AFrame Digital MobileCare User manual

MobileCare™ Monitor System
Operator’s Manual
AFrame Digital, Inc.
8000 Lee Highway
Falls Church, VA 22042
[phone]
Email: [e-mail]
www.aframedigital.com

MobileCare™ Monitor Operator’s Manual
Copyright 2008 © AFrame Digital, Inc.
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Contents
Contents ..................................................................................................................... i
Warnings and Precautions.........................................................................................iii
Contraindications....................................................................................................iii
Warnings................................................................................................................iii
Cautions.................................................................................................................iii
Precautions while using MobileCare™ Monitor.......................................................... v
About this manual......................................................................................................vi
Audience................................................................................................................vi
What you will find in this manual ............................................................................vi
Symbols used in this manual.................................................................................vii
Conventions used in this manual...........................................................................vii
Assumptions..........................................................................................................vii
1.0 Introduction..........................................................................................................1
2.0 System Overview.................................................................................................3
2.1 How the MobileCare™ Monitor System Works ................................................4
2.2 Overview of myPHD.........................................................................................5
2.3 Components of the MobileCare™ Monitor System ..........................................7
2.4 Compliance to Electromagnetic Compatibility Standard...................................9
3.0 Operating Procedures........................................................................................10
3.1 Using myPHD.................................................................................................10
3.1.1 Wearing myPHD......................................................................................10
3.1.2 Installing the Batteries..............................................................................11
3.1.3 Using myPHD Buttons.............................................................................11
3.1.4 Checking for Out-of-range Status............................................................12
3.1.5 Verifying the Battery Charge....................................................................12
3.1.6 Sending Emergency Alerts to Caregivers................................................13
3.1.7 Temporarily Disabling Alerts....................................................................14
3.1.8 Impact Sensing and Falls.........................................................................16
3.1.9 Canceling Alerts.......................................................................................16
3.1.10 Interpreting Error Messages ..................................................................18
3.2 Using the Charger.......................................................................................18
3.3 Using the CareStation™ Software..................................................................20
3.3.1 Logging into the CareStation™ Application .............................................20
3.3.2 Understanding the Resident Status Interface ..........................................21
3.3.3 Understanding the Resident Detail Interface ...........................................23
3.3.4 Understanding the Alert Summary for a Particular Resident....................24
3.3.5 Understanding the Alert Summary for All Residents................................25
3.3.6 Understanding the Facility Map Interface.................................................26
3.3.7 Receiving and Responding to Alerts in CareStation™ Software..............27
3.3.8 Receiving and Responding to Alerts on Other Devices ...........................28
3.3.9 Clearing the Alerts...................................................................................30
4.0 Security..............................................................................................................31
4.1 Mesh Security.................................................................................................31
4.2 Internet Security.............................................................................................31

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4.3 Server Security...............................................................................................33
5.0 TroubleShooting.................................................................................................34
5.1 Troubleshooting myPHD and Battery.............................................................34
5.2 Troubleshooting PANDA ................................................................................34
Appendix A —Warranty ..........................................................................................35
Appendix B —Service.............................................................................................36
Appendix C —Declarations.....................................................................................37
Appendix D —Specifications...................................................................................39
myPHD Specifications..........................................................................................39
PANDA X4 Gateway Specifications .....................................................................41

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Warnings and Precautions
Contraindications
Do not use the device in an MR environment.
Do not use this device in an explosive atmosphere or in the presence of flammable
anesthetics or gases.
This device is not defibrillation proof per IEC 60601-1:1990 clause 17h.
Warnings
Use within its designated range.
This device is intended only as an adjunct in patient assessment. It must be used in
conjunction with other methods of assessing clinical signs and symptoms.
Operation of this device below the minimum amplitude of 0.3% modulation may give
inaccurate results.
The use of batteries other than those specified in these instructions may result in
increased electromagnetic emission and/or decreased immunity of this device.
This device should not be used adjacent to or stacked with other equipment. If adjacent
or stacked use cannot be avoided the device should be observed carefully to verify
normal operation.
Cautions
Inspect the device at least every 6 to 8 hours to ensure correct device alignment and
skin integrity. Patient sensitivity to the device may vary due to medical status or skin
condition.
Factors that may degrade the performance or affect the accuracy of the measurement,
include the following:
- excessive light, such as sunlight or direct home lighting
- excessive motion
- moisture in the device
- improperly applied device
Do not sterilize, autoclave, or immerse this device in liquid.
Do not use caustic or abrasive cleaning agents or any cleaning products containing
ammonium chloride.
This equipment complies with IEC 60601-1-2:2004 for electromagnetic compatibility for
medical electrical equipment and/or systems. This standard is designed to provide
reasonable protection against harmful interference in a typical medical installation.
However, because of the proliferation of radio-frequency transmitting equipment and
other sources of electrical noise in health care and other environments, it is possible that
high levels of such interference due to close proximity or the strength of a source might
disrupt the performance of this device. Medical electrical equipment needs special

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precautions regarding EMC, and all equipment must be installed and put into service
according to the EMC information specified in this manual.
Portable and mobile RF communications equipment can affect medical electrical
equipment.
Batteries may leak or explode if used or disposed of improperly. Do not remove or
attempt to change the batteries in any manner. This is only to be performed by an
AFrame Digital authorized representative.
Follow local, state, and national governing ordinances and recycling instructions
regarding disposal or recycling of the device and device components, including batteries.
In compliance with the European Directive on Waste Electrical and Electronic Equipment
(WEEE) 2002/96/EC, do not dispose of this product as unsorted municipal waste. This
device contains WEEE materials. Please contact your distributor regarding take-back or
recycling of the device.

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Precautions while using MobileCare™Monitor
Read this manual carefully before using the MobileCare™Monitor System or its associated
components. Follow these precautions:
Do not use the MobileCare™ Monitor System as a substitute for usual and
customary resident supervision. The MobileCare™ Monitor System is intended to
assist caregivers in providing proper care to individuals.
Discontinue use of myPHD if the patient demonstrates any allergic reaction or other
intolerance to the device.
General operation of the MobileCare™ Monitor System may be affected if used in a
strong electromagnetic field environment.
Do not use the system if any component is damaged.
Caution the residents against causing impacts to myPHD. Intended or unintended
impact of myPHD may trigger alerts.
Do not immerse the MobileCare™ Monitor or its components in water or any other
liquid.
Do not use caustic or abrasive cleaning agents for the MobileCare™ Monitor or its
components.
Do not remove any covers or open any of the components of the MobileCare™
Monitor System. There are no operator serviceable parts within the MobileCare™
Monitor System.
Follow local governing ordinances and recycling instructions regarding disposal or
recycling of the MobileCare™ Monitor and its components, including batteries.
Batteries may leak or explode if used or disposed of improperly.

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About this manual
Audience
The MobileCare™Monitor Operator’s Manual is intended for the operators of
MobileCare™Monitor and its components, that is, the caregivers, nurses, and
administrative staff of the care giving facility.
What you will find in this manual
This manual describes —
How the MobileCare™Monitor System works.
How to use the myPHD wristwatch to send alerts.
How to use the CareStation™software to respond to alerts.
Use the following table to quickly find information in this manual:
To find out about:
Go to:
How the MobileCare™Monitor
System works
2.0 System Overview
How to use myPHD and the
CareStation™software
3.0 Operating Procedures
How to solve problems with the
functioning of myPHD and PANDA
4.0 Troubleshooting
The security features of the
MobileCare™Monitor System
5.0 Security
The warranty details, service facilities,
and specifications of the MobileCare™
Monitor System
Appendix

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Symbols used in this manual
The following symbols have been used in this manual:
WARNING: Warnings alert you about instructions or procedures
that could be hazardous, if not followed properly.
NOTE: Notes point out something important or useful.
Conventions used in this manual
The following conventions are used in this manual.
This type of text:
Is used for:
Bold
Button names
Italics
Emphasis
Assumptions
We assume that the MobileCare™Monitor System is already installed by
a qualified representative of AFrame and is running on your facility’s
network.
This guide is intended for the operators of the MobileCare™Monitor
System, that is, the caregivers, nurses, and administrative staff of the care
giving facility.

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1.0 Introduction
The MobileCareTM Monitor System is a wireless based health and alert monitoring
system to support caregivers in continuing care retirement communities and
assisted living settings. The system has been designed primarily to monitor elderly
residents who require a greater level of assistance on a round-the-clock basis. For
monitoring purposes, residents wear a specially designed watch that is part of the
MobileCare™ Monitor System. The system sends designated alerts (see Figure 1.1)
from these residents to administrators and healthcare providers (or caregivers) of
multi-resident care facilities. These alerts are designed to elicit a quick response
from the caregivers (see Figure 1.2). In addition, caregivers can track the location of
the residents within the premises of the healthcare facility.
Figure 1.1 Sending alerts to the healthcare professionals via the MobileCare™Monitor System

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Figure 1.2 Healthcare professionals acknowledge the alerts via the MobileCare™
Monitor System
The MobileCare™Monitor System is intended only as an adjunct in
patient assessment and care. It must be used in conjunction with other
methods of assessing the health and wellness in individuals and
symptoms. The system is not intended to provide automated treatment
decision, nor is it to be used as a substitute for professional healthcare
judgment. All patient medical diagnosis and treatment are to be
performed under the direct supervision and oversight of an appropriate
healthcare professional.

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2.0 System Overview
The MobileCare™Monitor System helps healthcare professionals and caregivers to
provide wireless monitoring services for independent and ambulatory residents in
retirement communities or assisted living settings. The MobileCare™ Monitor
System is capable of monitoring elderly residents on a continuous basis (24x7). The
system is primarily designed to monitor alerts from these individuals and transmit
this data to servers for storage and processing. The main applications of the
MobileCare™ Monitor System are:
Residents can send emergency and assistance needed alerts to
caregivers.
Caregivers can keep track of the location of the residents within the
premises.
Caregivers are provided impact detection alerts.
The user interface between a monitored individual and the MobileCare™Monitor
System is a wireless personal help device (myPHD) or ―watch‖ that is worn on an
individual’s wrist. This watch is a non-intrusive and form-friendly portable alerting
device that transmits data wirelessly to a gateway and server via a wireless mesh
network.
The MobileCare™ Monitor System consists of the following components (see Figure
2.1): Personal Help Device or myPHD (also called watch)
Wireless Network —consisting of a PANDA X4 wireless gateway and a
mesh network of XBee wireless wall routers
Secure Server —runs the CareStation™ software, stores data, and
analyzes trends in resident data
CareStation™Software —an application program that provides a
graphical user interface to allow the caregivers to respond to myPHD
alerts. It also integrates the facility map that provides resident location
information to the caregivers.

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Figure 2.1 Different components of the MobileCare™Monitor System
2.1 How the MobileCare™Monitor System Works
Figure 2.2 shows how the myPHDs interact with the wireless network. The wireless
network consists of a PANDA X4 gateway and XBee routers that are strategically
located inside the individual rooms as well as at other locations of the facility.
The system uses the ZigBee (see ―What is ZigBee?”below) mesh network to allow
individuals to be mobile within the network. Data is transmitted between the watch
and the XBee units through a message-based protocol over a ZigBee mesh network.
The data is transferred between the PANDA X4 gateway and the server through a
secure HTTP protocol. The caregivers receive alerts via a secure Internet browser,
cell phones, PDAs, or other web-enabled phones such as the iPhone. The system
can also send healthcare related information to administrators and other healthcare
providers for analyzing and archiving purposes.

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What is ZigBee?
ZigBee is the name given to a set of high-level wireless communication protocols
maintained by a group of companies known as the ZigBee Alliance. It is a low-cost, low-
power, wireless networking standard based on the IEEE 802.15.4 specifications. The
devices using ZigBee form a mesh network, where each device connects wirelessly to
the next. ZigBee uses very little power therefore is ideal for small networks.
Figure 2.2 Interconnection and dataflow between several MobileCare™ Monitor components.
2.2 Overview of myPHD
The myPHD allows the residents to be mobile while being monitored by the network.
The myPHD periodically transmits the location of the resident within the facility and
clinical data to the CareStation™ software. It has two buttons:

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oEmergency button –During an emergency, the resident presses this button
to issue an emergency alert to the caregiver’s station.
oPrivacy button –The residents use this button to stop sending clinical data to
the CareStation™Software for a pre-set interval of time.
Figure 2.3 The myPHD with buttons.
Furthermore, the myPHD contains:
Built-in temperature sensor –provides resident skin (body) and ambient air
temperatures to help determine if the watch is being worn.
Impact sensor –issues an alert when the myPHD receives an impact (such as
when a resident falls).
Battery charge level indicator –displays the remaining battery charge.
Ensure that the myPHD is positioned properly on the monitored
individual’s wrist.

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2.3 Components of the MobileCare™Monitor System
Table 2.1 describes the various components and features of the MobileCare™
Monitor System:
Component
Features
XBee Wireless Wall Router
Installed in key locations throughout
the facility
Connects to other XBee routers in a
secure wireless mesh network (for
further information on the security of
the wireless network, refer to Chapter
4.0 Security.)
Picks up the messages or alerts
transmitted by myPHDs and forwards
messages/alerts to the PANDA X4
gateway for subsequent delivery to the
server
Receives (wireless) messages and
alert-acknowledgements from the
PANDA X4 gateway and forwards the
messages/alerts to the relevant
myPHD
PANDA (Powered Automated
Network Data Aggregator) X4
Gateway
Gateway between the Internet and the
internal wireless mesh network
Connects to the Internet via Ethernet,
Wi-Fi, or Broadband
Sends the received messages from the
XBee routers to the secure server
Communicates wirelessly with the
myPHDs and the central server,
allowing total freedom of movement of
the residents throughout the facility
Delivers email or text message alerts
to various devices such as cell phones,
PDAs, and MobileCare™Monitoring
Stations
Secure Server. See Figure 2.1.
Sets up behind a firewall at a high
availability Web Hosting data center
Maintains all resident information,
including location, collected data, and
alerts
Monitors the PANDA x4 gateway, the
XBee routers, and the myPHDs via
two-way communication and
automatically raises an alert if any

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Component
Features
device malfunctions
Can be accessed by the end user over
the Internet using a web browser
Can be connected directly to a DSL or
Cable Modem / Router in a SOHO
environment
CareStation™Software
Web-browser based software
application
Provides an easy-to-use, yet secure,
graphical user interface to allow the
caregivers and administrative staff to
respond to myPHD alerts
Integrates a facility map to provide
resident location information to the
caregivers, based on the information
received from myPHDs
Provides access to the secure server
so caregivers can view and analyze
the resident’s information
Provides actionable, clinical data as
well as specific reports to improve
health-care management
Assists health care staff in providing
individual, personalized care
Table 2.1 MobileCare™Monitor System Component and Features.
The operators should use only AFrame Digital specified sensors and
third-party devices. AFrame cannot guarantee or be responsible for
overall system functioning if non-approved sensors or devices are used.
The XBee Wireless Wall Routers are installed and serviced only by
authorized AFrame Digital, Inc. representatives. Do not attempt to open
or service the routers at any time.
The PANDA X4 Gateway is installed and serviced only by authorized
AFrame Digital, Inc. representatives. Do not attempt to open or service
the device at any time.

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2.4 Compliance to Electromagnetic Compatibility Standard
The MobileCare™ Monitor System complies with International Standard EN 60601-
1-2:2004 for electromagnetic compatibility (EMC) for medical electrical equipment or
systems, or both. This standard is designed to provide reasonable protection against
harmful interference in a typical medical installation.

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3.0 Operating Procedures
This chapter provides instructions on how to wear and operate the myPHD, interpret
the messages displayed in the panel, and trigger and send emergency alerts. This
chapter explains the features of the CareStation™Software and the procedure to
respond to alerts, detect the location of residents, and view the clinical and historical
data of the residents.
MyPHD is the only component of the MobileCareTM Monitor System operated by the
end user (residents). Before using myPHDs, the operator must ensure the proper
installation of all components of the MobileCare™ Monitor System.
The components of the MobileCare™ Monitor System should not be installed by
the end user. These components (such as the routers, the gateway, and the
server) must be installed by the representatives of AFrame Digital, Inc. who are
trained in the proper installation techniques.
3.1 Using myPHD
This section explains how to:
Wear myPHD and use the various options.
Check for out-of-range status.
Send emergency alerts using myPHD.
Analyze the messages displayed by myPHD.
The myPHD is the key component of the MobileCare™ Monitor System that has
to be worn and operated by the residents or patients. Hence, the operators must
ensure that they thoroughly understand the operating procedures of myPHD.
3.1.1 Wearing myPHD
The myPHD alerting device resembles a watch and should be worn like a
wristwatch. The watch should be worn continuously. The myPHD has built-in
sensors that determine if the device is being worn. The server constantly monitors
these details and raises an alert if a resident removes the myPHD from his/her wrist.

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The myPHD alerting device should not be exposed to water.
3.1.2 Installing the Batteries
The batteries in myPHD should not be installed or changed by the residents or
caregivers. Only an authorized representative of AFrame Digital, Inc. will service the
batteries. Batteries must be recharged after several days under normal use
conditions.
3.1.3 Using myPHD Buttons
MyPHD has two buttons: Emergency button and Privacy button.
Figure 3.1: The myPHD with buttons
Table 3.1 summarizes the use of these buttons.
Press
Result
Emergency button
Send an emergency alert to the caregiver and
administrative staff.