Cardionet 1010 User Manual

Patient Education Guide

MOBILE C A R D I A C O U T PATIENT TELEMETRY

CardioNet Ambulatory ECG System and Arrhythmia Detector

Manufactured by CardioNet Inc.

1010 Second Ave., Suite 700

San Diego, CA 92101

Copyright 2006

All rights reserved

Document number 101010 Revision B October 2006

T A B L E O F C O N T E N T S

INTRODUCTION. . . . . . . . . . . . . . . . . . . . . . . .1

How the CardioNet Service Works. . . . . . . . . . . . . . . . . . .2

Your CardioNet Monitoring Supplies . . . . . . . . . . . . . . . . . 4

1

GETTING STARTED . . . . . . . . . . . . . . . . . . . . .9

Your Rights as a Patient. . . . . . . . . . . . . . . . . . . . . . . . . . 6

Your Responsibilities as a Patient . . . . . . . . . . . . . . . . . . .6

Who to Call with Questions . . . . . . . . . . . . . . . . . . . . . . . 6

In the Case of an Emergency. . . . . . . . . . . . . . . . . . . . . .7

What to Do When your Monitoring is Over. . . . . . . . . . . . . 8

Connecting from Home . . . . . . . . . . . . . . . . . . . . . . . . . 10

How to Install the CardioNet Base . . . . . . . . . . . . . . . . . 11

About the CardioNet Base . . . . . . . . . . . . . . . . . . . . . . . 14

2

How to Activate the CardioNet Sensor . . . . . . . . . . . . . . . 15

Tips for Wearing the CardioNet Sensor . . . . . . . . . . . . . . 18

How to Activate the CardioNet Monitor . . . . . . . . . . . . . . 19

USING THE Monitor . . . . . . . . . . . . . . . . . . . . 25

How to Turn your Monitor On and Off . . . . . . . . . . . . . . . 26

How to Record an Event . . . . . . . . . . . . . . . . . . . . . . . . 28

How to Change Monitor Options . . . . . . . . . . . . . . . . . . . 30

3

How to Check Battery Power . . . . . . . . . . . . . . . . . . . . . 34

How to Check Cell Phone Coverage . . . . . . . . . . . . . . . . 35

Receiving Messages from CardioNet . . . . . . . . . . . . . . . . 36

How to Read a Text Message. . . . . . . . . . . . . . . . . . . . . 37

ii  Table of Contents

SENSOR CARE . . . . . . . . . . . . . . . . . . . . . . . . 39

Tips for Changing Electrode Pads . . . . . . . . . . . . . . . . . . 40

How to Change Electrodes and Attach Sensor . . . . . . . . . 41

4

TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . 47

5

SPECIFICATIONS, COMPLIANCE & SYMBOLS 57

6

Remove Before Showering or Bathing . . . . . . . . . . . . . . . 44

How to Change the Sensor AA Battery . . . . . . . . . . . . . . 45

Responding to Monitor Alerts and Alarms . . . . . . . . . . . . 48

Troubleshooting Device Problems. . . . . . . . . . . . . . . . . . 51

Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Specications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Equipment Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

In Home Requirements . . . . . . . . . . . . . . . . . . . . . . . . . 60

FCC Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Table of Contents  iii

I N T R O D U C T I O N

In this Chapter:

• How the CardioNet Service Works

• Your CardioNet Monitoring Supplies

• Your Rights as a Patient

• Your Responsibilities as a Patient

• Who to Call with Questions

1

• In the Case of an Emergency

• What to Do When your Monitoring is Over

How the CardioNet Service Works

1. IN T R ODUC TIO N

Monitor transmits eventsSensor detects and analyses heartbeats

1 2

When you’re using the
CardioNet service, you’ll
wear a small, lightweight
sensor on your chest.
The sensor detects and
analyses each heartbeat
and sends data to the
por table CardioN et
monitor.

The CardioNet monitor can
be tucked away in a pocket
or purse. When the sensor
detects an event, or when
you report an event using
the touch screen on the
monitor, it transmits the
data to the CardioNet
Monitoring Center.

2  Introduction

How the CardioNet Service Works

1. IN T R ODUC TIO N

CardioNet reports to your physician

3

The CardioNet Monitoring
Center operates 24 hours
a day, 7 days a week.
At the Center, specially
trained cardiac technicians
analyze your heart rhythms
and report results to your
physician.

Your physician reviews your results

4

Your physician reviews the
report, discusses results
with you and prescribes
or adjusts treatment as
needed.

Introduction  3

Your CardioNet Monitoring Supplies

e CardioNet Kit

The CardioNet Kit contains the supplies you will need while you are on the CardioNet
Monitoring Service. If any items are missing or broken, or if you have any questions
about how to use them, please call CardioNet at 1-866-426-4401.

When service is ended, follow the detailed instructions in

Monitoring is Over

located in this chapter and please return the equipment promptly

to the CardioNet Monitoring Center.

1. IN T R ODUC TIO N

Picture Item and Description

CARDIONET SHIPPING KIT

Kit Photo
Here

The CardioNet shipping kit contains all the items you will need during
your monitoring service. You can also reference the inside lid of the kit
for information on where each item is located in the kit.

CARDIONET SENSOR

The sensor can be worn around the neck or on a belt. It detects each
heartbeat and sends data to the CardioNet monitor. To communicate
with the monitor, the sensor must remain close to the monitor. Walls
and other obstructions can interfere with the communications between
the sensor and the monitor. If you go out of communications range, the
sensor and monitor will beep to alert you.

CARDIONET Monitor

The monitor constantly analyzes data from the sensor and sends
events to the CardioNet Monitoring Center. The monitor uses wireless
communication when not in the base and uses the regular phone system
when the monitor is placed in the base. You will not be charged by the
telephone company for calls made by your monitor.

What to Do When Your

4  Introduction

CARDIONET BASE

The base recharges the CardioNet monitor and allows the monitor to
communicate with the Monitoring Center using your home phone system.
The bases are connected to your phone line and plugged into electrical
outlets in your bedroom and another room in your home.

Your CardioNet Monitoring Supplies

Picture Item and Description

ELECTRODES

Electrodes are disposable sticky pads that snap onto the three colored
lead wires on the CardioNet sensor. You remove the backing and stick
them to clean, dry, hairless skin. If you need more electrodes call
CardioNet at 1-866-426-4401.

AA BATTERIES

The AA batteries provide power to the CardioNet sensor. The battery must
be replaced each day. Please use only CardioNet-supplied AA batteries.
If you need more batteries call CardioNet at 1-866-426-4401.

SENSOR NECK STRAP & BELT CLIP

Use the neck strap if you prefer to wear the sensor around your neck.
Use the belt clip if you prefer to wear the sensor on your belt.

POWER PLUG & TELEPHONE CORD

Use the black power plug to connect the CardioNet base station to an
electrical outlet. Use the telephone cord to connect your CardioNet base
station into the telephone wall jack. Detailed information on how to
install your base is provided in Chapter 2:

Base

.

1. IN T R ODUC TIO N

How to Install the CardioNet

PATIENT EDUCATION GUIDE & VIDEO

The Patient Education Guide and Patient Information Video contain
helpful information about the CardioNet service and important contact
numbers.

UPS SHIPPING LABEL

Put the kit in the white plastic bag, seal it and stick the UPS pre-paid
shipping label to the white plastic bag to return the kit after monitoring

is nished.

Introduction  5

Your Rights as a Patient

You have the right to be treated with dignity, courtesy and respect.

1.
You have the right to high quality service.

2.
You have the right to excellent training on how to use the CardioNet

3.

technology and service.

You have the right to receive high-quality service regardless of race, religion,

4.

political belief, sex, sexual preference or source of payment.

You have the right to complain or suggest improvements in service without

5.

1. IN T R ODUC TIO N

worrying that CardioNet will stop providing service or provide a poorer quality
of service.

You have the right to refuse service.

6.

Your Responsibilities as a Patient

Use the CardioNet equipment with care.

1.
Return equipment to CardioNet immediately, when monitoring is completed.

2.
Provide CardioNet with the information CardioNet needs to provide you with

3.

quality care.

Treat CardioNet employees with respect.

4.

Who to Call with Questions

If you have any questions about your monitoring service or billing, please call one
of our toll free numbers. Customer service is available 24 hours a day, 7 days a
week.

Customer Service: 1-866-426-4401
Monitoring Questions: 1-866-426-4401
Billing Questions: 1-866-426-4402

6  Introduction

In the Case of an Emergency

CardioNet is not an emergency response service.
If you experience symptoms that concern you, seek medical help.

In the course of monitoring your heart, CardioNet may detect cardiac events which
are potentially life-threatening and were not anticipated by your physician. As

directed in the physician notication criteria, if CardioNet detects such an event,

CardioNet will attempt to contact you and your physician as soon as possible.
However, CardioNet’s ability to obtain information regarding a cardiac event and to

contact you or your physician in a timely manner is limited by a number of factors,
including:

• Transmission of information about a cardiac event to CardioNet‘s monitoring
center is potentially limited by the availability of standard telephone lines and/or
cellular phone coverage.

• There is an inherent time delay from the time that an event is detected to when

the events are analyzed and conrmed by a Certied Cardiac Technician (CCT).

• There is an inherent time delay from when the event is analyzed and conrmed by

the CCT to when CardioNet is able to make contact with you or your physician.

• If you or your physician are not accessible by telephone, CardioNet will not
succeed in making contact with you or your physician.

1. IN T R ODUC TIO N

When CardioNet does detect a potentially serious cardiac event as dened by your

physician, CardioNet will attempt to contact your physician for direction. CardioNet
will also attempt to contact you and inform you of any cardiac event that has been
received that may require evaluation in the emergency room, per your physician’s

notication criteria. You may decide to seek medical help by calling your Emergency
Medical Services (EMS) directly or you may ask that CardioNet assist you in contacting

EMS.
The CardioNet system was designed to help physicians diagnose and treat heart

rhythm problems. There are other serious heart conditions that may not be detected
by the system. Because of this, and because of the limitations of the CardioNet
system described above, you should not delay seeking medical help if you experience
symptoms that concern you. Also, you should not rely on CardioNet as an emergency
response service.

Introduction  7

What to Do When your Monitoring is Over

When your prescription is over and CardioNet has received data for the number
of days your physician has requested, the monitor will be deactivated in the
middle of the night. You may hear the monitor beep. If in the morning the screen
on your monitor states that your prescription has ended, turn the monitor off and
remove the battery in the sensor. Remove the electrodes from your body.

Pack items in the kit by following the instructions on the inside of the kit lid.
Before you close the kit, complete the Patient Satisfaction Survey and place it
with the Patient Education Guide, laminated reminder card and Pocket Guide on

1. IN T R ODUC TIO N

the top of the contents of the kit. If you have not returned the Patient Enrollment
Form, include a signed copy with these items as well. After everything is in the
kit, close the lid and put the kit in the white plastic bag that was included in
the kit contents. Seal the white bag. Stick the UPS pre-paid mailing label on the
outside of the white plastic bag.

The kit is now ready to return and you can choose one of 3 ways to return it to
CardioNet:

You can call UPS 1-800-742-5877 and UPS will pick it up. If you call UPS you

1.

will need to explain that it’s a pre-paid 2nd Day Air package. You will not be
charged anything.

You can drop off the kit at Staples, the UPS Store, or another location with

2.

UPS drop-off.

You, or a family member, can bring it to your work if they have daily UPS

3.

pick-up.

If you do not return the kit CardioNet will bill you for the contents.

Please return the kit as soon as you can so other patients can use the
equipment.

8  Introduction

G E T T I N G S T A R T E D

In this Chapter:

• Connecting from Home

• How to Install the CardioNet Base

• About the CardioNet Base

• How to Activate the CardioNet Sensor

• Tips for Wearing the CardioNet Sensor

2

• How to Activate the CardioNet Monitor

Connecting from Home

This chapter describes the steps you will need to take in order to set up the CardioNet
monitoring system and begin monitoring. You may want to ask for assistance from
a family member if you are not comfortable doing these steps on your own.

The rst step you (or a family member) needs to do is to install the base. The

instructions on the next few pages will assist you in completing the installation. The
base needs to be installed in the room where you sleep. When setting up a base,
you will need a phone jack and an electrical outlet. When your monitor is on the
base, your sensor will still be able to communicate with the monitor as long as they
are within range of each other. If you go out of communications range, the monitor
and sensor will beep to alert you. To ensure good communication, stay close to the
monitor while it is in the base or simply take the monitor out of the base and bring
it with you when you leave the room. You can go about your normal daily activities

- just wear your sensor and bring your monitor with you wherever you go.
At night keep the monitor in the base near your bed. The monitor will recharge and

it will also transmit your heart data to CardioNet’s Monitoring Center. As you sleep,
you can remove the sensor from the neck strap or belt clip and lay it on the bed next
to you on the same side of the bed as your monitor. The sensor will move with you
as you move. Try not to lie on top of the sensor. The monitor and sensor can not

communicate with one another through bodies (your own body, your partner’s, your
child’s, your pet’s, etc.) If the monitor beeps at night, sometimes just repositioning

the sensor near the monitor will stop the beeping. If the beeping continues, it might

2 . G E T T ING S TA R T E D

be for another reason, like “lead disconnected.” You can read the message on the
screen for information on how to resolve the problem.

After the base is installed, connect yourself to the sensor using the instructions in
this chapter. After you are wearing the sensor, you will need to activate your monitor.
Activating the monitor will require a password which you can obtain by calling
CardioNet at 1-866-426-4401.

10  Getting Started

How to Install the CardioNet Base

The table below will help you gather all the items you will need to install each
CardioNet base. All items are located in your CardioNet kit.

Items You’ll Need for Base Installation

Item and Quantity Picture of Item Kit Location

Place shipper kit
image here

CardioNet Base

1

2 . G E T T ING S TA R T E D

Telephone Cord

1

Power Plug

1

Place shipper kit
image here

Place shipper kit
image here

Getting Started  11

How to Install the CardioNet Base

Look for outlet and jack Find your phone cord Plug phone cord into base

31 2

2 . G E T T ING S TA R T E D

Find an electrical outlet
located close to a
telephone jack, preferably
in your bedroom.

Pick up the receiver of
your home phone and
listen to ensure there is a
dial tone.

12  Getting Started

Locate the telephone cord
plugged into the back
of your home phone.
Unplug the telephone
cord from the back of
your telephone.

On the CardioNet base,
locate the slot labeled
“Phone In” on the back
of the base. Take the
telephone cord you just
unplugged from the back
of your phone and plug it
into the slot on the base
labeled “Phone In”.

How to Install the CardioNet Base

Plug in second phone cord

Plug in power cord

4 5

In the CardioNet kit,

nd the telephone cord.

Locate the slot labeled
“Phone Out” on the back
of the base. Plug one end
of this telephone cord
into the slot on the base
labeled “Phone Out”.
Plug the other end of this
cord into the back of your
telephone.

In the kit, locate the power
cord. On the back of the
base, locate the round
hole labeled “Power”. Plug
the small, round end of the
power cord into the slot on
the base labeled “Power”.
Plug the other end into
an electrical outlet.

Check your home phone
for a dial tone.

2 . G E T T ING S TA R T E D

Getting Started  13

About the CardioNet Base

e Base Recharges your Monitor

The base functions as a recharging station for your CardioNet monitor. When you
insert the monitor into the base correctly, “Monitor is Charging” will appear on the
screen. The monitor’s rechargeable battery provides between 12 to 16 hours of use.
If you plan to be away from home for more than 12 hours, you should bring one
of the black power cords with you. At some point during the day, plug the power
cord into an electrical outlet and charge your monitor by inserting the other end of
the power cord into the hole on the side of the monitor.

e Base Transmits Events Using your Home Telephone

When your CardioNet monitor is in the base, it uses your home telephone system
for communications with the CardioNet Monitoring Center. When you are away from
home – or whenever your CardioNet monitor is out of the base station – the monitor
uses cell phone technology to contact the CardioNet Monitoring Center and transmit
data. You do not need a cell phone. The monitor uses its own cell phone.

As with consumer cellular phones, calls can sometimes be delayed or blocked by

coverage problems, heavy trafc on cell phone networks, or physical obstructions

such as buildings or mountains.
If the CardioNet monitor has data to transmit and is unable to communicate with

the CardioNet Monitoring Center through cellular communications, the monitor will
store the data and transmit it when cell coverage becomes available or through

2 . G E T T ING S TA R T E D

your home telephone system when the monitor is placed in the base.
If you pick up your telephone while the monitor is in the base and transmitting

data, you will hear static, like the sound a fax machine makes. Hang up the phone
and wait a few minutes while the data is sent and then you will get a dial tone. If
you must use your phone and the monitor is transmitting data, take the monitor
out of the base and make your call. When you are done with the call, however, you
should return your monitor to the base right away to complete the transmission.
If you are on the phone and the monitor wants to transmit data, you might hear
clicking sounds. If you are using a dial-up connection to access the Internet on the
same phone line as the base, and the monitor is in the base transmitting data, it
may disconnect you from the Internet. Hang up and the monitor will transmit the
data. When the monitor is in the base and transmitting data, your telephone line
will have a busy signal for incoming calls. You will not be charged for any calls your
monitor makes to CardioNet.

14  Getting Started

How to Activate the CardioNet Sensor

The table below will help you gather all the items you will need to begin using your
CardioNet sensor. All items are located in your CardioNet kit.

Items You’ll Need to Begin Using your CardioNet Sensor

Item and Quantity Picture of Item Kit Location

Place shipper kit
image here

CardioNet Sensor

1

AA Battery

1

Pack of Electrode Pads

1

Neck Strap or Belt Clip

2 . G E T T ING S TA R T E D

Place shipper kit
image here

Place shipper kit
image here

Place shipper kit
image here

1

Getting Started  15

How to Activate the CardioNet Sensor

Insert the AA battery

2 . G E T T ING S TA R T E D

Lift the lid of your sensor
and place one AA battery
inside. Use the diagram
on the inside of the
sensor to make sure you
insert the battery with
the proper positive and
negative orientation. If
you have inserted the
battery correctly, you will
hear a chime.

16  Getting Started

Belt clip or neck strap?

Neck strap: unsnap the
neck strap and thread it
through the loop on the
sensor. Snap the ends
together and place it over
your head. The 2 tabs
allow you to adjust the
length of the strap.
Belt clip: attach the clip to
your pants, skirt or belt.

Snap the at side of the

sensor into the clip with
the wires pointing upward.

Prepare your skin

31 2

First make sure you do not
have any lotion, powder or
hair in the three locations

(steps 4-6). If you have

lotion or powder on, you
should wash off the areas
with soap and water and
dry the skin completely. If
you have any hair in these
locations, you must shave
it all off before putting the
electrodes in place.

How to Activate the CardioNet Sensor

White on right Black on left

Red on ribs

4 5 6

Open one pack of elec­trodes. Snap the 3 leads

(from the end of your
sensor wires) onto the 3

electrodes. Peel off the
electrode from the back­ing with the WHITE lead
attached. Place this elec­trode just below the center
of your right collarbone.
Press so that the electrode
is adhered to your skin.

Peel off the electrode
from the backing with
the BLACK lead attached.
Place this electrode just
below the center of your
left collarbone. Press so
that the electrode is ad­hered to your skin.

Peel off the electrode from
the backing with the RED
lead attached. Place this
electrode on your left side,
on the lower part of your
rib cage. RED on ribs.
Press so that the electrode
is adhered to your skin.

2 . G E T T ING S TA R T E D

Getting Started  17