Introduction 

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Welcome to NeuroRPM, an app for Parkinson’s disease. 

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NeuroRPM-Rx is an app prescribed by a care provider to quantify motor symptoms of Parkinson’s disease including tremor, bradykinesia, and dyskinesia. NeuroRPM-Rx is designed for adults with Parkinson’s disease. NeuroRPM-Rx collects motion data from the Apple Watch, generates symptom classification, and provides reports for each symptom. 

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Important Information, Safety & Precautions

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Patient Eligibility 

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● NeuroRPM-Rx is available for use on a prescription-only basis. 

● NeuroRPM-Rx is intended for patients who can read and understand English. 

● To use NeuroRPM-Rx you must have access to an Apple Watch and are familiar with the use of Apple Watch and its apps. 

● NeuroRPM-Rx should only be used by individuals who have been clinically diagnosed with Parkinson's disease. 

 

Safety Information 

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● DO NOT USE NeuroRPM-Rx to communicate any emergency, urgent or critical information. NeuroRPM-Rx does not include the capability to send warnings or alerts to your clinician. 

● If you are having a health emergency or require medical attention, please dial 911 and/or go to the nearest emergency room. 

● NeuroRPM-Rx is not intended to be used as stand-alone therapy or diagnostic evaluation for any neurological conditions you may have and does not replace care by your provider. 

● NeuroRPM-Rx should NOT be used as the sole means to start, stop, or change therapy. 

● NeuroRPM-Rx is not a substitute for your medications or treatment program. You should continue to take your medications and follow your treatment program as directed by your provider. 

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Precautions 

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● NeuroRPM-Rx app cannot check for signs of an emergency health condition. If you believe you’re having a medical emergency, call emergency services or go to the nearest emergency room. 

● The use of NeuroRPM-Rx requires the proper use of Apple Watch. 

● DO NOT use NeuroRPM-Rx when you are in close vicinity to strong electromagnetic fields (e.g. electromagnetic anti-theft systems, metal detectors, magnetic resonance imaging examination). 

● DO NOT change your medication without talking to your doctor. 

● NeuroRPM-Rx provides quantification of Parkinson’s symptoms and should not be used for spot checking. 

● Symptom classifications made by NeuroRPM-Rx are not a substitute for clinical assessment. The patient is not intended to interpret or take clinical action based on NeuroRPM’s outputs unless done so under the direction of a qualified healthcare professional. 

● The analysis generated by NeuroRPM-Rx is meant to supplement symptom assessment for the purposes of quantifying Parkinson’s disease and not intended to replace traditional methods of diagnosis or treatment. 

● This is a notice to the user and/or patient that any serious incident that has occurred in relation to the device should be reported to the manufacturer and the proper authority of the jurisdiction in which the user and/or patient is established. 

● NeuroRPM-Rx symptom classification outputs do not indicate Unified Parkinson Disease Rating Scale (UPDRS) or Abnormal Involuntary Movement Scale (AIMS) scores. 

● NeuroRPM-Rx is MR Unsafe. The Apple Watch presents a projectile hazard. 

 

Security Information 

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● NeuroRPM-Rx may contain and transmit protected health information and/or personally identifiable information. 

● NeuroRPM-Rx uses industry-standard instructions to protect NeuroRPM, including its device, system servers, and the data on those servers, by using access enforced firewalls, and SSH secure communications. 

● NTD maintains regular security patches for applications, and modules used. 

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Device Security 

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● It is the responsibility of the authorized user to ensure that the Apple Watch with NeuroRPM is not left unlocked, or otherwise unsecured when not in use, to ensure that unauthorized or unapproved personnel are unable to gain access to the device. 

 

User Responsibility 

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● To avoid exposure to unsafe networks, users should disable WiFi and Bluetooth connection on their watch and phone when in untrusted environments including unauthenticated and/or public WiFi networks. 

● Users should perform software security updates regularly to keep security of their watch and phone device up-to-date. 

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Reporting Device Security or Privacy Breaches 

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● Care providers should contact their local IT department and disclose any suspected or confirmed compromised user accounts and any other privacy or security breaches. 

 

Unavailable Service 

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● Care providers should report unavailable service or prohibited access to information to their local Healthcare Organization’s IT department. 

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Onboarding and Account Registration 

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● Onboarding and NeuroRPM account registration instructions were sent to your email address. 

● Please contact NeuroRPM technical support at info@neurorpm.com for any assistance with setting up your account or app on your iPhone and Watch. 

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Wearing and Using NeuroRPM-Rx on Apple Watch

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Using NeuroRPM 

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● NeuroRPM-Rx is compatible with Apple Watch Series 4 with watchOS 10 or later. 

● NeuroRPM-Rx is designed to passively collect your movement information with minimal user intervention. 

● On Apple Watch cellular models, your NeuroRPM-Rx app will use cellular connection to periodically transmit your data. 

● At any time you may contact NeuroRPM technical support at info@neurorpm.com

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Step 1: Wearing Apple Watch 

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Please refer to Apple Watch User Guide on how to properly wear and use the Apple Watch located at https://support.apple.com/guide/watch/welcome/watchos. 

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Proper Fitting of Apple Watch for Best Use with NeuroRPM 

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For NeuroRPM-Rx to operate effectively, you must properly wear the Apple Watch. For the best experience with Apple Watch and NeuroRPM, Apple provides wrist fitting recommendations to provide proper skin contact with the back of your Apple Watch. While NeuroRPM-Rx does not rely on skin contact to quantify symptoms, a properly fitting watch will improve data collection from motion sensors. The wrist you wear your watch on will be directed by your physician. When on the wrist, Apple Watch should not be loose-fitting. Apple recommends a snug but comfortable fit, as illustrated below.