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    Patient Training

                   Discuss the information in the Patient Instructions and Patient System Guide with your patient before and after sensor implantation.
                   For additional copies of the patient’s guide, contact Technical Support. You should also explain the established benefits and risks of
                   the CardioMEMS HF System with the patient. Discuss the home measurement schedule and the intended use of the system to assist
                   their healthcare provider in the management of their heart failure. Refer to the Patient System Guide for details.
                   Train the patient how to set up and use their Patient Electronics System prior to their discharge from the hospital. Make sure that the
                   patient is able to operate all of the connectors. For the best results have the patient or family member run through all the steps from
                   start to finish.
                   1.   Have the patient lie supine on the pillow.
                       The patient should position their torso with the center of the pillow directly under the sensor. Typically this means that the tip of
                       the shoulder blade nearest the sensor will be centered on the pillow. Use the same antenna position that gave the optimal
                       signal during the implant procedure. The typical location for the sensor is on the left side. Check the patient’s records to
                       confirm actual location.
                   2.   After the patient is in position, have the patient press either the Start button on the touchscreen or the round green button
                       below the touchscreen.
                       The system will guide the patient with voice prompts. The screen below appears while the system searches for a signal.

                   Figure 41.  System prompts to change position.

                       If the shift position screen appears, have the patient shift their position to find the best position. Once a good signal is available,
                       the system will indicate with the voice prompt “Good Position on Pillow, Stay Still” and then begin to play music.
                       WARNING: Avoid placing the handheld unit directly on the pillow during a reading.
                   Figure 42.  Reading in Progress.

                       A reading takes approximately 18 seconds to complete. This allows the system to average multiple heart beats over several
                       breaths. When the reading is complete, the system will attempt to send the reading.

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