BIOTRONIK CardioMessenger-S TLine User manual

CardioMessenger®-S TLine
Transmitter for BIOTRONIK Home Monitoring®
Technical Manual
371017--B_GA_CardioMessenger-S_TLine_en-US_Cover.indd 1 20.12.2011 19:08:25

Light 1: Call back light (yellow, page 22)
Light 2: Operating light (yellow/green, page 21)
Use only original power supply units (page 16)
Slot for the brief instructions guide (page 20)
Connection for the power supply (page 16)
Connections for the landline (page 8 - 15)
U2
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CardioMessenger-S TLine 1
Content
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . 3
How Home Monitoring works. . . . . . . . . . . 3
Check the completeness of the delivery . . . 5
Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Connection to the landline . . . . . . . . . . . . . 8
Connection to the power supply. . . . . . . . 16
Self-test . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Insert brief instructions guide . . . . . . . . . 20
Operate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Check lights . . . . . . . . . . . . . . . . . . . . . . . . 21
Call back function . . . . . . . . . . . . . . . . . . . 22
Switching off the system. . . . . . . . . . . . . . 23
Debugging . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Cleaning, maintenance, and disposal . . . . 28
Precautionary measures . . . . . . . . . . . . . . 30
Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Technical data . . . . . . . . . . . . . . . . . . . . . . . 37
Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
371017--B
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2
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CardioMessenger-S TLine Introduction 3
Introduction
Dear patient:
You have received a pacemaker or implantable
cardioverter-defibrillator (ICD) with the
additional BIOTRONIK Home Monitoring
function. With Home Monitoring, the state of
your heart's health and your device are
surveyed on a daily basis while you are at
home. Your cardioligist or physician can catch
up at regular intervals on how your heart is
doing.
How Home Monitoring works
Your device is equipped with a special
transmitter (1). Usually at night, the
transmitter sends daily information on 
your heart to the patient device, your
CardioMessenger (2).
The transmission power from your implanted
device is low and does not impair your health
in any way.
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Introduction
4
The CardioMessenger collects the information
sent by the device and automatically transmits it
to the BIOTRONIK Service Center (4) as encoded
messages via a landline connection (3).
Here, the messages are decoded and made
available on a protected web site. Your
cardiologist (5) or the physician who usually
carries out the follow-up examinations has
access to this web site.
Based on the information received, your
cardiologist or physician can decide if 
your device is best configured, or if the 
therapy needs adjustments. In this way, 
Home Monitoring serves as a practical
diagnostic aid to your physician.
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CardioMessenger-S TLine Check the completeness of the delivery 5
Check the completeness of the delivery
Check all components for visible damage
before using them. Use only components
which are undamaged.
The delivery includes the following:
Transport packaging
Keep the transport packaging and use it if you
return the CardioMessenger to your physician.
CardioMessenger-S TLine
Power supply unit with electricity cable and 
DC plug
Telephone cable
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Check the completeness of the delivery
6
Technical manual with brief instructions guide
Warning! 
Use the CardioMessenger only if it is
undamaged. Return a damaged
CardioMessenger to your physician.
Warning! 
Use only the original parts included (for
details, see "Technical data", page 37).
Other equipment may impair proper
functioning of the CardioMessenger and
increase the emitted interference and the
CardioMessenge's susceptibility to
interference. 
The label on the back side of the
CardioMessenger indicates the approved
power supply:
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CardioMessenger-S TLine Setup 7
Setup
Place the CardioMessenger on your bedside
table. The bedside table is suitable because it
usually meets the following conditions:
2 The CardioMessenger is placed safely on a
solid base.
2 The distance to the device is less than
2 meters (6 feet) so that regular data
transmission at night is assured.
Please take the following into consideration:
2 Place the CardioMessenger in such a way
that the lights can easily be viewed during
the day. If the lights disturb you in your
sleep, turn the CardioMessenger away from
you. Do not place the CardioMessenger on
the floor, next to, or under your bed.
2 Do not place the CardioMessenger next to a
television set, microwave oven, or a similar
source of electromagnetic interference.
2 Do not expose the CardioMessenger to
temperatures exceeding 40°C (104°F). 
Do not put it on a place with direct sun light
and do not place it directly under a halogen
spotlight.
2 Do not expose the CardioMessenger to
temperatures lower than 10°C (50°F).
2 Protect the CardioMessenger against water
and high humidity. Do not place it in the
bathroom.
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Connection
8
Connection
Connection to the landline
The CardioMessenger transmits the 
Home Monitoring data via landline.
There are two ways to connect the
CardioMessenger to the landline:
2 Method A 
CardioMessenger
and telephone are
operated using the
same telephone wall
jack.
2 Method B 
The Cardio-
Messenger is
operated with a
telephone wall jack
to which no other
device is connected.
In both cases, you can use your phone as
usual.
Note 
The CardioMessenger is designed to
operate with standard analog phone lines
providing Plain Old Telephone Service
(POTS). Compatibility with other phone lines
or services (e.g., Voice over IP (VoIP) via
analog or digital lines, cable TV phone lines
or ISDN) is not guaranteed. In these cases
compatibility testing at the patient’s home is
recommended. Proper set up of the system
at the patient’s home may require
installation of adapters and/or analog
phone lines. Please contact your telephone
service provider for information on the type
of phone line that you have.
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CardioMessenger-S TLine Connection 9
Method A 
To operate both the CardioMessenger and
the telephone using one telephone jack
To operate CardioMessenger and telephone
together in one telephone wall jack, proceed as
follows:
1. On the back side of the CardioMessenger:
Remove the sealing plug from phone inlet 1.
Phone inlet 1 is labeled
with the following
symbol:
2. Unplug the telephone cable from the
telephone wall jack.
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Connection
10
3. Connect the free end of the telephone cable
to phone inlet 1 of the CardioMessenger.
The telephone is now connected to the
CardioMessenger.
4. Remove the sealing plug from phone inlet 2.
Phone inlet 2 is
labeled with the
following symbol:
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CardioMessenger-S TLine Connection 11
5. Take the supplied telephone cable and
connect one end to phone inlet 2.
6. Connect the other end of the supplied
telephone cable to the telephone wall jack.
7. Check the telephone connection. Lift and
listen to the receiver. The usual dialing tone
should be audible.
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Connection
12
The telephone and CardioMessenger are now
connected to the landline.
As a next step, connect the CardioMessenger
to the power supply (see "Connection to the
power supply", page 16).
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CardioMessenger-S TLine Connection 13
Method B 
Operate the CardioMessenger using 
an available wall jack.
To operate the CardioMessenger in a
telephone wall jack to which no other devices
are connected, proceed as follows:
1. On the back side of the CardioMessenger:
Remove the sealing plug from phone inlet 1.
Phone inlet 1 is
labeled with the
following symbol:
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Connection
14
2. Take the supplied telephone cable and
connect one end to phone inlet 1.
3. Connect the other end of the supplied
telephone cable to the telephone wall jack.
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CardioMessenger-S TLine Connection 15
The CardioMessenger is now connected to the
landline.
As a next step, connect the CardioMessenger
to the power supply (see "Connection to the
power supply", page 16).
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Connection
16
Connection to the power supply
Connect the CardioMessenger to the power
supply. The outlet to be used has to be easily
accessible. Use the supplied power supply unit
with electricity cable and DC plug.
Warning! 
Use only the original parts included (for
details, see "Technical data", page 37).
Other equipment may impair proper
functioning of the CardioMessenger and
increase the emitted interference and the
CardioMessenger's susceptibility to
interference. 
The label on the back side of the
CardioMessenger indicates the approved
power supply:
1. Connect the DC plug at the end of the
electricity cable to the port on the left side
of the CardioMessenger.
The connector port is
labeled with the following
symbol:
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CardioMessenger-S TLine Connection 17
2. Connect the power supply unit to the outlet.
See that the outlet is not controlled by a
light switch. This will prevent you from
turning off the CardioMessenger
accidentally.
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Connection
18
Self-test
The CardioMessenger automatically conducts
a self-test after being connected.

At first, both
lamps on the front
side of the
CardioMessenger
illuminate yellow
for a short while. 
After about 10 seconds, the call back light will
turn off.
Then the
CardioMessenger checks
the connection to the
BIOTRONIK Service
Center. Only the
operating light
illuminates yellow.
The connection check can take up to
15 minutes.

As soon as the
connection has been
checked successfully,
the operating light
illuminates green. 

The CardioMessenger is now ready for use.
The CardioMessenger is intended for
continuous operation. It should be connected
at all times, especially at night.
Note 
It is a sign of malfunction if the operating
light remains illuminated yellow for more
than 15 minutes or if it does not light up at
all. For details on the subject of
"Debugging", see page 24.
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