WIWE - Instruction for Use

The device provides information on the average heart rate, on the possible deviation from normal ECG and on blood-oxygen saturation (SpO2) rate. It displays arrhythmia, the risk for afib-related stroke and the deviation of the state of the heart muscle from normal. The device also features a pedometer function.

The accurate evaluation and detailed representation of the recorded measurements are done with the help of an application that is free to download from application stores (App Store and Google Play online stores). For the evaluation, the phone receives data from the device via Bluetooth connection. The evaluated measurements appear on the phone’s screen showing its risk levels, and can be forwarded to the doctor via e-mail with one tap.

• WIWE is a measuring device that monitors the properties of the user’s cardiac activities with the help of an application that runs on smartphones. It is a device that serves mainly for checking the heart rhythm – at home and on the way. Do not use the device during driving or activities which may cause danger!
• WIWE does not replace neither medical checks of heart activities, nor medical ECG recording, which can be achieved with a more complex, multi-channel ECG measuring configuration.
• WIWE will not prepare diagnosis of the potential causes based on the changes in ECG. This is exclusively reserved for your doctor.

The device operates with an accumulator. The built-in accumulator can be charged with the USB cable supplied with the device according to the charging of WIWE’s accumulator chapter. Do not measure during charging.

• Adhering to the directions of the manual is essential for WIWE to function as intended, to the greatest satisfaction of the user, and that is when you get the most accurate test result, and a safe and smooth operation.
• The housing which can be accessed by the customer and the sensors are made from a biocompatible material so the occurence of allergic reactions are not expected.
• The parameters of WIWEs that are already marketed cannot be altered. Do not change the device’s cover!
• Not all cardiovascular diseases can be detected with WIWE, so if you experience any symptoms of acute heart disease, or if you are unsure of your symptoms – regardless of the test results of WIWE – please turn to your doctor immediately!
• WIWE is meant to measure ECG in repose, that is why it is recommended to perform measuring while being still, 15-20 minutes after heavy physical activities, when the body goes back to resting state.
• WIWE displays any deviations in the heart rhythm. Among the many reasons, there can be physiological changes, which means they can be harmless ones too, but diseases of various severity may also trigger them. Turn to your doctor when disease is suspected!
• Those ECGs, which are recorded with WIWE reflect the momentary heart activity, thus previous or following changes may not necessarily be detected.
• Using WIWE is advised for users of 18 years or more, since the ECG of children is different from that of adults. Using WIWE does not pose a threat to children, nor greater risk than using any other electronic device at home.
• Do not perform self-diagnosis or self-treatment based on the measurement results of WIWE without consulting your doctor. Especially do not start a new treatment arbitrarily, and do not change the type of the existing medical treatment and the dose of prescribed medication! We suggest that you keep the resulting ECG curves, and send or show it to your doctor, if necessary. It is particularly true if the status messages of WIWE are not showing the normal (green) symbol.

• ATTENTION! Some parts of the WIWE device’s case can reach 43 °C throughout the charging process. Because of this fact please wait 5 minutes, while the device cools down to the normal temperature. Do not use WIWE while it’s charging!
• ATTENTION! Danger of choking! The USB cable supplied with the device could signal “danger of choking” because of its length. Make sure not to let children reach it.
• WIWE and a defibrillator are not to be used at the same time.
• Do not use the device during MRI scanning!
• The pacemaker or other electronic stimulator of the user and the WIWE can be used at the same time, they do not interfere with each other’s functioning. The doctor, however, must be aware of the presence of these devices around WIWE and has to evaluate the ECG curve knowing this.
• WIWE must be protected from radiant heat, dropping and humidity! Do not use it under water or moist environment.

Recording, assessment and analysis of ECG data..

• Blood oxygen level (SpO2) measurement
• Pedometer

• Sampling data transmitted via the two electrodes get onto the smartphone for processing through Bluetooth communication.
• A flash of lights runs through the LED line the second the search for bluetooth connection starts. Once the connection is established, the green LED light on the right starts to blink, and after initiating a measurement, the light is steady.
• WIWE needs 10 seconds preparation and 60 seconds measuring time in order to record the ECG.
• Interruption of measurement within 60 seconds is indicated with 3 flashes on the process indicator LED line.
• The progress of the measurement process is indicated by the LED line. When preparing for the measurement and during measurement (70 seconds in total) the process indicator LED lights turn on one by one, from left to right.
• After the 60 second measurement phase, the device keeps on measuring for maximum another 10 seconds, if the user does not let go of the electrodes. In the meantime, the last red LED light glows more and more brighter.
• Maximum of 50 measurements’ data can be stored on WIWE. When reaching 50 measurements, the process indicator LED line blinks 3 times, which indicates the need for synchronization, and after that old measurement data records are overridden in the device. In the phone, however, unlimited amount of data can be saved.
• Measuring blood oxygen level: takes place the same time as the ECG recording.
• Pedometer: depending on the settings, WIWE counts the steps the user takes, which can be summarized daily, weekly, monthly and annually, along with the calories of energy consumption.

• The database management system of the WIWE application can store the personal information and records of more users at the same time and user information and measurements can be easily managed.
• The application’s automatic evaluation of the recorded ECG notifies the user and helps the doctor’s work.
• Old and new ECG records can be viewed and retrieved.
• Measurements can be sent to any e-mail address via the application’s share function in the form of a PDF attachment, thus can be printed with any type of printer on regular paper as well.

• The mobile application draws up an ECG curve in real time on the smartphone’s screen based on WIWE’s measured data.
• The ECG curve appears in correct proportion on the smartphone’s screen, that is why it can be monitored without using any paper.

WIWE works in full funcionality with its application running on a smartphone. System requirements: The mobile application is not compatible with all types of phones, that is why we suggest you to check the compatible phone types in the annex. Any operating system updates, changes to a newer version on the mobile phone will not cause problems using WIWE, since phone manufacturers guarantee that software made for previous versions of operating systems will run on new versions, too. The manufacturer of WIWE monitors changes and updates the application, if necessary.

How to download: The application can be downloaded free of charge from App Store and from Google Play web store. (https://itunes.apple.com/us/app/wiwe/id996406127; https://play.google.com/store/apps/details?id=hu.sanatmetal.wiwe)

How to install: During installation, the application will ask for permissions for Bluetooth communication, Access to the list of names and Access to the E-mail application.

How to install: During installation, the application will ask for permissions for Bluetooth communication, Access to the list of names and Access to the E-mail application.

Initial use: At the initial use of the application, a four-step wizard helps the user with the basic settings. Providing detailed information is optional, however, it is recommended for the smooth operation of the device and the application. Each of the setting’s steps can be skipped individually, in which case the default settings will take effect. It is recommended to set screen saver function for over 2 minutes on the phone in order to ensure uninterrupted measurements.

After an account registration, pairing the WIWE with the mobile phone and establishment of Bluetooth connection the device is ready for use. The account registration cannot be skipped, however, there is a possibility to initiate measurement anonymously and without an account. For setting up the connection, it is necessary to turn on Bluetooth communication on the phone. The mobile application and the WIWE can be matched by pressing the ON/OFF button on the device. When properly matched, the application will automatically recognize the WIWE, if measurement is initiated with the paired device.

When matching:

• make sure WIWE and your mobile phone are on.
• make sure Bluetooth connection is enabled on your mobile phone.
  • make sure WIWE and your mobile phone are within each other’s range (Bluetooth communication distance), and they should not be removed from that range!
  • Pairing WIWE and your mobile phone can also be done later, when initiating measurement.

For the proper operation of WIWE, please check the conditions below before every usage:

• Intactness of the device. Make sure that the device is not damaged and in a usable condition!
• Cleanness of the sensors.
• Battery level. The device is fully charged when the 4 LED lights on top are lit when you turn on the device. If at least two of the LED lights are not lit, the accumulator must be charged before use. See Charging the accumulator section.

Please consider the points below in order to get precise measurement results:

• Electrodes should be in contact with the skin of the fingertips directly.
• Fingertips should completely cover the electrodes.
• If your skin is very dry, make it moist with a wet cloth before measuring.
• If the electrodes are contaminated, remove the contamination from the surface with a soft wipe.
• When measuring, the hands should not touch any other body part. Please bear in mind that the skin of your left and right hand cannot touch during measuring, and neither the user’s skin, nor the device’s electrodes can touch metal devices. Otherwise measurement cannot be performed properly.
• Do not move during the measuring, because any muscle movement can cause false measurement.
• Measuring should be performed preferably in sitting or lying position, but not standing.

• Since WIWE and the application can be used by more than one user, medical data and measurements of the individuals are suggested to be separated. For this, you have the opportunity to create accounts on your mobile phone.
• Account registration cannot be skipped, however, there is a possibility to initiate measuring anonymously, without an account
• You can find detailed information about registering an account in the Advanced guide of your mobile application’s Information section.

• After initiating a measurement on your smartphone, press the ON button as the appearing illustration shows you to on your phone in order to establish the radio (Bluetooth) connection.
• Measurement is done by placing the same fingers of your left and right hand on the sensors.
• Touch the electrodes and gently hold your fingers on them. For a successful measuring, a preparatory process is also required, when the user places their same two fingers of each of their hands on the WIWE sensors and becomes relaxed. During the preparatory period, the application checks whether the contact was adequate, and whether the data received from WIWE are suitable for starting a measurement. The preparatory period is 10 seconds long.
• In case of a normal measurement the mobile phone, in individual cases the process indicator on the front of the WIWE shows that the measuring process has started.

• Letting go of the sensors within 30 second will result in the interruption of measurement.
• After 60 seconds, the application indicates on the phone screen when data collection is finished. During data collection, the application displays the ECG, their pulse and blood oxygen saturation level of the user who touched the sensors.
• At the end of the measurement, evaluation may take a few seconds, then you can check the results on your mobile phone.
• In case of an unsuccessful measurement please follow the instructions appearing on your phone. Repeat the measurement.
• When the failure signaling LED blinks on the device, it means that ECG signs are unstable or weak. In this case repeat the measurement.
• The device will only start measuring, if the battery voltage level allows at least one measurement.

• Inadequate contact between the electrodes and the fingers.
• Left hand skin and right hand skin touch during measuring.

After the measurement and evaluation, measurement data can be viewed on your phone screen. It is recommended to show these results to a doctor as well, so that any changes in your health may be diagnosed by them. To have a quick overview of all these data, measurement and evaluation data are summarized on the Evaluation screen.

• ECG: ECG-parameter deviations from the average (normal, minor, major deviation)
• AR/AF: Arrhythmia or atrial fibrillation, detection of heart rate fluctuation deriving from the heart’s irregular contractions, and in case of detected arrhythmia and lack of significant P wave, the testing of possible atrial fibrillation (normal, heart rate fluctuation, suspicion for atrial fibrillation)
• VH: information on the state of the heart muscle, ventricular heterogeneity (VH) rate (normal, minor deviation, major deviation). In case the gray signal is on, this feature cannot be not evaluated from these data.
• SPO2: Blood oxygen saturation (SPO2) indicated in %. The measured value also appears on the line underneath the number of the measured result, and the color of the line stands for the acceptance level (normal, minor deviation, major deviation).
• Bpm: heart rate (HR) per minute (bit per minute: Bpm). The measured value also appears on the line underneath the number of the measured result, and the color of the line stands for the acceptance levels (normal, minor deviation, major deviation).

By tapping on the Details Button in the lower right corner, you can get more detailed information

• ECG parameters: Graph of average majority cycle, it shows 4 types of associated data and reference values, too. Deviations are indicated by a red exclamation mark(s) next to each type of data (1 – minor deviation, 2 – major deviation).
• ECG curve: ECG curve recorded during data collection, which can be leafed in the length of the measurement and magnified max. 4 times.
• Arrhythmia or suspicion for atrial fibrillation: Graph of suspicion for atrial fibrillation, which assesses the measurement based on the number of clusters and the dispersion around the diagonal.
• Ventricular heterogeneity: Graph of ventricular repolarization heterogeneity. A special algorithm determines the values of the graphs based on two parameters of the recorded ECG curve.
• Comments for the measurement: Comments can be added to each measurement. Comments about the circumstances of the measurement, or information such as type of pills taken can help the doctor to evaluate the measured data and to make an accurate diagnosis.
• Sharing the result: You can share the evaluated measurement with others via e-mail (it is suggested to send to your general practitioner or specialist). A detailed description can be found in the Information menu point, under the Advanced guide section in your mobile application.

Previous measurements and evaluated results can be accessed, too. In My profile option on your mobile application, you can view your Health journal, where you can track changes in the recorded data of your state of health.

• WIWE requires handling similar to any home electronics devices in general.
• WIWE is protected against water and dust (IP 22 classification, it’s protected against the infiltration of solid objects bigger than 1-2 mm in diameter and also against dripping water). Please protect the devices against any harmful effects occurring in a home environment which can influence the correct functioning of the WIWE. It needs to be protected from extreme sunlight, dust, domestic animals, rodents. The contaminated device and its electrodes need to be cleaned and only use the device in its intact state.
• Please do not store it in moist environment. Heavy electromagnetic areas must be avoided, so do not put it on a speaker, microwave oven or near similar electronical devices. It does not require any special storage and treatment.

• Electronic appliances such as mobile telecommunication device radiation may disturb the operation of WIWE, therefore always consider the signals indicating electromagnetic compatibility (EMC, electromagnetic compatibility) of devices around WIWE and use them accordingly
• WIWE conforms to IEC 60601-1-2 international standard of medical electrical equipment and systems electromagnetic tolerance, however, if the electromagnetic environment exceeds the limits set by IEC60601-1-2, it could disturb the operation of WIWE to the extent that partial or complete loss of function may occur. That is why the source of disturbance nearby needs to be found and eliminated (within 1m range) before the loss of function or malfunction occur, before continuing to use WIWE

• Heavy electromagnetic disturbance caused by a nearby source of disturbance (eg. radio, other electronic appliance). If the source cannot be eliminated, use WIWE in another room. In all other cases, you have to make sure that source of disturbance eg. household electric appliances, is not used near WIWE. Keep at least 30cm distance between the source of disturbance and WIWE!
• Impact of direct or indirect electrostatic discharge: Before use, make sure that the user and the immediate vicinity of the user are free of electrostatic energy. Proper air humidity and antistatic flooring may decrease the risk for electrostatic discharge.