Cardionet 1010 Wireless Modem User Manual

Cardionet Wireless Modem

User manual

Patient Education GuideCardioNet Ambulatory ECG System and Arrhythmia DetectorManufactured by CardioNet Inc.1010 Second Ave., Suite 700San Diego, CA 92101Copyright 2006All rights reservedDocument number 101010 Revision B October 2006MOBILE CARDIAC OUTPATIENT TELEMETRY
213INTRODUCTION. . . . . . . . . . . . . . . . . . . . . . . .1 How the CardioNet Service Works. . . . . . . . . . . . . . . . . . . 2Your CardioNet Monitoring Supplies . . . . . . . . . . . . . . . . . 4Your Rights as a Patient. . . . . . . . . . . . . . . . . . . . . . . . . .6Your Responsibilities as a Patient . . . . . . . . . . . . . . . . . . . 6Who to Call with Questions . . . . . . . . . . . . . . . . . . . . . . . 6In the Case of an Emergency. . . . . . . . . . . . . . . . . . . . . . 7What to Do When your Monitoring is Over. . . . . . . . . . . . . 8GETTING STARTED . . . . . . . . . . . . . . . . . . . . .9Connecting from Home . . . . . . . . . . . . . . . . . . . . . . . . . 10How to Install the CardioNet Base . . . . . . . . . . . . . . . . . 11About the CardioNet Base . . . . . . . . . . . . . . . . . . . . . . . 14How to Activate the CardioNet Sensor . . . . . . . . . . . . . . . 15Tips for Wearing the CardioNet Sensor . . . . . . . . . . . . . . 18How to Activate the CardioNet Monitor . . . . . . . . . . . . . . 19USING THE Monitor . . . . . . . . . . . . . . . . . . . .25How to Turn your Monitor On and Off . . . . . . . . . . . . . . . 26How to Record an Event . . . . . . . . . . . . . . . . . . . . . . . . 28How to Change Monitor Options . . . . . . . . . . . . . . . . . . . 30How to Check Battery Power . . . . . . . . . . . . . . . . . . . . . 34How to Check Cell Phone Coverage . . . . . . . . . . . . . . . . 35Receiving Messages from CardioNet . . . . . . . . . . . . . . . . 36How to Read a Text Message . . . . . . . . . . . . . . . . . . . . . 37ii  Table of ContentsTABLE OF CONTENTS
456SENSOR CARE . . . . . . . . . . . . . . . . . . . . . . . .39Tips for Changing Electrode Pads . . . . . . . . . . . . . . . . . . 40How to Change Electrodes and Attach Sensor . . . . . . . . . 41Remove Before Showering or Bathing . . . . . . . . . . . . . . . 44How to Change the Sensor AA Battery . . . . . . . . . . . . . . 45TROUBLESHOOTING . . . . . . . . . . . . . . . . . . .47Responding to Monitor Alerts and Alarms . . . . . . . . . . . . 48Troubleshooting Device Problems . . . . . . . . . . . . . . . . . . 51Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55SPECIFICATIONS, COMPLIANCE & SYMBOLS 57Specications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58Equipment Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . 60In Home Requirements . . . . . . . . . . . . . . . . . . . . . . . . . 60FCC Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62Table of Contents  iii
1• 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 OverINTRODUCTIONIn this Chapter:
2  IntroductionWhen 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. 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.1 2Monitor transmits eventsSensor detects and analyses heartbeatsHow the CardioNet Service Works1. I N T RODUC T ION
Introduction  33The 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 the report, discusses results with you and prescribes or adjusts treatment as needed. 4CardioNet reports to your physician Your physician reviews your resultsHow the CardioNet Service Works1. I N T RODUC T ION
4  IntroductionPicture Item and DescriptionCARDIONET SHIPPING KITThe 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 SENSORThe 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 MonitorThe 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 BASEThe 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. e CardioNet KitThe 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.Kit PhotoHereYour CardioNet Monitoring Supplies1. I N T RODUC T ION
Introduction  5Picture Item and DescriptionELECTRODESElectrodes 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 BATTERIESThe 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 CLIPUse 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 CORDUse 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 & VIDEOThe Patient Education Guide and Patient Information Video contain helpful information about the CardioNet service and important contact numbers. UPS SHIPPING LABELPut 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 nished.Your CardioNet Monitoring Supplies1. I N T RODUC T ION
6  IntroductionYou have the right to be treated with dignity, courtesy and respect.You have the right to high quality service.You have the right to excellent training on how to use the CardioNet technology and service.You have the right to receive high-quality service regardless of race, religion, political belief, sex, sexual preference or source of payment.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.You have the right to refuse service.1.2.3.4.5.6.Use the CardioNet equipment with care.Return equipment to CardioNet immediately, when monitoring is completed.Provide CardioNet with the information CardioNet needs to provide you with quality care.Treat CardioNet employees with respect.1.2.3.4.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: 1-866-426-4401Monitoring Questions: 1-866-426-4401Billing Questions: 1-866-426-4402Your Rights as a PatientYour Responsibilities as a PatientWho to Call with Questions1. I N T RODUC T ION
Introduction  7CardioNet is not an emergency response service. If you experience symptoms that concern you, seek medical help.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 notication 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 conrmed by a Certied Cardiac Technician (CCT).• There is an inherent time delay from when the event is analyzed and conrmed 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 dened 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 notication 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.In the Case of an Emergency1. I N T RODUC T ION
8  IntroductionWhen 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: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.You can drop off the kit at Staples, the UPS Store, or another location with UPS drop-off.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.1.2.3.What to Do When your Monitoring is Over1. I N T RODUC T ION
2GETTING STARTEDIn 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
10  Getting StartedThis 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 rst 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.Connecting from Home2 . GET T I NG S TA RT E D
Getting Started  11Items You’ll Need for Base InstallationItem and Quantity Picture of Item Kit LocationThe 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. 111Power PlugTelephone CordCardioNet BasePlace shipper kit image herePlace shipper kit image herePlace shipper kit image hereHow to Install the CardioNet Base2 . GET T I NG S TA RT E D
31 2Find an electrical outlet located close to a telephone jack, preferably in your bedroom.Pick up the receiver of your home phone and listen to ensure there is a dial tone. On the CardioNet base, locate the slot labeled “Phone In” on the back of the base. Take the telephone cord you just unplugged from the back of your phone and plug it into the slot on the base labeled “Phone In”.Locate the telephone cord plugged into the back of your home phone. Unplug the telephone cord from the back of your telephone.Look for outlet and jack Find your phone cord Plug phone cord into base12  Getting StartedHow to Install the CardioNet Base2 . GET T I NG S TA RT E D
4 5In 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”. Plug the other end into an electrical outlet.Check your home phone for a dial tone. In the CardioNet kit, nd 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.Plug in second phone cord Plug in power cordGetting Started  13How to Install the CardioNet Base2 . GET T I NG S TA RT E D
e Base Transmits Events Using your Home TelephoneWhen your CardioNet monitor is in the base, it uses your home telephone system for communications with the CardioNet Monitoring Center. When you are away from home – or whenever your CardioNet monitor is out of the base station – the monitor uses cell phone technology to contact the CardioNet Monitoring Center and transmit data. You do not need a cell phone. The monitor uses its own cell phone.As with consumer cellular phones, calls can sometimes be delayed or blocked by coverage problems, heavy trafc on cell phone networks, or physical obstructions such as buildings or mountains.If the CardioNet monitor has data to transmit and is unable to communicate with the CardioNet Monitoring Center through cellular communications, the monitor will store the data and transmit it when cell coverage becomes available or through your home telephone system when the monitor is placed in the base. If you pick up your telephone while the monitor is in the base and transmitting data, you will hear static, like the sound a fax machine makes. Hang up the phone and wait a few minutes while the data is sent and then you will get a dial tone. If you must use your phone and the monitor is transmitting data, take the monitor out of the base and make your call. When you are done with the call, however, you should return your monitor to the base right away to complete the transmission. If you are on the phone and the monitor wants to transmit data, you might hear clicking sounds. If you are using a dial-up connection to access the Internet on the same phone line as the base, and the monitor is in the base transmitting data, it may disconnect you from the Internet. Hang up and the monitor will transmit the data. When the monitor is in the base and transmitting data, your telephone line will have a busy signal for incoming calls. You will not be charged for any calls your monitor makes to CardioNet.14  Getting Startede Base Recharges your MonitorThe 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. At some point during the day, plug the power cord into an electrical outlet and charge your monitor by inserting the other end of the power cord into the hole on the side of the monitor. About the CardioNet Base2 . GET T I NG S TA RT E D
Items You’ll Need to Begin Using your CardioNet SensorItem and Quantity Picture of Item Kit LocationThe 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. Getting Started  15111Pack of Electrode PadsAA BatteryCardioNet Sensor1Neck Strap or Belt ClipPlace shipper kit image herePlace shipper kit image herePlace shipper kit image herePlace shipper kit image hereHow to Activate the CardioNet Sensor2 . GET T I NG S TA RT E D
31 2First make sure you do not have any lotion, powder or hair in the three locations (steps 4-6). If you have lotion or powder on, you should wash off the areas with soap and water and dry the skin completely. If you have any hair in these locations, you must shave it all off before putting the electrodes in place. Prepare your skinNeck strap: unsnap the neck strap and thread it through the loop on the sensor. Snap the ends together and place it over your head. The 2 tabs allow you to adjust the length of the strap. Belt clip: attach the clip to your pants, skirt or belt. Snap the at side of the sensor into the clip with the wires pointing upward.Belt clip or neck strap?16  Getting StartedInsert the AA batteryLift 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.How to Activate the CardioNet Sensor2 . GET T I NG S TA RT E D
Peel off the electrode from the backing with the BLACK lead attached. Place this electrode just below the center of your left collarbone. Press so that the electrode is ad-hered to your skin.Open one pack of elec-trodes. Snap the 3 leads (from the end of your sensor wires) onto the 3 electrodes. Peel off the electrode from the back-ing with the WHITE lead attached. Place this elec-trode just below the center of your right collarbone. Press so that the electrode is adhered to your skin.4 5 6Peel off the electrode from the backing with the RED lead attached. Place this electrode on your left side, on the lower part of your rib cage. RED on ribs. Press so that the electrode is adhered to your skin.Red on ribsGetting Started  17White on right Black on leftHow to Activate the CardioNet Sensor2 . GET T I NG S TA RT E D
18  Getting StartedHow the Electrodes WorkThe 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. It is very important that you follow the instructions in Chapter 4: Changing Your Electrodes. By following these instructions carefully you are providing CardioNet with a clear reading of your heartbeats while maintaining the health of your skin.If You Experience Skin IrritationIf you experience skin irritation or a rash or at any time you experience discomfort wearing the electrodes, please contact CardioNet at 1-866-426-4401.Tips for Wearing the CardioNet Sensor2 . GET T I NG S TA RT E D
Items You’ll Need to Activate your CardioNet MonitorItem and Quantity Picture of Item Kit LocationBefore 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. 111Patient Enrollment Form to signSensor AttachedCardioNet MonitorGetting Started  19The sensor should be attached to your body. Place shipper kit image herePlace shipper kit image hereHow to Activate the CardioNet Monitor2 . GET T I NG S TA RT E D
31 2Switch the power switch on the green/on posi-tion. Wait for the monitor to power up. Activation screen 1 will appear. Your name should appear on the screen. Look at the back of your sensor. The 5 digit SNV number should match the number on this screen. Touch Yes to proceed.Conrm name and sensorActivation screen 3 is shown.Touch Yes to indicate that you agree to return your CardioNet kit and all its contents immediately after your monitoring is complete. Activation screen 2 is shown.In the blue folder in your kit, locate “CardioNet’s No-tice of Condentiality and Privacy Practices”.Touch Yes to indicate that you have received this document.Received Privacy Practices Agree to Return Equipment20  Getting StartedHow to Activate the CardioNet Monitor2 . GET T I NG S TA RT E D
54Activation screen 5 is shown. 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. Activation screen 4 is shown.In your kit, locate the “Pa-tient Enrollment Form.”Touch Yes to indicate that you agree with the Terms and Conditions on the form. Agree to terms Agree to Share Data6Activation screen 6 is shown.If you are not already speaking with a Customer Service Representative, please call CardioNet at 1-866-426-4401. Touch Continue on your screen to proceed. Call CardioNetGetting Started  21How to Activate the CardioNet Monitor2 . GET T I NG S TA RT E D
97 8Activation screen 7 is shown.While you are talking with our Customer Service Rep-resentative, 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.When the monitor has connected and activation is complete, the Activation Successful screen is shown. Touch Continue to proceed and begin the process of recording a baseline ECG. The Activating Monitor screen appears.During this time, your monitor is attempting to connect with the center and activate your prescription. This could take several minutes. If activation fails, a screen containing instructions will appear (see page 25). Enter password Activating... stand by Activated.22  Getting StartedHow to Activate the CardioNet Monitor2 . GET T I NG S TA RT E D
When you are comfort-able 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.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.Getting Started  231 2 3How to Activate the CardioNet MonitorPrepare to record Record baseline Recording... remain still2 . GET T I NG S TA RT E D
4 5Once 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. Baseline Recorded Begin monitoring24  Getting StartedHow to Activate the CardioNet Monitor2 . GET T I NG S TA RT E D
If you disagree with any of the Activation screens you may choose No. However, if you do not consent to all of the Activation screens, CardioNet may not be able to provide monitoring to you. Please call CardioNet at 1-866-426-4401 to discuss your options. Please do not call your physician.If you have questions or need assistance at any time, call CardioNet toll free at 1-866-426-4401.If the monitor is unable to connect to the CardioNet center, the activation will fail. If the “Activation failed” screen appears, do not proceed until you have called CardioNet’s Customer Service at 1-866-426-4401. Getting Started  25If Activation FailsIf You DisagreeNeedAssistance?How to Activate the CardioNet Monitor2 . GET T I NG S TA RT E D
3USING THE MonitorIn 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
31 2With 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 will appear. 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. You will hear a start up sound and the CardioNet “C” logo will appear. When the touch screen displays the Main Menu, the monitor is on and awake. The “Good bye” screen indicates that your device is shutting down. Do not move to toggle switch until the screen is blank and the device is completely off. The only times you will need to turn the monitor off are when you change the sensor battery, change your electrodes, or take a shower or bath. OFF: Flip switch to red Powering DownON: Flip switch to green28  Using the MonitorGood bye...How to Turn Your Monitor On and Off3. USI NG T H E Mo n i tor
On & Awake On &Asleep Charging When the monitor is asleep, the touch screen is blank and not lit. The LED light at the top right side of the monitor is on and blinking red or green.Sleeping helps the moni-tor save battery power while you are not using the touch screen. When the monitor is charging, the LED light at the top left side of the monitor will illuminate in orange. The monitor battery icon, located on the Main Menu in the uper left corner will blink and will change colors as it recharges. Always leave your monitor on, even when charging. 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. A green blinking LED light means you are being monitored. A red blinking LED light means you are not being monitored. Using the Monitor  29How to Turn Your Monitor On and Off3. USI NG T H E Mo n i tor
31 2Follow these steps if you are experiencing any symptoms. Ensure that your monitor is on and awake. On the Main Menu touch the Record button. The rst of two symptom screens appears. Select each symptom that you feel. The button will depress and change to a dark blue color. Touch Next and repeat for the second symptom screen. When you are finished, touch Next.On the monitor’s touch screen, a confirmation screen will appear. Touch the Yes buton to continue to step 3. If you have touched the Record button by accident and do not wish to record an event, touch No and you will return to the Main Menu. Touch Record Event Touch Yes to conrm Touch symptoms30  Using the MonitorHow to Record an Event3. USI NG T H E Mo n i tor
4 5 6Your event information has been recorded and stored. The monitor will then attempt to contact and transmit the data to the CardioNet Monitoring Center. Touch OK to return to the Main Menu. Choose the activity level that best reects your level of exertion when you felt your symptom. When you are finished, touch Next. Touch activity level Event recordedUsing the Monitor  31Main menuWhen you wish to record another event, press the Record button. How to Record an Event3. USI NG T H E Mo n i tor
31 2Ensure the monitor is on and awake. From the Main Menu, touch the Options button.Choose a desired volume.Touching High, Medium or Low places a check mark next to your selec-tion. You will hear a tone for the volume you have chosen. Vibrate disables the audio sounds and you will feel the monitor vibrating. Touch Conrm to save.Touch the button labeled Volume.Touch View Options Touch Volume Choose desired volume32  Using the MonitorVolumeHow to Change Monitor Options3. USI NG T H E Mo n i tor
1 2 3Touch the button labeled Display.Choose a desired brightness for the screen. Touching the Bright, Medium or Dim button adjusts the LCD screen brightness and you will see the new setting you have chosen.Touch OK to save.Ensure the monitor is on and awake. From the Main Menu, touch the Options button.Touch View Options Touch Display Choose desired brightnessUsing the Monitor  33DisplayHow to Change Monitor Options3. USI NG T H E Mo n i tor
31 2Ensure the monitor is on and awake. From the Main Menu, touch the Options button.Choose either Yes or No.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. The cell icon on the Main Menu now displays “OFF”. Touch the button labeled Cell Power.Touch Options Touch Cell Phone Choose On or Off34  Using the MonitorCell PhoneNever turn off your cell phone. e cell phone off feature is ONLY for use when flying. How to Change Monitor Options3. USI NG T H E Mo n i tor
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.Using the Monitor  35Service or Send... Pressing the Record Baseline button will display the first screenin this process. You should only proceed when speaking with an authorized CardioNet Customer Service Representative. If you enter this screen by accident, exit by touching Back you will return to the Options Menu.How to Change Monitor Options3. USI NG T H E Mo n i tor
A battery icon that is lled 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 lled with a red color indicates either your monitor or sensor battery is empty.The monitor’s rechargeable battery provides 16 hours of use for every 4 hours of recharging. The sensor AA battery should be replaced at the same time every day. If your monitor or sensor battery icon are red in color you, should recharge or replace the battery immediately. 36  Using the MonitorMonitor Battery Icon Sensor Battery IconHow to Check Battery Power3. USI NG T H E Mo n i tor
Using the Monitor  37Four 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 cel-lular 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 re-member, the cell phone off feature is only for use when ying.You can’t change your cell strength unless you change your current loca-tion.If the icon indicates no cellular coverage and the monitor is not in the base, your data will be stored until the monitor has a cellular connection or is placed in the base. Options Menu Yes for Cell PowerHow to Check Cell Phone Coverage 3. USI NG T H E Mo n i tor
About Text MessagesThere 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 mes-sage, 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. The blue envelope will remain on the button and you can read your message again at any time by pressing the button. If you receive another message, the word “NEW” will appear and blink on your envelope. You will need to touch the button again to read your new message.38  Using the MonitorReceiving Messages From CardioNet3. USI NG T H E Mo n i tor
31 2Ensure the monitor is on and awake. If you have received a new text message, an envelope will blink “NEW”. From the Main Menu, touch the “Messages” button located at the bottom right corner of the screen.The envelope icon no longer reads “NEW”. You can regain access to the text message by touching the “Messages” button. If you receive another text message, the envelope icon will change and blink “NEW” again. The date and time the text message was sent to you is displayed. Read the text message and follow any instructions provided.When you have nished, touch OK to return to the Main Menu. Touch Messages button Read text message Return to Main MenuUsing the Monitor  39How to Read a Text Message3. USI NG T H E Mo n i tor
4SENSOR CAREIn 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
42  Sensor CareChanging your Electrode Pads and Keeping Your Skin HealthyChange 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. If you do not remove the electrodes in the shower or bath, you will still need to use soap and water to loosen them. The goal is to be gentle with your skin. Never pull the electrodes off quickly like a band-aid. If the electrodes come loose or are moving around before the two days are over, replace them immediately. It is very important that the electrodes adhere to your skin at all times. You may want to press lightly on your electrodes in the morning when you wake up and throughout the day to make sure they are adhered to your skin.Do not put the electrodes in the exact same location each time you change them. It is very important that you rotate the locations near the original sites. This will help preserve your skin. If, at any time, redness or irritation occurs, call CardioNet at 1-866-426-4401. Do not wait until the irritation is severe before you call. The “Skin Prep” in your kit can be used if you experience mild skin irritation. Wipe the 3 areas with one skin prep. Let it dry and then apply the electrodes. The skin prep provides a barrier between the electrodes and your skin. It is usually not nec-essary to use the skin prep and should only be used if you have sensitive skin or are experiencing mild skin irritation.Adhesive remover is also included in your kit and can be used if you have any adhesive residue left on your skin. The adhesive remover can irritate your skin so make sure you wash it off after using. It is not necessary to use the adhesive remover and should only be used if you can see visible adhesive still on your skin after washing with soap and water.Do not use lotion or powder on your chest while you are being monitored and re-move all hair on your chest in the locations of the electrodes. Follow the instructions in the next few pages on How to Change Electrodes. Tips for Changing Electrode Pads4 . S E N S O R C A R E
31 2With your monitor on, locate the black toggle switch on the bottom of you monitor. Move the switch from green to red. The blue “Good bye...” screen will appear. Once this screen disappears, the monitor has completely powerd down. Unsnap the three leads from the electrode pads. Using soap and water, gently lift the old electrode pads off your skin. Never pull them off quickly. Throw the old electrode pads away.Open the battery door by pushing the door snap up.Remove the battery by grabbing both sides and ling it out. Turn monitor off Remove sensor battery Remove old electrodesSensor Care  43How to Change Electrodes and Attach Sensor4 . S E N S O R C A R E
6Turn the sensor on by inserting one AA battery into the sensor battery compartment. You will hear a chime if the battery is inserted correctly.Turn your monitor on by locating the black toggle switch on the bottom of your monitor. Move the switch from red to green.Monitor and sensor on44  Sensor Care4 5It 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. Place the electrode with the WHITE lead on the right, under your collar bone.BLACK ON LEFT. Place the electrode with the BLACK lead on the left, under your collar bone.RED ON RIB. Place the electrode with the RED lead on your lower left rib cage.Apply new electrodes Placement of the leadsHow to Change Electrodes and Attach Sensor4 . S E N S O R C A R E
7 8If you choose to wear the sensor on your belt, you will need the belt clip.Attach the clip to your pants, skirt or belt. Insert the end of the sensor with the loop pointing downward into the narrow opening on the clip. Snap the other end into the wide opening with the wires pointing upward.If you choose to wear the sensor on your chest, you will need the neck strap.Unsnap the strap and thread it through the loop on the sensor. Snap the ends together and place it over your head. The 2 tabs allow you to adjust the length of the neck strap. If you choose neck strap If you choose belt clipIf your skin is red or ir-ritated, you can use the “Skin Prep” located in your kit. This provides a protec-tive barrier between your skin and the electrode. Wipe all 3 locations with one skin prep. Allow to dry and place electrodes on top. If the skin irritation continues, call CardioNet at 1-866-426-4401.Sensor Care  45Skin Irritated?How to Change Electrodes and Attach Sensor4 . S E N S O R C A R E
1 2With your monitor on, press the blue power but-ton located on the lower right part of the monitor. On the monitor’s touch screen, a confirmation screen will appear. Press Yes to turn the moni-tor off. 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.While you are drying off, use your towel and press the electrodes onto your skin. This will help dry the electrodes and to ensure a tight surface contact with your skin.If your electrodes are 2 days old, remove the old electrodes and apply new electrodes. Removing the old electrodes during your shower - while they are wet - may be gentler on your skin. 46  Sensor CareRemove Before Showering or Bathing4 . S E N S O R C A R E
1 2 3Remove the old battery by placing your nger in the recessed area, wedging your finger underneath the battery and lifting upward.Put in a new AA battery, included in your CardioNet kit. Note the battery direction on the label on the inside of the sensor cover. If properly installed, the sensor will chime. If the sensor doesn’t chime, recheck the battery direction.Close the sensor cover and turn your monitor on. Press the blue power button located on the lower right part of the monitor. On the monitor’s touch screen, a confirmation screen will appear. Pressing Yes will turn the monitor off. Open the battery door by pushing the door tab up.Turn monitor off Remove old battery New battery, monitor onSensor Care  47How to Change the Sensor AA Battery4 . S E N S O R C A R E
5TROUBLESHOOTINGIn this Chapter:• Responding to Monitor Alerts and Alarms• Troubleshooting Device Problems• Precautions, Cautions and Warnings
When the monitor or sensor beepsWhen 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.Alerts display an information screen that will disappear after 15 seconds and have an audio tone of two brief beeps. Alarms display an information screen that persists and alarm tones that grow louder over time. Alerts can sometimes x themselves, but alarms always require action on your part. For alarms, you can immediately silence the audio tones by touching the Silence button on the touch screen. The table below will help you identify the possible problem and the actions you can take to nd a solution for each monitor alert or alarm. 50  TroubleshootingScreen Problem Possible SolutionsNO COMMUNICATIONSThe sensor you are wearing on your body and the monitor are not communicating.Move closer to your monitor or move the monitor closer to you. ORCheck if the sensor battery is empty or oriented incorrectly. LEAD DISCONNECTEDOne or more leads are unsnapped from the electrodes.OROne or more electrodes are not stuck well to your skin.Check that all leads are snapped to the electrodes. ORCheck all electrodes to ensure they are stuck to your skin. Apply new electrodes if needed.Responding to Monitor Alerts and Alarms5. T ROU BL E SHO OT I NG
Troubleshooting  51Screen Problem Possible SolutionsLOW MONITOR BATTERYThe rechargeable battery in the monitor is low.Return the monitor to the base for recharging.ORDirectly recharge the monitor by plugging the base power cable into the monitor. LOW SENSOR BATTERYThe sensor AA battery is low. Install new battery. ORIf the battery is new, inspect battery compartment and clean contacts if necessary.INTERNAL MONITOR ERRORThe monitor is not functioning. Call the CardioNet Patient Service Center for help. Call Toll free: 1-866-426-4401. INTERNAL SENSOR ERRORThe sensor is not functioning. Call the CardioNet Patient Service Center for help. Call Toll free: 1-866-426-4401. Responding to Monitor Alerts and Alarms5. T ROU BL E SHO OT I NG
52  TroubleshootingScreen Problem Possible SolutionsINFORMATION TO SENDThe monitor needs to transmit data but can not establish a con-nection to CardioNet. Put the monitor in the base.ORMove to an area with cell phone coverage.Responding to Monitor Alerts and Alarms5. T ROU BL E SHO OT I NG
About TroubleshootingTroubleshooting sometimes involves a bit of detective work, but usually the moni-tor 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. Any time an alert or alarm ap-pears and you do not know what to do, you can press the Help button to access detailed instructions on how to troubleshoot the problem. An alert prompts you to resolve a problem by displaying an information screen and beeping an audio tone. With alerts the problem can x itself and you won’t need to take any action. With alarms you will need to take some action and information on how to resolve the problem will be provided on the touch screen. An alarm persists to let you know that a problem has not been resolved and you must take action.If your Problem Can’t be ResolvedIf you experience additional problems with any components of the CardioNet Monitoring System, review the problems and solutions listed in the troubleshoot-ing section. If additional assistance is required contact customer support toll free at 1-866-426-4401.Troubleshooting  53Most alerts or alarms have a help screen. If you need more information, press the Help button to access detailed instructions on how to troubleshoot the problem.Troubleshooting Device Problems5. T ROU BL E SHO OT I NG
Problem Possible SolutionsMonitor battery power drains quicklyEnsure 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. Monitor screen is blankIt could be that the monitor is not turned on. Ensure the monitor is turned on by conrming that the LED light is ashing red or green. If the monitor is asleep, press the blue button. The screen should light up. If it doesn’t, the monitor may be low on power. Return the monitor to the base for recharging.Monitor beeps while you are in bed It is possible for your body to block communications between the sensor and monitor. This will cause warning beeps. To avoid beeps and maintain the communications link, place the sensor near the monitor on the bed next to you. Try not to lie on top of it or to get between the sensor and monitor while you are sleeping.Your phone line is busy When the monitor is in the base station and sending information it will use your telephone line. If someone calls you while the monitor is using the line, they will get a busy signal. If you try to place a call while the monitor is transmitting data, you will hear a high- pitched sound. This is the sound of monitor data being transmitted.Skin is irritated or reddenedIf you notice that the skin under or around your electrode pads is becoming sensitive, irritated or painful, or if you develop a rash, please call the CardioNet Patient Service Center immediately at 1-866-426-4401. Some people are sensitive or allergic to adhesives. CardioNet will send you another type of electrode pad.Sensor belt clip is difcult to put onIf you’re wearing a thicker belt and nding that it is difcult to slide on the Sensor Belt Clip, rst remove the CardioNet Sensor from the clip. Slide just the clip onto your belt and then reposition the sensor on the clip.54  TroubleshootingTroubleshooting5. T ROU BL E SHO OT I NG
PRECAUTIONSDISPOSE OF BATTERIES PROPERLYObserve all local laws for the disposal of alkaline batteries.WHEN NOT IN USE, REMOVE SENSOR BATTERYDo not leave the battery in the sensor when it is not in use. AVOID ELECTROMAGNETIC INTERFERENCEFor the best recording results, you should avoid close proximity to heavy equipment or other sources of electromagnetic interference such as electric blankets, heating pads, water beds, etc.POTENTIAL FOR ELECTROMAGNETIC INTERFERENCEThere is a potential for electromagnetic interference to other devices while using the CardioNet Service.USE WITH IMPLANTED PACEMAKERS AND ICDs ( DEFIBRILLATORS)If you have an implanted pacemaker or debrillator (ICD), the manufacturer may have rec-ommended you take certain precautions when using a cellular phone. Since the CardioNet monitor contains a cellular phone, you should take the same precautions when carrying and using the monitor. In general, most manufacturers recommend the following:• You should keep a distance of at least six inches (15 cm) between the cellular phone and a pacemaker or debrillator.• You should hold the cellular phone on the opposite side of the body from the pace-maker or debrillator.• Don’t carry a cellular phone in a breast pocket or on a belt if that would place the phone within six inches of the pacemaker or debrillator.• You should refer to the manufacturer’s information for guidance regarding your pace-maker or ICD and interference issues.Troubleshooting  55Precautions5. T ROU BL E SHO OT I NG
CAUTIONSPOWER DOWN Monitor AND SENSOR BEFORE SHOWERINGPower 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 WETMake sure the monitor and sensor stay dry at all times.LIMITATIONS OF COVERAGECardioNet’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 conrmed by a Certied Cardiac Technician (CCT).• There is an inherent time delay from when the event is analyzed and conrmed 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 physicianMAINTAIN MINIMUM DISTANCE FROM BASEDue to RF exposure, maintain a minimum distance of 20cm from the base.56  TroubleshootingCautions5. T ROU BL E SHO OT I NG
WARNINGSFOR ADULT USE ONLYThe CardioNet System is intended for Adult Use only. It shall not be use on infants weigh-ing less than 22 pounds. FOR USE WITH TELEPHONE SYSTEMAny patient whose life may be put at signicant risk by the unavailability of the telephone system should not be monitored by the CardioNet System. NOT AN APNEA MonitorThe CardioNet monitor is not to be used as an apnea monitor.USE ONLY WITH CARDIONET ELECTRODESWhile wearing the CardioNet sensor, use only electrodes provided by CardioNet.NOT AN EMERGENCY RESPONSE SERVICECardioNet is not an emergency response service. If you experience any symptoms that concern you, seek medical help.DO NOT TAMPER WITH DEVICEThere are no serviceable parts in the CardioNet System components. Removing the cover of any component may alter device performance.DO NOT TAMPER WITH Monitor BATTERYThe monitor battery can present a re or chemical burn hazard if mistreated. Do not disassemble, heat above 80C (176 F), incinerate, or recharge using any device other than the base or the CardioNet supplied power cord. USE ONLY CARDIONET POWER CORDDo not use any power cord for the base other than the one provided in the CardioNet service kit.DO NOT CONNECT ANY DEVICE TO THE PC PORT ON THE MONITORThe PC port is to be used only by CardioNet personnel.DO NOT USE NEAR FLAMMABLE ANESTHETICUnits are not to be used in the presence of ammable anesthetic. Troubleshooting  57Warnings5. T ROU BL E SHO OT I NG
6SPECIFICATIONS,COMPLIANCE & SYMBOLSIn this Chapter:• Specications• Equipment Symbols• In Home Requirements• FCC Compliance
60  SpecificationsPHYSICALSensor 3 inches x 4 inches x 1 inch ; Weight: 4.0 oz. with batterySensor Neck Strap Adjustable 20 to 32 inchesMonitor 6 inches x 3 inches x 0.8 inches; Weight: 8 oz.LCD 2.27 inches x 1.7 inches; Touch screen: color, backlitBase 7 inches x 4 inches x 2.5 inches; Weight: 12 oz.FUNCTIONALSample Rate 250 samples per secondResolution 12 bitsDynamic range +/- 5 mVBandwidth 0.1 to 40 HzChannels 2Battery Life: Monitor Up to 16 hrs (with cleared memory & fully recharged battery)Battery Life: Sensor 24 hrs (1 AA Alkaline)Leakage Current Less than .1 µ A ElectrodesTRANSMISSIONSensor to Monitor 900 MHz ISM band RF transmission, digital error corrected. 150 foot range. Retransmission if data is corrupted. Monitor to Center CDMA (PCS and cellular) wireless, digital error corrected. Tele-phone line modem, digital error corrected. OPERATING CONDITIONSOperating Tempera- Sensor: 20 - 45 o C; Monitor ; 0 - 45 o COperating Humidity 10% - 95% noncondensingStorage Temperature -20 - 65 o C noncondensingStorage Humidity 5% - 95% noncondensingOperation Altitude 700 - 1060 millibarsSpecifications6 . S PE C I F IC AT IONS
CONNECTIONSBase Power in (15V, 1.2A max); Phone in (RJ-11); Phone out (RJ-11)Monitor Power in (15V, 1.2A max)WALL ADAPTORManufacturer Friwo, Inc (15V, 1.0A)Model Number FW755M/15Note: Both the monitor and sensor are internally poweredSTANDARDS COMPLIANCEMonitor EN60601-1; AAMI EC-38; FCC Parts 2,15,22,24Sensor EN60601-1; AAMI EC-38; FCC Part 15Base EN60950; AAMI EC-38; FCC Part 15, 68AECG Equipment Type INote: This equipment has been tested and found to comply with the limits for medical devices to the IEC 601-1-2:1993, EN60601-1-2:1994, Medical Device Directive 93/42/EEC or the Electromagnetic Compatibility Directive 89/336/EEC (use applicable directive). These limits are designed to provide reasonable protection against harmful interference in a typical medical installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to other devices in the vicinity. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to other devices, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures:• Reorient or relocate the receiving device• Increase the separation between the equipment• Connect the equipment into an outlet on a circuit different from that to which the other device(s) are connected• Consult the manufacturer or eld service technician for helpSpecifications  61Specifications6 . S PE C I F IC AT IONS
Touch tone, pulse telephone or cellular / PCS wireless coverage suitable for data transmission AC powered outlet 1.2.FCC IDSensor ISM QBI-1008Monitor ISM QBI-1009Monitor Cell Modem Q9EQ2438F-MBase QBI-1010This device complies with part 15 and 68 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference and, (2) This device must accept interference received including interference that may cause undesired operation. 62  SpecificationsSNBF Type Equipment Consult Users Manual / Patient Education Guide Serial NumberEquipment SymbolsIn Home RequirementsFCC Compliance6 . S PE C I F IC AT IONS
FCC COMPLIANCEFCC RULES PART 15The 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 harm-ful interference to radio communications.CHANGES OR MODIFICATIONS NOT EXPRESSLY APPROVED BY CARDIONET INC. COULD VOID THE USER’S AUTHORITY TO OPERATE THE EQUIPMENTFCC RULES PART 68 REGISTRATIONModel 1004 complies with FCC Rules, Part 68. On this equipment is a label that contains, among other information, the FCC Part 68 registration number.RENThe Ringer Equivalence Number (REN) is used to determine the quality of devices that may be connected to the telephone line. Excessive RENs on the telephone line may result in the devices not ringing in response to an incoming call. In most, but not all areas, the sum of RENs should not exceed ve (5.0). To be certain of the number of devices that may be connected to a line, as determined by the total RENs, contact the local telephone company.NOTE: RENs are associated with loop-start and ground-start ports. It is not used for E&M and digital ports. The REN assigned to the Model 1004 is 0.16. If requested, this information must be given to the telephone company.SERVICEIn the event of equipment malfunction, all repairs should be performed by CardioNet, Inc. or an authorized agent. It is the responsibility of users requiring service to report the need for service to CardioNet, Inc. or to one of our authorized agents. Service can be facilitated through our ofce at: CardioNet, Inc. 1010 Second Avenue, Suite 700 San Diego, CA 92101 619-243-7500. The telephone company can ask you to disconnect the equipment until the problem is corrected or until you are sure that the equipment is not malfunctioning.The Model 1004 interface connects to the Public Switched Telephone Network through a FCC registered NCTE which species the type of network jack to be used.Specifications  63FCC Compliance6 . S PE C I F IC AT IONS
FCC COMPLIANCEDISRUPTION OF THE NETWORKIf the Model 1004 disrupts the telephone network, the telephone company can discon-tinue 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 le a complaint with the FCC.TELEPHONE COMPANY FACILITY CHANGESThe telephone company can make changes in its facilities, equipment, operations, or procedures that can affect the operation of your equipment. If they do, you should be notied in advance so you have an opportunity to maintain uninterrupted telephone service.FCC RADIO FREQUENCY EXPOSURE INFORMATIONIn August 1996, the Federal Communications Commission (FCC) of the United States, with its action in Report and Order FCC 96-326, adopted an updated safety standard for human exposure to radio frequency (RF) electromagnetic energy emitted by FCC regu-lated transmitters. Those guidelines are consistent with the safety standard previously set by both U.S. and international standards bodies. The design of this device complies with the FCC guidelines and these international standards. Use only the supplied an-tenna. Unauthorized antennas, damaged antennas, modications, or attachments could impair call quality, damage the device, or result in violation of FCC regulations. Please contact CardioNet if damage to the unit is apparent. BODY-WORN OPERATIONThis device was tested and was found to comply with the FCC exposure requirements. The device was also tested and found to comply with SAR (Specic Absorption Rate) testing. For more information about RF exposure, please visit the FCC website at www.fcc.gov.64  SpecificationsFCC Compliance6 . S PE C I F IC AT IONS

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