Request an Appointment



Contact us with Questions

Expand Content

Remote Monitoring & Telephone Transmitting Instructions

Your telephone transmitter will allow you to send (transmit) your heart rhythm and rate from home.

Your physician has instructed you to call the Arrhythmia Monitoring Laboratory either:

  • when you experience certain symptoms
  • or at specific times (every week or month)

When you first receive the transmitter, you need to call in a baseline reading once a week for three months, or as ordered by your physician.

How to Use the Telephone Transmitter

  1. Put on the wristbands with the flat plate on the inside of your wrists. Place the wristband with the white wire on your right arm, and the wristband with the black wire on your left arm. If needed, pull the wristbands up your arms for a snug fit.
  2. Moisten the skin under the flat plates of the wristbands with water or rubbing alcohol.
  3. Call the Arrhythmia Monitoring Laboratory. Please identify yourself by name. Report that you are having symptoms and would like to send an EKG.
  4. When instructed, press POWER to turn the unit ON.
  5. Place the phone in the cradle.
  6. Hold as still as possible during your transmission.
  7. After 45 seconds, or when the Alert light flashes and you hear a beeping sound, pick up the phone to talk to the clinician.
  8. Press POWER to turn the unit and alarm OFF when the session ends.
  9. A report will be given to your physician on the next business day. If you need to speak to your physician, please call his or her office directly.

Battery Replacement Instructions for the Telephone Transmitter

  1. Turn the transmitter OFF.
  2. Remove the battery compartment door.
  3. Remove the old battery.
  4. Replace with a new 9-volt alkaline battery. Align the battery to match the diagram on the battery compartment door.
  5. Replace the battery compartment door.

How to Return the Transmitter

Please return the transmitter promptly at the end of the monitoring period.

  • Return all parts of the transmitter.
  • Please return the transmitter using the packing envelope you received along with the transmitter. You may drop off the package at any UPS store, UPS drop box, Staples store, Office Depot store, or arrange a home pick-up by calling UPS at 800.377.4877.
  • Please return the recorder to: Cleveland Clinic Arrhythmia Monitoring Laboratory, J2-29500 Euclid Avenue, Cleveland, Ohio, 44195.
  • If you need help returning the transmitter, please call the Arrhythmia Monitoring Laboratory.

Remote device monitoring allows you to maintain consistent defibrillator, implantable loop recorder and/or pacemaker follow-up from the comfort of your home or office, or while traveling.

Remote Monitoring Program Enrollment

  1. Before you can enroll in the program, you must have a standard Analog telephone line in your home.
  2. a cellular option is available for some of the remote monitoring - check with the Device Clinic to see if you can enroll in this system.
  3. The Device Clinic nursing staff will help you with the enrollment process. enroll you in remote monitoring.
  4. You will receive the remote monitor within one month after you are enrolled in the program. If you do not receive it within this time frame, please call the Device Clinic.
  5. You can only perform remote transmissions at one medical center at a time.
  6. You may discontinue Cleveland Clinic’s remote monitoring program at any time by calling the Device Clinic with the number provided.

Getting Started with Remote Monitoring

When you receive the monitor from the manufacturer you will also receive materials about the set up of your monitor. you will receive an identification card; please keep this card with you at all times. Please review the written and audiovisual instructions within 24 hours after receiving your monitor.

Perform the initial set up according to the device manufacturer’s instructions. If the monitor is disconnected or there is a loss of power, the initial set-up must be performed again. If you need assistance with the initial set-up, please call your device manufacturer’s technical support line (phone numbers are listed below). Please do not call the Device Clinic.

  • Biotronik: 800.284.6689
  • Boston Scientific: 866.484.3268
  • Medtronic: 800.551.5544
  • St. Jude Medical: 877.696.3754

Send the initial transmission within 24 hours after receiving your monitor. You may send it at any time of the day.

On the next business day after you send your first transmission, please call the Device Clinic to confirm receipt of the transmission. Also ask for the date of your next scheduled transmission.

Sending Follow-Up Transmissions

  1. About two weeks before each scheduled remote transmission appointment, you will receive a reminder in the mail.
  2. You may need to send the transmission or it may be done automatically depending on the device that you have. With any transmitter you may send a transmission at any time once you call us and tell us you are going to be sending a transmission. We may at times ask you to send a manual transmission.
  3. You may send your transmission any time on the day of your scheduled transmission appointment.
  4. If you are experiencing symptoms that require you to make an urgent transmission, please go to your local Emergency Department.

Talk to a Nurse: Mon. - Fri., 8:30 a.m. - 4 p.m. (ET)

Call a Heart & Vascular Nurse locally 216.445.9288 or toll-free 866.289.6911.

Schedule an Appointment

Toll-free 800.659.7822

This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

© Copyright 2015 Cleveland Clinic. All rights reserved.

HealthHub from Cleveland Clinic

Read the Latest from Our Experts About » cctopics » Heart & Vascular Health
How Walking During Long Runs Can Improve Your Fitness
5/22/15 11:30 a.m.
A recent study found that periodically walking during long runs doesn’t cost you any benefits to your heart health -- and may even save some wear and tear on your muscles....
by Bone, Muscle & Joint Team
How Nurses Keep You Safe During Your Hospital Stay
5/20/15 8:33 a.m.
During your hospitalization, your nurse is the primary member of your caregiver team who will monitor your safe...
Are You Eating Good Fats or Bad Fats? (Infographic)
5/19/15 8:00 a.m.
For years, we’ve heard that saturated fat is bad for our hearts and that unsaturated fat is good. But exp...
Can You Prevent Narrowing of Your Aortic Valve? (Video)
5/18/15 8:20 a.m.
We’ve suspected for some time that high cholesterol is one of the risk factors for developing aortic sten...
11 Conditions You Can Develop If You Have Psoriatic Arthritis
5/14/15 9:00 a.m.
If you have psoriatic arthritis, the inflammatory arthritis that occurs with the chronic skin condition of psor...