M O B I L E C A R D I A C O U T PAT I E N T T E L E M E T R Y Patient Education Guide CardioNet Ambulatory ECG System and Arrhythmia Detector Manufactured by CardioNet Inc. 1010 Second Ave.
TABLE 1 2 3 OF I N T R O D U C T I O N . . CO N T E N TS . . . . . . . . . . . . . . . . . . . .1 How the CardioNet Service Works. . . . . . . . . . . . . . . . . . . 2 Your CardioNet Monitoring Supplies . . . . . . . . . . . . . . . . . 4 Your Rights as a Patient. . . . . . . . . . . . . . . . . . . . . . . . . . 6 Your Responsibilities as a Patient . . . . . . . . . . . . . . . . . . . 6 Who to Call with Questions . . . . . . . . . . . . . . . . . . . . . . . .
4 5 6 S E N S O R C A R E . . . . . . . . . . . . . . . . . . . . . . 39 Tips for Changing Electrode Pads . . . . . . . . . . . . . . . . . . 40 How to Change Electrodes and Attach Sensor. . . . . . . . . . 41 Remove Before Showering or Bathing. . . . . . . . . . . . . . . . 44 How to Change the Sensor AA Battery . . . . . . . . . . . . . . . 45 T R O U B L E S H O O T I N G . . . . . . . . . . . . . . . . . . 47 Responding to Monitor Alerts and Alarms . . . . . . . . . . . . .
1 INTRO D U C T IO N In this Chapter: • How the CardioNet Service Works • Your CardioNet Monitoring Supplies • Your Rights as a Patient • Your Responsibilities as a Patient • Who to Call with Questions • In the Case of an Emergency • What to Do When your Monitoring is Over
1. I N T RODUC T ION How the CardioNet Service Works 1 2 Sensor detects and analyses heartbeats When you’re using the CardioNet service, you’ll wear a small, lightweight sensor on your chest. The sensor detects and analyses each heartbeat and sends data to the portable CardioNet monitor. Introduction Monitor transmits events The CardioNet monitor can be tucked away in a pocket or purse.
How the CardioNet Service Works The CardioNet Monitoring Center operates 24 hours a day, 7 days a week. At the Center, specially trained cardiac technicians analyze your heart rhythms and report results to your physician. Your physician reviews your results Your physician reviews the report, discusses results with you and prescribes or adjusts treatment as needed. Introduction 1.
1. I N T RODUC T ION Your CardioNet Monitoring Supplies The CardioNet Kit The CardioNet 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 CardioNet at 1-866-426-4401. When service is ended, follow the detailed instructions in What to Do When Your Monitoring is Over located in this chapter and please return the equipment promptly to the CardioNet Monitoring Center.
Your CardioNet Monitoring Supplies Item and Description ELECTRODES Electrodes are disposable sticky pads that snap onto the three colored lead wires on the CardioNet sensor. You remove the backing and stick them to clean, dry, hairless skin. If you need more electrodes call CardioNet at 1-866-426-4401. AA BATTERIES The AA batteries provide power to the CardioNet sensor. The battery must be replaced each day. Please use only CardioNet-supplied AA batteries.
Your Rights as a Patient 1. I N T RODUC T ION 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.
In the Case of an Emergency In the course of monitoring your heart, CardioNet may detect cardiac events which are potentially life-threatening and were not anticipated by your physician. As directed in the physician notification criteria, if CardioNet detects such an event, CardioNet will attempt to contact you and your physician as soon as possible.
1. I N T RODUC T ION What to Do When your Monitoring is Over When your prescription is over and CardioNet has received data for the number of days your physician has requested, the monitor will be deactivated in the middle of the night. You may hear the monitor beep. If in the morning the screen on your monitor states that your prescription has ended, turn the monitor off and remove the battery in the sensor. Remove the electrodes from your body.
2 G ET T ING STA RT E D In this Chapter: • Connecting from Home • How to Install the CardioNet Base • About the CardioNet Base • How to Activate the CardioNet Sensor • Tips for Wearing the CardioNet Sensor • How to Activate the CardioNet Monitor
Connecting from Home 2 . GE T T I NG STA RT E D This chapter describes the steps you will need to take in order to set up the CardioNet monitoring system and begin monitoring. You may want to ask for assistance from a family member if you are not comfortable doing these steps on your own. The first step you (or a family member) needs to do is to install the base. The instructions on the next few pages will assist you in completing the installation.
How to Install the CardioNet Base The table below will help you gather all the items you will need to install each CardioNet base. All items are located in your CardioNet kit. Items You’ll Need for Base Installation Item and Quantity Picture of Item Kit Location 1 1 1 Place shipper kit image here CardioNet Base Telephone Cord Place shipper kit image here Power Plug Getting Started 11 2 .
How to Install the CardioNet Base 123 Find your phone cord Plug phone cord into base Find an electrical outlet located close to a telephone jack, preferably in your bedroom. Locate the telephone cord plugged into the back of your home phone. Unplug the telephone cord from the back of your telephone. On the CardioNet base, locate the slot labeled “Phone In” on the back of the base.
How to Install the CardioNet Base Plug in power cord In the CardioNet kit, find the telephone cord. Locate the slot labeled “Phone Out” on the back of the base. Plug one end of this telephone cord into the slot on the base labeled “Phone Out”. Plug the other end of this cord into the back of your telephone. In the kit, locate the power cord. On the back of the base, locate the round hole labeled “Power”. Plug the small, round end of the power cord into the slot on the base labeled “Power”.
About the CardioNet Base The Base Recharges your Monitor The base functions as a recharging station for your CardioNet monitor. When you insert the monitor into the base correctly, “Monitor is Charging” will appear on the screen. The monitor’s rechargeable battery provides between 12 to 16 hours of use. If you plan to be away from home for more than 12 hours, you should bring one of the black power cords with you.
How to Activate the CardioNet Sensor The table below will help you gather all the items you will need to begin using your CardioNet sensor. All items are located in your CardioNet kit. Items You’ll Need to Begin Using your CardioNet Sensor Item and Quantity Picture of Item Kit Location 1 1 1 1 Place shipper kit image here CardioNet Sensor 2 .
How to Activate the CardioNet Sensor 123 Belt clip or neck strap? Prepare your skin Lift the lid of your sensor and place one AA battery inside. Use the diagram on the inside of the sensor to make sure you insert the battery with the proper positive and negative orientation. If you have inserted the battery correctly, you will hear a chime. Neck strap: unsnap the neck strap and thread it through the loop on the sensor. Snap the ends together and place it over your head.
How to Activate the CardioNet Sensor 456 Black on left Red on ribs Open one pack of electrodes. Snap the 3 leads (from the end of your sensor wires) onto the 3 electrodes. Peel off the electrode from the backing with the WHITE lead attached. Place this electrode just below the center of your right collarbone. Press so that the electrode is adhered to your skin. Peel off the electrode from the backing with the BLACK lead attached. Place this electrode just below the center of your left collarbone.
Tips for Wearing the CardioNet Sensor How the Electrodes Work 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 three leads - a white lead, a black lead and a red lead. The leads can be snapped on and off the electrodes. This allows you to take off the leads and sensor before showering – without removing the electrode pads. 2 .
How to Activate the CardioNet Monitor Before proceeding, please contact a CardioNet Customer Service Representative at 1-866-426-4401. The table below will help you gather all the items you will need to activate your CardioNet monitor. All items are located in your CardioNet kit. Items You’ll Need to Activate your CardioNet Monitor Item and Quantity Picture of Item Kit Location 1 1 1 Place shipper kit image here CardioNet Monitor 2 .
How to Activate the CardioNet Monitor 123 Received Privacy Practices Agree to Return Equipment Switch the power switch on the green/on position. Wait for the monitor to power up. Activation screen 1 will appear. Your name should appear on the screen. Activation screen 2 is shown. Activation screen 3 is shown. In the blue folder in your kit, locate “CardioNet’s Notice of Confidentiality and Privacy Practices”.
How to Activate the CardioNet Monitor 456 Agree to Share Data Call CardioNet Activation screen 4 is shown. Activation screen 5 is shown. Activation screen 6 is shown. In your kit, locate the “Patient Enrollment Form.” Touch Yes to indicate your consent to allow CardioNet to use your data for research purposes. Your identity will not be used and will be kept private. If you are not already speaking with a Customer Service Representative, please call CardioNet at 1-866-426-4401.
How to Activate the CardioNet Monitor 789 Activating... stand by Activation screen 7 is shown. The Activating Monitor screen appears. 2 . GE T T I NG STA RT E D Enter password While you are talking with our Customer Service Representative, they will give you a password to enter. Enter the password and touch Enter to continue. Place the monitor in the base. You may need to hang up the phone now. 22 Getting Started Activated.
How to Activate the CardioNet Monitor 123 Record baseline Recording... remain still Before you begin recording your baseline ECG, find a comfortable place to sit or lay down. When you are comfortable press Continue on the screen. When you are comfortable and are certain you can remain still for up to 2 minutes, press Record Baseline on the screen. While your baseline ECG is recording the screen will show you a blue bar to indicate your progress. Please wait and remain still unitl this screen changes.
How to Activate the CardioNet Monitor 45 Begin monitoring Once your baseline ECG has been recorded, the Baseline Recorded confirmation screen wil appear. Press Continue to go to the Main Menu. The Main Menu screen is displayed. You are now ready to begin your monitoring session with CardioNet. 2 .
How to Activate the CardioNet Monitor If Activation Fails If You Disagree Need Assistance? 2 . GE T T I NG STA RT E D If the monitor is unable to connect to the CardioNet center, the activation will fail. If you disagree with any of the Activation screens you may choose No. However, if you do not consent If the “Activation failed” to all of the Activation s c r e e n a p p e a r s , d o screens, CardioNet may not proceed until you not be able to provide have called CardioNet’s monitoring to you.
3 USING T H E Mon i tor In this Chapter: • How to Turn your Monitor On and Off • How to Record an Event • How to Change Monitor Options • How to Check Battery Power • How to Check Cell Phone Coverage • Receiving Messages from CardioNet • How to Read a Text Message
How to Turn Your Monitor On and Off 123 ON: Flip switch to green OFF: Flip switch to red Powering Down 3. USI NG T H E Mon itor Good bye... With your monitor off, loocate the black toggle switch on the bottom of the device. It show red. Move it to the right. It will show green. With your monitor on, loocate the black toggle switch on the bottom of the device. It show green. Move it to the left. It will show red. The “Good bye” screen indicates that your device is shutting down.
How to Turn Your Monitor On and Off On & Asleep When the monitor is awake, the touch screen is lit and the LED light at the top right side of the monitor blinks red or green. When the monitor is asleep, the touch screen is blank and not lit. A green blinking LED light means you are being monitored. A red blinking LED light means you are not being monitored. The LED light at the top right side of the monitor is on and blinking red or green.
How to Record an Event 123 3. USI NG T H E Mon itor Touch Record Event Follow these steps if you are experiencing any symptoms. Touch Yes to confirm Touch symptoms On the monitor’s touch The first of two symptom screen, a confirmation screens appears. screen will appear. Select each symptom that Ensure that your monitor Touch the Yes buton to you feel. The button will is on and awake. continue to step 3. depress and change to a On the Main Menu touch If you have touched the dark blue color.
How to Record an Event 456 Touch activity level When you are finished, touch Next. Main menu Your event information When you wish to record has been recorded and another event, press the stored. The monitor will Record button. then attempt to contact and transmit the data to the CardioNet Monitoring Center. Touch OK to return to the Main Menu. Using the Monitor 31 3. USI NG T H E Mon itor Choose the activity level that best reflects your level of exertion when you felt your symptom.
How to Change Monitor Options 123 3. USI NG T H E Mon itor Touch View Options Ensure the monitor is on and awake. From the Main Menu, touch the Options button. Touch Volume Touch the button labeled Choose a desired volume. Volume. Touching High, Medium or Low places a check mark next to your selection. You will hear a tone for the volume you have chosen. Vibrate disables the audio sounds and you will feel the monitor vibrating.
How to Change Monitor Options 123 Touch View Options Touch Display Choose desired brightness Touch the button labeled Choose a desired brightness Display. for the screen. From the Main Menu, touch the Options button. Touching the Bright, Medium or Dim button adjusts the LCD screen brightness and you will see the new setting you have chosen. Display Touch OK to save. Using the Monitor 33 3. USI NG T H E Mon itor Ensure the monitor is on and awake.
How to Change Monitor Options 123 3. USI NG T H E Mon itor Touch Options Touch Cell Phone Choose On or Off Ensure the monitor is on and awake. Touch the button labeled Choose either Yes or Cell Power. No. From the Main Menu, touch the Options button. When the cell phone is off, monitoring continues, but no data can be sent unless the monitor is in the base or the cell phone is turned back on. Never turn off your cell phone. The cell phone off feature is ONLY for use when flying.
How to Change Monitor Options If you enter this screen by accident, exit by touching Back you will return to the Options Menu. Pressing the Service button will display a password screen. This screen allows Cardionet personel to troubleshoot your monitor. These screen can only be accessed while you are speaking with an authorized CardioNet Customer Service Representative. If you enter this screen by accident, exit by touching Enter, then OK and you will return to the Options Menu. Service or Send...
How to Check Battery Power A battery icon that is filled with a green color indicates your monitor and / or sensor have full power. A battery icon that is partially filled with a yellow color indicates a low battery in either your monitor or sensor. A battery icon that is minimally filled with a red color indicates either your monitor or sensor battery is empty. 3. USI NG T H E Mon itor The monitor’s rechargeable battery provides 16 hours of use for every 4 hours of recharging.
How to Check Cell Phone Coverage Four green bars located to the right of the cell icon indicate a very strong cell signal. No bars to the right of the cell icon indicates no cellular signal. The word OFF to the right of the cell signal indicates your cell phone has been turned off. To turn back on, touch the Options button on the Main Menu, select Cell Power, then select Yes. Please remember, the cell phone off feature is only for use when flying.
Receiving Messages From CardioNet About Text Messages 3. USI NG T H E Mon itor There are times when CardioNet may want to send you a message regarding your monitoring. If you see the blue envelope on the Messages button with the word “NEW” blinking on it, you have received a text message. In order to read the message, touch the Messages button and your message will appear on the screen. When you are done reading and responding to the message, touch OK to return to the Main Menu.
How to Read a Text Message 123 Touch Messages button If you have received a new text message, an envelope will blink “NEW”. Return to Main Menu The date and time the text The envelope icon no message was sent to you longer reads “NEW”. You is displayed. can regain access to the Read the text message text message by touching and follow any instructions the “Messages” button. provided.
4 S ENSO R C A R E In this Chapter: • Tips for Changing Electrode Pads • How to Change Electrodes and Attach Sensor • Remove Before Showering or Bathing • How to Change the Sensor AA Battery
4 . SE NSOR C A R E Tips for Changing Electrode Pads Changing your Electrode Pads and Keeping Your Skin Healthy Change your electrodes every other day. If they come loose before that time, replace them immediately. If you are showering or bathing on the day you need to change them, remove them in the shower or bath. Lather them up with soap and water and pull them off gently. When you are done with your shower, dry your skin and follow the instructions in How to Change your Electrodes.
How to Change Electrodes and Attach Sensor Remove sensor battery Remove old electrodes With your monitor on, locate the black toggle switch on the bottom of you monitor. Move the switch from green to red. Open the battery door by pushing the door snap up. Unsnap the three leads from the electrode pads. Using soap and water, Remove the battery by gently lift the old electrode grabbing both sides and pads off your skin. Never The blue “Good bye...” lifing it out. pull them off quickly.
How to Change Electrodes and Attach Sensor 4 . SE NSOR C A R E 456 Apply new electrodes Placement of the leads Monitor and sensor on It is very important that you place each electrode in another location near the original site to protect your skin. Open one pack of electrodes. Snap the 3 leads to the electrodes. Peel off one electrode at a time from the backing and apply them in the proper location (see step 5) to clean, dry, hairless skin. WHITE ON RIGHT.
How to Change Electrodes and Attach Sensor 4 . SE NSOR C A R E 78 If you choose neck strap Skin Irritated? If you choose belt clip If you choose to wear the sensor on your chest, you will need the neck strap. If you choose to wear the If your skin is red or irsensor on your belt, you ritated, you can use the will need the belt clip. “Skin Prep” located in your Unsnap the strap and Attach the clip to your kit. This provides a protecthread it through the loop pants, skirt or belt.
Remove Before Showering or Bathing 4 . SE NSOR C A R E The sensor is not water proof, but the electrodes are. Therefore, you’ll need to remove your sensor before taking a bath or shower, but you can keep the electrode pads on. To prevent the electrodes from falling off while you are in the shower, avoid soaking the electrode pads. Gently wash the skin around the electrodes. With your monitor on, press the blue power button located on the lower right part of the monitor.
How to Change the Sensor AA Battery Press the blue power button located on the lower right part of the monitor. Remove old battery Remove the old battery by placing your finger in the recessed area, wedging your finger underneath On the monitor’s touch the battery and lifting screen, a confirmation upward. screen will appear. Pressing Yes will turn the monitor off. Open the battery door by pushing the door tab up. New battery, monitor on Put in a new AA battery, included in your CardioNet kit.
5 T ROU B L E S H O OT I N G In this Chapter: • Responding to Monitor Alerts and Alarms • Troubleshooting Device Problems • Precautions, Cautions and Warnings
Responding to Monitor Alerts and Alarms When the monitor or sensor beeps When the monitor beeps it has nothing to do with the condition of your heart, so don’t become concerned. The monitor will beep to alert you when it is unable to function properly. The touch screen will explain what to do. With both alerts and alarms you can always touch the Help button for further instructions. 5.
Responding to Monitor Alerts and Alarms Screen Problem LOW MONITOR BATTERY Possible Solutions Return the monitor to the The rechargeable battery in the base for recharging. monitor is low. OR Directly recharge the monitor by plugging the base power cable into the monitor. LOW SENSOR BATTERY OR If the battery is new, inspect battery compartment and clean contacts if necessary. INTERNAL MONITOR ERROR Call the CardioNet Patient The monitor is not functioning. Service Center for help.
Responding to Monitor Alerts and Alarms Screen Problem INFORMATION TO SEND Possible Solutions Put the monitor in the base. 5. T ROU BL E SHOOT I NG The monitor needs to transmit OR data but can not establish a con- Move to an area with cell nection to CardioNet. phone coverage.
Troubleshooting Device Problems About Troubleshooting Troubleshooting sometimes involves a bit of detective work, but usually the monitor detects problems for you and can assist you with resolving the problem. The monitor beeps to let you know there is a problem with the equipment. The touch screen shows you a message on how to respond to the alert or alarm. For every alert and alarm the touch screen has a help menu.
Troubleshooting Problem Monitor battery power drains quickly 5. T ROU BL E SHOOT I NG Monitor screen is blank Possible Solutions Ensure battery is being fully recharged every day. A full recharge takes approximately 4 hours and will last 16 hours. Ensure the monitor is being placed in the base correctly. If the monitor does not make contact with the plug in the base, it may not recharge. It could be that the monitor is not turned on.
Precautions 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. AVOID ELECTROMAGNETIC INTERFERENCE POTENTIAL FOR ELECTROMAGNETIC INTERFERENCE There is a potential for electromagnetic interference to other devices while using the CardioNet Service.
Cautions CAUTIONS POWER DOWN Monitor AND SENSOR BEFORE SHOWERING Power down the monitor and remove the sensor before showering. The CardioNet sensor and monitor are water resistant, not waterproof. DO NOT GET THE Monitor AND SENSOR WET Make sure the monitor and sensor stay dry at all times. 5.
Warnings WARNINGS FOR ADULT USE ONLY The CardioNet System is intended for Adult Use only. It shall not be use on infants weighing less than 22 pounds. FOR 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. NOT AN APNEA Monitor USE ONLY WITH CARDIONET ELECTRODES While wearing the CardioNet sensor, use only electrodes provided by CardioNet.
6 S PECI F I C AT I O N S , COMP L I A N C E & S YMB O L S In this Chapter: • Specifications • Equipment Symbols • In Home Requirements • FCC Compliance
6 . SPE CI F IC AT IONS Specifications P H YSICAL Sensor 3 inches x 4 inches x 1 inch ; Weight: 4.0 oz. with battery Sensor Neck Strap Adjustable 20 to 32 inches Monitor 6 inches x 3 inches x 0.8 inches; Weight: 8 oz. LCD 2.27 inches x 1.7 inches; Touch screen: color, backlit Base 7 inches x 4 inches x 2.5 inches; Weight: 12 oz. f U NCTIONAL Sample Rate 250 samples per second Resolution 12 bits Dynamic range +/- 5 mV Bandwidth 0.
Specifications Base Power in (15V, 1.2A max); Phone in (RJ-11); Phone out (RJ-11) Monitor Power in (15V, 1.2A max) W A LL ADAPTOR Manufacturer Friwo, Inc (15V, 1.
Equipment Symbols 6 . SPE CI F IC AT IONS SN BF Type Equipment Consult Users Manual / Patient Education Guide Serial Number In Home Requirements 1. Touch tone, pulse telephone or cellular / PCS wireless coverage suitable for data transmission 2. AC powered outlet FCC Compliance This device complies with part 15 and 68 of the FCC Rules.
FCC Compliance FCC Rules Part 15 The Model 1004 has been tested and complies with the limits for a class B digital Device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a residential environment. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, can cause harmful interference to radio communications.
6 . SPE CI F IC AT IONS FCC Compliance F C C COMPLIA NCE Disruption of the Network If the Model 1004 disrupts the telephone network, the telephone company can discontinue your service temporarily. If possible, the telephone company will notify you in advance. If advance notice is not practical, they will notify you as soon as possible. You are also informed of your right to file a complaint with the FCC.
