Philips Medical Systems North America M3813B Telemedicine Home Scale User Manual M3810 90096

Philips Medical Systems North America Co. Telemedicine Home Scale M3810 90096

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M3813B User Manual

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Notice2 NoticeProprietary Information Published by Philips Medical Systems, a division of Philips Electronics North America Corporation.Philips Medical Systems reserves the right to make changes to both this Instructions for Use and to the product it describes. Product specifications are subject to change without notice. Nothing contained within this Instructions for Use is intended as any offer, warranty, promise or contractual condition, and must not be taken as such.© Koninklijke Philips Electronics N.V. 2006 All Rights are reserved. Reproduction in whole or in part in any form or by any means, electrical, mechanical or otherwise, is prohibited without the written consent of the copyright holder.Document number:M3810-90096Issue number 2, July 2006Philips Medical Systems3000 Minuteman RoadAndover, MA 01810-1085 USAUnauthorized copying of this publication is a copyright infringement and will reduce the ability of Philips Medical Systems to provide accurate and up-to-date information to users. Non-Philips product names may be trademarks of their respective owners.Published in the United States of America

Notice 3Printing History New editions of this document will incorporate all material updated since the previous edition. Update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page. Note that pages which are rearranged due to changes on a previous page are not considered revised.The documentation printing date and part number indicate its current edition. The printing date changes when a new edition is printed. (Minor corrections and updates which are incorporated at reprint do not cause the date to change.) The document part number changes when extensive technical changes are incorporated.All Editions and Updates of this manual and their publication dates are listed below.First Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . October 2002Second Edition . . . . . . . . . . . . . . . . . . . . . . . . . . . . July 2006

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ContentsContents 11. Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1Welcome. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1How the System Works . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1Keeping the System Working. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1Thank You!. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1Philips Telemonitoring Services System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2Safety and Precautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3Follow Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3Document Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4Bold Typeface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4Display Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-52. Philips Telemonitoring Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1Device Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2Home Hub/TeleStation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2Front Panel Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5Standard Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5Steady Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6Blood Pressure Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7BP Unit Display Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8Rhythm Strip Recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9Rhythm Strip Recorder Display Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

Contents 2Pulse Oximeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11Pulse Oximeter Display Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12Device Usage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13HomeHub/TeleStation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13Home Hub . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13TeleStation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13Answering Survey Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14Entering Measurements Manually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16Entering Glucose Meter Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18Changing Glucose Meter Time and Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20Measuring Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20Measuring Weight with a Walker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22Changing the Voice Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-25Changing the Weight Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-26Changing Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-27Blood Pressure Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-29Display Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-30Measuring Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-31Rhythm Strip Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-34Pulse Oximeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-363. Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1Cleaning Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2Storing Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3Blood Pressure Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3Rhythm Strip Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3Pulse Oximeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3Replacing Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4Standard Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3Steady Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.7Blood Pressure Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9Rhythm Strip Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10Pulse Oximeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11

Contents 34. Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1Radio Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2Troubleshooting Tables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3Home Hub/Telestation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8Rhythm Strip Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10Blood Pressure Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11Pulse Oximeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-125. Specifications and Regulatory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2Home Hub/TeleStation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2Standard Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2Steady Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3Blood Pressure Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-4Rhythm Strip Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-4Pulse Oximeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-5Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6Physical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6Electrical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6Environmental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7Electromagnetic Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8Emissions and Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8Avoiding Electromagnetic Interference Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-9Avoiding Static Electrical Discharges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-9Regulatory Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10FCC Regulations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10Telephone Regulatory Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

Contents 4

Introduction 1-1Introduction1IntroductionWelcomeWelcome to Philips Telemonitoring Services. When you use this product, you’ll take a few minutes every day to measure your weight, vital signs, and/or glucose.These measurements will help you and your healthcare provider make better decisions about your care. You are providing information that can help improve you quality of life.How the System WorksWith this system, it’s easy to take your measurements from the comfort of you home. The measurements are sent over your phone line to your healthcare provider’s computerFeel free to talk on you phone at any time -- the system is “smart” enough to know when the phone line is open. It will wait and then send the information after you hang up.Keeping the System WorkingIf at any time you suspect something is wrong with any of the devices, immediately contact your healthcare provider. Philips will replace any defective device. You can also cross-check your results with another device if additional measurement devices of the same type are available to you.This Guide contains easy-to-follow steps for taking your measurements. It also shows you how to maintain the devices so that they will continue to take true readings.Thank You! Thank you for taking an active role in your home healthcare plan. Philips and your healthcare provider applaud your efforts to actively participate in you health care plan.

Philips Telemonitoring Services System1-2 IntroductionPhilips Telemonitoring Services SystemYour Philips Telemonitoring Services system includes a set of measurement devices known as the Patient Telemonitoring Set. Each device takes an important measurement -- such as weight, blood pressure and pulse, heart rhythm, %SpO2 -- and then wirelessly sends that measurement to the Home Hub or TeleStation. Your healthcare provider decides whether you will use one or all of the measurement devices below. The HomeHub/TeleStation is the "communications center." It receives your measurements from the devices via radio transmission and sends them over your phone line to your healthcare provider’s computer. The computer keeps a record of all of your vital sign measurements for review by your healthcare provider.Patient Telemonitoring SetScaleBlood Pressure UnitRhythm Strip RecorderPulse OximeterRadio Telephone Home HuborTeleStationHealthcare TransmissionTransmissionProviderSteadyStandard or

Safety and PrecautionsIntroduction 1-3Safety and PrecautionsFollow Instructions Follow your doctor’s instructions about symptoms that require you to contact your healthcare provider. Use of this device is not intended to replace your existing therapy or drug administration. Remember, only your healthcare provider is trained to interpret the results. He or she will tell you when and how often to take your vital signs. Please read all of the instructions in this guide before using the Philips Telemonitoring System and follow the instructions carefully.Document Conventions The following conventions will be used in this Guide to alert you to special or important information in the text.Warnings Warnings are information you should know to avoid a hazard that could result in severe injury or death. Observe the following Warnings with all devices of the Philips Telemonitoring System.Warning •Do not let anyone else use these devices. They are provided for your use only.•Do not swap devices with a neighbor or family member who has the same or similar system.• These devices are not intended to be used to call for emergency medical attention or response.•Do not try to fix a device yourself. If there’s a problem, call your healthcare provider.•Do not use a device with the battery door removed.• Avoid exposing the devices to extremes in temperature, humidity, direct sunlight, shock, dust spill, or standing water.•Do not let children use the device.• Throw away packing materials and plastic bags right away. They are a hazard for children.

Safety and Precautions1-4 Introduction• Small parts that can be removed from a device and swallowed -- such as the Home Hub rubber feet and Home Hub power adapter clip -- are hazards for children and pets.• To prevent shock, connect cables only as described in this Guide. •Do not connect anything to this system other than Philips Telemonitoring Services devices or glucose meters approved by your healthcare provider.• To prevent shock, do not use devices during a lightning storm. • Call your healthcare provider if you are inured using any of these devices.Cautions Cautions are information you should know to avoid a hazard that could result in personal injury or property damage.Observe the following Cautions with all devices of the Philips Telemonitoring System.Caution • Read this Guide carefully before using these devices.• Use these devices only as directed by your healthcare provider. • Follow your physician’s instructions regarding symptoms that require direct contact with your healthcare provider. • Use of these device is not a substitute for medical care. Notes Notes contain additional information on usage of the Patient Telemonitoring System and its devices.NoteBoldTypeface Objects of actions in procedures appear in bold typeface, as shown in the following example:Step 1. Select the Update button.

Display SymbolsIntroduction 1-5Display SymbolsA number of symbols are displayed on various devices or in documentation of the Philips Telemonitoring System. Their meaning and the devices on which they may appear are given in the following table.Symbol Description Applicable DevicesType B Patient Applied Parts as defined in IEC 60601-1. Not suitable for direct cardiac application.Standard ScaleSteady ScaleBlood Pressure Unit Rhythm Strip RecorderPulse OximeterAttention: Consult accompanying documents. Home Hub/TeleStationStandard ScaleSteady ScaleBlood Pressure Unit Rhythm Strip RecorderPulse OximeterMeets UL-1950.CSA-950, IEC-60950standardsMeets CSA IEC-60950-1 standardsHome Hub/TeleStationStandard ScaleSteady ScaleBlood Pressure Unit Rhythm Strip RecorderMeets IEC-60601-1 standards. TeleStationPulse OximeterIn TelePort serial data port for connection to Philips devices only TeleStationAC Power adapter connection(9.0VAC/500mA Use Philips-supplied adapter only)TeleStationTelephone or telephone line TeleStation

Display Symbols1-6 IntroductionMeets Class B standards. Home Hub/TeleStationStandard ScaleSteady ScaleBlood Pressure Unit Rhythm Strip RecorderPulse OximeterMeets Part 15 standards. Standard ScaleSteady ScaleBlood Pressure Unit Rhythm Strip RecorderPulse OximeterMeets Part 68 standards Home Hub/TeleStationSymbol Description Applicable Devices

Philips Telemonitoring Set 2-1Introduction2Philips Telemonitoring SetOverviewChapter 2 provides a detailed description of the devices of the Philips Telemonitoring Set and how to use them. It includes the following. PageDevice Descriptions. . . . . . . . . . . . . . . . . . . . . . . 2-2Home Hub/TeleStation . . . . . . . . . . . . . . . . . . 2-2Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5Blood Pressure Unit. . . . . . . . . . . . . . . . . . . . . 2-7Rhythm Strip Recorder . . . . . . . . . . . . . . . . . . 2-9Pulse Oximeter . . . . . . . . . . . . . . . . . . . . . . . 2-11Device Usage . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13Home Hub/TeleStation . . . . . . . . . . . . . . . . . 2-13Home Hub . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13TeleStation . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13Answering Survey Questions . . . . . . . . . . . . . . 2-14Entering Measurements Manually . . . . . . . . . . 2-16Entering Glucose Meter Results. . . . . . . . . . . . 2-18Changing Glucose Meter Time and Date . . . . . 2-19Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20Measuring Weight . . . . . . . . . . . . . . . . . . . . . . 2-20Measuring Weight with a Walker. . . . . . . . . . . 2-22Changing the Voice Volume . . . . . . . . . . . . . . 2-25Changing the Weight Units . . . . . . . . . . . . . . . 2-26Changing Language . . . . . . . . . . . . . . . . . . . . 2-27Blood Pressure Unit. . . . . . . . . . . . . . . . . . . . 2-29Display Symbols. . . . . . . . . . . . . . . . . . . . . . 2-30Measuring Blood Pressure . . . . . . . . . . . . . 2-31Rhythm Strip Recorder . . . . . . . . . . . . . . . . . 2-34Pulse Oximeter . . . . . . . . . . . . . . . . . . . . . . . 2-36

Device Descriptions2-2 Philips Telemonitoring SetDevice DescriptionsThe Philips Telemonitoring Set consists of a Home Hub or TeleStation, which serves as the "communications center" of the system, and one or more devices that measure an important healthcare parameter -- Scale (weight), Blood Pressure Unit (blood pressure), Rhythm Strip Recorder (heart rhythm), Pulse Oximeter (%SpO2, pulse rate).This section provides a brief description of each of these devices. More detailed descriptions of how to use each device to make its measurement are given in the sections that follow. Home Hub/TeleStation You will have either a Home Hub or a TeleStation, depending on the home healthcare plan designed for you.After you take a measurement, such as weight, the Home Hub/TeleStation receives the result. It then sends the result to your healthcare provider’s computer when both telephone lines (yours and the computer’s) are free.If you pick up your telephone while the Home Hub/TeleStation is dialing or sending the result, you will not hear a dial tone. Hang up the phone and wait for 5 seconds. Then make your call. The Home Hub/TeleStation will send the result at a later time, when the phone line is open. Your healthcare provider will call you if your results are not received.Home Hubon data usingphoneHome HubTeleStationon data using phone on/surveywaiting using phoneholdingresultsTeleStationon/surveywaitinggo back holdingresults usingphone

Device DescriptionsPhilips Telemonitoring Set 2-3Front PanelLights The Home Hub and TeleStation have lights on the front that indicate what it is currently doing. The on or on/survey waiting light stays lit as long as the Home Hub/TeleStation is plugged in. If you have the TeleStation and the on/survey waiting light is flashing, you have questions to answer. If it is not flashing, there are no questions for you to answer.The data or holding results light comes on when the Home Hub or TeleStation receives your measurement results and stays on until those results have been sent over the telephone.The using phone light comes on when the Home Hub or TeleStation is sending your results to your healthcare provider’s computer.Warnings The following Warnings apply to the use of Home Hub/TeleStations.Warning •Use only the Philips-supplied power adapter for the Home Hub/ TeleStation. – Don’t place anything on top of the adapter. – Plug the adapter into an outlet near the Home/Hub Telestation for easy access. – Unplug the adapter from the outlet to disconnect.•Do not place the Home Hub/TeleStation where anyone, especially children, can step on, trip over or get tangled in phone or power adapter cords.•Do not place the Home Hub/TeleStation near running water or where liquids (for example, a cup of coffee or water in a vase of flowers) might spill onto it.• Unplug power and phone cords before cleaning the Home Hub/TeleStation.and prior to an impending lightning storm•Do not put lighted tobacco products or candles on Home Hub/TeleStations.•Do not overload circuits where Home Hub/TeleStation are installed.

Device Descriptions2-4 Philips Telemonitoring Set• If you have a personal response service (for example LifeLine® Systems), it must be installed on its own phone line (not just a separate telephone jack).•Do not touch, use, clean, or handle the Home Hub/TeleStation or your connected glucose meter during a thunderstorm.Cautions The following Cautions apply to using the HomeHub or TeleStation.Caution • Avoid placing the Home Hub/TeleStation on a metal surface or inside a metal enclosure as it can interfere with the radio signal.•Do not use electronic devices, such as cordless and cellular phones and computers, near the Home Hub/TeleStation • Avoid placing large appliances or metal furniture near the Home Hub/TeleStation as they can block radio signals from the measurement devices.• High temperatures can affect the LCD screen of your TeleStation. – Choose a location away from direct sunlight. – Operate the TeleStation at room temperature.• Make sure that the Home Hub/TeleStation is plugged into its telephone jack and electrical outlet at all times, except when cleaning or prior to an impending lightning storm.• Make sure that a light switch or power strip does not turn off power to the Home Hub/TeleStation.• Clear voice mail messages. Telephone services that modify the dial tone, such as voice mail, can interfere with transmissions made by the Home Hub/TeleStation.• If you are using a glucose meter connected to your TeleStation: – Follow the glucose meter manufacturer’s instructions.– Follow any additional instructions from your healthcare provider. –Do not take glucose measurements while your glucose meter is connected to your TeleStation.

Device DescriptionsPhilips Telemonitoring Set 2-5Scale You may have either a Standard Scale or a Steady Scale. Both scales speak your weight. StandardScale The Standard Scale is for people who can get on and off the Scale without help. It has a maximum weight limit of 440 lbs (200 kgs). The scale announces your weight (in English or Spanish).The front panel has a Volume control button and a Radio Testbutton .Batteries are stored underneath the platform.Steady Scale The Steady Scale has a column with grab bars to help people keep their balance when using the Scale. It has a maximum weight limit of 365 lbs (166 kgs).DisplayPlatformGrab BarsColumnDisplayPlatform

Device Descriptions2-6 Philips Telemonitoring SetThe Steady Scale announces your weight in English only.The front panel has a Volume control and a Radio Test button .Batteries are stored underneath the display case.Warnings The following Warnings apply to use of the Scale.Warning •Do not use the Scale in standing water.•Do not store the Scale where children or pets could get hurt by playing with the grab bars and knocking the Scale over.Cautions The following Cautions apply to use of the Scale.Caution •Do not use the Standard Scale if you weigh over 440 pounds(220 kilograms).•Do not use the Steady Scale if you weigh over 365 pounds(166 kilograms).• Keep the Scale in a dry, temperature controlled place, not in the bathroom.• Position the Scale away from metal objects, such as a refrigerator, as they can block transmission to your Home Hub/TeleStation.• Place the Scale on the floor between 1 to 3 inches (2.5 to 7.5 cm) from a wall and facing it.• Only one person should use the Scale.•Do not use the Scale to measure anything other than yourself, such as a package or pet, because all measurements are sent to your healthcare provider.•Do not drop or drag the Scale.•Do not step on the Scale’s corners.• Carpet feet may need to be installed on the Steady Scale if it is to be used on carpet.• Traveling with the Scale is not recommended.Note If you don’t feel comfortable taking your weight using the Standard Scale, contact your healthcare provider.T

Device DescriptionsPhilips Telemonitoring Set 2-7Blood Pressure UnitYou may have a Blood Pressure Unit if your home healthcare plan includes measuring your blood pressure and pulse.The Blood Pressure Unit (also called a BP Unit) is a plastic display case with a removable blood pressure cuff. The BP Unit displays your blood pressure and pulse. The BP Unit has an air hose connector on the left side. The blood pressure cuff has a metal D-ring (a metal bar that the cuff slides through and loops over), an air hose, and an air connector.Batteries are stored underneath the display caseBP UnitDisplay Case The display case has a START/STOP button and a RADIO TEST button .TSTART/ STOPButtonRADIOTESTButtonBP Display UnitAir HoseCuff

Device Descriptions2-8 Philips Telemonitoring SetWarnings The following Warnings apply to use of the BP Unit.Warning • Avoid storing the BP Unit where children or pets can get at it. There is a risk of injury if they get tangled in the air hose or if the cuff inflates.Cautions The following Cautions apply to use of the BP Unit.Caution • If you get an error message when taking your blood pressure or think the reading may be wrong, wait 5 minutes, and then take it again.•Do not store the BP Unit inside a metal drawer or container, such as a file cabinet. It will interfere with the radio signal to the Home Hub/TeleStation.•Do not store the BP Unit with the cuff assembly twisted or folded tightly.• Avoid tugging at the air hose or using it to carry the BP Unit.• Watch the display when taking your blood pressure. – If the numbers go up to 330 mmHg, press the START/STOP button immediately. – If the numbers drop down to 15 mmHg and stay that way for more than 3 minutes, press the START/STOP button again. – Contact your healthcare provider.

Device DescriptionsPhilips Telemonitoring Set 2-9Rhythm Strip RecorderYou may have a Rhythm Strip Recorder if your healthcare plan includes recording your heart rhythm.The Rhythm Strip Recorder is a plastic display case with an attached dual cable with snap-on connectors. Each of the two metal wristbands has a black plastic pad. One side of the pad has a metal snap and the other side has a flat piece of metal. Batteries are stored underneath the display caseRhythm StripRecorderDisplay CaseThe display case has a START button, a RELAX light, and a RADIOTEST button .TSTARTButtonRADIOTESTButtonRhythm Strip Recorder Display UnitRelaxLightWristbandsSnap-on ConnectorsDual Cable

Device Descriptions2-10 Philips Telemonitoring SetWarnings The following Warnings apply to use of the Rhythm Strip Recorder.Warning •Do not store the Recorder where children or pets can get tangled in the cables and the wristband.• The wristbands may cause skin irritation, injury or an allergic reaction to metal.– Stop using the recorder if you have redness, rash, or other skin problems. – Contact your healthcare provider.Cautions The following Cautions apply to use of the Rhythm Strip Recorder.Caution •Do not store the Recorder inside a metal drawer or container, such as a file cabinet. It will interfere with the radio signal to the Home Hub/TeleStation.• Store the Recorder so that the dual cable is not twisted or kinked.• Avoid tugging at the dual cable or carrying the Recorder by the cable.

Device DescriptionsPhilips Telemonitoring Set 2-11Pulse Oximeter The Pulse Oximeter is a plastic display case with a finger-clip sensor attached to it. The front of the case has the following elements, as shown in the figure below. The rear of the case has a compartment for batteries that power the device.PulseOximeterDisplay CaseAn LED display window shows the blood oxygen level (%SpO2) and pulse rate (in beats per minute) measured from the end of your finger. LEDs below the display window light to indicate which measurement is being displayed -- %SpO2 or pulse (/min.).Pushing the START button causes the Pulse Oximeter to begin taking a measurement.The Radio Test button is used to test the transmission of measurements from the Pulse Oximeter to the Home Hub or TeleStation.The Finger-clip sensor is used to measure your blood oxygen level and pulse rate. The sensor is clipped on the end of one of your fingers. The Finger-clip contains an LED light source that shines light on your finger. Light transmitted through the blood in your finger is received by a photo sensitive element and electronics in the display case uses the transmitted light to determine your blood oxygen level and pulse rate.TSTARTbuttonFinger-clipsensorDisplayRadio Testbutton

Device Descriptions2-12 Philips Telemonitoring SetWarnings The following Warnings apply to use of the Pulse Oximeter.Warning •Do not use a damaged sensor.•Do not let children use the device.• Avoid exposing the devices to extremes in temperature, humidity, direct sunlight, shock, dust spill, or standing water.• The sensor may cause skin irritation, injury or an allergic reaction.•Do no use the device with the battery door removed.• Stop using the Pulse Oximeter if you have redness, rash, or other skin problems.• Discontinue use if skin tear or damage occurs. Contact your healthcare provider.• To prevent shock, do not use devices during a lightning storm.Cautions The following Cautions apply to use of the Pulse Oximeter.Caution • Read the procedures carefully before using this device.• Use this device only as directed by your healthcare provider. • Follow your physician’s instructions regarding symptoms that require direct contact with your healthcare provider. • This device is not intended for continuous monitoring.• This device may not work properly on all people. If you are unable to achieve stable readings within 3 or 4 attempts, discontinue use and contact your healthcare provider.• Use of this device is not a substitute for medical care. • If you have any questions regarding how to use your Pulse Oximeter, please contact your healthcare provider.• Abnormal hemoglobin may affect accuracy.

Device UsagePhilips Telemonitoring Set 2-13Device UsageThis section describes how to use each of the devices of the Philips Telemonitoring Set -- HomeHub/TeleStation, Scale, Blood Pressure Unit, Rhythm Strip Recorder, and Pulse Oximeter. Home Hub/TeleStation The Home Hub or TeleStation is the communications center for your Patient Telemonitoring Set. You may have a Home Hub or a TeleStation depending on your healthcare plan.Once the Home Hub/TeleStation is hooked up to your telephone and plugged into the wall, it will send your measurements to your provider when your phone line is free.Note The Home Hub and TeleStation depend on your phone number to transmit results. They are not made to travel.Home Hub The Home Hub receives your measurement results from your measurement devices by radio signals and automatically sends the results to your healthcare provider’s computer. No actions are required by you after you have made your measurement.TeleStation TeleStations also have the capability of asking you questions about your health and sending your answers to your healthcare provider. Some TeleStations also have the ability to let you enter your measurements manually and to receive results for some Glucose Meters. Procedures for using these features are given in the following sections

Device Usage2-14 Philips Telemonitoring SetAnswering Survey QuestionsThe front panel of the TeleStation has a number of buttons to assist you in answering questions and lights to indicate when questions have been sent as shown in the following figure. If the on/survey waiting light flashes on the front of your TeleStation, there are questions, chosen by your healthcare provider, waiting to be answered. If the on/survey waiting light is not flashing, there are no questions to answer. Educational tips may pop up in response to one To answer survey questions, use the following procedureStep 1. Questions are shown on the screen with answer choices: – Push the button next to the best answer. – Choose only one. The answer will be highlighted. If you make a mistake:– Select the go back button and choose your answer again.Step 2. 2.After you select an answer, the next question is displayed. – Select and answer it by pushing a button. – Answer all of the questions.TeleStationon/survey waiting holdingresultsusingphonego back go backbuttonon/surveywaiting light usingphone lightholdingresults light

Device UsagePhilips Telemonitoring Set 2-15Step 3. If you want to change your answer to an earlier question:–Push the go back button until you see that question again. – Then push the button next to the correct answer. Note If you go back to change an answer to an earlier question, you will then need to answer all of the questions that follow again. The last question will confirm that your responses are complete.Step 4. When you have finished the survey, the holding results light will come on followed by the using phone light, showing that your results are being sent to your healthcare provider’s computer.

Device Usage2-16 Philips Telemonitoring SetEntering Measurements ManuallyFor TeleStations that permit manual entry of your measurements, the procedure is as follows. Note Your TeleStation may not have this feature. Consult your healthcare provider if you want to use this feature.Step 1. Take your measurements as directed by your healthcare provider and write down the results.Step 2. Press any button – except go back.A menu screen appears showing the measurements you might take Step 3. Press the button next to the measurement you want to enter, or, press the More button to see other measurements.TeleStationgo backPlease select a Blood PressureWeightBlood Sugar TemperatureOxygen Level Moremeasurement to enter do notpressgo back on/survey waiting holdingresults usingphone

Device UsagePhilips Telemonitoring Set 2-17The measurement entry screen appears, for example WEIGHT as shown below.Note If you make a mistake, press the go back button before you press the All Finished button. Step 4. Use the More and Less buttons to set the number on the screen to match the measurement that you wrote down earlier.Note To make big changes to a number, press the Next Number button one or more times, then use the More or Less buttons.When entering Blood Pressure and Oxygen Level measurements, press Continue to move to the next part of the entry. When you have finished entering your measurement: Step 5. Press the All Finished button to store your measurement.Step 6. Repeat Steps 3-5 to enter your other measurements.TeleStationon/survey waiting holdingresultsusingphonego backPlease enter yourMoreAll FinishedWT 167. LBSLessNext NumberWEIGHT 3TeleStationon/survey waiting holdingresults usingphonego backPlease enter yourMoreAll FinishedWT 167.3 LBSLessNext NumberWEIGHT

Device Usage2-18 Philips Telemonitoring SetSeveral minutes after you store your last measurement, the screen will go blank and the using phone light will turn on indicating that you measurements are being sent to your healthcare provider’s computer.Note If you get an invalid reading on your measurement device, do not enter it in the TeleStation. If you accidently turn on the measurement screen, do not press any buttons. After a few minutes the screen will go blank.Entering Glucose Meter ResultsThe TeleStation can read results from some Glucose Meters. Your healthcare provider will tell you if your meter is one of these. Notes Do not measure your glucose while your Glucose Meter is connected to the TeleStation. Clean your finger of blood before using the TeleStation.TeleStationCableGlucoseMeter

Device UsagePhilips Telemonitoring Set 2-19Follow these steps to send your Glucose Meter results to your healthcare provider’s computer via the TeleStation: Step 1. Connect the large end of the cable to the.back of the TeleStation. There is only one port where it will fit, marked 10101. Step 2. Firmly connect the small plug end of the interface cable into the data port on the Glucose Meter. Step 3. Turn the Glucose Meter on. The Glucose Meter will automatically send the results to the Telestation and then turn off.Step 4. Disconnect your meter from the cable. You may leave the cable connected to the TeleStation.The Philips Telemonitoring System relies on the Glucose Meter’s date and time to calculate the actual date and time of the glucose reading. This gives the clinician the most accurate time of measurement, regardless of whether the meter time is set correctly. As long as the Glucose Meter time doesn’t change, this System generates the correct time of measurement.Changing Glucose Meter Time and DateAny time it is necessary to change the time or date in your Glucose Meter, follow the steps below to ensure that your glucose results and their associated date and time are accurate when you transmit them via the TeleStation.Step 1. Connect your Glucose Meter to the TeleStation and transmit the results as described above.Step 2. Clear the Glucose Meter’s memory of all readings.Step 3. Change the time and/or date on your Glucose Meter following the procedure described for the unit.

Device Usage2-20 Philips Telemonitoring SetScale Two types of scale are available:Standard Scale for people who can get on and off without helpSteady Scale with a column and grab bar to help keep your balance. Notes If you have been given a Standard Scale and are having balance problems standing on it, contact your healthcare provider. A Standard Scale can be converted to a Steady Scale.If you need the support of a walker, refer to the following section Measuring Weight with a Walker.MeasuringWeight Procedures for measuring your weight on both the Standard and Steady Scales are as follows. Choose the procedure for your type of Scale.Standard ScaleStep 1. Step on the Scale and stand on it without holding onto anything.– Stand as much in the center of the platform as possible. – Try not to step on the corners; you might damage the Scale.Step 2. The Scale will say, “Please stand still”.Do not move.Walking "-" will show on the display during the measurement.Notes You will not hear the voice prompt if the volume is set to Silent.After several seconds, the Scale will say “Please step off the Scale”.Step 3. Step off the Scale.About 5 seconds after you step off the Scale, the Scale will say your final weight (unless the volume is set to Silent). The Scale then turns off by itself.Notes If the batteries in the Scale are weak, the Scale’s display will alternately flash Lo and batt and will announce "Please replace the scale batteries" for 3 measurement cycles.If these messages appear on the display, change the Scale’s batteries following the Replacing Batteries procedure on page 3-4.

Device UsagePhilips Telemonitoring Set 2-21Steady ScaleStep 1. Step on the Scale and stand on it holding the grab bars as shown opposite. You can continue holding the grab bars while taking your weight.– Stand as much in the center of the platform as possible. – Try not to step on the corners; you might damage the Scale.Step 2. The Scale will say, “Please stand still”, and the Stand Still light will come on. Do not move.Changing weight values will show on the display. The final weight displayed is the correct weight.Notes You will not hear the voice prompt if the volume is set to Silent.After several seconds, the Scale will say “Please step off the Scale”, (unless the volume is set to Silent) and the Step Off light will come on. Step 3. Step off the Scale.About 5 seconds after you step off the Scale, the Scale will say (unless the volume is set to Silent) and display your final weight. The Scale then turns off by itself.Notes If the batteries in the Scale are weak, the Scale’s Stand Still light will flash instead of remaining on and the voice prompt is quiet even though the volume is not set to Silent.If these messages appear on the display, change the Scale’s batteries following the Replacing Batteries procedure on page 3-4.

Device Usage2-22 Philips Telemonitoring SetMeasuringWeight with aWalkerIf it is necessary to use a walker to steady yourself on the Scale, use the following procedure for either the Standard Scale or Steady Scale.Standard ScaleStep 1. Place the walker so its legs are on either side of the Scale platform as shown opposite.Step 1. Step on the Scale and stand using the walker arms for balance.– Stand as much in the center of the platform as possible. – Try not to step on the corners; you might damage the Scale.Step 2. Remove your hands from the walker arms.Note You must remove your hands from your walker for the Scale to take your true weight.Step 3. The Scale will say, “Please stand still”. Do not move.Walking "-" will show on the display during the measurement.Notes You will not hear the voice prompt if the volume is set to Silent.After several seconds, the Scale will say “Please step off the Scale”.Step 4. Grasp the walker arms.Step 5. Step off the Scale.About 5 seconds after you step off the Scale, the Scale will say your final weight (unless the volume is set to Silent). The Scale then turns off by itself.Notes If the batteries in the Scale are weak, the Scale’s display will flash Lo and batt alternatingly instead of Walking "-".If these messages appear on the display, change the Scale’s batteries following the Replacing Batteries procedure on page 3-4.

Device UsagePhilips Telemonitoring Set 2-23Steady ScaleStep 1. Place the walker so its legs are on either side of the Scale platform as shown opposite.Step 1. Step on the Scale and stand using the walker arms for balance.– Stand as much in the center of the platform as possible. – Try not to step on the corners; you might damage the Scale.Step 2. Move your hands from the walker arms to the Scale’s grab bars. You can continue to use the Scale’s grab bars for balance while you are taking your weight.Note You must remove your hands from your walker for the Scale to take your true weight.Step 3. The Scale will say, “Please stand still”and the Stand Still light will come on. Do not move.Changing weight values will show on the display. The final weight displayed is the correct weight.Notes You will not hear the voice prompt if the volume is set to Silent.After several seconds, the Scale will say “Please step off the Scale”, (unless the volume is set to Silent) and the Step Off light will come on. Step 4. Move your hands from Scale’s grab bars to the walker arms.Step 5. Step off the Scale.About 5 seconds after you step off the Scale, the Scale will say (unless the volume is set to Silent) and display your final weight. The Scale then turns off by itself.

Device Usage2-24 Philips Telemonitoring SetNotes If the batteries in the Scale are weak, the Scale’s Stand Still light will flash instead of remaining on and the voice prompt is quiet even though the volume is not set to Silent.If these messages appear on the display, change the Scale’s batteries following the Replacing Batteries procedure on page 3-4.

Device UsagePhilips Telemonitoring Set 2-25Changing theVoice Volume The Scale’s voice has 4 volume settings, as follows:Setting Volume0 Silent1Low2 Medium3HighThe volume of the Scale’s voice can be changed as follows:Note The procedure for changing the volume is identical for both scales. The only difference is the label on the Volume button.The Sandard Scale has a speaker icon . The Steady Scale has the word Volume.Step 1. Step off the Scale when changing the volume.Step 2. Firmly press and release the Volume button. The volume will move to the next setting. For example, the Scale may say “one” and display 1 for Low.Step 3. Firmly press and release the Volume button again. The volume moves to the next setting. In this example, the Scale will say “two” and display 2 for Medium.Each time your press the Volume button, the volume moves to the next setting.Step 4. Stop the procedure when you reach the desired voice volume.Note If you set the volume to Silent, there will be no voice prompt and you must watch the Scale’s display for instruction lights and your weight measurement.

Device Usage2-26 Philips Telemonitoring SetChanging theWeight Units The Scale can measure your weight in either pounds or kilograms. The procedure for changing the weight units is different for the Standard Scale and the Steady Scale.Standard ScaleThe procedure for changing the Weight Units on the Standard Scale is as follows:Step 1. Turn the Scale over to expose its under side, shown in the following figure.Step 2. Locate the Weight Change Switch in the opening below the Battery Compartment. Step 3. BatteryCompartmentSwitchesWeightChangeSwitch LanguageChangeSwitch

Device UsagePhilips Telemonitoring Set 2-27Steady ScaleThe procedure for changing the Weight Units on the Steady Scale is as follows:Step 1. Step off the Scale when changing the weight units.Step 2. Firmly press both the Volume button and the Radio Test button at the same time. Hold both buttons down for at least 3 seconds.If the Scale had been measuring pounds, the display will now show Kgs. (for kilograms). If the Scale was measuring kilograms, the scale will now show Lbs.(for pounds).The voice will also say the new weight units (unless the volume is set to Silent).ChangingLanguage The Standard Scale can speak your weight in either English or Spanish.Standard ScaleThe procedure for changing the language on the Standard Scale is as follows:Step 1. Turn the Scale over to expose its under side, shown in the following figure.Step 2. Locate the Language Change Switch in the opening below the Battery Compartment. TBatteryCompartmentSwitchesWeightChangeSwitch LanguageChangeSwitch

Device Usage2-28 Philips Telemonitoring SetStep 3.

Device UsagePhilips Telemonitoring Set 2-29Blood Pressure UnitTo get the most accurate and reliable readings from you Blood Pressure Unit observe the following guidelines.• Check the cuff size. The Standard cuff fits upper arms 7.5 to 12.5 inches (19 to 31.3 cm) around The Large cuff fits upper arms 11.75 to 17.75 inches (30 to 45 cm) around.• Take your blood pressure at the same time or times each day in a quiet place.• Rest 10 minutes before taking your blood pressure. • Do not take your blood pressure after exertion or drinking coffee or during conversation.•Sit within 20 feet of the Home Hub/TeleStation.• Sit comfortably with uncrossed legs.• Use the same arm each time.• Remove any tight clothing on the arm you will use to measure your blood pressure or roll up a loose garment sleeve. Do not measure with the cuff over clothing.• Place the cuff 1 inch above the elbow with the air hose on the inside of your arm.• Leave room for one finger under the cuff.• Sit still and do not move your arm during the measurement.Notes You can lie down while someone else takes your blood pressure, but it is important to take your blood pressure the same way every time (either sitting or lying down). Report any changes in how you take your blood pressure to your healthcare provider.If you travel with the BP Unit, it will store up to 19 readings for up to 11 days with good batteries that remain in the device. When you return home to your Home Hub/TeleStation, the readings will be sent automatically to your healthcare provider’s computer.

Device Usage2-30 Philips Telemonitoring SetDisplaySymbols The following table explains symbols that you might see on the BP Unit display. Symbol MeaningThe blood pressure measurement is taking place.The symbol blinks and beeps with each pulse beat. The symbol may also appear briefly at the start of your blood pressure measurement.The batteries need to be replaced.The symbol may also appear briefly at the start of your measurement.There may be a problem with your equipment. Wait 15minutes and take your blood pressure again. If there is still a problem, you may be able to fix the problem by looking in the Troubleshooting section. If not, call your healthcare provider.

Device UsagePhilips Telemonitoring Set 2-31MeasuringBloodPressureThe procedure for measuring your Blood Pressure is as follows:Step 1. Sit comfortably with your forearm resting on a flat surface and your legs uncrossed. The center of your upper arm should be at about the same height as your heart.Step 2. Put your hand through the cuff and slide the cuff up your forearm.Step 3. Move the cuff so it is on your upper arm and the bottom of the cuff is about 1 inch above your elbow. Step 4. Position the air hose so it dangles on the inside of your arm.Warning Do not allow the air hose to kink or twist.Step 5. Pull on the end of the cuff to tighten it. Then fold the cuff end back over the metal D-ring.Note The cuff should be snug but not too tight. Leave room for one finger to fit under the cuff.Step 6. Fasten the end of the cuff to the Velcro® closure.Step 7. Make sure that your hand is open, relaxed with the palm up.Step 8. Press the START/STOP button. The cuff will inflates and feel tight.Sit still and do not move your arm during the measurement.

Device Usage2-32 Philips Telemonitoring SetNote If it feels too tight or to stop the measurement at any time:– Press the START/STOP button. – Wait 5 minutes.– Take your blood pressure again.If you are concerned at any time about the measurement, contact your healthcare provider.The BP Unit will display numbers that go up to just beyond 150 mmHg for the initial pump. It may then resume pumping to higher pressures.Warning Watch the display. If the numbers go up to 330 mmHg, press the START/STOP button to immediately stop the measurement. Contact your healthcare provider.Step 9. As the cuff pressure slowly decreases, watch the display window. The BP Unit will beep as the pressure decreases.Warning Watch the display. If the numbers drop down to 15 mmHg and stay there for more than 3 minutes, press the START/STOP button to stop the measurement. Contact your healthcare provider.A long beep indicates that your blood pressure has been taken. The cuff will deflates. The display window shows your final blood pressure and pulse.Note If an error message was displayed, you stopped the reading, or you feel that the reading may be incorrect, wait 5 minutes and take your blood pressure again. If this happens a second time, contact your healthcare provider.

Device UsagePhilips Telemonitoring Set 2-33Step 10. Slide the cuff off you arm. The BP Unit will turn off by itself.Note Once properly adjusted, the cuff can be slid off without undoing the Velcro.Step 11. Store the BP Unit within 20 feet of the Home Hub/TeleStation so it can send your readings to the Home Hub/TeleStation.Note Refer to the Maintenance section for proper storage of your BP Unit.

Device Usage2-34 Philips Telemonitoring SetRhythm Strip Recorder The following guidelines should be followed before you take your heart rhythm to assure an accurate reading.•Sit down within 20 feet of the Home Hub/TeleStation.• Relax.Notes It is important to be still and relaxed during the rhythm measurement. You can lie down while you take your heart rhythm. It is important to take your heart rhythm the same way every time (either sitting or lying down). Report any changes in how you take your heart rhythm to your healthcare provider.If you travel with your Recorder, it will store the most recent reading for up to 11 days with good batteries that remain in the device. When you return home to your Home Hub/TeleStation, the most recent reading will be sent automatically to your healthcare provider’s computer.Caution Do not talk or move during the measurement.MeasuringHeart Ryhthm The procedure for measuring your Heart Rhythm is as follows:Step 1. Sit back in a chair with your arms at your sides or on the chair arms. Do not cross your legs. Keep your feet flat on the floor.Step 2. Place the Recorder on the table next to you so you can see it and listen to it without moving. If you have to move to see or hear the Recorder, place the Recorder in your lap.Step 3. Place the wristband with the white snap-on connector on your right wrist. Make sure that the flat metal inside of the wristband (on the other side of the black plastic pad) firmly touches the inside of your wrist.Step 4. Place the wristband with the red snap-on connector on your left wrist. Make sure that the flat metal inside the wristband (on the other side of the black plastic pad) firmly touches the inside of your wrist.

Device UsagePhilips Telemonitoring Set 2-35Notes If the wristbands are loose, push them up each forearm until they feel snug. Be careful not to snag the hair on your arms. Do not put the wristbands over clothing, bandages, or jewelry. If you cannot fit the wristband on your arm, contact your healthcare provider.Step 5. Let your hands rest on the tabletop or your chair’s arms so that your hands are open relaxed, and palms up.Step 6. Press the START button.The relax light will flash on and off, and the Recorder will beep for about 20 seconds as the measurement is being made.Notes If the Recorder beeps twice quickly before beginning the normal beeping, this means that the batteries are low. Replace the batteries within a week.The beeps do not reflect your heart rate. They indicate that the Recorder is working.After another short pause, the relax light flashes on and off twice and the Recorder will quickly beep twice.The Recorder has finished taking your heart rhythm.Step 7. Remove the wristbands. The Recorder will turn off by itself.Step 8. Store the Recorder within 20 feet of the Home Hub/TeleStation so it can send you measurements to the Home Hub/TeleStation.Note Refer to the Maintenance section for proper storage of your Rhythm Strip Recorder.RhythmrelaxTSTARTStripRecorder

Device Usage2-36 Philips Telemonitoring SetPulse Oximeter To get the most accurate readings from you Pulse Oximeter, observe the following guidelines:• The Pulse Oximeter may not work properly with a finger thickness of less than 5/16 inches (0.8 cm) or more than 1 inch (2.5 cm).• Dark colored nail polish or artificial nails will prevent the Pulse Oximeter from making accurate measurements. Remove dark nail polish and artificial nails from the finger you use to take your measurement.• Avoid exposing the finger sensor to very bright or changing light while taking your measurement.• Do not use your Pulse Oximeter on the same arm during or immediately after taking your blood pressure. Use your other arm or take your Pulse Oximeter measurement first.• Use the same finger each time you make a measurement unless your healthcare provider instructs otherwise.• Do not use the sensor on a finger that has chronically poor circulation or is injured.• Be sure the inside of the finger sensor is dry before taking your measurement.• Be sure your finger is warm when you take your measurement. If your finger is cold, warm or rub it before taking your measurement.• Carefully place your finger in the sensor as far as it will comfortably go. Do not press in so far that you can feel your finger throbbing.• Keep you finger relaxed and still while taking your measurement.• If you have anemia, a low hemoglobin count, or arrhythmias, you may not be able to get a correct reading. Contact your healthcare provider.Caution Do not use the Pulse Oximeter with the battery door open.

Device UsagePhilips Telemonitoring Set 2-37MeasuringBloodOxygen andPulse RateThe following steps describe how to use the Pulse Oximeter to measure your blood oxygen level (%SpO2) and pulse rate.Step 1. Sit within 20 ft. of the Home Hub or TeleStation with your hand resting on a flat surface and the Pulse Oximeter in front of you.Step 2. Open the sensor and fully insert your finger (index, middle, or ring, but not your thumb) until the end of your finger reaches the finger stop. The cable should extend over your finger toward your wrist as shown in the figure.Step 3. Sit comfortably with your hand resting on the surface so that it can remain still. Step 4. Press the START button and hold your hand still during the measurement.Press Start buttonHold hand still

Device Usage2-38 Philips Telemonitoring SetThe measurement process is as follows:- Dashes move across the display during measurement.- A double beep sounds after a few seconds indicating that the measurement is complete- A tick sounds as the % SpO2 measurement displays and the yellow light next to % SpO2 illuminates.- A tock sounds as the pulse rate displays and the green light next to pulse (/min.) illuminates.- The tick-tock sequence repeats several times and then turns off. Note If the measurement was not made, a long beep sounds and displays: Warm your hand or use a different finger and try again.

Maintenance 3-1Introduction3MaintenanceOverviewChapter 3 provides steps for cleaning and storing Patient Telemonitoring devices, replacing batteries, and general maintenance of the Patient Telemonitoring Set. You can help keep your devices in working order by taking good care of them.This chapter includes the following sections:PageCleaning Devices . . . . . . . . . . . . . . . . . . . . . . 3-2Storing Devices . . . . . . . . . . . . . . . . . . . . . . . 3-3Blood Pressure Unit . . . . . . . . . . . . . . . . . 3-3Rhythm Strip Recorder . . . . . . . . . . . . . . . 3-3Pulse Oximeter . . . . . . . . . . . . . . . . . . . . . 3-3Replacing Batteries . . . . . . . . . . . . . . . . . . . . 3-4Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4Standard Scale . . . . . . . . . . . . . . . . . . . . . . . .3-7Steady Scale. . . . . . . . . . . . . . . . . . . . . . . . . .3-7Blood Pressure Unit . . . . . . . . . . . . . . . . . 3-9Rhythm Strip Recorder . . . . . . . . . . . . . . 3-10Pulse Oximeter . . . . . . . . . . . . . . . . . . . . 3-11

Cleaning Devices3-2 MaintenanceCleaning DevicesTelemonitoring devices should be cleaned only when necessary. The following procedure should be followed to clean the devices.Note Body fluids, such as blood or mucus, should be promptly removed using a cloth dampened with plain tap water (no soap).Caution Avoid spilling liquids on the devices.Do not immerse devices in liquids to clean.Do not use alcohol. harsh chemicals, caustic, or abrasive cleaning agents to clean devices.Step 1. Unplug the Home Hub/TeleStation from power and phone lines. Step 2. Remove batteries from the measurement devices following procedures given in the Replacing Batteries section.Step 3. Clean all exposed device surfaces with a dry, soft cloth.Note When cleaning the Pules Oximeter:– Open the Finger-clip sensor and carefully wipe its inside surfaces with a cloth dampened with a mild detergent.– Allow the sensor to dry thoroughly before using.Step 4. Plug the Home Hub/TeleStation back into power and phone lines. Step 5. Reinstall batteries into the measurement devices following procedures given in the Replacing Batteries section.

Storing DevicesMaintenance 3-3Storing DevicesAll measurement devices should be stored within 20 feet of the Home Hub or TeleStation so they can send their results to the Home Hub or TeleStation.Caution Do not store devices inside or next to a metal drawer or container, such as a file cabinet.Do not store devices where children or pets could get tangled in the hoses, dual cables. or wristband assemblies.Blood Pressure Unit• Store the BP Unit so that the hose and cuff assembly are not bent, twisted, or folded tightly. • Do not wrap the hose around the display case.Rhythm Strip Recorder • Store the Rhythm Strip Recorder so that the cable is not twisted or folded tightly. • The Recorder can be stored with its connectors attached to the wristbands.Pulse Oximeter • Store the Pulse Oximeter so that its sensor cable is not twisted or kinked.• Avoid tugging at the sensor cable or carrying the Pulse Oximeter by the sensor cable.

Replacing Batteries3-4 MaintenanceReplacing BatteriesBatteries in devices should be replaced as soon as the device indicates that they are low or need to be replaced. Caution When replacing batteries, replace all of the batteries with new ones at the same time.Use only Type AA (1.5 volt) alkaline batteriesDo not use rechargeable batteries.Warning Do not use any device with its battery door removed.Scale Replace the batteries in the Standard Scale every 12 months or sooner if :• the voice prompt is absent even though the volume was not set to Silent • the display screen alternately displays Lo and batt during a measurement• the Scale announces "Please replace the scale batteries" during a measurement.Replace the batteries in the Steady Scale every 6 months or sooner if:• the voice prompt is absent even though the volume was not set to Silent• the normally steady Stand Still light display flashes.Both Scales use 4 AA alkaline batteries.Procedures Procedures for replacing batteries in the Standard Scale and Steady Scale are as follows. Use the procedure for your type of scale.

Replacing BatteriesMaintenance 3-5Standard ScaleStep 1. Lift and gently turn the scale upside down on a flat surface to expose the Battery Compartment.Step 2. Remove the cover of the Battery Compartment by lifting the tab.Step 3. Remove the old batteries and properly dispose of them.Note Check with your local authorities for the proper way to dispose of batteries.Step 4. Place the new batteries in the Battery Compartment so that the positive (+) and negative (-) terminals match the diagram in the compartment. Notes To keep the batteries from popping out, insert the bottom row first.Make sure that battery terminals are touching compartment terminals.BatteryCompartmentLift tab and remove cover2. Insert top row second1. Insert bottom row first++-

Replacing Batteries3-6 MaintenanceStep 5. Replace the cover by inserting its tabs into the slots and gently pressing the cover into place. Step 6. Return the Scale to its original spot following proper lifting techniques given below.Note Lifting the Scale requires good balance, the ability to grasp and lift up to 10 pounds, and safe lifting techniques. Do not lift the Scale if you are unsteady or unable to follow proper lifting techniques. Ask for assistance or contact your healthcare provider for help.When you lift or lower the Scale:– Wear shoes with nonslip soles.– Keep your feet apart and one foot a bit in front of the other, if possible. – Squat to lift and lower the Scale. Never bend at the waist.– Keep the Scale close to your body.– Lift with your legs, not your back.– If you must turn, turn with your feet not your body.Step 7. Perform the Radio Test described in the Troubleshooting section.Step 8. Step on the Scale and verify that it is working properly.Note If the Scale does not seem to be operating properly or the Radio Test fails, contact your healthcare provider.

Replacing BatteriesMaintenance 3-7Steady ScaleStep 1. Firmly hold the display and pull it from the Scale to release it from the plastic fastener strips that hold it in place.Step 2. Turn the display over and unplug the cord inside the top of the column.Step 3. Gently push the Battery Compartment cover in the direction of the arrow symbol and lift it off.Step 4. Remove the old batteries and properly dispose of them.Note Check with your local authorities on the proper way to dispose of batteries.Step 5. Place the new batteries in the Battery Compartment so that the positive (+) and negative (-) terminals match the diagram in the compartment. Notes To keep the batteries from popping out, insert the bottom row first.Make sure that the battery terminals are touching the compartment terminals.Step 6. Replace the cover by inserting its tabs into the slots and gently pressing the cover into place. The Stand Still and Step Off lights will turn on for about 6 seconds, then turn off. If the device is face down, you may not see these lights.2. Insert top row second1. Insert bottom row first++-

Replacing Batteries3-8 MaintenanceThe display will then show 8.8.8.8 briefly, and the Step Off light will flash slowly.Step 7. Replace the display as follows: – Place the connection cord through the display cutout. – Hold the scale display above the top of the column with the display facing you. – Plug the cord into the adapter inside the top of the column. – Center the display over the top of the column so that the plastic fastener strips on the display and the column match. – Press down on the display. The back of the display should rest against the rim on the top of the column.When the display is properly connected to the Scale:–the Step Off light stops flashing. – the Scale will say “zero pounds”, display 0.0, and then turn off.Note Important: Do not step on the Scale while doing this step.If the Step Off light does not stop flashing, check the cord connections by unplugging the cord and replugging it in until it snaps into place. Also check that the batteries are inserted the right way.Step 8. Return the Scale to its original spot.Caution Do not lift the Steady Scale. If the Steady Scale must be moved, ask for assistance or call your healthcare provider for help.Step 9. Perform the Radio Test described in the Troubleshooting section.Step 10. Step on the Scale and verify that it is working properly.Note If the Scale does not seem to be operating properly or the Radio Test fails, contact your healthcare provider.

Replacing BatteriesMaintenance 3-9Blood Pressure Unit• Replace the batteries in the Blood Pressure Unit every 3 months or sooner if required. The expected battery life for the BP Unit is approximately 3 months with 1 daily reading.• Replace the batteries in the BP Unit when you see the Low Battery symbol on the BP Unit display. • The Blood Pressure Unit uses 4 AA alkaline batteries.Procedure To replace the batteries in the BP Unit:Step 1. Turn the display over.Step 2. Gently push the Battery Compartment cover in the direction of the arrow symbol and lift it off. Step 3. ,Remove the old batteries and throw them away.Note Check with your local authorities on the best way to recycle or throw away batteries.Step 4. Place the new batteries in the Battery Compartment so that the positive (+) and negative (-) terminals match the diagram in the compartment. Notes To keep the batteries from popping out, insert the bottom row first.Make sure that the battery terminals are touching the compartment terminals.2. Insert top row second1. Insert bottom row first++-

Replacing Batteries3-10 MaintenanceStep 5. Replace the cover by inserting its tabs into the slots and gently pressing the cover into place. Step 6. Perform the Radio Test described in Troubleshooting.Step 7. Take your Blood Pressure and verify that it is working properly.Note If the Blood Pressure Unit does not seem to be operating properly or the Radio Test fails, contact your healthcare provider.Rhythm Strip Recorder• Replace the batteries in the Rhythm Strip Recorder every 6 months or sooner if required.• If the Rhythm Strip Recorder beeps twice quickly before beginning normal on and off beeping, the batteries are low and should be replaced within a week. • The Rhythm Strip Recorder uses 4 AA alkaline batteries.Procedure To replace the batteries in the Rhythm Strip Recorder, follow the procedure for the Blood Pressure Unit on page 3-9, except for Step 7. The Recorder will make a series of beeps. If the series ends with a rising tone, the batteries have been inserted correctly. If the series ends with a falling tone or no tone, the batteries have been inserted the wrong way. Repeat the battery insertion steps.After Step 6: Step 7. Measure your heart rhythm with the Rhythm Strip Recorder to verify that it is working properly.Note If the Rhythm Strip Recorder does not seem to be operating properly or the Radio Test fails, contact your healthcare provider.

Replacing BatteriesMaintenance 3-11Pulse Oximeter • Replace the batteries in the Pulse Oximeter every 6 months or sooner if required.• The batteries should be replaced when the Low Battery indicator flashes on the Pulse Oximeter display. • The Rhythm Strip Recorder uses 4 AA alkaline batteries.Procedure To replace the batteries in the Rhythm Strip Recorder, follow Step 1 through Step 5 of the procedure for the Blood Pressure Unit on page 3-9. After successful battery replacement, the message should appear.If the message appears, replace the batteries with known good batteries and try again.After Step 5: Step 6. Take your Pulse Oximeter measurement and verify that it is working properly.Note If the Pulse Oximeter does not seem to be operating properly, contact your healthcare provider.

Replacing Batteries3-12 Maintenance

Troubleshooting 4-1Introduction4TroubleshootingOverviewChapter 4 describes procedure to follow if you have problems with the Patient Telemonitoring system or any of its devices. The tables on the following pages can serve as a guide to help resolve problems that may occur. Caution Do not try to repair any device yourself. If a problem cannot be resolved using the procedures given in this chapter, contact your healthcare provider.Each device provides an error message when some part of the system is not working properly. If you see an error message on a device, the first thing to do is to check the device and try the measurement again. Be sure to follow the voice and light prompts provided by the device to assure that the measurement is being made properly. This chapter includes the following sections: PageRadio Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2Troubleshooting Tables. . . . . . . . . . . . . . . . . 4-3Home Hub/Telestation. . . . . . . . . . . . . . . . 4-3Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8Standard Scale . . . . . . . . . . . . . . . . . . . . . .4-8Steady Scale . . . . . . . . . . . . . . . . . . . . . . . .4-9Rhythm Strip Recorder . . . . . . . . . . . . . . 4-10Blood Pressure Unit . . . . . . . . . . . . . . . . 4-11Pulse Oximeter . . . . . . . . . . . . . . . . . . . . 4-12

Overview4-2 TroubleshootingRadio Test If the remeasurement still does not seem to work properly and the error message continues to appear, another step that can be taken is to perform a Radio Test. The Radio Test makes sure that your measurements are being properly sent from the measurement device to the Home Hub/TeleStation. The RADIO TEST button, { or }, is on the front of the device.To perform the Radio Test, follow these steps:Step 1. 1. Press and hold down the RADIO TEST button on the measurement device for 3 to 5 seconds or until the Home Hub/TeleStation starts beeping. Note If the using phone light on the Home Hub/TeleStation lights, stop and wait until it turns off before performing the Radio Test.If the Radio Test is successful, the following messages will appear on the indicated device.The Scale display will show rF.The Rhythm Strip Recorder’s RELAX light will flash once per second.The Home Hub/TeleStation will also beep:If the Home Hub/TeleStation does not beep, do the following:– see if there are any large objects between the measurement device and the Home Hub/TeleStation. If there are large objects, move the measurement device to a different location. If there are no large objects, move the measurement device closer to the Home Hub/TeleStation. – Make sure there are no cordless or cellular telephones or computers in use near the Home Hub/TeleStation.– Repeat the Radio TestIf the Radio Test is still not successful, refer to the following Troubleshooting tables to try to further resolve the problemT

Troubleshooting TablesTroubleshooting 4-3Troubleshooting TablesThe following tables gives possible Problems that can occur, Reasons why they may have occurred, and Possible Solutions that should be tried to resolve the problem. Find the Problem entry that seems to describe what you observe, and then try the various Possible Solutions. If none of the solutions seem to be successful, contact your healthcare provider for additional suggestions.Caution Do not try to repair any device yourself. If a problem cannot be resolved using the procedures given in this section, contact your healthcare provider.Home Hub/Telestation The following table describes problems that may occur with the Home Hub or TeleStation.Problem Reason Possible SolutionsThe screen is unreadable The Home Hub/TeleStation may be hot from sitting in sunlight or storage at a high temperatureLet the Home Hub/TeleStation cool to room temperature and the screen display may be restored.When taking a measurement, the data/holding results light does not turn on There may be interference from electronic devices, such as cordless or cell phones or computers.Move any electronic devices away from the Home Hub/TeleStationThe measurement device may be too far from the Home Hub/TeleStationMove the measurement device closer to the Home Hub/TeleStation.Perform the Radio Test to determine if the device signals are being received by the Home Hub/TeleStation

Troubleshooting Tables4-4 TroubleshootingWhen you take a measurement, the data/holding results light remains onThere may be a problem with your telephone service or you healthcare provider’s connectionPerform the CALL button test as follows:- Find the CALL button on the far right of the back panel of the Home Hub/TeleStation- Press the CALL button for less than 2 seconds. The Home Hub/TeleStation should beep once.(For some Home Hubs, you may need to use a pen or other pointed object to depress the CALL button)- Release the CALL button.- In 10 seconds, the using phone light should turn on and the Home Hub/TeleStation will dial your healthcare provider.- After a few minutes, the using phone light and the data/holding results light should turn off.- If the data/holding results light turns off, the Home Hub/TeleStation is operating correctly. (It may take a few minutes for it to turn off.)- If the results above do not occur, contact your healthcare provider.Problem Reason Possible Solutions

Troubleshooting TablesTroubleshooting 4-5When you take a measurement, the data/holding results light remains on and you have a special phone service such as voice mail or the data/holding results light stays onThere may be a conflict between your special phone service and the Home Hub/TeleStation connection, or a problem with your telephone line or you healthcare provider’s connection.- Have someone call and leave a message on you special telephone servicePerform the CALL button test as follows:Note: Keep your phone on the hook for the following steps unless told otherwise.- Find the CALL button on the far right of the back panel of the Home Hub/TeleStation- Press the CALL button for less than 2 seconds. The Home Hub/TeleStation should beep.(For some Home Hubs, you may need to use a pen or other pointed object to depress the CALL button)- Release the CALL button.- In 10 seconds, the using phone light should turn on and the Home Hub/TeleStation will dial your healthcare provider.- After a few minutes, the using phone light and the data/holding results light should turn off.- If the data/holding results light is still on, listen to the saved message and then delete it.- Press the CALL button for less than 2 seconds. The Home Hub/TeleStation should beep once.- Release the CALL button.- In 10 seconds, the using phone light should turn on and the Home Hub/TeleStation will dial your healthcare provider.Problem Reason Possible Solutions

Troubleshooting Tables4-6 TroubleshootingContinued from previous page - After a few minutes, the using phone light and the data/holding results light should turn off.- If the data/holding results light turns off, the Home Hub/TeleStation is operating correctly. (It may take a few minutes for it to turn off.) However, your special phone service may be interfering with the Home Hub/TeleStation- If the data/holding results light stays on, there is probably not a conflict with your special phone service. However, there may be a problem with your phone line or your healthcare provider’s connection.- If the results above suggest a problem, contact your healthcare provider.Problem Reason Possible Solutions

Troubleshooting TablesTroubleshooting 4-7Liquid spilled onto the Home Hub/TeleStation(for example, where the wires connect to the back)The Home Hub/TeleStation should be placed far from liquids (especially a sink or anywhere liquids might spill onto the unit.)For liquid spills, do the following:- Unplug the Home Hub/TeleStation power adapter from the wall or power strip.- Unplug the phone connection cord from the wall jack.- Use a towel to dry off the Home Hub/TeleStation, paying special attention to connection points.- Wait 3 hours for the unit to completely dry.- Plug the connection cords back into the Home Hub/TeleStation and the electrical and phone lines. Make sure they snap into place.- Pick up your telephone receiver and listen for a dial tone.- If you do not hear a dial tone, hang up and try again.- If you still do not hear a dial tone, unplug the Home Hub/TeleSTation. - Connect your telephone directly to the phone jack.- Contact your healthcare provider.Problem Reason Possible Solutions

Troubleshooting Tables4-8 TroubleshootingScale The following table describes problems that may occur with the each of the two types of Scale -- Standard Scale and Steady Scale. Use the table for your type of Scale.StandardScale The following troubleshooting table applies to the Standard Scale.Problem Reason Possible SolutionsErr.1 appears on the display and it says "Please try again." You may have stepped off the Scale too soon. Take your weight again and wait for the voice prompt before stepping off the Scale.Err.2 appears on the display and it says "Please try again." You may have moved during the measurement Take your weight again and do not move while the scale measures your weightErr.3 appears on the display and it says "Please try again." You may have stayed on the scale too long. Take your weight again and step off the scale as soon as you hear the voice prompt.Err.4 appears on the display and it says "The maximum weight was exceeded."Your may have exceeded the maximimum weight of 400 lbs (200 kgs)Use a regular scale to see if your weight exceeded 440 lbs (200 Kg).No voice prompt when you stand on the Scale and it is not set to SilentThe Scale’s batteries are low. Replace all 4 batters in the Scale as described in Chapter 3The display alternately flashes Lo and battThe Scale announces "Please replace the scale batteries"Scale does not turn on. The Scale is not properly installed or the batteries are low.- Replace all 4 Scale batteries following the procedure in Chapter 3.- Move the Scale to a hard, flat surface.- If it still des not turn on, contact your healthcare provider.The final weight reading keeps changing or is incorrect. The Scale is on a carpeted or irregular surface, or the Scale is broken.- Move the Scale to a hard, flat surface and take your weight again.- If this does not resolve the problem, contact your healthcare provider.

Troubleshooting TablesTroubleshooting 4-9Steady Scale The following troubleshooting table applies to the Steady Scale.Problem Reason Possible SolutionsErr. appears on the display You stepped off the Scale too soon. Take your weight again and wait for the Step Off light and voice prompts before stepping off the Scale.Err.1 orErr.2 orErr.6 appears on the displayThe Scale display is not connected to the Scale or there is a problem with the ScaleCheck the connection of the display to the Scale. If this does not resolve the problem, contact your healthcare provider.Err.3 appears on the display You moved the scale immediately after stepping off. Take your weight again and wait for the Step Off light and voice prompt before stepping off the Scale and do not touch the Scale.Err.4 appears on the display You moved during the weight measurement. Take your weight again and remain still during the measurement.Err.5 appears on the display The Scale was unable to read the measurement. Use a regular scale to see if your weight exceeded 365 lbs (166 Kg)Err.6 appears on the display You did not step off the Scale when prompted. Take your weight again and when the Step Off light and voice prompt occur, step off the Scale.Stand Still light blinks when you stand on the Scale.The Scale’s batteries are low. Replace all 4 batters in the Scale as described in Chapter.3Stand Still light blinks and there is no voice prompt when you stand on the Scale and it is not set to Silent.The Scale’s batteries are low. Replace all 4 batters in the Scale as described in Chapter.3Step Off light flashes slowly The Scale display is not connected to the Scale. - Check the cord connection between the platform and the display- Unplug and replug the cord until it snaps into place

Troubleshooting Tables4-10 TroubleshootingRhythm Strip RecorderThe following table describes problems that may occur with the Rhythm Strip Recorder.Scale does not turn on. The Scale is not properly installed or the batteries are low.- Check the cord connection between the platform and the display.- Replace all 4 Scale batteries following the procedure in Chapter 3.- Move the Scale to a hard, flat surface.- If it still des not turn on, contact your healthcare provider.The final weight reading keeps changing or is incorrect.The Scale is on a carpeted or irregular surface, or the Scale is broken.- Move the Scale to a hard, flat surface and take your weight again.- If this does not resolve the problem, contact your healthcare provider.Problem Reason Possible SolutionsProblem Reason Possible SolutionsPoor heart rhythm measurement, or the Home Hub/TeleStation is not receiving the heart rhythm measurement.The wrist bands are too loose or not properly positioned. Push the wristbands up you arms until there is a smooth, snug fit against the skin or you inner wrists or arms.The measurement device may be too far from the Home Hub/TeleStation- Move the measurement device closer to the Home Hub/TeleStation.- Perform the Radio Test to determine if the device signals are being received by the Home Hub/TeleStation.- If the Recorder is still not operating properly, contact your healthcare provider.

Troubleshooting TablesTroubleshooting 4-11Blood Pressure UnitThe following table describes problems that may occur with the Blood Pressure Unit.Problem Reason Possible SolutionsInaccurate blood pressure readings. Improper blood measurement procedure. Review the blood pressure tips in Chapter 2 and repeat the measurement. appears on the display The systolic and diastolic measurements are within 10 mm Hg of each other.There may be air leakage in the air hose connections.- Check that the air hose is properly connected to the BP Unit and cuff by unplugging it and then plug it back in, pushing and twisting until it snaps into place. appears on the display You moved during the reading. - Wait 15 minutes.- Take your blood pressure again, remaining very still during the reading. appears on the display The pressure measurement did not increase during cuff inflation or the cuff is not securely fastened.- Check that the air hose is properly connected to the BP Unit and cuff by unplugging it and then plug it back in, pushing and twisting until it snaps into place.- Make sure the cuff is securely fastened appears on the displayThe BP Unit batteries are low. - Replace all 4 batteries in the BP Unit following the procedure in Chapter 3.Note: If the batteries need frequent replacement, check the initial snugness of the cuff. A loose cuff requires longer pumping times and will shorten battery life.

Troubleshooting Tables4-12 TroubleshootingPulse Oximeter The following table describes problems that may occur with the Pulse Oximeter.Problem Reason Possible Solutions appears on the display A hardware malfunction is detected. If condition persists, contact your healthcare provider. appears on the displayA reading was not obtained. - Reduce the light.- Warm your finger. - Keep your hand still. - Repeat the measurement.- If the condition persists, contact your healthcare provider. appears on the display and flashes.Batteries are too low for the Pulse Oximeter to work properly.- Replace all 4 batteries following the procedure in Chapter 3.- Perform a Radio Test. appears on the display along with a rising audio tone after battery replacementIndicates that the batteries are good. No action required. Proceed with Pulse Oximeter measurement. appears on the display along with a low audio tone after battery replacement.There is a hardware malfunction. - Replace all 4 batteries following the procedure in Chapter 3.- Perform a Radio Test.- If condition persists, contact your healthcare provider.

Specifications and Regulatory 5-1Introduction5Specifications and RegulatoryOverviewChapter 5 provides information about the Philips Telemonitoring Set of devices that is required by law to completely describe their characteristics, performance and compliance with regulatory requirements. It includes the following sections.PageSpecifications. . . . . . . . . . . . . . . . . . . . . . . . . 5-2Description . . . . . . . . . . . . . . . . . . . . . . . . 5-2Home Hub/TeleStation . . . . . . . . . . . . 5-2Standard Scale . . . . . . . . . . . . . . . . . . 5-3Steady Scale . . . . . . . . . . . . . . . . . . . . 5-3Blood Pressure Unit. . . . . . . . . . . . . . . 5-4Rhythm Strip Recorder . . . . . . . . . . . . 5-4Pulse Oximeter . . . . . . . . . . . . . . . . . . 5-5Technical Specifications . . . . . . . . . . . . . . 5-6Physical . . . . . . . . . . . . . . . . . . . . . . . . 5-6Electrical . . . . . . . . . . . . . . . . . . . . . . . 5-6Environmental . . . . . . . . . . . . . . . . . . . 5-7Electromagnetic Compatibility . . . . . . . . . . . 5-8Emissions and Immunity . . . . . . . . . . . . . . 5-8FCC Regulations. . . . . . . . . . . . . . . . . . . 5-10Regulatory Information . . . . . . . . . . . . . . . . 5-10FCC Regulations . . . . . . . . . . . . . . . . . . . 5-10Telephone Regulatory Notice . . . . . . . . . 5-11

Specifications5-2 Specifications and RegulatorySpecificationsThis section gives technical descriptions and specifications of the Philips Telemonitoring Set devices, including physical, electrical, and environmental.Description Home Hub/TeleStationStandard ScaleModel Home Hub: M3812ATeleStation: M3812BType Class II equipment, continuous operationDisplay LED lights on both modelsModel M3813BType - Type B applied part - IPXO ordinary equipment- Internally powered continuous operationDisplay - Digital, 2.0 in (51 mm) character height- Weights displayed and announced simultaneouslyLanguage English or SpanishAudio Volume Voice readout of weight, prompts, and 4 settingsMeasurement Range 66 to 440lbs (30 to 200 kg)Accuracy + 0.5% of loading at maximum patient weight + 2.2 lbs (1.0 kg)Display Units pounds (lbs) or kilograms (kg), user selectableMaximum Allowed Weight 440 lbs (200 kg)Grab Bar and Post check for availability

SpecificationsSpecifications and Regulatory 5-3Steady ScaleModel M3813AType - Type B applied part - IPXO ordinary equipment- Internally powered continuous operationDisplay - Digital, 0.71 in (18 mm) character height- Weights displayed and announced simultaneouslyLanguage English onlyAudio Volume Voice readout of weight, prompts, and 4 settingsMeasurement Range 66 to 365lbs (30 to 166 kg)Accuracy + 1% of loading + 1.1 lbs (0.5 kg) at maximum patient weight + 4.8 lbs (2.2 kg)Display Units pounds (lbs) or kilograms (kg), user selectableMaximum Allowed Weight 365 lbs (166 kg)Grab Bar and Post Removable attachment

Specifications5-4 Specifications and RegulatoryBlood Pressure UnitRhythm Strip RecorderModel M3815AType - Type B applied part oscillometric- IPXO ordinary equipment- Internally powered continuous operationDisplay - Digital, 0.63 in (16 mm) character height- Pressure/pulse displayed simultaneouslyMeasurement Range - Pressure: 20 to 280 mm Hg- Pulse: 40 to 200 pulses per minuteAccuracy Pressure transducer: + 2% or + 3 mm HgPressurization Automatic, using micropumpDepressurization Constant-air release-valve systemDeflation Automatic exhaustModel M3816AType - 1-channel lead- Oscillometric, Type B applied part - IPXO ordinary equipment- Internally powered continuous operationDisplay LED light

SpecificationsSpecifications and Regulatory 5-5Pulse OximeterModel M3814AType - Type B applied part - IPXO ordinary equipment- internally powered continuous operation (does not imply continuous monitoringDisplay - Digital 0.7 in. (1.8 cm) character height- SpO2 - Pulse displayed alternately- SpO2 display range: 0 - 100%Measurement Range - SpO2: 70 - 100% (functional hemoglobin)- Pulse: 18 to 300 beats per minuteMeasurement Accuracy -S pO2: 70 - 100%, + 2 digits (+ 1 Standard Deviation a statistical measure)- (SpO2 calibration range: 70 - 100% determined by arterial blood measurement on a Co-oximeter Test methods available upon request.)- Pulse: + 3%, + 1 digit Measurement Wavelengths - 660 nanometers, 3 milliwatts (nominal)- 910 nanometers, 3 milliwatts (nominal)Biocompatibility Suitable for surface device, skin contact, limited contact duration (up to 24 hours)

Specifications5-6 Specifications and RegulatoryTechnical Specifications PhysicalElectricalPhilips Device ProductPart # Heightcm (in.) Widthcm (in.) Depthcm (in.) Weightkg. (lbs.)Home Hub M3812A 3.8 (1.5) 20.0 (7.88) 28.0 (11) 0.9 (2.05)aTeleStation M3812B 12.7 (5.0) 21.8 (8.6) 15.9 (6.25) 0.8 (1.7)aStandard Scale M3813B 0.89 (2.25) 38.1 (15) 38.1 (15) 3.8 (8.4)bSteady Scale M3813A 104 (45.7) 50.5 (20) 50.8 (20) 6.8 (15)Blood Pressure Unit M3815A 104 (45.7) 50.5 (20) 50.8 (20) 6.8 (15)Rhythm Strip Recorder M3816A 6.9 (2.7) 11.2 (4.4) 16.5 (6.5) 34 (0.75)bPulse Oximeter M3814A 16.5 (6.5) 11.2 (4.4) 16.5 (6.5) 3.7 (0.81)ba. Net weight, without power moduleb. Net weight, with batteriesPhilips Device ProductPart # Power Source Battery LifeHome Hub M3812A 9.0VAC/ 500mA(Use Philips-supplied power adapter only)n/aTeleStation M3812BStandard Scale M3813B 4 AA (1.5V) alkaline batteries connected in series for a total of 6 V~ 12 months with 1 daily measurementSteady Scale M3813A ~ 6 months with 1 daily measurementBlood Pressure Unit M3815A ~ 3 months with 1 daily measurementRhythm Strip Recorder M3816A ~ 1 year with 1 daily measurementPulse Oximeter M3814A ~ 6 months with 1 daily measurement

SpecificationsSpecifications and Regulatory 5-7EnvironmentalWarning These devices are not suitable for use in the presence of flammable anesthetic mixture with air or with oxygen or nitrous oxide.Temperature Atmospheric Pressure Altitude Relative HumidityPhilips Device ProductPart # Operating Storage Operating and Storage(hPa)Operating and Storage(hPa)(Non-condensing)Home Hub M3812A 10 - 40oC(50 - 104oF) -9 - 54oC(15 - 130oF) 572-1013 0-4600m(0-15,000ft) less than 85%TeleStation M3812BStandard Scale M3813BSteady Scale M3813ABlood Pressure Unit M3815ARhythm Strip RecorderM3816APulse Oximeter M3814A

Electromagnetic Compatibility5-8 Specifications and RegulatoryElectromagnetic CompatibilityWhen using the Philips Telemonitoring System, electromagnetic compatibility with surrounding devices should be assessed. A medical device can either generate or receive electromagnetic interference. Testing for electromagnetic compatibility (EMC) has been performed according to international medical device standards EN 60601-1-2.These EMC standards describe tests for both emitted and received interference. Emission tests deal with interference generated by the device itself, whereas Immunity tests deal with determining electromagnetic compatibility of the device while used in the presence of surrounding electronic equipment or other external sources that may generate interference.Warning Radio frequency (RF) interference from nearby transmitting devices may degrade performance of Philips Telemonitoring Set devices. Electromagnetic compatibility with surrounding devices should be assessed prior to using this equipment.Philips Telemonitoring Set devices should not be used next to or stacked with other equipment. If you must stack the device, check that normal operation is possible.Emissions and ImmunityThe EMC standards state that manufacturers of patient-coupled equipment must specify immunity levels for their devices when there is reduced performance.During the EN 61000-4-3 Radiated Immunity test, some reduced performance was observed.EN 61000-4-3 specifies that devices be subjected to a field of 3 Volts/meter over a frequency range of 26 to 1000 MHz with no degradation of performance or loss of function below the performance level specified when equipment is operated as intended. Radio communication from the

Electromagnetic CompatibilitySpecifications and Regulatory 5-9Philips Telemonitoring Set devices may occasionally be interrupted when subjected to frequencies in the 800 MHz - 942 MHz range at field strength levels as low as 0.05 V/m. The phenomena discussed above are not unique to this unit but are characteristic of radio instrumentation in use today. The M3812A Home Hub and M3812B TeleStation are radio receivers and their reception of Philips Telemonitoring Set device signals can be degraded by electromagnetic interference.Avoiding Electromagnetic Interference ProblemsEliminating the source of interference or moving it away can avoid electromagnetic interference. Possible sources of interfering radio frequency radiation are cellular telephones, cordless telephones, and other products that contain radio transmitters. Philips Telemonitoring Set devices have a Radio Test button that sends a reduced strength test radio signal to the Home Hub or TeleStation, which sounds an audio tone if the test signal is successfully received. This test can be used to determine whether sources of interference are present. These sources can be turned off or moved away to reduce their strength and reduce interference. In addition, Philips Telemonitoring Set devices and Home Hub or TeleStation can be placed closer to each other so that the radio transmission from the Philips Telemonitoring Set devices to the Home Hub or TeleStation has less distance to travel and interfering radio signals have less effect. The radio transmission from the Philips Telemonitoring Set devices is repeated periodically so that an intermittent source of interference should only delay reception.Avoiding Static Electrical DischargesStatic discharges to Philips Telemonitoring Set devices t may cause temporary, unusual behavior. If a static discharge causes a temporary malfunction, simply restart the measurement.

Regulatory Information5-10 Specifications and RegulatoryRegulatory InformationFCC Regulations This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits provide reasonable protection against harmful interference in a residential installation. Philips Telemonitoring Set devices generate, use, and can radiate radio frequency energy. If not installed and used according to instructions, it may interfere with radio communications. However, there is no guarantee that interference will not occur if the equipment is properly installed.If this equipment causes interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct it by:• relocating the Home Hub or TeleStation,• increasing the separation between the Philips Telemonitoring Set devices or the Home Hub or TeleStation and the device being interfered with, for example, a TV,• consulting your healthcare provider.Notes Any changes or modifications to the equipment not expressly approved by Philips could void the user’s authority to operate it.The possibility of hazards arising from errors in the software program is minimized by Philips’ use of a risk analysis and risk management process as defined in Philips’ document CM RISK ANALYSIS PROCESS, document number A-Q2920-00126.

Regulatory InformationSpecifications and Regulatory 5-11Telephone Regulatory NoticeYour Philips Home Hub is registered with the Federal Communications Commission (FCC) and is in compliance with part 68 of the FCC Rules and Regulations. The FCC requires Philips to provide you with the following information. The Home Hub contains a 14.4 Kbps modem. You must, upon request, provide the following information to your local telephone company (this information is also printed on the bottom of the device): FCC Part 68 ID Number: 2M6USA-33569-DT-E and Ringer Equivalence Number (REN): 0.3A.Your Philips TeleStation complies with Part 68 of the FCC rules and the requirements adopted by the Administrative Council for Terminal Attachments (ACTA). ACTA requires Philips to provide you with the following information. The TeleStation contains a 14.4 Kbps modem. You must, upon request, provide this information to your local telephone company. On the bottom of the device is a label that contains, among other information, a product identifier in the format US: AAAEQ##TXXXXX. For products approved after July 23, 2001, the digits in the product identifier represented by ## are the REN without a decimal point (for example, 03 is a REN of 0.3). If requested, this number must be provided to the telephone company. The REN is useful to determine the number of devices you can connect to your telephone line and still have all of these devices ring when your telephone number is called. In most (but not all) areas, the sum of the RENs of all devices connected to one line should not exceed 5. To be certain of the number of devices connected to your line as determined by the REN, contact your local telephone company.Note: (a) The Home Hub or TeleStation may not be used on coin service phones provided by the telephone company. (b) Party lines are subject to state tariffs and, therefore, you may not be able to use your own telephone equipment if you are on a party line. Check with your local telephone company. (c) Notice must be given to the telephone company upon permanent disconnection of your telephone from your line.

Regulatory Information5-12 Specifications and RegulatoryRights of the Telephone Company: Should your Home Hub or TeleStation cause trouble on your line that may harm the telephone network, the telephone company shall, if possible, notify you that temporary discontinuation of service may be required. If advance notice is not practical, the telephone company may discontinue service immediately, but temporarily. In such case of discontinuance, the telephone company must (1) promptly notify you of such temporary discontinuance, (2) afford you the opportunity to correct the situation, and (3) inform you of your right to bring a complaint to the FCC pursuant to the procedures in Subpart E of Part 68, FCC Rules and Regulations.The telephone company may make changes in its communications facilities, equipment, operations, or procedures where such action is required in the operation of its business and not consistent with FCC Rules and Regulations. If these changes are expected to affect the use or performance of your Home Hub or TeleStation, the telephone company must give you adequate notice, in writing, to allow you to maintain uninterrupted service.A plug and jack used to connect the TeleStation must comply with applicable FCC Part 68 rules and requirements adopted by the ACTA. A compliant telephone cord with a modular plug is provided with the TeleStation. It is designed to be connected to a compatible modular jack that is also compliant. See installation instructions for details.Consult your telephone company or qualified installer if you are using a TeleStation and have specially wired alarm equipment connected to your telephone line.Contact Philips Medical Systems at (978) 687-1501 for repair or warranty information.

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