---
name: healthcare-products
description: Usage guidance, safety information, and troubleshooting for healthcare and wellness devices
---

# Healthcare & Wellness Devices Support

This skill provides product support guidance for healthcare and wellness monitoring devices. Use it to help users with setup, usage, troubleshooting, and understanding readings from their health devices.

## When to Use This Skill

Activate this skill when a user asks about:
- Blood pressure monitors, pulse oximeters, thermometers, or fitness trackers
- How to use, calibrate, or troubleshoot any of these devices
- Understanding readings, error codes, or accuracy concerns
- Battery, syncing, or connectivity issues with health devices

## How to Use This Skill

1. Identify which device the user is asking about.
2. Provide clear, step-by-step guidance from the relevant section below.
3. Always include the safety disclaimer when discussing readings or health concerns.
4. If the user describes symptoms or asks for medical interpretation of readings, redirect them to a healthcare professional.

---

## SAFETY DISCLAIMER

**Always include this disclaimer when discussing health readings or device accuracy:**

> These devices are intended for general wellness monitoring and are not medical-grade diagnostic tools. Do not make medical decisions based solely on readings from consumer health devices. If you have concerns about your health, experience unusual symptoms, or receive consistently abnormal readings, consult a qualified healthcare professional immediately.

---

## Blood Pressure Monitors

### Proper Usage

1. **Cuff sizing**: Measure the circumference of your upper arm at the midpoint. Select the cuff size that matches:
   - Small: 18-22 cm
   - Medium/Standard: 22-32 cm
   - Large: 32-42 cm
   - Using the wrong cuff size will produce inaccurate readings.
2. **Cuff placement**: Wrap the cuff snugly around the bare upper arm, roughly 2-3 cm above the elbow crease. The artery marker on the cuff should align with the brachial artery on the inner arm.
3. **Taking a reading**:
   - Sit in a chair with your feet flat on the floor. Rest for 5 minutes before measuring.
   - Place your arm on a flat surface so the cuff is at heart level.
   - Do not talk or move during the measurement.
   - Take two readings, one minute apart, and average them.

### Calibration

- Most consumer monitors are factory-calibrated. Check your manual for model-specific recalibration steps.
- To verify accuracy, bring the device to a clinic and compare its reading against a professional-grade monitor. A difference of more than 5 mmHg suggests the device needs service.
- Replace batteries before calibration checks to rule out power-related inaccuracies.

### Error Codes

| Code | Meaning | Fix |
|------|---------|-----|
| E1 | Motion detected | Keep your arm still and do not talk during measurement. Restart the reading. |
| E2 | Cuff too loose | Reposition the cuff so it is snug but not tight. You should be able to slip one finger underneath. |
| E3 | Weak pulse detected | Reposition the cuff so the artery marker aligns with your brachial artery. If the error persists, try the other arm. |
| E4 | High pressure detected | The monitor detected pressure above its safe operating range. Remove the cuff. If you feel unwell, seek medical attention. |
| E5 | Low battery | Replace batteries or charge the device before taking another reading. |

### When to Seek Professional Help

- Systolic readings consistently above 180 or below 90 mmHg.
- Diastolic readings consistently above 120 or below 60 mmHg.
- Large differences (more than 20 mmHg) between left and right arm readings.
- The device repeatedly shows error codes E3 or E4 despite correct usage.

---

## Pulse Oximeters

### Proper Usage

1. **Finger placement**: Insert your index or middle finger fully into the clip so the sensor sits over the fingernail. The finger should be warm and dry.
2. **Stay still**: Rest your hand on a flat surface and remain motionless for 10-15 seconds until the reading stabilizes.
3. **Check the signal indicator**: Most devices show a waveform or signal strength bar. Wait until it shows a strong, consistent signal before reading the value.

### Factors Affecting Accuracy

- **Nail polish or artificial nails**: Dark-colored polish (especially black, blue, or green) can interfere with the light sensor. Remove polish from the measurement finger.
- **Cold hands**: Poor circulation from cold temperatures compresses blood vessels and reduces signal quality. Warm your hands before measuring.
- **Movement**: Even slight finger movement can cause erratic readings. Keep completely still.
- **Ambient light**: Very bright light sources (direct sunlight, surgical lamps) can interfere. Shield the sensor if needed.
- **Skin pigmentation**: Some devices may have reduced accuracy on darker skin tones. Cross-check with a healthcare provider if you have concerns.

### Understanding Readings

- **95-100% SpO2**: Normal range for most healthy individuals.
- **90-94% SpO2**: Below normal. Retake the reading after correcting for any interfering factors. If it remains in this range, contact a healthcare provider.
- **Below 90% SpO2**: Potentially concerning. Seek medical attention, especially if accompanied by shortness of breath, confusion, or chest pain.

### When to Seek Professional Help

- Consistent readings below 94% SpO2 at rest.
- Sudden drops in SpO2 during normal activity.
- Readings accompanied by symptoms such as dizziness, shortness of breath, or bluish discoloration of lips and fingertips.

---

## Thermometers

### Usage by Type

**Oral thermometers:**
- Place the sensor tip under the tongue, toward the back of the mouth.
- Close your mouth and breathe through your nose during the reading.
- Wait at least 15 minutes after eating, drinking, or exercising before measuring.

**Ear (tympanic) thermometers:**
- Gently pull the ear up and back (for adults) to straighten the ear canal.
- Insert the probe tip to seal the ear canal opening.
- Ensure the ear is free of excessive wax, which can block the sensor.

**Forehead (temporal) thermometers:**
- Swipe the sensor across the forehead from the center to the hairline, or hold it 2-5 cm from the forehead for no-contact models.
- Ensure the forehead is dry and free of sweat or cosmetics.
- Avoid measuring right after the person has been wearing a hat or headband.

### Accuracy Tips

- Take 2-3 readings and use the highest consistent value.
- Ear and forehead readings can vary by 0.3-0.6 degrees from oral readings. Consult your device manual for offset guidance.
- Store the thermometer at room temperature. Extreme cold or heat can affect sensor accuracy.

### Fever Thresholds (General Guidelines)

| Method | Normal Range | Possible Fever |
|--------|-------------|----------------|
| Oral | 36.1-37.2 C (97.0-99.0 F) | 37.8 C (100.0 F) or above |
| Ear | 35.8-38.0 C (96.4-100.4 F) | 38.1 C (100.6 F) or above |
| Forehead | 35.4-37.4 C (95.7-99.3 F) | 37.6 C (99.7 F) or above |

### When to Seek Professional Help

- Adults: temperature above 39.4 C (103 F), or any fever lasting more than 3 days.
- Children under 3 months: any temperature of 38 C (100.4 F) or higher.
- Fever accompanied by stiff neck, confusion, difficulty breathing, or persistent vomiting.

---

## Fitness Trackers

### Heart Rate Accuracy Tips

- Wear the device snugly on your wrist, about two finger-widths above the wrist bone.
- The sensor must maintain consistent skin contact. A loose band will produce gaps in data.
- Tattoos on the wrist can interfere with optical heart rate sensors.
- For exercise tracking, ensure the band is tighter than during rest to prevent bouncing.

### Step Counting Calibration

- Most trackers allow you to set your stride length in the companion app. Measure your actual stride over 10 steps and enter the average.
- Wrist-based trackers may count non-walking arm movements as steps. If accuracy is critical, carry the tracker in a pocket or use a clip attachment.
- If step counts seem consistently high or low by more than 15%, re-enter your height and stride length in the app settings.

### Sync Problems

1. **Restart the device**: Power cycle the tracker and reopen the companion app.
2. **Check Bluetooth**: Ensure Bluetooth is enabled on your phone and the tracker appears in paired devices.
3. **Force close the app**: Close the companion app completely, then reopen it and try syncing again.
4. **Unpair and re-pair**: Remove the device from your phone's Bluetooth settings and from the companion app, then set it up again as a new device.
5. **Update firmware**: Check the companion app for pending firmware updates. Outdated firmware is a common cause of sync failures.

### Battery Optimization

- Reduce screen brightness and disable always-on display if available.
- Limit notifications to essential apps only.
- Disable continuous heart rate monitoring if you do not need it; switch to periodic or on-demand measurement.
- Turn off GPS tracking when not actively using it for outdoor exercise.
- Avoid exposing the device to extreme temperatures, which can accelerate battery drain.

### When to Seek Professional Help

- The tracker consistently shows a resting heart rate above 100 bpm or below 40 bpm (and you are not a trained athlete).
- You notice irregular heart rate alerts during rest or normal activity.
- Fitness tracker data is not a substitute for medical monitoring. If you have a known heart condition, use devices recommended by your healthcare provider.

---

## General Troubleshooting (All Devices)

- **Device will not power on**: Replace or charge the battery. Check for corrosion on battery contacts.
- **Inconsistent readings**: Clean the sensor surfaces with a soft, dry cloth. Ensure proper positioning per the instructions above.
- **Display issues**: Perform a factory reset per the device manual. If the display remains unresponsive, contact the manufacturer.
- **Warranty and repairs**: Do not attempt to open or repair sealed medical devices. Contact the manufacturer or authorized service center for hardware issues.
