Cardionet 1008 C3 Sensor User Manual 1

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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., Suite 700
San Diego, CA 92101
Copyright 2006
All rights reserved
Document number 101010 Revision B October 2006
TABLE
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 . . . . . . . . . . . . . . . . . . . . . . . . 6
In the Case of an Emergency . . . . . . . . . . . . . . . . . . . . . . 7
What to Do When your Monitoring is Over. . . . .. . . . . . . .  8
G E T T I N G S TA RT E D . . . . . . .  .  .  .  .  .  .
. . . . . . .9
Connecting from Home. . . . . . . . . . . . . . . . . . . . . . . . . . 10
How to Install the CardioNet Base . . . . . . . . . .. . . . . . . . 11
About the CardioNet Base. . . . . . . . . . . . . . . . . . . . . . . . 14
How to Activate the CardioNet Sensor. . . . . . . . . . . . . . . . 15
Tips for Wearing the CardioNet Sensor. . . . . . . . . . . . . . . 18
How to Activate the CardioNet Monitor. . . . . . . . . . . . . . . 19
U S I N G T H E M o n i t o r . . . . . . .  .  .  .  .  .  .
. . . . . . 25
How to Turn your Monitor On and Off. . . . . . . . . . . . . . . . 26
How to Record an Event . . . . . . . . . . . . . . . . . . . . . . . . . 28
How to Change Monitor Options. . . . . . . . . . . . . . . . . . . . 30
How to Check Battery Power. . . . . . . . . . . . . . . . . . . . . . 34
How to Check Cell Phone Coverage . . . . . . . . .. . . . . . . . 35
Receiving Messages from CardioNet. . . . . . . . . . . . . . . . . 36
How to Read a Text Message . . . . . . . . . . . . . . . . . . . . . 37
ii Table of Contents
4
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 . . . . . . . . . . . . . 48
Troubleshooting Device Problems . . . . . . . . . . . . . . . . . . 51
Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Warnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
S P E C I F I C AT I O N S , C O M PLIANCE & SYMBOLS 57
Specifications . . . . . . . . . . . . . .
Equipment Symbols. . . . . . . . . .
In Home Requirements. . . . . . . .
FCC Compliance. . . . . . . . . . . . .
. 58
. 60
. 60
. 62
Table of Contents
iii
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. When the sensor
detects an event, or when
you report an event using
the touch screen on the
monitor, it transmits the
data to the CardioNet
Monitoring Center.
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. I N T RODUC T ION
3 4
CardioNet reports to your physician
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.
Picture
Kit Photo
Here
Item and Description
CARDIONET SHIPPING KIT
The CardioNet shipping kit contains all the items you will need during
your monitoring service. You can also reference the inside lid of the kit
for information on where each item is located in the kit.
CARDIONET SENSOR
The sensor can be worn around the neck or on a belt. It detects each
heartbeat and sends data to the CardioNet monitor. To communicate
with the monitor, the sensor must remain close to the monitor. Walls
and other obstructions can interfere with the communications between
the sensor and the monitor. If you go out of communications range, the
sensor and monitor will beep to alert you.
CARDIONET Monitor
The monitor constantly analyzes data from the sensor and sends
events to the CardioNet Monitoring Center. The monitor uses wireless
communication when not in the base and uses the regular phone system
when the monitor is placed in the base. You will not be charged by the
telephone company for calls made by your monitor.
CARDIONET BASE
The base recharges the CardioNet monitor and allows the monitor to
communicate with the Monitoring Center using your home phone system.
The bases are connected to your phone line and plugged into electrical
outlets in your bedroom and another room in your home.
Introduction
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.
If you need more batteries call CardioNet at 1-866-426-4401.
SENSOR NECK STRAP & BELT CLIP
Use the neck strap if you prefer to wear the sensor around your neck.
Use the belt clip if you prefer to wear the sensor on your belt.
POWER PLUG & TELEPHONE CORD
Use the black power plug to connect the CardioNet base station to an
electrical outlet. Use the telephone cord to connect your CardioNet base
station into the telephone wall jack. Detailed information on how to
install your base is provided in Chapter 2: How to Install the CardioNet
Base.
PATIENT EDUCATION GUIDE & VIDEO
The Patient Education Guide and Patient Information Video contain
helpful information about the CardioNet service and important contact
numbers.
UPS SHIPPING LABEL
Put the kit in the white plastic bag, seal it and stick the UPS pre-paid
shipping label to the white plastic bag to return the kit after monitoring
is finished.
Introduction
1. I N T RODUC T ION
Picture
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. You have the right to complain or suggest improvements in service without 		
worrying that CardioNet will stop providing service or provide a poorer quality
of service.
6. You have the right to refuse service.
Your Responsibilities as a Patient
1. Use the CardioNet equipment with care.
2. Return equipment to CardioNet immediately, when monitoring is completed.
3. Provide CardioNet with the information CardioNet needs to provide you with 		
quality care.
4. Treat CardioNet employees with respect.
Who to Call with Questions
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.
Customer Service: 1-866-426-4401
Monitoring Questions: 1-866-426-4401
Billing Questions: 1-866-426-4402
Introduction
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.
However, CardioNet’s ability to obtain information regarding a cardiac event and to
contact you or your physician in a timely manner is limited by a number of factors,
including:
• Transmission of information about a cardiac event to CardioNet‘s monitoring
center is potentially limited by the availability of standard telephone lines and/or
cellular phone coverage.
• There is an inherent time delay from the time that an event is detected to when
the events are analyzed and confirmed by a Certified Cardiac Technician (CCT).
• There is an inherent time delay from when the event is analyzed and confirmed by
the CCT to when CardioNet is able to make contact with you or your physician.
• If you or your physician are not accessible by telephone, CardioNet will not
succeed in making contact with you or your physician.
When CardioNet does detect a potentially serious cardiac event as defined by your
physician, CardioNet will attempt to contact your physician for direction. CardioNet
will also attempt to contact you and inform you of any cardiac event that has been
received that may require evaluation in the emergency room, per your physician’s
notification criteria. You may decide to seek medical help by calling your Emergency
Medical Services (EMS) directly or you may ask that CardioNet assist you in contacting
EMS.
The CardioNet system was designed to help physicians diagnose and treat heart
rhythm problems. There are other serious heart conditions that may not be detected
by the system. Because of this, and because of the limitations of the CardioNet
system described above, you should not delay seeking medical help if you experience
symptoms that concern you. Also, you should not rely on CardioNet as an emergency
response service.
Introduction
1. I N T RODUC T ION
CardioNet is not an emergency response service.
If you experience symptoms that concern you, seek medical help.
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.
Pack items in the kit by following the instructions on the inside of the kit lid.
Before you close the kit, complete the Patient Satisfaction Survey and place it
with the Patient Education Guide, laminated reminder card and Pocket Guide on
the top of the contents of the kit. If you have not returned the Patient Enrollment
Form, include a signed copy with these items as well. After everything is in the
kit, close the lid and put the kit in the white plastic bag that was included in
the kit contents. Seal the white bag. Stick the UPS pre-paid mailing label on the
outside of the white plastic bag.
The kit is now ready to return and you can choose one of 3 ways to return it to
CardioNet:
1. You can call UPS 1-800-742-5877 and UPS will pick it up. If you call UPS you 		
will need to explain that it’s a pre-paid 2nd Day Air package. You will not be 		
charged anything.
2. You can drop off the kit at Staples, the UPS Store, or another location with 		
UPS drop-off.
3. You, or a family member, can bring it to your work if they have daily UPS 		
pick-up.
If you do not return the kit CardioNet will bill you for the contents.
Please return the kit as soon as you can so other patients can use the
equipment.
Introduction
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. The
base needs to be installed in the room where you sleep. When setting up a base,
you will need a phone jack and an electrical outlet. When your monitor is on the
base, your sensor will still be able to communicate with the monitor as long as they
are within range of each other. If you go out of communications range, the monitor
and sensor will beep to alert you. To ensure good communication, stay close to the
monitor while it is in the base or simply take the monitor out of the base and bring
it with you when you leave the room. You can go about your normal daily activities
- just wear your sensor and bring your monitor with you wherever you go.
At night keep the monitor in the base near your bed. The monitor will recharge and
it will also transmit your heart data to CardioNet’s Monitoring Center. As you sleep,
you can remove the sensor from the neck strap or belt clip and lay it on the bed next
to you on the same side of the bed as your monitor. The sensor will move with you
as you move. Try not to lie on top of the sensor. The monitor and sensor can not
communicate with one another through bodies (your own body, your partner’s, your
child’s, your pet’s, etc.) If the monitor beeps at night, sometimes just repositioning
the sensor near the monitor will stop the beeping. If the beeping continues, it might
be for another reason, like “lead disconnected.” You can read the message on the
screen for information on how to resolve the problem.
After the base is installed, connect yourself to the sensor using the instructions in
this chapter. After you are wearing the sensor, you will need to activate your monitor.
Activating the monitor will require a password which you can obtain by calling
CardioNet at 1-866-426-4401.
10
Getting Started
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
Place shipper kit
image here
CardioNet Base
Telephone Cord
Place shipper kit
image here
Power Plug
Getting Started 11
2 . GE T T I NG STA RT E D
Place shipper kit
image here

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