iRhythm Zio QX User Manual
5
5
WEARING
YOUR ZIO
Flip for PRESS BUTTON LOG
Record any events during your wear
period here, the myZio app or at myzio.com.
Return this booklet, your Zio QX patch and
Zio QX gateway after your wear period:
MANUAL
iRhythm Technologies, Inc. — Clinical Centers
650 Townsend St., Suite 500
San Francisco, CA 94103 U.S.A.
2 Marriott Drive
Lincolnshire, IL 60069 U.S.A.
363 N. Sam Houston Parkway East, Suite 125
Houston, TX 77060 U.S.A.
1.888.6932401 | irhythmtech.com | @iRhythmTech
CALL 1.888.693.2401 IF…
•TheZioQXpatchfallso.
• You experience severe itching or
irritation.
For all other information please see the
Troubleshooting and Frequently Asked
Questions section of this booklet.
If you feel the need for immediate medical
care at any time, call 911. The Zio QX device
will not provide any medical assistance and
cannot contact medical personnel for you.
For use in the United States only.
1
The Zio® QX System consists of three
components:
1. Zio QX Patch
2. Zio QX Gateway
3. myZioTM App and Website
The Zio QX Patch records every heartbeat.
Each time you press the Patch button or when
Zio QX automatically detects an arrhythmia,
the Zio QX Gateway transmits information
to iRhythm for analysis. myZio is one way
for you to enter your symptoms and verify
that your heart data transmission has been
received by iRhythm.
Zio Patch
Zio Gateway
2
APPLYING YOUR ZIO QX
Follow the instructions in the Zio
QX Application Instructions guide to
apply your Zio QX Patch
It is important that you follow the steps
in the Applications Instructions guide to
ensure that your Patch sticks to your skin
correctly and remains on your skin for the
duration of monitoring.
The Patch should only be applied to healthy,
unbroken skin that was not previously irritated.
3
TROUBLESHOOTINGFAQsPATCH REMOVAL TRAVELING USING ZIO
USING YOUR ZIO QX
With the Zio monitor, you can go
through your normal daily activities
aftertherst24hours.
The Patch needs 24 hours to fully stick to
your skin, we recommend showering briey
with your back to the water, and avoid any
activities that
cause sweating
during this period.
After those rst
24 hours, you
may resume
normal activities,
including
showering
and moderate
exercise.
The Patch and Gateway will not ash
or make noise when they are working
correctly, but you can check your
transmissions using myZio or
www.myzio.com.
4
Remember:
1
Each time you feel a symptom, press the
button on your Patch. Then note the date,
time, and what you felt in this booklet. Or,
you may enter your symptoms in the myZio
App or on www.myzio.com. See page 6.
2
If the Patch or Gateway lights are
ashing, it does not mean there is a
problem with your heart, only that a
device may have lost its connection. Turn
to the Troubleshooting section or call
1.888.693.2401 for
support.
3
Keep the Gateway
close by when you
can, and when
you are on the move
carry it with you. It is
okay if the Gateway
is temporarily out of
range, but iRhythm
will not receive heart
rhythm data from your
Patch or Gateway while
it is out of range. For
the Gateway to remain
connected it needs to
be kept in front of you
and within 10 feet of
the Patch.
5
TROUBLESHOOTINGFAQsPATCH REMOVAL TRAVELING USING ZIO
Additional tips:
If your skin around the Patch feels
a little itchy, it is okay. If the Patch
peels or lifts at the edges, press
and hold the Patch to re-stick.
Excessive sweating can cause the
Patch to slide, become loose, fall o,
and shorten wear time – especially
if sweating occurs in the rst 24
hours after the Patch is put on.
The Patch is water-resistant but
should not be submerged. Brief
showering is okay, but no
swimming or hot tubs. The Gateway
is NOT water resistant. Please do
not get it wet.
Do not place the Gateway within 6
feet of transmitting devices, such
as wireless routers, baby
monitors and TV senders/
transmitters. These devices may
cause interference between the
Patch and the Gateway.
Sending heart rhythm data
through the Gateway may take
some time after the Patch button
is pressed. Recent transmissions
may not be viewable on myZio
until several hours later.
6
Use myZIO to enter your symptoms
electronically and check transmissions sent
from your Gateway.* Through myZio you have
easy access to help instructions and videos.
iPhone® users
1. Search for ‘myZio’ in the App Store
SM
2. Download app
3. Register before entering symptoms
Android™ users
1. Search for ‘myZio’ in the Google Play™
Store
2. Download app
3. Register before entering symptoms
Computer users
1. Open your web browser
2. Navigate to www.myZio.com
3. Register before entering symptoms
* Recent transmissions may not be viewable on myZio until several
hours later.
Supported on iPhone 5 or later (iOS 9+).
Supported on Android 4.4+
iPhone, App Store and the Apple logo are registered trademarks of
Apple Inc.
7
FAQs USING ZIOPATCH REMOVAL TRAVELING
TROUBLESHOOTING:
GATEWAY
If the light on the outside of your
Gatewayisashing,checkinside.
SLOW FLASHING
(once every 3 seconds):
Indicates that the Gateway has lost the
connection to your Patch.
To reconnect, hold the star buttonfor
3 seconds until the orange light stays on. If
the light then ashes green, the Gateway
has reconnected to the Patch.
Iforangeashingcontinues, call Customer
Service at 1.888.693.2401.
TROUBLESHOOTING
8
SLOW FLASHING
(once every 3 seconds):
Indicates that the Gateway does not have a
cell signal.
To reconnect, move the Gateway to a place
with a good cell signal (near a window or
outside) and hold the star button for 3
seconds until the orange light stays on.
If the light then ashes green, the Gateway
has reconnected. Do not move the Gateway
until the green ashing stops.
If it does not ash green, move the Gateway to
a new place and try again.
Iforangeashingcontinues, call Customer
Service at 1.888.693.2401.
FAST OR FLASHING
(3 times per second):
FastashingindicatesthatyourGateway
is not working. Call Customer Service at
1.888.693.2401.
9
FAQs USING ZIOPATCH REMOVAL TRAVELING TROUBLESHOOTING
TROUBLESHOOTING: PATCH
SLOW FLASHING
(once every 3 seconds):
Indicates that your Patch is not making
good contact with your skin.
To correct this, press evenly on the wings
of the Patch for 3 to 5 minutes.
Iforangeashingcontinues, call Customer
Service at 1.888.693.2401.
FAST FLASHING
(3 times per second):
Indicates that your Patch is not recording.
Call Customer Service at 1.888.693.2401.
10
FREQUENTLY ASKED
QUESTIONS (FAQS)
The Zio® AT monitoring system
What is the Patch doing?
The Patch is recording every heartbeat.
Your doctor will use the heart rhythm
data from the Patch to determine the right
course of action.
What is the Gateway doing?
The Gateway wirelessly sends heart rhythm
data from the Patch, each time the Patch
button is pressed and each time the system
automatically detects an arrhythmia. iRhythm
receives and analyzes the data, and provides a
report to your doctor.
How do I know the Patch and the Gateway are
working?
When they are working normally, the Patch
and Gateway do not ash or make noise.
Do I need to do anything after pressing the
Patch button to send heart rhythm data
wirelessly?
No, you only need to keep the Gateway in
front of you and within 10 feet of the Patch
to stay connected wirelessly after you press
the Patch button. The Gateway should also be
kept in a place with good cell signal.
11
TROUBLESHOOTING USING ZIOPATCH REMOVAL TRAVELING FAQs
Can I carry the Gateway in a purse, bag or
pocket?
Yes. However, when carrying the Gateway
keep it in line of sight of the Patch. The
Gateway will need to be in front of your body
and within 10 feet of the Patch.
What can aect wireless connection
between the Patch and the Gateway?
Wireless devices that use 2.4 GHz signals
such as baby monitors, some cordless
home telephones, and wireless routers
can interrupt communication between the
Patch and Gateway if used within 6 feet.
Objects placed inside the Gateway can also
cause communication problems.
Your activities
Can I exercise while wearing the Patch?
Yes, you may exercise moderately, but
excessive sweating may shorten wear time.
Can I shower with the Patch on?
Yes, but showers should be short and try
to keep your back to the shower as much
as possible. Keep soaps and lotions away
from the Patch. When towel-drying, hold
the Patch down with one hand. Press the
Patch against your skin to secure it. Keep
the Gateway away from all water.
12
Can I take a bath?
Yes, but keep the Patch above water. Keep the
Gateway away from all water.
Can I go into a pool or a hot tub?
No. The Patch should not be put under water.
Keep the Gateway away from all water.
Can I travel with the Patch on?
Yes. If questioned during airport security
screening, show the statement in the
Traveling section. Note that the Gateway
will not have cellular connection outside the
United States.
Can I y with the Gateway?
Yes, though the Gateway should be placed in
“airplane mode.” See Traveling.
What activities should I avoid?
Activities that cause heavy sweating should be
avoided. Sweat can cause the Patch to slide,
become loose, fall o, and shorten wear time.
Recording symptoms
What should I do if I feel a symptom?
First, press the button on the Patch. Then,
ll out a page of the Button Press Log in this
booklet, use the myZio App or .myzio.com to
enter your symptoms. Please choose only one
option for recording symptoms but not all.
13
TROUBLESHOOTING USING ZIOPATCH REMOVAL TRAVELING FAQs
What if I forget to press the button when I
feel a symptom?
While pressing the button is important to
“tag” and wirelessly send an event, the
Patch is recording every heartbeat.
What if I press the button but forget to write
down the symptom?
Recording your symptoms and activity
gives your physician additional information
about what may have caused the symptom.
While this is useful, the more important
thing is to press the button.
What if I press the Patch button while the
Gateway is not within 10 feet and in line of
sight of the Patch?
The Patch will store the data until the
Gateway is in range, then the data will be sent.
What happens if I press the Patch button
while the Gateway doesn’t have cell signal?
The Gateway will store the data until it has
cell signal, then the data will be sent to
iRhythm.
The Patch
What should I do if the Patch peels or lifts at
the edges?
Press and hold along the edges to re-stick.
What should I do if the Patch falls o?
Call Customer Service at 1.888.693.2401.
14
I think I see blood under my Patch. What
should I do?
Call Customer Service at 1.888.693.2401 It is
probably due to a small shaving cut when the
Patch was applied to your chest.
Is it normal for the Zio® AT Patch wings to
become cloudy?
Yes, the wings of the Patch may become
cloudy after a few days of wear.
Is it normal for the Patch to move slightly from
its original position?
Yes. The Patch may move slightly from its
original position. A clear gel may be seen
under the wings of the Patch.
Is it normal to experience skin irritation or
itchiness in the area of the Patch?
Most patients do not experience skin
irritation or itchiness. However, some
patients have reported minor skin irritation
and/or itching while wearing the Patch. If
the irritation or itching is severe or hives
or blisters develop, remove the Patch, then
call Customer Service at 1.888.693.2401.
Flashing lights
Will the Gateway show any lights or make any
sounds?
No. As long as it is able to send data, the
Gateway will not ash or make noise.
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