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.
Issue number 5, October 2008
Philips Medical Systems
3000 Minuteman Road
Andover, MA 01810-1085
USA
Unauthorized 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
3
Notice
Printing
History
Personal
Health
Information
Security
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.
Telehealth equipment collects personal information in the form of vital
sign measurements and survey responses that help your health care
organization manage you health care effectively. These data are stored
and protected on a secure network and will not be disclosed for purposes
other than for the management of your healthcare. Any unintentional
disclosure of your personal information will be reported to your health
care organization.
Welcome 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 your quality of life.
With this system, it’s easy to take your measurements from the comfort
of your home. The measurements are sent over your phone line to your
healthcare provider’s computer
Feel free to talk on your 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.
Introduction
Keeping the
System
Working
If 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 Instructions for Use 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 accurate 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 your health care plan.
Introduction 1-1
Philips Telemonitoring Services System
Patient Telemonitoring Set
Philips Telemonitoring Services System
Your 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, pulse rate, heart rhythm, %SpO2 -- and then wirelessly sends
that measurement to the Home Hub or TeleStation. A patient’s glucose
meter can also send glucose measurements to a TeleStation using a
special cable.
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 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.
Scale
SteadyStandard or
Blood Pressure Monitor
Rhythm Strip Recorder
Pulse Oximeter
1-2 Introduction
Home Hub
Radio Telephone
or
TeleStation
Glucose Meter
Healthcare
Provider
TransmissionTransmission
Safety and Precautions
Safety and Precautions
Follow
Instructions
Document
Conventions
WarningsWarnings are information you should know to avoid a hazard that
Warning•Do not let anyone else use these devices. They are provided for
Follow your doctor’s instructions about symptoms that require you to
contact your healthcare provider. Use of these devices 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.
The following conventions will be used in this Instructions for Use to
alert you to special or important information in the text.
could result in severe injury or death.
Observe the following Warnings with all devices of the Philips
Telemonitoring System.
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.
Introduction 1-3
Safety and Precautions
•Be careful with small parts that can be removed from a device and
swallowed, such as the Home Hub’s rubber feet and power adapter
clip. They are hazards for children and pets.
•To prevent shock, connect cables only as described in these
Instructions for Use.
•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 injured using any device.
CautionsCautions 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 these Instructions for Use carefully before using devices.
NotesNotes contain additional information on usage of the Patient
Note
Bold
Typeface
1-4 Introduction
•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.
Telemonitoring System and its devices.
Objects of actions in procedures appear in bold typeface, as shown in the
following example:
Step 1. Select the Update button.
Display Symbols
Display Symbols
A 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.
SymbolDescriptionApplicable Devices
Type B Patient Applied Parts as defined in
IEC 60601-1.
Not suitable for direct cardiac application.
Type BF Patient Applied Parts as defined in
IEC 60601-1.
Not suitable for direct cardiac application.
Attention: Consult accompanying documents.
Meets UL-1950, CSA-950, IEC-60950 standards
Meets CSA IEC-60950-1 standards
In TelePort serial data port for connection to
Philips devices only
Changing Glucose Meter Time and Date . . . . . . . 2-49
Introduction
Philips Telemonitoring Set 2-1
Device Descriptions
Device Descriptions
The Philips Telemonitoring Set consists of a Home Hub or
TeleStation, which serves as the "communications center" of the system,
and devices that measure important healthcare vital signs -- Scale
(weight), Blood Pressure Monitor (blood pressure), Rhythm Strip
Recorder (heart rhythm), Pulse Oximeter (%SpO2, pulse rate), Glucose
Meter (glucose level).
Note: The PTS system provides only a cable for connecting the
patient’s glucose meter to the system.
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
Home Hub
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 when the phone line is open. Your
healthcare provider will call you if your results are not received.
TeleStation (M3812B)
Home Hub (M3812A)
ondata
ondatausing
using
phone
phone
on/survey
waiting
TeleStation
on/survey
holding
using
waiting
results
phone
holding
results
go back
using
phone
2-2 Philips Telemonitoring Set
Device Descriptions
IndicatorsThe 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. Your healthcare provider may
activate the TeleStation to beep every 60 seconds to alert you that a
survey is waiting.
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.
WarningsThe following Warnings apply to the use of Home Hub/TeleStations.
Warning•Use only the Philips-supplied power adapter for the Home Hub/
TeleStation.
– Do not 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.
Philips Telemonitoring Set 2-3
Device Descriptions
•If you have a personal response service (except for LifeLine
Systems), it must be installed on its own phone line (not just a
separate telephone jack).
If you have a LifeLine
System telephone, ensure that the Home
Hub/Telestation is plugged into the phone jack labeled AUX on the
back of the LifeLine unit.
•Do not touch, use, clean, or handle the Home Hub/TeleStation or
your connected glucose meter during a thunderstorm.
CautionsThe 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.
2-4 Philips Telemonitoring Set
Device Descriptions
ScaleYou may have either a Standard Scale or a Steady Scale. Both scales
speak your weight.
Standard
Scale
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).
Display
Platform
The scale announces your weight (in English or Spanish).
The front panel has a Volume control button and a Radio Test
button .
Batteries are stored underneath the platform.
Steady ScaleThe 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).
Display
Grab Bars
Column
Platform
Philips Telemonitoring Set 2-5
Device Descriptions
The 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.
WarningsThe 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.
CautionsThe following Cautions apply to use of the Scale.
Caution•Do not use the Standard Scale if you weigh over 440 pounds
(200 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.
•The scale should be used on a flat, hard surface if at all possible.
•If the scale is used on carpet, carpet feet may have to be installed.
•Traveling with the Scale is not recommended.
T
NoteIf you don’t feel comfortable taking your weight using the Standard
Scale, contact your healthcare provider.
2-6 Philips Telemonitoring Set
Device Descriptions
Blood
Pressure
Monitor
NoteTwo models of BP Monitor are available (M3815A and M3815B ) and
BP Monitor
Display Case
RADIO
TEST
button
You may have a Blood Pressure Monitor if your home healthcare plan
includes measuring your blood pressure and pulse.
The Blood Pressure Monitor (also called a BP Monitor) is a plastic
display case with a removable blood pressure cuff. The BP Monitor
displays your blood pressure and pulse.
The BP Monitor 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 case.
are shown below. Check your BP Monitor to determine which one you
have. The part numbers are shown on the rear of the monitor.
Both monitors have a display window that shows the systolic and
diastolic blood pressure and pulse rate, a START/STOP button and a
RADIO TEST button -- . (on M3815A) or (on M3815B).
BP Display Window
M3815A
START/
STOP
T
M3815B
button
RADIO
TEST
button
START/
STOP
button
Air Hose
Cuff
Philips Telemonitoring Set 2-7
Device Descriptions
WarningsThe following Warnings apply to use of the BP Monitor.
Warning•Avoid storing the BP Monitor 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.
CautionsThe following Cautions apply to use of the BP Monitor.
Caution• If you get an error message when taking your blood pressure or
think the reading may be wrong, take it again.
•Do not store the BP Monitor 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 Monitor with the cuff assembly twisted or
folded tightly.
•Avoid tugging at the air hose or using it to carry the BP Monitor.
•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.
– If either of these conditions occur, contact your healthcare
2-8 Philips Telemonitoring Set
provider.
Device Descriptions
Rhythm
Strip
Recorder
Rhythm Strip
Recorder
Display Case
You 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 case
The display case has a START button, a RELAX light, and a RADIO
TEST button .
Relax
Light
T
Rhythm Strip Recorder Display Unit
START
Button
RADIO
TEST
Button
Dual Cable
Wristbands
Snap-on
Connectors
Philips Telemonitoring Set 2-9
Device Descriptions
WarningsThe 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.
CautionsThe 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.
2-10 Philips Telemonitoring Set
Device Descriptions
T
Pulse
Oximeter
The Pulse Oximeter measures blood oxygen level (%SpO2) and pulse
rate. It has a plastic display case with a finger-clip sensor attached to it.
The front of the case is shown in the figure below. The rear of the case
has a compartment for batteries that power the device.
NoteTwo models of Pulse Oximeter are available (M3814A and M3814B).
Check your Pulse Oximeter to determine which one you have. The part
numbers are shown on the rear of the device.
Pulse
Oximeter
Display Case
LED display windows show the blood oxygen level (%SpO2) and pulse
rate (in beats per minute) measured from the end of your finger.
The M3814A has 1 display in which %SpO2 and pulse (/min.)
measurements alternate. LEDs below the display light to indicate which
measurement is being displayed.
The M3814B has 2 displays, one each for %SpO2 and pulse (/min.).
Pushing the START button causes the Pulse Oximeter to begin taking a
measurement.
The Radio Test button . on M3814A, on M3814B -- tests
the transmission of measurements from the Pulse Oximeter to the Home
Hub or TeleStation.
The Finger-clip sensor is clipped on the end of one of your fingers
and measures your blood oxygen level and pulse rate.
M3814AM3814B
One
Display
START
button
Radio Test
button
Finger-clip
Sensor
Two
Displays
Radio Test
button
Philips Telemonitoring Set 2-11
START
STOP
button
Device Descriptions
WarningsThe following Warnings apply to use of the Pulse Oximeter.
Warning•Do not use a damaged sensor.
•Do not let children use the device.
•Do not apply the finger sensor to a finger on the same arm where a
Blood Pressure cuff is present or has recently been used.
•Avoid excessive motion during measurements, this can lead to
inaccurate measurements.
•Make sure the finger is not deeply pigmented with dark nail polish,
artificial nails, dye, or pigmented cream. This could cause
inaccurate measurements.
•Cover the sensor with opaque material under conditions of strong
or excessive light (infrared lamps, photo therapy, etc.) Failure to do
so can result in inaccurate measurements.
•Avoid exposing the devices to extremes in temperature, humidity,
direct sunlight, shock, dust, spills, or standing water.
•The finger sensor can be comfortably clipped onto the finger (not
thumb) of patients weighing > 90 lb. If the sensor is too tight, it
may result in inaccurate measurements.
•The sensor may cause skin irritation, injury or an allergic reaction.
– Stop using the Pulse Oximeter if you have redness, rash, skin tear,
or other skin problems.
– Contact your healthcare provider.
•Do not use the device with the battery door removed.
•To prevent shock, do not use devices during a lightning storm.
2-12 Philips Telemonitoring Set
Device Descriptions
CautionsThe 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. The
recommended maximum time for the sensor to be attached to a
finger is no more than 4 minutes (more than enough time for a
measurement to be obtained). Do not leave the finger sensor on the
patients finger between measurements.
•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, contact your healthcare provider.
•Abnormal hemoglobin may affect accuracy.
Philips Telemonitoring Set 2-13
Device Descriptions
Glucose
Meter Cable
The Patient Telemonitoring Set may also provide a Glucose Meter
Cable for connecting your Glucose Meter to a TeleStation to record your
glucose measurements. The Cable for the Bayer Ascensia Contour
7151B glucose meter is different from the Cable for the OneTouch Basic
and OneTouch Profile glucose meters..
TeleStation
Bayer
Ascensia
Glucose
Meter
One Touch
Ultra & Profile
Glucose
Meters
Glucose
Meter
Cables
WarningsThe following Warnings apply to the use of a Glucose Meter Cable.
WarningGlucose Meter readings can only be recorded on a TeleStation. They
cannot be recorded on a Home Hub.
The PTS System operates only with the Bayer Ascensia Contour 7151B,
OneTouch Basic and OneTouch Profile glucose meters. The Bayer
Ascensia Contour 7151B operates only with TeleStations with serial
numbers SN: US4837 and higher. The serial number is on the label
on the back of the TeleStation under the Philips logo. No other
glucose meters should be connected to a TeleStation.
Do not measure your glucose while your Glucose Meter is connected
to the TeleStation.
Clean your finger of blood before using the TeleStation.
NoteFor procedures on how to measure your glucose with your Glucose Meter
refer to its Instructions for Use manual.
2-14 Philips Telemonitoring Set
Device Usage
Device Usage
This section describes how to use each of the devices of the Philips
Telemonitoring Set -- HomeHub/TeleStation, Scale, Blood Pressure
Monitor, Rhythm Strip Recorder, Pulse Oximeter, and the cable for your
Glucose Meter.
Home Hub/
TeleStation
The Home Hub or TeleStation is the communications center for your
Patient Telemonitoring Set. You may have either 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.
NoteThe Home Hub and TeleStation depend on your phone number to
transmit results. They cannot be used with phones that have another
number.
Home HubThe Home Hub receives your measurement results from your
measurement devices by radio signals and automatically sends them to
your healthcare provider’s computer. No actions are required by you
after you have made your measurement.
TeleStationTeleStations also have the additional 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 from some Glucose
Meters. Procedures for using these TeleStation features are given in the
following sections
Philips Telemonitoring Set 2-15
Device Usage
Answering Survey Questions
The 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.
Hello! Welcome to Philips Automated
Interactions. To adjust the contrast
push the Go Back button. Push
Continue to go to the questions.
on/survey
waiting light
Continue
TeleStation
holding
results
using
phone
on/survey
waiting
holding
results light
go back
using
phone light
go back
button
The on/survey waiting light flashes on the front of your TeleStation
when there are questions from your healthcare provider waiting to be
answered.
Your healthcare provider may activate the TeleStation to beep every 60
seconds to alert you that a survey is waiting.
To answer survey questions, use the following procedure
Step 1. Questions show 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. After you select an answer, the next question is displayed.
– Answer it by pushing a button.
– Answer all of the questions.
2-16 Philips Telemonitoring Set
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