AFrame Digital WG2 MobileCare Monitor User Manual Exhibit D Users Manual per 2 1033 b3

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MobileCare™ Monitor System
Operator’s Manual
AFrame Digital, Inc.
8000 Lee Highway
Falls Church, VA 22042
(703) 560-0512
Email: service@aframedigital.com
www.aframedigital.com
Company Proprietary & Confidential - AFrame Digital, Inc.
Do Not Distribute or Copy
Copyright © 2008 AFrame Digital, Inc.
Company Proprietary & Confidential - AFrame Digital, Inc.
Do Not Distribute or Copy
Copyright © 2008 AFrame Digital, Inc.
MobileCare™ Monitor Operator’s Manual
Contents
Contents ..................................................................................................................... i
Warnings and Precautions.........................................................................................iii
Contraindications....................................................................................................iii
Warnings ................................................................................................................iii
Cautions .................................................................................................................iii
Precautions while using MobileCare™ Monitor.......................................................... v
About this manual ......................................................................................................vi
Audience ................................................................................................................vi
What you will find in this manual ............................................................................vi
Symbols used in this manual.................................................................................vii
Conventions used in this manual...........................................................................vii
Assumptions..........................................................................................................vii
1.0 Introduction .......................................................................................................... 1
2.0 System Overview ................................................................................................. 3
2.1 How the MobileCare™ Monitor System Works ................................................ 4
2.2 Overview of myPHD ......................................................................................... 6
2.3 Components of the MobileCare™ Monitor System .......................................... 7
2.4 Compliance to Electromagnetic Compatibility Standard................................... 8
3.0 Operating Procedures.......................................................................................... 9
3.1 Using myPHD................................................................................................... 9
3.1.1 Wearing myPHD ........................................................................................ 9
3.1.2 Installing the Batteries.............................................................................. 10
3.1.3 Using myPHD Buttons ............................................................................. 10
3.1.4 Checking for Out-of-range Status ............................................................ 11
3.1.5 Verifying the Battery Charge.................................................................... 11
3.1.6 Sending Emergency Alerts to Caregivers ................................................ 12
3.1.7 Temporarily Disabling Alerts .................................................................... 13
3.1.8 Impact Sensing and Falls......................................................................... 14
3.1.9 Canceling Alerts....................................................................................... 15
3.1.10 Interpreting Error Messages .................................................................. 16
3.2 Using the Charger....................................................................................... 17
3.3 Using the CareStation™ Software.................................................................. 18
3.3.1 Logging into the CareStation™ Application ............................................. 18
3.3.2 Understanding the Resident Status Interface .......................................... 19
3.3.3 Understanding the Resident Detail Interface ........................................... 21
3.3.4 Understanding the Alert Summary for a Particular Resident.................... 22
3.3.5 Understanding the Alert Summary for All Residents................................ 23
3.3.6 Understanding the Facility Map Interface................................................. 24
3.3.7 Receiving and Responding to Alerts in CareStation™ Software.............. 25
3.3.8 Receiving and Responding to Alerts on Other Devices ........................... 26
3.3.9 Clearing the Alerts ................................................................................... 27
4.0 Security .............................................................................................................. 28
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4.1 Mesh Security................................................................................................. 28
4.2 Internet Security ............................................................................................. 28
4.3 Server Security............................................................................................... 30
5.0 TroubleShooting................................................................................................. 31
5.1 Troubleshooting myPHD and Battery ............................................................. 31
5.2 Troubleshooting PANDA ................................................................................ 31
Appendix A — Warranty .......................................................................................... 32
Appendix B — Service ............................................................................................. 33
Appendix C — Declarations..................................................................................... 34
Appendix D — Specifications................................................................................... 36
myPHD Specifications.......................................................................................... 36
PANDA X4 Gateway Specifications ..................................................................... 38
ii
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MobileCare™ Monitor Operator’s Manual
Warnings and Precautions
Contraindications



Do not use the device in an MR environment.
Do not use this device in an explosive atmosphere or in the presence of flammable
anesthetics or gases.
This device is not defibrillation proof per IEC 60601-1:1990 clause 17h.
Warnings





Use within its designated range.
This device is intended only as an adjunct in patient assessment. It must be used in
conjunction with other methods of assessing clinical signs and symptoms.
Operation of this device below the minimum amplitude of 0.3% modulation may give
inaccurate results.
The use of batteries other than those specified in these instructions may result in
increased electromagnetic emission and/or decreased immunity of this device.
This device should not be used adjacent to or stacked with other equipment. If adjacent
or stacked use cannot be avoided the device should be observed carefully to verify
normal operation.
Cautions





Inspect the device at least every 6 to 8 hours to ensure correct device alignment and
skin integrity. Patient sensitivity to the device may vary due to medical status or skin
condition.
Factors that may degrade the performance or affect the accuracy of the measurement,
include the following:
- excessive light, such as sunlight or direct home lighting
- excessive motion
- moisture in the device
- improperly applied device
Do not sterilize, autoclave, or immerse this device in liquid.
Do not use caustic or abrasive cleaning agents or any cleaning products containing
ammonium chloride.
This equipment complies with IEC 60601-1-2:2004 for electromagnetic compatibility for
medical electrical equipment and/or systems. This standard is designed to provide
reasonable protection against harmful interference in a typical medical installation.
However, because of the proliferation of radio-frequency transmitting equipment and
other sources of electrical noise in health care and other environments, it is possible that
iii
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MobileCare™ Monitor Operator’s Manual




high levels of such interference due to close proximity or the strength of a source might
disrupt the performance of this device. Medical electrical equipment needs special
precautions regarding EMC, and all equipment must be installed and put into service
according to the EMC information specified in this manual.
Portable and mobile RF communications equipment can affect medical electrical
equipment.
Batteries may leak or explode if used or disposed of improperly. Do not remove or
attempt to change the batteries in any manner. This is only to be performed by an
AFrame Digital authorized representative.
Follow local, state, and national governing ordinances and recycling instructions
regarding disposal or recycling of the device and device components, including batteries.
In compliance with the European Directive on Waste Electrical and Electronic Equipment
(WEEE) 2002/96/EC, do not dispose of this product as unsorted municipal waste. This
device contains WEEE materials. Please contact your distributor regarding take-back or
recycling of the device.
iv
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MobileCare™ Monitor Operator’s Manual
Precautions while using MobileCare™ Monitor
Read this manual carefully before using the MobileCare™ Monitor System or its associated
components. Follow these precautions:
 Do not use the MobileCare™ Monitor System as a substitute for usual and
customary resident supervision. The MobileCare™ Monitor System is intended to
assist caregivers in providing proper care to individuals.
 Discontinue use of myPHD if the patient demonstrates any allergic reaction or other
intolerance to the device.
 General operation of the MobileCare™ Monitor System may be affected if used in a
strong electromagnetic field environment.
 Do not use the system if any component is damaged.
 Caution the residents against causing impacts to myPHD. Intended or unintended
impact of myPHD may trigger alerts.
 Do not immerse the MobileCare™ Monitor or its components in water or any other
liquid.
 Do not use caustic or abrasive cleaning agents for the MobileCare™ Monitor or its
components.
 Do not remove any covers or open any of the components of the MobileCare™
Monitor System. There are no operator serviceable parts within the MobileCare™
Monitor System.
 Follow local governing ordinances and recycling instructions regarding disposal or
recycling of the MobileCare™ Monitor and its components, including batteries.
 Batteries may leak or explode if used or disposed of improperly.
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MobileCare™ Monitor Operator’s Manual
About this manual
Audience
The MobileCare™ Monitor Operator’s Manual is intended for the operators of
MobileCare™ Monitor and its components, that is, the caregivers, nurses, and
administrative staff of the care giving facility.
What you will find in this manual
This manual describes —
 How the MobileCare™ Monitor System works.
 How to use the myPHD wristwatch to send alerts.
 How to use the CareStation™ software to respond to alerts.
Use the following table to quickly find information in this manual:
To find out about:
Go to:
How the MobileCare™ Monitor
System works
2.0 System Overview
How to use myPHD and the
CareStation™ software
3.0 Operating Procedures
How to solve problems with the
functioning of myPHD and PANDA
4.0 Troubleshooting
The security features of the
MobileCare™ Monitor System
5.0 Security
The warranty details, service facilities,
and specifications of the MobileCare™
Monitor System
Appendix
vi
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MobileCare™ Monitor Operator’s Manual
Symbols used in this manual
The following symbols have been used in this manual:
WARNING: Warnings alert you about instructions or procedures
that could be hazardous, if not followed properly.
NOTE: Notes point out something important or useful.
Conventions used in this manual
The following conventions are used in this manual.
This type of text:
Is used for:
Bold
Button names
Italics
Emphasis
Assumptions

We assume that the MobileCare™ Monitor System is already installed by
a qualified representative of AFrame and is running on your facility’s
network.

This guide is intended for the operators of the MobileCare™ Monitor
System, that is, the caregivers, nurses, and administrative staff of the care
giving facility.
vii
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MobileCare™ Monitor Operator’s Manual
1.0 Introduction
The MobileCareTM Monitor System is a wireless based health and alert monitoring
system to support caregivers in continuing care retirement communities and
assisted living settings. The system has been designed primarily to monitor elderly
residents who require a greater level of assistance on a round-the-clock basis. For
monitoring purposes, residents wear a specially designed watch that is part of the
MobileCare™ Monitor System. The system sends designated alerts (see Figure 1.1)
from these residents to administrators and healthcare providers (or caregivers) of
multi-resident care facilities. These alerts are designed to elicit a quick response
from the caregivers (see Figure 1.2). In addition, caregivers can track the location of
the residents within the premises of the healthcare facility.
Figure 1.1 Sending alerts to the healthcare professionals via the MobileCare™ Monitor System
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MobileCare™ Monitor Operator’s Manual
Figure 1.2 Healthcare professionals acknowledge the alerts via the MobileCare™
Monitor System
The MobileCare™ Monitor System is intended only as an adjunct in
patient assessment and care. It must be used in conjunction with other
methods of assessing the health and wellness in individuals and
symptoms. The system is not intended to provide automated treatment
decision, nor is it to be used as a substitute for professional healthcare
judgment. All patient medical diagnosis and treatment are to be
performed under the direct supervision and oversight of an appropriate
healthcare professional.
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MobileCare™ Monitor Operator’s Manual
2.0 System Overview
The MobileCare™ Monitor System helps healthcare professionals and caregivers to
provide wireless monitoring services for independent and ambulatory residents in
retirement communities or assisted living settings. The MobileCare™ Monitor
System is capable of monitoring elderly residents on a continuous basis (24x7). The
system is primarily designed to monitor alerts from these individuals and transmit
this data to servers for storage and processing. The main applications of the
MobileCare™ Monitor System are:
 Residents can send emergency and assistance needed alerts to
caregivers.
 Caregivers can keep track of the location of the residents within the
premises.
 Caregivers are provided impact detection alerts.
The user interface between a monitored individual and the MobileCare™ Monitor
System is a wireless personal help device (myPHD) or “watch” that is worn on an
individual’s wrist. This watch is a non-intrusive and form-friendly portable alerting
device that transmits data wirelessly to a gateway and server via a wireless mesh
network.
The MobileCare™ Monitor System consists of the following components (see Figure
2.1):
 Personal Help Device or myPHD (also called watch)
 Wireless Network — consisting of a PANDA X4 wireless gateway and a
mesh network of XBee wireless wall routers
 Secure Server — runs the CareStation™ software, stores data, and
analyzes trends in resident data
 CareStation™ Software — an application program that provides a
graphical user interface to allow the caregivers to respond to myPHD
alerts. It also integrates the facility map that provides resident location
information to the caregivers.
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MobileCare™ Monitor Operator’s Manual
Figure 2.1 Different components of the MobileCare™ Monitor System
2.1 How the MobileCare™ Monitor System Works
Figure 2.2 shows how the myPHDs interact with the wireless network. The wireless
network consists of a PANDA X4 gateway and XBee routers that are strategically
located inside the individual rooms as well as at other locations of the facility.
The system uses the ZigBee (see “What is ZigBee?” below) mesh network to allow
individuals to be mobile within the network. Data is transmitted between the watch
and the XBee units through a message-based protocol over a ZigBee mesh network.
The data is transferred between the PANDA X4 gateway and the server through a
secure HTTP protocol. The caregivers receive alerts via a secure Internet browser,
cell phones, PDAs, or other web-enabled phones such as the iPhone. The system
can also send healthcare related information to administrators and other healthcare
providers for analyzing and archiving purposes.
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MobileCare™ Monitor Operator’s Manual
What is ZigBee?
ZigBee is the name given to a set of high-level wireless communication protocols
maintained by a group of companies known as the ZigBee Alliance. It is a low-cost, lowpower, wireless networking standard based on the IEEE 802.15.4 specifications. The
devices using ZigBee form a mesh network, where each device connects wirelessly to
the next. ZigBee uses very little power therefore is ideal for small networks.
Figure 2.2 Interconnection and dataflow between several MobileCare™ Monitor components.
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MobileCare™ Monitor Operator’s Manual
2.2 Overview of myPHD
The myPHD allows the residents to be mobile while being monitored by the network.
The myPHD periodically transmits the location of the resident within the facility and
clinical data to the CareStation™ software. It has two buttons:
o Emergency button – During an emergency, the resident presses this button
to issue an emergency alert to the caregiver’s station.
o Privacy button – The residents use this button to stop sending clinical data to
the CareStation™ Software for a pre-set interval of time.
Figure 2.3 The myPHD with buttons.
Furthermore, the myPHD contains:

Built-in temperature sensor – provides resident skin (body) and ambient air
temperatures to help determine if the watch is being worn.

Impact sensor – issues an alert when the myPHD receives an impact (such as
when a resident falls).

Battery charge level indicator – displays the remaining battery charge.
Ensure that the myPHD is positioned properly on the monitored
individual’s wrist.
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MobileCare™ Monitor Operator’s Manual
2.3 Components of the MobileCare™ Monitor System
Table 2.1 describes the various components and features of the MobileCare™
Monitor System:
Component
Features


XBee Wireless Wall Router


PANDA (Powered Automated Network
Data Aggregator) X4 Gateway








Secure Server. See Figure 2.1.


Installed in key locations throughout the
facility
Connects to other XBee routers in a secure
wireless mesh network (for further
information on the security of the wireless
network, refer to Chapter 4.0 Security.)
Picks up the messages or alerts
transmitted by myPHDs and forwards
messages/alerts to the PANDA X4 gateway
for subsequent delivery to the server
Receives (wireless) messages and alertacknowledgements from the PANDA X4
gateway and forwards the messages/alerts
to the relevant myPHD
Gateway between the Internet and the
internal wireless mesh network
Connects to the Internet via Ethernet, WiFi, or Broadband
Sends the received messages from the
XBee routers to the secure server
Communicates wirelessly with the myPHDs
and the central server, allowing total
freedom of movement of the residents
throughout the facility
Delivers email or text message alerts to
various devices such as cell phones, PDAs,
and MobileCare™ Monitoring Stations
Sets up behind a firewall at a high
availability Web Hosting data center
Maintains all resident information, including
location, collected data, and alerts
Monitors the PANDA x4 gateway, the XBee
routers, and the myPHDs via two-way
communication and automatically raises an
alert if any device malfunctions
Can be accessed by the end user over the
Internet using a web browser
Can be connected directly to a DSL or
Cable Modem / Router in a SOHO
environment
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MobileCare™ Monitor Operator’s Manual
Component
Features



CareStation™ Software



Web-browser based software application
Provides an easy-to-use, yet secure,
graphical user interface to allow the
caregivers and administrative staff to
respond to myPHD alerts
Integrates a facility map to provide resident
location information to the caregivers,
based on the information received from
myPHDs
Provides access to the secure server so
caregivers can view and analyze the
resident’s information
Provides actionable, clinical data as well as
specific reports to improve health-care
management
Assists health care staff in providing
individual, personalized care
Table 2.1 MobileCare™ Monitor System Component and Features.
The operators should use only AFrame Digital specified sensors and
third-party devices. AFrame cannot guarantee or be responsible for
overall system functioning if non-approved sensors or devices are used.
The XBee Wireless Wall Routers are installed and serviced only by
authorized AFrame Digital, Inc. representatives. Do not attempt to open
or service the routers at any time.
The PANDA X4 Gateway is installed and serviced only by authorized
AFrame Digital, Inc. representatives. Do not attempt to open or service
the device at any time.
2.4 Compliance to Electromagnetic Compatibility Standard
The MobileCare™ Monitor System complies with International Standard EN 606011-2:2004 for electromagnetic compatibility (EMC) for medical electrical equipment or
systems, or both. This standard is designed to provide reasonable protection against
harmful interference in a typical medical installation.
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MobileCare™ Monitor Operator’s Manual
3.0 Operating Procedures
This chapter provides instructions on how to wear and operate the myPHD, interpret
the messages displayed in the panel, and trigger and send emergency alerts. This
chapter explains the features of the CareStation™ Software and the procedure to
respond to alerts, detect the location of residents, and view the clinical and historical
data of the residents.
MyPHD is the only component of the MobileCareTM Monitor System operated by the
end user (residents). Before using myPHDs, the operator must ensure the proper
installation of all components of the MobileCare™ Monitor System.
The components of the MobileCare™ Monitor System should not be installed by
the end user. These components (such as the routers, the gateway, and the
server) must be installed by the representatives of AFrame Digital, Inc. who are
trained in the proper installation techniques.
3.1 Using myPHD
This section explains how to:

Wear myPHD and use the various options.

Check for out-of-range status.

Send emergency alerts using myPHD.

Analyze the messages displayed by myPHD.
The myPHD is the key component of the MobileCare™ Monitor System that has
to be worn and operated by the residents or patients. Hence, the operators must
ensure that they thoroughly understand the operating procedures of myPHD.
3.1.1 Wearing myPHD
The myPHD alerting device resembles a watch and should be worn like a
wristwatch. The watch should be worn continuously. The myPHD has built-in
sensors that determine if the device is being worn. The server constantly monitors
these details and raises an alert if a resident removes the myPHD from his/her wrist.
The myPHD alerting device should not be exposed to water.
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3.1.2 Installing the Batteries
The batteries in myPHD should not be installed or changed by the residents or
caregivers. Only an authorized representative of AFrame Digital, Inc. will service the
batteries. Batteries must be recharged after several days under normal use
conditions.
3.1.3 Using myPHD Buttons
MyPHD has two buttons: Emergency button and Privacy button.
Figure 3.1: The myPHD with buttons
Table 3.1 summarizes the use of these buttons.
Press
Result
Emergency button
Send an emergency alert to the caregiver and
administrative staff.
Privacy button
Temporarily stop myPHD from sending clinical data to
the AFrame CareStation™ Software.
Table 3.1 Usage of myPHD buttons
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3.1.4 Checking for Out-of-range Status
The myPHDs function properly only when they are within the range of the XBee
wireless routers. If the resident moves out of range of the XBee routers, the myPHD
will display a FAILED message and the myPHD will be unable to send information
and alerts to the caregiver or administrative staff.
The signal strength indicator on the
myPHD display will indicate if the
resident is within range of the XBee
wall routers.
Additionally, if the resident is within
the range, myPHD will display the
date and time.
When the resident moves out of the
range of XBee wall routers, the
signal strength indicator will change.
Additionally, a WATCH FAILED
message will flash on the myPHD’s
display panel.
Normal
Operation
signal –
indicates the
myPHD is
within range
of the wall
routers.
Out of Range
signal –
indicates the
myPHD is out
of the range
of the wall
routers.
3.1.5 Verifying the Battery Charge
The charge indicator on the display panel of the myPHD will show the remaining
charge of the batteries.
Indicates the
battery
charge level
The above illustration shows the power indicator for an empty battery. In this
scenario, the operator should recharge the myPHD. If it still does not function, call
the support line of AFrame Digital, Inc.
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The myPHD alerting device, XBee wall routers, and the PANDA unit are
designed to be powered ON all the time. The server constantly monitors the
status of all these components and will raise an alert in the event of any failure.
3.1.6 Sending Emergency Alerts to Caregivers
When the residents or patients need the assistance of a caregiver, they can send an
emergency alert using myPHD.
Before sending an emergency alert, the residents should ensure that they are within
the range of an XBee wireless wall router. See 3.1.4 Checking for Out-of-range
Status for more information.
The resident should follow these instructions:
1. Press the Emergency button on the
myPHD.
2. The date, time, and battery indicator
will disappear from the screen, and
the alert indicator flashes.
Alert
Indicator
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3. When the alert is transmitted
successfully, the MSG SENT
message will be displayed in the
display panel of the myPHD.
4. When the administrative staff or
caregiver acknowledges the alert
message, the HELP COMING
message will be displayed in the
display panel of the myPHD.
5. Finally, the caregiver who attends to
the call will reset the display back
to normal status.
See the section 3.1.7 Resetting
myPHD to Normal State for more
information on resetting the display.
3.1.7 Temporarily Disabling Alerts
The myPHD alerting device sends resident data, location information, and alerts
using a wireless network. Sometimes, the residents may choose not to send any
data to the server or alerts to the caregiver for maintaining privacy. In such cases,
the residents can temporarily disable the myPHD from sending data for a predetermined number of minutes.
1. To temporarily disable the myPHD
device from sending data, press the
Privacy button.
13
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2. On the myPHD display panel:




The PRV message is displayed
The signal indicator changes to
indicate no signal
The ring around the clock
changes
The device counts down from a
pre-defined number of minutes
Countdown
indicating 29
minutes of
privacy
remaining.
No-signal
indicator.
If the resident presses the Privacy
button before the pre-defined setting
time has elapsed, the privacy duration
will be reset and the countdown will
start afresh. In this way, the resident
can extend the privacy duration, if
desired.
Countdown
that
indicates 10
minutes of
privacy
period
remaining.
3. After the pre-defined number of
minutes has elapsed, the device will
switch back to normal status and
once again start transmitting
location and clinical data.
The privacy feature can be canceled by pressing the privacy button a second
time. Pressing it a third time restarts the privacy timer.
3.1.8 Impact Sensing and Falls
The myPHD can be used in a falls reduction program to sense impacts as an
indication of falls. When a resident wearing the watch falls, myPHD detects the
impact and automatically sends an alert to the caregiver.
The myPHD alerting device, XBee wall routers, and the PANDA unit are
designed to be powered ON all the time. The server constantly monitors the
status of all these components and will raise an alert in the event of any failure.
14
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3.1.9 Canceling Alerts
If the residents send emergency alerts by mistake, they can cancel the alert before it
reaches the caregiver. Also, if they drop myPHD by mistake, they can cancel the
emergency alert before it reaches the caregiver.
You can cancel the alert only before the MSG SENT message is displayed on
the display panel.
1. Before the MSG SENT message
appears on the display panel, press
the Privacy button.
2. The emergency alert will be
canceled and the EM MSG
CANCLD message will be displayed
on the display panel.
3. The myPHD device will then switch
back to normal mode.
Pushing the emergency button or falling will generate an alert message
overriding the privacy feature.
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3.1.10 Interpreting Error Messages
Message Displayed
on myPHD
Meaning and Actions to be taken
EM MSG CANCLD
Displayed when the resident cancels the emergency
alert before it was sent to the caregiver.
HELP COMING
Displayed when the caregiver acknowledges the
alert.
MSG SENT
Displayed when the alert message has been sent to
the caregiver. The resident must wait for
acknowledgment from the caregiver.
FAILED
Displayed when the resident moves away from the
range of the MobileCare™ Monitor System. In such
situations, instruct the residents to move within the
range.
NO FNC
Displayed when the resident presses the Privacy
button while out of the signal range of the
MobileCare™ Monitor System. The resident must
move inside the signal range of the MobileCare™
Monitor System.
PRIVCY
Displayed when the resident has activated the
privacy mode on the myPHD device.
Displayed when the myPHD device is in privacy
mode and is not sending any resident data (nn is the
number of minutes of privacy remaining).
The myPHD device will not send any data to the
server for the indicated number of minutes. If the
resident wants to extend the privacy period for some
more time, he/she should press the Privacy button
again.
PRV nn
WATCH FAILED
Displayed when the alert is not sent or if the
caregiver does not acknowledge the alert. Wait till
the administrative staff rectifies the error.
Table 3.2 Messages displayed in myPHD
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3.2 Using the Charger
For charging the myPHD, place the myPHD watch on the charger as shown in the
following photograph.
Figure 3.2.0: The myPHD is placed on the charger.
The LED on the charger (see the photograph below) indicates the status of charging.
Figure 3.2.1: The charger LEDs.
The LEDs on the charger provides three possible status scenarios, as stated in the
following Table.
Rapidly Flashing Red
Blinking Green
Solid Green
Failure
Charger is charging the
myPHD
Charging Complete
When the myPHD is placed on the charger, the myPHD display confirms this event
as “CHARGE.”
When the myPHD shows “CHARGE”, it enters in to a low power sleep
mode and disables its connection with the ZigBee radio.
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3.3 Using the CareStation™ Software
This section explains the features of the CareStation™ Software and is relevant to
caregivers and the administrative staff of the facility.
The CareStation™ Software is an easy-to-use web-browser based secure
application for helping caregivers and administrative staff to respond to myPHD
alerts. In addition, the operators can use the software to:

View the location of a resident on the pre-installed facility map.

View and analyze data collected from the residents.

View specific reports to help improve management of the facility.
3.3.1 Logging into the CareStation™ Application
1. Open a Web browser and go to https://pr.aframedigital.com.
2. In the login screen (see Figure 3.2), enter your User Name and Password.
3. Click Sign In.
Figure 3.2 MobileCare™ Monitor Login Screen
The operators will be asked to change the password every 90 days. The
operators should not disclose their user name or password.
4. After logging in, the operator will be able to see the main screen (Resident Status
screen) of the CareStation™ application.
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3.3.2 Understanding the Resident Status Interface
The Resident Status screen (see Figure 3.3) is the main screen that is displayed to
the operators after they login to the CareStation™ application. The Resident Status
screen shows the status (such as alerts or Activity of Daily Listings (ADL)) of all the
residents of the facility. It also displays the last known location of the residents.
Click this link
to view the
location of the
residents on
the Facility
Map.
Click this link to
view the Alert
Summary
screen for all
residents.
These links
show the last
known location
of the resident.
Click any of
these links to
view the Facility
Map.
Click any of
these links or
pictures to
view the
details of that
resident.
Figure 3.3 The Main Screen – Resident Status
To return to the Resident Status screen from the other screens, the operator has to
click the Resident Status present at the top of the screen.
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The following table summarizes the available options:
Click the
To
Picture or name of a resident
View the details of that resident
Alert icon adjacent to the resident’s
name
View the alerts for the resident from the alert
summary screen
ADL icon adjacent to the resident’s
name
View ADL data of a specific resident
Location icon adjacent to the
resident’s name
View that location in the Facility Map
Facility Map link at the top of the
screen.
Open the Facility Map screen
Alert Summary link at the top of the
screen.
Open the Alert Summary screen
Table 3.3 The available options
This resident status screen displays a green icon for residents whose alerts
have been responded to.
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3.3.3 Understanding the Resident Detail Interface
To view the details of a resident, the operator will click the name or picture of the
resident. The details of the resident along with their last known location, air and skin
temperature, the address to which alert was sent, notes, history of alerts, and so on
are displayed (see Figure 3.4).
Figure 3.4 Details of a particular resident
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3.3.4 Understanding the Alert Summary for a Particular Resident
To view the alert details of a particular resident (see Figure 3.5), the operator can
click the Alerts Summary icon
of that resident from the Resident Status screen.
Figure 3.5 Alert summary of a particular resident
There are four types of Alarm Indicators which are based on the status of the
resident alert. The following are the various alarm indicators:

— Acknowledged

— Needs Help

— False Alarm

— Escalated
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3.3.5 Understanding the Alert Summary for All Residents
To view the alert details of residents (see Figure 3.6), the operator can click the
Alerts Summary link displayed at the top of the Resident Status screen.
Figure 3.6 Alert details of all residents
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3.3.6 Understanding the Facility Map Interface
This facility map is always integrated with the CareStation™ software
To locate the resident graphically within the facility, the operator clicks the Facility
Map link displayed at the top of the Resident Status screen. This screen displays the
last known location of each resident (see Figure 3.7). On the facility map, the image
border is red if an alert is pending and green if alerts are not pending.
Figure 3.7 The Facility map showing the location of residents
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3.3.7 Receiving and Responding to Alerts in CareStation™ Software
To respond to the alerts received from a resident, the operator clicks the particular
Alert from the Resident Status screen (see Figure 3.8 (a)). The list of alerts from the
resident is displayed in the Alert Summary screen. The operator then clicks the alert
that needs attention (see Figure 3.8 (b)) and must be acknowledged (see Figure 3.8
(c)).
Figure 3.8 Responding to an alert
In this screen, the operators can perform any of the following operations:

Acknowledge the alert, indicating assistance is on the way.

Cancel the alarm by selecting the False Alarm option.

Escalate the alarm to the next person (for instance, the supervisor or next-incommand) up in the line to assist.
After the operator clicks Acknowledge, the Alert Acknowledged message will be
displayed on the screen and the myPHD.
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3.3.8 Receiving and Responding to Alerts on Other Devices
The system administrator configures the MobileCare™ Monitor System to send the
alerts to the operator’s cell phone, PDA (personal digital assistant), or web-enabled
phone such as iPhone.
Cellular Phone
On a cellular phone with text messaging capability, only text messages will appear.
When a resident presses the emergency alert button, the system generates and
sends a text message, such as the following message, to the operator’s cell phone:
From text-based cellular phones, the operators cannot acknowledge the alerts.
Smart Phone or iPhone
On a smart phone or iPhone, the operator receives a text message similar to that
sent to a cellular phone. However, the operator can click the link in the message to
go to a graphical screen.
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Figure 3.9 Acknowledgement and Alert Resolution Screens for a Particular Resident
After the resident has received care, the operator will resolve the alert by entering
the type of problem, the name of the caregiver, and notes regarding the incident.
After the operator clicks either Acknowledge or Resolve, a message will be
displayed on the CareStation™ screen and on the myPHD.
Figure 3.10 The Alert Acknowledged message
3.3.9 Clearing the Alerts
Operators can clear the alerts from the Alert Summary screen by clicking the Needs
Help icon (see Figure 3.6). When clicked, a web page will be displayed that is
similar to the web page displayed on the iPhone (see Figure 3.9) from where they
can respond to the alert.
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4.0 Security
The AFrame System incorporates best-practice security controls designed to protect
against both anticipated and unanticipated security threats. This section provides a
brief overview of the important controls.
4.1 Mesh Security
The primary threats to security on the ZigBee mesh are unauthorized access and
modification of transmitted data, unauthorized devices accessing the network, and
denial of service attacks against the network. The AFrame System protects against
these threats using the standard ZigBee security mechanisms.
The AFrame System implements the ZigBee Standard Security Model. Unauthorized
access and modification of transmitted data is prevented by encrypting all traffic
between network devices including myPHD, Pandas, and ZigBee wall routers.
Traffic is encrypted with the Advanced Encryption System (AES) encryption
algorithm using 128-bit keys. AES is the standard symmetric encryption algorithm of
the U.S. Government. AES has been analyzed extensively and is used worldwide to
protect sensitive data.
To keep unauthorized devices from joining the ZigBee network, each device is
authenticated using a special link key that is preconfigured on every device. When a
device attempts to join the network, the PANDA uses this link key to distribute a
network key which in turn is used to encrypt and decrypt traffic. If the device does
not have the correct link key, it will not be allowed to join the network.
The AFrame System protects against denial of service attacks by continuous
monitoring of the health and connectivity to connected devices. If an attack degrades
the health of a device or of the network, it will be quickly detected and reported.
Once detected, the source of an attack can be identified and neutralized.
4.2 Internet Security
The primary threats to security on the Internet are unauthorized access and
modification of transmitted data, spoofing of Internet-connected components, and
denial of service attacks. The design of the AFrame System uses standard Internet
security mechanisms and practices to protect against these threats.
To protect against unauthorized access and modification of transmitted data, all
Internet traffic is encrypted using strong Secure Socket Layer (SSL) encryption. This
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includes traffic that flows between the PANDA and the AFrame Server, and traffic
that flows between the Web browser used by the caregiver and the server. The
AFrame System uses the same strong SSL encryption used by leading financial
institutions to protect high-value financial transactions on the Internet.
A spoofing attack is an attack where a malicious entity on the Internet pretends to be
a legitimate entity in order to violate security in some way. To prevent spoofing, all
AFrame components carefully authenticate their peers before communicating with
them. This authentication is performed as follows:
 The Panda authenticates the AFrame Server using SSL and a 1024-bit
RSA public-key certificate. This is the same mechanism used to
authenticate banking web sites on the Internet.

The AFrame Server authenticates PANDAs using standard HTTP Basic
Authentication. Each request from the PANDA includes a username and
password that authenticates the request. If the request contains a valid
username and password, then the server will accept the message from
the PANDA. If there are any discrepancies in the credentials the request
will be rejected. This username and password travels over the SSL
authenticated and secured connection such that they are protected
against disclosure.

When caregivers access the CareStation™ application on the server, the
server authenticates the user with a unique username and password.
Passwords are required to meet complexity requirements to ensure that
they cannot be guessed. This username and password travels over the
SSL authenticated and secured connection such that they are protected
against disclosure.

The Web browser used by the caregivers authenticates the AFrame
Server using the same SSL and 1024-bit RSA public-key certificate
mechanism described above. The AFrame server name shown while the
caregiver checks the security on the caregiver secure page provides
strong assurance that the caregiver is communicating with the correct
server.
After requests are authenticated using the mechanisms described above, other
validations are performed to provide additional security. For example, when the
server processes the message from the PANDA, it validates that the Extended
Unique Identifier (EUI) presented has been registered on the server as a valid
PANDA. Similarly, when a PANDA sends watch information to the server, the server
validates that the EUI of the watch has been registered with the system. The
message will be rejected if the EUI is not registered.
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4.3 Server Security
The AFrame Server stores information about caregivers and residents. The primary
threats to the Server are Internet-based attacks and insider threats. These threats
are countered though a variety of physical, technical, and procedural controls.
To protect against Internet-based threats, the AFrame Server is protected by
external and internal firewalls. The internal firewall implements a default deny
security policy whereby only essential traffic is allowed to reach the system.
Furthermore, the server is hardened to run only essential services. Administrative
access to the server is only permitted via public-key authenticated Secure Shell
(SSH) access and all administrative traffic is protected using strong encryption. To
ensure that the server is not left vulnerable to attack, strict configuration and security
patch management procedures are followed. As an additional measure, AFrame
periodically performs security scanning to validate its security posture.
To protect against internal threats, logical and physical access to the server is strictly
controlled. Server administration is performed under the principle of least privilege,
whereby administrators are given the level of access required to perform their duties
and no more. To ensure that administrators are accountable for their actions, the
system is configured to perform detailed auditing. To ensure that the server is
physically secure, the AFrame Server is hosted in a physically secure facility with
24x7x365 monitoring.
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5.0 TroubleShooting
This section describes the troubleshooting procedure for both myPHD and PANDA.
5.1 Troubleshooting myPHD and Battery
For the proper working of myPHD, ensure that:
 Battery is properly charged.
 Unit is functioning.
 Alert is generated when the Nurse call button is pressed.
 Light indicators are working.
5.2 Troubleshooting PANDA
For the proper working of PANDA, ensure that:
 Power cord is plugged correctly.
 Network activity light of the Ethernet port is blinking.
 Power is ON.
 ZigBee activity light is ON.
For assistance call (703) 560-0512 or email to support@aframedigital.com.
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Appendix A — Warranty
AFRAME DIGITAL, INCORPORATED (AFRAME) warrants to the purchaser, for a one year period
from the date of initial purchase or service subscription each MobileCareTM Monitor 2100
(MobileCare™ Monitor 2100). AFRAME shall repair or replace any MobileCare™ Monitor 2100 found
to be defective in accordance with this warranty, free of charge, for which AFRAME has been notified
by the purchaser by serial number that there is a defect, provided said notification occurs within the
applicable warranty period. This warranty shall be the sole and exclusive remedy by the purchaser
hereunder for any MobileCare™ Monitor 2100 delivered to the purchaser which is found to be
defective in any manner whether such remedies be in contract, tort, or by law. This warranty excludes
cost of delivery to and from AFRAME. All repaired units shall be received by the purchaser at
AFRAME’s place of business. For any MobileCare™ Monitor 2100 sent to AFRAME for warranty
repair that is found to be within specification, the purchaser agrees to pay $100.00 (US Dollars) to
defray costs of handling and testing. The MobileCare™ Monitor 2100 is a precision electronic
instrument and must be repaired by knowledgeable and specifically trained AFRAME personnel only.
Accordingly, any sign or evidence of opening the MobileCare™ Monitor 2100 or any of its
components, field service by non-AFRAME personnel, tampering, or any kind of misuse or abuse of
the MobileCare™ Monitor 2100, shall void the warranty in its entirety.
DISCLAIMER/EXCLUSIVITY OF WARRANTY:
THE EXPRESS WARRANTY SET FORTH IN THIS MANUAL IS EXLCUSIVE AND NO OTHER
WARRANTY OF ANY KIND WHETHER STATUTORY, WRITTEN, ORAL, OR IMPLIED INCLUDING
WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE OR SETTING SHALL APPLY.
The standard rates and charges in effect will be levied on all non-warranty work.
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Appendix B — Service
The MobileCareTM Monitor and its components are precision electronic instruments
and must be repaired only by trained AFrame representatives. Any sign or evidence
of opening the system, service by non-AFrame personnel, tampering, or any kind of
misuse or abuse of the system, shall void the warranty in its entirety.
For additional technical information contact AFrame’s Customer Support department
at:
AFrame Digital, Inc.
8000 Lee Highway
Falls Church, VA 22042
(703) 560-0512
Email: service@aframedigital.com
www.aframedigital.com
The standard rates and charges in effect will be levied on all non-warranty work.
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Appendix C — Declarations
See http://www.iec.ch for the FCC and IEC standards.
Federal Communications Commission (FCC) Notice
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 any interference received, including interference that may
cause undesired operation.
Refer to the following tables for specific information regarding this device’s
compliance with IEC 60601-1-2.
Electromagnetic Emissions
EMISSIONS TEST
COMPLIANCE
ELECTROMAGNETIC ENVIRONMENT—GUIDANCE
This device is intended for use in the electromagnetic environment specified below. The customer and/or user of this device
should ensure that it is used in such an environment.
RF Emissions CISPR 11
RF Emissions CISPR 11
Harmonic Emissions
IEC 61000-3-2
Voltage Fluctuations/Flicker
Emissions IEC 61000-3-3
Electromagnetic Immunity
IMMUNITY TEST
IEC 60601 TEST LEVEL
COMPLIANCE
LEVEL
ELECTROMAGNETIC
ENVIRONMENT—
GUIDANCE
This device is intended for use in the electromagnetic environment specified below. The customer and/or user of this device
should ensure that it is used in such an environment.
Electrostatic Discharge (ESD)
IEC 61000-4-2
Electrical Fast Transient/Burst
IEC 61000-4-4
Surge IEC 61000-4-5
Voltage dips, short interruptions,
and voltage variations on power
supply input lines IEC 61000-411
Power Frequency (50/60 Hz)
Magnetic Field IEC 61000-4-8
NOTE: UT is the AC mains voltage before application of the test level.
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Guidance and Manufacturer’s Declaration—Electromagnetic Immunity
IMMUNITY
TEST
IEC 60601 TEST
LEVEL
COMPLIANCE
LEVEL
ELECTROMAGNETIC ENVIRONMENT—GUIDANCE
This device is intended for use in the electromagnetic environment specified below.
The customer and/or user of this device should ensure that it is used in such an environment.
Portable and mobile RF communications equipment should be used no closer to any part of the device, including cables, than
the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Conducted RF
IEC 61000-4-6
Radiated RF
IEC 61000-4-3
a. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios,
amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the
measured field strength in the location in which the device is used exceeds the applicable RF compliance level above, the
device should be observed to verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating the device.
b. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than [3] V/m.
NOTES:

At 80 MHz and 800 MHz, the higher frequency range applies.

These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects, and people.
Recommended Separation Distances
The following table details the recommended separation distances between portable
and mobile RF communications equipment and this device.
This device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. Users of
this device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF
communication equipment (transmitters) and the device as recommended below, according to maximum output power of the
communications equipment.
Separation Distance According to Frequency of Transmitter
Rated Maximum Output Power of Transmitter
150 kHz to 80 MHz
80 MHz to 800 MHz
800 MHz to 2.5 GHz
d = 1.17 √P
d = 1.17 √P
d = 2.33 √P
0.01
0.1
10
100
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can
be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of
the transmitter in watts (W) according to the transmitter manufacturer.
NOTES:

At 80 MHz and 800 MHz, the higher frequency range applies.

These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects, and people.
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Appendix D — Specifications
The following are the specifications of myPHD Wireless Personal Help Watch:
myPHD Specifications
PARAMETER
SYMBOL
CONDITION
MIN
TYP
MAX
UNITS
-2
-4
gFS8g
-8
Supply Voltage
(Analog)
VDD
2.4
3.6
Supply Voltage for
Digital I/O
VDDIO
VDDIO ≤VDD
1.62
3.6
Supply Current
Normal Mode
IDD
Digital and Analog
200
290
A
Supply Current
Standby Mode
IDDsbm
Digital and Analog
A
Operating
Temperature
TA
+85
C
Operating Range
gFS2g
Acceleration Range
gFS4g
Switchable via serial
digital interface
-40
Table 1: Operating range, output signal and mechanical specifications of the SMB380
Acceleration Output Signal
Acceleration Output
Format
Resolution
2’s complement
10
Bit
S2g
g-range 2g
246
256
266
LSB/g
S4g
g-range 4g
122
128
134
LSB/g
S8g
g-range 8g
61
64
67
LSB/g
Zero-g Offsett
Off
TA=25, calibrated
-60
60
Mg
Zero-g Offsett
Off
TA=25, over lifetime
-150
150
Mg
Sensitivity
Zero-g Offset
Temperature Drift
Bandwidth
Over TA
2nd order analog filter
Bw
Digital Filter
Acceleration Data
Refresh Rate (all
axes)
f_rate
2700
Mg/K
1500
Hz
25, 50, 100,
190, 375,
750
Hz
3000
3300
Hz
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PARAMETER
SYMBOL
CONDITION
Nonlinearity
NL
Best fit straight line
Output Noise
nrms
Rms
Sensitivity
ST
Preliminary data
Temperature
measurement
range
TS
Temperature Offset
OffT
MIN
TYP
-0.6
MAX
UNITS
0.5
FS
0.5
0.475
0.5
-30
Calibrated at 30C
Mg/Hz
.0.525
K/LSB
97.5
+/- .5 C
Mechanical Characteristics
Cross Axis
Sensitivity
Mechanical
Shock
Relative contribution
between 3 axes
Duration
≤ 100s
10,000
Duration
≤ 1.0ms
2,000
1.5
kV
500
Free fall onto hard
surface
ESD
HBM, at any pin
CDM
Specifications are subject to change without notice. Please contact AFrame
Digital, Inc. for current specifications.
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PANDA X4 Gateway Specifications


Network protocols
LEDs
Security – ConnectPort X4
Router/Security Features
VPN Features – ConnectPort
X4
Management
















Interfaces

UDP/TCP, DHCP.
ConnectPort X4: Ethernet status, power, cellular link/activity,
signal strength (4 bars), ZigBee link/activity, Wi-Fi link/activity.
Security – SSL tunnels, SSHv2, FIPS 197 (serial port).
Real-time clock.
NAT.
Port forwarding.
Access control lists (IP filtering).
IPsec with IKE/ISAKMP.
Multiple tunnel support.
DES, 3DES and up to 256-bit AES Encryption.
VPN pass-through, GRE forwarding.
HTTP/HTTPS web interface.
Password access control.
IP service port control.
Optional secure enterprise management via Digi Connectware
Manager.
Serial – ConnectPort X4
o 1 RS-232 DB-9M serial port.
o Throughput up to 230 Kbps.
o Full signal support for TXD, RXD, RTS, CTS, DTR, DSR
and DCD.
o Hardware and software flow control.
USB
o ConnectPort X4: 1 Powered USB Type A connector (Host).
See www.digi.com/products/wireless/usb-peripherals/ for
the list of supported USB devices.
Ethernet
o 1 RJ-45 port
o Standard: IEEE 802.3
o Physical Layer: 10/100Base-T
o Data rate: 10/100 Mbps (auto-sensing)
o Mode: full or half duplex (auto-sensing)
ZigBee/802.15.4
o XBee-PRO (Freescale and Ember supported).
o Cellular.
o ConnectPort X4: EV-DO/1xRTT or EDGE/GPRS PCI
Express Module (1).
o Wi-Fi (802.11b) – ConnectPort X4.
o Standard IEEE 802.11b.
 Frequency: 2.4 GHz.
 Data rate: Up to 11 Mbps w/ fallback.
 Modulation: DBPSK (1 Mbps), DQPSK (2 Mbps),
CCK (11, 5.5 Mbps).
 Transmit power: 16 dBm typical.
 Receiver sensitivity: –82 dBm @ 11 Mbps.
38
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Copyright © 2008 AFrame Digital, Inc.
MobileCare™ Monitor Operator’s Manual
Connector: 1 x RP-SMA.0
Ad-hoc & AP Client Modes only; Access Point
Mode not supported.
 Not available when gateway is configured with a
cellular module.
Operating temperature:
o ConnectPort X4 (CDMA models): –30° C to 60° C (–22° F
to 140° F)
Relative humidity: 5% to 95% (non-condensing)
Ethernet isolation: 1500VAC min per IEEE802.3/ANSI X3.263
Serial port protection (ESD) – ConnectPort X4, X8
o +15 kV Air Gap and +8 kV contact discharge per IEC 10004-2
ConnectPort X4:
o Safety: UL 60950, CSA 22.2 No. 60950, EN60950
o Emissions/Immunity: CE, FCC Part 15 (Class A), AS/NZS
CISPR 22, EN55024, EN55022, Class A
o Mobile Certifications – CDMA/EV-DO: CDG, TIA/EIA-690,
TIA/EIA-98-E
o Mobile Certifications – GSM/UMTS: PTCRB, NAPRD.03,
GCF-CC, R&TTE, EN 301 511
Power input
o ConnectPort X4: 6-30VDC
o 12V DC power supply for 0° C to 60° C (32° F to 140° F)
with locking barrel connector included; extended
temperature power supply available separately
Power consumption
o ConnectPort X4: Idle: 1.5 W, Max: 10.4 W
Surge protection (with included power supply): 4 kV burst (EFT)
per-4-4, 2 kV surge per EN61000-4
ConnectPort X4
o Width: 3.35 in (8.50 cm)
o Height: 1.00 in (2.54 cm)
o Length: 5.25 in (13.33 cm)
o Weight: 2.60 lb (1.18 kg)
Antenna Type
o ZigBee/802.15.4 – 4" dipole with 2'' cable, tabletop
mountable (same type antenna is used for Wi-Fi configured
gateways)
o Cellular – 7" dipole
Connector Type (on Gateway)
o 50 ohm SMA
o Female for ZigBee & Wi-Fi
o Male for cellular



Environmental
Specifications




Regulatory Approvals

Power Requirements



Dimensions

Antennas

Specifications are subject to change without notice. Please contact AFrame
Digital, Inc. for current specifications.
39
Company Proprietary & Confidential - AFrame Digital, Inc.
Do Not Distribute or Copy
Copyright © 2008 AFrame Digital, Inc.
MobileCare™ Monitor Operator’s Manual
40
Company Proprietary & Confidential - AFrame Digital, Inc.
Do Not Distribute or Copy
Copyright © 2008 AFrame Digital, Inc.

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