iRhythm Zio XT Guide

START GUIDE
PLAN & POSITION
1
3
1
2a 2b
4c
4b
4a
Enroll the patient.
• Online: www.zioreports.com
Write in Patient ID Number and Initials, Physician, Start Date & Time
on cover of Patient Instructions & Button Press Log.
Determine position:
• Patient should stand with arms relaxed by their sides.
• Skin should be free of perspiration.
• Determine placement area without removing backing.
• Place on attest part of upper left chest:
— 1 nger width below collarbone, centered over left
pectoral muscle
— Edge of the Zio XT Patch next to sternum
— Angle so arrow on top label points upward
— Avoid armpit and breast tissue
Prepare a large area:
• SHAVE area.
• ABRADE skin, applying pressure for 40 broad strokes—
10 times in the direction of each arrow in 2a & 2b
(important for adhesion and ECG signal quality).
• CLEAN skin thoroughly with all alcohol pads. Let dry for 1 minute.
• Hold device in the center and remove clear backings.
Keep top label on. Do not touch adhesive.
• Place Zio XT Patch in the recommended position.
• Press rmly across the entire device for 2 minutes (see image 3).
• Peel o the 2 parts of the top label (see image 4a).
• Press rmly across the entire device for 2 minutes, working
adhesive into the skin. Emphasize pressing on the dotted areas
shown in gure 4b.
• Firmly press the ‘Zio’ button and release (see image 4c). The green
light will ash 5 times indicating that the monitoring has started.
• Help patient get familiar with the location of the button.
PREP SKIN
2
APPLY PATCH
3
FINISH & ACTIVATE
4

USING THE PATIENT INSTRUCTIONS & BUTTON PRESS LOG
Wear up to the Prescribed Duration
Based on individual wear experiences the actual wear
time may be shorter than prescribed.
Open for Patient Instructions and FAQs.
Each Time a Symptom is Felt...
Press the ‘Zio’ button.
Write the symptom in the Button Press Log.
Return the Zio XT Patch
On cover, write in “Date Removed.”
See last page for how to remove the Zio XT Patch.
PATIENT INSTRUCTIONS
& BUTTON PRESS LOG
S/N STICKER HERE
REMOVAL: Physician prescribed duration of days
Patient to wear as long as possible (up to 14 days)
DATE REMOVED: //
TO BE COMPLETED BY PATIENT
PATIENT ID NUMBER:
PATIENT INITIALS FIRST: LAST:
START DATE: / / TIME:
11
SAMPLE
...while I was:
...because I felt:
anxious
arm or neck
pain/tingling
chest pain
or pressure
dizziness
fainted
light headed
pounding
short of breath
skipped beat(s),
irregular beats
other
I pressed the button on:
describe
activity
describe
1 min or less
10 mins or less
...for this duration:
1 hour or less
More than 1 hour
h m m
AM
PM
ym y
BUTTON PRESS LOG
d d m h
FREQUENTLY ASKED QUESTIONS
INDICATIONS FOR USE
The Zio XT Patch is a prescription-only, single patient use, continuously recording
ECG monitor that can be worn up to 14 days. It is indicated for use on patients who
may be asymptomatic or who may suer from transient symptoms such as
palpitations, shortness of breath, dizziness, light-headedness, presyncope, syncope,
fatigue, or anxiety.
CONTRAINDICATIONS
• Do not use the Zio XT Patch for patients with symptomatic episodes where
instance variations in cardiac performance could result in immediate danger to the
patient.
• Do not use the Zio XT Patch in combination with external cardiac debrillators or
high frequency surgical equipment near strong magnetic elds or devices such
as MRI.
• Do not use the Zio XT Patch on patients with neuro-stimulator, as it may disrupt the
quality of ECG data.
• Do not use the Zio XT Patch on patients who do not have the competency to wear
the device for the prescribed monitoring period.
WARNINGS
• Do not use the Zio XT Patch on patients with known allergic reaction to adhesives
or hydrogels or with family history of adhesive skin allergies. Patient may
experience skin irritation.
• Do not reuse the Zio XT Patch on multiple patients. It is a single patient use device.
Reuse will cause incorrect patient data and patient may experience skin irritation.
• Prior to patch application, examine the skin area of the patient for certain skin
conditions (such as dermatitis, eczema, rashes/hives), acute/chronic cutaneous
infections or irritation.
If skin irritation such as severe redness, itching or allergic symptoms
develop, remove the Zio XT Patch from the patient’s chest.
Please call 0808 189 3411.
PRECAUTIIONS
• The Zio XT Patch includes temperature and humidity limitations. If exposed,
patients may experience degradation of adhesive performance causing the device
to slip or fall o during the patient wear duration.
• The Zio XT Patch has a shelf-life date. Use of expired device may cause a
degradation of ECG signal quality and/or low battery condition.
• Do not use the Zio XT Patch if package is damaged. Device may not perform as
intended.
• Safety and eectiveness of the Zio XT Patch on pediatric patients (younger than 18
years old) has not been established.
• Safety and eectiveness of the Zio XT Patch on patients receiving any form of
pacing therapy has not been established. Paced cardiac rhythms may not be
accurately detected and may be incorrectly classied.
How long am I supposed to wear the Zio XT Patch?
Wear the Zio XT Patch according to your physician
prescribed wear time but no longer than 14 days.
NOTE: Based on individual wear experiences your actual wear
time may be shorter than prescribed.
Can I shower with the Zio XT Patch on?
Yes, but please avoid showering during the rst 24 hours of
wearing the Zio XT Patch. After that, take brief showers with
your back facing the shower head, and keep soaps and lotions
away from the Zio XT Patch.
Can I take a bath?
Yes, but keep the Zio XT Patch above water. The Zio XT Patch
should not be submerged in water.
Can I go swimming or sit in a hot tub when the
Zio XT Patch is on?
No.
What if I don’t have symptoms?
That’s okay. The Zio XT Patch is designed to capture every beat.
Can I go about my daily activities?
Yes, but activities that cause excessive sweating may cause
the patch to slide, become loose, fall o, or shorten wear time.
Especially in the rst 24 hours, avoid such activities so that the
patch can fully adhere to your skin.
Will the Zio XT Patch blink or make noise?
If it is working properly, the Zio XT Patch will not ash or
make noise.
What if the Zio XT Patch falls o?
Please call 0808 189 3411.
How do I return the Zio XT Patch?
Place it (along with the Patient Instructions & Button Press Log)
in the original postage-paid box and put it in the Post.
iRhythm Technologies, Inc.
699 8th St., Suite 500
San Francisco, CA 94103 USA
Tel: [phone] (USA Only)
Fax: [phone] (USA Only)
EC REP
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The Netherlands
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Fax: [phone]
iRhythm Technologies Ltd.
Seal House
56 London Road
Bagshot, Surrey, GU19 5HL
Tel: [phone]
Fax: [phone]
Email: [email protected]
irhythmtech.co.uk
0050 ©2020 iRhythm Technologies, Inc. All rights reserved.
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