Product Manual N.2 WEARABLE ECG. PRODUCT MANUAL

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Product Manual WEARABLE ECG www.vitaljacket.com www.biodevices.pt Biodevices S.A. Av. D. Afonso Henriques, 1462 1º Traseiras 4450-013 Matosinhos Portugal N.2 O NOVO NORTE PROGRAMA OPERACIONAL REGIONAL DO NORTE QUADRO DE REFERÊNCIA ESTRATÉGICO NACIONAL PORTUGAL2007.2013 UNIÃO EUROPEIA Fundo Europeu de Desenvolvimento Regional

Copyright This Manual cannot be copied (in whole or in part), otherwise reproduced or translated into another language without the prior authorization of Biodevices, S.A. The manufacturer reserves the right to alter all information contained in this manual without prior notice.

Index Product Information 4 Safety Precautions 6 Environmental Information 8 Requirements for Cleaning and Disinfection 9 Equipment 10 Dress the t-shirt 11 Color code of the electronic device 12 Prepare the next exam 13 FAQ s 14 Troubleshooting and Corrective Measures 15 Specifications 16 Precautions, Restrictions and Warnings 17 Coding Set Element and Accessories 20 Manufacturer's Declaration 21

Product Information T-shirt The VitalJacket 1L has 3 springs and the VitalJacket 5L Motion has 6 springs where the signal acquisition electrodes should be connected. The tshirt also has a plug, inside of a pocket, where the electronic device should be connected. Electronic Device The electronic device allows acquiring the Electrocardiogram (ECG) signal and the heart rate. All data acquired will be stored in a SD Card (provided as accessory). Furthermore, this device has Bluetooth communication for sending/receiving data. The electronic device has 3 lights that indicate the state: Red light: heart rate Green light: device charging Blue light: Bluetooth connected. 4

Battery charging and charger To charge the battery of the electronic device, it should be connected to the battery charger provided. The green light (power supply) should switch on. While this light is on, the device is charging. Accessories A SD Card is provided to be used with the electronic device. The VJ Desktop Reader must be used to configure the SD Card. A set of 25 electrodes is also provided for the first usages. The electrodes can be bought from Biodevices, S.A. or at a specialized store. We call your attention to the fact that the system was tested with electrodes provided by Biodevices, S.A. Biodevices, S.A. does not take any responsibility for any bad results deriving from the use of other electrodes.! Note: There are electrodes on the market with different features and applications. You should choose the most suitable electrodes. 5 Edition: 0 Date: 28-09-2009

Safety Precautions Symbols Symbol Description Bluetooth Caution (consult safety manual) Ponto verde Recycable package Waste Electrical and Electronical Device Manufacturer Fragile Keep dry Keep away from heat CE Mark Medical Device Handling Scope The VitalJacket t-shirt is an ECG signal and heart rate monitoring system. The VitalJacket is a medical device and, as such, it can be used for therapeutic or diagnosis purposes. 6

Disclaimer of responsibility The handling should comply with the instructions described in this user's manual. Warranty Biodevices, S.A. guarantees that the VitalJacket electronic device is free from material or manufacture defects, for a period of 2 years from the date of the purchase (except for the battery-6 months and disposable electrodes). For that purpose, the owner should make proof of purchase. Exclusions The warranty does not cover damages caused by repairs done by people or agents not authorized by Biodevices, S.A. The warranty does not cover damages caused by bad handling, accidents, or incorrect maintenance of the VitalJacket t-shirt. The warranty does not cover cracked, broken boxes or that present signs of visible impacts. Do not open this electronic device. Such violation will render the warranty null and void. Handling Safety Precautions Read the user's instructions provided before using the VitalJacket t-shirt. The bluetooth symbol, in relief in the electronic device, should be directed to the outside of the t-shirt. Battery charging must be done with the electronic device outside the t-shirt. Handle the electronic device with care, avoid dropping and strong impacts. The electronic device is not waterproof and may be irretrievably damaged if water is allowed inside. 7

Environmental Information Packing The packing is made of 100% recyclable material, and it contains the respective symbol. For its disposal, it is mandatory to comply with a certain number of rules on packing legislation. The packing material (plastic bags, etc.) should be kept out of the children's reach, given that it is potentially dangerous. Electronic Device This electronic device complies with the European Directives 2002/96/EC, Waste Electrical and Electronic Equipment (WEEE) and 2002/95/EC, Restriction of Hazardous Substances (RoHS). The symbol contained in the product or accompanying documentation indicates that rather than handle this product as household waste it should be delivered at specialized centres that collect and recycle electrical and electronic equipment. Disposal of this product must be carried out in accordance to the regulations of your local authority. For information on handling, recovery and recycling this product, contact the respective centre in your local area, the household waste pick up service, or the shop where this product was purchased. 8

Requirements for Cleaning and Disinfection! Remove the electronic device before wash the t-shirt. T-shirt Wash: Machine wash at 30 C. Do not bleach. Iron at low temperature. Do not clean dry. Do not tumble dry. 9

Equipment T-shirt Electrodes SD Card Electronic Device Charger 10

Dress the t-shirt 1.A. Clean with alcohol and dry very well the zones of the body where the electrodes will be placed. In version VitalJacket 5L Motion, the placement of the electrodes must follow the image VitalJacket 5L Motion VitalJacket 1L 1.A Correct placement of the electrodes. placed inside the t-shirt (image A). In version VitalJacket 1L, the placement of the electrodes should follow the orientation of the image B or image C. 1.B. Dress the t-shirt. 1.B Fixing the springs. Fix the springs inside the t-shirt to the electrodes placed in your body. You should hear a click. 1.C. Check that the electronic device has a SD card and afterwards connect it to the plug inside the pocket of your t-shirt. A red light should start blinking. When the red light is blinking normal (1 time per second) the device is acquiring the signal and 1.C Connecting electronic device. write data on SD card. If the red light don t blink, remove the SD card from the electronic device and put it back again. If the red light is blinking fast (3 times per second) the SD card is full and don't record the data. 1.D Electronic device in operation. 11

Color code of the electronic device Red light (Working) Blinking normal (1 time per second) - device is acquiring signal and writing data in SD card Blinking fast (3 times per second) - device is acquiring signal but is not recording data, the SD card is full Don t blink - remove the SD card from the electronic device and put it back again Green light (Battery) Blinking slow (1 time per 5 seconds) - battery under 30% Blinking normal (1 time per second) - battery under 15% Blinking fast (3 times per second) - battery under 5% Light on - battery charging, when the light turns off the battery is fully charged Blue light (Bluetooth) Blinking normal (1 time per second) - Bluetooth is active but is not connected to any electronic device Blinking 5 times and from then blinks slowly (1 time per 8 seconds) - Bluetooth is on and the electronic device is empaired with another device (PC, PDA, etc...) 12 Revisão: 6 Data: 21-02-2011

Prepare the next exam 1.A. Connect the USB cable to the USB charger supplied in the box. Unplug the electronic device from the t-shirt and plug it to the power supply using the USB cable and the USB charger. Alternatively you can plug the electronic device to your PC using the USB cable. A green light will turn on. It will turn off when the battery is fully recharged. 1.A USB cable and USB charger. In use, a green blinking light indicates that remains only 5% of the battery, about 30 minutes. 1. B. Place the SD card in your PC's card reader. 1.B SD card configuration. Open VJ Desktop Reader and select the option Configure SD Card in the Tools Menu. A message asking to confirm the format is displayed. Click Yes to confirm to finalize the configuration. 13

FAQs What it is? VitalJacket is a medical monitoring device that allows the user to perform a ECG with all confort while wearing a t-shirt with a small electronic device in the pocket. Who should use it? Everyone is suitable for Vitaljacket as it is a non-invasive device with no contra-indications. Vitaljacket is recommended for everyone needing to monitorize vital signals, namely people with illness, cardiac problems and Professional/amateurs atheletes. VitalJacket can, under medical prescription, replace the standard systems for ambulatory ECG. How long can it be used? VitalJacket can be continuously used as long as needed, with no contra-indications. Where to buy? Vitaljacket can be directly bought to Biodevices S.A. or to any local partner (see Partners in www.biodevices.pt). How many ECG leads? There are two versions of the product, the VitalJacket 1L with 1 lead and the VitalJacket 5L Motion with five leads, both have the function of screening and comfortable monitoring of ECG for long periods of time. The VitalJacket 1L uses three electrodes to record an ECG lead (D1). The VitalJacket 5L Motion uses six electrodes to record three limb leads (D1, D2 and D3) and two precordial leads. How to wash? Remove the electronic device box from the t-shirt s pocket and follow the labeled instructions. 14

Troubleshooting and Corrective Measures Problem Cause Corrective Measure No signal or heart rate. The electrodes are badly positioned. Check the position of the electrodes according to the instructions provided in the User's Manual. The electronic device battery is low or completely worn out. Charge the electronic device battery The electrodes are badly positioned. Check the position of the electrodes according to the instructions provided in the User's Manual. The electronic device is badly directed. The Bluetooth symbol in the electronic device should be facing the outer part of the T-Shirt. The electrodes are badly positioned. Check the position of the electrodes according to the instructions provided in the User's Manual. The electronic device will not turn on. The signal and the heart rate shown are out of control. 15

Specifications Transport and storage specifications: Product Description The VitalJacket is a Class IIa medical device that allows to do an continuously Temperature -20ºC a + 45ºC and noninvasively electrocardiogram (ECG). The product consists of a t-shirt Humidity 10% a 90% non-condensing Air pressure 700 a 1060 hpa and an electronic device. Electronic Device Operating Conditions: Dimensions: Temperature -20ºC a + 45ºC Humidity 10% a 90% non-condensing Atmospheric pressure 700 a 1060 hpa Current 40 ma/h Class: 2 Power 132 mw/h Power: 2.5 mw Tension 3.3 V Frequency: 2.4 Ghz Max. Autonomy 72h 66 x 38 x 16 mm Weight (including battery pack): 50 g Communications Specifications (Bluetooth 2.0): Range: 10 m (direct line)! Note: The index of protection against electric shock is not applicable because the electronic device is never a charge when in use.! Note: The electronic devices are all identified by a MAC address with the following format: 00-23-FE-xx-xx-xx. Protection Class: IP 20 16

Precautions, Restrictions and Warnings Guideline and Manufacturer's Declaration - Electromagnetic Emissions The VitalJacket t is intended for use in an electromagnetic environment as specified below. The consumer or user of VitalJacket must ensure it is used in this environment. Tests Conformity Electromagnetic environment - guidance RF emissions CISPR 11 Group 2 The VitalJacket sends electromagnetic energy in order to perform the planned function. Nearby electronic equipment may be affected. RF emissions CISPR11 Class B Harmonics emissions IEC 61000-3-2 Class B The VitalJacket is suitable for use in all establishments other than domestic and those directly connected to public low-voltage network, which supplies buildings for domestic use, provided that the following notice misunderstood: Voltage fluctuations emissions IEC 61000-3-3 N/A Warning: This equipment is intended for use only by healthcare professionals. This equipment may cause radio interference or disrupt equipment operations nearby. It may be necessary to adopt procedures for mitigation, such as reorienting or relocating the VitalJacket or shielding of the place. Note: It is very important that the true effectiveness of the RF shielding and the RF filter real attenuation of the shielded place are checked to ensure they meet or exceed the specified minimum values. 17

Guideline and Manufacturer's Declaration - Electromagnetic Immunity The VitalJacket is intended for use in an electromagnetic environment as specified below. The consumer or user of VitalJacket must ensure it is used in this environment. Immunity tests ESD IEC 61000-4-2 Burst IEC 61000-4-4 Surge IEC 61000-4-5 IEC 60601 test level ± 6 kv contact ± 8 kv air ± 2 kv power-line ± 1 kv inputs/outputs ± 1 kv differencial mode ± 2 kv common mode Conformity level Guidelines - Electromagnetic environment ± 6 kv contact ± 8 kv air The soil must be wood, concrete or ceramic tiles. If soils are covered with synthetic material, the relative humidity should be at least 30%. N/A The quality of the power source must be like the typical commercial or hospital environment. N/A The quality of the power source must be like the typical commercial or hospital environment. N/A The quality of the power source must be like the typical of commerce or hospital environment. If VitalJacket requires continued operation during interruptions of the power source, it is recommended that the VitalJacket is powered by an uninterruptible power source or a battery. <5% UT (>95% UT drop) to 0,5 of the cycle Voltage drops, short interruptions and voltage fluctuation/flicker 40% UT (60% UT drop) to 5 cycles 70% UT (30% UT drop) to 25 cycles Interference immunity against magnetic fields with power frequency (50 Hz / 60 Hz) IEC 61000-4-8 <5% UT (>95% UT drop) to 5 s 3 A/m The magnetic fields in the power frequency should be at characteristic levels of a typical commercial or hospital environment. 18

Guideline and Manufacturer's Declaration - Electromagnetic Immunity The VitalJacket is intended for use in an electromagnetic environment as specified below. The consumer or user of VitalJacket must ensure it is used in this environment. Immunity tests IEC 60601 test level Interference immunity 3 Vrms to power-line-based intereference 150 khz to 80 MHz IEC 61000-4-6 Interference immunity 3 V/m against radiated interference 80 MHz to 2.5 GHz IEC 61000-4-3 Conformity level Guidelines - Electromagnetic environment N/A The VitalJacket should only be used in a shielded location with a minimum efficiency RF shielding and, for each cable entering the shielded location, a minimum attenuation of the RF filter (efficiency shield / specification of the attenuation filter). Field strengths outside the shielded place from fixed RF transmitters, determined by an electromagnetic site inspection, should be less than 3 V/m a. 3 V/m Interference may occur in the vicinity of equipment marked with this symbol: Note 1: These guidelines may not be applicable in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Note 2: It is essential that effectiveness and efficiency of the shielding and attenuation filter of the shielded location is checked to ensure they reach the minimum specification. a The field strengths of fixed emitters, such as broadcast stations for radio (cellular / cordless) telephones and land mobile radios, amateur radio, AM and FM radio and TV broadcast can not be theoretically predicted with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, should be considered an electromagnetic local inspection. If the field strength far from the place where the shield is used VitalJacket exceed 3 V/m, the VitalJacket should be monitored to verify normal operation. If anormal performance is observed, additional measures may be needed, such as replacing the VitalJacket site or use a shield with an efficiency of RF shielding and attenuation filter higher. 19

Coding Set Element and Accessories Description Code T-shirt 1 PCB 2 Charger 3 SD Card 4 Products Manual 5 CD with software 6 20

Manufacturer's Declaration Conformity with the European requirements Applicable Directives DIRECTIVE 2006/95/CE Electrical equipment for use within certain voltage limits (LV) DIRECTIVE2004/108/CE Electromagnetic compatibility (EMC) DIRECTIVE 1999/5/CE Radio equipment and telecommunications terminal equipment (R&TEE) DIRECTIVE 2002/95/CE Restricting the use of certain dangerous substances in electrical and electronic equipment (RoHS) DIRECTIVE 2002/96/CE Waste of electrical and electronic equipment (WEEE) Harmonized Standards ETSI EN 300 328 V1.7.1 Electromagnetic compatibility and radio spectrum (ERM); Systems for broadband transmission; Data transmission equipment operating in the frequency of 2.4 GHz ISM band that use modulation techniques in broadband. EN 301 489 part 1&17 V1.4.1 Electromagnetic compatibility (EMC) standard for radio equipment and services, Part 17: Specific conditions for broadband transmission systems at 2.421 GHz and equipment RLANs high-performance 5 GHz

Conformity with the requirements of the United States of America and Brazil Requirements Applicable FCC Certification and Anatel radio. This device complies with FCC and Anatel rules. Any transaction with the same is subject to 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. 22

Support and Customer Support Repairs and servicing shall be performed by an Authorized Service Center of Biodevices S.A. Biodevices, Sistemas de Engenharia Biomédica, S.A. Avenida D. Afonso Henriques, 1462 1º Traseiras 4450-013 Matosinhos Portugal Contacts: Tel.: +351 220 902 540 Email: info@biodevices.pt 23