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CRM // BIOTRONIK Home Monitoring CardioMessenger SmartenesfrTechnical ManualManual técnicoManuel technique420160--H GA CardioMessenger-Smart e-MUL Cover.indd 121.03.2016 12:35:35

You can also find the CardioMessenger Smart manualin the Internet by visiting the BIOTRONIK --H GA CardioMessenger-Smart e-MUL Cover.indd 221.03.2016 12:35:35

FrançaisEspañolEnglish420160--H GA CardioMessenger-Smart e-MUL.book Page -1 Thursday, March 24, 2016 11:34 AM420160--H

420160--H GA CardioMessenger-Smart e-MUL.book Page 1 Thursday, March 24, 2016 11:34 AM1Table of ContentsTable of ContentsIntroduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2First Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Check the Package Contents . . . . . . . . . . . . . . . . . . . . . . . . .Where Do I Put the CardioMessenger? . . . . . . . . . . . . . . . . .How Do I Connect the CardioMessenger? . . . . . . . . . . . . . . .How Do I Use the CardioMessenger? . . . . . . . . . . . . . . . . . . .How Do I Turn Off the CardioMessenger? . . . . . . . . . . . . . . .35689The CardioMessenger Icons . . . . . . . . . . . . . . . . . 11Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Self-Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Call Back Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Error Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Error type A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Error type B. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Error type C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Handling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Charging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21232324Precautionary Measures . . . . . . . . . . . . . . . . . . . . 25Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Symbols on the Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Legend for the Label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Electromagnetic Emitted Interference according toIEC 60601-1-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Electromagnetic Resistance to Interference according toIEC 60601-1-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Recommended Safe Distances between Portableand Mobile RF Communications Equipment and theCardioMessenger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .303132343540EnglishTable of Contents

420160--H GA CardioMessenger-Smart e-MUL.book Page 2 Thursday, March 24, 2016 11:34 AM2 nical ManualCardioMessenger SmartDear Patient:You have received a device with the additional HomeMonitoring function by BIOTRONIK.How Home Monitoring worksYour device (1) is equipped with a special transmitterwhich sends cardiac information to your CardioMessenger (2). This usually happens at night.The transmission power from your device is low and doesnot impair your health in any way. Its limited transmissionrange, however, requires the use of the CardioMessenger.The CardioMessenger collects the information andtransmits it to the BIOTRONIK Service Center (4) asencoded messages via a mobile connection (3).Here, the messages are decoded and can be viewed byyour physician (5) on a protected web site.Usage of this additional data is specific to the patient andthe implanted device. Your physician will explain to youhow he or she will use the Home Monitoring function.Note: Home Monitoring is not an emergency system. Ifyou are not feeling well, contact a physician.

420160--H GA CardioMessenger-Smart e-MUL.book Page 3 Thursday, March 24, 2016 11:34 AMFirst StepsFirst StepsFirst Steps2399229-GTechnical ManualCardioMessenger SmartCheck the Package ContentsYour CardioMessenger is supplied ready for use, and youcan operate it immediately by inserting the power pluginto the wall outlet.However, prior to usage, check the CardioMessenger andits accessories for any visible damage and use onlyundamaged components.Return a damaged CardioMessenger to your physician.Use only the provided original power supply brick (see thetechnical data).Other equipment may impair proper functioning of theCardioMessenger and increase the emitted electromagnetic interference or decrease the CardioMessenger'sresistance to electromagnetic interference.English23

420160--H GA CardioMessenger-Smart e-MUL.book Page 4 Thursday, March 24, 2016 11:34 AM4 First StepsThe product package includes the CardioMessenger (1)with power supply brick (2), the quick reference guide (3)and the technical manual (4).(1)(2) Smart(3)CRM // BIOTRONIK Home Monitoring CardioMessenger Smartdeenesfritnl(4)GebrauchsanweisungTechnical ManualManual técnicoManuel techniqueManuale tecnico di istruzioniTechnische handleiding

420160--H GA CardioMessenger-Smart e-MUL.book Page 5 Thursday, March 24, 2016 11:34 AMFirst Steps5EnglishWhere Do I Put the CardioMessenger?At night, the CardioMessenger should be placed closeto your bed to ensure the nightly data transfer from theimplanted device.The bedside table is therefore the best location for yourCardioMessenger, as it usually meets the followingconditions: The CardioMessenger is placed on a solid base andcannot fall.The distance to the implanted device is less than 2 m(6 feet), so that regular data transmission from theimplanted device to the CardioMessenger at night isassured.Positioned on the bedside table, you can clearly seethe symbols on the CardioMessenger's display. Thisenables you to verify on a daily basis that it is ready forservice.

420160--H GA CardioMessenger-Smart e-MUL.book Page 6 Thursday, March 24, 2016 11:34 AM6 First StepsHowever, if the bedside table is made of metal, youshould not place the CardioMessenger directly on thetable. For example, place a stack of books to establisha distance of approx. 5 cm between the two so that themetal does not interfere with the device's data reception.Please take the following also into consideration: Do not place the CardioMessenger next to a televisionset, microwave oven, or a similar source of electromagnetic disturbance.You may hear noises typical of cellular phones if youplace the CardioMessenger too close to a radio alarmor a television set, for example. Do not expose the CardioMessenger to temperaturesexceeding 40 C (104 F). Do not put it in places where itis subjected to direct sunlight and do not put it directlyunder a halogen spotlight. Do not expose the CardioMessenger to temperaturesbelow negative 5 C (23 F). The power supply brickshould not be exposed to temperatures lower than O C(32 F). Protect the CardioMessenger against water and highhumidity.Do not place it in the bathroom.How Do I Connect the CardioMessenger?Your CardioMessenger is already configured and is readyfor use. You can operate it immediately by inserting thepower plug (see Appendix, p. 30 for the type) into the walloutlet.Note: Also refer to the included quick reference guide.

420160--H GA CardioMessenger-Smart e-MUL.book Page 7 Thursday, March 24, 2016 11:34 AM7However, proceed as follows if the plug has been disconnected during removal from the package or duringshipping:Connect the small plug (micro USB plug) on theright to the CardioMessenger.Make sure that the marking (white arrow) is onthe upper side of the plug.UP1The connector port is labeled with the followingsymbol:2Insert the power plug into the wall outlet.EnglishFirst Steps

420160--H GA CardioMessenger-Smart e-MUL.book Page 8 Thursday, March 24, 2016 11:34 AM8 First StepsMake sure that the outlet is easily accessible and notconnected to a light switch in order to prevent the CardioMessenger from accidentally being turned off.The CardioMessenger now turns on automatically andperforms a self-test.The CardioMessenger is ready for use once the self-testis completed and the following icons are displayed:If this is not the case, please refer to: Error Resolution,p. 15.How Do I Use the CardioMessenger?The CardioMessenger automatically receives the information from your implanted device and transmits it to theBIOTRONIK Service Center. Therefore, there are only afew points that need to be considered.Check once a day whether your CardioMessenger isswitched on and ready for use.This is indicated by the following icons:If you want to use the CardioMessenger in mobile operation, we recommend that you make a habit of charging itevery night on the bedside table.

420160--H GA CardioMessenger-Smart e-MUL.book Page 9 Thursday, March 24, 2016 11:34 AMFirst Steps9Since the CardioMessenger contains a mobile ("cellular")module, you may need to switch off the CardioMessengerfor safety reasons in areas where the use of mobilephones is prohibited (e.g., in an airplane).Such areas can be identified by the following or similarsigns:In some locations, the use of cellular phones is prohibitedto provide quiet zones (e.g., in a theater or cinema). As theCardioMessenger is silent, it does not need to be turnedoff in such locations.Press and hold the blue key on the right of the CardioMessenger for two seconds until the display turns off.EnglishHow Do I Turn Off the CardioMessenger?

420160--H GA CardioMessenger-Smart e-MUL.book Page 10 Thursday, March 24, 2016 11:34 AM10 First StepsThe blue key is labeled with the following symbol:The CardioMessenger is switched off.Note: The functions of your implanted device are notaffected by the CardioMessenger at any time.Your implanted device remains fully functional even ifthe CardioMessenger is not ready for use.

420160--H GA CardioMessenger-Smart e-MUL.book Page 11 Thursday, March 24, 2016 11:34 AMThe CardioMessenger IconsThe CardioMessenger IconsThe CardioMessenger Icons3399229-GTechnical ManualCardioMessenger SmartThe CardioMessenger has the following icons:1Operation icon2Call back iconSee Call Back Function, p. 133Information iconSee Error Resolution, p. 154The battery icon is always displayedwith 1-3 bars according to the chargingstatus.When the CardioMessenger isconnected to the power supply brickand charging, a battery icon with asmall power plug is displayed.5English311

420160--H GA CardioMessenger-Smart e-MUL.book Page 12 Thursday, March 24, 2016 11:34 AM12 Functions4FunctionsFunctions4399229-GTechnical ManualCardioMessenger SmartSelf-TestThe CardioMessenger automatically conducts a self-testafter being connected.123All icons on the CardioMessenger are displayed.The CardioMessenger then checks the connection to the cellular phone network.The operation icon flashes and the battery icon isdisplayed.The connection test can take up to 15 minutes.Once the connection is established, theoperation and battery icons remain permanentlyactivated.The CardioMessenger is now ready for use.If the connection was not established, the informationicon flashes.Additional information can be found under: Error Resolution, p. 15.