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VitalPoint® HOME Clinician User Manual

1. hone line is not unctioning e Modem is not functioning e Central Server is not functioning or is offline e The patient may be using the phone while the device tries to dial in connected test the monitor communication using the Setup Tasks menu Instruct the patient on the importance of remaining off of the phone while the monitor is sending data and until the failed communication message is replaced by the confirmation screen Turn the monitor off then on If problem persists contact the product distributor Monitor becomes Battery is depleted inoperative e Monitor may be unplugged from the wall outlet e Powerconnectionto monitor may be loose or unplugged e Monitor may be turned off e Monitor has been exposed to liquids or mishandled Loss of visual data lt Monitor may be turned presentation off or unplugged e Display may not be functioning Check that the monitor is plugged in securely to the wall outlet and LED on back is lit Check that the monitor power cable is securely plugged in to the monitor Ensure the monitor is powered on and LED on front is lit Examine the monitor for damage or exposure to liquids If problem persists contact the product distributor See troubleshooting for Monitor becomes inoperative Turn the monitor off then on If problem persists contact the product distributor e The volume may be set too low Loss of audio data
2. 14 Set Phone Number Monitor Serial Number 14 Get Language OOL 15 Run Manufacturing Test L 15 Set Speaker Volume LL 15 Dial Central Server Now 2 2 222222 15 Operating the Monitor ss LLL 17 Selecting Options ss 17 Main Menu Screen Single Patient Mode 17 Main Menu Screen Multi Patient Mode i i i i 19 Entering an Existing Patient 20 Entering a New Patient fL 23 Reporting Symptoms _ s 24 DL 00031 Rev 9 XII Taking Measurements 27 Blood Pressure si i 29 Pulse Oximetry LLL 32 Temperature 33 Blood Glucose 34 Weight L 36 Fluid Status eee 38 Prothrombin Time LLL 38 ECG and Heart Rate Monitoring ss 39 Activities to DO eeeeeee 46 Take Measurements L 46 Medication Reminder ss LLL 46 Questions and Answers ttttiti i i it i ttCtwt 48 Nurse s Instructions eee 48 Completing Activities 48 Communication ss 49 Successful Communication With the Central Server ss 49 Failed Communication With the Central Server ss 49 Verifying Communication LL 50 Discharging and Preparing for Next Patient 52 Monitor Maintenance Cleaning LL 53 Exterior Cleaning 54 Cleaning the SpO2 Sensor LL 55 Cleaning the Temperature Probes fk 55 Cleaning the ECG Cables LLL 55 Disposal _ _ ss i s LL 55 Monitor Maintenance Record ss 56 Troubleshooting _ s_s LL 58 Appendixes ss L 63 Appendix 1 Report Symptoms Text ss 63 Appendix 2 Specificat
3. CLEANING THE ECG CABLES e Disconnect the cables from the monitor e Wipe off with 70 isopropyl pad e Allow to dry before connecting to patient DISPOSAL Accessories such as electrodes blood pressure cuffs temperature probes and SpO2 sensors should be disposed of according to the manufacturer s recommendations When the monitor has reached the end of its useful life it should be disposed of according to all applicable regulations Note that the monitor contains a lithium ion battery pack and an electronic circuit board that should not be incinerated or exposed to extreme heat Contact your local waste disposal agency for guidance on the proper recycling or disposal of these components Follow your facility s procedures and or guidelines for disposal WARNING THE VITALPOINT HOME MONITOR CONTAINS A LITHIUM ION BATTERY ONLY TRAINED SERVICE PERSONNEL SHOULD REMOVE OR CHANGE THE BATTERY TA E Date Maintenance Detail Monitor Maintenance Record Serial number Date Maintenance Detail a Troubleshooting Problem Possible Causes Troubleshooting Alert has been e Monitor has become e Check that the phone line is generated on the disconnected from phone Central Server or line the user receivesa_ failed communica R tion message
4. IX WARNING 12 TO AVOID AN ELECTRICAL SHOCK HAZARD THE CONDUCTIVE PART OF THE ELECTRODES SHOULD NOT BE ALLOWED TO COME IN CONTACT WITH OTHER CONDUCTIVE OBJECTS INCLUDING EARTH 13 DO NOT INTRODUCE ANY ADDITIONAL PATIENT CONNECTION THAT MAY PRODUCE ELECTRICAL CURRENT VITALPOINT APPLIES APPROXIMATELY 2 MICROAMPERES 2 uA 14 ACCESSORIES SHOULD BE DISPOSED OF ACCORDING TO THE MANUFACTURER S INSTRUCTIONS ON PACKAGING PRECAUTIONS OVERVIEW PRECAUTION 1 U S FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN 2 THE VITALPOINT HOME MONITOR IS NOT INTENDED TO BE A PRIMARY SOURCE OF MEDICAL INFORMATION PATIENT SHOULD CONTACT CLINICIANWITH QUESTIONS 3 A HEALTHCARE PROFESSIONAL MUST VERIFY THAT THE PATIENT IS CAPABLE OF OPERATING THE MONITOR AND UNDERSTANDS HOW TO USE THE MONITOR 4 IT IS RECOMMENDED A HEALTHCARE PROFESSIONAL BE PRESENT AND PREPARED TO ASSIST A PATIENT USING A MONITOR IN MULTI PATIENT MODE 5 WHEN CHANGING BETWEEN SINGLE AND MULTI PATIENT MODES IN REMOTE DEVICE CONNECTIVITY ALL DATA STORED IN THE MONITOR MUST BE UPLOADED TO THE CENTRAL SERVER BEFOREHAND DATA NOT UPLOADED WILL NOT BE LOST IF THE MODE IS CHANGED HOWEVER THE MONITOR WILL BE UNABLE TO UPLOAD THE DATA UNTIL IT IS REVERTED TO THE MODE IT WAS IN AND ASSIGNED TO THE SAME PATIENT S WHEN THE DATA WAS COLLECTED SEE THE REMOTE DEVICE CONNECTIVITY USER MANUAL FOR MORE INFORMATION 6 THISMANUAL WILL NOTE WHICH
5. Pes ae G CJPS MEDICAL SYSTEMS CJPS Medical Systems Scottsdale Arizona USA Paris France Tel 1 480 939 4362 E mail Inquiries CJPS MedicalSystems com www CJPS MedicalSytems com VitalPoint is a trademark of CIPS Medical Systems LLC All other trademarks are the property of their respective owners 2015 CIPS Medical Systems LLC All rights reserved DL 00031 Rev 9
6. information You must follow your clinicians advice regarding huene cere and REF DM 01000421 office visits Refer to the printed information that you received from yvur clinician fe Patent Pending Connect only CPS Medical Systems approved Components See operating Instructions Made in ULA nnm Fluid status monitor receptacle 1 Glucose meter receptacle 2 Weight scale receptacle 3 DL 00031 Rev 9 1 2 DL 00031 Rev 9 NBP ECG TEMP sp9 Pulse oximeter receptacle SpO2 Blood pressure receptacle NBP Electrocardiogram receptacle ECG Temperature probe receptacle TEMP Fluid status monitor receptacle 1 Glucose meter receptacle 2 Weight scale receptacle 3 eo Power receptacle USB port for CUPS approved accessories only Reserved for future use Phone jack receptacle Initial Monitor Setup I CPS BEFORE YOU GET STARTED Each VitalPoint Home Monitor is produced to exacting quality standards However handling in transit could result in damage to the monitor Always inspect the monitor and its accessories for any sign of damage before using If the monitor or any accessory shows any sign of damage notify the shipping carrier immediately Contact the product distributor to obtain authorization for equipment return for repair Contact the product distributor for a list of accessories WARNING DO NOT USE A MONITOR OR ANY ACCES
7. lt 11 seconds per AAMI EC 13 2002 4 1 2 1 f response time is measured from the onset of the first QRS at the new rate to the time the measurement reads a value that is the original rate plus 63 of the change Notch filter frequency 50 Hz 60 Hz Off Monitor bandwidth 0 4 Hz to 50 Hz 3 dB Dynamic range AC 20 mV Dynamic range DC 300 mV Electrode impedance gt 2 5 Mohm at 10 Hz Defibrillation protection Complies with IEC 60601 2 27 Pacemaker pulse detection Lead II Pacemaker pulse rejection Rejects all pulses of amplitude 2 mV to 700 mV and duration 0 1 to 2 ms with no tail per AAMI EC13 2002 4 1 4 1 rejects all pulses of amplitude 2 mV to 700 mV nae 0 1 to 2 ms with 10 ms time constant tail of lt 2 mV per AAMI EC13 2002 4 1 4 2 Method vn EC13 2002 4 1 4 3 1 54 v s Tall T wave rejection Rejects all T waves less than or equal to 120 of a 1 mV QRS and a Q T interval of 350 ms per AAMI EC13 2002 4 1 2 1 c HR response to irregular rhythm HR is 82 bpm for a bigeminy rhythm consisting of 0 51 and 0 96 second RR intervals HR is 76 to 82 for a trigeminy rhythm consisting of 0 51 0 81 and 0 96 second RR intervals HR is 76 to 80 for a frequent multifocal rhythm consisting of 0 63 0 65 0 75 0 95 and 1 03 second RR intervals Active noise suppression RL drive lt 500 nA RESPIRATION Method Impedance Pneumography Input connector Same as ECG Sensing lead Lead II RR resolution 1 bpm breath per
8. presentation e The speaker may not be functioning Loss of device e The touch screen may input not be functioning Check the volume settings for the monitor using the Setup Tasks menu Turn the monitor off then on If problem persists contact the product distributor Turn the monitor off then on If problem persists contact the product distributor Problem Possible Causes Device fails to start Monitor may be turned up off or unplugged e Monitor may not be functioning Device fails during Monitor may not be operation functioning Troubleshooting See troubleshooting for Monitor becomes inoperative Turn the monitor off then on If problem persists contact the product distributor Turn the monitor off then on If problem persists contact the product distributor Device becomes unreliable e Operating system or data files may be corrupted e Disk is full Reminders did not System clock has been appear as sched setincorrectly uled e Reminder time has been setincorrectly e Unit is turned off e Unit is in sleep mode Ensure that all recorded data has been sent Turn the monitor off then on If problem persists contact the product distributor Check the setup on Remote Device Connectivity including the time zone selection and reminder setup Check that the monitor is not in sleep mode the screen should indicate this If problem persists co
9. pressure In this method a blood pressure cuff is quickly inflated above the patient s systolic pressure and then the cuff pressure is slowly released in a series of steps At each cuff pressure step oscillations in the cuff pressure are measured These oscillations are made by the underlying blood vessels that are pushing on the cuff during the cardiac cycle From these oscillations the patient s blood pressure can be derived When the measurement is complete the monitor should display the blood pres sure The patient s systolic and diastolic pressures are displayed Hypertensive Considerations For hypertensive patients e g systolic pressure greater than 220 mmHg it may be necessary to repeat a non invasive blood pressure measurement if the first attempt is unsuccessful VitalPoint will learn the patient s blood pressure profile from the first attempt even if it is unsuccessful and use a higher inflation pressure on a subsequent measurement attempt PULSE OXIMETRY MONITORING Pulse oximetry equipment is calibrated to display functional oxygen saturation To begin pulse oximetry monitoring use the following procedure 1 Select an appropriate sensor 2 Connect the sensor cable to the SpO2 connector on the monitor 3 Follow the instructions on page 32 to complete the measurement WARNING A PULSE OXIMETER SHOULD BE CONSIDERED AS AN EARLY WARNING DEVICE AS A TREND TOWARD PATIENT DEOXYGENATION IS INDICATED BLOO
10. Central Server PRECAUTION IT IS RECOMMENDED A HEALTHCARE PROFESSIONAL BE PRESENT AND PREPARED TO ASSIST A PATIENT USING A MONITOR IN MULTI PATIENT MODE Installing Peripheral Measurement Devices BLOOD PRESSURE MONITORING To begin non invasive blood pressure monitoring use the following procedure 1 To get good quality non invasive blood pressure measurements use a cuff that is the appropriate size for the patient 2 Connect the non invasive blood pressure cuff hose to the monitor 3 Follow the instructions on page 29 to complete the measurement Note This device functions according to specifications in the presence of common arrhythmias such as atrial or ventricular premature beats or atrial fibrillation Note This device can be used to determine blood pressure over a heart rate range of 30 bpm to 240 opm E WARNING THE NON INVASIVE BLOOD PRESSURE NBP CUFF SHOULD BE AT THE SAME LEVEL AS THE PATIENT S HEART IF THE NBP CUFF CANNOT BE PLACED AT THIS LEVEL ADD TO MEASURED PRES SURE VALUES 1 4 mmHg FOR EACH 2 cm ABOVE HEART LEVEL OR SUBTRACT 1 4 mmHg FOR EACH 2 cm BELOW HEART LEVEL WARNING IN SOME CASES FREQUENT AND PROLONGED MEASUREMENTS CAN RESULT IN PETECHIA ISCHEMIA PURPURA OR NEUROPATHY CHECK THE CUFF SITE REGULARLY WHEN TAKING FREQUENT MEASUREMENTS OVER AN EXTENDED TIME PERIOD ALSO CHECK THE PATIENT FOR ANY SIGNS OF RESTRICTED CIRCULATION IN THE EXTREMITIES OF THE LIMB WHERE THE NBP CUFF IS WRAP
11. Communication on page 49 Note Using this function on a monitor in single patient mode will download the latest list of scheduled activities to the monitor Using this function on a monitor in multi patient mode will enable the monitor to receive the latest list of patients assigned to that monitor so they may begin entering measurements and symptoms cjPs Operating the Monitor I ae Sew The following instructions should be reviewed with the patient single patient mode or clinician operating the device multi patient mode as appropriate When the device is being used in single patient mode the patient should also be given the CUPS Medical Systems VitalPoint Home Monitor Patient Guide which also outlines this information and a phone number to call to report any problems or ask questions SELECTING OPTIONS The VitalPoint Home Monitor operates by displaying a set of options that may be selected through the touch screen interface A voice prompt also reads each option To select an option on the screen simply press the but ton on the screen with your finger Note At any time you may press Go Back to review the previous menu screen or Main Menu to return to the Main Menu screen MAIN MENU SCREEN SINGLE PATIENT MODE After turning on a monitor set to single patient mode in Remote Device Connectivity see the CUPS Medical Systems Remote Device Connectivity User Manual the Main Menu will appear with a per
12. IMPLIED WARRANTIES INCLUDING WARRANTIES OF MERCHANTABILITY AND FITNESS FORA PARTICULAR PURPOSE ARE LIMITED TO THE WARRANTY PERIOD SET FORTH ABOVE THIS WARRANTY IS NOT TRANSFERABLE AND APPLIES ONLY TO THE ORIGINAL PURCHASER OF THE PRODUCT CJPS Medical Systems will as its sole obligation under this warranty replace or repair at its option any Product that does not conform to this warranty Products may be repaired or replaced with new or with refur bished items This limited warranty does not cover defects in appearance cosmetic or decorative items including any non operative parts UNDER NO CIRCUMSTANCES WILL CUPS MEDICAL SYSTEMS BE LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES UNDER THIS WARRANTY OR ANY IMPLIED WARRANTIES THESE REMEDIES ARE THE CUSTOMER S EXCLUSIVE REMEDIES FOR BREACH OF WARRANTY This limited warranty only extends to customers who pur chase the Products in the United States See local distributor for warranty information on products purchased outside of the United States CJPS Medical Systems will not be responsible for damage resulting from any i deviation of use from CJPS Medical Systems operating instruc tions as printed in CJPS Medical Systems catalog or on any packaging labels or other literature provided with a Product ii installation of a Product in a manner which is inconsistent with CJPS Medical Systems written instructions iii alteration or modification of a Product iv misuse
13. In the event the monitor is disabled at Remote Device Connectivity the monitor will remain on and the screen will display Monitor in sleep mode While in sleep mode the monitor will continue to dial in to the Central Server at its regularly scheduled intervals It will only be able to come out of sleep mode when it dials in to the Central Server at its regularly scheduled interval Note When it is known that the monitor will go into sleep mode the time interval for scheduled call ins should be reduced This will minimize the time spent in sleep mode For information on adjusting the call in intervals see Setup Tasks on page 14 Battery Notes The VitalPoint Home Monitor contains a lithium ion rechargeable battery The battery will charge when the monitor is connected to a live wall out let An indicator light on the back of the monitor shows that the battery is charging The monitor can operate on battery power for up to 5 hours For each hour of battery use 1 hour of recharge time is needed If the battery is no longer holding a charge or the monitor is to be stored for an extended period of time it is recommended that trained service person nel remove the battery For more details contact the product distributor PRECAUTION SHOULD THE AC ADAPTER S GREEN LIGHT NOT REMAIN ON WHILE PLUGGED INTO AN AC OUTLET REPORT THE PROBLEM TO CIPS MEDICAL SYSTEMS OR AUTHORIZED DISTRIBUTOR AND DISCONTINUE MONITOR USE UNTIL THE PROBL
14. LIMB AS THE NON INVASIVE BLOOD PRESSURE CUFF DURING BLOOD PRESSURE MEASUREMENTS THE PERFUSION IS TEMPORARILY REDUCED WHICH CAN RESULT IN INACCURATE PULSE OXIMETRY READINGS e BRIGHT LIGHT CAN CREATE PROBLEMS WITH THE PULSE OXIMETRY MEASUREMENTS RESULTING IN INACCURATE PULSE OXIMETRY READINGS IF THE SENSOR IS IN A PLACE WHERE IT MAY BE EXPOSED TO BRIGHT LIGHT COVER THE SENSOR WITH SOME OPAQUE MATERIAL TO BLOCK THE LIGHT e PULSE OXIMETRY READINGS MAY BE INACCURATE IN THE PRESENCE OF TOO MUCH MOTION OR IF THE PATIENT HAS TREMORS IF QUESTIONABLE READINGS ARE OBTAINED RE CHECK THE PATIENT S VITAL SIGNS BY ALTERNATE MEANS BEFORE ADMINISTERING MEDICATION SHOULD THE AC ADAPTER S GREEN LIGHT NOT REMAIN ON WHILE PLUGGED INTO AN AC OUTLET REPORT THE PROBLEM TO CJPS MEDICAL SYSTEMS OR AUTHORIZED DISTRIBUTOR AND DISCONTINUE MONITOR USE UNTIL THE PROBLEM CAN BE IDENTIFIED AND CORRECTED PATIENT SHOULD NOT RELY SOLELY ON THE MONITOR REGARDINGWHENTOTAKE MEDICATIONS PATIENT SHOULD CONSULT PHYSICIAN BEFORE TAKING ANY PRESCRIPTION OR NON PRESCRIPTION MEDICATION OR CHANGING ANY MEDICATION REGIMENS VITALPOINT IS INTENDED AS A REMINDER SYSTEM ONLY ECG RESPIRATION PRECAUTIONS e LINE ISOLATION MONITOR TRANSIENTS MAY RESEMBLE ACTUAL CARDIAC WAVEFORMS AND THUS INHIBIT HEART RATE ALARMS TO AVOID THE RISK OF THIS HAPPENING FOLLOW THE DIRECTIONS FOR PROPER ELECTRODE PLACEMENTS AND KEEP THE ECGLEAD WIRES AWAY FROM SOURCES OF LINE NOISE
15. PROTHROMBIN TIME METER The patient must enter the reading from the prothrombin meter into the monitor The monitor will display the following instructions 1 Enter your prothrombin time reading 2 Isthis PT prothrombin time or INR internationalized normalized ratio 3 Press Complete when data is entered The following errors may occur if the prothrombin time reading is not correctly entered or is not communicating Remote Device Error Explanation Troubleshooting Connectivity and Monitor Error Patient has attempted to Instruct the patient to Empty unit field submit a prothrombin time enter a corrected unit measurement without e If message persists entering a unit contact the product distributor Invalid value submit a prothrombin time enter a corrected unit measurement with an e If message persists invalid value contact the product distributor ECG and Heart Rate Monitoring performed by clinician or patient as directed by clinician WARNING PACEMAKER PATIENTS RATE METERS MAY CONTINUE TO COUNT THE PACEMAKER RATE DURING OCCURRENCES OF CARDIAC ARREST OR SOME ARRHYTHMIAS DO NOT RELY ENTIRELY UPON RATE METER ALARMS KEEP PACEMAKER PATIENTS UNDER CLOSE SURVEILLANCE SEE SPECIFICATIONS PAGE 79 FOR DISCLOSURE OF THE PACEMAKER PULSE REJECTION CAPABILITY OF THIS INSTRUMENT The ECG monitoring capabilities of the VitalPoint Home Monitor include e Displaying four waveforms of ECG e Displayin
16. THE PACEMAKER PULSE REJECTION CAPABILITY OF THIS INSTRUMENT 2 THE VITALPOINT HOME MONITOR IS NOT AN EMERGENCY RESPONSE SYSTEM THE DEVICE LABELING ADVISES PATIENTS TO CONTACT THEIR CAREGIVER NURSE OR DOCTOR CALL LOCAL EMERGENCY NUMBER AS APPROPRIATE OR GO TO THE EMERGENCY ROOM WHENEVER THEY FEEL THE NEED TO DO SO THE VITALPOINT HOME MONITOR DOES NOT ANALYZE PATIENT INFORMATION NOR DOES IT OFFER MEDICAL ADVICE 3 DO NOT USE THE MONITOR NEAR SOURCES OF LIQUIDS SUCH AS SINKS SHOWERS OR BATHTUBS 4 UNPLUG THE MONITOR BEFORE CLEANING DO NOT SPRAY CLEANERS INTO THE RECEPTACLES 5 DO NOT USE A MONITOR OR ANY ACCESSORY THAT SHOWS ANY SIGN OF DAMAGE 6 DO NOT USE THE MONITOR IF THE MAIN MENU SCREEN IS NOT DISPLAYED PROPERLY WHILE CONNECTED TO AC POWER 7 DEVICE INTERCONNECTIONS THROUGH ITS OMD OTHER MEDICAL DEVICE PORT THE VITALPOINT HOME MONITOR CAN BE CONNECTED TO VIII DL 00031 Rev WARNING 9 10 11 NON INVASIVE BLOOD PRESSURE WARNINGS e THE NON INVASIVE BLOOD PRESSURE NBP CUFF SHOULD BE AT THE SAME LEVEL AS THE PATIENT S HEART IF THE NBP CUFF CANNOT BE PLACED AT THIS LEVEL ADD TO MEASURED PRESSURE VALUES 1 4 mmHg FOR EACH 2 cm ABOVE HEART LEVEL OR SUBTRACT 1 4 mmHg FOR EACH 2 cm BELOW HEART LEVEL e IN SOME CASES FREQUENT AND PROLONGED MEASUREMENTS CAN RESULT IN PETECHIA ISCHEMIA PURPURA OR NEUROPATHY CHECK THE CUFF SITE REGULARLY WHEN TAKING FREQUENT MEASUREMENTS OVER AN EXT
17. THIS MAY DAMAGE THE DEVICE AND WILL VOID THE WARRANTY THESE CHEMICALS MAY DAMAGE THE MONITOR S FRONT PANEL ACETALDEHYDE ACETONE AMMONIA BENZENE HYDROXYTOLUENE METHYLENE CHLORIDE OR OZONE DO NOT USE THOSE CHEMICALS OR CLEANSERS CONTAINING N ALKYLDIMETHYLBENZYLAMMONIUM CHLORIDE NON INVASIVE BLOOD PRESSURE PRECAUTIONS e DONOT APPLY THE NON INVASIVE BLOOD PRESSURE CUFF ON THE SAME LIMB AS THE PULSE OXIMETRY SENSOR DURING BLOOD PRESSURE MEASUREMENTS THE PERFUSION IS TEMPORARILY REDUCED WHICH CAN RESULT IN INACCURATE PULSE OXIMETRY READINGS e DO NOT ALLOW THE NON INVASIVE BLOOD PRESSURE CUFF OR HOSE TO COME IN CONTACT WITH FLUIDS IF THIS OCCURS ALLOW TO DRY THOROUGHLY BEFORE USE CHECK THE HOSE AND CUFF FREQUENTLY FOR SIGNS OF DAMAGE OR DEBRIS AN OBSTRUCTION IN THE HOSE MAY INTERFERE WITH INFLATION AND DEFLATION RESULTINGIN INACCURATE NON INVASIVE BLOOD PRESSURE READINGS e TO OBTAIN ACCURATE BLOOD PRESSURE READINGS KEEP THE LIMB AND THE CUFF AS STILL AS POSSIBLE e NON INVASIVE BLOOD PRESSURE MEASUREMENTS MAY NOT BE ACCURATE IF THE PATIENT IS CONVULSIVE EXPERIENCING TREMORS OR IS DEFIBRILLATED DURING THE MEASUREMENT PULSE OXIMETRY PRECAUTIONS e READ INSTRUCTIONS PROVIDED WITH THE PULSE OXIMETRY SENSOR TO UNDERSTAND THE BEST APPLICATION TECHNIQUE AND ALL RELEVANT SAFETY INFORMATION DL 00031 XI PRECAUTION 17 18 19 20 2i 22 e DO NOT APPLY THE PULSE OXIMETRY SENSOR ON THE SAME
18. Year Enter Patient s Date of Birth HARA Month Day Year E BHAA GHI JKL and or Patient Name Last Name Last Name First Name Name and or Patient Name Last Name First Name Note Sample shows just one patient has the designated date of birth if more than one patient has this date of birth actual screen will display all those patients Note Sample shows just one patient has the designated name if more than one patient has this i i name actual screen will display all those patients 7 Select the desired patient from the drop down menu by tapping the name 8 Confirm the patient selected is correct by pressing OK to begin 5 Select the desired patient from the drop down menu by tapping the name taking measurements and reporting symptoms or press Cancel to 6 Press OK to begin taking measurements and reporting symptoms for retum to the Main Menu screen this patient or press Cancel to return to the Main Menu screen To search by patient name follow these steps Entering a New Patient The Patient Identification screen allows the user to select the New tab and enter information for a new patient into the system by following these steps 1 Tap on each field to activate it then use the alphanumeric keypad to enter the patient s first name last name date of birth and assign a patient ID number 1 Press Date of Birth and or Pati
19. Yes o No Is it common for you to wake up in the night with breathing difficulties O Yes o No Do you need extra pillows to sleep comfortably O Yes Oo No How many pillows did you use last night o 4ormore How many pillows do you normally use O 1 O 2 oO 3 O 4or more Wheezing When does your wheezing occur O Atrest o With mild activity o With more tiring activity How bad is your wheezing o Mild o Moderate O Severe Is your wheezing better or worse than before O Better o Same o Worse Have you needed to use your inhalers more than usual O Yes o No How many times are you using your inhaler 0 2 times per day O 3 6 times per day O More than 6 times per day Coughing How would you describe your cough o Dry hacking Congested without sputum phlegm O Rattling congested with sputum phlegm What color is your sputum phlegm Oo White Clear o Yellow O Green O Pinkish Red Has the amount increased from your usual amount O Yes o No How frequent is your cough O Persistent all the time O Occasional 3 5 times per day O With exertion or activity When did your cough start o Today o Yesterday O A few days ago O A week ago or more SWELLING SYMPTOMS Which of the following swelling problems would you like to report Please select all that apply o New swelling O Shoes feel tighter New swelling Where is your swelling You may mark more than one location O Feet o Ankles
20. a Problem to Report screen If multiple problems are reported using this option all data will be stored and listed on the Confirming Problems screen A No response will take the patient directly to the Confirming Problems screen Confirming Problems You reported the following problems Is this correct General Heart Yes send the problems to my clinician now Yes but I would like to record measurement s No I would like to report more problems At the Confirming Problems screen the monitor will display the problems that have been reported and ask if they are correct The listed problems include the eight main categories e g Breathing and do not include any of the sub problems e If the reported problems are correct press Yes to send the problems report to the Central Server immediately e f the reported problems are correct but the patient has additional measurements to take press Yes but I would like to record measurement s to go to the Take Measurements screen All data will be sent when sending measurements e If the reported problems are incorrect press No to return to the Choose a Problem to Report screen ss rr Single patient mode only mn Multi patient mode only If the patient selects a problem that has already been reported a warning will appear e If the patient selects Yes the prior reported problems in this category will be deleted and the monitor will
21. be collected until Patient ID has been entered Setup tasks are used to perform additional setup functions as listed below What would you like to do Set Phone Number Set Speaker Volume Set Language Dial Central Server Now Run Manufacturing Test Li Note At any time you may return to the Main Menu screen by pressing Main Menu in the lower right corner Note When the user presses Setup on the Main Menu screen the following screen is displayed What would you like to do Set Speaker Volume Dial Central Server Now Li The patient can only adjust speaker volume or dial the Central Server Set Phone Number Monitor Serial Number This screen allows you to enter the phone number of the Central Server this monitor should call Using the numeric display enter the correct phone number including all necessary preceding digits and area code Note It may be necessary to enter digits required to obtain an outside line on some telephone sys tems e g a 9 and a slight delay added to the sequence accomplished by adding a comma which causes a two second pause before the number is dialed Therefore the number may look like 9 5550100 More than one comma may be used to create a longer pause if necessary This number can be tested by following the instructions in Phone Connection on page 6 The monitor s serial number is also displayed on this page The serial number is al
22. e TOAVOIDLARGE OFFSET POTENTIALS DUE TO POLARIZATION OF ELECTRODES BE SURE TO USE ONLY ELECTRODE TYPES SPECIFIED FOR THIS DEVICE AND BE SURE THAT ALL ELECTRODES USED ON A PATIENT ARE OF THE SAME TYPE FOLLOW THE MANUFACTURER S INSTRUCTIONS FOR USE WHEN USING A GLUCOSE METERAND STRIPS FOLLOW THE MANUFACTURER S INSTRUCTIONS FOR USE WHEN USING A FLUID STATUS MONITOR FOLLOW THE MANUFACTURER S INSTRUCTIONS FOR USE WHEN USING A PROTHROMBIN TIME METER XII DL 00031 Rev 9 Contents I rir CyPS Classification ss iv Explanation of Packaging and Labeling Symbols Vv Intended Uee K OK OO vi Contraindications Overview LL vi Manual Versions s s s s a aiseseseee vi General Information _ _ ss eeeeee vii Warnings and Precautions ss viii Warnings Overview ss viii Precautions Overview eee xX Monitor Features and Controls sss 1 Initial Monitor Setup 3 Before You Get Started se 3 Necessary Equipment 3 Transport and Storage 3 Selecting a Blood Pressure Cuff 4 Entering Patient Information _ s ss 4 Setting Up 4 Choosing a Location for the Monitor sass 4 Turning the Monitor On 4 Power Supply 5 Sleep Mode 5 Battery Notes sss 5 Phone Connection s eseeseseseseseeeee 6 Installing Peripheral Measurement Devices 222222222222222 7 Testing Peripheral Measurement Devices 12 Suggested Discussion Topics With Patient 12 Setup Tasks OOOO
23. health data It is recommended that the healthcare facility ensures that patients complete all necessary paper work so that the facility complies with the HIPAA requirements This equipment complies with Part 68 of the U S Federal Communications Commission FCC rules and the requirements adopted by the American Council for Terminal Attachments ACTA On the back of the CJPS Medical Systems VitalPoint Home Monitor is a label that contains among other information a product identifier in the format US AAAEQ TXXXX If requested this number must be provided to the telephone company The Universal Services Ordering Code USOC jack used to connect the VitalPoint Home Monitor to the premises wiring and telephone network must comply with the applicable FCC Part 68 rules and requirements adopted by the ACTA II DL 00031 Rev 9 The ringer equivalence number REN is used to determine the number of devices that may be connected to a telephone line Excessive RENs on a telephone line may result in the devices not ringing in response to an incoming call In most but not all areas the sum of RENs should not exceed five 5 To be certain of the number of devices that may be connected to a line as determined by the total RENs contact the local telephone company For products approved after July 23 2002 the REN is part of the product identifier that has the format US AAAEQ TXXXX The digits represented by are the REN without a
24. mESSdgE WIN Appa After completing these steps hang up and force the monitor to dial the If the monitor continues to not be able to communicate with the Central Central Server by using the Setup Tasks menu option Dial Central Server Server a new message will appear Now Check Remote Device Connectivity again in about 5 10 minutes If no communication has been made a staff member should be sent to the patient s home or monitor location to conduct the checks above and or replace the monitor When replacing a monitor be sure to have the monitor Possible causes for failed communication with the Central Server include dial in to the Central Server to verify it communicated successfully and that i in th i fore leaving e Monitor serial number has been entered incorrectly in Remote MS PANEN Nes AEM OR y ECUR E ONAT SEOS eang Device Connectivity Verify that the serial number has been entered IMPORTANT e Wee ed from sinale patient to multi oatient mode This step should be completed by a clinician it is not recommended to gie p p share the setup menu with patients or vice versa without uploading data first Switch monitor back to previous mode in Remote Device Connectivity reassign patient s whose data is still in the monitor and dial in via the Setup menu to Troubleshooting for Remote Device Connectivity error codes related to the upload data vital signs measurement can be found in Taking Measurements on page 27 Monitor has no
25. measurements to take but the patient has symptoms to report press No but I would like to report symptom s e f there are no additional measurements to take and no symptoms to report press No to send the measurement data to the Central Server immediately Blood Pressure The monitor will display the following instructions to apply the cuff and take a blood pressure measurement 1 Sit down in a chair next to the monitor 2 Roll up the sleeve on your arm or remove any tight clothing 3 Slide the cuff onto your arm 4 Make sure that the bottom edge of the cuff is 1 2 5 cm above the crease of your elbow Make sure that the tubing is on the inside of your elbow Secure the cuff by using the Velcro wrap to make the cuff snug but not too tight 7 Place your arm raised to the level of your heart on a table remain still and do not talk while your blood pressure is being taken oy pa The patient must then press the Take Measurement button When complete the measurement will be displayed on the screen T Single patient mode only Ai Multi patient mode only The following errors may occur if the blood pressure cuff is not correctly applied or if there are issues with the blood pressure cuff accessory Remote Device Connectivity and Monitor ere ee a ee ee ee ee Cuff was not applied cor e Repeat the Reapply the cuff and try again Weak signal please contact your clinician is not
26. provide the option to select the sub problems in this category and answer the selected questions If the patient selects No the monitor will ask if there are more problems to report A Yes response will result in a return to the Choose a Problem to Report screen A No response will take the patient to the Confirming Problems screen You have already reported problems for this category Would you like to change what you have reported TAKING MEASUREMENTS When Take Measurements is pressed the monitor will provide options as to what will be measured The VitalPoint Home Monitor allows patients to take the following measurements e Blood pressure e Weight e Pulse oximetry pulse rate e ECG respiration rate e Temperature e Prothrombin time e Blood glucose e Fluid status The monitor displays What measurement would you like to take Blood Pressure Pulse Oximetry Temperature Blood Glucose Protime Fluid Status Weight ECG Main Menu Note All accessories necessary to take the required measurements should be installed by the clinician The patient should not have to install or reinstall the accessories on the device with the exception of the glucose meter It is recommended that the patient leave the glucose cables attached and only the glucose meter be detached for transport For each measurement the monitor will provide detailed instructions on how to take each measuremen
27. remember How would you describe your pain Oo Cramping O Burning O Stabbing knife like o Other How would you rate your pain options range from 1 to 10 o 1 Minimal O 10 Worst imaginable pain Are you taking any medication for your pain O Yes o No O I don t know Are you getting pain relief with the medication O Yes o No O Somewhat GENERAL SYMPTOMS Which of the following general problems would you like to report Please select all that apply Tiredness o Weakness o Dizziness Tiredness Are you more tired and unable to do routine activities like cooking dressing bathing today O Yes o No Is your tiredness a new symptom in the last day or so O Yes o No Weakness Have you felt weak in the past day or so O Yes o No Dizziness Have you felt any new dizziness in the past day or so O Yes o No When is your dizziness occurring APPENDIX 2 SPECIFICATIONS O At rest GENERAL Upon standing up o With activity Dimensions 11 3 W x 7 2 H x 2 4 D 288 mm x 182 mm x 60 mm O Allthe time Weight 4 5 lb 2 0 Kg Power requirements 100 240 V AC 0 7 A max suitable for connection to the public mains Mains frequency range 50 60 Hz Power consumption 12 W nominal 24 W when charging battery Patient risk current AAMI ES1 1993 Electromedical apparatus with isolated patient connec tion Meets the following limits Enclosure Risk Current lt 100 A Patient applied Risk Curre
28. to sending phone card access number Agency A enters delay characters necessary so modem will wait until a voice prompt occurs as the voice prompt must occur before the modem should continue dialing approximately 6 seconds Agency A enters 8009616319 which instructs the modem to wait for the calling card bong sound and then to wait for 2 additional sec onds before entering dialing the calling card number and PIN This Monitor s serial number is HyP1030 Enter the phone number of the Central Server this Monitor should call including preceding digits and area code as necessary 08008900288 8009616319 39633594433025 fi 2 3 BS lel sj os vz s B Clear 0 EA S L Go Back 4 Choose Dial Central Server Now from the Setup Tasks menu 5 If using single patient mode verify the patient s name is accurate on the monitor s Main Menu screen If using multi patient mode verify the sign in screen appears and a patient can be signed in It is important to ensure that the information has been properly downloaded from the Central Server If the patient s name or sign in screen is not seen on the Main Menu screen see page 17 the setup process should be retried During communication sessions the monitor will use the phone line It is important to avoid using the phone during the dial in session until the confirmation screen appears on the monitor to ensure good communication with the
29. user IEC61000 4 11 for 5 cycles for 5 cycles requires continued 70 UT 70 UT operation during power 30 dip in UT 30 dip in UT mains interruptions for 25 cycles for 25 cycles the monitor should be lt 5 UT lt 5 UT powered from an unin gt 95 dipin UT gt 95 dipinUT terruptible power sup for 5s for 5s ply or a fully charged battery If the supply mains is interrupted for more than 30 seconds the monitor will oper ate on battery power Power frequency 3 A m 3 A m Power frequency 50 60 Hz magnetic magnetic fields should field be at levels characteristic IEC 61000 4 8 of a typical commercial or hospital environment Note U is the AC mains voltage prior to application of the test level Guidance and manufacturer s declaration electromagnetic immunity cont Immunity test IEC 60601 test Complianc level e Conducted RF IEC 3 Vrms 150 kHz 61000 4 6 to 80 MHz 3 Vrms Radiated RF IEC 3 V m 80 MHz to 61000 4 3 2 5 GHz 3 V m Electromagnetic environment guidance Portable and mobile RF communications equip ment should be used no closer to any part of the VitalPoint Home Monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 1 2 VP d 1 2 VP 80 MHz to 800 MHz d 2 3 VP 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W acc
30. v neglect vi abuse vii accident viii normal wear and tear ix com mercial use x improper storage xi environmental conditions including excessive temperature or humidity xii service by anyone installation or operation of the Product or xiv defects or malfunctions of which CJPS Medical Systems is not advised within ten 10 days of the expiration of the limited warranty period How state law relates to the warranty Some states do not allow limitations on the duration of implied war ranties or the exclusion or the limitation of incidental or consequential damages So the above limitations or exclusions may not apply to you This warranty gives you specific legal rights You may also have other rights that may vary from state to state NO PERSON IS AUTHORIZED BY CJPS MEDICAL SYSTEMS TO MODIFY OR ADD TO THIS LIMITED WARRANTY Trademarks cyPs VitalPoint is a trademark of CJPS Corporation All other trademarks are the property of their respective owners Disclaimer The information in this document has been carefully examined and is believed to be reliable Furthermore CJPS Medical Systems reserves the right to make changes to any products herein to improve readability function or design CJPS Medical Systems does not assume any liability arising out of the application or use of any product or circuit described herein neither does it cover any license under its patent rights nor the rights of others Leet a
31. 3 bpm Prothrombin time e Consult prothrombin time meter manufacturer s instructions Fluid status e Consult fluid status meter manufacturer s instructions Glucose meter e Consult glucose meter manufacturer s instructions EXTERIOR CLEANING These instructions apply to the VitalPoint monitor SpO2 cable NBP cuff NBP hose ECG cables power supply power cord and OMD cable Clean with alcohol or soapy water Consult manufacturer instructions for information on prothrombin time meters and fluid status monitors WARNING UNPLUG THE MONITOR BEFORE CLEANING DO NOT SPRAY CLEANERS INTO THE RECEPTACLES PRECAUTION DO NOT CLEAN DISINFECT OR STERILIZE ANY PART OF THE MONITOR WITH ETHYLENE OXIDE GAS OR BY AUTOCLAVING THIS MAY DAMAGE THE DEVICE AND WILL VOID THE WARRANTY PRECAUTION THESE CHEMICALS MAY DAMAGE THE MONITOR S FRONT PANEL ACETALDEHYDE ACETONE AMMONIA BENZENE HYDROXYTOLUENE METHYLENE CHLORIDE OR OZONE DO NOT USE THOSE CHEMICALS OR CLEANSERS CONTAING N ALKYLDIMETHYLBENZYL AMMONIUM CHLORIDE Before using the monitor allow at least 1 minute for the cleaning solution to evaporate from the surface CLEANING THE SpO SENSOR e Remove the sensor from the monitor e Wipe off with 70 isopropyl pad e Allow sensor to dry before placing it on a patient CLEANING THE TEMPERATURE PROBES Temperature probes should always be used with the disposable probe covers Wipe probe with alcohol pads and allow to dry
32. BRIGHT LIGHT CANCREATE PROBLEMS WITH THE PULSE OXIMETRY MEASUREMENTS RESULTING IN INACCURATE PULSE OXIMETRY READINGS IF THE SENSOR IS INA PLACE WHERE IT MAY BE EXPOSED TO BRIGHT LIGHT COVER THE SENSOR WITH SOME OPAQUE MATERIAL TO BLOCK THE LIGHT PRECAUTION PULSE OXIMETRY READINGS MAY BE INACCURATE IN THE PRESENCE OF TOO MUCH MOTION OR IF THE PATIENT HAS TREMORS IF QUES TIONABLE READINGS ARE OBTAINED RE CHECK THE PATIENT S VITAL SIGNS BY ALTERNATE MEANS BEFORE ADMINISTERING MEDICATION TEMPERATURE MONITORING To begin temperature monitoring use the following procedure 1 Connect the temperature probe cable to the monitor 2 Follow the instructions on page 33 to complete the measurement Checking the Temperature When the measurement is complete the monitor should display the temperature The patient s temperature is displayed in both degrees Fahrenheit and degrees Celsius GLUCOSE MONITORING Using the LifeScan OneTouch Ultra Blood Glucose Meter To begin glucose monitoring use the following procedure 1 Connect the glucose meter adapter cable to port 2 on the monitor 2 Connect the glucose meter 9 pin cable to the adapter cable 3 Connect the glucose meter to the 9 pin cable 4 Follow the instructions on page 34 to complete the measurement For Subsequent Measurements The patient may take the glucose meter off of the cable for portability To reattach the meter 1 Connect the glucose meter to the 9 pin cable 2 Fo
33. CyPS VitalPoint lt CJPS Medical Systems VitalPoint Home Monitor Clinician User Manual Hello Jane Dos 3 hour S 28 Minutes itil Symptoms See Nurse s o Home CJP Monito IPS VitalPoiny onitoring Sys tem a VitalPolnt EDICAL SYSTEMS CJPS Manufactured by CJPS Medical Systems Scottsdale Arizona USA Paris France Tel 1 480 939 4362 www cjps medicalsystems com The information in this document is subject to change without notice This document contains proprietary information that is protected by copyright No part of this document may be reproduced in any manner in whole or in part except for brief excerpts in reviews and scientific papers without the prior written consent of CJPS Medical Systems CJPS Medical Systems makes no warranty of any kind on this material including but not limited to the implied warranties of merchantability and fitness for a particular purpose CJPS Medical Systems shall not be liable for errors contained herein or for incidental or consequential dam ages concerning the furnishing performance or use of this material Before using any CJPS Medical Systems product be sure to read carefully and understand all manuals provided with the product CJPS Medical Systems Remote Device Connectivity complies with the U S Health Insurance Portability and Accountability Act HIPAA protect ing the security and privacy of
34. D SAMPLES SHOULD BE ANALYZED BY A LABORATORY CO OXIMETER WARNING REPOSITION THE PULSE OXIMETRY SENSOR AT LEAST EVERY 4 HOURS 2 HOURS FOR POORLY PERFUSED PATIENTS MOVE THE SENSOR IF YOU SEE ANY SIGNS OF SKIN IRRITATION OR IMPAIRED CIRCULATION WARNING ELEVATED LEVELS OF CARBOXYHEMOGLOBIN OR METHEMOGLOBIN IN MONITORED PATIENTS CAN RESULT IN INACCURATE PULSE OXIMETRY READINGS Checking the Pulse Oximetry Signal Pulse oximetry monitoring works by shining light of two different wavelengths through the patient s tissues such as a fingertip and measur ing the absorption of the light by the hemoglobin in the patient s arterial blood The way the blood absorbs the different wavelengths indicates the amount of oxygen in the blood Since this amount is constantly changing during each beat of pulse as new blood comes in and old blood returns to the heart it is also possible to detect a pulse rate from this signal When the measurement is complete the monitor should dis play the blood oxygen saturation level and pulse rate PRECAUTION READ INSTRUCTIONS PROVIDED WITH THE PULSE OXIMETRY SENSOR TO UNDERSTAND THE BEST APPLICATION TECHNIQUE AND ALL RELEVANT SAFETY INFORMATION PRECAUTION DO NOT APPLY THE PULSE OXIMETRY SENSOR ON THE SAME LIMB AS THE NON INVASIVE BLOOD PRESSURE CUFF DURING BLOOD PRESSURE MEASUREMENTS THE PERFUSION IS TEMPORARILY REDUCED WHICHCANRESULTININACCURATE PULSE OXIMETRY READINGS PRECAUTION
35. E OR GO TO THE EMERGENCY ROOM WHENEVER THEY FEEL THE NEED TO DO SO THE VITALPOINT HOME MONITOR DOES NOT ANALYZE PATIENT INFORMATION NOR DOFS IT OFFFR MFDICAI ADVICF CONTRAINDICATIONS OVERVIEW CONTRAINDICATION e USE OF THIS DEVICE IS CONTRAINDICATED IN APPLICATIONS REQUIRING AUTOMATED ARRHYTHMIA DETECTION e THIS DEVICE IS NOT TO BE USED AS AN APNEA MONITOR THIS DEVICE IS NOT TO BE USED IN AN MRI ENVIRONMENT e THIS DEVICE IS NOT TO BE USED IN AN OPERATING ROOM OR SURGICAL ENVIRONMENT Manual Version Please refer to this manual for detailed instructions on warnings precautions specifications and additional information Printed in U S A Electronic copies of the current version of the CJPS Medical Systems VitalPoint Home Monitor Clinician User Manualcan be found at www CJPS MedicalSytems com DL 00031 Rev 9 General Information I cjPs This user manual provides information for users of the VitalPoint Home Monitor Some information in this manual is valid only when the monitor is in single patient mode This information is indicated by the jp icon Other information in this manual is valid only when the monitor is in multi patient mode This information is indicated by the MM icon For the sake of brevity the terms VitalPoint monitor or device are sometimes used in this document to refer to the VitalPoint Home Monitor IMPORTANT Users should read this entire manual before operating the VitalPo
36. EM CAN BE IDENTIFIED AND CORRECTED fi Single patient mode only ff Multi patient mode only DL 00031 Rev 9 5 Phone Connection The VitalPoint Home Monitor must dial in to the Central Server to download patient information single patient mode and monitor setup data Connect the phone line by plugging one end into the receptacle on the right hand side of the monitor and the other into a wall phone jack Note The monitor must be connected to a standard single analog phone line i e fax machine compat ible The monitor s connection settings must be set up so it can dial in to the Central Server To set up the monitor follow these steps 1 Set up monitor in Remote Device Connectivity See CUPS Medical Systems Remote Device Connectivity User Manual for more informa tion Ensure that the monitor s serial number has been entered into the program correctly and single or multi patient mode has been selected 2 Access the hidden Setup Tasks menu by tapping the screen four times in the upper right corner For more information see Setup Tasks on page 14 3 Enter the phone number to be dialed to connect with the Central Server Note It may be necessary to enter digits required to obtain an outside line on some telephone systems e g a 9 anda slight delay added to the sequence accomplished by adding a comma which causes a two second pause before the number is dialed Therefore the number may look like 9 5550100
37. ENDED TIME PERIOD ALSO CHECK THE PATIENT FOR ANY SIGNS OF RESTRICTED CIRCULATION IN THE EXTREMITIES OF THE LIMB WHERE THE NBP CUFF IS WRAPPED e BE SURE THE NON INVASIVE BLOOD PRESSURE HOSE IS NOT BLOCKED OR KINKED DURING A MEASUREMENT A BLOCKED OR KINKED HOSE COULD LEAD TO EXCESSIVE PRESSURE IN THE BLOOD PRESSURE CUFF WHICH COULD CAUSE LIMB DAMAGE TO THE PATIENT IN THE EVENT THE CUFF NEEDS TO BE STOPPED DURING OPERATION DUE TO AN ERROR CREATED BY A BLOCKED OR KINKED HOSE THE CUFF SHOULD BE REMOVED FROM THE PATIENT S ARM BY RELEASING THE VELCRO STRAP OR PULLING CUTTING THE HOSE OFF OF THE CONNECTOR PULSE OXIMETRY WARNINGS e REPOSITION THE PULSE OXIMETRY SENSOR AT LEAST EVERY 4 HOURS 2 HOURS FOR POORLY PERFUSED PATIENTS MOVE THE SENSOR IF YOU SEE ANY SIGNS OF SKIN IRRITATION OR IMPAIRED CIRCULATION e ELEVATED LEVELS OF CARBOXYHEMOGLOBIN OR METHEMOGLOBIN IN MONITORED PATIENTS CAN RESULT IN INACCURATE PULSE OXIMETRY READINGS e A PULSE OXIMETER SHOULD BE CONSIDERED AS AN EARLY WARNING DEVICE AS A TREND TOWARD PATIENT DEOXYGENATION IS INDICATED BLOOD SAMPLES SHOULD BE ANALYZED BY A LABORATORY CO OXIMETER PROBES AND CABLES ARE DESIGNED FOR USE WITH SPECIFIC MONITORS VERIFY COMPATIBILITY AND USE ONLY APPROVED ACCESSORIES WITH VITALPOINT USING NON APPROVED ACCESSORIES MAY RESULT IN DEGRADED PERFORMANCE DAMAGE TO THE MONITORING EQUIPMENT OR IN HARM TO THE PATIENT AND MAY VOID WARRANTY COVERAGE DL 00031 Rev
38. FEATURES ARE AVAILABLE ONLY IN SINGLE PATIENT MODE SELECT SINGLE PATIENT MODE IN REMOTE DEVICE CONNECTIVITY IF THE FEATURE IS REQUIRED FOR PATIENT CARE SEE THE REMOTE DEVICE CONNECTIVITY USER MANUAL FOR MORE INFORMATION 7 FORCONTINUED OPERATION ALWAYS CONNECT THE MONITOR TO A WALL OUTLET FAILURE TO DO THIS CAN LEAD TO AN INTERRUPTION OF MONITORING 8 THERE ARE NO USER SERVICEABLE PARTS IN THIS DEVICE 9 THE VITALPOINT HOME MONITOR NEEDS SPECIAL PRECAUTIONS REGARDING EMC AND NEEDS TO BE INSTALLED AND PUT INTO SERVICE ACCORDING TO EMC INFORMATION PROVIDED IN THIS MANUAL X DL 00031 Rev 9 PRECAUTION 10 PORTABLE AND MOBILE RADIO FREQUENCY RF COMMUNICATIONS 11 12 13 es LD 16 EQUIPMENT CAN AFFECT THE VITALPOINT HOME MONITOR IF THE VITALPOINT HOME MONITOR DOES NOT APPEAR TO BE WORKING NORMALLY TRY TO RELOCATE OR REORIENT THE VITALPOINT HOME MONITOR USE OF ACCESSORIES NOT APPROVED FOR USE WITH THE VITALPOINT HOME MONITOR MAY RESULT IN INCREASED EMISSIONS OR DECREASED IMMUNITY OF THE VITALPOINT HOME MONITOR REFER TO THE APPROVED ACCESSORIES LIST FOR THE VITALPOINT HOME MONITOR THE VITALPOINT HOME MONITOR SHOULD NOT BE USED ADJACENT TO OR STACKED WITH OTHER EQUIPMENT AND THAT IF ADJACENT OR STACKED USE IS NECESSARY THE VITALPOINT HOME MONITOR SHOULD BE OBSERVED TO VERIFY NORMAL OPERATION DO NOT CLEAN DISINFECT OR STERILIZE ANY PART OF THE MONITOR WITH ETHYLENE OXIDE GAS OR BY AUTOCLAVING
39. ING TO AVOID AN ELECTRICAL SHOCK HAZARD THE CONDUCTIVE PART OF THE ELECTRODES SHOULD NOT BE ALLOWED TO COME IN CONTACT WITH OTHER CONDUCTIVE OBJECTS INCLUDING EARTH WARNING DO NOT INTRODUCE ANY ADDITIONAL PATIENT CONNECTION THAT MAY PRODUCE ELECTRICAL CURRENT VITALPOINT APPLIES APPROXIMATELY 2 MICROAMPERES 2 uA LINE ISOLATION MONITOR TRANSIENTS MAY RESEMBLE ACTUAL CARDIAC WAVEFORMS AND THUS INHIBIT HEART RATE ALARMS TO AVOID THE RISK OF THIS HAPPENING FOLLOW THE DIRECTIONS FOR PROPER ELECTRODE PLACEMENTS AND KEEP THE ECG LEAD WIRES AWAY FROM SOURCES OF LINE NOISE PRECAUTION TO AVOID LARGE OFFSET POTENTIALS DUE TO POLARIZATION OF ELECTRODES BE SURE TO USE ONLY ELECTRODE TYPES SPECIFIED FOR THIS DEVICE AND BE SURE THAT ALL ELECTRODES USED ON A PATIENT ARE OF THE SAME TYPE The following errors may occur if the electrodes are not used correctly or if there are issues with the ECG accessories Remote Device Error Explanation Troubleshooting Connectivity and Monitor Error Monitor has detected an e Check to make sure ECG lead off unplugged cable broken electrodes are still cable loose lead wire faulty securely attached to lead wire dried out electrode the patient and or inoperable ECG circuit reattach if necessary Remember the importance of good skin preparation techniques e Check to make sure all the lead wires are still connected to the electrodes e Check to make sure the lead wires are securely
40. Monitor has detected an unplugged cable broken cable loose lead wire faulty lead wire dried out electrode Patient s respiration rate has risen above the current upper alarm limit or lead placement may be incorrect Troubleshooting Check to make sure electrodes are still securely attached to the patient and Remember the importance of good skin preparation techniques Check to make sure all the lead wires are still connected to the electrodes Check to make sure the lead wires are securely connected to the monitor Check to make sure there are no broken lead wires Turn the monitor off then back on If message persists contact the product distributor See suggestions for artifact error fm ACTIVITIES TO DO With programming from Remote Device Connectivity the monitor can notify the patient to perform certain activities at designated times These activities can include e Taking measurements e Medication reminders e Nurse s instructions From a sequencing perspective the requested activities will follow the sequence of completing measurements then medication reminders and then nurse s instructions as each of these categories is available Note When each activity is completed the monitor will automatically go to the next scheduled activity on the list Take Measurements For the selected measurements the patient will be walked through the instructions on each measurement to be taken a
41. More than one comma may be used to create a longer pause if necessary a Initial system installation must be performed by an authorized CJPS agent or representative If you encounter the following message during setup A RDC User Name and PIN have not been specified for the Central Server Please enter a valid RDC User Name and PIN contact you local representative for further instructions b There are 4 symbols included on the Set Phone Number screen This screen is found from the main menu with 4 taps in upper right hand corner of screen then select Set Phone Number These symbols a used when determining proper dialing string and are defined as ollows e Dial Tone button wait for dial tone before continuing e Silence button wait for quiet answer e Sound button wait for calling card bong tone e Pause button pause 2 seconds before continuing This Monitor s serial number is HVP1030 Enter the phone number of the Central Server this Monitor should call including preceding digits and area code as necessary BEE TL TL JEE lt Go Back c For example the dialing sequence shown below is required when using a calling card from Brazil to the Central Server Specifically the required sequence for this particular case is as follows in order to successfully connect E Agency A enters 08008900288 for their phone card access number e Agency A requires a short delay prior
42. PED WARNING BE SURE THE NON INVASIVE BLOOD PRESSURE HOSE IS NOT BLOCKED OR KINKED DURING A MEASUREMENT A BLOCKED OR KINKED HOSE COULD LEAD TO EXCESSIVE PRESSURE IN THE BLOOD PRESSURE CUFF WHICH COULD CAUSE LIMB DAMAGE TO THE PATIENT IN THE EVENT THE CUFF NEEDS TO BE STOPPED DURING OPERATION DUE TO AN ERROR CREATED BY A BLOCKED OR KINKED HOSE THE CUFF SHOULD BE REMOVED FROM THE PATIENT S ARM BY RELEASING THE VELCRO STRAP OR PULLING CUTTING THE HOSE OFF OF THE CONNECTOR PRECAUTION DO NOT APPLY THE NON INVASIVE BLOOD PRESSURE CUFF ON THE SAME LIMB AS THE PULSE OXIMETRY SENSOR DURING BLOOD PRESSURE MEASUREMENTS THE PERFUSION IS TEMPORARILY REDUCED WHICHCAN RESULT IN INACCURATE PULSE OXIMETRY READINGS PRECAUTION DO NOT ALLOW THE NON INVASIVE BLOOD PRESSURE CUFFOR HOSE TO COME IN CONTACT WITH FLUIDS IF THIS OCCURS ALLOW TODRY THOROUGHLY BEFORE USE CHECK THE HOSE AND CUFF FREQUENTLY FOR SIGNS OF DAMAGE OR DEBRIS AN OBSTRUCTION IN THE HOSE MAY INTERFERE WITH INFLATION AND DEFLATION RESULTING IN INACCURATE NON INVASIVE BLOOD PRESSURE READINGS PRECAUTION TOOBTAINACCURATEBLOOD PRESSURE READINGS KEEP THELIMB AND THE CUFF AS STILL AS POSSIBLE PRECAUTION NON INVASIVE BLOOD PRESSURE MEASUREMENTS MAY NOT BE ACCURATE IF THE PATIENT IS CONVULSIVE EXPERIENCING TREMORS OR IS DEFIBRILLATED DURING THE MEASUREMENT Checking the Blood Pressure VitalPoint uses an oscillometric method to measure the patient s blood
43. Remote Device Connectivity This data will be stored and distributed by the Central Server Each VitalPoint Home Monitor is identified by a serial number that is used for each transmission to and from the Central Server See your CUPS Medical Systems Remote Device Connectivity User Manual for more information Most setup activities will take place in Remote Device Connectivity However in multi patient mode patient information can be entered via the monitor interface See Main Menu Screen Multi Patient Mode on page 19 for more information This data will be stored and distributed by the Central Server Each VitalPoint Home Monitor is identified by a serial number that is used for each transmission to and from the Central Server This serial number is printed on the back of the monitor PRECAUTION WHEN CHANGING BETWEEN SINGLE AND MULTI PATIENT MODES IN REMOTE DEVICE CONNECTIVITY ALL DATA STORED IN THE MONITOR MUST BE UPLOADED TO THE CENTRAL SERVER BEFOREHAND DATA NOT UPLOADED WILL NOT BE LOST IF THE MODE IS CHANGED HOWEVER THE MONITOR WILL BE UNABLE TO UPLOAD THE DATA UNTIL IT IS REVERTED TO THE MODE IT WAS IN AND ASSIGNED TO THE SAME PATIENT S WHEN THE DATAWAS COLLECTED SEE THE REMOTE DEVICE CONNECTIVITY USER MANUAL FOR MORE INFORMATION SETTING UP Choosing a Location for the Monitor Carefully consider the following points when deciding where the VitalPoint Home Monitor should be placed The location must be e Near a
44. SORY THAT SHOWS ANY SIGN OF DAMAGE Important things to note before using the VitalPoint Home Monitor Necessary Equipment e VitalPoint Home Monitor e VitalPoint power supply with integral power cable e Accessories including SpO2 sensor extender if you will be monitoring SpO2 Temperature probe and covers if you will be monitoring temperature Non invasive blood pressure cuff if you will be monitoring non invasive blood pressure Weight scale if you will be monitoring weight Glucose meter and adaptive cables if you will be monitoring glucose levels any glucose meter may be used by entering the information manually ECG monitor electrodes and cable lead set if clinician will be performing ECG testing Prothrombin time meter if you will be entering prothrombin time measurements Fluid status monitor if you will be monitoring fluid levels Transport and Storage The monitor should be transported and stored in a clean dry environment 4 F to 122 F 20 C to 50 C e 10 to 95 relative humidity non condensing e Altitude 0 to 39 370 feet 0 to 12 000 m DL 00031 Rev 7 i anfi eta ae 3 Selecting a Blood Pressure Cuff To accurately measure blood pressure an appropriate size cuff must be used Measure arm circumference to determine which blood pressure cuff is appropriate Entering Patient Information Patient information and all monitor setup activities will be completed in
45. Yes o No Are you unable to hold your urine incontinent O Yes o No Have you been thirstier than usual or feel as if you cannot quench your thirst O Yes o No How many times a night do you get up to urinate o 0 O l O 2 O 30rmore Burning Odor Have you noticed an odor in your urine O Yes o No Do you have a burning sensation while urinating O Yes o No When did the burning start o Today o Yesterday O 2 3 days ago A week ago or more o I dont know Discharge Do you have any discharge in your urine O Yes o No WOUND SYMPTOMS Which of the following wound problems would you like to report Please select all that apply O Drainage o Odor o Size Color Difficulty with care Drainage Has the color of the drainage from your wound changed O Yes o No What color is the drainage White Clear Yellow Green Pinkish Red Other 00000 Has the amount of drainage from your wound increased O Yes How much of an increase Oo Smallamount o Fair amount o Large amount Odor Have you noticed a change in odor from your wound O Yes o No Size Color How would you describe the change to the wound Please select all thatapply O Larger O Smaller O Color is pinkish red o Color is white clear o Color is yellow Color is green Color is dark or blackened Difficulty with care Are you having difficulty caring for your wound O Yes o No PAIN SYMPTOMS Which of the followin
46. ale step completely away starts with no weight on it to from the scale take a good measurement Recheck weight by having the patient step on the scale e If message persists contact the product distributor and try again Problems communicating The scale may be e Check the cable with the scale please disconnected connections to the contact your clinician scale e Turn the monitor off then on e Recheck weight by having the patient step on the scale e f message persists contact the product distributor Remote Device Connectivity and Monitor Error Scale overload or scale was not at zero on power up please contact your clinician Please re zero the scale and try again please contact your clinician Unable to receive stable weight please stand still and try again Error Explanation The scale was overloaded or there was weight on the scale when it was powered up The auto zero process failed It is important that the scale starts with no weight on it to take a good measure ment The patient was moving when standing on the scale Troubleshooting e Instruct the patient to step completely away from the scale e Recheck weight by having the patient step on the scale e f message persists contact the product distributor e Instruct the patient to step completely away from the scale e Recheck weight by having the patient step on the scale e If message persists contac
47. ance Cleaning on page 53 Note Any measurements recorded during testing will become a part of the patient s medical record Please take these test measurements on the patient Suggested Discussion Topics With Patient SINGLE PATIENT MODE ONLY O The monitor should be left on at all times The patient should always see that the screen is on in their home whether the monitor is active or in sleep mode If the monitor is not functioning the patient should contact the clinician immediately O Emphasize the importance of recording the patient s data and not anyone else s to present an accurate view of the medical record Instruct the patient to not allow others to use the monitor O Emphasize the patient should not rely solely on the monitor regard ing when to take medications The patient should consult a physi cian before taking any prescription or non prescription medication or changing any medication regimens VitalPoint is intended as a reminder system only O Alert chimes will sound when it is time to perform a scheduled activity The chime will continue to sound every 5 minutes until the activity is completed If the activity is not completed within approximately 30 minutes or a designated amount of time after the reminder the monitor will send a message alerting the clinician that the activity has been missed SINGLE AND MULTI PATIENT MODES O VitalPoint is not intended for emergency response Advise the patient to contact
48. aphic Equipment e IEC 60601 2 30 1999 Second Edition Medical Electrical Equipment Part 2 Particular Requirements for the Safety Including Essential Performance of Automatic Cycling Non Invasive Blood Pressure Monitoring Equipment e IEC 60601 2 49 2001 Medical Electrical Equipment Parts 2 49 Particular Requirements for the Safety of Multifunction Patient Monitoring Equipment e ISO 9919 2005 Particular Requirements for the Basic Safety and Essential Performance of Pulse Oximeter Equipment for Medical Use e UL 1950 Third Edition Clause 6 only e FCC 47 CFR Part 68 Connection of Terminal Equipment to the Telephone Network This equipment is classified as e Class Il e Type CF e IPXO e Continuous operation IV DL 00031 Rev 9 Explanation of Packaging and Labeling Symbols cc A m month year Q pv lt 0 6A R only re 3 a IPXO Y cjPs For indoor use only Caution consult accompanying documents Manufacture date mm yyyy Do not use if package damaged Direct current power input 15 V 600 milliamperes Serial number Catalog number U S federal law restricts this device to sale by or on the order of a physician On Off Class II device This end up Fragile breakable Atmospheric pressure limitation 0 3 bar to 1 0 bar Storage temperature limitation 4 F to 122 F 20 C to 50 C Humidity limitation 10 to 95 Ordinary protecti
49. atient answers No the monitor will ask for the reason why the medication was not taken After the patient answers this question the screen will display the next activity if scheduled The screen will return to the Main Menu after sending the data if no additional activities are scheduled Your clinician will be informed Note An alert is created in Remote Device Connectivity for each medication non compliance including the reason for the non compliance rr Single patient mode only rn Multi patient mode only f Questions and Answers Up to three questions with up to three corresponding answers can be set up in Remote Device Connectivity and be scheduled to appear on the monitor as a scheduled activity After the patient answers a question by tapping on the appropriate response the screen will display the next question if applicable or the next activity if there is one The screen will return to the Main Menu after sending the data if no additional activities are scheduled Nurse s Instructions If nurse s instructions are designated to appear with the other remind ers they will appear after all other activities are completed Nurse s instructions can also be viewed at any time by pressing the See Nurse s Instructions button on the Main Menu screen These are your Nurse s Instructions glasses of water each day xi Main meru Completing Activities Once all scheduled activities have been co
50. cable connections e Turn the monitor off then on e Recheck the glucose level e See glucometer user manual for directions regarding Coding the Meter to ensure that the meter has been coded appropriately e If message persists contact the product distributor e Check the glucometer cable connections e Turn the monitor off then on e If message persists contact the product distributor oo pecived DL 00031 35 Weight The monitor will display the following instructions to take a weight mea surement 1 Please make sure you are wearing no clothing or similar light clothing and your shoes are removed 2 Make sure your bladder is empty 3 Please do not step onto the scale yet It is very important that there is no weight on the scale when the weight sequence is started This enables the scale to re zero itself and become prepared to take the patient s weight Press Continue 4 Step on the platform and remain as still as possible without leaning on anything The patient must then press the Take Measurement button The weight will appear on the screen in both pounds and kilograms The following errors may occur if the scale is not properly reset or the instructions are not followed Remote Device Connectivity and Monitor Error Error Explanation Troubleshooting Please step off the scale The auto zero process failed Instruct the patient to It is important that the sc
51. connected to the monitor e Check to make sure there are no broken lead wires e Turn the monitor off then back on e If message persists contact the product distributor Remote Device Connectivity and Monitor Error ECG sample corrupt ECG artifact error Respiration artifact error Error Explanation There is a serious issue with the monitor Could be caused by patient movement or coughing electrical noise from auxiliary equipment or bad electrode contact Could be caused by patient movement or coughing electrical noise from auxiliary equipment or bad electrode contact Troubleshooting Remote Device Connectivity and Monitor Error Try to take measure ment again Turn the monitor off then back on Respiration lead off contact the product distributor Calm the patient Isolate the patient from auxiliary equipment if possible Check to make sure electrodes are still securely attached to the patient and reattach if necessary Remember the importance of good skin preparation techniques If message persists contact the product distributor Calm the patient Isolate the patient from auxiliary equipment if possible Check to make sure electrodes are still securely attached to the patient and reattach if necessary Remember the importance of good skin preparation techniques If message persists contact the product distributor Respiration too high Error Explanation
52. ctly or is not communicating Remote Device Error Explanation Troubleshooting Connectivity and Monitor Error There is a problem with e Check the patient and Temp too high please the connections or with the provide any necessary contact your clinician hardware clinical care e Check the temperature cable connections e Turn the monitor off then on e If message persists contact the product distributor C C _ONU A CAardware problem has Turn the monitor off Hardware fault please contact your clinician been detected then on e If message persists contact the product listril Unplugged please Temperature probe has e Check to make sure contact your clinician become disconnected the temperature cable is connected to the monitor Blood Glucose The blood glucose meter that connects directly to the monitor is the LifeScan OneTouch Ultra Blood Glucose Meter For all other glucose meters the information from the meter can be entered manually PRECAUTION FOLLOW THE MANUFACTURER S INSTRUCTIONS FOR USE WHEN USING A GLUCOSE METERAND STRIPS The blood glucose level will appear in the same units as programmed on the OneTouch Ultra meter For manually entered information the patient will be asked to verify that the glucose level entered is correct The patient can enter the blood glucose level in mg dL or mmol L depending on personal preference or meter type The following errors may occur
53. decimal point i e 03 is a REN of 0 3 For earlier products the REN is separately shown on the label If this VitalPoint Home Monitor causes harm to the telephone net work the telephone company will notify you in advance that temporary discontinuance of service may be required But if advance notice isn t practical the telephone company will notify the customer as soon as possible Also you will be advised of your right to file a complaint with the FCC if you believe it s necessary The telephone company may make changes in its facilities equipment operations or procedures that could affect the operation of the VitalPoint Home Monitor If this happens the telephone company will provide advance notice in order for you to make necessary modifications to maintain uninterrupted service Connection to party line service is subject to state tariffs U S Contact the state public utility commission public service commission or corporation commission for information If installed in a building with specially wired alarm equipment connected to the telephone line ensure the installation of the VitalPoint Home Monitor does not disable the alarm equipment If you have questions about what will disable alarm equipment consult the telephone com pany or qualified installer Electrical safety advisory Parties responsible for equipment requiring AC power should consider including an advisory notice in their customer information suggestin
54. e JOHN TEST Patient Date of Birth m d y 11 11 1918 Patient ID 111111 OK cance 5 Press OK to begin taking measurements and reporting symptoms for this patient or press Cancel to return to the Main Menu screen To search by patient date of birth follow these steps 1 Press Date of Birth and or Patient Name from the Patient Identification screen 2 Tap on the Month field to activate it then use the alphanumeric keypad to enter the month s numeric value one or two digits 1 12 Patient Identification lt lt Existing gt gt New Enter Patient s Date of Birth Month Day _ Year Search and or Patient Name Last Name First Name OK Cancel 3 Tap on the Day field then use the alphanumeric keypad to enter the day value one or two digits 1 31 4 Tap on the Year field then use the alphanumeric keypad to enter the four digityear 5 Press Search Single patient mode onl Multi patient mode onl m g p y EN P y DL 00031 Rev 9 2 1 mm VitalPoint will display all patients with the designated date of birth in a Ah 3 Press Search drop down menu 4 VitalPoint will display all patients with the designated name in a drop down menu Patient Identification lt lt Existing gt gt New Patient Identification Enter Patient s Date of Birth lt lt Existing gt gt New Month Day
55. e on the left mid clavicular line 5th and 6th intercostal space 5 Position the chest V electrode on the 4th intercostal space right sternal border VERIFYING PROPER PACEMAKER HANDLING For paced patients proper electrode placement results in pacer tick marks along the top of each ECG waveform channel on the monitor These tick marks occur at the point where the monitor detects a pacer pulse VitalPoint rejects pacer pulses rather than calling them QRSs However it is important to keep paced patients under close surveillance and not to entirely rely on rate meters for these patients as indicated in the warning at the start of this manual CHECKING THE ECG SIGNAL The ECG electrodes sense the electrical signals generated by the electrical activity of the heart as it beats The monitor amplifies the signals so they can be displayed on the screen The monitor uses a 5 lead ECG cable set that allows you to choose from among the following four ECG leads I II ITI andV When you have connected the patient following the steps listed above you should be able to see a clean ECG signal on the monitor display VitalPoint should also be displaying a number for the patient s respiration rate RR Note Visually inspect the ECG cables on a daily basis and follow the cleaning instructions on page 55 as needed Also check for an inoperable ECG circuit which would manifest itself as a blank ECG waveform and RR lead off message WARN
56. eck that the patient has been removed heck Action perform rain rvi rsonnel onl in the same way that a patient is confirmed see Phone Connection a 7 k a 5o ow on page 6 Device e Clean as recommended in this section if needed e Check for cracks abrasive edges and other signs Note If the monitor is removed from a patient s home prior to the end of their certification of damage period entered in Remote Device Connectivity the end date for that patient needs to be truncated to the date that the monitor was removed from the patient s home Labels e Check for readability or missing labels AC adapter cord e Check the cord and molded connectors for fm The most common method to end a patient s session in multi patient Gamage mode is to respond No to the question Would you like to take additional Power LED e Verify that the green power LED is illuminated measurement s at this time or Yes to the question You reported on the front of display when powered on the following problems Is this correct on the respective screens These Battery charging LED Verify that the green recharging LED is illuminated selections will automatically send data to the Central Server and return the optional on the back of the device when connected to a user to the Main Menu where a new patient can be entered live wall outlet e Verify that the green recharging LED is not An alternative way to end a pa
57. ed to the Voltage fluctuations PUBIC TON Voltage Pr supply fi ker emission Complies network that supplies buildings used for domestic purposes IEC 61000 3 3 Guidance and manufacturer s declaration electromagnetic immunity The VitalPoint Home Monitor is intended for use in the electromagnetic environment specified below The user should ensure that it is used in such an environment Immunity test IEC 60601 test Compliance Electromagnetic level level environment guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood discharge ESD 8 kV air 8 kV air concrete or ceramic IEC 61000 4 2 tile If floors are covered with synthetic material the relative humid ity should be at least 30 Electrical fast 2 kV for power 2kV for power Mains power quality transient burst Supply lines supply lines should be that of a TEC 61000 4 4 1kVforinput 1kVforinput typical commercial or output lines output lines hospital environment Surge 1 kV differential 1 kV differential Mains power quality IEC 61000 4 5 mode mode should be that of a 2 kV common 2 kV common typical commercial or mode mode hospital environment Voltage dips short lt 5 UT lt 5 UT Mains power quality interruptions and gt 95 dipin UT gt 95 dipinUt should be that of a voltage variations on for 0 5 cycle for 0 5 cycle typical commercial or power supply input 40 UT 40 UT hospital environment lines 60 dip in UT 60 dipin UT If the monitor
58. egs Feet How would you describe the pain in your leg s or feet O Sharp knife like O Throbbing o Aching o Cramping Tingling Numbness How would you rate your pain options range from 1 to 10 o 1 Minimal O 10 Worst imaginable pain Are you taking any pain medication O Yes o No o I don t know Are you getting pain relief with the medication O Yes o No oO Somewhat Hands How would you describe the pain in your hand s O Throbbing O Aching o Stabbing knife like Tingling Numbness How would you rate your pain options range from 1 to 10 o 1 Minimal O 10 Worst imaginable pain Are you taking any medication for your pain O Yes o No o I don t know Are you getting pain relief with the medication O Yes o No O Somewhat Back Is your back pain new for you O Yes o No How would you describe your back pain o Throbbing O Aching O Stabbing knife like o Tingling Numbness How would you rate your pain options range from 1 to 10 o 1 Minimal O 10 Worst imaginable pain Does the pain radiate down your leg s O Yes o No Do you have any numbness or tingling down your leg s O Yes Oo No Are you taking any medication for your back pain O Yes o No o I don t know Are you getting pain relief with the medication O Yes o No Oo Somewhat Stomach When did the pain in your stomach or abdomen start o Today Yesterday 2 3 days ago 4 or more days ago O O O o I don t
59. en measure how accurately a particular pulse oximeter monitor is reproducing the calibration curve Pulse oximeter equipment measurements are statistically distributed only about two thirds of pulse oximeter equipment measurements can be expected to fall within the Apms of the value measured by a co oximeter TEMPERATURE Input connector 2 pin connector Display units F and C user selectable Measurement resolution 0 2 F 0 11 C Measurement range 32 0 F to 122 0 F 0 0 C to 50 0 C Measurement accuracy 0 1 F 0 1 C plus probe tolerance NON INVASIVE BLOOD PRESSURE Method Oscillometric Input connector Single lumen hose quick disconnect fitting Cuff Pediatric Regular adult Large adult Extra Large Thigh Derived parameters Systolic mean diastolic Resolution 1 mmHg Measurement range Systolic 30 to 250 mmHg Mean 20 to 230 mmHg Diastolic 10 to 210 mmHg Measurement accuracy Systolic 5 mmHg s lt 8 mmHg Mean 5 mmHg s lt 8 mmHg Diastolic 5 mmHg s lt 8 mmHg Pulse rate range 30 240 bpm Pulse rate accuracy 5 or 2 bpm whichever is greater Update interval Upon measurement completion Measurement time 30 seconds typical lt 135 seconds maximum Initial cuff pressure 160 mmHg user selectable Repeated cuff pressure Previous systolic 40 mmHg Static cuff pressure accuracy 3 mmHg Overpressure cutoff 290 3 mmHg normal means 300 30 mmHg back up Measure
60. ent Name from the Patient Identification screen 2 Tap on the Patient Name field to activate it then use the alphanumeric keypad to enter the patient s name last name first with a comma separating the last and first names Note Entering a fragment of the name beginning with the first letter generates a list of names matching the search criteria Select the desired name by tapping on it Patient Identification Patient Identification lt lt Existing gt gt New First Name fs Enter Patient s Date of Birth Month Day_ Year Last Name Patient ID O lt JG DOB m d y V and or Patient Name Last Name First Name L Single patient mode onl Multi patient mode onl Single patient mode onl Multi patient mode onl 22 DL 00031 Rev 9 f ngiep Y im P y i ongiep Y fir P y DL 00031 Rev 9 QOS mm 2 When complete press OK A confirmation screen will appear Press Continue Patient Identification The VitalPoint Home Monitor allows the patient to report symptoms related to e Breathing Please confirm e Swelling e Heart Patient Name e Stomach bowel TEST JO e Urine Patient Date of Birth m d y Wound 1 1 1987 iah Patient ID e General 411111 Within each of the eight main problem categories the patient can choose from multiple sub problems to report While only one problem category can be addressed at a time the patie
61. etween portable and mobile RF communications equip ment transmitters and the monitor as recommended below according to the maximum output power of the communications equipment Rated Separation distance m according to frequency of transmitter maximum output power of 150 kHz to 80 MHz to 800 MHz to 2 5 GHz transmitter W 80 MHz 800 MHz d 1 2 VP d 1 2 P d 2 3 VP 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer Note At 80 MHz and 800 MHz the separation distance for the higher frequency range applies Note These guidelines may not apply in all situations Electromagnetic propagation is affected by the absorption and reflection from structures objects and people Warranty CJPS Medical Systems warrants all monitors and accessory products Products to be free of defects in material and workmanship subject to the following conditions THE DURATION OF CJPS MEDICAL SYSTEMS WARRANTY IS LIMITED TO ONE 1 YEAR FROM THE DATE OF SALE TO PURCHASER FOR MONITORS INCLUDING BATTERIES AND ACCESSORIES NOOTHEREXPRESS WARRANTIES ARE MADE WITH RESPECT TO ANY PRODUCT ALL
62. g Is your feeling that your heart is beating rapidly or pounding new or unusual O Yes o No How often does this feeling of beating rapidly or pounding occur O Frequently every day Occasionally a couple of times a week Rarely a couple of times a month STOMACH BOWEL SYMPTOMS Which of the following stomach bowel problems would you like to report Please select all that apply Loss of appetite Constipation o Diarrhea o Indigestion o Nausea Loss of appetite Have you noticed a decrease in appetite recently O Yes o No Constipation Is constipation a common occurrence for you O Yes o No When was your last bowel movement o Today o Yesterday 2 3 days ago o 4 5 days ago 6 or more days ago Is your stool black or bloody O Yes Diarrhea When did the diarrhea start Oo Today o Yesterday o 2 3 daysago o 4 5daysago 6 or more days ago How frequent is the diarrhea 1 2 times per day O 3 4 times per day 5 or more times per day Is your stool black or bloody O Yes o No Indigestion Are you experiencing indigestion or stomach upset O Yes o No Nausea Are you having any nausea today O Yes o No Are you vomiting O Yes o No URINE SYMPTOMS Which of the following urine problems would you like to report Please select allthat apply o Frequency Urgency o Burning Odor Discharge Frequency Urgency Is urinating more frequently or with urgency a new problem O
63. g data now may take several minutes to complete APPENDIXES cjPS APPENDIX 1 REPORT SYMPTOMS TEXT When Report Symptoms is pressed the monitor will first display a reminder that this is not an emergency response system If you feel the problem you are reporting is an emergency or requires you to call your nurse your doctor or 911 please do so Please do not rely on the monitor to make this decision for you After pressing Continue the VitalPoint Home Monitor will display a series of options The monitor allows users to report symptoms related to e Breathing e Swelling e Heart e Stomach bowel e Urine e Wound e Pain e General The following pages outline the options that will appear based on user responses Note These options are also communicated audibly to the user See page 15 for information on changing the volume level BREATHING SYMPTOMS Which of the following breathing problems would you like to report Please select allthat apply o Shortness of breath o Breathing difficulties o Wheezing O Coughing Shortness of breath Are you experiencing more shortness of breath today than you were yesterday O Yes o No When do you get short of breath O At rest O When lying down o With mild activity o With more tiring activity Is this shortness of breath unusual for you O Yes Oo No Breathing difficulties Did you wake up last night because of breathing difficulties O
64. g pain problems would you like to report Please select all that apply O Chest o Headache o Legs Feet o Hands Back O Stomach Chest How would you describe your chest pain or chest discomfort O Stabbing knife like O Pressure o Crushing o Squeezing o Tightness o Burning How would you rate the pain options range from 1 to 10 o 1 Minimal O 10 Worst imaginable pain Does your pain spread to other areas O Yes o No Please indicate the other areas where pain has spread You may mark more than one location oO Jaw o Neck Shoulders Back O Upper arms When does the chest pain occur At rest With mild activity With exercise or tiring activity When anxious or upset After eating a meal When exposed to cold weather 000000 Do you take nitroglycerin for chest pain relief O Yes Have you had to take a nitroglycerin pill in the past day O Yes o No Headache Does your headache feel any different from a normal headache O Yes o No Do you have any vision changes such as blurred vision or any numbness or tingling O Yes o No How would you describe your headache o Throbbing o Pressure o Stabbing o Dull o Sharp How would you rate your headache options range from 1 to 10 o 1 Minimal O 10 Worst imaginable pain Have you taken any pain medication for your headache O Yes o No O I don t know Are you getting any relief from the pain with the medication O Yes o No O Somewhat L
65. g respiration rate To begin monitoring ECG use the following procedure 1 Select and prepare the electrodes Pregelled Ag AgCl disposable electrodes are recommended Depending on the situation you may want to use either the short term foam backed or long term cloth backed electrodes Do not use electrodes after their expiration date or if the gel has dried out 2 Prepare the patient s skin for applying the electrodes Getting a good quality ECG signal depends largely on how good the contact is between the electrodes and the patient s skin To help assure this you should first clip or shave any excess hair and remove any skin residue or oils using an alcohol pad For diaphoretic patients use a benzoin prep to assure tighter adherence of the electrode 3 Apply the electrodes to the patient Apply the pad by using a circular motion on the adhesive area first then pressing on the gel area gently to avoid squeezing out the gel Please refer to the following diagrams for guidance about proper electrode placement You should change the electrodes every 24 48 hours to maintain a good quality ECG signal Connect the ECG cable lead set to the electrodes and to the monitor 5 Press the Take Measurement button After 10 seconds of data is recorded waveforms will be displayed As a result of this measurement the respiration rate will also be displayed 6 Accept measurement In order to send the measurements to the Cen
66. g the customer use a surge arrestor Telephone companies report that electrical surges typically lightning transients are very destructive to customer terminal equipment connected to AC power sources This has been identified as a major nationwide problem DL 00031 Rev 9 IH a Classification This equipment is ETL listed and classified with respect to electric shock fire and mechanical hazards per the following e Conforms to UL Standard 60601 1 2003 First Edition Medical Electrical Equipment Part 1 General Requirements for Safety e Certified to CAN CSA Standard CSA C22 2 No 601 1 M90 1990 Medical Electrical Equipment Part 1 General Requirements for Safety e IEC 60601 1 2004 Medical Electrical Equipment Part 1 General Requirements for Safety with A1 and A2 e IEC 60601 1 1 2000 Second Edition Medical Electrical Equipment Part 1 General Requirements for Safety Collateral Standard Safety Requirements for Medical Electrical Systems e IEC 60601 1 2 2001 Medical Electrical Equipment Parts 1 2 General Requirements for Safety Collateral Standard Electromagnetic Compatibility Requirements and Tests e IEC 60601 1 4 1996 Medical Electrical Equipment Parts 1 4 General Requirements for Safety Collateral Standard Programmable Electrical Medical Systems e IEC 60601 2 27 1994 First Edition Medical Electrical Equipment Part 2 Particular Requirements for the Safety of Electrocardiogr
67. h the cuff to another limb with less movement If no obvious patient motion switching to the other limb may still help in the case of hemodynamic interference Check the cuff and hose for signs of damage replace cuff if necessary Remote Device Connectivity and Monitor Error Explanation Troubleshooting rror Cuff leak or hose disconnected please contact your clinician The cuff or hose may be damaged or have become disconnected from the monitor The cuff may not be applied to the patient e Check for leaks in the cuff or hose and replace if necessary e Check that cuff and hose are connected to the monitor e Check that cuff is applied to patient Overpressure please contact your clinician Monitor has detected a hardware problem This could include an overpres sure in which the cuff has inflated over 290 mmHg If the patient tries to take their measurement again they will receive an additional message Disabled due to e Check the patient and ensure that the cuff is deflated e Turn the monitor off then on e Ifmessage persists contact the product distributor previous overpressure Cannot measure please contact your clinician Line blocked please contact your clinician WARNING Initial inflation pressure may not have been high enough if patient s systolic pressure is above 200 mmHg or the patient may have been moving during the measurement The ho
68. if the glucose meter is receiving incorrect readings or is not communicating Remote Device Troubleshooting Connectivity and Monitor Error S R L l a AL a co a tOr Glucose level exceeded e Check the patient and Glucose too high please range determined by meter contact your clinician manufacturer Error Explanation provide any necessary clinical care e Check the glucometer cable connections e Turn the monitor off then on e Recheck the glucose level e f message persists contact the product distributor Glucose too low please Glucose level was below contact your clinician range determined by meter manufacturer Check the patient and provide any necessary clinical care e Check the glucometer cable connections e Turn the monitor off then on e Recheck the glucose level e f message persists contact the product distributor Remote Device Connectivity and Monitor Error No readings are available please measure your glucose level and try again Problems communicating with the glucose meter please contact your clinician Error Explanation There are no records avail able in the meter s memory This error occurs when the communication with the meter times out when there is an invalid check sum when greater than 150 records are received or when no records are Troubleshooting e Check the patient and provide any necessary clinical care e Check the glucometer
69. ing Problems You reported the following problems Is this correct Please do not rely on the monitor to make this decision for you Yes send the problems to my clinician now WARNING Yes but I would like to record measurement s THE VITALPOINT HOME MONITOR IS NOT AN EMERGENCY Nar oui ie E melons RESPONSE SYSTEM THE DEVICE LABELING ADVISES PATIENTS TO CONTACT THEIR CAREGIVER NURSE OR DOCTOR CALL LOCAL EMERGENCY NUMBER AS APPROPRIATE OR GO TO THE EMERGENCY ROOM WHENEVER THEY FEEL THE NEED TO DO SO THE VITALPOINT HOME MONITOR DOES NOT ANALYZE PATIENT INFORMATION NOR DOES IT OFFER MEDICAL ADVICE Single patient mode onl Multi patient mode onl Single patient mode onl Multi patient mode onl M enor Y ae l M enor Y ae At the Confirming Problems screen the monitor will display the problems that have been reported and ask if they are correct The listed problems include the eight main categories e g Breathing and do not include any of the sub problems e f the reported problems are correct press Yes to send the problems report to the clinician e If the reported problems are incorrect press No to return to the Choose a Problem to Report screen Once all questions have been answered for each sub problem to be reported in a category the monitor will ask the patient if there are more problems to report A Yes response will result in a return to the Choose
70. int Home Monitor Failure to do so could result in personal injury and or death If you have questions about the information in this user manual or about the safe operation of this system contact your distributor TYPOGRAPHICAL CONVENTIONS IN THIS USER MANUAL This guide contains warnings precautions and notes to help call your attention to the most important safety and operational aspects of the system To help identify these items when they occur in the text they are shown using the following typographical conventions WARNING STATEMENTS THAT DESCRIBE SERIOUS ADVERSE REACTIONS AND POTENTIAL SAFETY HAZARDS PRECAUTION STATEMENTS THAT CALL ATTENTION TO INFORMATION REGARDING ANY SPECIAL CARE TO BE EXERCISED BY THE PRACTITIONER AND OR PATIENT FOR THE SAFE AND EFFECTIVE USE OF THE DEVICE IMPORTANT Statements calling attention to additional significant information about the device or a procedure Note Statements that provide supplemental information DL 00031 Rev 9 GI A a Warnings and Precautions WARNINGS OVERVIEW CRITICAL EXPLOSION HAZARD DO NOT USE IN PRESENCE OF FLAMMABLE ANESTHETICS DO NOT INCINERATE UNIT WARNING 1 PACEMAKER PATIENTS RATE METERS MAY CONTINUE TO COUNT THE PACEMAKER RATE DURING OCCURRENCES OF CARDIAC ARREST OR SOME ARRHYTHMIAS DO NOT RELY ENTIRELY UPON RATE METER ALARMS KEEP PACEMAKER PATIENTS UNDER CLOSE SURVEILLANCE SEE SPECIFICATIONS PAGE 79 FOR DISCLOSURE OF
71. ions 77 General ss eee 77 Battery ss LLL 77 Environmental esse 77 Display OO 78 ECGs 78 Respiration _ ss i 79 Pulse Oximetry 80 Temperature 81 Non Invasive Blood Pressure LLL 81 Appendix 3 Technical Information _ s ars s id i ws 82 Electromagnetic Compatibility EMC Information 82 Warranty ss 86 Trademarks ss it 87 Disclaimer 87 DL 00031 Rev 9 Monitor Features and Controls CPS Main screen Power switch e lai e Oo CjPS Aabum Hills MI USA L Service access po CAUTION Do not remove for qualified ser E vice personnel only Phone jack receptacle Reserved for future use cyPs Home Monitoring System VitalPoint a Power on indicator LED on when lit Battery charging indicator LED power connected and battery Serial number charging when lit Catalog number CAUTION For Product Support Coll 1 248 593 5926 Buttery VITALPOINT HOME MONITORING SYSTEM IS NOT INTENDED AS AN EMERGENCY Charging RESPONSE SYSTEM if you ever fee that you need to call your nurse your doctor ooh you should dete Vou shosh o depend un Vhal Pui make that 11 2005 cision for you Hf you yOu Need to vist your dactor or go to the Emen su A Room you should do sa Agen you shoukd nak deperd on Velo ro mane onae CS EUTDLOMPAYBLNENIEN ET decision for 90 VitalPoten Hor be the primary source of mron
72. ith Remote Device Connectivity to receive the patient s information Monitor has become disconnected from phone line Phone line is not functioning e The patient may be using the phone while the device tries to dial in e Central Server is not functioning or is offline Monitor software was interrupted most likely turned off by the caregiver or the patient while it is executing a function such as Sending receiving data Taking a measurement Reporting a symptom Storing data for transmission later Check the device setup in Remote Device Connectivity to ensure that the device ID is correctly entered for the patient and there are no spaces before or after the serial number Dial in to connect with the Central Server and send the patient s information Check that the phone line is connected test the monitor communication using the Setup Tasks menu Instruct the patient on the importance of remaining off of the phone while the monitor is sending data and until the failed communication message is replaced by the confirmation screen Turn the monitor off then on If problem persists contact the product distributor Contact customer support because this can only be corrected in factory This is not a warranty item so we strongly recommend that all users be made aware not to turn off or otherwise interrupt the monitor while it is executing a function Reminder The sendin
73. lete IMPORTANT The patient should be reminded that in emergency situations they can interrupt a monitor that is uploading data by turning the monitor off in order to use the phone immediately No data will be lost If a missed dial in alert is generated there could be a problem The Monitor could not communicate The clinician healthcare provider should call the patient assistant with Central Server immediately and follow the steps below 1 Make sure the device is on e Ask what is displayed on the screen If the screen is blank the You will be returned to the Main Menu device might not be on Monitor will keep trying to dial Central Check fth iah heriohtsideoithedevicei Server about every five minutes eck to see t e green lig t on the right side of the device Is on If not the device might not be on e Check to make sure the power plug is connected properly to the wall outlet e Check to make sure the power connector is connected properly to the monitor Continue gt 2 Check to make sure software is running Ask what is displayed on the screen The patient can return to the Main Menu and interact with the monitor as 3 Check to see if the phone jack is properly plugged into the wall jack usual In the background the monitor will keep trying to dial the Central and into the device Server If it is successful after repeated tries the successful 4 Ask the user to turn the monitor off and then on again Comit caNo m
74. llow the instructions on page 34 to complete the measurement Note After initial setup of the two cables these should remain connected to the monitor at all times Only the glucose meter should be removed and reconnected as needed Manual Entry Glucose levels can also be monitored using other glucose meters Instead of direct connection to VitalPoint the user can manually enter glucose level and unit of measurement The patient should follow the instructions on page 34 for entering glucose level Checking Glucose When the glucose information is entered the patient will be asked to con firm that the entry is correct Note It is recommended that VitalPoint be used with the LifeScan OneTouch Ultra Blood Glucose Meter If this meter is not used it is important to remind the patient of the importance of entering the correct information to present an accurate view of the patient s medical record WEIGHT MONITORING To begin weight monitoring use the following procedure 1 Connect the weight scale cable to port 3 on the monitor 2 Follow the instructions on page 36 to complete the measurement Checking Weight When the weight measurement is complete the monitor should display the patient s weight The weight is displayed in both pounds and kilograms FLUID STATUS MONITORING To begin fluid status monitoring use the following procedure 1 Connect the cable from the fluid status device to port 1 on the monitor 2 Follow the i
75. ment modes Single measurement APPENDIX 3 TECHNICAL INFORMATION Electromagnetic Compatibility EMC Information Medical electrical equipment requires special precautions regarding electromagnetic compatibility EMC Portable and mobile radio fre quency RF communications equipment can affect devices such as the VitalPoint Home Monitor As such the monitor should not be used adjacent to other equipment If this is not practical then observe the monitor to make sure it is operating properly after installation PRECAUTION USE OF ACCESSORIES NOT APPROVED FOR USE WITH THE VITALPOINT HOME MONITOR MAY RESULT IN INCREASED EMISSIONS OR DECREASED IMMUNITY OF THE VITALPOINT HOME MONITOR REFER TO THE APPROVED ACCESSORIES LIST FOR THE VITALPOINT HOME MONITOR Guidance and manufacturer s declaration electromagnetic emissions The VitalPoint Home Monitor is intended for use in the electromagnetic environment specified below The user should ensure that it is used in such an environment Emissions test Complianc Electromagnetic e environment guidance RF emissions The monitor uses RF energy CISPR 11 Group 1 only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions The monitor is suitable for use CISPR 11 Class B in all establishments including Harmonic emissions domestic establishments and IEC 61000 3 2 Class A those directly connect
76. minute Measurement range 2 120 bpm Measurement accuracy 3 bpm Measurement sensitivity 0 25 ohms minimum Bandwidth 0 17 Hz to 3 3 Hz 3 dB Impedance measuring current 40 pA 28 kHz square wave across lead II PULSE OXIMETRY Method Absorption Spectrophotometric dual wavelength Functional oxygen saturation of arterial hemoglobin Input connector 9 pin connector SpO2 PR resolution SpO2 1 02 PR 1 bpm beat per minute Measurement range SpO2 20 100 PR 30 240 bpm Measurement accuracy SpO2 from 70 100 2 02 lt 70 unspecified PR 5 Peak wavelength range 660 nm 3 nm 3 mW Note Wavelength range can be especially useful to clinicians Max optical output power of the light emitted by the SpO2 probe 895 8 nm 4 mW Raw data sampling rate 50 times per second Data update period from acquisition to display 20 seconds Data averaging and signal processing Sampling requires three valid consecutive heart beats System displays the average of the last 12 readings discarding the two lowest and two highest readings 30 bpm the 12 sample average spans 24 seconds 240 bpm the 12 sample average spans 3 seconds Functional tester cannot be used to assess the accuracy of a pulse oximeter probe or a pulse oximeter monitor unless there is an independent demonstration that a particular calibration curve is accurate for the combination of the pulse oximeter probe and monitor The functional test can th
77. mpleted and there are no more activities scheduled the monitor will send the data to the Central Server and display the Sending Data Now screen Ci S S T Single patient mode only AA Multi patient mode only cyPs Communication ak D When the patient chooses to send information after reporting problems taking measurements or completing activities the following message will appear on the monitor Sending Data Now This may take a few minutes Please do not use your telephone while the data is sent SUCCESSFUL COMMUNICATION WITH THE CENTRAL SERVER Upon successful communication with the Central Server the following message will appear Confirmation Monitor successfully communicated with the Central Server Receipt of this message confirms that the monitor communicated with the Central Server and received confirmation of connection All data that was sent will reside on the Central Server and will no longer be available on the monitor FAILED COMMUNICATION WITH THE CENTRAL SERVER If the phone line is busy while the monitor is trying to send data or tele phone connection to the server is interrupted for some reason the following message will appear on the monitor The Monitor could not communicate with Central Server You will be returned to the Main Menu Monitor will keep trying to dial Central Server about every five minutes Data will be stored until successful communication is comp
78. nd asked to take the measurement Each measurement included in the designated schedule will follow each other directly as the preceding measurement is completed Medication Reminder Medication reminders can be set up in Remote Device Connectivity for each medication on the patient s medication list and includes informa tion about the medication dose and frequency A record of the patient s response will be uploaded to Remote Device Connectivity PRECAUTION PATIENT SHOULD NOT RELY SOLELY ON THE MONITOR REGARDING WHEN TO TAKE MEDICATIONS PATIENT SHOULD CONSULT PHYSICIAN BEFORE TAKING ANY PRESCRIPTION OR NON PRESCRIPTION MEDICATION OR CHANGING ANY MEDICATION REGIMENS VITALPOINT IS INTENDED AS A REMINDER SYSTEM ONLY Medication aspirin Dose 162 mg 1 tab s orally Frequency once a day Consult with a physician before taking any prescription or non prescription medication Have you taken your medication rr Single patient mode only rn Multi patient mode only Please specify the reason for not taking the medication am out of my medication am having difficulty taking my medication don t want to take the medication right now The patient will be asked if they took their medication e lf the patient answers Yes the screen will advance to the next activity if scheduled The screen will return to the Main Menu after sending the data if no additional activities are scheduled e lf the p
79. nstructions on page 38 to complete the measurement Checking the Fluid Status When the measurement is complete the monitor should display the fluid status The patient s fluid status is displayed in ohms PROTHROMBIN TIME MONITORING The patient should follow the instructions on page 38 for entering a prothrombin time measurement o The monitor will need to use the phone line for very brief periods to send any reported data to the Central Server While the monitor is communicating with the Central Server the screen displays Sending Data Now This may take a few minutes Please do not use your tele ECG MONITORING phone while the data is sent Instruct the patient to remain off of the Only a clinician or patients instructed by their clinician should perform an phone while the device is communicating and until the confirmation ECG measurement The measurement will report automatically on the moni message is received on the monitor tor IMPORTANT To begin ECG monitoring follow the instructions on page 39 The patient should be reminded that in emergency situations they can interrupt a monitor that is uploading data by turning the monitor off in order to use the phone immediately No data will be lost Testing Peripheral Measurement Devices To test each measurement device press Take Measurements on the main screen and enter each of the measurement options to take a reading For more information see Monitor Mainten
80. nt lt 10 UA Patient Isolation Risk Current lt 50 WA Earth Risk Current lt 500 pA Type of protection Electrical Class II Degree of protection Electrical Type CF Degree of protection Water Ordinary equipment IPX0 Mode of operation Continuous BATTERY Type Lithium ion rechargeable Discharging time 4 hours minimum 5 hours typical Charging time 5 hours Charging method Battery is charged while monitor is connected to the mains supply ENVIRONMENTAL Cooling Convection no fan Operating temperature 59 F to 95 F 15 C to 35 C Storage temperature 4 F to 122 F 20 C to 50 C Operating humidity gt 30 to lt 90 non condensing Storage humidity gt 10 to lt 95 non condensing Operating altitude 0 to 9842 0 to 3000 m Storage altitude 0 to 39 370 0 to 12 000 m DISPLAY Type Active matrix LCD Area 6 7 x 5 1 8 4 diagonal 171 mm x 130 mm 213 mm diagonal Matrix 640 x 480 pixels Pixel dimension 0 089 mm x 0 27 mm ECG Accessories 5 lead cable Input connector 7 pin connector Displayable leads 5 lead cable I II III V Lead off detector 3 V DC signal with current lt 2 pA signal applied to patient to detect a lead off condition HR resolution 1 bpm beat per minute Measurement range 15 300 bpm Measurement accuracy 2 bpm or 1 whichever is greater Response time Step change from 80 to 120 bpm lt 7 seconds step change from 80 to 40 bpm
81. nt will be able to report problems in as many categories as desired as each is completed 3 Press OK to begin taking measurements and reporting symptoms For each sub problem the monitor will display a series of questions for this patient or press Cancel to return to the New Patient screen As the patient answers each one the monitor advances to the next where the patient s information can be edited or the entry cancelled screen until all sub problems have been reported See Appendix 1 A confirmation screen will appear first Report Symptoms Text on page 63 for a detailed description of each REPORTING SYMPTOMS screen and what options the patient will have for each sub problem When Report Symptoms is selected the monitor will display a remind Once all questions have been answered for each sub problem to be er that this device is not an emergency response system reported in a problem category the monitor will ask the patient if there are more problems to report A Yes response will result in a return to the Choose a Problem to Report screen If multiple problems are reported If you feel the problem you are reporting is using the report more problems option the data will be stored and listed an emergency or requires you to call your on the Confirming Problems screen A No response will take the nurse your doctor or 911 please do so patient to the Confirming Problems screen Confirm
82. ntact the product distributor Invalid order has e Reminder time has been been sent to the setincorrectly patient e Reminder set up incorrectly Erroneous data e Someone other than the recorded patient has used the device e Patient may be confused about how to use the device Check the reminder setup on Remote Device Connectivity including the time zone selec tion Check the reminder setup details If problem persists contact the product distributor Instruct the patient on the importance of not recording anyone else s data to present an accurate view of their medical record Retrain the patient on the use of the device Problem Information is not being recorded Possible Causes e Patient may not be using the device e Monitor may not be functioning e Patient may not be aware that activities are due Troubleshooting Instruct the patient on the importance of using the device as scheduled to ensure an accurate view of their medical record Ensure that the volume and chimes on the monitor are set to the appropriate level for the patient Turn the monitor off then on If problem persists contact the product distributor Patient monitor not associated with the patient Loss of communica tion between the monitor and the Central Server Flash card is corrupted Device ID may not be correct in Remote Device Connectivity e Device may not have communicated w
83. o Hands o Stomach How bad is your swelling o Mild o Moderate O Severe Shoes feel tighter Did your shoes feel tighter when you put them on today O Yes o No HEART SYMPTOMS Which of the following heart problems would you like to report Please select all that apply O Chest pain O Skipping beats or fluttering Beating rapidly or pounding Chest pain How would you describe your chest pain or chest discomfort O Stabbing knife like O Pressure o Crushing o Squeezing o Tightness o Burning How would you rate the pain options range from 1 to 10 o 1 Minimal O 10 Worst imaginable pain Does your pain spread to other areas O Yes o No Please indicate the other areas where pain has spread You may mark more than one location oO Jaw o Neck Shoulders Back O Upper arms When does the chest pain occur At rest o With mild activity O With exercise or tiring activity O When anxious or upset O O O After eating a meal When exposed to cold weather Do you take nitroglycerin for chest pain relief O Yes Have you had to take a nitroglycerin pill in the past day O Yes o No Skipping beats or fluttering Is your feeling that your heart is skipping beats or fluttering new or unusual O Yes o No How often does this feeling of skipping beats or fluttering occur o Frequently every day Occasionally a couple of times a week Rarely a couple of times a month Beating rapidly or poundin
84. on Type CF DL 00031 Rev 9 5 A a Vi Intended Use The CJPS VitalPoint Home Monitor is intended to be used as a clinical tool for remotely monitoring a patient s health status at home or in another healthcare facility The system is intended to guide patients through a set of scheduled activities whereby medical data vital signs symptoms and medication compliance is collected The system is intended to transfer the collected data to a remote site where it is stored and reviewed by a clinician The system is also intended to allow the clinician to modify the patient s scheduled activities in response to the collected medical data or other infor mation available to the clinician The intent is to provide clinicians caring for patients outside the hospital with a means for keeping track of how the patients are doing without the patients having to come in for a checkup or requiring the clinicians to go to the patients The CJPS VitalPoint Home Monitor provides periodic remote monitoring of the patient s self reported symptoms or vital signs including e Non invasive blood pressure Blood glucose level e Oxygen saturation e Fluid status e Pulse rate e Prothrombin time e Temperature e ECG and heart rate monitoring e Weight WARNING THE VITALPOINT HOME MONITOR IS NOT AN EMERGENCY RESPONSE SYSTEM THE DEVICE LABELING ADVISES PATIENTS TO CONTACT THEIR CAREGIVER NURSE OR DOCTOR CALL LOCAL EMERGENCY NUMBER AS APPROPRIAT
85. ording to the transmitter manufacturer and d is the recommended separation distance in meters Field strengths from fixed RF transmitters as determined by an electro magnetic site survey should be less than the compliance level in each frequency range gt Interference may occur in the vicinity of equipment marked with the following symbol W Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the monitor is used exceeds the applicable RF compliance level above the monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the monitor Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m Recommended separation distances between portable and mobile RF communications equipment and the VitalPoint Home Monitor The VitalPoint Home Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The monitor user can help prevent electromagnetic interference by maintaining a mini mum distance b
86. power outlet and a phone jack Extension cords may be used if necessary e Flat and stable A tabletop is a good choice e Away from common areas Avoid areas with a lot of foot traffic to help prevent injury from tripping on cords and to prevent the cords from being disconnected e Away from a water source Avoid areas near sinks showers and bathtubs Turning the Monitor On Turn the monitor on by flipping the switch located on the back of the monitor A green light on the front is lit when the monitor is powered on Tee f Single patient mode only fhf Multi patient mode only z ev Power Supply Use only the power supply that came with the VitalPoint Home Monitor Do not use any other power supply with VitalPoint and do not use the VitalPoint Home Monitor power supply with any other devices Connect the AC adapter to the monitor by plugging the round connector into the receptacle on the right side of the monitor Plug the other end of the AC adapter into an AC power outlet The green light on the plug indicates proper connection of the adapter WARNING PROBES AND CABLES ARE DESIGNED FOR USE WITH SPECIFIC MONITORS VERIFY COMPATIBILITY AND USE ONLY APPROVED ACCESSORIES WITH VITALPOINT USING NON APPROVED ACCESSORIES MAY RESULT IN DEGRADED PERFORMANCE DAMAGE TO THE MONITORING EQUIPMENT OR IN HARM TO THE PATIENT AND MAY VOID WARRANTY COVERAGE Sleep Mode The monitor should always be turned on while in single patient mode
87. s movement e Replace the SpO2 sensor Weak signal please The sensor has not been e Check the patient contact your clinician applied correctly to receive and provide any a strong signal Causes necessary clinical may include care e Poor perfusion e Warm the patients e Large tissue mass extremities if needed e Nail polish e Move the sensor e Bad SpO2 sensor to a smaller finger e Remove any nail polish that may be interfering with the red light e Replace the SpO2 sensor Unplugged please The sensor has become e Check to make sure contact your clinician disconnected the SpO2 sensor is securely connected to the SpO2 connector on the monitor Temperature The monitor will display the following instructions to use the temperature probe and take a temperature measurement 1 Put the tip into a new disposable plastic cover if one is available If you do not have a plastic cover clean the pointed end probe with soap and warm water or rubbing alcohol Rinse it with cool water 2 With your mouth open put the covered tip under your tongue 3 Close your lips gently around the temperature probe The patient must then press the Take Measurement button The result will be displayed in both degrees Fahrenheit and degrees Celsius Note Visually inspect the temperature probe frequently and follow the cleaning instructions on page 55 as needed The following errors may occur if the temperature probe is not used corre
88. se may be pinched or kinked A BLOCKED OR KINKED HOSE COULD LEAD TO LIMB DAMAGE e Repeat the measure ment monitor will automatically adjust to using a higher initial inflation pressure if needed e Check the patient and ensure that the cuff is deflated e Turn the monitor off then on e Ifmessage persists contact the product distributor e Check the patient and ensure that the cuff is deflated e Check for kinks or obstructions in the hose and replace if necessary Pulse Oximetry The monitor will display the following instructions to apply the pulse oximetry sensor and take an oxygen level measurement 1 Place the finger sensor on your middle or index finger 2 Fit the sensor as shown The patient must then press the Take Measurement button When complete the blood oxygen saturation level and pulse rate will be displayed on the screen Note Visually inspect the pulse oximetry sensor frequently and follow the cleaning instructions on page 55 as needed The following errors may occur if the pulse oximetry sensor is not correctly applied or is not communicating Remote Device Error Troubleshootin Connectivity Explanation g and Monitor EMD Hardware fault please Hardware issues may e Check the patient contact your clinician include artifacts bad and provide any sensor placement or necessary clinical bad SpO2 sensor care e Calm the patient e Move the sensor to another finger with les
89. so printed on the monitor s rear label The serial number is used to identify each monitor for all transmissions to and from Remote Device Connectivity and may also be requested by CJPS Customer Support Set Language This screen allows you to select the language displayed on the monitor s screen and used in the voice prompts Run Manufacturing Test Manufacturer use only password required Set Speaker Volume This screen allows you to adjust the monitor s voice prompt volume and alarm volumes The voice prompt volume can be set on a scale of 0 off to 9 loudest Press the desired setting the monitor will automatically go to the Set Alarm Volume screen The alarm volume can be set on a scale of 1 quietest to 10 loudest The alarm volume cannot be turned off for the safety of the patient Press the desired setting the monitor will automatically return to the Setup Tasks menu Note It is recommended that the clinician work with the patient to determine the appropriate volume level for the monitor s voice prompt and alarm levels Dial Central Server Now This screen is used to call in to Remote Device Connectivity Central Server to upload the initial data to the monitor to test the connection or to upload data immediately Press this button to continue If the connection is successful the monitor returns to the Setup Tasks menu otherwise it will continue to attempt to dial the Central Server every 5 minutes See
90. sonal greeting and the current time The Main Menu will also tell the patient if there are activities to do right away Hako aire Liga You have ethers bo do maA Fean rhekhpu T Single patient mode only en Multi patient mode only an fm Or lets the patient know when activities are scheduled Hello Jane Doe You have activities to do in 3 hours 28 minutes Report Symptoms Take Measurements See Nurse s Instructions The Main Menu screen includes options to e Report symptoms e Take measurements e See nurse s instructions To report symptoms press Report Symptoms and follow the instructions on the screen To take measurements press Take Measurements and follow the instructions on the screen To check the nurse s instructions press See Nurse s Instructions and follow the instructions on the screen Note This option will not exist if nurse s instructions have not been entered in Remote Device Connectivity rr Single patient mode only mn Multi patient mode only mm MAIN MENU SCREEN MULTI PATIENT MODE After turning on a monitor set to multi patient mode in Remote Device Connectivity see the CUPS Medical Systems Remote Device Connectivity User Manual the following screen is displayed Hello New Patient has been entered Patient data cannot be collected until Patient ID Enter Patient ID Setup Press Enter Patient ID to identif
91. t Information on taking measurements will also be available in the CUPS Medical Systems VitalPoint Home Monitor Patient Guide After completing the instructions the patient must press Take Measurement A voice prompt will tell the patient Please remain still measurement may take some time After the measurement is completed the measurement results will be displayed on the screen After each measurement is completed the monitor will ask if additional measurements are desired Would you like to take additional measurements at this time Yes No but I would like to REPORT SYMPTOM S No e f there are additional measurements to take press Yes to return to the Take Measurements screen e f there are no additional measurements to take but there are symptoms to report press No but I would like to report symptom s e f there are no additional measurements to take and no symptoms to report press No to send the data to the Central Server immediately m T Single patient mode only mn Multi patient mode only nn After each measurement is completed the monitor will ask if the patient has more measurements to take Would you like to take additional measurements at this time Yes No but I would like to REPORT SYMPTOM S No e f there are additional measurements to take press Yes to return to the Take Measurements screen e f there are no additional
92. t been able to communicate with the Central Server for a long time Please contact your clinician for help See Troubleshooting on page 58 for more information VERIFYING COMMUNICATION To check if the monitor has communicated with the Central Server log in to Remote Device Connectivity and verify the last communication time See your CJPS Medical Systems Remote Device Connectivity User Manual for more information The monitor should dial in at least every 8 hours set through the Setup Tasks instructions on page 14 An alert will be generated in Remote Device Connectivity if the monitor does not call in within the designated time period set in Remote Device Connectivity DL 00031 Rev 8 EN Discharging and Preparing for Next Patient Monitor rium cjPs M When a patient s certification period for the VitalPoint Home Monitor has It is recommended that maintenance be performed every six months ended collect all of the components for S Eao ents moner If there is evidence of damage malfunction at any time the monitor must is removed from the existing patient s home force the monitor to dial the Central Server using the Setup Tasks instructions on page 14 i a ey pal to ensure all patient data is recorded The patient information must also A be removed from the monitor The patient s information is removed by removing the serial number of the monitor from the patient s file in Remote Device Connectivity Ch
93. t the product distributor Instruct the patient to step away from the scale then have the patient step back on and remain still e Check the cable con nections to the scale e Turn the monitor off then on e If message persists contact the product distributor Fluid Status PRECAUTION FOLLOW THE MANUFACTURER S INSTRUCTIONS FOR USE WHEN USING A FLUID STATUS MONITOR The VitalPoint monitor will display the following diagram and instructions to take a fluid status measurement X 1 Snap the new electrodes to the cable 2 Place the first electrode just above the top of your breastbone with the arrow pointing down 3 Place the second electrode just below the bottom of your breast bone with the arrow pointing up 4 Press the Start button on the fluid status machine 5 Remain still and do not talk while your fluid status is taken The measurement may take some time The VitalPoint monitor will record and display the data displayed on the fluid status device The following error may occur if the fluid status monitor is not correctly applied or is not communicating Remote Device Error Explanation Troubleshooting Connectivity and Monitor Error instrument sent data that doesnt reconnect fluid status make sense to VitalPoint monitor and try again e f message persists contact the product distributor Prothrombin Time PRECAUTION FOLLOW THE MANUFACTURER S INSTRUCTIONS FOR USE WHEN USING A
94. their caregiver nurse or doctor call local emergen cy number as appropriate or go to the emergency room whenever they feel the need to do so o Emphasize the importance of entering the correct information on the monitor to ensure vital signs are being accurately reported to the clinician Oo The monitor is intended for indoor use only O The patient should discuss all medications with their physician O Contact the clinician immediately for the following see Troubleshooting on page 58 Activities do not appear or patient name is no longer on the main screen single patient mode only Data is no longer displayed i e the screen is not functioning Data on the screen is no longer heard i e the speaker is not functioning Data cannot be input i e the touch screen is not functioning The device does not start up or does not function O The patient should never attempt to repair a malfunctioning monitor All repairs should be completed by trained service personnel Advise the patient to contact clinician immediately if monitor needs service Accessories such as blood pressure cuffs temperature probes and SpO2 sensors should be disposed of according to manufacturer s instructions on packaging SETUP TASKS The Setup Tasks menu is accessed by tapping the Main Menu screen four times in the upper right corner as indicated by the arrow below Hello New Patient lt Tap Here Patient data cannot
95. tient s session with the monitor whether illuminated when disconnected data was completed sent or not is to select Enter Patient ID from the Battery s Conneckmoniomos ive walloulet Main Menu to begin the process of exiting the current session The moni e Power up the monitor tor will display a patient ID confirmation screen Select OK to continue Disconnectmonitortrom wall outlet the session or Cancel to end the session A confirmation screen e Verify that the monitor continues to run will appear select OK to end the session and return to the Patient on battery power Identification screen where a new session can be started for a different Speaker Using the monitor Setup Tasks menu adjust patient the speaker volume and verify that the The monitor can also be forced to dial the Central Server using the Setup speaker quality is good at the softest and Tasks instructions on page 14 to ensure all patient data is recorded loudest volume settings A a T i Touch panel e Verify that the monitor responds to touch If a patient will not be participating in any additional sessions the patient panel presses information can be removed from the monitor by removing the serial num T ae a SpO2 pulse rate e Apply pulse oximeter probe to finger ber of the monitor from the patient s file in Remote Device Connectivity Cc i i ollect SpO2 pulse rate information using the Verify the patient has been removed by a
96. too large Measurement time exceeded please contact your clinician Please remain still and try again Artifact error please contact your clinician Error Explanation rectly to receive a good reading This error appears when the pulsations are too small to detect This may be caused by e Poor limb perfusion e Improper cuff placement e Cuff size too large for the patient The measurement time limit 2 minutes was exceeded usually due to motion artifact The patient moved during the measurement Additional information was gathered during the mea surement This may be caused by e Persistent patient movement or coughing e Hemodynamic interfer ence varying pulse amplitudes due to breathing or valvular problem e Hose is clogged or leaking Troubleshooting measurement Instruct the patient how to apply the cuff for a good measurement Check the patient and provide any necessary clinical care Check to make sure the cuff is wrapped properly with the artery mark lined up over the brachial artery Check the limb circumference against the recommended range as printed on the cuff to ensure the cuff See suggestions for Artifact error Repeat the measurement Instruct the patient to remain still with the blood pressure cuff remaining at the same level as the heart Check the patient and provide any necessary clinical care Calm the patient Reattac
97. tral Server they must be verified On the wave display screen press the Accept button to save the measurement STANDARD ELECTRODE PLACEMENT AHA For ECG cable lead sets with AHA USA lead designations position the electrodes as shown in the following diagram TO An hite S an FF Ow A V RL LL Red Green 1 Position the right arm RA electrode on the right mid clavicular line directly below the clavicle 2 Position the left arm LA electrode on the left mid clavicular line directly below the clavicle 3 Position the right leg RL electrode on the right mid clavicular line 6th and 7th intercostal space 4 Position the left leg LL electrode on the left mid clavicular line 6th and 7th intercostal space 5 Position the chest V electrode on the 4th intercostal space left sternal border ELECTRODE PLACEMENT FOR PACED PATIENTS AHA For ECG cable lead sets with AHA USA lead designations the optimal electrode placement for patients with pacemakers may be as illustrated in the following diagram LA Black White RL Green 1 Position the right arm RA electrode on the right mid clavicular line 5th intercostal space 2 Position the left arm LA electrode on the left mid clavicular line directly below the clavicle 3 Position the right leg RL electrode on the right mid clavicular line 6th and 7th intercostal space 4 Position the left leg LL electrod
98. ttempting to enter the patient ID Take Measurements menu as described in Main Menu Screen Multi Patient Mode on page 19 e Verity that the reported pulse rate matches pulse Note If the patient s information is removed from the monitor before the end of their certifica rate as measured on wrist and that the SpO2 tion period entered in Remote Device Connectivity the end date for that patient needs to be rate seems reasonable about 95 for a healthy truncated to the date the information was removed from the monitor non smoker 52 D 00031 Rev 9 rl Single patient mode only re Multi patient mode only Check Action performed by trained service personnel only Blood pressure e Apply the appropriate sized blood pressure cuff to arm e Collect blood pressure information using the Take Measurements menu e Verify that the reported blood pressure is reasonably close in comparison to a manual blood pressure reading Scale e Collect weight information using the Take Measurements menu e Verify that the reported weight is reasonably close to typical weight Temperature e Collecttemperature information using the Take Measurements menu e Verify that the reported temperature is reasonably close to typical temperature ECG respiration e Connect ECG leads to patient simulator e Verify proper heart rate at 30 and 300 bpm 2 bpm or 1 e Verify 1 mV test pulse lead Il e Verify proper respiration rate at 15 and 120 bpm
99. y the patient you would like to moni tor See Entering an Existing Patient on page 20 or Entering a New Patient on page 23 Once VitalPoint has identified the patient the monitor will display the Take Measurements screen Proceed with taking measurements and symptoms reporting as in single patient mode To report symptoms press Main Menu from this screen then Report Symptoms like to take T Single patient mode only What measurement would you Ai Multi patient mode only fm Entering an Existing Patient The Patient Identification screen allows the user to select the Existing tab and search for a patient already entered in the system via their patient ID number date of birth or name Patient Identification lt lt Existing gt gt New Search existing patient by Patient ID Date of Birth and or Patient Name To search by patient ID follow these steps 1 Press Patient ID from the Patient Identification screen 2 Tap the Patient ID field to activate it then enter the patient s ID number using the alphanumeric keypad Patient Identification lt lt Existing gt gt New rr Single patient mode only mn Multi patient mode only DL 00031 Rev 9 f 3 Press OK 4 VitalPoint will match the patient ID with a patient name and display a confirmation screen Patient Identification Please confirm Patient Nam

VitalPoint® HOME Clinician User Manual

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VitalPoint&reg; HOME Clinician User Manual

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VitalPoint® HOME Clinician User Manual