Monitor Trivia!

Medtronic

100

Provide start to finish reconnection steps for the 24950-24952 monitor

• To reconnect, you will have the patient unplug and re-plug the monitor.  
• The screen will display the “Medtronic” logo momentarily until it clears to the blue home screen. The various onscreen icons will pop up as it reboots.  
• Once you see the white arrow pointing right, have the patient press and release the middle button to the right side of the monitor screen. The white arrow should then prompt the patient to pick up the hand reader and place it over their device. Sometimes they will see a magnifying glass over signal bars first, just wait a moment and the monitor should resume transmission prompts.  
• Once the reader is over their device, they should see a progress bar fill up green. Sometimes they may see an icon of the hand reader with waves radiating outwards; this means the reader is not centered over the device and/or is not connecting with the device. Have the patient move the reader in small circles on their chest until it reconnects and resumes filling the progress bar.  
• Once finished, the monitor will chime and prompt them to put the reader back down in the monitor cradle.  
• The patient will see an icon of the monitor on the left, a computer screen to the right, and another green progress bar to indicate sending the transmission.  
• They should see a big green checkmark and today’s date once completed successfully. 

200

Provide start to finish reconnection steps for the 24960/Relay monitor

• Unplug and re-plug the monitor. Wait for the green circle to stop spinning. It should be steadily lit when ready. 
• Press middle grey button and hold for 3 seconds, then release. Green light should spin while it connects and reads patient’s device. The progress bar below the middle button has 5 segments and will light up from left to right as it reads and sends the transmission.  
• Green light will be lit steadily again once completed. 

300

Provide start to finish manual transmission steps for the 25000/MyCareLink Smart Application 

• Make sure the hand reader has working batteries. 
• Open up the MyCarelink Smart app. 
• Press the grey button on the hand reader. The app should display onscreen instructions walking patient through transmission. It should show them placing the reader over their device. They will see a green progress bar when transmitting.  
• Once it is sending the transmission, patient will see the app icon itself on the left with waves radiating right towards the hospital icon. A green progress bar will display beneath this. 
• They will see a green checkmark and “Data Sent” once completed. 

400

Provide start to finish reconnection steps for the 27000/MyCareLink Heart Application 

• Open app with Bluetooth on
• Navigate to “Dashboard” at the bottom of the screen. 
• Tap on “Messages.” 
• Tap on “Send Transmission.” 
• The app should read “successful” once finished. 

500

Provide start to finish reconnection steps for the 2490 monitor

• Unplug monitor, plug back in
• Take the paddle/hand reader out of the back pocket
• Press the button on the left side of the monitor
• The lights will illuminate left to right on the left side of the monitor
• Two beeps will sound to signify information has been collected
• The lights will illuminate left to right on the right side of the monitor
• Two beeps will sound to signify the data has been sent
• The bullseye will light up to show successful

Boston Scientific

100

Provide step by step instructions for reconnection of the 6280/6290 monitor. 

• Unplug monitor and plug back in

• Ensure the Latitude light is green 

• Press the white heart button 

• Green waves will initiate on the left side of the heart and the blue patient icon will light; the monitor is connecting with the patient's implanted device 

• Green waves will then initiate on the right side of the heart, while remaining stable on the left side of the heart. The monitor is then sending the data collected to the clinic using the connectivity option installed 

• Once the blue Dr icon lights up in blue on the right-hand side, the transmission is completed 

• 
  

200

There are yellow waves on the left side of the heart on the 6280/6290 monitor. What does this indicate if there are yellow error waves on the left side of the monitor?

The left side of the monitor indicates there is an issue for the monitor to find the implanted device. We should be addressing monitor location, is the patient spending enough time next to the montior daily, is there possibly a new implanted device.

300

There are yellow waves on the right side of the heart on the 6280/6290 monitor. What does this indicate if there are yellow error waves on the right side of the monitor?

The error waves on the right side of the heart indicate the monitor is having trouble communicating with the network server. Considerations are what kind of connection is the patient using for connection, is there any electronics/device next to the monitor, does the pt have a metal roof. 

400

Provide start to finish steps for reconnection of the MyLux application

• Power off your monitor by pressing the button on the right side until it turns off. Press the button again until it turns on.
• When it turns back on the monitor screen will show the “Samsung” logo. It will then prompt you to swipe up on the screen.
• Open the MyLux app and press, “Check connection”
• Hold the monitor over your device, the device may vibrate, and a circle will spin on the monitor screen.
• When it’s finished spinning you should see that it’s connected, “connection successful.”
• Exit to the main screen.
• Make sure you leave your monitor plugged in with the app open and Bluetooth on so it can connect automatically.

500

Provide steps for a manual transmission for the MyLux application 

• Tap the menu icon at the upper left corner of the app screen
• Select manual transmission
• Follow instructions on the screen
• A message will confirm when the transmission is complete
• Tap Done

Abbott

100

Provide start to finish steps for reconnection of the 1150 monitor

Unplug the monitor and plug back in

Once the yellow lights stop scrolling on the monitor and only the green light is lit, press white button on front face of the monitor

The tower icon should light, and then the stars to show successful connectivity to network

Press the white button on the front face of the monitor a second time

The person with a heart icon should light, the patient remains in front of the monitor as it connects with the implant

The tower in the center should light up after the monitor is finished collecting data from the implant, showing it is sending the data to the clinic

Once the transmission is complete the stars icon will light again and the transmission is completed

200

Provide start to finish steps for a manual transmission for the 1100 monitor

• Place the wand receiver over the implanted device and press the white button 

• Push the white button on the front face of the monitor 

• The tower icon should light ensuring connectivity to the network, and once this is found the star icon will light 

• Press the white button on the monitor a second time 

• The person with a heart icon should light when the monitor is reading the implanted device 

• When the tower picture lights in the center the wand can be removed and set down, and the monitor is sending the data collected 

• Once the star icon lights again, the transmission is completed.

300

Provide start to finish steps for reconnection of the MyMerlin Application monitor

• Open the MyMerlin Confirm Application 

• Press “Record Symptoms”  

• When the application asks for the symptoms press “other”, and then press “done” 

• The application will connect with the loop recorder to gather data, and will say successful when it is complete

400

Provide start to finish steps for reconnection of the MyMerlin Pulse Application monitor

• Open the MyPulse application 

• Press "Send Transmission" and the screen should change where the application is showing the app is connecting to the implanted device and when it is sending to the clinic 

• Once the transmission is completed the application will show “Data Sent” 

500

Provide the steps to pair an 1150/1100 monitor to a new device

• If the old device and new device have different Merlin charts, the monitor information will need to be removed from the chart before beginning the pairing. If the new device was put into the same chart as the old one, this step does not need to be done.

• Hold the white button down on the monitor without letting go. At the same time, press and release the reset button on the back of the monitor.

• When the monitor is unpaired you will hear a high audible tone. Then you can release the white button. Lights may scroll again as the unpairing process completes. 

• To pair the new device, short-press the white button again. Have the monitor VERY close to the patient (preferred to have the patient hold the monitor at/it be at heart level) 

• The read icon will flash and then start connecting with the implanted device 

• If the 5 lights start flashing together, it's possible the monitor may not be close enough to the patient. Move closer and try again.  

• Once it successfully moves past the read icon, to the tower, then the stars the monitor is now paired 

• A transmission will not automatically be sent.  If a transmission is needed, follow the steps to obtain the transmission 

Biotronik

100

Provide steps for monitor reconnection for the Cardiomessenger Smart

• Ensure monitor is plugged in
• Power off and power back on using the power button on side of monitor
• Once powered back on, ensure the monitor screen reads “OK”, and it is steady (not flashing)

200

Give the optimal location instructions to give a patient for the Cardiomessenger Smart 

• Keep at the bedside at night, less than 6 ft from where sleeping 
• Do not put the monitor directly on a metal table; in this case, sit the monitor on a stack of books 
• Do not have electronics 2 ft from monitor 
• Keep the monitor plugged in if possible.  Check once a day to make sure it is powered on. The screen should always show “OK” and the battery life symbol. 

300

The patient has a Cardiomessenger II, with a serial number of 6544368. What is your next step for monitor troubleshooting to resolve the disconnect?

The patient requires an upgraded Cardiomessenger Smart, and will need to be transferred to Biotronik technical support for further assistance with a monitor order. 

400

If a patient has poor cell reception in the home, what is the step they can take to help remain connected to the Cardiomessenger Smart?

If the patient has a poor cell signal, instruct them to sleep by the monitor at night, but take the monitor with them to an area of good reception during the day.  The monitor should transmit any information collected the night before at this time.

500

What does the telephone icon on the screen of the Cardiomessenger Smart mean

• This indicates the patient should call his or her physician because the clinician selected the “Request call back” button next to a patient’s transmitter serial number from the Transmitters list under the Administration menu on the Home Monitoring website. 

Random Troubleshooting

100

You are obtaining a manual transmission from a MDT 24950 monitor, and received error code 3230. What is your next step?

• Assuming you have already reset the monitor, tried again with 3230 or 3248 result, re-dock the reader and check for the battery charge icon. Let charge ~15 seconds and try again. 
• If error persists, pick up the reader and hold the grey button on top for several seconds until if powers off. Lights on reader will go out. Redock reader and let charge for ~15 seconds. 
• If error persists, pick up reader and immediately redock once or twice. If the lights on it flicker as it reconnects with the base, the charge pins on the monitor base are working and the patient just needs a new reader. If the lights on the reader do not flicker, the monitor base may not be delivering a charge and pt will need an entire replacement. 
• Note: patient only needs to charge monitor for ~20 minutes on a 3248 IF the monitor has been left unplugged. Otherwise just follow the above instructions. 

200

You are troubleshooting a 6280 Latitude Communicator and after restarting it, the Latitude light begins to flash yellow, no other lights are on. What is this indicating?

The Communicator has just been plugged into a power socket or it is downloading a software update. This process usually takes around 5 minutes but may take longer.

300

A patient calls in for assistance for an 1150 Merlin monitor that will not stop alarming. The patient indicates there is 1 flashing yellow light and the tower icon is lit up. What does this error light indicate? 

1 or 2 flashing lights: No cell signal or landline has no dial tone or is inactive 

400

A patient calls for help with their MDT 24960 Relay monitor, and states they do not have good cell reception in the home and need to use the Wi-Fi. Provide the 8 steps for Wi-Fi connection for a Relay monitor. 

1. Plug in the power cord

2. Open the Wireless Network Connection window on your computer and select Medtronic

3. When prompted, enter the password from the communicator label (found on underside of monitor)

4. Open an internet browser and type in http://www.MCLRelayWiFI.com

5. Select a language and click GET STARTED

6. Select your home WiFi network and press continue

7. Enter your home Wi-Fi password and press continue

8. Once you see the screen stating "Connected", the communicator has successfully been connected to the Wi-Fi

500

A patient calls who has the MDT 25000 monitor and states they just received a new hand reader that accompanies his application. What is your next step to be able to complete a manual transmission with this new equipment?

If a replacement hand reader is needed, the new reader will need to be paired to the MCL Smart app.  The device label on the bottom of the reader contains product symbols and the security key code.  The key code will be entered into the app to pair:
 

1. Locate the security key code on the device label on the bottom of the reader.
2. Open the MCL Smart application.
3. Follow the prompts in the app and enter the security key code.
4. The reader is paired and ready.