Kinesia HomeView User manual

User’s Guide

Kinesia HomeView User’s Guide – 01/03/2013
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Telephone: [phone] or toll-free 1-855-GLNeuro (1-855-456-3876)
9:00 a.m. - 5:00 p.m. EST
Monday – Friday
Fax: [phone]
E-Mail: Customer Support: [email protected]
Sales: [email protected]
Web: http://www.GLNeuroTech.com
Mailing Address: Great Lakes NeuroTechnologies Inc.
10055 Sweet Valley Drive
Cleveland, Ohio 44125
Great Lakes NeuroTechnologies Inc.
10055 Sweet Valley Drive
Cleveland, Ohio 44125
Phone: [phone]
Fax: [phone]
Emergo Europe
Molenstraat 15
2513 BH, The Hague
The Netherlands
Phone: + 31 (0) 70 345 8570
Fax: + 31 (0) 70 346 7229
© Great Lakes NeuroTechnologies Inc. 2013
User’s Guide REF No. G392-5001, Rev D
DCO G154

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TABLE OF CONTENTS
Introduction.......................................................................................................................................4
Intended Use.................................................................................................................................4
Warnings.......................................................................................................................................4
System Recommendations ...........................................................................................................6
Package Contents and Warranty Information................................................................................6
Care and Use Instructions.............................................................................................................7
Chapter 1: About Kinesia HomeView................................................................................................8
General Device Description...........................................................................................................8
Tablet PC......................................................................................................................................9
Charging Pad................................................................................................................................9
Finger Sensor................................................................................................................................9
Patient Application.......................................................................................................................10
Web Application ..........................................................................................................................12
Chapter 2: Administrative Options ..................................................................................................13
Installing Updates........................................................................................................................13
Changing the Language..............................................................................................................13
....................................................................................................................................................14
Selecting a Different Finger Sensor ............................................................................................14
Creating/Editing a Study Template..............................................................................................15
Chapter 3: Set up a Study...............................................................................................................16
Adding a New Patient..................................................................................................................16
Creating a New Study Definition .................................................................................................17
Chapter 4: Patient Station Setup ....................................................................................................19
Patient Station Assembly ............................................................................................................19
Patient Station Display Options...................................................................................................19
Patient Station Use......................................................................................................................20
Chapter 5: USB Programming and Data Transfer ..........................................................................22
HOMEVIEW USB flash drive.......................................................................................................22
Transferring a Study Definition to the Patient Station..................................................................22
Clinician-Guided Demo Mode – HOMEVIEW USB Flash Drive..................................................23
Chapter 6: Broadband Programming and Data Transfer ................................................................24
Setting the SIM card PIN.............................................................................................................24
Toggling Remote Upload.............................................................................................................24
Transferring a Study Definition to the Patient Station..................................................................25
Clinician-Guided Demo Mode – Administration Options Button..................................................25
Chapter 7: Conducting and Viewing Studies...................................................................................26
Preparing the Patient Tablet PC..................................................................................................26
Conducting a Study.....................................................................................................................26
Uploading Patient Data to Web Application.................................................................................27
USB Flash Drive Programming and Data Transfer..................................................................27
Mobile Broadband Programming and Data Transfer ...............................................................28
Viewing a Study ..........................................................................................................................28
Chapter 8: Frequently Asked Questions (FAQs).............................................................................30

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Introduction
Intended Use
Kinesia HomeView is intended to monitor physical motion and muscle activity to quantify
kinematics of movement disorder symptoms such as tremor and assess activity in any instance
where quantifiable analysis of motion and muscle activity is desired.
Warnings
Tripping Hazard – keep the electrical cord away from walking paths
Do not use in conjunction with a defibrillator.
Improper routing of cabling may result in a choking hazard.
Do NOT expose the system to liquids. Liquid exposure may permanently damage the system.
Do NOT turn the system on immediately if it has been stored in temperatures lower than 50°F
or higher than 90°F. Wait at least two hours for the system to return to room temperature
before it is turned on. Operate system with room humidity between 35% and 80%.
Do NOT place the system next to TV’s, air conditioning units or other household appliances
that may cause interference and damage from magnetic fields.
The Finger Sensor may present a choking hazard. Keep out of reach of children under 3 years
of age.
If the power supply or the cord is damaged, do not use the system.
If you want to dispose of your device, please return it to Great Lakes NeuroTechnologies Inc.
To reduce the risk of overheating, make sure that the space around the Tablet PC is open and
free of debris.
DO NOT use in an autoclave or other high temperature sterilization methods on any HomeView
Kinesia system component.
Plug the power cord into an easily accessible AC outlet at all times.
If the power cord has a 3-pin plug, connect the power cord to a grounded (earthed) 3-pin outlet.
Do not disable the power cord grounding pin by attaching a 2 pin adapter.
For more safety and regulatory information and for battery disposal information, refer to the
Regulatory Safety and Environmental Notices provided with the Tablet PC’s documentation

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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.
NOTE: The manufacturer is not responsible for any radio or TV interference caused by
unauthorized modifications to this equipment. Such modifications could void the user’s authority to
operate the equipment.
Standards and Definitions:
The following symbol on product labeling warns of potential choking hazards:

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Web Application System Recommendations
Internet Explorer 8 and 9
Windows XP Pro (32 bit), Windows Vista Business or Windows 7 Ultimate
Intel Core 2 Duo 6300 1.86GHz CPU (or equivalent)
1GB (2GB for 64-bit systems) RAM
1024 X 768 or greater display resolution
One available USB 2.0 port
1GB or more available Hard Disk space
Microsoft compatible keyboard and mouse or other pointing device
Adobe Reader
Microsoft Silverlight
Broadband Internet access
NOTE: Macintosh and Linux operating systems are not supported.
NOTE: Windows XP Pro 64-bit not recommended.
Functionality may vary based on system configuration.
*Product performance may vary based on your system configuration.
Package Contents and Warranty Information
Great Lakes NeuroTechnologies Inc. thanks you for your recent product purchase. Great Lakes
NeuroTechnologies offers phone technical support (9 AM-5 PM EST) and warrants Kinesia
HomeView (parts and labor) for 1 year from the date of purchase which covers material and
workmanship under normal operating conditions and use. Technical support after the 1 year period
will be charged hourly. Call Great Lakes NeuroTechnologies for hourly rates. For your benefit, we
recommend that you record the pertinent details below. If necessary, this information will allow us
to better serve your needs. We highly recommend that you staple a copy of the sales receipt to the
blank pages in the back of this manual. Please check to make sure your kit has the required
components and record the requested data:
SN: ___________ Tablet PC; REF 502-0190
Charging Pad; REF 059-0010
SN: ___________ Finger Sensor; REF 502-0202
USB flash drive; REF 501-0229
Travel Case; REF 502-0191
User’s Guide (this document); REF G392-5001
Date of Purchase: ____________

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Care and Use Instructions
When transporting Kinesia HomeView, ensure all components are secured in the travel case to
prevent damage.
It is not recommended to store Kinesia HomeView in very hot or cold temperatures. If the system
has been stored in an environment lower than 50°F or higher than 90°F, wait at least two hours for
the system to return to room temperature before it is turned on.
Do not expose the system to liquid or excessive moisture to prevent mechanical or electrical
damage.
Note: to prevent the possibility of cross contamination and to maintain hygienic safety, a
throughout cleaning/disinfecting of the Finger Sensor, Tablet PC and Charging Pad is
required after each patient use.
Use only the following products to safely clean and disinfect the Finger Sensor, Tablet PC and
Charging Pad:
•Dimethyl benzyl ammonium chloride 0.3 % maximum concentration (i.e. germicidal
disposable wipes)
•Alcohol-free glass cleaning fluids
•Water with mild (neutral pH) soap solutions (do not submerge any equipment, wipe down
with damp cloth)
•Dry microfiber cleaning cloth or chamois cloth without oil)
•Static-free cloth wipes
Avoid strong solvents such as alcohol wipes, acetone, ammonium chloride, methylene chloride
and hydrocarbons which can permanently damage the surface of the Finger Sensor, Tablet PC
and Charging Pad.
Avoid fibrous material such as paper towels which can scratch the Tablet’s touch screen.
Refer to the HP Tablet User’s Guide, available at
http://bizsupport2.austin.hp.com/bc/docs/support/supportmanual/c03112061/c03112061.pdf, for
further cleaning and disinfecting instructions.

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Figure 1. Kinesia HomeView components. A) Tablet PC, B)
Charging Pad, C) Finger Sensor. The patient application is
displayed on the Tablet PC. Web application not shown.
Chapter 1: About Kinesia HomeView
General Device Description
Kinesia HomeView is a medical device capable of recording, analyzing, and displaying kinematic
and diary data from movement disorder patients. Using data storage and miniaturization
technologies, Kinesia HomeView provides kinematic data acquisition that is untethered, thus
allowing patients to move freely while performing instructed motor tasks. The purpose of this
system is to provide clinicians with a detailed report of motor symptom fluctuations, videos, and
patient diary information throughout the day.
Kinesia HomeView consists of three hardware components: A) a Tablet PC, B) a Charging Pad,
and C) a Finger Sensor (Figure 1). The Tablet PC is used to initiate a patient study and store
patient data (motor tests, diary, and medication information) from a completed study. The Charging
Pad charges the Finger Sensor. The Finger Sensor collects the motion data while the patient
performs the instructed motor tasks and transfers the data to the Tablet PC.
The two software components are the patient application and the web application. The pre-
installed patient application software on the Tablet PC allows patients to enter diary information
and perform video-guided motor tasks. The web application is used by the clinician to create study
definitions, upload patient data, and view patient reports.

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Figure 2. Kinesia HomeView Finger
Sensor. The patient slides the tip of
their index finger into the sleeve with
the sensor box oriented up.
Tablet PC
The touch screen Tablet PC is the central component of the Kinesia HomeView system. A color-
coded system (Table 1) highlights where the AC power cable should be connected to the Tablet
PC, as well as the location of the power button and camera. Patient data is stored on the Tablet
PC while a study is in progress when mobile broadband is not available, or transferred to the web
application in real time when mobile broadband is available. The power cord must remain
connected to the Tablet PC at all times to ensure the system operates properly.
Table 1: Kinesia HomeView Color Code System
Component of HomeView System
Color Code
Power button Yellow
AC power port Green
Camera White
Charging Pad
The Charging Pad allows easy removal and return of the Finger Sensor during motor symptom
assessments. It also serves as the charging platform for the Finger Sensor when motor tests are
not being performed.
Finger Sensor
The Finger Sensor (Figure 2) is worn on the patient’s index finger while performing video-guided
motor tasks. During assessments, the patient should wear the Finger Sensor on the index finger
with the blue box facing up. The sensor measures three-dimensional motion using accelerometers
and gyroscopes. Accelerometers measure linear acceleration while gyroscopes measure angular
velocity. Motion sensor data are sampled at 64 Hz.

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Figure 3. The Kinesia HomeView patient software interface consists of a
symptom and medication diary and the time of the next motor test session as
instructed by the clinician.
Patient Application
The patient application is the primary interface that patients interact with while using Kinesia
HomeView (Figure 3). This application has three main features:
1. ‘my Symptoms’ allows the patient to choose from two options: various symptoms (i.e.
tremor, rigidity, and slowed movements) as well as various activities (i.e. getting dressed,
sleeping, and walking) can be subjectively rated by the patient; OR the patient can choose
to capture a 30-second video of themselves.
•Symptom ratings appear to the patient as color-coded smiley faces that have values
of 1/green (corresponds to no symptoms) to 5/red (corresponds to severe
symptoms).
2. ‘my Meds’ contains a list of the patient medications the clinician is interested in evaluating.
Patients can select medication type and time of use.
3. ‘my Tests’ allows patients to perform a motor test session at any time.

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Figure 4. Kinesia HomeView patient application will alert the patient when to
begin the clinician-prescribed motor testing. This screen will also appear when
the patient presses the ‘my Tests’ button from the main screen.
When a new test session is scheduled to begin or ‘my Tests’ is manually selected, an audible
alarm will sound and the screen will alert the patient to begin testing (Figure 4). At that point, the
patient can select from four options:
1. ‘View How-To Video’: Plays an instructional video informing how far to distance yourself
from the Tablet PC during testing, how to use the white marker as a reference point for
several motor tasks, and how to remove the Finger Sensor from the Charging Pad and
place over the finger.
2. ‘Start Test’: Removing the Finger Sensor from the Charging Pad enables the ‘Start Test’
button (turning it from gray to green). Pressing it initiates motor testing.
3. ‘Snooze’: Delays next test time 15 minutes.
4. ‘Cancel Test’: Cancels the current test and returns you to the main screen. The system will
alarm at the next clinician-prescribed testing session.

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Web Application
The Kinesia HomeView web application is a HIPAA-compliant online interface that allows clinicians
to create study definitions, upload study data and create study reports. The web application
includes a patient database where you can easily add and update patient demographics and view
studies. The status of a study is also displayed; Setup Study, Pending Upload, Scoring In
Progress, New Report Ready and Archived Report. The language on the web application can be
changed from English to Spanish by selecting the appropriate flag next to “Language” in the
bottom left corner of the web application.

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Figure 5. The Administration Options Button is disguised on the
patient software to prevent patients from accessing it. Only study
administrators need to be aware of the presence of this button.
Chapter 2: Administrative Options
Installing Updates
Great Lakes NeuroTechnologies will email customers a notification when a new Kinesia HomeView
software update is available for download. To install the update, copy the update file onto the
HOMEVIEW USB flash drive and plug it into the Tablet PC. When the ‘Administration Options’
menu appears, press ‘Install Update’. Upon completion, the message ‘Update successful. Please
wait while system reboots’ appears. Once the system has restarted, the patient application returns
to the main screen (Figure 3) and is ready to be used.
NOTE: Data loss may occur if all patient data from completed studies are not transferred to the
web application prior to updating the patient station software.
Changing the Language
There are two language options: English and Spanish. To change the language on the patient
application:
1. Plug the HOMEVIEW USB flash drive into the Tablet PC or press the Administration
Options Button (Figure 5) and enter the administrative login password. All Kinesia
HomeView users should utilize the password glnthv to access the Administration Options
button. An ‘Administration Options’ screen will appear (Figure 6).
2. Press the ‘Select Language’ button and select the desired language. The main Kinesia
HomeView screen will reappear.
3. Remove the HOMEVIEW USB flash drive if applicable.

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Figure 6. The ‘Administration Options’ menu allows the clinician to transfer a new
study definition to the tablet using the Select Patient list, configure your SIM card PIN,
toggle between manual (USB) and wireless (broadband) data upload, connect to a
Finger Sensor, select the language (English or Spanish), set the time and date,
change the display options on the main screen of the Tablet PC, and exit from the
menu.
Selecting a Different Finger Sensor
Administrators have the option of changing which Finger Sensor the Kinesia HomeView tablet is
paired with. Your tablet is automatically paired with your Finger Sensor when it arrives to you, so
unless you have purchased additional sensors you do not need to worry about this feature. To
change the paired device:
1. In the ‘Administration Options’ menu (Fig 6), click ‘Devices.’
2. Ensure that the desired sensor is on the charge pad, which is plugged into an electrical
outlet.
3. Click to ‘Search Devices.’
4. A list of all Kinesia sensors that are turned on will generate. The serial number will be listed,
as well as a MAC ID.
5. Look at the serial number on the Finger Sensor. Select this sensor from the list and click
‘Select.’
6. The sensor is now selected to be used. Close out of the Administration Options menu in
order to return to the main HomeView screen.

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Creating/Editing a Study Template
Institution administrators have the option to create, edit, or clear a study template. When a study
template is created, all subsequent study definitions created by users affiliated with that institution
will default to the template selections with the exception of the dates and times. However, each
user can move through this template on a per patient basis to make any desired changes to the
template. To create a study template:
1. Login to the Kinesia HomeView web application.
2. Click on the Studies tab.
3. Click the Create / Edit Study Template button.
4. Select the diary mode.
a. If you choose Custom Diary, you will be prompted to select times, motor tasks,
medications, symptoms, and activities. Cycle through each option by making the
appropriate selection (you can also choose to check the box on the top of the screen
next to ‘I do not want [specified feature]’ if applicable) and pressing the Next button
when complete.
b. If you choose Dyskinesia Diary, you will be prompted to select the start date, times,
motor tasks and medications. Cycle through each option by making the appropriate
selection (you can also choose to check the box on the top of the screen next to ‘I do
not want [specified feature]’ if applicable) and pressing the Next button when
complete.
5. When you arrive at the Summary screen, verify your template is correct.
6. Click Finish.
NOTE: To clear a study template, the institution administrator should click on the Studies tab,
then Clear Study Template. A confirmation pop-up will appear. Click OK to proceed with the
deletion.
NOTE: Only institution administrators can create and edit templates and only one template per
institution may exist at a time.
NOTE: Once a template exists for an institution, all studies created by users will default to this
template. However, users can specify study dates as well as update the remaining features
(times, motor tasks, medications, symptoms, and activities on a per patient basis).

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Figure 7. In order to add a new patient, complete the required fields
and press ‘Save.’
Chapter 3: Set up a Study
Adding a New Patient
1. Log into the web application (http://homeview.GLNeuroTech.com)
2. Click on the ‘Patients’ tab on the top of the screen
3. Select ‘Add New Patient’ and complete the patient information (Figure 7)
•Patient first and last name, birth date, and a unique patient ID are required.
4. Press ‘Save’ to add a new patient to the database, or ‘Cancel’ to return to the main screen.

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Creating a New Study Definition
1. Log in to the web application
2. Click on the ‘Patients’ tab on the top of the screen
3. Select the ‘+’ next to the patient’s name under the ‘ Create Study’ column (Figure 8).
4. Create the study definition by selecting any combination of the following features (Figure 9):
(If a specific feature should not be included, such as an activity diary, check the box on the
top of the screen next to ‘I do not want [specified feature].’
•‘Set Dates/Set Times/Set Motor Tasks’: Motor task names may be displayed differently
to clinicians on the web application compared to their appearance on the patient Tablet
PC (Table 2):
Table 2: Motor Tasks
Web Application
Patient Application
Rest Tremor Arms Resting
Postural Tremor Arms Extended
Kinetic Tremor Touch Nose
Finger Taps Finger Taps
Hand Movements Hand Movements
Rapid Alternating Movements Rapid Alternating Movements
Dyskinesia Arms Resting & Arms Extended
•‘Set Med Diary’: a list of medications to track during study
•‘Set Symptoms Diary’: a list of clinician-specified symptoms rated by patient from 1 to 5
but displayed to the clinician as 0 to 4 severities
•‘Set Activity Diary’: a list of clinician-specified activities rated by patient from 1 to 5 but
displayed to the clinician as 0 to 4 severities
5. At the ‘Summary’ screen, review and verify study definition features
•There exists a ‘Notes' feature on the Summary screen that allows the user to enter any
relevant notes about the patient’s study. These notes are then visible in the report after
patient data has been uploaded.
6. Click ‘Finish’ to save the study definition to the database. You will then be able to download
this study definition to the Tablet PC using either a Broadband network or your HOMEVIEW
USB flash drive.

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Figure 8. Click on the ‘+’ under the ‘Create Study’ column to create a new study definition for a specific
patient.
Figure 9. The ‘Summary’ screen will provide a review the study definitions. If it is correct, click
‘Finish’. If additional changes are required, click on the appropriate tab on the left.

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Chapter 4: Patient Station Setup
Patient Station Assembly
The Kinesia HomeView system will be sent home with patients in an easily accessible carrying
case. The patient should adhere to the following instructions for home assembly and use:
1. First remove the Tablet PC and place it in an upright position on an easily accessible table
or desk.
2. Using the color-coded system from Table 1, plug the AC power cable into the top-right
corner of the Tablet PC by matching up the green markers.
•Plug the other end of the AC power cable into a nearby wall electrical outlet.
3. Remove the Charging Pad from the carrying case and place it next to the Tablet PC. Plug
the AC power cable into the bottom-left corner of the Charging Pad.
•Plug the other end of the Charging Pad power cable into a nearby wall electrical outlet.
4. Place the Finger Sensor face down in the center of the Charging Pad.
5. Press the power button on the top of the Tablet PC indicated by a yellow marker.
6. The patient station will be ready for use once the home screen appears (Figure 3).
7. The current time and next test time are on the top right corner of the screen.
Patient Station Display Options
The Kinesia HomeView Tablet PC can display any combination of ‘my Symptoms,’ ‘my Meds,’ or
‘my Tests’ you would prefer. To change which buttons are visible:
1. Click the Administration Options button on the Tablet PC.
2. Enter glnthv.
3. Click Display Options.
4. Select or deselect the ‘My Symp,’ ‘My Med,’ or ‘My Test’ buttons appropriately.

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Patient Station Use
When “Current Time” and “Next Test Time” match, an alarm will sound alerting the patient to begin
motor testing (Figure 4). Tests may also be started by manually pressing ‘my Tests’ on the home
screen to complete a missed or cancelled test.
1. The ‘Start Test’ button will be disabled if the Charging Pad is not connected, or the Finger
Sensor is not placed properly in the center of the Charging Pad.
2. Place the Finger Sensor (Figure 2) on the index finger of the specified hand and do not
remove it for the duration of the test unless instructed to switch hands.
•The sensor box should be oriented up when the palm is faced down and fingers are
extended.
•There is an arrow on the sensor sticker (Figure 2). This arrow should be aligned with the
index finger tip. The point of the arrow should be directed away from the patient’s body.
3. During motor testing sessions, the green LED located on the edge of the sensor box facing
the hand when worn will flash rapidly for 3 milliseconds every 2 seconds when connected to
a Bluetooth device.
4. When the testing session is complete, the patient will be instructed to return the Finger
Sensor to the Charging Pad.
•When the Finger Sensor is successfully placed, a ‘Dock succeeded!’ message will
appear on the screen.
•Similarly, the Finger Sensor must remain securely placed on the Charging Pad when not
in use.
•When the Finger Sensor is properly placed, a green light on the edge of the sensor box
facing the hand when worn will indicate different system states (Table 3).
Table 3: Charging Pad LED Operation
Operation
Light Indicator Response
Battery Charging
2 seconds on, 2 seconds off
Battery Fully Charged always on
Downloading Data
10 ms on/10 ms off – Light indicator may appear is steadily ON, but at
half intensity
Sensor Shutdown
1
off
Boot Mode
2
100 ms on /100 ms off
Unit is Off the Charging Pad
with Bluetooth Connected
3 milliseconds on, 2 seconds off
Unit is Off the Charging Pad
Without Bluetooth Connected
150 milliseconds on, 500 milliseconds off
NOTES:
1
In order to wake up the Finger Sensor, it simply needs to be placed back on the
Charging Pad.
2
Boot mode should NEVER be seen in normal operation. If your Finger Sensor is
operating in boot mode, contact Great Lakes NeuroTechnologies customer support.