
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 C OMPLE TED BY PATIENT
NAME:
PHYSICIAN:
START DATE: / / TIME:
11
...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
hm d ym d y
BUTTON PRESS LOG
iRhythm Technologies, Inc. |699 8th Street, Suite 600 San Francisco, CA 94103 |1.888.693.2401 |ZioSuite.com
©2022 iRhythm, Zio, Zio AT, MyZio, and ZioSuite are trademarks of iRhythm Technologies, Inc. All rights reserved. N100A4710.09
For Customer Care, Call 1.888.693.2401
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.
Frequently asked questions
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.
Do not use the Zio XT Patch on patients with known
allergic reactions to adhesives or hydrogels or have
a family history of adhesive skin allergies.
Do not use the Zio XT Patch in combination with
external cardiac debrillators or high frequency
surgical equipment.
Do not use the Zio XT Patch near strong magnetic elds
or devices such as MRI.
Do not use the Zio XT Patch on patients with a neuro-
stimulator, as it may disrupt the quality of ECG data.
WARNINGS
Wear up to the prescribed duration
Based on individual wear experiences
your actual wear time may be shorter
than prescribed.
Open for Patient Instructions and FAQs.
Using the Patient Instructions
& Button Press Log
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.
What if the Zio XT Patch falls o?
Call Customer Care. We are available
24 hours a day, 7 days a week.
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 drop it o at the Post Oce,
in a USPS (blue) mailbox or give it to your
mail carrier.
Do not use the Zio XT Patch on patients who do not have
the competency to wear the device for the prescribed
monitoring period.
CAUTION: Federal (USA) law restricts the sale of this
device to or on the order of a physician.