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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