TytoCare TytoPro General Operation Manual
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TytoPro
General Operation
User Guide
August 2019
Document Number: 760-00058 C01

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Summary of Contents for TytoCare TytoPro

  • Page 1 TytoPro General Operation User Guide August 2019 Document Number: 760-00058 C01...
  • Page 2 TytoCare Ltd., is strictly prohibited. In the event of any permitted copying, redistribution or publication of copyrighted material, no changes in, or deletion of, author attribution, trademark legend or copyright notice shall be made.
  • Page 3: Table Of Contents

    TytoPro General Operation User Guide Table of Contents General Safety Messages Product Overview Intended Use Contraindications What’s in the Box How the System works Download the Tyto App Downloading Tyto App Help Menu First Time Setup What do I need to start working with the Device...
  • Page 4 TytoPro General Operation User Guide Reviewing Recorded Exams Completing the Visit Adding External Exams or Data Using Connected External Devices Sharing the Recorded Visit with a Clinician Confirmation screen after Save visit Review and Edit Exams View or delete an exam’s video...
  • Page 5 TytoPro General Operation User Guide Appendix D. Electromagnetic Compatibility (EMC) Information © 2019 TytoCare All rights reserved. 5 of 69...
  • Page 6 The device has been used for its indicated use and according to the operating instructions in this User Manual. All fittings, extensions, readjustments, changes, or repairs have been carried out by a TytoCare authorized representative. This product is protected by the following US patents: US 10143373, US 8953837, US 10226217 and other pending US patents.
  • Page 7 PLEASE READ THIS USER MANUAL BEFORE OPERATING THE SYSTEM. This first part of the user manual includes all the instructions which are general and common to all TytoPro devices. The user manual continues in the followings documents, according to the specific TytoPro device that you are using: Tyto Otoscope - Document 760-00044 ●...
  • Page 8: General Safety Messages

    Connect only authorized accessories to the device. If the LCD screen is broken or cracked, or the image quality is poor, please contact TytoCare Sup- port. If the LCD screen is dirty, clean the screen with a dry cloth or towel.
  • Page 9 If the audible speaker does not sound briefly or the LED does not turn on during system ini- tialization, contact TytoCare Support. If the LED does not turn on during Throat, Skin or Ears exam, contact TytoCare Support If you see static artifacts on videos or images, or if the image quality is insufficient, contact...
  • Page 10 Repair Policy When under warranty, repair and service must be performed by TytoCare. When the TytoCare warranty is expired, repairs may be made by TytoCare or authorized representatives, on a parts and labor basis. Disclaimer Information provided by TytoCare is believed to be accurate and reliable.
  • Page 11 (the “Product”), to be free from defects in materials and workmanship when used normally in accordance with TytoCare’s published guidelines for a period of TWO (2) YEARS from the date of original purchase (“Warranty Period”).  Warranty for battery is for one (1) year.
  • Page 12 REPRESENT THAT THE PRODUCT WILL MEET THE PURCHASER’S OR USER’S REQUIREMENTS. TytoCare’s sole liability under this warranty will be, at its option, to either repair or replace the defective Product or to refund or credit the purchase price to the original purchaser.  IN NO...
  • Page 13 Consult the dealer or an experienced radio/TV technician for help. TytoCare is not responsible for any radio or communication interference caused by using other than specified or recommended cables and battery or by unauthorized changes or modifications to this equipment. Changes or modifications not expressly approved by the manufacturer could void the user’s authority to operate the equipment.
  • Page 14: Product Overview

    TytoPro General Operation User Guide Product Overview Product Overview The Tyto Device is a user-friendly electronic device that allows you to perform examinations, and to optionally transmit the sound, video or image data to a medical professional in another location.
  • Page 15: What's In The Box

    TytoPro General Operation User Guide What’s in the Box What’s in the Box 1. Tyto Device Includes an LCD touch screen, main processing unit, rechargeable battery, camera, illumination, sensors and connector which is used to mount the add-on devices (see...
  • Page 16 10 adult disposable ear specula 10 child disposable ear specula 7. Carrying Case Stores and keeps the entire TytoPro product, including the Tyto Device, add-ons, disposables. Note there is a designated place on the case top to be used as a mobile...
  • Page 17: How The System Works

    TytoPro General Operation User Guide How the System works How the System works The components of the TytoCare system work together to help you communicate with clinicians: © 2019 TytoCare All rights reserved. 17 of 69...
  • Page 18: Download The Tyto App

    The TytoCare App allows you to perform exams, share the recorded exams with clinicians, perform online virtual visits with live video conference with the clinician, and obtain exam results from clinicians. After downloading and installing the TytoCare App on your device, you can run it from the Apps Menu.
  • Page 19: First Time Setup

    TytoPro General Operation User Guide First Time Setup First Time Setup What do I need to start working with the Device A Wi-Fi network, secured by a known password, that I can connect to, or a Personal Hotspot on my mobile device.
  • Page 20 2. Turn ON the device by pressing the button on the top edge of the device. The screen displayed on the device will prompt you to download the TytoCare App onto your iPhone/iPad: 3. Tap “I HAVE THE APP”, and continue below.
  • Page 21: Pairing Procedure

    TytoPro General Operation User Guide First Time Setup Pairing Procedure Note: The pairing procedure should start automatically, upon login or after the registration process, with the following Device Pairing screen: If you see this screen, continue in Section Pairing Procedure on First-Time Use below.
  • Page 22: Pairing Procedure On First-Time Use

    TytoPro General Operation User Guide First Time Setup Pairing Procedure on First-Time Use Using Wi-Fi 1. Enter your Wi-Fi password and tap Next on the App Device Pairing screen. This creates a QR code on the iPhone screen: Enter Wi-Fi password and tap “Next”...
  • Page 23 TytoPro General Operation User Guide First Time Setup 2. You now want to use the device camera to read the QR code from the iPhone/iPad screen. Follow the four steps labeled A-D as shown below: a. Tap SCAN BARCODE on Device. The device camera is activated.
  • Page 24 TytoPro General Operation User Guide First Time Setup c. Success confirmation in App - tap OK. d. Confirmation in Device. © 2019 TytoCare All rights reserved. 24 of 69...
  • Page 25 TytoPro General Operation User Guide First Time Setup Note: If an error occurs, make sure the Wi-Fi password is correct, and retry the pairing pro- cess. If error persists, see Section - Frequently Asked Questions and Troubleshooting Tips Using the mobile Hotspot 1.
  • Page 26 TytoPro General Operation User Guide First Time Setup 2. You now want to use the device camera to read the QR code from the iPhone/iPad screen. Follow the four steps labeled A-D as shown below: a. Tap SCAN BARCODE on Device. The device camera is activated.
  • Page 27 TytoPro General Operation User Guide First Time Setup c. Open the iOS “Personal Hotspot” settings, and enable the Hotspot. d. Wait for the Device confirmation, and switch back to the Tyto App. © 2019 TytoCare All rights reserved. 27 of 69...
  • Page 28 Section - Frequently Asked Questions and Troubleshooting Tips. Device Pairing Indications Note: The connectivity status of the device to the TytoCare App is indicated in the upper right corner of the device screen as well as on the Tyto app. Device connected to the App...
  • Page 29: Manual Pairing Procedure

    TytoPro General Operation User Guide First Time Setup Manual Pairing Procedure Follow these steps to perform the manual pairing process. 1. Tap Menu , located at the top-left corner of the App. 2. Tap Pair Tyto Device. © 2019 TytoCare All rights reserved.
  • Page 30 TytoPro General Operation User Guide First Time Setup 3. Follow the App instructions in Section Pairing Procedure on First-Time Use 4. When QR Code is displayed. Scan QR Code with device. 5. A. Swipe down on the short line on the top of the device.
  • Page 31 TytoPro General Operation User Guide First Time Setup 6. Tap CONNECT TO PHONE, and then SCAN BARCODE. 7. Use the device camera to scan the QR code: Position the cross-hairs over the QR code displayed in the App © 2019 TytoCare All rights reserved.
  • Page 32 TytoPro General Operation User Guide First Time Setup 8. Success message will pop-up. Tap OK to continue. Note: Online visits, using only the video call, can also be started without having the Tyto Device connected and also without connected to a Wi-Fi network by using 4G/LTE cellular con- nection.
  • Page 33: Device Options Menu

    TytoPro General Operation User Guide First Time Setup Device Options Menu The Device Options menu is always available if you require these facilities: Pair the device and the iPhone Shut down the device You can access the device options menu by swiping down on the short line on the top of the device...
  • Page 34: Shutdown

    TytoPro General Operation User Guide First Time Setup Omron EVOLV - Blood Pressure Monitor To start the pairing process, follow the instructions: 1. Start pairing from one of the below: a. First time use dialog. b. Open Settings and choose to pair with external Omron BPM.
  • Page 35: Starting A Visit

    TytoPro General Operation User Guide Starting a visit Starting a visit Cleaning instructions before use Clean the device before use. The cleaning should be done using 70% isopropyl alcohol wipes or cloth/swabs (e.g. Q-tips) dipped in 70% alcohol. Clean the outer surface by swabbing or wiping the surface with alcohol wipes.
  • Page 36 TytoPro General Operation User Guide Starting a visit Power Off - When the Tyto Device is in sleep mode for three minutes, without being ● re¬stored to active mode, it will automatically turn itself off to save battery. When the device is turned on again, it will revert to its previous state automatically.
  • Page 37: Performing An Identified Visit

    TytoPro General Operation User Guide Performing an Identified Visit Performing an Identified Visit An identified visit is one where the patient is identified at the beginning of the visit. This is the standard and recommended procedure. If you do not wish to identify the patient in advance, see...
  • Page 38: Identify Patient

    TytoPro General Operation User Guide Performing an Identified Visit Identify patient When identifying the patient: Type the patient name, first name and/or last name or patient ID. ● After typing the first two letters, the system will try automatically to match the relevant ●...
  • Page 39: Choose Type Of Visit

    TytoPro General Operation User Guide Performing an Identified Visit Choose Type of Visit The next screen on the App asks how you would like to perform the visit: Exam-and-forward (offline) exam: Perform the examinations now independently, with the option later to...
  • Page 40: Start Visit And Select Exams

    TytoPro General Operation User Guide Performing an Identified Visit Start Visit and Select Exams After the patient is identified, and the Exam-and-forward option is selected, you can start performing the exams. The examinations are performed and managed using the device. Tap on the device screen to choose which type of exam to perform.
  • Page 41: Perform Exams

    The type of user role, guided or unguided, is defined by the System Administrator when your user was created. Contact the System Administrator of your TytoCare system to determine whether your user is defined as Guided or Unguided, or in case you wish to change your user role.
  • Page 42: Reviewing Recorded Exams

    TytoPro General Operation User Guide Performing an Identified Visit Reviewing Recorded Exams When an exam is recorded, it is marked in purple and with a green check mark on the device, and is listed on the App. You may re-do the purple marked exam by tapping it again. The existing recorded exam will be kept.
  • Page 43: Completing The Visit

    TytoPro General Operation User Guide Performing an Identified Visit Completing the Visit When you finish examining the patient and you wish to complete the visit, you have two options, using the two buttons at the bottom of the device’s screen: DISCARD VISIT - Tap this option in case you don't see a need to keep the recorded exams for sharing with a clinician or any future use, and you wish to delete them.
  • Page 44 TytoPro General Operation User Guide Performing an Identified Visit The following measurements (vitals) can be added: Blood Pressure - Enter the systolic and diastolic values, as displayed on the Blood Pressure mon- itor you have used. Blood Saturation (SpO2) - Enter the blood saturation level, as measured by the Pulse Oximeter you have used.
  • Page 45: Using Connected External Devices

    TytoPro General Operation User Guide Performing an Identified Visit Using Connected External Devices When selecting an external exam of the type supported by your connected external device, you will be prompted to start the relevant exam. Omron EVOLV - Blood Pressure Monitor 1.
  • Page 46: Confirmation Screen After Save Visit

    If this error persists, please contact TytoCare Support. Note: TytoCare doesn't verify the reliability of the External Exams or Data. Confirmation screen after Save visit After you press Save visit, the recordings will be sent to the Tyto App.
  • Page 47: Review And Edit Exams

    TytoPro General Operation User Guide Performing an Identified Visit Review and Edit Exams After you have completed an exam, the App will display a list of all exams performed during the visit: Device You can now perform several actions in the App: Listen to the recorded Heart or lungs auscultation ●...
  • Page 48: View Or Delete An Exam's Video

    TytoPro General Operation User Guide Performing an Identified Visit View or delete an exam’s video To view an exam’s video, tap on the exam in To delete an exam, tap the Delete icon next to the list of exams displayed by the App: the exam: ©...
  • Page 49: Performing An Unidentified Visit

    TytoPro General Operation User Guide Performing an Unidentified Visit Performing an Unidentified Visit An unidentified visit allows you to perform an exam without identifying the patient in advance. Note: When performing exams for an unidentified visit, you may work with the device only - the App is not mandatory in that case.
  • Page 50: Performing Exams

    TytoPro General Operation User Guide Performing an Unidentified Visit Device Note that in the unidentified visit workflow, the upper left corner of the device has a red icon. Performing Exams Performing Exams in unidentified mode is identical to the identified mode. Refer to Section Perform Exams for detailed instructions for performing the examinations.
  • Page 51: Online Visit

    TytoPro General Operation User Guide Online Visit Online Visit Starting an Online Visit An online visit can be started immediately after choosing a patient, in which case the video conference will take place while you are performing the exams. You can also initiate an online visit after you have performed exams.
  • Page 52: Receive Confirmation And Wait For Clinician

    TytoPro General Operation User Guide Online Visit Receive Confirmation and Wait for Clinician After you receive the confirmation message, “Waiting for clinician”, please wait for the clinician to respond. This may take some time depending on clinician availability. Clinician Accepts Your Online Visit Request Once the clinician accepts your visit request, you are prompted by the Tyto App to accept the video conference.
  • Page 53: Using The Phone Stand

    TytoPro General Operation User Guide Online Visit Using the Phone Stand To operate the device during a video conference, place the iPhone on the designated location on the upper side of the carrying case. Make sure you position the iPhone camera so the clinician can see where you are placing the device on your body.
  • Page 54: Clinician Begins Exam

    TytoPro General Operation User Guide Online Visit Clinician Begins Exam Once the clinician selects the relevant exams, these will automatically appear on your device and Tyto App screens. See the example below, of a heart exam performed during an online visit with a clinician.
  • Page 55: Completing The Online Visit

    TytoPro General Operation User Guide Online Visit Completing the Online Visit After the visit is completed by the clinician, you will receive a summary notes of the visit automatically, which will be available through the Clinician’s notes. In addition, a notification will be sent to you when the clinician's notes are ready for your review.
  • Page 56: User Settings

    TytoPro General Operation User Guide User Settings User Settings For various functionalities which are not related to the visit, tap Settings Menu © 2019 TytoCare All rights reserved. 56 of 69...
  • Page 57: System Labels And Symbols

    TytoPro General Operation User Guide System Labels and Symbols System Labels and Symbols Explanation of Symbols BF Applied part Must read User Manual before use Manufacturer Address Product Serial Number X1 X2 X3 – Prefix of SN per Product PN [X1 X2 X3 X4 X5 X6 X7 X8 X9 X10 X11 X12 ] X4 X5 –...
  • Page 58: Technical Specifications

    TytoPro General Operation User Guide System Labels and Symbols Technical Specifications Tyto Device Dimensions 3.35 x 2.87 x 1.85 inch (85 x 73 x 47mm) Weight 0.33 lbs. (0.15kg) Display 2.4” LCD touch screen Battery Li-ion, built-in, rechargeable Typical battery life...
  • Page 59 TytoPro General Operation User Guide System Labels and Symbols Frequency band 2.4 GHz only * Security protocols WPA, WPA2 ** Encryption protocols TKIP, AES Connection speed (relevant Recommended: download: 15 Mbps \ Upload: 3 Mbps mainly for online) Minimum: download: 5 Mbps \ Upload: 2 Mbps...
  • Page 60: Appendix A. Forgot Password

    Appendix A. Forgot Password If I forgot the password is tapped in the login screen of the TytoCare App, the user will need to enter the email address they used during the registration process and tap SEND. An email with the reset password will be sent to the email address.
  • Page 61: Appendix B. Wireless Network Requirements

    Both TKIP and AES encryption protocols are supported. b. WEP encryption is not supported. c. Please note that a Wi-Fi network password is mandatory to use the TytoCare Device and app. 6. WPA-Enterprise using a RADIUS authentication server (802.1x) is supported.
  • Page 62: Appendix C. Frequently Asked Questions And Troubleshooting Tips

    Base Unit is charging. After charging, when the LED indicator is green, disconnect from the charging cable and turn the base unit on. If the problem persists, contact TytoCare Service. Why can’t I login into the Tyto App? Try checking your user login details (username/password).
  • Page 63 The picture on the Tyto App is a fixed representation of the device screen and is for informational purposes only. My Tyto Device is stuck. I see a TytoCare blue screen. What can I do? Force shut down of the device by pressing down the upper physical button of the device continuously for 10 seconds.
  • Page 64 Compliance Electromagnetic environment - guidance RF emissions CISPR 11 Group1 Class B The TytoCare Device uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
  • Page 65 TytoPro General Operation User Guide Appendix D.  Electromagnetic Compatibility (EMC) Information Table 2. Declaration - Electromagnetic Immunity IEC 60601 test Compliance IMMUNITY test Electromagnetic environment - guidance level level Electrostatic discharge 8 kV contact 2, 8 kV contact Floors should be wood, concrete or...
  • Page 66 TytoPro General Operation User Guide Appendix D.  Electromagnetic Compatibility (EMC) Information Table 2. Declaration - Electromagnetic Immunity (continued) IEC 60601 test Compliance IMMUNITY test Electromagnetic environment - guidance level level Portable and mobile RF communications equipment should be used no closer to any...
  • Page 67 Warning: Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of the TytoCare Device, including cables specified by the manufacturer. Otherwise, degradation of the performance of this equipment could result.
  • Page 68 TytoPro General Operation User Guide Appendix D.  Electromagnetic Compatibility (EMC) Information Table 3. Test specifications for ENCLOSURE PORT IMMUNITY to RF wireless communications equipment IMMUNITY Test Compliance Maximum Bandᵃ⁾ Distance TEST level frequency Serviceᵃ⁾ Modulationᵇ⁾ power LEVEL (MHz) (W) )
  • Page 69 5785 Note : If necessary to achieve the IMMUNITY TEST LEVEL, the distance between the trans- mitting antenna and the TytoCare Device may be reduced to 1 m. The 1 m test distance is per- mitted by IEC 61000-4-3. a) For some services, only the uplink frequencies are included.

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