Epilepsy Alarms Brio User manual

Epilepsy App and Wrist Monitor
In an effort to continually provide the very latest technology for our clients, we have developed Brio
- the new sensor which has been designed to assist patients and their families who have been
diagnosed with Epilepsy, Type1 Diabetes and a range of other long term medical conditions.
If your consultant has raised the issue and you or a family member is considered at risk then the Brio
sensor could prove invaluable.
Epilepsy
We have developed Brio to detect associated symptoms that can happen at the start/ during a
seizure, primarily clients who have ictal tachycardia (the increase in heart rate during a seizure) or
ictal bradycardia (the reduction of heart rate during a seizure). This is specifically important if they
are at risk of having a seizure when asleep or if they have been advised that they are at risk of
cardiac arrest or SUDEP.
How does Brio work?
Brio has two elements: a wrist pulse monitor that permanently communicates with the Brio app via
a mobile device of your choosing.
The lightweight heart monitoring sensor can be comfortably worn on either the wrist or ankle and
does not interfere with the user’s sleep. The sensor constantly monitors the wearer’s pulse and
sends data to the Brio app located in the same room. The app processes this constant data flow and
will raise an alert if the user’s pulse-rate falls outside the normal parameters that can be individually
programmed. The Brio app stores all the relevant data which can be analysed or sent to a healthcare
professional if required.
Brio is suitable for adults and children from age 2+.
Using the Brio Wrist Sensor and App
The wrist sensor
The wrist monitor uses an optical sensor which detects the volume of blood beneath your skin, and
immediately applies a patented algorithm to measure your heart’s rhythm and display your heart
rate.
This technology gives you accurate heart rate from the wrist, without sacrificing comfort. Its soft,
durable silicone strap ensures a snug and comfortable fit. And with no need for a heart rate chest
strap, you’ll be more comfortable when in bed.

Using the Wrist Sensor
Your sensor can be worn on either your wrist or ankle, whichever is more comfortable but must
have good contact with the skin. If the Children can wear the sensor above the elbow or knee if the
device does not fit snuggly to the wrist or ankle – this can be a bit hit and miss
1. Once you have correctly fitted the device, turn the wrist monitor on by pressing the bumpy
button on the top and holding it down until a blue light comes on.
2. The blue light will flash until a heartrate is detected.
3. When a heartbeat has been detected, the blue light will slowly pulse to show that it is active.
Connecting to the app
 Once you have located Brio on the App store/Google Play, download it to your designated
device.
 Once you have launched the App, you will be asked to enter the Activation code we
supplied. Once you have entered this 12-digit code the app will be open on your device.
 Launch the app by choosing the icon on your mobile device
 Once the app is open, press this icon to connect to the wrist sensor.
Do not use the Bluetooth settings on your device to connect.
 Now switch on the wrist sensor. This needs to be within a few feet of the mobile app device
while the app and wrist sensor connect via Bluetooth.
 When the app has connected to the wrist sensor, you will hear a ping and the centre circle
will turn green. You will also see the pink heart begin to beat and display your beats per
minute.
 To disconnect the app from the wrist monitor, simply press the connect icon on the app
again or turn off the wrist sensor.
Sensor Settings
The sensors are individually set to an average heart rate depending on age before they are
dispatched to you.
2 > 12 years 50-130 bpm
13 years > - 60-110 bpm
This is simply a guide range which is entirely separate to the settings you apply within the Brio App.

The sensors LED indicator will flash a corresponding colour to indicate where the heart rate is in
association to the sensor setting:
Red – Above the average
Blue – Below the average
Green – Within average setting
Yellow – battery below 30%
Fast Blue flashing – Bluetooth connection issues
If you have any concerns you should always refer to the app to check the current rate
Alarm Settings
The limits for the BPM to trigger the alarm are adjusted by moving the sliders on the bottom of the
heart. Every person has a slightly different resting heart rate, so you will need to set the limits
depending on your particular needs.
Further alarm settings are found by choosing the Alarm Icon
Settings you can change are:
1. Deactivate the alarm
2. The frequency the alarm sounds
3. The sound of the alarm
4. Alarm Volume
Bluetooth Range
The Brio uses Bluetooth signal to work. It functions on Low Energy (LE) Bluetooth, also known as
version 4.0 on device specifications.
With any Bluetooth the maximum expected range to receive a signal is 10 Meters. However, most
phone/tablets will not reach the maximum range. Protective cases can affect this, as well as
atmospheric conditions in the home. We would suggest you carry out a range test to be sure.
If you require additional range, you can connect your device to a wireless speaker system to relay
the alerts.

Triggering the alarm
The alarm will be activated if the BPM recorded by your wrist sensor goes beyond the limits you
have set within the app. A red alarm icon will be displayed on the screen as well.
To silence the alarm, simply tap anywhere on the screen. If the BPM remains above the limits set
within the app, the BPM will be displayed in red, but the alarm will not sound until after 5 minutes
from the initial trigger giving you time to respond to the original alarm.
After 5 minutes, the alarm will reactivate itself unless you disconnect the wrist sensor or deactivate
the alarm.
Data collection and sharing
When the Brio app is connected to the wrist monitor, it is logging the heart rate data being displayed
on the screen. Each session is recorded and stored within the app. The app will hold up to 60
records before it begins to remove the oldest records to make more space for new records.
Any record that contains an alarm within the data will not be auto removed however.
This feature provides you with valuable information which can be emailed to yourself or a
healthcare professional for analysis.
To email the data collected, click on the Data icon
Choose which data files you want to email from the list and then tap the mail icon
Fill in the recipient email address and any message you want included. Then tap the
Mail icon
Deleting Data
You can remove recorded data by selecting the file you want to delete and then
pressing the delete icon.
Charging Your Wrist Sensor
Your wrist sensor device should be charged fully every day, so when not in use, we recommend
placing the device on the charger ensuring it is fully connected and the blue light is on continuously.
Once it is fully charged, the blue light will go out.
Using Brio Through the Night
The app can be dimmed by pressing the 'lightbulb' icon in the upper right of the screen.
To turn the dim feature off, simply tap anywhere on the screen. Your mobile device
running the Brio App will need to be kept on charge through the night to ensure the device
continues to run.

Frequently Asked Questions
Here are a few questions commonly asked by Brio Users:
1) Can I use Brio on multiple devices?
The activation code you are supplied with can only be used on one device. You can request a
second code for an additional device. There is a charge for this. Contact us for more
information on 0800 180 8833.
2) What if my phone/tablet breaks?
Should you need to move Brio onto a new device, simply contact us and we will reissue the
code for you to use again.
3) Do I need the internet for Brio?
Yes. You require an internet connection on the device for two reasons. Firstly, to download
the app. Secondly to receive any updates which may occur. These updates are to improve
the service and ensure compatibility with the latest android and apple software.
4) Can I update my phone software?
We would suggest turning automatic updates off on your device. This will ensure that should
any compatibility issues occur within the update we can advise you before you proceed.
5) Can I use Brio outside the home?
We would advise against this. Due to the connection being via Bluetooth, when outside the
range would be reduced dramatically and any activity would naturally elevate your heart rate.
6) Can my child wear Brio in School?
Yes, we do have users of Brio who take the device to school. This would need to be
discussed with them as the phone/tablet would need to be within range and a teacher/aid
would take responsibility for monitoring this.
7) Does Brio Detect Seizures?
No. Brio is designed to detect the associated symptoms that can help to monitor someone
who may be having or about to have a seizure
8) What is the battery life of Brio?
The sensors have a battery life of 8-10 hrs. We supply 2 sensors to ensure users can cover an
extended period of sleep. Simply switch the device when needed.
9) What if my band breaks?
The sensors are encased in a soft rubber band, which you can replace should you need to.
This is at a cost of £20.00 per band (not including sensor)
10) What does it mean when the app announces, “attempting to reconnect”?
This means that the Bluetooth signal, or connection to the user has been lost. Make sure the
device is in range and press the connection icon. Also, ensure the band is in the correct
position on the user.