INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION - QUICK START GUIDE GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...

Page created by Jordan Todd
 
CONTINUE READING
INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION - QUICK START GUIDE GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...
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 GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...
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 GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...
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.
INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION - QUICK START GUIDE GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...
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.
INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION - QUICK START GUIDE GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...
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.
INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION - QUICK START GUIDE GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...
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.
INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION - QUICK START GUIDE GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...
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.
INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION - QUICK START GUIDE GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...
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.
INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION - QUICK START GUIDE GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...
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.
INSTRUCTIONS FOR THE CARDIOSIGNAL SMARTPHONE APPLICATION - QUICK START GUIDE GENERAL & PRODUCT INFO INSTALLING & ACTIVATING TAKING A MEASUREMENT ...
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.
You can also read