BioTel Heart ePatch Скачать руководство пользователя страница 23

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Compliance with standards

The sensor conforms to the requirements of the quality standard DS/EN ISO 13485 and the 
council directive 93/42/EEC (amended) concerning medical devices.

The sensor is manufactured by Braemar and the sensor meets the following standards and 
regulations:

• 

IEC 60601-1 ed 3.1 Consol. With am1 (2012) Medical electrical equipment – Part 1: General 

requirements for basic safety and essential performance

• 

EN 60601-1-2:2007 Collateral standard: Electromagnetic compatibility – Requirements 

 

and tests

• 

EN 62366:2008 Application of usability engineering to medical devices

• 

EN 60601-1-11:2010 Medical electrical equipment – Part 1-11: General requirements for basic 

safety and essential performance – Collateral Standard: Requirements for medical electrical 
equipment and medical electrical systems used in the home healthcare environment

• 

IEC 60601-2-47:2012 Medical electrical equipment – Part 2-47: Particular requirements for 

the basic safety and essential performance of ambulatory electrocardiographic systems

•  DS/EN ISO 14971:2007 Medical devices – Application of risk management to medical devices

CardioNet, LifeWatch, and BioTel Heart are trademarks of 

BioTelemetry, Inc.

TERMS AND CONDITIONS OF THE BIOTELEMETRY SERVICE 

AGREEMENT.

PLEASE READ THIS DOCUMENT CAREFULLY BEFORE ACTIVATING THE 

MONITOR.

Activating monitoring service is your acceptance of the terms of this Agreement. If you do 
not agree with the terms of this document please notify Customer Service at 1-866-426-4401 
immediately.

PRIVACY AND CONFIDENTIALITY

Activating monitoring service serves as your electronic signature indicating you acknowledge 

that you have received a copy of BioTelemetry’s Notice of Confidentiality and Privacy Practices, 

which is incorporated in this agreement below. This acknowledgment is required by the Health 
Insurance Portability and Accountability Act (HIPAA) to ensure that you have been made aware 
of your privacy rights. You give BioTelemetry your consent and permission to communicate 
with other members of your household, if necessary, with regard to your BioTelemetry service. 
You also authorize BioTelemetry to provide your monitoring data to your physician and his /
her staff and to Emergency Medical Services by phone, e-mail, fax or through secure Internet 

access. You consent to receiving calls from BioTelemetry and its affiliates or authorized agents 

on your landline or cellular telephone related to the service or payment related to the service. For 

example, BioTelemetry or its affiliate or authorized agent may contact you in order to obtain the 

loaned BioTelemetry Monitoring System (“System”) or seek payment for the value of the System. 
You understand that such communications may include the use of prerecorded voice messages 
and/or automatic telephone dialing systems.

ASSIGNMENT OF BENEFITS

I request that payment of authorized health insurance benefits, including Medicare benefits, 
if I am a Medicare beneficiary, to be made on my behalf to CardioNet, LLC. ( a subsidiary of 

BioTelemetry, Inc.) for any medical services provided to me by CardioNet. I authorize any 
holder of medical and/or insurance information about me to release to CardioNet, my health 
insurance carrier, or the Centers for Medicare and Medicaid Services (CMS) any information 

needed to determine these benefits or the benefits payable for related services provided under 

this agreement. This assignment includes all dates of services rendered by CardioNet for all 
insurance plans. A copy of this authorization will be sent to CMS or my health insurance carrier if 

requested. The original will be kept on file by CardioNet. I understand that I am fully responsible 

Содержание ePatch

Страница 1: ...ll Free at 1 877 593 6421 or visit www gobio com patients for online support CardioNet LifeWatch and BioTel Heart are trademarks of BioTelemetry Inc BioTelemetry reserves the right to change specifications at any time without notice PATIENT EDUCATION GUIDE ...

Страница 2: ...ly ePatch to Your Skin Remove Cover Paper Good to Know 13 Record Symptoms Replacing the Patch Removing the Patch Disconnecting the Sensor from the Patch Returning the ePatch Sensor Important Information Showering Instructions Appendix 21 Addendum to the Patient Education Guide Terms and Conditions Notice of Confidentiality and Privacy Practices ...

Страница 3: ...made available to your healthcare professional at the end of service To get started review the important information in this guide or visit www gobio com patients If you have any questions about your monitoring service or billing please contact us Customer Service 1 877 593 6421 toll free email ePatchsupport gobio com Hours Mon Fri 8am 8 30pm Sat 8am 4pm Billing Department 1 855 572 3999 toll free...

Страница 4: ...dpofadp ECG Prep Kit 2 Epatch 1 Prep Scrub 1 Razor 1 Enrollm ent Form 2 1 3 4 5 6 Sensor Patch Pouch Skin Prep Kit Patient Education Guide Return Envelope Diary 1 3 4 2 6 5 For assistance contact Customer Service 1 877 593 6421 or www gobio com patients PLACE KIT ID STICKER HERE PATIENT DIARY Patient Name Patient Address Physician Name Start Date Start Time Date Removed Extended Holter Monitoring ...

Страница 5: ... A razor is available in the skin prep kit Start at the center of your chest and shave the entire area marked in the red circle of the diagram 3 Clean Shaved Skin Clean the shaved area with soap and water Do not apply lotions or oils STEP 1 Skin Preparation Guide 1 Patch Location Determine the area of your chest to prepare by referring to the diagram Locate your collarbone on the LEFT side of your...

Страница 6: ...4 Dry Skin Dry your skin using a towel 5 Scrub Skin Remove the scrub pad from your skin prep kit and scrub the cleaned area with firm pressure in a circular motion for one minute This important step will improve the quality of the recording Getting Started ...

Страница 7: ... Customer Service at 1 877 593 6421 7 STEP 2 Attach the Sensor to the Patch Getting Started 1 Open a pouch Tear open one of the pouches in your prep kit and remove the patch 2 Place the Patch on a flat hard surface 3 Remove the sensor from the kit ...

Страница 8: ...h continued Getting Started 4 Place the sensor into the patch 5 While standing place the palm of your hand on top of the sensor and apply pressure to snap the sensor into the patch You may hear several clicks while doing this 6 Rotate patch 180 degrees ...

Страница 9: ...ectly if there are no visible gaps If connected properly the sensor will show a constant green light followed by a flashing green light for 30 seconds The recording will automatically start when the flashing green light stops 9 Correct No Gap 7 With the patch rotated again place the palm of your hand on top of the sensor and apply pressure to snap the sensor into the patch ...

Страница 10: ...io com patients 10 Attach Sensor to the Patch Getting Started 11 Apply pressure to any gaps to seal the sensor in place 12 Ensure that the sensor is sealed and there are no gaps remaining 10 Incorrect Gap ...

Страница 11: ...llarbone and overlap the center of your chest as shown in the diagram above 3 Place the patch on a slight angle as shown in the illustration with the wide end of the patch slightly over the center of your chest Press down on all sides of the patch so it adheres to your skin Getting Started LEFT RIGHT 1 Pick up the patch with the attached sensor and peel off the clear plastic backing LEFT RIGHT ...

Страница 12: ...etting Started LEFT RIGHT Minor discomfort may occur when the patch is attached to the skin If you have sensitive skin this product may not be appropriate for use If your skin irritation intensifies beyond minor itching contact Customer Support We may direct you to contact your physician Customer Support cannot authorize you to end service only your physician can discontinue service Do not remove ...

Страница 13: ...or arm pain tingling Shortness of breath Other describe SYMPTOM EVENT DIARY Date Time am pm Check any feelings that apply Did you push the button sensor to record a symptom ____ Yes ____ No What were you doing when the symptom s occurred Activity ____ Normal daily routine ____ Exercising ____ Sitting ____ Laying down sleeping ____ Other Whenever you feel a heart related symptom double tap the midd...

Страница 14: ...ing the Patch 1 If you need to replace the patch during your monitoring period follow the steps for Removing the Patch in this guide Then repeat Steps 1 4 in this guide using the additionally supplied patch LEFT RIGHT Good to Know ...

Страница 15: ...vice at 1 877 593 6421 15 Removing the Patch 2 Hold the patch as shown 3 Fold the clear adhesive on top of itself to get it out of the way for the next step 1 Start at one end and gently pull the patch material away from your body Remove the Patch Good to Know ...

Страница 16: ...ts 16 Disconnecting the Sensor from the Patch 5 Apply downward pressure on tab to snap open the tab This will require some force 6 Pull down on the tab This will require some force Good to Know TAB 4 Locate the Tab TAB ...

Страница 17: ...assistance please call Customer Service at 1 877 593 6421 17 7 Place the sensor in your hand as shown above 8 Place your thumb on top of the sensor 9 Push your thumb forward to dislodge the sensor from the patch Good to Know ...

Страница 18: ...ient Address Physician Name Start Date Start Time Date Removed Extended Holter Monitoring SYMPTOM EVENT DIARY Date Time am pm Check any feelings that apply Did you push the button sensor to record a symptom ____ Yes ____ No What were you doing when the symptom s occurred Activity ____ Normal daily routine ____ Exercising ____ Sitting ____ Laying down sleeping ____ Other Discard the used patch Pati...

Страница 19: ... Important Information Continue to wear ePatch for the duration prescribed by your physician Mild itching or irritation underneath the patch area may occur and is usually temporary If more significant itching or irritation develop or persists contact Customer Service at 1 877 593 6421 Record any symptoms as they occur ...

Страница 20: ...ents are water resistant not waterproof You can shower normally however for optimal results avoid spraying water directly onto the sensor While showering it is recommended to face away from the shower head Do not swim or take baths while wearing the ePatch Good to Know ...

Страница 21: ...le patch Even when the sensor is correctly connected to a compatible patch it should never be exposed to a direct jet of water or any other liquid material This might cause electrical short circuiting of the sensor Do not expose the internal parts of the sensor the provided Micro USB cable or the provided USB power adapter to any liquids Do not submerge the sensor the provided Micro USB cable or t...

Страница 22: ... Note that the recording time of your sensor might be configured to be less than the maximum possible recording time Battery The sensor is powered by an integrated battery with the following specifications Type Rechargeable lithium ion polymer battery Battery capacity Typical 350 mAh Nominal voltage 3 7 V Charging voltage 4 2 V Weight 7 g Battery life Minimum 500 recharges Charger USB 5 0 VDC 250 ...

Страница 23: ...which is incorporated in this agreement below This acknowledgment is required by the Health Insurance Portability and Accountability Act HIPAA to ensure that you have been made aware of your privacy rights You give BioTelemetry your consent and permission to communicate with other members of your household if necessary with regard to your BioTelemetry service You also authorize BioTelemetry to pro...

Страница 24: ... also authorize BioTelemetry and its subsidiaries to provide my monitoring data to my physician and his her staff and to Emergency Medical Services by phone e mail fax or through secure Internet access NOTICE OF CONFIDENTIALITY AND PRIVACY PRACTICES This notice describes how medical information about you may be used and disclosed and how you can get access to this information Please review it care...

Страница 25: ... that directly relates to that person s involvement in your health care If you are unable to agree or object to such disclosure we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment We may use or disclose your health information to notify or assist in notifying a family member personal representative or any other person th...

Страница 26: ...vacy of your health information We will not retaliate against you in any way if you choose to file a complaint with us or with the U S Department of Health and Human Services CONTACT INFORMATION BioTelemetry Inc Privacy Officer 1000 Cedar Hollow Road Suite 102 Malvern PA 19355 Telephone 610 729 7000 Email privacy biotelinc com Update Effective date August 30 2017 I CERTIFY THAT I UNDERSTAND AND AG...

Страница 27: ...RY S AGGREGATE LIABILITY UNDER THIS AGREEMENT EXCEED THE AMOUNT PAID BY PATIENT TO BIOTELEMETRY UNDER THIS AGREEMENT THE PARTIES AGREE THAT THE ALLOCATION OF LIABILITY SET FORTH IN THIS SECTION 5 FORMS AN ESSENTIAL BASIS OF BIOTELEMETRY S WILLINGNESS TO GRANT PATIENT THE USE OF THE SYSTEM AND ACCESS TO AND USE OF THE SERVICE AND IS INDEPENDENT OF EACH AND EVERY LIMITED REMEDY THAT PATIENT MAY HAVE...

Страница 28: ...ice If at any time you experience a symptom that you feel is a medical emergency you should immediately dial 911 for medical assistance 1000 Cedar Hollow Road Malvern PA 19355 Toll free 1 877 593 6421 ePatchsupport gobio com www gobio com Copyright 2018 All rights reserved Doc 220 0436 01 Rev D ...

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