TytoCare TytoPro Exam Camera User manual

Tyto Exam Camera
TytoProTM
For Throat and Skin Examinations
User Guide
Version 3.0

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Tyto Exam Camera User Guide
Doc. Num.: 760-00045 Rev 04
Table of Contents
1. General Safety Messages/Product Overview ............................................................................................................... 3
1.1. General Safety Messages.......................................................................................................................................3
1.2. Product Overview...................................................................................................................................................3
2. Before the exam............................................................................................................................................................ 3
2.1. User Role: Performing Guided and Unguided Exams ............................................................................................3
3. Guided Exams................................................................................................................................................................ 4
3.1. Prepare for Throat or Skin Exam............................................................................................................................4
3.2. Throat Exam...........................................................................................................................................................4
3.4. Skin Exam ...............................................................................................................................................................7
4. Unguided Exams............................................................................................................................................................ 9
4.1. Throat Exam...........................................................................................................................................................9
4.2. Recording the Video...............................................................................................................................................9
4.3. Finishing the Throat Exam......................................................................................................................................9
4.4. Skin Exam .............................................................................................................................................................10
4.5. Take Pictures........................................................................................................................................................10
4.6. Finishing the Skin Exam........................................................................................................................................10
Important
This User Guide is subject to periodic review, update and revision.
The user of this product has sole responsibility for any malfunction that results from improper use, faulty
maintenance, improper repair, unauthorized service, damage, or alteration by anyone other than Tyto Care
Ltd. (TytoCare).
The safety, reliability, and performance of this device can only be assured under the following conditions:
•The device has been used for its indicated use and according to the operating instructions in this User
Guide.
•All fittings, extensions, readjustments, changes, or repairs have been carried out by a TytoCare
authorized representative.
Tyto support may be contacted at +1-866-971-TYTO, [email protected]
PLEASE REVIEW THE GENERAL OPERATION USER GUIDE BEFORE READING THIS USER
GUIDE
Distributed by:
TytoCare Inc.
106 W. 32nd street
New York, NY, 10001, USA
Tel: + 1 (866)-971-TYTO (8986)

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Tyto Exam Camera User Guide
Doc. Num.: 760-00045 Rev 04
1.
General Safety Messages/Product Overview
1.1.
General Safety Messages
Warnings: A warning indicates precautions to avoid the possibility of personal injury or death.
Cautions: Acaution indicates a condition that may lead to damage to equipment, or a lower quality
of treatment.
Notes: Anote provides other important information.
Disclaimer
Information provided by TytoCare is believed to be accurate and reliable. However, TytoCare assumes no
responsibility for the use of such information, nor for any infringements of patents or other rights of third
parties, that may result from its use.
Intended Use
The Tyto Camera is an electronic camera that enables capturing and transmission of video and still images
of throat (w / w/o tongue depressor) and skin, whereby a clinician at one location on an IP network can
view images and videos of a patient on site or at a different location on the IP network with the signal
carried on an IP connection between the two locations.
1.2.
Product Overview
The Tyto Exam Camera™is a user-friendly, digital camera with built-in illumination, that records high
resolution videos and pictures, for imaging of the throat, skin or any other external body area.
The Tyto Camera connects to the Tyto App to facilitate the process of communicating data and video with
other clinicians or medical professionals. Recorded data may be forwarded for diagnosis by another
clinician in a different location.
The Tyto Exam Camera is designed for use in a clinical or home environment, in a number of scenarios:
•By an individual clinician/healthcare professional
•By a clinician/healthcare professional, who forwards exam data to another clinician/healthcare
professional for later diagnosis
•By a clinician/healthcare professional, collaborating online with another clinician during or after
examinations.
2.
Before the exam
2.1.
User Role: Performing Guided and Unguided Exams
Two methods can be used for examinations conducted with the TytoProTM system.
Guided exams are intended for any person who is not a healthcare professional, and who requires a more
detailed, step-by-step approach to the exam. Guided exams lead the user through the process of
performing and viewing exams.
Unguided exams are intended for healthcare professionals, who have medical knowledge, and are
proficient in performing throat and skin examinations. Unguided exams provide a streamlined approach
allowing more flexible recording and faster operation, with minimal instructions for use.
The type of user role, Guided or Unguided, is defined by the System Administrator when your user was
created.
Contact the System Administrator of your TytoCare system to determine whether your user is defined as
Guided or Unguided, or in case you wish to change your user role.

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Tyto Camera User Guide
«GUIDED Exams»
Doc. Num.: 760-00045 Rev 04
3.
Guided Exams
Note: Refer to the TytoProTM General Operation User Guide for preliminary instructions on logging in to the
system and viewing the Exam menu.
3.1.
Prepare for Throat or Skin Exam
This section discusses the preparatory steps that are common for both exams –throat and skin.
3.1.1.
Select Which Exam
Choose the THROAT or SKIN exam from the Device:
Tyto Device
Note: The Skin icon is located on the second screen of the device, accessible by swiping the screen to the
left.
3.1.2.
Video Tutorial and Animation
The first time you do either exam, a video tutorial is played on the App. This tutorial is essential to instruct
you how to perform the exam successfully. Please watch the complete tutorial before starting the exam.
The tutorial is always available by pressing the question mark symbol on the top-right of the TytoCare
App screen.
Every time you perform an exam, a short animation displays, reminding you of the essential instructions
for performing the exam.
Please read the appropriate section below before starting the exam:
•Throat exam: See Section 3.2. Throat Exam below.
•Skin exam: See Section 3.4. Skin Exam below.
3.2.
Throat Exam
3.2.1.
Review Throat Exam Procedure
Please take a few moments to review the basic procedure for performing the throat exam.
1. Instruct the patient to open mouth as wide as
possible, stick out tongue and say “ahhh”.
2. Press START to start recording video. Point
camera towards tonsils. The tonsils are located at
the back of the mouth, at the sides of the uvula.
Please note:
•Use the “Desired Image” picture, shown in the App, to see what the tonsils look like.
•Make sure the tonsils are well lit and visible.

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«GUIDED Exams»
Doc. Num.: 760-00045 Rev 04
3.2.2.
Using the Tongue Depressor
If you cannot get a clear view of the tonsils, probably due to the tongue obstructing the view, use the
provided tongue depressor tip to lower the tongue. The adult’s tongue depressor blade is marked with
“L8”. For small children, who have a smaller mouth, use the shorter tongue depressor blade, marked with
“L6” on the blade.
Warning: Make sure the tongue depressor holder and blade are disinfected before each use, using
wipes or cloth moistened with 70% Isopropyl alcohol.
Warning: If the tongue depressor disconnects from the tongue depressor holder, for example by
the patient biting the tongue –gently pull the tongue depressor out of mouth, or wait until the
patient releases the tongue depressor.
Warning: Do not use a tongue depressor blade that is cracked or has sharp corners.
How to connect the tongue depressor:
1. Attach the holder connector part to the device socket, following the blue dots.
2. Insert the tongue depressor blade into the holder until you hear a locking click.
3. To detach the blade from the holder, press the locking latch at the bottom of the tongue depressor.

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«GUIDED Exams»
Doc. Num.: 760-00045 Rev 04
3.2.3.
Start Recording
Position the device as shown in the animation. When you press Start on the device, the device will
immediately begin recording video for the throat exam.
Press START to begin recording video.
Note: You may touch the device’s screen during the video recording in order to focus the camera on the
tonsils. Make sure the image you see is clear, well-lit and sharp.
3.2.4.
Stop Recording
Press STOP after the device is removed from the mouth and the desired video of the tonsils has
been captured.
Note: If you use the tongue depressor, when the exam is complete, release it from the holder by
pressing the latch, and then push the tongue depressor holder out.
Note: There is a maximum length of 60 seconds allowed for a Throat video, after which the video
stops recording automatically. If you haven’t completed the exam, press ADD to retake the exam.
3.2.5.
Review or Delete the Recording
From the Tyto App, you can view or delete the recording:
Press to start exam video or to delete.
3.3.
Take Another Recording
If the recorded video was not successful, or the tonsils were not visible, you can retake the exam. From the
Device, you can take an additional video of the throat. You may decide later which videos to send to the
clinician.
Press Repeat (in picture here Add) to record another video.
When you press Done,the Exam Selection screen will display.

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«GUIDED Exams»
Doc. Num.: 760-00045 Rev 04
3.4.
Skin Exam
3.4.1.
Review Skin Exam Procedure
Please take a few moments to review the basic procedure for performing the skin exam.
1. Place the device about
1.5-2 inches from skin to
allow the camera to focus
2. To focus the camera, press
on the screen where the skin
lesion, rash or other area you
wish to share with the clinician
is visible.
3. Press the Camera button to
take a picture. Please hold the
camera steady while taking
pictures. You can also press the
physical button on top of the
device to take a picture.
3.4.2.
Take a Picture
Position the device as shown in the animation and focus the camera. Press on the Camera icon or the
physical button on top of the device to take a picture.
The camera has an auto-focus mechanism, activated when you take the picture. In addition, you may press
on the part of the image that contains the skin area of interest, to focus the camera specifically on that
area.
To allow the camera to focus, do not place the camera too close to the skin. Allow a distance of about 1.5-2
inches (3.5-5 cm) away from the skin to achieve focus.
Note: After a picture is captured, it will be displayed in high quality in the App. Please review the
picture in the App, and verify that the image is clear and sharp.
Note: In case the skin area you wish to capture is not easily accessible, ask another person to assist
you in imaging this area.
Note: If you cannot obtain a sharp image, try moving the camera a small distance away from the
skin. If you still cannot get a sharp image, contact TytoCare Support.
3.4.3.
Take More Pictures or End the Exam
After taking a picture, the Device indicates that the picture was captured, and allows you to take another
picture, or end the skin exam:
Press Repeat (in picture here Add) to return to the Camera screen, where you can take another picture.
Press DONE to end the exam and return to the Exam selection screen.

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«GUIDED Exams»
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3.4.4.
Reviewing Pictures in the Gallery
Picture Gallery allows you to view the skin images you have taken, and optionally to delete or tag the
relevant body part of each image. Picture Gallery is available on the App screen.
View list of exams. Press on
SKIN exam.
Press on image you wish to
view
View image and tag body
part (see below)
Please review each captured image and make sure the image is clear and sharp. If you wish to delete the
picture, press the delete button A confirmation message will appear, asking you to confirm the delete.
Note: After deleting the picture, the Device will continue to show the “Repeat” or “Done” buttons
with “Image captured” indication. This is standard behavior for the Device.
3.4.5.
Tagging Body Part
It’s recommended to tag the body part of the skin images to allow the clinician to know which body area
the image was taken from.
Please refer to Section 8.6 After the Exam in the Tyto Device General User Guide for further instructions.
Press Tag body part
Type the relevant body part
Finish typing or select the body
part from the opened list

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Tyto Camera User Guide
«UNGUIDED Exams»
4.
Unguided Exams
Note: Refer to the TytoProTM General Operation User Guide for preliminary instructions on logging in to the
system and viewing the Exam menu.
4.1.
Throat Exam
To start a throat exam, select THROAT from the examination selection screen in the device, as displayed
below:
Tyto Device
4.2.
Recording the Video
When you press THROAT on the exam menu, the device will immediately begin to record video. The red
blinking dot, located at the upper-right corner of the device, as well as in the app, indicates video recording
is activated. If the video image is not sharp during the recording, press on the screen to focus the camera.
4.2.1.
Changing the Illumination Strength
The device includes a built-in LED for illuminating the throat. You can adjust the strength of the illumination
by swiping down on the device screen during the video recording, and moving the bottom slider to increase
or decrease the illumination strength.
4.2.2.
Using the Tongue Depressor
If you cannot get a clear view of the tonsils, probably due to the tongue obstructing the view, use the
provided tongue depressor tip to lower the tongue. For details, see Section 3.2.2. Using the Tongue
Depressor.
Warning: Disinfect the tongue depressor holder and blade before and after each use, using wipes or Tyto
cloth moistened with 70% Isopropyl alcohol.
4.3.
Finishing the Throat Exam
When you have completed the necessary video recordings, and the tonsils are clearly recorded, press
DONE on the device. This will stop the video recording and exit the throat exam.
The device indicates with a blue check mark that the throat exam was recorded. The App displays the
recorded throat exam, and enables viewing the exam or deleting the recorded video, if the exam is not
successful:
Tyto Device
Tyto App
LEOPOLD GORANNASKY

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Tyto Camera User Guide
«UNGUIDED Exams»
It is recommended to review recorded videos using the Tyto App.
Please refer to Section 8.6 After the Exam in the Tyto Device General User Guide for further instructions on
reviewing recorded exams in the User App.
4.4.
Skin Exam
To start a skin exam, select SKIN from the examination selection screen, as displayed below:
Tyto Device
Note: The Skin icon is located on the second screen of the device, by swiping the screen to the left.
4.4.1.
Changing the Illumination Brightness
The device includes a built-in LED for illuminating the skin. You can adjust the strength of the illumination
by swiping down on the device screen during the video recording, and moving the bottom slider to increase
or decrease the illumination strength.
4.5.
Take Pictures
The device and App will then show live feed of the camera as follows:
Tyto Device
Press the Camera icon located at the bottom-left corner, to take a picture. The picture will be saved.
You may continue to take as many pictures as you require.
You can also press the physical button on top of the device to take a picture.
The camera has an auto-focus mechanism, activated when you take the picture. In addition, you may press
on the part of the image that contains the skin area of interest, to focus the camera specifically on that
area.
In order to allow the camera to focus, do not place the camera too close to the skin. Allow a distance of
about 1.5-2 inches (3.5-5 cm) away from the skin to achieve focus.
Note: If you cannot obtain a sharp image, try moving the camera a small distance away from the skin.
If you still cannot get a sharp image, contact TytoCare Support.
4.6.
Finishing the Skin Exam
When you have finished taking the necessary skin pictures, press Done, located at the bottom-right
corner of the device screen. This will exit the skin exam.
The device will indicate with a blue check mark that the skin exam was completed. In addition, the App will
display the captured skin images, and enable viewing or deleting them, if necessary.

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Tyto Camera User Guide
«UNGUIDED Exams»
It is recommended to review the captured skin images using the Tyto app.
Tyto Device
Tyto App
4.6.1.
Tagging Body Part
For each picture that you have taken, it is recommended to tag or identify which part of the body the
picture represents. This is done using the Picture Gallery feature in the App. For details, see Section 3.4.5
Tagging Body Part
4.6.2.
After the Exam
Please refer to Section 8.6 After the Exam in the General Operation User Guide for further instructions.
LEOPOLD GORANNASKY