Boston Scientific LATITUDE 6280 User manual

LATITUDE®Communicator
Comunicador LATITUDE®
PATIENT MANUAL
MANUAL DEL PACIENTE

English..............................................................1
Español......................................................... 91

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LATITUDE®Communicator Patient Manual
English
LATITUDE®Communicator
ENGLISH

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LATITUDE is a registered trademark of
Boston Scientic Corporation or its afliates.
Delta Mobile Systems is a registered trademark of
Delta Mobile Systems.
GlobTek is a registered trademark of GlobTek, Inc.
MultiConnect is a trademark of Multi-Tech Systems, Inc.
This manual contains instructions for the use of Models 6280 and 6290
LATITUDE Communicators. These instructions are identical for both
models. Technical differences, however, do exist between the models
and are identied where appropriate. The model number for your
Communicator is located on its bottom label.

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Table of Contents
LATITUDE Patient Management System 7
The LATITUDE Communicator 7
Items You Should Receive 9
Optional Health Monitoring Equipment 9
Clinician Website 10
When to Use Your Communicator 11
When Not to Use Your Communicator 11
Where to Place Your Communicator 12
Important Notes 12
Buttons, Connectors, and Indicators 14
Installing Your Communicator 16
Conrming Switch Settings 16
Connect Your Communicator to the LATITUDE
System 17
Using a Landline Telephone Jack
Connection 18
Using the LATITUDE Cellular Data Plan 21
Using a USB Ethernet Adapter
Connection 25
Software Download and Installation 27
Normal Operation of the Communicator 28
Indicator Sequence When Using the Heart Button 29
Indicator Descriptions 31
Status Button 36
Conrming Successful Operation 37

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Troubleshooting Errors 38
Troubleshooting Icon and LATITUDE
Indicator Errors 38
Troubleshooting Yellow Wave Indicator Errors 45
LATITUDE Cellular Data Plan 55
Cellular Converter 55
Activating the LATITUDE Cellular Data Plan 56
Troubleshooting and Support 56
Discontinuing Your LATITUDE
Cellular Data Plan 57
Interrogating Your Implanted Device 57
Interrupted Electrical Power 59
Checking that the Communicator Can
Connect to the LATITUDE System 59
Traveling with Your Communicator 60
Communicator Use of the Telephone System
(Landline Telephone Only) 61
Using the Telephone While the
Communicator is Making a Call 62
DSL Internet Service 63
Care and Maintenance 63
Cleaning the Communicator and Accessories 64
Returning, Replacing, or Disposing of the
Communicator, USB Cellular Adapter,
or USB Ethernet Adapter 65
Setting Switches for PBX or Dial-out Numbers 66
Connecting the USB Sensor Adapter 67
Specications 68
Safety and Standards Compliance 72
Essential Performance 77

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Electromagnetic Emissions and Immunity 78
Software 85
Explanation of Product and Label Symbols 86
Frequently Asked Questions 88
Does the Communicator call 911 in an
emergency? 88
Where should I place my Communicator? 88
How do I set up my Communicator using
a landline telephone? 88
How do I set up my Communicator using the
LATITUDE Cellular Data Plan and a USB
Cellular Adapter? 88
How do I set up my Communicator using
a USB Ethernet Adapter? 88
How do I know the Communicator is working? 89
What do these lights mean? 89
How do I manually send my data? 89
When do I use my Communicator? 89
What do I need to do with my
Communicator if I travel? 89
How do I dispose of my Communicator? 89
Where can I go for more help? 89

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LATITUDE Patient Management
System
The LATITUDE Patient Management System (referred
to as “LATITUDE system” throughout this manual) is
a remote monitoring system that gives your health
care provider access to your implanted device data
between scheduled ofce visits. The LATITUDE
system is designed to improve patient care while
providing convenience to you.
The LATITUDE system uses advanced security
methods to protect your personal medical information.
Only authorized health care providers have access to
your information through the secure clinician website.
The LATITUDE system is not meant to assist with
health emergencies. If you are not feeling well,
call your health care provider or dial 911.
The LATITUDE Communicator
The LATITUDE Communicator is an in-home
monitoring system that uses a wireless
communication system to communicate with your
implanted device. The Communicator does not
provide continuous monitoring. It automatically reads
implanted device information at times scheduled by
your health care provider.
At scheduled intervals, the Communicator sends your
implanted device data to the LATITUDE system using
one of three communication methods:
• Standard telephone line (see page 18); or
• Cellular data network (see page 21); or
• Ethernet (Internet) (see page 25).

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The Communicator receives periodic schedule
updates made by your health care provider when it
connects to the LATITUDE system.
The Communicator does not reprogram or change
any functions of your implanted device. Only your
health care provider can do this during an ofce visit.
Model 6280 only: Your Communicator is designed
to be used only in the United States, Canada,
Puerto Rico, and Mexico. For more information, see
“Traveling with Your Communicator” on page 60.
The telephone (landline) feature of the Communicator
is designed to operate on standard telephone lines
like those found in most homes. The Communicator
supports tone dialing over an analog line. The
Communicator may work on other telephone systems,
such as digital subscriber line (DSL) and voice over
Internet Protocol (VoIP), if those systems provide an
analog interface for connecting the Communicator.
Follow the instructions in this manual when
using the Communicator. Keep all of your
Communicator information in a convenient
location for easy access in the future.

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Items You Should Receive
The following items are included with the
Communicator:
• Communicator unit
• Alternating current (AC) adapter
• Communicator Quick Start Guide
• Communicator Patient Manual (this book)
• Communicator telephone cord
The following items are optional connection
accessories, available separately:
• LATITUDE NXT USB Cellular Adapter
• USB Ethernet Adapter
Optional Health Monitoring Equipment
If prescribed by your health care provider, your
Communicator can also collect information from an
optional LATITUDE heart failure management system.
This system includes a LATITUDE weight scale and
LATITUDE blood pressure monitor.
These specially designed products provide additional
information to monitor your health. Refer to the
handbook that is included with the weight scale and
blood pressure monitor products.
A universal serial bus (USB) sensor adapter is
included with the weight scale and blood pressure
monitor. The USB sensor adapter provides a
wireless connection between these products and the
Communicator. See “Connecting the USB Sensor
Adapter” on page 67.

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Clinician Website
The clinician website provides authorized health care
providers a convenient and secure way to obtain and
analyze information from a patient’s implanted device.
The LATITUDE system normally displays your device
information on the clinician website within 15 minutes.
However, it may take longer for your information to
appear due to many external factors.
The website provides advanced analysis and trending
tools designed at improving patient care. Only your
physician and medical personnel authorized by
your physician can access your medical data on the
password-protected clinician website.

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When to Use Your Communicator
The Communicator performs many functions
automatically on a schedule set by your health care
provider. Other functions need you to respond when
the indicators on the front of the Communicator light
or ash. Check the Communicator daily to see if any
of the indicators are lit solid or ashing.
Use the Communicator only as instructed by your
health care provider. The Communicator’s Heart
button (Figure 1 on page 14) will ash if it needs
you to manually complete an interrogation of your
implanted device as scheduled by your health care
provider. If the Heart button is ashing, press it and
then watch the indicators on the Communicator.
Call your health care provider if the Call Doctor icon
(Figure 2 on page 15) is lit any color.
When Not to Use Your Communicator
The Communicator is designed to work only with your
implanted device. It will not work with another patient’s
implanted device. The Communicator should be
used only as authorized by the prescribing physician.
The Communicator is not for use with any implanted
device other than a Boston Scientic device.
Ask your health care provider if you have questions
about any risks with using the Communicator or your
implanted device. There is also valuable information
about risks and reliability in the patient handbook for
your implanted device.

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Where to Place Your Communicator
Place your Communicator:
• Near an electrical outlet that is easily
accessible.
• Where you can sit comfortably and see the front
of the Communicator.
• Depending on the communication method used:
• Standard telephone line: Near a telephone
wall jack.
• Cellular data network: In a location where
you get a good signal.
• Ethernet (Internet): Near an Internet
connection.
• Close to where you sleep or near your bedside.
If this is not possible, place your Communicator
where you spend a considerable amount of time
each day.
• Where the Communicator and all its cables and
accessories will be kept dry and not exposed to
humidity or potential water contact.
Important Notes
• It is very important that the Communicator
remains plugged into the electrical outlet.
• Your Communicator should remain connected
to telephone or Internet service unless you are
subscribed to the LATITUDE Cellular Data Plan.
• When setting up your Communicator, use only one
type of connection (standard telephone line, cellular
data network, or Ethernet) even though you may
have cables or adapters for more than one.

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• This equipment needs to be installed and put into
service in accordance with the information in the
provided documentation. Call your health care
provider if you need assistance setting up or using
your Communicator.
• Some household appliances and other sources of
electromagnetic energy could interfere with wireless
communication between the Communicator and
your implanted device. When you are using the
Communicator, you should be at least 3 ft (1 m)
away from televisions, videocassette recorders
(VCRs), digital video disc (DVD) players, personal
computers, and other electronic equipment.
• Electrical safety: It is recommended that the
customer install a surge protector between the
electrical wall outlet and the Communicator. This is
to avoid damage to the Communicator caused by
local lightning strikes and other electrical surges.
Electrical cable wall plugs and other accessories
must be in good condition before use.
• Boston Scientic personnel may contact the clinic
or patient to advise on the best Communicator
placement if an implanted device uses too much
radio-frequency (RF) telemetry.

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Buttons, Connectors, and Indicators
Figure 1 and Figure 2 show the buttons, indicators,
and connectors on the front and back of the
Communicator. Refer to “Indicator Descriptions” on
page 31 for a description of each indicator.
Figure 1. Buttons and Connectors
To telephone
wall jack
To telephone
(optional)
Power
input
Status
button
USB ports*
* USB ports are used to connect the USB sensor adapter and/or the
LATITUDE NXT USB Cellular Adapter or USB Ethernet Adapter.
Heart button
LATITUDE
indicator

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1. Patient Icon: Stay close to the Communicator when lit
any color.
2. Collecting Waves:
Green = successfully collecting data.
Yellow = error collecting data.
3. Heart Button: Press when ashing or press to send data.
4. Sending Waves:
Green = successfully sending data.
Yellow = error sending data.
5. Doctor Icon: Data successfully sent when lit blue.
6. Sensor Reading Icon: Sensor reading received when lit.
7. LATITUDE Indicator:
Green = Communicator is active and ready to use.
Yellow = Flashes yellow during start-up process or to
indicate an error.
8. Call Doctor Icon: Call your doctor when lit any color.
Figure 2. Indicators
For more information about indicators, see “Indicator
Descriptions” on page 31.
Heart
Button Sending
Waves
Collecting
Waves
Patient
Icon Doctor
Icon
LATITUDE
Indicator
Sensor
Reading Icon Call Doctor
Icon

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Installing Your Communicator
ConrmingSwitchSettings
• Conrm that the white switches numbered 4-8 on
the bottom of the Communicator match the country
switch settings as shown in Figure 3.
• If the white switches on the bottom of your
Communicator do not match the switch settings
shown below, slide them up or down to set them as
shown.
• Landline telephone connection only: Switches
numbered 1-3 may differ from those shown if a dial-
out number or prex is needed to place an outside
telephone call. Refer to “Setting Switches for PBX
or Dial-out Numbers” on page 66 for those switch
settings.
Figure 3.
*6290*
TM
United States
and Puerto Rico
Canada
Dial-out Country
Mexico
Switch Settings