TytoCare TytoHome User manual

TytoHome
General Operation
User Guide
Document Version 3.2
December 2018
Document Number: 760-00066 B01

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TytoHome General Operation User Guide
Important Notice
All information included in this document, such as text, graphics, photos, logos and images, is the
exclusive property of TytoCare Ltd. and protected by United States and international copyright
laws. Permission is granted to view and photocopy (or print) materials from this document for
personal, non-commercial use only. Any other copying, distribution, retransmission or modification
of the information in this document, whether in electronic or hard copy form, without the express
prior written permission of TytoCare Ltd., is strictly prohibited. In the event of any permitted
copying, redistribution or publication of copyrighted material, no changes in, or deletion of, author
attribution, trademark legend or copyright notice shall be made.
© 2018 TytoCare Ltd. All rights reserved.

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TytoHome General Operation User Guide
Table of Contents
General Safety Messages 7
Product Overview 12
Intended Use 12
Contraindications 13
What’s in the Box 14
How the System works 16
Download the Tyto App 17
Downloading Tyto App 17
Help Menu 17
First Time Setup 18
What do I need to start working with the Device 18
Pairing the device and Tyto App 18
Pairing Procedure 20
Pairing Procedure on First-Time Use 21
Device Options Menu 28
Pairing 28
Pairing External Connected Devices 28
Shutdown 29
User Login 31
Sign Up 31
Practicing Examinations with Tyto Academy 33
Choose Patient 33
Start Visit and Choose Patient 34
Choose Type of Visit 35
Start Visit and Select Exams 36
Perform Exams 36
Exams and Add-Ons User Guides 37
Recorded Exams 37

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Completing the Visit 38
Review and Edit Exams 38
View or delete an exam’s video 39
Adding External Exams or Data 39
Using Connected External Devices 41
Sharing the Recorded Visit with a Clinician 42
Online Visit 44
Starting an Online Visit 44
Select Physician 44
Describe the Symptoms 45
Receive Confirmation and Wait for Clinician 45
Clinician Accepts Your Online Visit Request 45
Using the Phone Stand 46
Clinician Begins Exam 47
Using a Connected External Medical Device 47
Performing the Exam with Poor Network Conditions 47
Completing the Online Visit 48
Inbox 48
Add a Patient 49
User Settings 50
System Labels and Symbols 51
Explanation of Symbols 51
Technical Specifications 52
Troubleshooting 54
Manual Pairing Procedure 54
Appendix A. Forgot Password 58
Appendix B. Wireless Network Requirements 59
Appendix C. Frequently Asked Questions and Troubleshooting Tips 60
Appendix D. Electromagnetic Compatibility (EMC) Information 62

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TytoHome General Operation User Guide
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 TytoCare 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 Manual.
●All fittings, extensions, readjustments, changes, or repairs have been carried out by a
TytoCare authorized representative.
This product is protected by the following US patent applications: US 8,953,837 and US-2013-
0338447 and other pending US patents.
The device complies with requirements of IEC/EN 60601-1 for general requirements for safety of
medical electrical equipment. The device has IEC 60601-1-2 Class B compliance applies to the
basic safety and essential performance of medical electrical equipment and Medical Electrical
systems in the presence of electromagnetic disturbances and to electromagnetic disturbances
emitted by medical electrical equipment and medical electrical systems.
TytoCare reserves the right to change or improve its products and accompanying technical
literature without specific notice of changes or improvements. No part of this publication may be
reproduced, stored in a retrieval system or transmitted in any form by any means, electronic,
mechanical, photo reproductive, recording or otherwise without the express prior written
permission of TytoCare
TytoCare Support may be contacted at +1 (866) 971-TYTO (8986) or [e-mail].
Copyright 2016 - 2018 by TytoCare Ltd..
Distributed by:
TytoCare Inc.
215 W 40th Street, 9th Floor
New York, NY 10018
+1 (866) 971-TYTO (8986)
www.tytocare.com

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TytoHome General Operation User Guide
Manufacturer's Address
TytoCare Ltd.
12 Haomanut Street
Netanya, Israel 4250445
Tel: [phone]
Fax: [phone]
Email: [e-mail]
Website: www.tytocare.com
PLEASE READ THIS USER MANUAL BEFORE OPERATING THE SYSTEM.
This first part of the user manual includes all the instructions which are general and common to all
TytoHome devices. The user manual continues in the followings documents, according to the
specific TytoHome device that you are using:
●Tyto Otoscope – Document 760-00048
●Tyto Exam Camera – Document 760-00049
●Tyto Basal Thermometer – Document 760-00050
●Tyto Stethoscope – Document 760-00051
PLEASE READ THE ABOVE 4 DOCUMENTS AFTER READING THIS DOCUMENT AND BEFORE
OPERATING THE SYSTEM.

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TytoHome General Operation User Guide
General Safety Messages
General Safety Messages
Warnings: A warning indicates precautions to avoid the possibility of personal injury or death.
●If the device packaging, the device itself or any of its accessories are damaged or not intact –
do not use the device.
●Do not immerse the device or any of its accessories in water or in any other liquid. Do not use
a wet device. If the device becomes wet, wipe off all moisture and allow at least 48 hours to
dry before operating.
●The system contains no user-serviceable components. Do not disassemble, service or repair
this product or any of its parts.
●Disposal of this device should be performed in accordance with local regulations.
●If device is not working as expected, discontinue use. Refer servicing to qualified service
personnel.
●Use the equipment only for the purpose described, as explained in this user manual.
●Do not use accessories which are not supplied or recommended by the manufacturer.
●Do not remove the covers of the device components.
●Only perform maintenance procedures specifically described in this user manual.
●Do not use device during defibrillator use.
●Do not use the device on an open wound or on infected skin.
●Keep these instructions for use.
Cautions: A caution indicates a condition that may lead to damage to equipment, or a lower
quality of treatment.
●Connect only authorized accessories to the device.
●If the LCD screen is broken or cracked, or the image quality is poor, please contact TytoCare
Support.
●If the LCD screen is dirty, clean the screen with a dry cloth or towel.
●If the device does not turn on or initialize properly, or the Splash screen does not appear as
shown , or it cannot be turned off, contact TytoCare Support.
●If the audible speaker does not sound briefly or the LED does not turn on during system
initialization, contact TytoCare Support.
●If the LED does not turn on during Throat, Skin or Ears exam, contact TytoCare Support
●If you see static artifacts on videos or images, or if the image quality is insufficient, contact
TytoCare Support

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General Safety Messages
●The Restore to Factory Defaults action from the menu will erase all device settings and data
and will restore the device to its initial as-new state.
●Use 70% Isopropyl alcohol moisture wipes for cleaning of the device if in contact with skin.
●Contact with solvents can cause severe deterioration of the plastic parts and malfunctioning
of the instrument and accessories.
●Examinations cannot be done while the device is charging.
●Use only the charging cable provided with the device. If the device does not charge, contact
TytoCare Support. To charge the device, plug the charging cable into the USB port on your
computer or a UL-certified USB wall charger
●Use only a secured Wi-Fi network such as WPA2 wireless encryption.
●If data or instructions are not displayed on the mobile device during an examination, view the
device screen.
Notes: A note provides other important information.
●If for any reason you cannot perform the connection between the device and the TytoCare
App, contact TytoCare Support.
●When performing a measurement, a date and time stamp is automatically included with the
recording. If you do not see the date and time of the recording, contact TytoCare Support.
●The device connection screen in the TytoCare App should only be used to connect to another
device or to disconnect from an existing device.
●Operating conditions: 5° to 40° Celsius (41° to 104° Fahrenheit) / 15% to 70% humidity (non-
condensing).
For Tyto Basal Thermometer: 16° – 40° Celsius (60.8° - 104° Fahrenheit)
Storage conditions: -20° to 60° Celsius / -4° to 140° Fahrenheit / 15% to 70% humidity (non-
condensing).
●When charging, the activity LED will be orange, and when charging is complete, it will turn
green.
●The device complies with wireless standard IEEE 802.11 g/n (2.4GHz).
Repair Policy
When under warranty, repair and service must be performed by TytoCare. When the TytoCare
warranty is expired, repairs may be made by TytoCare or authorized representatives, on a parts
and labor basis.

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General Safety Messages
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.
Warranty
TytoHomeTM device One (1) Year Limited Warranty.
TytoCare warrants the TytoHomeTM branded product, which includes the base unit, its software
and ancillary parts (the “Product”), to be free from defects in materials and workmanship when
used normally in accordance with TytoCare’s published guidelines for a period of ONE (1) YEAR
from the date of original purchase (“Warranty Period”). TytoCare’s published guidelines include
information contained in this User Manual, the instructions available on the Tyto APP, and in the
Product’s technical specifications.
TytoCare does not warrant that the operation of the TytoHomeTM will be uninterrupted or error-
free. If the Product is determined by TytoCare to be defective during the Warranty Period,
TytoCare shall, at its option, repair or replace the Product free of charge to the original purchaser.
In the event TytoCare cannot repair or replace a product determined to be defective during the
Warranty Period, TytoCare will refund the amount of the original purchase price upon receipt of
proof of purchase. To receive warranty repair or replacement, a warranty claim must be made
during the Warranty Period and within ten (10) days following the discovery of the defect. In
addition, the Product must be returned to TytoCare in accordance with the instructions provided at
the time the claim is made. Warranty claims must be submitted in writing as follows:
TytoCare Inc. 215 W 40th Street, 9th Floor, New York, NY 10018
This warranty is subject to the following limitations:
●This warranty is valid only if the sticker at the bottom of the Product is present indicating the
serial number and manufacturing details.
●TytoCare is not responsible for damage arising from failure to follow instructions relating to
the use of the Product.
●The user shall be responsible for proper maintenance and handling of the Product.
●No warranty is extended if the Product has been altered or modified in any way.
●No warranty is extended to any Product that has been misused or damaged.
●This warranty is extended only to the original purchaser of the Product.
●This warranty does not include problems or product malfunctions caused by the user’s acts (or
failure to act), the acts of others, or events beyond TytoCare’s reasonable control.

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General Safety Messages
NO OTHER WARRANTY
This limited warranty is the only warranty made by TytoCare for the Product. TytoCare MAKES NO
OTHER WARRANTIES, EXPRESS OR IMPLIED, WITH RESPECT TO THE PRODUCT AND EXPRESSLY
DISCLAIMS ALL OTHER WARRANTIES AND CONDITIONS, INCLUDING ANY IMPLIED WARRANTIES
OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND TytoCare DOES NOT
REPRESENT THAT THE PRODUCT WILL MEET THE PURCHASER’S OR USER’S REQUIREMENTS.
TytoCare’s sole liability under this warranty will be, at its option, to either repair or replace the
defective Product or to refund or credit the purchase price to the original purchaser. IN NO
EVENT SHALL TytoCare BE LIABLE FOR ANY DAMAGES, INCLUDING BUT NOT LIMITED TO, ANY
INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE OR EXEMPLARY DAMAGES, OR DAMAGES
FOR ECONOMIC LOSSES, LOST PROFITS, BUSINESS INTERRUPTION, OR LOST INFORMATION,
ARISING OUR OF YOUR USE OF THE PRODUCT, EVEN IF TytoCare HAS BEEN ADVISED OF THE
POSSIBILITY OF SUCH DAMAGES, WHETHER ARISING OUT OF WARRANTY OR CONTRACT,
NEGLIGENCE, STRICT LIABILITY, OR OTHER TORT. THE USER AGREES THAT UNDER NO
CIRCUMSTANCES WILL TytoCare’s LIABILITY RELATING TO THIS PRODUCT EXCEED THE PURCHASE
PRICE PAID FOR THE PRODUCT.

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General Safety Messages
FCC Radio frequency interference statement
This equipment has been tested and found to comply with the limits for a Class B digital device,
pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection
against harmful interference in a residential installation. This equipment generates, uses and can
radiate radio frequency energy and, if not installed and used in accordance with these instructions,
may cause harmful interference to radio communications. However, there is no guarantee that
interference will not occur in a particular installation. If this equipment does cause harmful
interference to radio or television reception, which can be determined by turning the equipment
off and on, the user is encouraged to try to correct the interference by one or more of the
following measures:
●Reorient or relocate the receiving antenna.
●Increase the separation between the equipment and receiver.
●Connect the equipment into an outlet on a circuit different from that to which the receiver is
connected.
●Consult the dealer or an experienced radio/TV technician for help.
TytoCare is not responsible for any radio or communication interference caused by using other
than specified or recommended cables and battery or by unauthorized changes or modifications to
this equipment. Changes or modifications not expressly approved by the manufacturer could void
the user’s authority to operate the equipment.
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.

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TytoHome General Operation User Guide
Product Overview
Product Overview
The Tyto Device is a user-friendly electronic device that allows you to perform examinations, and
to optionally transmit the sound, video or image data to a medical professional in another
location.
Tyto Device is used with additional add-on units to perform the following types of examinations:
●Lungs
●Heart
●Heart Rate
●Ears
●Throat
●Basal Body Temperature
●Skin
Tyto device connects to the Tyto App on your mobile device (iPhone, iPad, iPad mini, iPod touch or
Android) to facilitate the process of communicating examination data and performing an online
visit with the clinician.
This device is designed for use either in a home environment or at a clinic. It can be used in a
number of scenarios:
●By an adult at home, to perform an examination on themselves or others, with the results
submitted for subsequent review by a clinician
●By an adult at home, to initiate a live virtual visit with a clinician and enable examination
during the video conference;
●By a clinician/healthcare professional from a remote location, via live video conference
●By a clinician/ healthcare professional, with the patient physically present in the clinic.
Note: The Android Tyto App supports the online visit functionality. It does not support the
following functionalities:
■Exam-and-Forward (offline)
■User sign up and change of patients
■Clinician Notes
■Patient history review
Intended Use
Refer to the relevant user manual for the intended use of Tyto Stethoscope (760-00051), Tyto
Exam Camera (760-00049), Tyto Otoscope (760-00048) and Tyto Basal Thermometer (760-00050).

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Product Overview
Contraindications
None known.

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TytoHome General Operation User Guide
What’s in the Box
What’s in the Box
1. Tyto Device Includes an LCD touch screen, main processing unit,
rechargeable battery, camera, illumination, sensors and
connector which is used to mount the add-on devices (see
Section - Exams and Add-Ons User Guides ), and which is held
when taking an exam.
2. Stethoscope Add-on for heart and lungs auscultations and measurement
of heart rate
3. Otoscope Add-on for ears exam
4. Tongue Depressor Optional tool for throat exam, including a re-usable holder
and blades. There are 2 sizes for the blades:
●2 adult tongue depressor blades
●2 child tongue depressor blades

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TytoHome General Operation User Guide
What’s in the Box
5. Tray Holder for device and add-ons. To be used during
examinations
6. Disposables (not shown) ●5 adult disposable ear specula
●5 child disposable ear specula
7. Carrying Case Stores and keeps the entire TytoHomeTM product, including
Tyto device, add-ons, disposables. Note there is a designated
place on the case top to be used as a mobile stand, to hold an
mobile device during examination and online virtual visit
8. Charging Cable
Charging outlet
Used to charge Tyto device, using the USB port on your
computer or a UL-certified USB wall charger
Note: The device comes pre-charged. If it does not power
on, connect the charging cable to Tyto to charge it. Remove
the rubber band and connect the charging cable into the
charging outlet.
Note: Be sure to connect the charging cable into the
charging outlet (see picture), not into the headphones outlet,
which is nearby and larger.
Note: You cannot perform exams during the charging
process. It is recommended to fully charge the battery before
use.
Note: When the device is charging, an orange LED
indicator will display. When fully charged, the LED indicator
will change to green.
Note: Store the device charged, and to re-charge it once
every 3 months. Storing the device when battery is drained
may shorten the battery life.

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How the System works
How the System works
The components of the TytoCare system work together to help you communicate with clinicians:

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Download the Tyto App
Download the Tyto App
Downloading Tyto App
Open the Application store (App Store or Google Play) on your device. Search for TytoCare
and download the free App.
The TytoCare App allows you to perform exams, share the recorded exams with clinicians,
perform online virtual visits with live video conference with the clinician, and obtain exam results
from clinicians. After downloading and installing the TytoCare App on your device, you can run it
from the Apps Menu.
Help Menu
The user manual may be reached at any time, either before login through the About link, at the
top-left corner of the login screen, or after login, through the menu, accessed through the top-
left corner icon. The tutorial videos may be reached at any time by pressing the help icon on
the App.

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TytoHome General Operation User Guide
First Time Setup
First Time Setup
What do I need to start working with the Device
●A Wi-Fi network, secured by a known password, that I can connect to, or a Personal Hotspot
on my mobile device.
●Tyto device, fully charged.
●Tyto App, installed on any of the following mobile devices:
■iOS: iPhone 5S and up, iPad Air and up, iPad mini 3 and up, iPod touch 6 and up.
■Android: Samsung Galaxy S5, S6 plus, Note 5, A7, J7 and up, LG G4 and up.
●The carrying case, or any mobile stand, to hold the mobile device during work.
●Internet access via the Wi-Fi network.
●For best performance, the following connection speed is recommended: Download 15 Mbps \
Upload 3 Mbps.
●At minimum, the following connection speed is required: Download 2 Mbps \ Upload 2 Mbps.
Note: in case the iOS mobile device supports Hotspot with a stable LTE connection, it can be
used instead of a Wi-Fi router.
Pairing the device and Tyto App
In order to start using the Tyto device, you must perform a short pairing process between the
device and user mobile app. This pairing enables the communication between the two devices,
over the Wi-Fi network or Hotspot. This process is done once per device. If you change your Wi-Fi
password, change your Wi-Fi router or perform any other change to your wireless network, you
will need to pair the device again.
Before pairing, please make sure that your mobile device is connected to your Wi-Fi network,
which should have internet connection, and you know its password.
Note: If your Wi-Fi network is not secured by a password, you will not be able to pair the
device and app.

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TytoHome General Operation User Guide
First Time Setup
1. If you are not logged in to the system, log in as described in Section User Login .
2. Turn ON the device by pressing the button
on the top edge of the device.
The screen displayed on the device will prompt you to download the TytoCare App onto your
mobile device:
3. Tap “I HAVE THE APP”, and continue
below.

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First Time Setup
Pairing Procedure
Note: The pairing procedure should start automatically, upon login or after the registration
process, with the following Device Pairing screen:
●If you see this screen, continue in Section Pairing Procedure on First-Time Use below.
●If you do not see this screen, continue in Section Manual Pairing Procedure below.