Cybernet Medical MedStar 533-210 User manual

MedStar Unit User’s Manual
Model 533-210
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MedStar Operating Instructions
(Model 533-210)
Table of Contents
Features 2
Setup Instructions 3
Operating Instructions 5
General Usage Instructions 8
Distributor Instructions 8
Programming Instructions 10
Operating and Storage Conditions 15
FCC Registration and Repair Information 17
FEATURES
Text
Display Activation
Button
Scale
Interface
Blood
Pressure
Interface
Pulse Oximeter
Interface
Spirometer
Interface
Phone
Interfaces
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SETUP INSTRUCTIONS
Connecting MedStar to the Weight Scale:
To Weight
Scale
Connect the angled end of the GREEN cable to the Weight Scale and the straight end to
the GREEN interface socket on the MedStar device.
Connecting MedStar to the Pulse Oximeter:
To Pulse
Oximeter Unit
Connect one end of the BLACK cable to the Pulse Oximeter Unit and the other end to the
BLACK interface socket on the MedStar device.
Connecting MedStar to the Blood Pressure Unit:
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To Blood
Pressure
Unit
Connect one end of the BLUE cable to the Blood Pressure unit and the other end to
the BLUE interface socket on the MedStar device.
Connecting MedStar to the Spirometer:
To
Spirometer
Unit
Connect one end of the YELLOW cable to the Spirometer unit and the other end to
the YELLOW interface socket on the MedStar device.
Connecting MedStar to the phone line:
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To Wall
Jack To Phone
(optional)
Connect one end of the phone cable to either of the two phone jacks on the MedStar
device. Connect the other end of the phone cable to the phone jack outlet in your
house.
Important Note: An active phone connection is required for the MedStar Unit to
function properly.
Optional: Use the second phone jack on the MedStar device to connect a standard
household phone.
OPERATING INSTRUCTIONS
Standard Procedure:
1. Before starting, make sure that all device connections are properly made, as
described in the setup instructions above. Note: the MedStar device does not need
to be turned on – it will wake up when the connected weight scale is activated.
2. First take blood pressure measurement according to the instructions that
accompany the blood pressure unit:
Place cuff on arm and press blue button on the Blood Pressure unit.
Make sure you read the measurement results so that you are aware of your
values and can follow your doctor’s instructions.
3. Next take spirometer measurement according to the instructions that accompany
the spirometer unit.
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Make sure you read the measurement results so that you are aware of your
values and can follow your doctor’s instructions.

You must put the spirometer in data mode before the MedStar can collect data
from it. To do this remove the top of the spirometer (mouth piece) and press the
smaller (lower) recessed button with a paperclip. The display of the spirometer
should go blank all except a series of >>>>> displayed at the bottom. After the
MedStar has read the data from the device the spirometer can be reassembled to
take additional measurements. The spirometer will return to normal mode after
a few minutes or you can press the “Operate Button” to immediately exit data
mode.
4. Then take a weight measurement according to the instructions that accompany the
weight scale:
Before standing on the scale, press the green button on the scale and wait for
scale to show “0.0”
Then stand on scale and wait until the reading stabilizes
Make sure you read the measurement results so that you are aware of your
values and can follow your doctor’s instructions.
5. Next the MedStar will prompt the user to turn on the PalmSat Pulse Oximeter unit.
The user should then follow the instructions that accompany the PalmSat unit to
take a pulse oximeter reading. After the Pulse Oximeter measurement has been
taken the MedStar will attempt to query the Spirometer (make sure the spirometer
is in data mode as described in step 3 above). Next the MedStar will proceed to
collect all data stored on the blood pressure unit, and send all measurements over
the phone. (Display messages and audio tones will provide feedback on the
operational status and indicate success or failure of data transfer).
Taking Additional Blood Pressure Measurements:
Additional blood pressure measurements may be taken throughout the day, at any
location, by using the following procedure:
1. Disconnect the blood pressure unit from the MedStar device, by removing the
cable, and take the blood pressure device along wherever you go.
2. Take one or more blood pressure measurements throughout the day. These
measurements get stored in the blood pressure unit (see the blood pressure unit
manual for maximum number of readings that may be stored).
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3. Reconnect the blood pressure unit to the MedStar device using the appropriate
cable connections.
4. The stored blood pressure readings will be collected and sent the next time a
weight measurement is taken (see standard procedure).
-OR-
You may press the blue button on the MedStar device to have it collect and
transfer the stored blood pressure readings.
Taking Additional Spirometer Measurements:
Additional spirometer measurements may be taken throughout the day, at any
location, by using the following procedure:
1. Disconnect the spirometer unit from the MedStar device, by removing the
cable, and take the spirometer device along wherever you go.
2. Take one or more spirometer measurements throughout the day. These
measurements get stored in the spirometer unit (see the spirometer unit manual
for maximum number of readings that may be stored).
3. Reconnect the spirometer unit to the MedStar device using the appropriate
cable connections.
4. The stored spirometer readings will be collected and sent the next time a
weight measurement is taken (see standard procedure).
-OR-
You may press the blue button on the MedStar device to have it collect and
transfer the stored spirometer readings.
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GENERAL USAGE INSTRUCTIONS
Caution: Federal law restricts this device to sale by or on the order of a physician.
Warning: The MedStar Unit is intended to be used by only a single (one) patient at a
time. Multiple patients should each have their own device as well as their own peripheral
monitoring/measurement devices. If there are more than one patient, each using their
own MedStar Unit, in the same household, extra care should be taken so that one patient
does not accidentally use another’s MedStar Unit. Name labels, placed on the front of
the MedStar, below, but not covering the LCD display, is the suggested method for
identifying which MedStar Unit belongs to which patient.
Please be aware that the external monitors may have their own internal clock which must
be set to the correct date. Please refer to the specific monitor’s instruction manuals.
The MedStar Unit model 533-210 is compatible with following monitors only:
Blood Pressure
A&D Medical UA-767PC
Weight Scale
A&D Medical UC-300
A&D Medical UC-321
Pulse Oximiter
Nonin PalmSat 2500
Spirometer
Ferraris KoKo Peak Pro 6
DISTRIBUTOR INSTRUCTIONS
Caution: Federal law restricts this device to sale by or on the order of a physician.
Warning: The MedStar Unit is designed to be used only by a single patient at a time. If
there are more than one patient, each using their own MedStar Unit in the same
household, extra care should be taken so that one patient does not accidentally use
another’s MedStar Unit. Name labels, placed on the front of the MedStar, below, but not
covering the LCD display, is the suggested method for identifying which MedStar Unit
belongs to which patient. Additionally, stored data should be isolated and maintained for
each patient. This will prevent the mixing up of measurements.
When distributing MedStar Units, it is important that you have in place a system for
confirming that devices are assigned to patients properly. An improperly assigned device
may cause data to be lost, or may cause data from one patient to appear as if it belongs to
another.
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Each MedStar has a programmable field called ‘Device Code’ (see Programming
Instructions). Please be aware that this ‘Device Code’ should not be used as a means to
identity MedStar Unit users. If this ‘Device Code’ is incorrect, there may be a mix up or
loss of data, or may cause data from one patient to appear as if it belongs to another. It is
intended for more general identification, such as the patient’s disease state. Using the
‘Device Code’ to identify MedStar Users may place your system in non-compliance with
some medical regulations.
Each MedStar Unit comes with a pre-set, default phone number and phone number prefix
programmed. See the section ‘Programming Instructions’ for information on changing
this number.
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PROGRAMMING INSTRUCTIONS
MedStar has programming features that allow for setting of the dialing prefix (if
required) and the phone number to call for transfer of the data. Additional diagnostic
features are also available.
Programming of the device may be performed using the recessed buttons on the left side
of the device (see figure below). These buttons can be pressed using a paper clip or
similar instrument.
Activation
Button
Upper
recessed
button
Lower
recessed
b
utton
Initiating the programming sequence:
Using a paper clip press and hold the upper recessed button. While holding the upper
recessed button, press and release the activation button. Keep the upper recessed button
pressed until the “Device Setup” message appears.
Once in programming mode, use the recessed button to advance through the device setup
options. Each option is described next (in the order they appear).
Code Version:
Provides a display of the software version installed on the device. This is for diagnostic
purposes only.
Phone Number:
Allows modification of the dialing prefix and phone number that will be called for
transfer of the data. To change, press the activation button while this option is selected
and follow these instructions:
Set the Dialing Prefix
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1. First set the dialing prefix using the upper recessed button to scroll forward, the
lower recessed button to scroll backward, and the activation button to increment
the selected digit.
The available digits are: 0, 1, 2, … , 8, 9, #, *, P, and _ where P represents a 1
second pause, and _ represents a space. The space is used to denote no digit (for
example, when there is no dialing prefix required), and as a termination character
(select a space to denote the end of a number).
2. Once the prefix is set as desired, scroll forward past the space after the last digit.
3. The programmed prefix (if any) will then be displayed with the option to cancel or
accept the new value. Cancel using the lower recessed button. Accept using the
activation button.
Set the phone number
4. Next, set the 10 digit phone number using the same scrolling and digit
incrementing scheme as for the prefix. Once the number is set as desired, scroll
forward past the last digit.
5. The phone number will then be displayed with the option to cancel or accept the
new value. Cancel using the lower recessed button. Accept using the activation
button.
Test the Phone Connection
6. Now, at the message “Connect to Phone Line”, press the activation button.
Messages will indicate status of the call and whether it passed or failed.
7. Once the test is complete, press the activation button to return to the device setup
options. If the test fails, you will need to confirm proper dialing prefix, phone
number, phone line connection, phone service, and operation of the data collection
server.
Test Phone Number:
To test the dialing prefix, phone number, phone line connection, and ability to connect to
the data collection server, press the activation button when this option is selected. Then
press the activation button again at the “Connect to Phone Line” message. Messages will
indicate status of the call and whether it passed or failed.
Once the test is complete, press the activation button to return to the device setup options.
If the test fails, you will need to confirm proper dialing prefix, phone number, phone line
connection, phone service, and operation of the data collection server.
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Set Server Code:
Allows modification of the Server Code that is used for security authentication. In order
for the MedStar to successfully connect to a Data Collection Server, it must have the
same Server Code as that Data Collection Server (see Data Collection Server
documentation for more information).
To change the Server Code, press the activation button when this option is selected. Set
the Server Code value using the upper recessed button to scroll forward, the lower
recessed button to scroll backward, and the activation button to increment the selected
digit. Once the value is set as desired, scroll forward past the last digit.
The Server Code will then be displayed with the option to cancel or accept the new value.
Cancel using the lower recessed button. Accept using the activation button.
Set Device Code:
Allows modification of the Device Code, which is an optional value that may be
programmed into each device. The device serial number and the programmable Device
Code are both sent along with the collected data to the Data Collection Server (see data
collection server documentation for more information).
To change the Device Code, press the activation button when this option is selected. Set
the Device Code value using the upper recessed button to scroll forward, the lower
recessed button to scroll backward, and the activation button to increment the selected
digit. Once the value is set as desired, scroll forward past the last digit.
The Server Code will then be displayed with the option to cancel or accept the new value.
Cancel using the lower recessed button. Accept using the activation button.
Reset EEPROM:
Erases all memory on the device. The result will be the loss of any stored data, and a
return of the dialing prefix, phone number, device code, and server code to the installed
default values. To perform this function, press the activation button when this option is
displayed. Then press the activation button again to confirm the erasure (“Erase All
Data”), or press the upper recessed button to cancel the erasure (“Cancel”).
Serial Number:
Provides a display of the device serial number. This is for diagnostic purposes only. To
view the serial number press the activation button while this option is selected. After
viewing the serial number, press the activation button again to return to the device setup
options.
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DTMF Spy:
For development and testing purposes only. Do not use.
If this mode is inadvertently entered, press the activation button until the arrow is
displayed, and then press the lower recessed button to return to the device setup mode.
Offhook Test:
For development and testing purposes only. Do not use.
If this mode is inadvertently entered, press the activation button until the arrow is
displayed, and then press the lower recessed button to return to the device setup mode.
Exit:
To exit the device setup and shutdown the device, press the activation button when this
options is selected.
Alternatively, you may shutdown the device at any time (during normal operation or in
setup mode), by pressing and holding down the activation button for at least 1 second.
Status Messages:
The following status messages may appear on the MedStar display during normal
operation and may be accompanied by short, high-frequency audio beeps to confirm
different stages of successful operation. They require no action.
Message Description
Dialing MedStar is dialing phone number for connection to Data
Collection Server
Line Busy Phone line is Busy. MedStar will wait several minutes and
attempt to try again. After several attempts it will shutdown
and store data for transmission with the next collection.
No Data to Transmit MedStar has no collected data to transmit. It will shutdown
without attempting to dial the Data Collection Server
Query of BP Cuff
Successful
Data was successfully collected from the Blood Pressure
device
Reading Blood Pressure
Data
MedStar is attempting to collect data from the Blood
Pressure device
Turn on PalmSat MedStar is attempting to collect data from the PalmSat
Pluse Oximeter device.
Reading from Pulse
Oximeter
Data is currently being collected from the Pulse Oximeter
device.
Pulse Ox Read Successful Data was successfully collected from the Pulse Oximeter
device.
Put Spirometer In Data
Mode
MedStar is attempting to collect data from Spirometer
device.
Check S
p
irometer Is In The MedStar is communicatin
g
with the S
p
irometer but it
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Data Mode is not in data mode or there is some other technical
problem.
Reading from Spirometer Data is currently being collected from Spirometer device.
Spirometer Read
Successfully
Data was successfully collected from Spirometer device.
Reading Data From Scale MedStar is attempting to collect data from the Scale
Scale Read Successfully Data was successfully collected from the Scale
Transmission Complete Transmission of data from the MedStar to the data
collection server was completed successfully
Transmitting Data MedStar is in the process of transmitting collected data to
the Data Collection Server
Waiting 1 min. for BP Cuff MedStar is waiting for the Blood Pressure device to exit
display mode so that data transfer may begin. The user may
press the button on the Blood Pressure device to speed up
this process
Waiting to retry
transmission
MedStar was unable to connect to the Data Collection
Server (due to busy phone line, for instance). It is currently
waiting to retry again.
Warning/Error Messages:
The following warning or error messages may appear on the MedStar display. They will
be accompanied by multiple short high-frequency audio beeps or longer, low frequency
audio tones. Action may need to be taken in order to establish proper operation.
Message Description
Auth Err Call
TechnicalSupport
An error occurred during security authentication with the
Data Collection Server. User must call technical support to
restore operation.
Deny Err Call
TechnicalSupport
MedStar did not pass security authentication with the Data
Collection Server (the Server Code was not valid). User
must call technical support to restore operation.
Error Reading From BP
Cuff
MedStar was unable to successfully collect data from the
Blood Pressure Device. The devices may not have been
connected properly. The user should confirm proper
connection between the MedStar and the Blood Pressure
device. If the error still occurs, then the user should
contact technical support.
Error Reading From Scale MedStar was unable to successfully collect data from the
Scale. The devices may not have been connected properly.
The user should confirm proper connection between the
MedStar and the Scale. If the error still occurs, then the
user should contact technical support.
Failed to Read Spirometer MedStar was unable to successfully collect data from the
Spirometer. The devices may not have been connected
p
ro
p
erl
y
or the S
p
irometer ma
y
not have been in data
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mode. The user should confirm proper connection between
the MedStar and the Spirometer. If the error still occurs,
then the user should contact technical support.
Failed to Read Pulse
Oximeter
MedStar was unable to successfully collect data from the
Pulse Oximeter. The devices may not have been connected
properly. The user should confirm proper connection
between the MedStar and the Spirometer. If the error still
occurs, then the user should contact technical support.
Low Battery When the battery is low MedStar will display this message
for 2 minutes and then immediately shutdown. Batteries
must then be replaced for continued operation.
Memory Err Call
TechnicalSupport
MedStar has detected potential data corruption in the data
storage component. It will display this message for 2
minutes and then immediately shutdown. User must call
technical support to restore proper operation.
Memory Full Call
TechnicalSupport
Data storage on the MedStar is full. It will display this
message for 2 minutes and then immediately shutdown.
User must call technical support to restore proper
operation.
No Dial Tone MedStar cannot detect a dial tone on the phone line.
Connection to the Data Collection Server cannot be
established. The user should confirm proper connection
between the MedStar and the phone outlet. If the error still
occurs, then the user should contact technical support.
Please Check BP Device
and Cable
MedStar cannot establish communication with the Blood
Pressure device. The user should confirm proper
connection between the MedStar and the Blood Pressure
device. If the error still occurs, then the user should
contact technical support.
Check Spirometer Cable
and Power
MedStar cannot establish communication with the
Spirometer device. The user should confirm proper
connection between the MedStar and the Spirometer
device. If the error still occurs, then the user should
contact technical support.
Check Pulse Ox Cable and
Power
MedStar cannot establish communication with the Pulse
Oximeter device. The user should confirm proper
connection between the MedStar and the Pulse Oximeter
device. If the error still occurs, then the user should
contact technical support.
Transmit Failed Transmission of the collected data to the Data Collection
Server was not successful. Prior error messages have
already indicated the reasons for this failure. Actions
recommended for those messages should be followed.
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OPERATING AND STORAGE CONDITIONS:
Battery Installation:
The MedStar Unit is shipped with alkaline type AA batteries. Only alkaline type AA
batteries should be used to power the MedStar Unit.
Operating Temperature:
MedStar should only be operated within the following normal operating temperature
range.
Normal Operating Temperature = 55ºF to 95ºF
If stored at temperatures outside this range, allow the device to return to normal operating
temperatures before use:
Storage Temperature:
MedStar should only be stored within the following storage temperature range:
Storage Temperature = 0ºF to 120ºF
If stored at temperatures outside of this range, the device may be permanently damaged.
Exposure to Liquids:
MedStar should not be submersed in water or other liquid, and should further be
protected from any prolonged contact with water or other liquid.
Electromagnetic Interference:
MedStar should not be operated in close proximity to any large electrical appliances or
industrial equipment that could generate significant electromagnetic interference.
Cables:
Use only with supplied cables.
Cleaning Instructions:
Remove the batteries and unplug all cables from the MedStar before cleaning. The
MedStar can be cleaned with a clean, slightly damp cloth. Use only a mild soap solution
for cleaning. Do not use abrasives, detergents or solvents to clean the device. Do not
apply pressure to the display panel. Clean the display panel only with a clean, dry cloth.
Allow the MedStar to dry completely before resuming operation.
Usage Limitations:
This version of the MedStar system is not intended for electrocardiograph monitoring,
pacemaker monitoring, or diabetes management. It is configured for use only with the
following devices: A&D Precision Health Scale (UC-300), A&D Blood Pressure
Monitor (UA-767PC).
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Handling Instructions
The MedStar display panel should not be exposed to direct sunlight for prolonged periods
of time. Do not apply pressure to the display panel.
The MedStar should not be exposed to highly humid environments for prolonged periods
of time.
Do not attempt to disassemble the MedStar for any reason.
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FCC Registration and Repair Information
(This information must be provided along with the device instructions)
This equipment complies with Part 68 of the FCC rules. On the bottom of this equipment
is a label that contains, among other information, the FCC certification number and ringer
equivalence number (REN) for this equipment. If requested, this information must be
provided to the telephone company.
A FCC compliant telephone cord and modular plug is provided with this equipment.
This equipment is designed to be connected to the telephone network or premises wiring
using a compatible modular jack that is Part 68 compliant. See Installation Instructions
for details.
The REN is used to determine the quantity of devices that may be connected to the
telephone line. Excessive REN’s on the telephone line may result in the devices not
ringing in response to an incoming call. Typically, the sum of REN’s should not exceed
five (5.0). To be certain of the number of devices that may be connected to a line (as
determined by the total RENs) contact the local telephone company.
If this device causes harm to the telephone network, the telephone company will notify
you in advance that temporary discontinuance of service may be required. But if advance
notice isn’t practical, the telephone company will notify the customer as soon as possible.
Also, you will be advised of your right to file a complaint with the FCC if you believe it
is necessary.
The telephone company may make changes to its facilities, equipment, operations or
procedures that could affect the operation of the equipment. If this happens the telephone
company will provide advance notice so you can make the necessary modifications to
maintain uninterrupted service.
If trouble is experienced with this device, for repair or warranty information, please
contact:
Cybernet Medical
727 Airport Blvd., Ann Arbor, MI 48108
734-668-2567
If the equipment is causing harm to the telephone network, the telephone company may
request that you disconnect the equipment until the problem is resolved.
Connection to party line service is subject to state tariffs. (Contact the state public utility
commission, public service commission or corporation commission for information.)
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