INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION - QUICK START GUIDE GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...
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INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION QUICK START GUIDE GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT SETTINGS SECURITY & MANUFACTURER Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION QUICK START GUIDE page 1/2 INSTALLING & ACTIVATING TAKING APPLICATION A MEASUREMENT → Take note of restrictions on use. → Take note of things to remember → Install the CardioSignal when measuring atrial fibrillation. application (from the Apple → Read carefully measurement App Store or Google Play store). instructions. → Create user account. → Take a measurement. → Read privacy policy. → Check your result. → Accept terms of use. → Activate measurement feature. (You can try the measurement feature 5 times for free or purchase a 1-month, 3-month or 12-month subscription.) Restrictions on use The application is intended for adults. The heart The measurement must not be performed Persons who have a cardiac pacemaker may rate of children and young people can vary a lot in the following situations: the skin on the not use the application. Holding a phone pow- according to respiration (sinus arrhythmia), in which chest is damaged in the measurement ered on close to a cardiac pacemaker can cre- case irregular respiration has more effect on the area, the phone is connected to a char- ate electromagnetic interference (EMI), which result and a normal rhythm might look irregular. ger, or the phone has a protective case. may cause a malfunction in the pacemaker. Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION QUICK START GUIDE page 2/2 i Things to remember when measuring atrial fibrillation i Take a measurement Atrial fibrillation is the most common cardiac arrhythmia, which may occur oc- • Remove any thick clothing from your chest area. casionally or in a sustained manner. In order to detect possible atrial fibrillation • Lay on your back and relax. with the CardioSignal application according to the intended use, a measurement • Press the Start button in the CardioSignal application, must be taken twice per 24-hour period, for example, in the morning and evening. which will begin the 10-second countdown period. • Place the phone in the middle of your chest. Follow the instructions below in order to achieve the best measurement result. • The measurement lasts for 60 seconds. You will hear • Take the measurement while lying on your back, strive to be relaxed. a beep every 10 seconds and the end signal will sound • Do not move, speak or cough. when the measurement • Do not hold the phone. has been completed. • Keep hands relaxed aside the body. For example putting • The measurement is dis- palms under your neck may cause contractions of pectorals played after the analy- (breast muscles) which affects the measurement. sis phase. The speed of • Do not take the measurement after exercising, because your internet connection your heart rate will be unnaturally high. affects the duration of • Moving the phone or touching the screen during the 60-second the analysis phase. measurement will interrupt the measurement. What to do in the following situations? ? ATRIAL FIBRILLATION DETECTED Repeat the measurement several times and en- ATRIAL FIBRILLATION DETECTED BUT I’M SURE THAT I DON’T HAVE IT THE MEASUREMENT FAILS sure that you have followed the instructions The heart rate can vary a lot. Try holding your breath REPEATEDLY If atrial fibrillation is detected in consecutive mea- during the measurement (for example, for 15 seconds) to Ensure that you have fol- surements, contact a doctor or your care provider. reduce the effect of respiration on irregular heart rate. lowed the instructions. MANUFACTURER: ■ Precordior Ltd. Aurakatu 6, 20100 Turku, Finland ■ Contact us: +358 102 021 200 ▶ support@precordior.com Notified body: Eurofins Expert Services Oy 0537 Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
TABLE OF CONTENTS QUICK START QUIDE page TAKE A MEASUREMENT 14 SETTINGS 23 3 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Things to remember when User profile TABLE OF CONTENTS measuring atrial fibrillation Change password Take a measurement Delete account GENERAL 5 Signs of atrial fibrillation Log out 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PRODUCT DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 No signs of atrial fibrillation Language Supported operating systems, Heart signal Sounds devices and other requirements Unsuccessful measurement Vibration ⚠ Restrictions on use What to do in the Activation code and subscriptions following situations? Not activated or inactive subscriptions INSTALL THE APPLICATION 7 Atrial fibrillation detected 2 . . . . . . . . . . . . . . . . . . . . . . . . . Atrial fibrillation detected, Valid subscription iPhone application Feedback but I’m sure that I don’t have it. Android application Terms of Use The measurement fails repeatedly CREATE A USER ACCOUNT 8 Privacy policy Interrupt a measurement . . . . . . . . . . . . . . . . . . . . . . . . . PRIVACY POLICY AND TERMS OF USE . . . . 9 Check the measurement Open source components ACTIVATE THE ATRIAL FIBRILLATION history and features MEASUREMENT FEATURE 10 Delete a measurement PRIVACY PROTECTION 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 free measurements AND USER DATA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Activate the measurement feature DATA SECURITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 with an Apple or Google subscription MANUFACTURER INFORMATION . . . . . . . . . . . 27 Subscription duration, renewal and cancelation Change the subscription type Restore a subscription Subscription price and duration Simultaneous use of activation with a link (Activation code) and a subscription INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION –4– Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
1. GENERAL • PRODUCT DESCRIPTION GENERAL PRODUCT were confirmed by 2 independent cardiol- ogists, and a third cardiologist made the final decision if interpretations diverged. These instructions are provided in PDF for- mat. You can request a paper version by DESCRIPTION The institutional ethics review board ap- proved the study protocol. The algorithm developed beforehand analyzed the motion sending an e-mail to support@precordior.com. CardioSignal is a smart- data acquired by the smart phone and clas- phone application to sified the rhythm to be either sinus or atrial These instructions were updat- monitor atrial fibrillation fibrillation. Electrocardiographic rhythm ed on 6 January 2021 and they ap- of the heart. The Car- classifications were blinded to the algorithm ply to the CardioSignal iOS and An- dioSignal smartphone and the algorithm developers. The result of droid software version 2.0 or newer. application and related this study is that the CardioSignal applica- services are produced by tion is able to detect atrial fibrillation with the Finnish company Pre- 95.3% sensitivity (identifies atrial fibrillation cordior Oy. The CardioSignal application rhythm correctly) and the 96.0% positive is a CE-approved medical device (class IIa) predictive value, as well as 96.0% specificity which has a sales permit in the European (identifies sinus rhythm correctly) and 95.4% Union region. The application is not avail- negative predictive value. the study popu- able in all countries. You can check coun- lation presents a large variety of different try availability at www.cardiosignal.com. person and body characteristics. Details of the study are publicly available here: The technology, measurement method and ▶ https://www.ahajournals.org/doi/ atrial fibrillation detection algorithms Car- full/10.1161/CIRCULATIONAHA.117.032804 dioSignal application uses have been vali- dated in clinical trials. The study comprised ▶ https://clinicaltrials.gov/ct2/ show/NCT03274583 300 patients, 150 in atrial fibrillation and 150 age- and sex-matched patients in si- nus rhythm (normal electrical activity of the heart). Motion data recording was acquired from each subject with a smartphone placed on the sternum. A simultaneously obtained electrocardiography recording was used as the comparison method to assess rhythm. Electrocardiographic rhythm classifications INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION –5– Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
1. GENERAL • PRODUCT DESCRIPTION Supported operating systems, • The application is intended for personal devices and other requirements use by the holder of the user account. The holder of the user account is responsible The CardioSignal smartphone application for adequate locking of the phone on Restrictions on use can be used on Apple iPhone and Android which CardioSignal is installed in order The application is intended for adults. smartphones. The following requirements are to prevent unauthorized use of the ap- The heart rate of children and young necessary for the application to operate: plication. This can be done, for example, people can vary a lot according using a biometric identifier or password. to respiration (sinus arrhythmia), in • The smartphone must have motion sen- ☐ which case irregular respiration has sors (accelerometer and gyroscope). more effect on the result and a nor- mal rhythm might look irregular. • Android operating system ver- sion 4.3 or newer, but we recom- The measurement must not be per- mend that you always update to formed in the following situations: the latest operating system. the skin on the chest is damaged in the measurement area, the phone • Please note that operations of the An- is connected to a charger, or the droid application may vary depending phone has a protective case. on the components used by the An- droid phone manufacturer and chang- Persons who have a cardiac pacemaker es made to the operating system. may not use the application. Holding a phone powered on close to a cardiac • Apple iPhone SE or newer phones. pacemaker can create electromagnet- ic interference (EMI), which may cause • iOS operating system 12.0 or newer. a malfunction in the pacemaker. • The WiFi or Mobile-Internet connection must be turned on when using the ap- plication. Please note that the use of mobile data may cause additional costs depending on the phone subscription. • A user account must be created in order to use the application. INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION –6– Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
2. INSTALL THE APPLICATION INSTALL THE APPLICATION The CardioSignal application cannot be installed on an incompatible phone. The IPHONE APPLICATION ANDROID APPLICATION phone is incompatible when it does not have the required motion sensors or the op- • Open the AppStore application on • Open the Google Play application erating system is too old. There are known your iPhone and select the Search on your Android phone. Android phone models which are blocked feature (magnifying glass). regardless of having the required sensors • Write CardioSignal in the search field or operating system version. These phone • Write CardioSignal in the search field and and press the magnifying glass icon. models are listed at the CardioSignal Goo- press the Search button on the keyboard. gle Play info screen. The easiest way to • Open the CardioSignal application test the application’s compatibility is to try • Open the CardioSignal application information and press Install. and install it from the application store. information and press the Get button. • The application will be installed. • The application will be installed. Icon of the CardioSignal smartphone application INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION –7– Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
2. CREATE A USER ACCOUNT CREATE A Creating user account USER ACCOUNT After starting the CardioSignal application, select the Create new account option at the bottom of the screen. A valid e-mail ad- dress is required to create a user account. Enter your e-mail address and password. You have to enter the password twice in or- der to ensure it is correct, and it must be at least 8 characters long. The new account must be verified by opening a verification link sent to the user’s email address. ( 1–4) 1 2 3 4 → Create new account → Enter your e-mail & password → Check your email & verify → Continue INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION –8– Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
2. PRIVACY privacy policy and terms of use POLICY AND TERMS OF USE PRIVACY Privacy Policy & Terms of Use POLICY AND → Read Important section & accept → Read Terms of use & accept TERMS OF USE In order to use the CardioSignal applica- tion, you must read the Important section and privacy policy and accept the Terms of Use. There is a direct link from the Im- portant notice section to the privacy pol- icy, which describes how data collected by the CardioSignal application is used. Press the I understand button to display the Terms of Use. The user must accept the Terms of Use in order to use the applica- tion. Touch the checkbox with your finger after you have read and understood the Terms of Use; only then can you move for- ward by pressing the I agree button. ( 5–6) 5 6 INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION –9– Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
2. ACTIVATE THE ATRIAL FIBRILLATION MEASUREMENT FEATURE ACTIVATE 5 free measurements → Select 5 free measurements THE ATRIAL → Take a measurement (see chapter 3) FIBRILLATION MEASUREMENT FEATURE After accepting the Terms of Use, the user has the opportunity to take 5 free mea- surements, purchase an automatically renewed subscription, or enable the mea- surement feature with an activation link. 5 FREE MEASUREMENTS After accepting the Terms of Use, the user is offered the possibility to take 5 free measure- 7 8 ments before subscribing to the service ( 7–8). The measurement view is displayed when the user selects the Get 5 free measure- ments option. Only measurements for which a result is obtained are included in the free Deleting measurements does not affect the measurements. Interrupted measurements free measurements. Measurement errors are not included in the free measurements. are included in the 5 free measurements. INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 10 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
2. ACTIVATE THE ATRIAL FIBRILLATION MEASUREMENT FEATURE After 5 free measurements, the user is ▼ ACTIVATE THE MEASURE- Please note that the prices presented in the image may given the opportunity to enable the mea- differ from the prices displayed by the application. The surement feature by subscribing. The user MENT FEATURE WITH AN application always displays the up-to-date prices. can also skip the subscription phase, and then use the application normally with- APPLE OR GOOGLE SUB- out the measurement feature. ( 9–11) SCRIPTION After accepting the Terms of Use, the user Activation after 5 free measurements is given the opportunity to subscribe to the service. When the user chooses the Select subscription feature, the prices and dura- → Activate tions (1 month, 3 months and 1 year) of dif- measurement ferent subscription options are displayed. → Go to After selecting a single subscription option, subscription the user is asked to approve the subscrip- selection tion in the manner offered by Apple or → Select a Google, for example, FaceID, fingerprint, password, etc. A successful or unsuccess- subscription ful subscription is clearly displayed to the type user. The measurement view is displayed to the user after successful payment. ( 12–14) Subscription duration, renewal and cancelation An active subscription (1 month, 3 months, 1 year) is automatically renewed unless it is canceled by the user. A subscription is au- tomatically renewed unless it is canceled at least 24 hours prior to the start of the next subscription period (1 month, 3 months, 1 year). This may vary depending on the Goo- 9 10 11 INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 11 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
2. ACTIVATE THE ATRIAL FIBRILLATION MEASUREMENT FEATURE Selecting subcription Change the subscription type → Go to subscription The subscription type (1 month, 3 months, selection 1 year) cannot be updated during a sub- scription period. If you want to change a → Select a subscription that is renewed every month subscription type to a 3-month subscription, you can do so in the manner offered by your iPhone or Android phone. It is the responsibility of the service provider (Apple or Google) to provide any refunds in connection with a change in the subscription type and Pre- cordior cannot affect these matters. It’s a good idea to open the link above and read more about Apple and Google instructions concerning a change in subscription. Restore a subscription If you have a valid subscription but, for ex- Please note that the prices presented in the image may differ ample, you had to reinstall the CardioSig- from the prices displayed by the nal application, you can restore the valid application. The application always subscription. Log in to the CardioSignal displays the up-to-date prices. application with the user ID you creat- 12 13 14 ed earlier, select the Restore subscription feature and try to restore the subscrip- tion with the Apple ID. After restoring the gle or Apple practices. Subscriptions cannot Cancel an Apple subscription: subscription, the measurement feature is be canceled from the CardioSignal appli- ▶ https://support.apple.com/en-us/HT202039 available until the end of the subscription cation, but must be done via the Google or period. For Android devices, restoring the Cancel a Google subscription: subscription doesn’t require user actions. Apple subscription management system. ▶ https://support.google.com/googleplay/ answer/7018481?hl=en&ref_topic=1689236 Please note that the links may be changed by Apple or Google. INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 12 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
2. ACTIVATE THE ATRIAL FIBRILLATION MEASUREMENT FEATURE Subscription price and duration SIMULTANEOUS i Please note that the price of the subscrip- tion and the subscription types (1 month, USE OF ACTIVATION Problems activating 3 months, 1 year) may differ from the pric- WITH A LINK the measurement feature es and subscription types presented in this documentation. The application al- (ACTIVATION CODE) If you have problems activating the ways displays the price separately for each subscription type. Apple and Google AND A SUBSCRIPTION measurement feature, contact support@precordior.com and tell will also ask you to confirm the purchase You cannot use an activation code and a them which phone you’re using, your before you are charged. The purchase subscription at the same time. For example, user ID and activation code. The price is separately displayed again to the if you need to change the activation code activation code is the last 9 numbers user in conjunction with confirmation. to an automatically renewed subscription, or letters of the activation link. you should wait until the activation code expires before ordering the desired ser- vice type. Similarly, if you want to change an Apple or Google subscription to an activation code, cancel the subscription, wait until the end of the paid subscription period and then use the activation code to re-enable the measurement feature. ☐ INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 13 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
3. TAKE A MEASUREMENT TAKE A i MEASUREMENT Things to remember when measuring atrial fibrillation After the measurement feature has been Atrial fibrillation is the most common activated, the application displays the Press cardiac arrhythmia, which may start to measure view. This view is the de- occur occasionally or in a sustained manner. In order to detect possible fault view after starting the application. atrial fibrillation with the CardioSignal Before taking the first measurement, it’s a application according to the intended good idea to read the instructions to ensure use, a measurement must be taken the most reliable result. You can open the twice per 24-hour period, for example, Instructions view by clicking on the Read in the morning and evening. instructions text. Read the instructions Follow the instructions below in order to carefully before taking a measurement in achieve the best measurement result: order to ensure the best possible measure- ment result. This document “CardioSignal • Take the measurement while lying User Manual” can also be accessed via on your back, strive to be relaxed. the application’s measurement instruc- • Do not move, speak or cough. tions, at the end of the instructions view. • Do not hold the phone. • Keep hands relaxed aside the body. For example putting palms under your neck may cause contractions of pectorals (breast muscles) which affects the measurement. • Do not take the measurement after exercising, because your heart rate will be unnaturally high. • Moving the phone or touching the screen during the 60-second measurement will interrupt the measurement. INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 14 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
3. TAKE A MEASUREMENT Start the measurement by pressing the Take a measurement Start button in the middle of the screen. After this, you have 10 seconds to place the phone on top of your chest. During the count- → Read instructions down, you’ll hear a beep every second and a → Press Start start-up signal will indicate the beginning of to measure the measurement. ( 15–17) → Place phone on your chest → Measurement starts i Take a measurement • Remove any thick clothing from your chest area. • Lay on your back and relax. • Press the Start button in the CardioSignal application, which will begin the 10-second countdown period. • Place the phone in the middle of your chest. 15 16 17 • The measurement lasts for 60 seconds. You will hear a beep every 10 seconds and the end signal will sound when the measurement has been completed. • The measurement is displayed after the analysis phase. The speed of your internet connection affects the duration of the analysis phase. INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 15 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
3. TAKE A MEASUREMENT The atrial fibrillation measurement lasts for Measuring procedure 60 seconds, during which you may not touch the phone or move. Please note that speak- → Measurement ing, coughing or moving your body can cause a measurement error or unsuccessful mea- progress is displayed surement. The vibration feature may cause → Please wait a measurement error if, for example, you re- while analysing data ceive a message during the measurement. You will hear a beep every 10 seconds during the measurement, and the end of the mea- surement is indicated by an end signal if the vibration feature is turned on. You can change the vibration setting in the appli- cation settings. After the measurement, the measurement data will be analyzed for a short time. The duration of the anal- ysis phase may vary depending on the speed of the internet connection. ( 18–19) CardioSignal will display the measure- ment result after the analysis phase. The application can provide 2 different mea- surement results: Signs of atrial fibrillation or No signs of atrial fibrillation. 18 19 INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 16 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
3. TAKE A MEASUREMENT Measurement results SIGNS OF ATRIAL FIBRIL- LATION → View results Signs of atrial fibrillation were detected in → More information the user. If the CardioSignal application de- → New measurement tects atrial fibrillation, the measurement must be repeated to confirm the result. ( 20–21) Please note that performing the measure- ment in a way that conflicts with the instruc- tions (moving, talking, incorrect measure- ment position or holding the phone) may also cause a Signs of atrial fibrillation measure- ment result. Make sure that you followed the instructions and repeat the measurement a few times. If you obtain the same measurement several times, contact your doctor or care provider. NO SIGNS OF ATRIAL FIBRILLATION 20 21 22 No atrial fibrillation was detected. The result also shows the average heart rate during the measurement. A successful measurement result does not require any further action. However, remember to continue taking daily Regular measurement is important because measurements. We recommend measure- atrial fibrillation can also occur occasionally, ments in the morning and in the evening. which makes it difficult to recognize. ( 22) INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 17 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
3. TAKE A MEASUREMENT Heart signal Viewing heart signal It is possible to check the heart signal for every successful measurement. When → Select Heart signal you select Heart signal at the top of the → Please wait while loading measurement result view, the application → View heart signal will begin loading the curve depending → Get more information with the button on the speed of your internet connection, it can take 2-10 seconds to load. You can check the heart signal for the entire 60-second measurement by scrolling the signal image. You can obtain more information about the details of the heart signal by pressing the button. ( 23–26) Please note that the heart curve is not an ECG curve, because the method used by the applica- tion is based on motion sensors. 23 24 25 26 INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 18 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
3. TAKE A MEASUREMENT Unsuccessful measurement (examples) tects excessive movement during the → Read instructions measurement, the measurement will again be interrupted as unsuccessful. → Take a new measurement • The measurement data cannot be inter- preted. The data produced by the motion sensors is unreadable for some reason. In this case, the data is not analyzed and the measurement is declared unsuccessful. • The phone was in the wrong position during measurement. The phone must be in the most horizontal position possible. • The measurement has been per- formed, for example, from a table and the heart signal was not detected. • Your heart rate is outside the 30-160 beats The images show some examples per minute range. You can measure your of unsuccessful measurements. Please note that there can be heart rate in some other way (for exam- more error situations than those ple, taking your pulse by hand) in order presented in the images. to ensure that this is not the reason. 27 28 29 • Reboot your phone. Some phone models are reported to provide er- UNSUCCESSFUL sure that you have performed the mea- surement according to the instructions. roneous sensor data but reboot- ing the phone fixes the problem. MEASUREMENT An unsuccessful measurement can be caused by several different reasons: • If the measurement fails repeatedly, you If the measurement is unsuccessful, re- can contact Precordior’s customer ser- peat the procedure ( 27–29). Check • You have moved your phone during vice by e-mail at support@precordior.com the measurement instructions to en- the measurement. If the phone de- or by calling +358(0)10 202 1200. INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 19 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
3. TAKE A MEASUREMENT What to do in the following situations? ATRIAL FIBRILLATION ATRIAL FIBRILLATION THE MEASUREMENT DETECTED DETECTED, BUT I’M SURE FAILS REPEATEDLY 1. Repeat the measurement several times THAT I DON’T HAVE IT 1. Ensure that you have followed the and ensure that you have followed the instructions presented in the Things instructions in the Things to remember 1. Especially with children, young people to remember when measuring when measuring atrial fibrillation section. and athletes, the heart rate can vary a lot atrial fibrillation section. 2. Also check the quick start guide in according to respiration (sinus arrhythmia), 2. The measurement is classified as the CardioSignal application. in which case irregular respiration has unsuccessful if the measured heart rate is more effect on the result and a normal less than 30 or over 160 beats per minute. 3. If atrial fibrillation is detected in rhythm might look irregular. Try holding Measure your heart rate and make sure that consecutive measurements, contact your breath during the measurement (for it is between 30 and 160 beats per minute. a doctor or your care provider. example, for 15 seconds) to reduce the effect of respiration on irregular heart 3. Reboot your phone. Some phone models are rate. reported to provide erroneous sensor data but rebooting the phone fixes the problem. 2. All people have extra heartbeats at some times. A small number of atrial 4. If none of the above-mentioned instructions extrasystoles (also known as premature correct the measurement, contact atrial contractions, PACs) is not a problem Precordior Oy’s customer service by but having a lot of them can be harmful. e-mail at support@precordior.com The application may have difficulty or call +358(0)10 202 1200. differentiating between a large number of atrial extrasystoles and atrial fibrillation. INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 20 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
3. TAKE A MEASUREMENT The measurement history displays all the to scroll the measurement view down in or- INTERRUPT user’s previous measurements by month. der to see the earlier measurements. You A MEASUREMENT You can use the arrow buttons to change the month. ( 31) Not all measurements are can open the information for an individual measurement by clicking on the desired A measurement can be interrupted during the loaded at the same time, and the user has measurement result in the list. ( 32–33) measurement by touching the screen or mov- ing the phone. If the phone is moved during the measurement, that measurement result is unreliable. These measurement results should be deleted from the measurement history. Measurement history (examples) CHECK THE MEASUREMENT HISTORY AND FEATURES The CardioSignal application displays the measurement result after the measurement phase. The user can also check the measure- ment history by selecting the History option in the navigation menu at the bottom of the view. ( 30) → Select History → Use < > buttons to select month → Scroll up & down → Select measurement to open 30 31 32 33 INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 21 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
3. TAKE A MEASUREMENT Delete a measurement Deleting a measurement The user can delete a measurement result → Select trash bin icon by selecting the Trash bin icon at the top up- → Confirm deletion per corner of the measurement result. After this, the user will be asked to confirm dele- tion of the measurement result. Please note that the measurement results can no longer be restored after being deleted. ( 34-35) ☐ 34 35 INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 22 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
4. SETTINGS SETTINGS Settings / User profile / Change password / Delete account The settings for the CardioSignal ap- plication are opened from the Set- tings option in the navigation menu at the bottom of the application. ( 36) User profile The user profile settings can be opened directly by touching the user profile in the application menu and selecting user ID in the Profile section. You can change a password, delete a user or log out in the user profile settings. ( 37) Change password In order to change a password, you need to write the old password and enter the new password twice. The Change pass- word button is only enabled after the old and new passwords have been validated. 37 38 39 Then you can change the password. ( 38) 36 Delete account The Delete account feature deletes the user account and all measurements associated with that user account. The user will be asked to confirm deletion of the user account be- fore the account is deleted. ( 39) and all unique identifiers associated with after the user account has been deleted and After a user account has been deleted, the the measurement data will be deleted. Pre- it can use (anonymized) measurement data measurement data can no longer be restored cordior Oy will save the measurement data for service development and research work. INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 23 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
4. SETTINGS Log out Logout / Language / Sounds / Vibration The user can log out of the applica- tion with the Log out button. The user will be asked to confirm the log out action prior to logging out. ( 40) Language The language of the CardioSignal applica- tion can be changed by selecting the Lan- guage option. The application will display the language options and the language that is currently in use. After a change in language, the application will display the measurement start-up view. ( 41–42) Sounds The Sounds setting specifies wheth- er sound signals are used during the measurement. The Sounds setting can be turned on or turned off. ( 43) 40 42 Vibration 41 43 The Vibration setting specifies whether vi- bration is used when starting, interrupting or ending a measurement. The vibration set- ting can be turned on or turned off. ( 43) INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 24 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
4. SETTINGS Activation code and subscriptions Valid subscription Not activated or inactive subscriptions with an activation link, the Settings view will If the user has an active subscription display the Subscribe option. Selecting the or measurement feature enabled with If the user does not have an active sub- Subscribe option will display the subscrip- an activation link, the remaining peri- scription or a measurement feature enabled tion and activation code view. ( 44-45) od of validity is displayed. ( 46-47) Subscriptions 45 47 44 46 INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 25 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
4. SETTINGS 5. PRIVACY PROTECTION AND USER DATA • DATA SECURITY The CardioSignal user account is personal, Feedback PRIVACY PROTECTION and therefore it is important for the account The Feedback feature opens the default e-mail program from which the user can AND USER DATA holder to prevent any external parties from gaining access to a device on which the send feedback to the user support Learn more about the privacy notice for CardioSignal application is installed. Cardi- address support@precordior.com the application at oSignal user IDs must never be shared with provided by Precordior Oy. ▶ https://service.precordior.com/ external parties, and the application must legal/en/privacy-policy.html always be installed from the official Apple Terms of Use App Store or Google Play stores. For example, there is no guarantee that the application The Terms of Use section opens the Terms will function properly if it is installed on a Jail- of Use for the CardioSignal application. DATA SECURITY broken or rooted device or on an emulator. The user must ensure that the iOS or Android CardioSignal utilizes commonly used and operating system is updated to a compati- Privacy Policy proven encryption methods. All of the ble operating system version, which you can The Privacy Policy section opens the priva- data that CardioSignal sends to Precor- check in the Supported operating systems, cy policy for the CardioSignal application. dior’s cloud service is transferred over an devices and other requirements section. encrypted connection and saved in an encrypted database. The servers used to ☐ Open source components produce the database and service are The Open source components section opens connected to a private network that can- a list of the open source components used not be directly accessed from the internet. in the CardioSignal application or Precordior Back-up copies of the data are taken on a cloud service and the related licenses. daily basis. No measurement data is saved in the mobile devices (iOS and Android) ☐ INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 26 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
5. MANUFACTURER INFORMATION MANUFACTURER INFORMATION Precordior Ltd. Notified body: Aurakatu 6 Eurofins Expert Services Oy 20100 Turku, Finland Company registration 0537 number 2800927-7 Contact us: +358 102 021 200 ▶ support@precordior.com PRECORDIOR IN BRIEF Precordior Ltd. provides unique cardiac monitoring solutions based upon the user’s chest motion. Cardi- oSignal™ is our CE IIa class medical device for detec- tion of atrial fibrillation, which works on most modern smartphones without any additional add-on devices. Precordior’s technology is based upon comprehen- sive scientific research in Finland in 2012–2021 and has been validated with clinical trials. At Precordior, we strive to provide reliable and user-friendly heart mon- itoring solutions to smartphone users worldwide. INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION – 27 – Updated on 6 January 2021. – ©Precordior Ltd. 2017–2021. All rights reseerved.
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