Cardiac Designs ECG Check User manual

Cardiac Designs LLC
ECG-Check
ECG-Check
ECG-Check
ECG-Check
User
User
User
User Manual
Manual
Manual
Manual
This document contains proprietary information of Document No. Rev. Page of
Cardiac Designs LLC ECGC-70-003 02
1 23
User Manual
ECG-Check - OTC
RESTRICTION ON USE, DUPLICATION, OR
DISCLOSURE OF PROPRIETARY INFORMATION
This document contains proprietary information,
which is the sole property of the company. The document is
submitted to the recipient for his use only. By receiving
this document the recipient undertakes not copy or
disclose part of, or the whole of the information contained
herein to any third party without receiving beforehand,
written permission from submitting company.
Name Title Signature Date
WRITTEN BY M. J ANDES TEAM LEADER ONFILE ONFILE
APPROVED BY K. M ARROUCHE MANAGING DIRECTOR ONFILE ONFILE

Cardiac Designs LLC
ECG-Check
ECG-Check
ECG-Check
ECG-Check
User
User
User
User Manual
Manual
Manual
Manual
This document contains proprietary information of Document No. Rev. Page of
Cardiac Designs LLC ECGC-70-003 02 2 23
Version
Version
Version
Version Date
Date
Date
Date Name
Name
Name
Name Description
Description
Description
Description
01 1/16/2013 C. Pillar Initial Document
02 1/18/2013 M. Jandes Added screen shots of progress bar

ECG Check Wireless
1-Lead Cardiac Monitor
OTC Use

ii
Dear
Dear
Dear
Dear ECG
ECG
ECG
ECG Check
Check
Check
Check Owner:
Owner:
Owner:
Owner:
Thank you for selecting the ECG Check cardiac monitor.
This user guide includes information and instructions about your new ECG Check
and will help familiarize you with the basic skills of using your ECG Check, so please
take a moment to read it carefully before you begin testing.
We have included a warranty registration card.
Please complete and return it promptly to enable us to provide you the full benefits
regarding your ECG Check product.
For the most up-to-date list of compatible devices, please refer to the supported list
at http://www.cardiacdesigns.com.
We care about what you think and want to keep you informed about its use and care.
If you have any questions about your new ECG Check, please contact:
Cardiac Designs, LLC
3293 Niblick Rd
Park City, UT 84098
Tel: 512-582-2453
Fax: 713.589.7964
Email: [email protected]
Website: www.cardiacdesigns.com

iii
Copyright
Copyright
Copyright
Copyright Declaration
Declaration
Declaration
Declaration
Copyright
©
2012 Cardiac Designs, LLC
All rights reserved.
iPhone, iPad, iPod, iOS and the Apple l o go are either registered trade m arks or
trademarks of Apple Corporation in the United Statesand/or other countries.
Cardiac Designs, LLC,Cardiac Designs logo, and ECG Checkand ECG Web Center are
trademarks orregistered trade m arks of Cardiac Designs, LLC.
All other br a n dnames and product na m es used i n this document are trade
na m es,ser v icemar k s,trade m arks, o rregistered trademarks of their re s pective
owners.
The information and screens provi d ed in this manual aresubjectto change without
notice.
Card iac Designs, LLC SHALL NOT BE LIABLE FOR TECHNIC A L OR EDI T ORIAL
E RRORS O R OMISSI O NS CON T AIN E D HEREIN; NOR F O R INCIDEN T AL OR
CONSEQUENTIAL DAMAGES RESU L T I N G F R OM THE FU R NI S HING,PE R FORMA NCE ,
OR USE OF THIS MAT E RIAL.
Authorized Representatives:
USA
Cardiac Designs, LLC
3293 Niblick Rd
Park City, UT 84098
512-582-2453
Declaration
Declaration
Declaration
Declaration of
of
of
of Conformity
Conformity
Conformity
Conformity
Conformance to St a ndards – non-c l inical testing de m onstrated conformance
tovoluntary safetyIEC60601-1 andtoIEC60601-1-2-2001 ClassB
Warning: Changes or modifications to this unit not expressly approved by the party
responsible for compliance could void the user ’ s authority to operate the equipment.
NOTE: This equipment has been tested and found to comply with the limits for a
Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are

iv
designed to provide reasonable protection against harmful interference in a
residential installation. This equipment generates, uses and can radiate radio
frequency energy and, if not installed and used in accordance with the instructions,
may cause harmful interference to radio communications.
However, there is no guarantee that interference will not occur in a particular
installation. If this equipment does cause harmful interference to radio or television
reception, which can be determined by turning the equipment off and on, the user is
encouraged to try to correct the interference by one or more of the following
measures:
�
�
�
�Reorient or relocate the receiving antenna.
�
�
�
�
Increase the separation between the equipment and receiver.
�
�
�
�Connect the equipment into an outlet on a circuit different from that to
which the receiver is connected.
�
�
�
�Consult the dealer or an experienced radio/TV technician for help.
This device complies with Part 15 of the FCC Rules. Operation is subject to the
following two conditions:
(1) this device may not cause harmful interference, and
(2) this device must accept any interference received, including interference
that may cause undesired operation.
Cardiac Design, LLC ’ sQuality Systemconfo r m s to21 CFR 820 and ISO13485:2003
Danger
Danger
Danger
Danger
Equip m ent not suitable f o r use in the pre s en c e of fla mm a ble anesthetic m ixture w i th
a i r or with O x yg en or Nit r ous O x id e .
Graphic
Graphic
Graphic
Graphic Symbols
Symbols
Symbols
Symbols on
on
on
on ECG
ECG
ECG
ECG Check
Check
Check
Check
Thi s s ym b o l
i
s i n ten d e d t o
aler
t th e u
se
r t o t h e pres e nc e o f
im portant opera
t
ing and m a i n tenan c e(ser v
i
c ing) i n s
t
ru c
t
ions
in the literatu
r
e a c co m panyin g th e appl
i
a nce.
This s ym b ol
i
n di c ates
t
y p eBF eq u i pm ent c
l
a s s
i
fi e d in
acc o rda n ce with IEC Pu b l i c at io n
601-
1
Safet
y o f medi c a l
ele c tr
i
cal eq u ipment.

v
Intended
Intended
Intended
Intended Use
Use
Use
Use
The ECG Check is intended for use whenever you are interested in your cardiac
activity. It can be used any time, including during or after strenuous activity (i.e.,
during or after exercise) or if you experience the following symptoms that are
suggestive of abnormal heart rhythms:
•Skipped Beats
•Pounding Heart (Palpitations) Heart Racing or Irregular Pulse
•Lightheadedness or Faintness
•History of Arrhythmias
The ECG Check is not intended for diagnostic use and does not provide diagnostic
quality ECG data.
Contraindications
Contraindications
Contraindications
Contraindications
There a
r
e no pote n
t
i a l a d ver s e ef
f
ec
t
s o f
th
e ECG Check o n
health.

vi
Who
Who
Who
Who Should
Should
Should
Should NOT
NOT
NOT
NOT Use
Use
Use
Use the
the
the
the ECG
ECG
ECG
ECG Check
Check
Check
Check
In order to use this device, you must be able to perform all of the following:
•Understand principle of operation described in this manual
•Speak and understand English
•Place the ECG Check in your hands or on your chest and hold it for at least 30
seconds
•Operate a ECG Check and the Web Center application
•Operate simple push-buttons
Due to the possible seriousness of the abnormal heart rhythms that can be
associated with these conditions, persons with the following conditions should
consult their physician before using this device:
•Coronary heart disease
•Valvular heart disease
•Heart transplant
•Heart failure

vii
Warning
Warning
Warning
Warning
The ECG Check is not a diagnostic device.
This non-standard 1 - lead electrocardiogram (ECG), which is measured using the
ECG Check, should not be used for diagnostics in comparison to the standard 12 lead
ECG obtained with standard electrode placement.
This device should not be used with pacemakers or implanted defibrillators and
cannot predict or diagnose a heart attack or be used for chest pain monitoring.
The ECG Check is not a defibrillation-proof device.
To pre v ent fire or s h ock h a zard,do not e x po s e the u n
i
t t o r a i n o r mo
i
sture.
Refer
servicing to qua l i
f
i e d pe
r
sonn e l onl y .
When used as an Over-the-Counter device, the display function for actual ECG
waveforms and ECG reports is disabled. To access the display feature for viewing
your ECG date, contact your physician and obtain a prescription. Only patients
under the care of a physician with a prescription for this service may view ECG data
and ECG reports.

viii
Table
Table
Table
Table of
of
of
of Contents
Contents
Contents
Contents
Dear
Dear
Dear
Dear ECG
ECG
ECG
ECG Check
Check
Check
Check Owner:
Owner:
Owner:
Owner:
......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
ii
ii
ii
ii
Copyright
Copyright
Copyright
Copyright Declaration
Declaration
Declaration
Declaration
........................................................................................................
........................................................................................................
........................................................................................................
........................................................................................................
iii
iii
iii
iii
Declaration
Declaration
Declaration
Declaration of
of
of
of Conformity
Conformity
Conformity
Conformity
.................................................................................................
.................................................................................................
.................................................................................................
.................................................................................................
iii
iii
iii
iii
Danger
Danger
Danger
Danger
................................................................................................................................
................................................................................................................................
................................................................................................................................
................................................................................................................................
iii
iii
iii
iii
Graphic
Graphic
Graphic
Graphic Symbols
Symbols
Symbols
Symbols on
on
on
on ECG
ECG
ECG
ECG Check
Check
Check
Check
.........................................................................................
.........................................................................................
.........................................................................................
.........................................................................................
iv
iv
iv
iv
Intended
Intended
Intended
Intended Use
Use
Use
Use
......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
iv
iv
iv
iv
Contraindications
Contraindications
Contraindications
Contraindications
...............................................................................................................
...............................................................................................................
...............................................................................................................
...............................................................................................................
iv
iv
iv
iv
Who
Who
Who
Who Should
Should
Should
Should NOT
NOT
NOT
NOT Use
Use
Use
Use the
the
the
the ECG
ECG
ECG
ECG Check
Check
Check
Check
.................................................................................
.................................................................................
.................................................................................
.................................................................................
v
v
v
v
Warning
Warning
Warning
Warning
..............................................................................................................................
..............................................................................................................................
..............................................................................................................................
..............................................................................................................................
vi
vi
vi
vi
Quick
Quick
Quick
Quick Start
Start
Start
Start Guide
Guide
Guide
Guide
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
1
1
1
1
ECG
ECG
ECG
ECG Check
Check
Check
Check Introduction
Introduction
Introduction
Introduction
......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
4
4
4
4
General Description
........................................................................................................................
4
The ECG Check Kit
..........................................................................................................................
4
Using
Using
Using
Using the
the
the
the ECG
ECG
ECG
ECG Check
Check
Check
Check
...........................................................................................................
...........................................................................................................
...........................................................................................................
...........................................................................................................
5
5
5
5
General
............................................................................................................................................
5
Before Testing
.................................................................................................................................
6
Recording
........................................................................................................................................
6
Medical Records
..............................................................................................................................
8
Maintenance
Maintenance
Maintenance
Maintenance
.......................................................................................................................
.......................................................................................................................
.......................................................................................................................
.......................................................................................................................
9
9
9
9
Battery Replacement
......................................................................................................................
9
Conditions of Use
............................................................................................................................
9
Caring for your ECG Check
.............................................................................................................
9
Environment
...................................................................................................................................
9
Precautions
...................................................................................................................................
10
Preventive Maintenance
..............................................................................................................
10
Mechanical Inspection
..............................................................................................................
10
Cleaning
.....................................................................................................................................
10
Troubleshooting
Troubleshooting
Troubleshooting
Troubleshooting
................................................................................................................
................................................................................................................
................................................................................................................
................................................................................................................
11
11
11
11
Glossary
Glossary
Glossary
Glossary
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
.............................................................................................................................
12
12
12
12
Technical
Technical
Technical
Technical Specifications
Specifications
Specifications
Specifications
....................................................................................................
....................................................................................................
....................................................................................................
....................................................................................................
13
13
13
13
Additional
Additional
Additional
Additional Information
Information
Information
Information
.....................................................................................................
.....................................................................................................
.....................................................................................................
.....................................................................................................
14
14
14
14

Quick
Quick
Quick
Quick Start
Start
Start
Start Guide
Guide
Guide
Guide
1. Install the ECG Check Application on the iPhone via the iPhone App Store or
visit http://ecgcheck.com from your iPhone for a direct link (first time use).
2. Ensure data and Bluetooth communications are enabled.
a. Configure the outgoing communication to the ECG Check Web Center
by enabling either cellular data or Wifi (or both -- See your iPhone
documentation for more information).
b. Configure the ECG communication to the ECG Check device by
ensuring your Bluetooth radio is enabled.

2
3. Start the ECG Check Application on the iPhone by pressing the ECG Check
icon.
4. Set up the user profile (first time use or when necessary).
5. Place your fingers on the silver pads of the ECG Check device to start the ECG
recording.
6. Once the progress bar is full, the recording will be automatically stored and
sent for analysis. Upon completion, you will see the screen below.

3
ECG
ECG
ECG
ECG Check
Check
Check
Check Introduction
Introduction
Introduction
Introduction
General
General
General
General Description
Description
Description
Description
The ECG Check is a medical d e v i ce that allo w s recording and sending of an E C G
re c ording (u s i ng Bl u etooth tech n ology).The recording is s e nt to a dev i ce (ECG Check
Application compatible iPhone). This allows y o u and your physicia n t o m onito r you r
health information (ECG) from anywhere any time you wish.
The
The
The
The ECG
ECG
ECG
ECG Check
Check
Check
Check Kit
Kit
Kit
Kit
1. ECG Check Monitor
2. (1) CR2032 Battery
3. Quick User Guide (this document)

4
Using
Using
Using
Using the
the
the
the ECG
ECG
ECG
ECG Check
Check
Check
Check
General
General
General
General
The ECG-Check is a single lead ECG recording device that uses the 2 built-in
electrodes (silver pads) on the underside of the device to record and transmit your
ECG to an application via Bluetooth for display and analysis.
Place your fingers on the electrodes or place the device on your chest to start the
recording.
Device Functions
1. On/Record
•If the device is off, pressing your fingers to the electrodes will turn the device
on and begin recording once the device has initiated communication with the
iOS application.

5
•If the iOS application is not loaded, please start the iOS application prior to
initiating a recording on the device. The device will not begin recording data
until the iOS application has been started.
2. Standby / Power Off
•The device will turn off automatically after the device has detected no skin
contact for 4 seconds. If there was an on-going test, the test will be
invalidated and need to be restarted
Note: T he de v i c e s t a r t s
re co rd i ng
wh en there
i s e le c tro d e c ont a ct w ith
t he
s k
in
AND the iOS has communicated with the device via Bluetooth to begin
recording
Before
Before
Before
Before Testing
Testing
Testing
Testing
Read the testing ins t ructions before atte m pt i ng a test.Pay careful attention to the
e l e c trode po s i t
i
on s a s
i
n st
r
ucte d .
Mak e s u r e y ou h a v e a ll i
t
e m s needed to test:
•ECG Check
•ECG Check Appli c ation comp a tible iPhone(with application installed)
Recording
Recording
Recording
Recording
1. Verify that Bluetooth is on and cellular data is enabled on the iPhone.

6
2. Start the ECG Check application by tapping the ECG Check icon.
3. Log into your user account.
4. Press your fingers to the electrodes to initiate a recording.
5. Wait for the progress bar to fill up while the system records your ECG.You
will see the screen shown below as it is recording.
6. The system will automatically send the ECG for analysis.
Medical
Medical
Medical
Medical Records
Records
Records
Records
To examine a list of previous recordings stored on the device, tap the medical
history icon to open the medical history screen; here you will see a list of the
previous tests stored on your device.

7

8
Maintenance
Maintenance
Maintenance
Maintenance
Battery
Battery
Battery
Battery Replacement
Replacement
Replacement
Replacement
Caution: Use only CR2032 lithium ion batteries.
1. Place the ECG Check device with electrode pads down on a stable surface
2. Using a Phillips head screwdriver, unscrew the screw securing the battery
cover.
3. Slide out the used battery
4. Slide in the new CR2032 lithium ion battery
5. Replace the battery cover and secure with the cover screw
Conditions
Conditions
Conditions
Conditions of
of
of
of Use
Use
Use
Use
You r ECG Check
conform
s
t
o i
nternat
i o n a l r e gula
t
io n s in s o far a s
i
t
i
s u sed under
nor ma l cond
i
t
ions a nd in a c cor d ance w
i
th t h e fo
l
l ow
i
n g
in
str u cti o ns.
Caring
Caring
Caring
Caring for
for
for
for your
your
your
your ECG
ECG
ECG
ECG Check
Check
Check
Check
D o no t o pe n o r att e mp t t o
repai
r y o u r
ECG
Check
yourself
. Only authori z ed ser v ice
personnel may repa i r the product.
D o no t d
r
o p you r ECG Check o r s u bj
e
c t i t t o s e v e r e im
pa
c
ts
.Be n d
i
n g
the
bod y ca n
damag e th e
ci r
cui
t
ry . D o no t u s e extre m e force when pres s ing the dis p l a y o r k e
ys.
Do not u s e sol v ents to clean y o ur ECG Check. Us e o n l y a s o ft , d
r
y cl o
th.
Environment
Environment
Environment
Environment
Keep a w a y f
r
om e x tr e m e heat.Do not l e a v e
i
t on t h e da s hboa
r
d of a car o r nea r a
heater
. D o no t
lea
v e
i
t
i
n an y p
l
ace
t
h at is e x trem e l y damp or d u sty.

9
As t h is p r od u ct
i
s n ot wat e rp
roof
, d o no t u s e i t o r s to r e i t wher e
flu
i d s
suc
h
as
wate r
ca n
spla
s h
ont
o
it
. Ra i
ndrop
s , w aterspr a y,
ju
ice,c o ffee,s
t
eam,
pers p i ra
t
i
o n ,etc.m a y a
ls
o ca u s e a malfu n c
t
ion.
Kee p a c ce s s
orie
s tha t migh t b e s w
allowe
d awa y
fro
m
children.
Precautions
Precautions
Precautions
Precautions
Warning: D
i
s p o s e o f
al
l u
se
d
batterie
s
i
n a
prope
r wast e
dispo
s a l
in
accordance with
local
regulation.
Used
batteries
must
not
be
discarded
in the normal
trash.
Preventive
Preventive
Preventive
Preventive Maintenance
Maintenance
Maintenance
Maintenance
The f o llo w i n g s
i
mple p
r
e ven
t
ive m a i n tena n ce
t
a
sk
s s h ou
l
d be perfo
r
m ed mont h l y to
e nsure c o nti
n
ued p e rfo
r
m ance of
t
he
de
v
i
ce a t m a x
i
m um ca
pac
i
t
y, and to red
uc
e the
po s s
ibil
i
t
y o f a
failure.
Mechanical
Mechanical
Mechanical
Mechanical Inspection
Inspection
Inspection
Inspection
C h e c k f or sp
l
i
t
s , c r a c k s, o r i m p
er
f
ec
t i on s i n th e c
a
se . I f y ou h a v e an y q ue s
tio
n s or
doubts,call y our service provider.
Cleaning
Cleaning
Cleaning
Cleaning
C l ean the out s ide
of
the
device
only,
u s i n g a
l
i
nt-free d ry c l ot h .
Do not a l
l
ow any liquid to enter
t
h e ca s e,and a v o i d
pourin
g
wate
r o r
other
l i qu i d s o n
th e
devi
c e
whil
e c l
eaning.
N ever u se a b r a s
i
v e s s u c h as w
i
r
e woo l or m e
ta
l po l
i
sh.
During c
l
ean
i
ng, m ake su
r
e you do not e x p o se
t
he d e v
i
ce
t
o t em peratu
r
es in e x
ces
s o f
45 ° C
(113
°
F).

10
Troubleshooting
Troubleshooting
Troubleshooting
Troubleshooting
Problem Possible Cause(s) Solution
Device does not send ECG
to application
The battery is very low or
depleted
Replace battery
The Bluetooth radio is not
enabled on the host device
Turn on the Bluetooth
radio in the iPhone
The user has not touched
both electrodes.
Ensure both electrode
pads are in contact with
the user ’ s skin
ECG Data is not being
analyzed
There is no connection to
the internet
Turn on your cellular data
or connect to a wifi access
point
ECG analysis comes back
with a bad recording
Too much noise or
movement in the
recording
Do not move & remain
still while the device is
recording
Not enough ECG data was
collected
Keep the device in contact
with the skin for 30
seconds
iPhone is running slowly Too many applications
open
Manually close the iOS
applications or restart
your phone.
ECG Check application
does not launch
Too many applications
open
Manually close the iOS
applications not in use or
restart your phone.
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