMPER WITH MONITOR BATTERY The monitor battery can present a fire or chemical burn hazard if mistreated. Do not disassemble, heat above 80C (176 F), incinerate, or recharge using any device other than the base. WARNING: USE ONLY CARDIONET WALL ADAPTER Do not use any wall adapter for the base other than the one provided in the CardioNet Service Kit. WARNING: DO NOT CONNECT ANY DEVICE TO THE PC PORT ON THE BACK OF THE BASE The PC port is to be used only by CardioNet personnel.
Do not spray or submerge any component with liquid or foam. Each component should be wiped with a soft damp cloth after cleaning to ensure no fluid has pooled on external surfaces. 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. Telephone: (866) 426-4401. 5.
6 S P E C I F I C A T I O N S , C O M P L I A N C E A N D S Y M B O L S This section describes: " " " " Specifications Symbols Hardware Requirements FCC Compliance Specifications 59
SPECIFICATIONS PHYSICAL SENSOR 2.7 in. x 0.9 in height Weight: 2.2 oz SENSOR NECK STRAP 24 in. MONITOR 5.8 in x 3.0 in x 1.1 in Weight: 12.8 oz LCD 3.0 x 2.3, touch screen, monochrome, backlight BASE 7.8 in x 4.3 in x 6.1 in Weight: 13.3 oz FUNCTIONAL Sample Rate 250 samples per second Resolution 12 bits Dynamic Range + / -5 mV Bandwidth 0.
TRANSMISSION Sensor to Monitor 900 MHz ISM band RF transmission, digital error corrected. 30 foot range, retransmission if data is corrupted. Monitor to Center CDMA (PCS & cellular) wireless, digital error corrected. Telephone line modem, digital error corrected. Acoustic transmission, 1500 Hz center frequency, 8 bits resolution, 5 mV dynamic range. ECG recording intervals vary by type of event; the minimum is 15 seconds pre-event and 45 seconds post event.
STANDARDS COMPLIANCE Monitor EN60601-1 AAMI EC-38 FCC parts 2, 15, 22, 24 Sensor EN60601-1 AAMI EC-38 FCC part 15 Base EN60950 AAMI EC-38 FCC part 15, 68 AECG Equipment Class II Note: This equipment has been tested and found to comply with the limits for medical devices to the IEC 601-1-2:1993, EN60601-1-2:1994, Medical Device Directive 93/42/EEC or the Electromagnetic Compatibility Directive 89/336/EEC (use applicable directive).
EQUIPMENT SYMBOLS Consult Manual Year of Manufacture 2000 Type BF Equipment SN Serial Number Specifications 63
HARDWARE REQUIREMENTS IN HOME REQUIREMENTS Touch tone or pulse telephone or good wireless coverage AC powered electrical outlet with 120 VAC FCC ID 64 Specifications Sensor QBI-1007 Monitor Monitor QBI-1006 Monitor CDMA N7NSB555 Base CARDT00B42061
FCC AND INDUSTRY CANADA (CS-03) COMPLIANCE This device complies with part 15 and 68 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. FCC RULES PART 15 The Model 1001 has been tested and complies with the limits for a class B digital device, pursuant to Part 15 of the FCC Rules.
NOTE: RENs are associated with loop-start and ground-start ports. It is not used for E&M and digital ports. The REN assigned to the Model 1001 is 0.01 B. If requested, this information must be given to the telephone company. SERVICE In the event of equipment malfunction, all repairs should be performed by CardioNet Inc. or an authorized agent. It is the responsibility of users requiring service to report the need for service to CardioNet Inc. or to one of our authorized agents.
FCC RADIO FREQUENCY EXPOSURE INFORMATION In August 1996, the Federal Communications Commission (FCC) of the United States, with its action in Report and Order FCC 96-326, adopted an updated safety standard for human exposure to radio frequency (RF) electromagnetic energy emitted by FCC regulated transmitters. Those guidelines are consistent with the safety standard previously set by both U.S. and international standards bodies.
BODY-WORN OPERATION This device was tested with the softcase supplied by CardioNet as an accessory to this device and was found to comply with the FCC exposure requirements. When operating this device, a minimum separation distance of 1.5 cm must be maintained between the users body and the monitor, including its antenna, to comply with the FCC exposure limits. To maintain compliance with FCC RF exposure requirement, use only carrying accessories that maintain a 1.
CardioNet Ambulatory ECG System and Arrhythmia Detector Manufactured by CardioNet Inc. 510 Market Street San Diego, CA 92101 Copyright 2002 - 2003 All rights reserved.