Transcript
Genesis DM Installation Readiness Step by Step Readiness 1
© 2015 Honeywell International All Rights Reserved
CP410.01
Overview •Who should attend this presentation? ‒ Installers of Genesis DM monitors Initial introduction Refresher on what's new
‒ Telehealth Clinicians Understand the steps necessary for a successful installation Coaching patients during day-to-day operations
•Agenda ‒ ‒ ‒ ‒ ‒
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Review Genesis DM monitor exterior, i.e. face, buttons, ports Identify peripherals and cables Evaluate transmission options and necessary devices Program the monitor, including the clock time Use the setup wizard for the first time / every time
© 2015 Honeywell International All Rights Reserved
CP410.01
Resources to have on hand •Genesis DM monitor with all peripheral options ‒ BP cuff (do you have various size options available) ‒ SpO2 (Oxygen) Oxygen sensor (can be a flexible version or a clamshell clip version) Assembly cable that attaches the sensor to the monitor (has a S/N)
‒ Scale (may be wired or wireless) Wired will be a white cable with a blue tip Wireless (identified by BT on the bottom) will require a power cable or 4 AA
batteries AND the Bluetooth receiver dongle
‒ Transmission options: Phone line, GPRS or Bridge Modem
• Genesis DM Programming and Troubleshooting Guide ‒ Available on the website or from customer service https://www.honeywelllifecare.com/customer-service/genesis-dm-manuals/ 3
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CP410.01
Genesis DM Telemonitor v4.15
Supporting More Peripherals for More Patient Needs Accuro HRS-305 Scale • Bariatric patient support • Wireless Bluetooth • 1,000lb Limit • Handrails • Lightweight 4
New Roche Glucometers • Accu-Chek Nano • Accu-Chek Compact Plus • Accu-Chek Aviva Plus
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CP410.01
Genesis DM – Additional Glucometers
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CP410.01
Genesis DM Telemonitor - Handrail Scale The Genesis DM is now compatible with the Accuro handrail scale:
More information: http://www.accuroweigh.com/Scale/hrs305.aspx Note: The scale can be used wirelessly with the Bluetooth Adapter (5002140B1) and Adapter Cable (5002141B1). Both may be purchased from the HomMed Accessory Order Form.
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CP410.01
Video Resource # 1 of 3 • The Genesis DM: Installation Instructions and Attaching Peripherals • http://www.youtube.com/embed/D4g9vQ_fCko • We will begin with a quick 5-minute video reviewing the basics of the monitor, setup and peripherals.
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CP410.01
Reviewing the monitor Refer to your Programming Guide:
1. 2. 3. 4. 5. 6. 7. 8. 9.
Displays blood pressure as systolic and diastolic in mmHg Green START key starts a blood pressure reading; Enters/exits Setup Mode (pressed with YES key) Red STOP key stops blood pressure reading and deflates the cuff Grey MANUAL key enters Manual Mode; Exits a menu in Setup Mode Scale displays weight Blue RETEST key starts an unscheduled monitoring session; Selects a menu option in Setup Mode Black NO key records a “no” answer; DOWN scroll key in Setup Mode White YES key records a “yes” answer; UP scroll key in Setup Mode; Enters/exits Setup Mode (pressed with START key) BPM displays the pulse rate. If optional Sp02 is attached, a pulse strength bar appears next to the pulse rate number during Sp02 collection. 10. SpO2 Displays oxygen saturation measurement 8
© 2015 Honeywell International All Rights Reserved
CP410.01
Reviewing the monitor Refer to your Programming Guide:
1. 2. 3. 4.
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The Modem connection for a standard phone cord, or 3G Wireless Bridge modem. The COM-A port is for a Wireless GPRS modem or external devices that connect to the Genesis DM monitor. The power cord goes here. Use the power supply provided by Honeywell. The first isolated port is a Scale port. A Bluetooth adapter may also be connected to this port if using a wireless scale. COM1 and COM2 allow a patient to use an external device like the Oximeter connected to the monitor. Most often the SpO2 connects to COM 2.
© 2015 Honeywell International All Rights Reserved
CP410.01
Evaluating Wireless Transmission Options Are you prepared for the wireless transition?
As early as 2016, landline phone service may start to be phased out. Honeywell cellular modems will transmit data from the monitor to LifeStream without the need for a landline connection.
From the Cellular Modem Guide:
https://www.honeywelllifecare.com/customer-service/genesis-dm-manuals/
Cellular Bridge Modem
Features a built-in signal strength meter and latest cellular tech. Utilizes Modem Port
GPRS Modem
Utilizes COM A Port 10
© 2015 Honeywell International All Rights Reserved
CP410.01
Peripherals Glucose Meters: • Bayer Ascensia Breeze 2 • Bayer Ascensia Contour • NiPro Diagnostics True Track Smart System • LifeScan One Touch Ultra2 • Roche Accu-Chek Nano • Roche Accu-Chek Avivia Plus • Roche Accu-Chek Compact Plus Weight Scales: • HomMed Wireless Bluetooth Scale (500lb limit) • HomMed Wired Scale (500lb limit) • Accuro Wireless Bluetooth Handrail Scale (1000lb limit)* Integrated Blood Pressure Pulse Oximeter Finger Probe Envitech Slide On Card Reader Temperature Exergen External Scanner Wireless Communication: • GPRS Cellular Modem • Cellular Bridge Modem 11
Accessory Order Form: https://www.honeywelllifecare.com/customerservice/place-an-order/ • • • • • • •
Connecting cables HomMed scales and cables Bluetooth cables GPRS or Bridge Modems and cables Finger Probes Blood Pressure Cuffs (variety of sizes) Card Readers
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Purchase glucometers, handrail scale and temperature reader from the manufacturer.
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Some Genesis DM peripherals may be discontinued by the manufacturer. Check with customer service if using a device not listed here.
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When in doubt, contact customer service to ensure compatibility with the Genesis DM.
© 2015 Honeywell International All Rights Reserved
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Video Resource # 2 of 3 •The Genesis DM: Programming the Monitor and Peripherals •http://www.youtube.com/embed/ONGA9LoT4Ls •14 minute video reviewing Programming the Monitor •Have your Programming guide open to the Menu Chart:
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Program the Monitor Clock Time Access this Chart Online:
https://resources.hommed.com/GenesisDMUpgrade_DMTimeMenuInstructions.html
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CP410.01
Video Resource # 3 of 3 •The Genesis DM: Using the Set-up Wizard and Pairing a Wireless Scale http://www.youtube.com/embed/K8NYQaKINhU
•3.5 minute video reviewing use of the Setup Wizard and the Bluetooth Wireless Scale •It is recommended to use the Setup Wizard ‒ ‒ ‒ ‒ ‒
To insure transmission connectivity To verify all peripherals are connected properly To pull in any remote programming done at LifeStream To send a test message To sync the monitor and LifeStream
•The Wireless scale should be less than 30 feet from the monitor, and have only required Bluetooth devices in the room. 14
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Troubleshooting FAQ •Don't hesitate to call. We're here for you 24/7 ‒ There is no charge for calling Technical Support ‒ Many problems can be resolved during the call. ‒ Call 1-888-353-5404 and Dial 1 for Technical Support
•Tips When Calling.. ‒ Call when you first sense that you may be spinning your wheels. ‒ Be Prepared. We’re probably going to ask for the serial number of the monitor and/or the peripheral that is misbehaving. ‒ We may ask you to do something you’ve already tried (like turn it off and back on.) Sometimes we need to get the equipment back to a known starting point to troubleshoot most efficiently. ‒ It is very likely we have seen your issue before and know how to approach a problem you might run into.
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CP410.01
Troubleshooting FAQ
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E303 No Communications Found Check the phone connection or attach GPRS Antenna. Issue with no dial tone. E300 Modem Failed Self-Test E604 – Failed communication with the modem.
#1
E603 User Name/Password is Incorrect
#3
E351 SIM Card is Not Inserted or Malfunctioning
#4
E352 No Signal or GPRS Svc Not Avail
#5
E611 No Modem Connection with Host Same applies for many of the errors in the E6xx range. E207 Scale Not Configured E211 Lost communication with NIBP E216 NIBP Cuff Leak
#6
#2
#7 #8 #9
• Listen to the Dial Tone. Is there any stuttering or beeping at the beginning? • Are there only cordless handsets in use? • Is there really a dial tone coming in to the monitor? • You may first encounter E604. If you do, restart the monitor and watch for E300 after “Starting Genesis DM.” • Call Tech Support. • For a white Genesis or Sentry monitor, add a DSL filter • This could be an issue with the phone number programmed into the monitor. Call Tech Support. This is usually an easy fix. • Restart the GPRS and the monitor. If that doesn’t work, call Tech Support for a SIM card reset. • This can also can be caused by a weak signal. • Use the Bridge Modem to locate a strong signal, or try to locate near a window. • Noisy or incompatible phone service. • Add a DSL filter (or two).
• Run the Setup Wizard. • Call Tech Support. • Try a different cuff. If the error persists, call Tech Support.
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Troubleshooting FAQ E218 NIBP Noise E219 NIBP Weak Signal
E602 Connection Failed for Unknown Reason
blood pressure reading on a family member or yourself. If it works, the patient may have something that makes them a poor candidate for automated blood pressure measurement. • Certain arrhythmias (like A-Fib) can cause this as well as tremors, moving or talking during the measurement or a loose or improperly positions cuff. • You could also try a different cuff or the opposite arm if not contraindicated. #11 • Try the connection again. This is usually a temporary problem. There could also be a noisy phone line or a weak GPRS signal.
E609 No Answer from Remote Host
#12 • Are you somewhere where you need to dial a 9, etc to get an outside line?
E910 Text Files Missing or Corrupt E231 Lost Communication with SpO2 board E610 No Sound After Answer
E201 Disconnected Scale
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#10 • These are usually patient related. To rule out a hardware problem, take a
• Check the dial type (almost always Tone) or the Phone Prefix. The phone prefix should be all underlines if no prefix is needed, otherwise the number is followed by a comma. #13 • Clean the media card’s contacts (or simply reseat the card). #14 • Check programming in the Option menu. • Check for missing/bent pin in round connector.
#15 • Check the dial type since this is often a tone issue. Check the phone prefix as recommended in E609. • Dial out to a toll free number from the patient’s phone #16 • Check inside the scale cable connector for bent or missing pins. • Make sure the connector at the bottom of the scale is seated. • Try a different scale or scale cable.
© 2015 Honeywell International All Rights Reserved
CP410.01
Troubleshooting GPRS General GPRS Guidelines
About the older black rectangular GPRS modems
• Placement closer to a window is usually better. • Apartment buildings & assisted living facilities are more challenging. • Mobile Homes/Trailers are the hardest to get a signal. • If you are having transmission trouble with a GPRS, skip the setup wizard. Let the monitor get to the Date/Time screen and see how many bars of signal strength you see. A flat line of 5 dashes equals zero bars of signal. If you see “Check the phone connection or attach the GPRS antenna” (E303): 1) Power down the GPRS and monitor. 2) Remove the cable from COM A and look inside the round connector. There should be 6 small metal pins. 3 sets of 2 evenly spaced. 3) Try a different GPRS cable if available. • The rectangular GPRS modems need at least two bars of signal strength to transmit reliably.
• Make sure the power cord is not coiled or bunched up. • Sometimes all it takes is restarting the GPRS & the monitor. Give the GPRS a 3060 second head start before powering up the monitor.
About the newest 3G GPRS modems and the setup Wizard
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• If you say “Yes” to the setup wizard, don’t be surprised if you get an error or two. Simply press “Yes” to continue. It may take a couple tries. DO NOT restart the monitor or you begin the process again.
© 2015 Honeywell International All Rights Reserved
CP410.01
Wrap up • Resources:
• Questions?
‒ The Honeywell website has all the resources we have referenced, including these slides:
• Genesis DM Upgrades Upgrades occur automatically when
unit is connected. If a unit has upgraded, the version number
‒ https://www.honeywelllifecare.com/lifestreamservices/clinical-support/ If you have not registered, do so today as this is only
available to our current customers
(4.10.19 or 4.15.10) will appear when
‒ The Genesis DM manuals, guides and videos are all available at the website
the unit powers up, depending on the
‒ Contact your clinical consultant for more info.
monitor hardware. Connect any disconnected units to a
phone line and select Software Update from the Transmit Menu.
Customer Service 1-888-353-5404
Older units may require a no-cost upgrade kit from Honeywell Customer Service.
Webinar Registration: https://resources.hommed.com/LifeStreamUniversitySignup.html 19
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CP410.01
