Patient Support FAQs

Welcome to Zio monitor

We are excited to partner with you on your health journey

  • Your Zio monitor will help your healthcare provider understand your heart’s rhythm with accurate data. Your Zio monitor will record every heartbeat.

We are here to support you with anything you need

  • Customer Care is available 24/7 to verify your insurance information, provide tips on wearing your Zio monitor, remind you to return your Zio monitor, troubleshoot issues, and collect feedback on your Zio monitor experience.
  • Depending on your healthcare provider, insurance plan, and deductibles, you may receive a bill for out-of-pocket costs.
  • Call (888) 693-2401 to talk to a representative you can trust.

What to expect

  • Often your Zio monitor is applied during your visit with your healthcare provider.
  • Otherwise, refer to the inside top of the Zio monitor box with application and activation instructions or visit   www.irhythmtech.com/apply.
  • Keep the Zio monitor box to return your Zio monitor.

  • After activation, if your Zio monitor is functioning properly, you will not see any lights or hear any sounds during wear.
  • Press the button on your Zio monitor when you feel a symptom, and log what you felt in the MyZio app or Symptom Log.
  • Wear your Zio monitor for the amount of time prescribed.

  •  Remove your Zio monitor and place it in the Zio monitor box as instructed, then mail it through USPS. 
  •  It is critical you return your Zio monitor so our experts can analyze your data. 
  •  Mail your Zio monitor back promptly so your healthcare provider can share the results with you as soon as possible. 

Wearing Zio monitor

  • You will not see any lights or hear any sounds when your Zio monitor is functioning properly.
  • Rapid orange flashing light (3 flashes per second) indicates your Zio monitor is not working. Call Customer Care at (888) 693-2401 if that happens.

  • This indicates your Zio monitor is not well attached to your skin. It does not mean something is wrong with your heart.
  • Massage the adhesive wings for 3-5 minutes until the orange light disappears to secure your Zio monitor to your skin.
  • If flashing persists or reoccurs, call Customer Care at (888) 693-2401.

Zio monitor instructions

Zio monitor instructions

After activation, if your Zio monitor is functioning properly, you will not see any lights or hear any sounds during wear. 

Logging symptoms

Press the button on your Zio monitor and log your symptom in the MyZio app or Symptom Log.

 

Your Zio monitor will not flash when the button is pressed.

Logging your symptoms will provide your healthcare provider with additional information to help analyze your health condition.

No. You only need to log symptoms in one place, either in MyZio app or note in the Symptom Log.

 

If you run out of space in the Symptom Log, use the MyZio app to log symptoms for the remainder of your wear period.

Symptom overview

Removing Zio monitor

At the end of your prescribed wear time, open the adhesive remover and follow steps below to peel off your Zio monitor 

  1. Gently lift the center of your Zio monitor up. 
  2. Starting from the center, use the adhesive remover to wipe the area between your skin and your Zio monitor. 
  3. Continue to wipe as you peel off your Zio monitor, one side at a time. 
  4. Keep your Zio monitor aside for return and refer to step 2 in the “Returning Zio monitor” section for further instructions. 
  5. Finally, wash your skin with mild soap, rinse with water, and pat dry. 

 

It is expected for your skin to feel slightly irritated after removing your Zio monitor. 

 

It is expected for your Zio monitor to flash orange as you remove it. 

Returning Zio monitor

  1. Complete your Symptom Log & survey
    • Fill out the front cover of your Symptom Log.
    • Fill out the survey in your Symptom Log to tell us about your experience. If you prefer to give your feedback online, go to www.ziopatient.com.
       
  2. Package your Zio monitor & Symptom Log
    • Adhere your Zio monitor to the inside bottom of the Zio monitor box and place the Symptom Log on top.
    • Seal the box by peeling the tape off the front of the box and press firmly on the flap to close.
    • It is okay to mail your Zio monitor if it’s still flashing orange.

  3. Mail your Zio monitor
    • Drop the Zio monitor box inside any USPS mailbox or take it to a post office.
    • You can also schedule a free USPS pickup at www.ziopickup.com.
    • Mail your Zio monitor back promptly so your healthcare provider can share the results with you as soon as possible.

If you need a replacement return label to mail your Zio back, please call iRhythm Customer Care at 888-693-2401 and follow the automated menu prompts to receive a free UPS return label via email.

After you ship your Zio monitor back to iRhythm, we will review the data and typically send a comprehensive report to your healthcare provider within one to four business days of receiving your monitor. Your healthcare provider will let you know when they are ready to review the results with you.

Troubleshooting – Zio monitor and general

If your Zio monitor has fallen off, call Customer Care at (888) 693-2401.

Yes. If you are questioned about your Zio monitor, show the Security Screening Statement found in your Symptom Log or in the MyZio app.

If you decide not to return your Zio monitor with USPS, please send back your Zio monitor via expedited shipping (FedEx, UPS) at your own expense.

Send it to the following address:
iRhythm Technologies
Three Parkway North, Suite 400
Deerfield, Illinois 60015

Technical references

Before placing your Zio monitor in the Zio monitor box, please write your name on the line above the return address. By writing your name on the return label, you are providing another method of identification for your Zio monitor and are consenting to the potential viewing of your name on the return label. You may choose to not write your name on the return label. 

As participants in your health care, we are required by applicable federal and state law to maintain the privacy of your Protected Health Information (PHI). 
 

Our full Notice of Privacy Practices, found at www.irhythmtech.com, describes our privacy practices, our legal duties, and your rights concerning your PHI. 

The Zio monitor is intended to capture symptomatic and asymptomatic cardiac events in a continuous electrocardiogram record for long-term monitoring. 

The Zio monitor is a prescription-only, single-use ECG monitor that continuously records data for up to 14 days. It is indicated for use on patients who may be asymptomatic or who may suffer from transient symptoms such as palpitations, shortness of breath, dizziness, lightheadedness, pre-syncope, syncope, fatigue, or anxiety. 

  • Do not use the Zio monitor for patients with symptomatic episodes where instance variations in cardiac performance could result in immediate danger to the patient or when real-time or in-patient monitoring should be prescribed. 
 
  • Do not use the Zio monitor in combination with external cardiac defibrillators or high frequency surgical equipment, near strong magnetic fields or devices such as MRI. 
 
  • Do not use the Zio monitor on patients with a neurostimulator, as it may disrupt the quality of ECG data. 
 
  • Do not use the Zio monitor on patients who do not have the competency to wear the device for the prescribed wear period. 

  • Do not use the Zio monitor on patients with known allergic reaction to adhesives or hydrogels or with family history of adhesive skin allergies. If allergic symptoms, severe skin irritation, or signs of skin infection develop, remove the device from the patient’s chest and discontinue wear. Reaction to adhesives may include severe redness and itching, hives, and blisters. Contact your healthcare provider and Customer Care to report the reaction. 
 
  • The Zio monitor is MR unsafe.
    Do not expose the Zio monitor to a magnetic resonance (MR) environment. The MR magnet core can attract the ferromagnetic materials in the Zio monitor, creating a risk of projectile injury to the patient and others in proximity of the Zio monitor and MR device.
    Metal components in the Zio monitor can heat during MR scanning, resulting in the potential for thermal injury and burns. 
 
  • Do not use the Zio monitor on patients with broken skin. Only apply to intact skin. 
 
  • Do not reuse the Zio monitor on the same patient or on multiple patients. It is a single-use device. Reuse of the device may result in mixed patient results, poor adhesion, and poor ECG signal. 
 
  •  Do not modify this equipment without authorization of the manufacturer.
 
  • CAUTION: Federal (USA) law restricts the sale of this device to or on the order of a physician. 

  • During storage and prior to prescription for a patient, do not exceed the temperature and humidity limitations for the Zio monitor. Devices exposed to environmental conditions outside the specified range may have degraded adhesive and battery performance. Observe the temperature and humidity specifications for transportation and storage listed on the Zio monitor box and in the instructions for use. 
 
  • Confirm the expiration date for the Zio monitor listed on the Zio monitor box or pouch. Use of an expired device may cause a degradation of ECG signal quality and a low battery condition. Apply the device on or before expiration date. 
 
  • Recorded ECG data cannot be retrieved for analysis unless you return your Zio monitor. Keep the original Zio monitor box. The box is designed to protect the Zio monitor and Symptom Log in the return mail when properly sealed. Follow the return instructions in this manual. If the box is damaged during opening or handling or lost, contact Customer Care. 
 
  • Safety and effectiveness of the Zio monitor on pediatric patients (younger than 18 years old) has not been established. 
 
  • Do not use the Zio monitor on patients receiving any form of pacing therapy. Paced cardiac rhythms may not be accurately detected leading to incorrect preliminary findings. 
 
  • Carefully prepare skin on the patient’s upper left chest prior to applying the Zio monitor. Observe the instructions for proper shaving, exfoliating, and cleaning. Proper placement and alignment of the Zio monitor on the patient’s chest is important for recording ECG data. Carefully follow the sequence of all steps in the application instructions to ensure the device is properly positioned and securely adhered to the patient’s chest. 
 
  • Avoid delays in recording ECG data. After applying the Zio monitor to the patient’s chest, follow the instructions in this manual to activate recording of ECG data. If the light on the Zio monitor does not flash green after a second activation attempt, contact Customer Care. 
 
  • If the patient has a known allergic reaction to limonene, the active ingredient in the adhesive remover, use baby oil or petroleum jelly to aid removal instead of the adhesive remover wipe.

Common Questions

A ‘symptom’ is anything that you feel that is abnormal to your usual heartbeat. Some symptoms are typically felt as a flutter, a skipped beat, a racing heartbeat, or shortness of breath, or light headedness. If anything feels unusual to you, press the button on your Zio XT monitor and describe how you feel in either the MyZio app or the Log booklet provided with your Zio XT monitor.

Your symptom entries, from either the MyZio app or Log booklet, will be shared with your healthcare provider so they know what you were feeling when you pressed the button. Up to 50 symptom entries will be included with your results.

Once you ship your Zio monitor back to iRhythm, we will review the data and typically send a report to your healthcare provider within one to four business days. Your healthcare provider will let you know when they are ready to review the results with you.

Call Customer Care at 1-888-693-2401. Our Customer Care Team is available 24 hours a day, 7 days a week.

We understand that insurance coverage for your Zio is important to you. Thus, we have partnered with over 90% of insurance providers in the US as well as with Medicare to provide coverage for our patients. Depending on your plan and benefits, you may be responsible for a portion of the Zio monitor cost. Our dedicated team of patient advocates can assist with your insurance benefits and help you understand any potential out-of-pocket costs. Additionally, we offer payment plans and financial assistance for every type of patient. For more questions about your benefits and coverage, call us at 1-888-693-2401, Option 4.

Getting Started

If you received a Zio XT monitor at your home, it is important you apply it immediately so your healthcare provider can better understand your condition and develop your plan of care.

 

The Zio monitor is recording your every heartbeat. Your healthcare provider will use the data from the Zio monitor to look at your heart rhythm and determine their recommended course of therapy.

Wear the Zio monitor according to your healthcare provider’s prescribed wear time, but no longer than 14 days. Please note that based on varying individual experiences, your wear time may be shorter than prescribed.

It is essential you send your Zio XT monitor back to iRhythm immediately after wear so we can provide your data to your healthcare provider. See “How do I remove and return the Zio XT monitor” section for instructions.

Once you ship your Zio monitor back to iRhythm, we will review the data and typically send a report to your healthcare provider within one to four business days. Your healthcare provider will let you know when they are ready to review the results with you.

Wearing a Zio XT Monitor

When your Zio monitor is functioning normally, you will not see any flashing lights or hear any noise.

Do not shower within the first 24 hours of wearing your Zio monitor and avoid any activity that may cause you to sweat. After the initial 24 hours, avoid activities that cause excessive sweating since they may cause the monitor to slide, become loose, fall off, or shorten wear time.

Yes, but excessive sweating may weaken the adhesive and shorten wear time. Within the first 24 hours of wearing the Zio XT monitor it is recommended that you avoid activities that may cause sweating.

Yes, but please avoid showering during the first 24 hours of wearing the Zio monitor. After that, take brief showers with your back facing the shower head, and keep soaps and lotions away from the Zio XT monitor. When towel-drying, hold down the Zio monitor with one hand, and press it against your skin to secure.

Yes, but keep the Zio monitor above water.

No, do not swim or enter a hot tub or steam room while wearing the Zio monitor. Water, steam, and excessive sweating will weaken the adhesive.

Yes. The Zio monitor may move slightly from its original position. A blue gel may become visible under the wings of the Zio monitor. Call Customer Care at 1-888-693-2401 if you have any concerns.

Some patients have reported minor skin irritation and/or itching while wearing the Zio monitor. If the irritation or itching is severe or hives or blisters develop, please contact our Customer Care Team at 1-888-693-2401.

Yes, the wings of the Zio monitor may become cloudy after a few days of wear.

Yes. The following are not recommended during wear of the Zio XT Patch:

  • Magnetic Field(s): Magnetic Resonance Imaging (MRI); MRI Technician; Any job where the patient may be exposed to a large magnetic field.
  • Neuromuscular Stimulators: Brain Stimulator; Neurostimulator; Spinal Stimulator; TENS Unit
  • External Cardioversion/Defibrillation

 

NOTE: Data may not be interpretable during the time the stimulators are being used. Usage is at physician’s discretion.

 

Can the Zio XT Patch be left on a patient during Cardioversion/ Defibrillation?


No, the Zio XT Patch should be removed if the patient requires Cardio- version or Defibrillation.

 

The Zio XT monitor does NOT include Bluetooth or Wi-Fi capabilities within the design. If proof of design is required by your employer or similar authority, or if you require additional device specifications, warnings or precautions, please email us at support@irhythmtech.com.

Recording Symptoms

A ‘symptom’ is anything that you feel that is abnormal to your usual heartbeat. Some symptoms are typically felt as a flutter, a skipped beat, a racing heartbeat, or shortness of breath, or light headedness. If anything feels unusual to you, press the button on your Zio XT monitor and describe how you feel in either the MyZio app or the Log booklet provided with your Zio XT monitor.

First, press the button in the middle of your Zio XT monitor as if you were pressing a doorbell. Then, use the MyZio app to enter your symptom details by tapping on the ‘Log Symptom’ button on the Home screen or fill out a page in the Log booklet provided with your Zio XT monitor.

While pressing the button is important, the Zio XT monitor is recording your every heartbeat and capturing possible arrhythmias. Do not be concerned if you forget to press the button.

Recording your symptoms and activity provides your healthcare provider additional information about what may have caused the symptom. While logging your symptoms is important, the Zio XT monitor records your every heartbeat and captures any potential arrhythmias. There’s no need to be concerned if you forget to write down the symptoms.

Not all patients experience symptoms during their wear period. The Zio XT monitor is still recording your every heartbeat so your healthcare provider will receive the information they need to develop your plan of care.

Your symptom entries, from either the MyZio app or Log booklet, will be shared with your healthcare provider so they know what you were feeling when you pressed the button. Up to 50 symptom entries will be included with your results.

Troubleshooting

Call Customer Care at 1-888-693-2401. Our Customer Care Team is available 24 hours a day, 7 days a week.

It is likely due to a small shaving cut when the monitor was applied to your chest. Call Customer Care at 1-888-693-2401 if you are concerned.

If you see the Zio XT monitor flashing orange, this does not mean there is a problem with your heart; it just means that the monitor is not well attached. Massage your Zio’s adhesive wings in a circular motion for 3 to 5 minutes. If flashing persists or reoccurs, call Customer Care at 1-888-693-2401.

The Zio monitor may flash orange after removal. It is okay to mail the device while it is flashing. Read the ‘Removing and Returning the Zio Monitor’ section for return instructions.

Traveling with the Zio XT Monitor

Yes. If questioned during security screening, show the statement on the TSA Screening page, found in the ‘How do I get through airport Security’ section.

Present this screening statement to the TSA.

Security Screening
This person is wearing an iRhythm Zio® XT monitor prescribed by their healthcare provider. This device is currently adhered to the patient’s chest and is monitoring their heart. It can only be removed under the direction of their healthcare provider. If you have any questions please call the iRhythm Clinical Center at 1-888-693-2401 24 hours/day, 7 days/week.

Removing and Returning the Zio XT Monitor

Step 1: Gently tilt the center of the Zio monitor up. Using the adhesive remover to the right, sweep between your skin and the monitor while peeling one side from the center out. Repeat for the other side, peeling from the center out. Wash skin with mild soap, rinse with water and pat dry.

Step 2: Stick the Zio XT monitor to the designated space on the last page of the Log booklet. It will stick on its own.

Step 3: Place the entire booklet including the Zio XT monitor, into the postage-paid return box. Seal the box shut with the tape provided. Mail it back via the U.S. postal service as soon as possible.

To send your Zio back via expedited shipping (FedEx, UPS) at your own expense, send it to the following address:

iRhythm Technologies, Inc.
3 Parkway North
Deerfield, Illinois 60015
Suite 130N

The Zio monitor may flash orange after removal. It is okay to mail the device while it is flashing.

If you need a replacement return label to mail your Zio back, please call iRhythm Customer Care at 888-693-2401 and follow the automated menu prompts to receive a free UPS return label to your email.

Insurance and Billing

We understand that insurance coverage for your Zio is important to you. Thus, we have partnered with over 90% of insurance providers in the US as well as with Medicare to provide coverage for our patients. Depending on your plan and benefits, you may be responsible for a portion of the Zio monitor cost. Our dedicated team of patient advocates can assist with your insurance benefits and help you understand any potential out-of-pocket costs. Additionally, we offer payment plans and financial assistance for every type of patient. For more questions about your benefits and coverage, call us at 1-888-693-2401, Option 4.

iRhythm offers a number of payment programs tailored to your needs, including our financial assistance program and prompt pay discount. Our patient advocates can help you determine which payment option might be right for you.

 

Contact us at 1-888-693-2401 to speak with an iRhythm patient advocate.

After you’ve worn and mailed back your Zio XT monitor, you will receive an Explanation of Benefits (EOB) from your insurance provider. The EOB is not a bill; you do not need to reply and can keep it for your records. You will receive a bill from iRhythm if there is any amount owed after your insurance provider has processed your claim, and any appeals are complete. Your insurance company determines the amount you owe, based on your plan. The amount owed is determined by your insurance company based on your plan and benefits. If applicable, you will receive an iRhythm Bill in 3-6 months. For any questions about your bill, please call 1-888-693-2401 to speak with an iRhythm Patient Advocate.

We offer three convenient ways to pay and accept personal checks or Visa, MasterCard, American Express, and Discover cards.

Pay Online with a credit card at https://www.irhythmtech.com/billpay.

Pay by Phone with a credit card by calling 1-888-693-2401.

Pay by Check. Include your account number on your check and make it payable to iRhythm Technologies.

Send it to:

 

iRhythm Technologies, Inc.

Dept CH 19717

Palatine, IL 60055-9717

Safety Information

Review the Zio® XT Important Information booklet for comprehensive safety information.
 

Indications for use

The Zio XT Patch is a prescription-only, single patient use, continuously recording ECG monitor that can be worn up to 14 days. It is indicated for use on patients who may be asymptomatic or who may suffer from transient symptoms such as palpitations, shortness of breath, dizziness, lightheadedness, pre-syncope, syncope, fatigue or anxiety.
 

Contraindications

  • Do not use the Zio XT Patch for patients with symptomatic episodes where instance variations in cardiac performance could result in immediate danger to the patient.
  • Do not use the Zio XT Patch in combination with external cardiac defibrillators or high frequency surgical equipment near strong magnetic fields or devices such as MRI.
  • Do not use the Zio XT Patch on patients with neuro-stimulator, as it may disrupt the quality of ECG data.
  • Do not use the Zio XT Patch on patients who do not have the competency to wear the device for the prescribed patching period.
     

Warnings

  • Do not use the Zio XT Patch on patients with known allergic reaction to adhesives or hydrogels or with family history of adhesive skin allergies. Patient may experience skin irritation.
  • Do not reuse the Zio XT Patch on multiple patients. It is a single patient use device. Reuse will cause incorrect patient data and may experience skin irritation.

CautionIf skin irritation such as severe redness, itching or allergic symptoms develop, remove the Zio XT Patch from the patient’s chest.

Prescription OnlyCAUTION: Federal (USA) law restricts the sale of this device to or on the order of a physician.
 

Precautions

  • The Zio XT Patch includes temperature and humidity limitations. If exposed, patients may experience degradation of adhesive performance causing the device to slip or fall off during the patient wear duration.
  • The Zio XT Patch has a shelf-life date. Use of expired device may cause a degradation of ECG signal quality and/or low battery condition.
  • Do not use the Zio XT Patch if package is damaged. Device may not perform as intended.
  • Safety and effectiveness of the Zio XT Patch on pediatric patients (younger than 18 years old) has not been established.
  • Safety and effectiveness of the Zio XT Patch on patients receiving any form of pacing therapy has not been established. Paced cardiac rhythms may not be accurately detected and may be incorrectly classified.

About MyZio

MyZio™ Terms of Use

 

Last Updated: June 2020

 

Welcome, and thank you for your interest in iRhythm Technologies, Inc. (“iRhythm”, “we,” or “us”) and the MyZio mobile app (the “MyZio App”) and related web sites, networks, embeddable widgets, downloadable software, mobile applications (including tablet applications), and other services provided by us and on which a link to these Terms of Use is displayed (collectively, together with the MyZio App, our “Service”). These Terms of Use are a legally binding contract between you and iRhythm regarding your use of the Service.

 

PLEASE READ THE FOLLOWING TERMS OF USE CAREFULLY. BY CLICKING “I ACCEPT,” DOWNLOADING, INSTALLING, OR OTHERWISE ACCESSING OR USING THE MYZIO APP OR THE SERVICE, YOU ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREE TO BE BOUND BY THE FOLLOWING TERMS AND CONDITIONS, INCLUDING THE MYZIO PRIVACY POLICY https://www.myzio.com/privacy (COLLECTIVELY, THESE “TERMS”). If you are not eligible, or do not agree to these Terms, then you may not use the Service.

 

THESE TERMS DO NOT COVER YOUR USE OF THE IRHYTHM HEART MONITORING DEVICE OR SERVICE OR ANY OTHER SIMILAR DEVICES OR SERVICES PROVIDED BY IRHYTHM. For more information on any such devices and services, please contact iRhythm Customer Service at 1-888-693-2401 or support@irhythmtech.com.

 

You acknowledge and agree that, as provided in greater detail in the Terms:

  • The MyZio App is licensed, not sold to you, and you may use the Service only as set forth in these Terms;
  • Your use of the Service may be subject to separate third-party terms of service and fees, including without limitation the terms of service and data, SMS, MMS, and other fees of your mobile network operator (the “Carrier”), which are your sole responsibility;
  • You consent to the collection and use of your personally identifiable information in accordance with the MyZio Privacy Policy https://www.myzio.com/privacy;
  • The Service is provided “as is” without warranties of any kind and iRhythm’s liability to you is limited; PLEASE NOTE THAT WE DO NOT PROVIDE PROFESSIONAL MEDICAL, DIAGNOSIS OR TREATMENT ADVICE. There is no express or implied physician-patient relationship between you and iRhythm, its employees, agents or consultants;
  • The symptoms you enter into the MyZio App are not reviewed until after the heart monitoring device has been returned to iRhythm and the cardiac rhythm data are under review. IF YOU NEED IMMEDIATE MEDICAL ATTENTION, PLEASE CALL 911.
  • Disputes arising hereunder will be resolved by binding arbitration, AND BY ACCEPTING THESE TERMS, YOU AND IRHYTHM ARE EACH WAIVING THE RIGHT TO A TRIAL BY JURY AND TO PARTICIPATE IN A CLASS ACTION. YOU AGREE TO GIVE UP YOUR RIGHT TO GO TO COURT to assert or defend your rights under this contract (except for matters that may be taken to small claims court). Your rights will be determined by a NEUTRAL ARBITRATOR and NOT a judge or jury and your claims cannot be brought as a class action. Please review the Dispute Resolution Section below for the details regarding your agreement to arbitrate any disputes with iRhythm;
     

iRhythm Service Overview. The Service allows users to document symptom-related information while wearing iRhythm heart monitoring devices. Data collected via the MyZio App may be utilized in conjunction with such iRhythm devices and processed to create related clinical information that is relayed to a user’s designated medical provider in accordance with the Privacy Policy https://www.myzio.com/privacy.
 

  1. Eligibility. You must be at least eighteen (18) years of age to use the Service. By agreeing to these Terms, you represent and warrant to us: (i) that you are at least eighteen (18) years of age; (ii) that you have not previously been suspended or removed from the Service; and (iii) that your registration and your use of the Service is in compliance with any and all applicable laws and regulations. If you are using the Service on behalf of an entity, organization, or company, you represent and warrant that you have the authority to bind such organization to these Terms and you agree to be bound by these Terms on behalf of such organization.

  2. Accounts and Registration. To access most features of the Service, you must register for an account. When you register for an account, you may be required to provide us with some information about yourself (such as your e-mail address or other contact information). You agree that the information you provide to us is accurate and that you will keep it accurate and up-to-date at all times. When you register, you will be asked to provide a password. You are solely responsible for maintaining the confidentiality of your account and password. You agree to accept responsibility for all activities that occur under your account. If you have reason to believe that your account is no longer secure, then you must immediately notify us at support@irhythmtech.com.

  3. App Terms. The terms of this Section 3 govern your acquisition and use of the MyZio App.
    • Third Party Accounts. In order to download the App, you may be required by the third party who is distributing or providing you access to the App, such as Apple, Inc. (each, a “Distributor”), to create an account. You are solely responsible for maintaining the security of any logins, passwords, or other credentials that you select or that are provided to you to access your account with any Distributor. Your use of any account with a Distributor is subject to any terms, conditions, and policies, including privacy policies, of that Distributor. iRhythm is not responsible for any act or omission of any Distributor.

    • License to the App. Subject to your complete and ongoing compliance with all the terms and conditions set forth in these Terms (including without limitation compliance with all license restrictions), iRhythm grants you (1) a limited, non-exclusive, non-transferable, non-sublicensable, revocable license to use one copy of the MyZio App downloaded directly from iRhythm or from a legitimate marketplace (such as Apple’s iTunes store), solely in object code format and solely for your personal use for lawful purposes, on compatible mobile devices that you own or control; and (2) permission to access and use the Service, only for your personal use, and solely through the use of a licensed copy of the MyZio App. You may not reproduce, distribute, publicly display, or publicly perform the MyZio App or any part of the Service. Except if, and solely to the extent that, such a restriction is impermissible under applicable law, you may not (a) decompile, reverse engineer, or otherwise access or attempt to access the source code for the MyZio App, or make or attempt to make any modification to or derivative work of the MyZio App; or (b) interfere with or circumvent any feature of the MyZio App, including without limitation any security or access control mechanism. You may not use the MyZio App or the Service for any purpose other than a purpose for which the MyZio App and the Service are expressly designed. The term MyZio App, as used herein, includes any update or modification to the MyZio App made available to you by iRhythm (unless provided with separate terms). If you are prohibited under applicable law from using the MyZio App or the rest of the Service, you may not use them.

    • Access to the MyZio App; Third Party Fees. iRhythm does not provide you with the equipment to use the MyZio App. You are responsible for all fees charged by third parties to access and use the MyZio App (e.g., charges by mobile carriers). Without limiting the foregoing, you are solely responsible for the payment of all applicable fees associated with any carrier service plan you use in connection with your use of the Service (such as voice, data, SMS, MMS, roaming, other applicable fees charged by the carrier). Accordingly, you should use care in selecting a service plan offered by your carrier. If your device is lost or stolen, you must notify iRhythm immediately to suspend services.
       
  4. Prohibited Conduct. BY USING THE SERVICE YOU AGREE NOT TO:
    • use the Service for any illegal purpose, or in violation of any local, state, national, or international law, including, without limitation, laws governing protected health information, intellectual property and other proprietary rights, and data protection and privacy;

    • violate, or encourage others to violate, the rights of third parties, including by infringing or misappropriating third party intellectual property rights;

    • interfere with security-related features of the Service, including without limitation by (i) disabling or circumventing features that prevent or limit use or copying of any content, or (ii) reverse engineering or otherwise attempting to discover the source code of the Service or any part thereof except to the extent that such activity is expressly permitted by applicable law;

    • interfere with the operation of the Service or any user’s enjoyment of the Service, including without limitation by (i) uploading or otherwise disseminating viruses, adware, spyware, worms, or other malicious code, (ii) making unsolicited offers or advertisements to other users of the Service (iii) attempting to collect personal information about users or third parties without their consent; or (iv) interfering with or disrupting any networks, equipment, or servers connected to or used to provide the Service, or violating the regulations, policies, or procedures of such networks, equipment, or servers;

    • perform any fraudulent activity including impersonating any person or entity, claiming false affiliations, accessing the Service accounts of others without permission, or falsifying your age or date of birth;

    • sell or otherwise transfer the access granted herein or any Materials (as defined in Section 10 below) or any right or ability to view, access, or use any Materials;

    • attempt to do any of the foregoing in this Section 4, or assist or permit any persons in engaging in any of the activities described in this Section 4.
       
  5. Third-Party Services and Linked Websites. iRhythm may provide tools through the Service that enable you to export information to third party services, including through features that allow you to link your account on iRhythm with an account on the third party service. By using one of these tools, you agree that we may transfer that information to the applicable third-party service. Third party services are not under our control, and we are not responsible for any third party service’s use of your exported information. The Service may also contain links to third party websites. Linked websites are not under our control, and we are not responsible for their content.

  6. Termination of Use; Discontinuation and Modification of the Service. If you violate any provision of these Terms, your permission to use the Service will terminate automatically. Additionally, iRhythm, in its sole discretion may terminate your user account on the Service or suspend or terminate your access to the Service at any time, with or without notice. We also reserve the right to modify or discontinue the Service at any time (including, without limitation, by limiting or discontinuing certain features of the Service) without notice to you. We will have no liability whatsoever on account of any change to the Service or any suspension or termination of your access to or use of the Service. You may terminate your account at any time by contacting customer service at support@irhythmtech.com.

  7. Feedback. If you provide feedback to iRhythm regarding the Service (“Feedback”), you acknowledge that the Feedback is not confidential and you authorize iRhythm to use that Feedback without restriction and without payment to you. Accordingly, you hereby grant to iRhythm a nonexclusive, royalty-free, fully-paid, perpetual, irrevocable, transferable, and fully sublicensable right to use the Feedback in any manner and for any purpose.

  8. Privacy Policy; Additional Terms
    • Privacy Policy. Please read the MyZio Privacy Policy carefully for information relating to our collection, use, storage and disclosure of your personal information. The iRhythm Privacy Policy (https://www.myzio.com/privacy) is hereby incorporated by reference into, and made a part of, these Terms.

    • Additional Terms. Your use of the Service is subject to any and all additional terms, policies, rules, or guidelines applicable to the Service or certain features of the Service that we may post on or link to on the Service (the "Additional Terms"), such as end-user license agreements for any downloadable applications that we may offer, or rules applicable to particular features or content on the Service, subject to Section 9 below. All such Additional Terms are hereby incorporated by reference into, and made a part of, these Terms.
       
  9. Changes to the Terms. We reserve the right, at our discretion, to change these Terms on a going-forward basis at any time. Please check these Terms periodically for changes. In the event that a change to these Terms materially modifies your rights or obligations, we will make reasonable efforts to notify you of such change. We may provide notice through a pop-up or banner within the Service, by sending an email to any address you may have used to register for an account, or through other similar mechanisms. Additionally, if the changed Terms materially modify your rights or obligations, we may require you to provide consent by accepting the changed Terms. If we require your acceptance of the changed Terms, changes are effective only after your acceptance. If you do not accept the changed Terms, we may terminate your access to and use of the Service. All other changes are effective upon publication of the changed Terms. Disputes arising under these Terms will be resolved in accordance with the Terms in effect at the time the dispute arose
    .
  10. Ownership; Proprietary Rights. The Service is owned and operated by iRhythm. The visual interfaces, graphics, design, compilation, information, data, computer code (including source code or object code), products, software, services, and all other elements of the Service (the “Materials”) provided by iRhythm are protected by all relevant intellectual property and proprietary rights and applicable laws. All Materials contained in the Service are the property of iRhythm or our third-party licensors. Except as expressly authorized by iRhythm, you may not make use of the Materials. iRhythm reserves all rights to the Materials not granted expressly in these Terms.

  11. Indemnity. You agree that you will be responsible for your use of the Service, and you agree to defend, indemnify, and hold harmless iRhythm and its officers, directors, employees, consultants, affiliates, subsidiaries and agents (collectively, the "iRhythm Entities") from and against any and all claims, liabilities, damages, losses, and expenses, including reasonable attorneys' fees and costs, arising out of or in any way connected with (i) your access to, use of, or alleged use of the Service; (ii) your violation of these Terms or any representation, warranty, or agreements referenced herein, or any applicable law or regulation; (iii) your violation of any third-party right, including without limitation any intellectual property right, publicity, confidentiality, property or privacy right; or (iv) any disputes or issues between you and any third party. We reserve the right, at our own expense, to assume the exclusive defense and control of any matter otherwise subject to indemnification by you (and without limiting your indemnification obligations with respect to such matter), and in such case, you agree to cooperate with our defense of such claim.

  12. Disclaimers; No Warranties

    THE SERVICE AND ALL MATERIALS AND CONTENT AVAILABLE THROUGH THE SERVICE ARE PROVIDED "AS IS" AND ON AN "AS AVAILABLE" BASIS, WITHOUT WARRANTY OR CONDITION OF ANY KIND, EITHER EXPRESS OR IMPLIED. THE IRHYTHM ENTITIES SPECIFICALLY (BUT WITHOUT LIMITATION) DISCLAIM ALL WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED, RELATING TO THE SERVICE AND ALL MATERIALS AND CONTENT AVAILABLE THROUGH THE SERVICE, INCLUDING BUT NOT LIMITED TO (i) ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, QUIET ENJOYMENT, OR NON-INFRINGEMENT; AND (ii) ANY WARRANTIES ARISING OUT OF COURSE OF DEALING, USAGE, OR TRADE. THE IRHYTHM ENTITIES DO NOT WARRANT THAT THE SERVICE OR ANY PART THEREOF, OR ANY MATERIALS OR CONTENT OFFERED THROUGH THE SERVICE, WILL BE UNINTERRUPTED, SECURE, OR FREE OF ERRORS, VIRUSES, OR OTHER HARMFUL COMPONENTS, AND DO NOT WARRANT THAT ANY OF THE FOREGOING WILL BE CORRECTED.

     

    NO ADVICE OR INFORMATION, WHETHER ORAL OR WRITTEN, OBTAINED BY YOU FROM THE SERVICE OR ANY MATERIALS OR CONTENT AVAILABLE ON OR THROUGH THE SERVICE WILL CREATE ANY WARRANTY REGARDING ANY OF THE IRHYTHM ENTITIES OR THE SERVICE THAT IS NOT EXPRESSLY STATED IN THESE TERMS. YOU ASSUME ALL RISK FOR ALL DAMAGES THAT MAY RESULT FROM YOUR USE OF OR ACCESS TO THE SERVICE, YOUR DEALINGS WITH OTHER SERVICE USERS, AND ANY MATERIALS OR CONTENT AVAILABLE THROUGH THE SERVICE. YOU UNDERSTAND AND AGREE THAT YOU USE THE SERVICE AND USE, ACCESS, DOWNLOAD, OR OTHERWISE OBTAIN MATERIALS OR CONTENT THROUGH THE SERVICE AND ANY ASSOCIATED SITES OR SERVICES AT YOUR OWN DISCRETION AND RISK, AND YOU WILL BE SOLELY RESPONSIBLE FOR ANY DAMAGE TO YOUR PROPERTY (INCLUDING YOUR COMPUTER SYSTEM USED IN CONNECTION WITH THE SERVICE) OR LOSS OF DATA THAT RESULTS FROM THE USE OF THE SERVICE OR THE DOWNLOAD OR USE OF SUCH MATERIALS OR CONTENT.

     

    SOME JURISDICTIONS MAY PROHIBIT A DISCLAIMER OF WARRANTIES AND YOU MAY HAVE OTHER RIGHTS THAT VARY FROM JURISDICTION TO JURISDICTION.

     

    The Service provides information and readings to you based on your symptom entry into the Service. YOU AGREE THAT IRHYTHM CANNOT VERIFY THAT YOU HAVE CORRECTLY COMPLETED SYMPTOM ENTRY ACTIONS ON THE MYZIO APP, OR THAT ANY INFORMATION OBTAINED THROUGH THE SERVICE IS ACCURATE, AND THEREFORE IRHYTHM CANNOT BE HELD RESPONSIBLE FOR ANY ACTION OR INACTION RESULTING FROM DISPLAY OF "SYMPTOM OR OTHER RELATED INFORMATION” ON THE SERVICE. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE. IF YOU HAVE ANY CONCERNS OR QUESTIONS ABOUT YOUR HEALTH OR THE CONTENT ON THE SERVICE, YOU SHOULD ALWAYS CONSULT WITH A PHYSICIAN OR OTHER HEALTH-CARE PROFESSIONAL. DO NOT DISREGARD, AVOID OR DELAY OBTAINING MEDICAL, HEALTH OR CLAIMS MANAGEMENT RELATED ADVICE FROM YOUR HEALTH-CARE PROFESSIONAL BECAUSE OF SOMETHING YOU MAY HAVE READ ON OR THROUGH THE SERVICE. THE USE OF ANY INFORMATION PROVIDED ON OR THROUGH THE SERVICE IS SOLELY AT YOUR OWN RISK.

     

    Nothing stated or posted on the MyZio App or available through any Service is intended to be, and must not be taken to be, the practice of medicine or counseling care. Your access or use of the MyZio App and the Service does not create in any way a physician/patient, confidential, or privileged relationship, or any other relationship that would give rise to any duties on our part or the part of our licensors.

     

  13. Limitation of Liability

    IN NO EVENT WILL THE IRHYTHM ENTITIES BE LIABLE TO YOU FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL OR PUNITIVE DAMAGES (INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF PROFITS, GOODWILL, USE, DATA, OR OTHER INTANGIBLE LOSSES) ARISING OUT OF OR RELATING TO YOUR ACCESS TO OR USE OF, OR YOUR INABILITY TO ACCESS OR USE, THE SERVICE OR ANY MATERIALS OR CONTENT ON THE SERVICE, WHETHER BASED ON WARRANTY, CONTRACT, TORT (INCLUDING NEGLIGENCE), STATUTE OR ANY OTHER LEGAL THEORY, WHETHER OR NOT THE IRHYTHM ENTITIES HAVE BEEN INFORMED OF THE POSSIBILITY OF SUCH DAMAGE.

     

    YOU AGREE THAT THE AGGREGATE LIABILITY OF THE IRHYTHM ENTITIES TO YOU FOR ANY AND ALL CLAIMS ARISING OUT OF RELATING TO THE USE OF OR ANY INABILITY TO USE THE SERVICE (INCLUDING ANY MATERIALS OR CONTENT AVAILABLE THROUGH THE SERVICE) OR OTHERWISE UNDER THESE TERMS, WHETHER IN CONTRACT, TORT, OR OTHERWISE, IS LIMITED TO $100.

     

    SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES. ACCORDINGLY, THE ABOVE LIMITATION MAY NOT APPLY TO YOU.

     

    EACH PROVISION OF THESE TERMS THAT PROVIDES FOR A LIMITATION OF LIABILITY, DISCLAIMER OF WARRANTIES, OR EXCLUSION OF DAMAGES IS TO ALLOCATE THE RISKS UNDER THESE TERMS BETWEEN THE PARTIES. THIS ALLOCATION IS AN ESSENTIAL ELEMENT OF THE BASIS OF THE BARGAIN BETWEEN THE PARTIES. EACH OF THESE PROVISIONS IS SEVERABLE AND INDEPENDENT OF ALL OTHER PROVISIONS OF THESE TERMS. THE LIMITATIONS IN THIS SECTION 13 WILL APPLY EVEN IF ANY LIMITED REMEDY FAILS OF ITS ESSENTIAL PURPOSE.
     

  14. Special Considerations for International Use. While iRhythm has designed the Service for users in the United States, we recognize the global nature of the Internet. As a condition of using the Service, you agree to comply with all local rules regarding online conduct. Specifically, you agree to comply with all applicable laws regarding the transmission of protected health information, including clinical and personal data, exported from the United States or the country in which you reside.

  15. Governing Law. These Terms shall be governed by the laws of the State of California without regard to conflict of law principles. To the extent that any lawsuit or court proceeding is permitted hereunder, you and iRhythm agree to submit to the personal and exclusive jurisdiction of the state courts and federal courts located within San Francisco County, California for the purpose of litigating all such disputes.

  16. General. These Terms, together with the Privacy Policy and any other agreements expressly incorporated by reference herein, constitute the entire and exclusive understanding and agreement between you and iRhythm regarding your use of and access to the Service, and except as expressly permitted above may be amended only by a written agreement signed by authorized representatives of all parties to these Terms. You may not assign or transfer these Terms or your rights hereunder, in whole or in part, by operation of law or otherwise, without our prior written consent. We may assign these Terms at any time without notice. The failure to require performance of any provision will not affect our right to require performance at any time thereafter, nor shall a waiver of any breach or default of these Terms or any provision of these Terms constitute a waiver of any subsequent breach or default or a waiver of the provision itself. Use of section headers in these Terms is for convenience only and shall not have any impact on the interpretation of particular provisions. In the event that any part of these Terms is held to be invalid or unenforceable, the unenforceable part shall be given effect to the greatest extent possible and the remaining parts will remain in full force and effect. Upon termination of these Terms, any provision that by its nature or express terms should survive will survive such termination or expiration, including, but not limited to, Sections 1, and 6 through 22.

  17. Dispute Resolution and Arbitration
    • Generally. In the interest of resolving disputes between you and iRhythm in the most expedient and cost effective manner, you and iRhythm agree that any and all disputes arising in connection with these Terms shall be resolved by binding arbitration. Arbitration is more informal than a lawsuit in court. Arbitration uses a neutral arbitrator instead of a judge or jury, may allow for more limited discovery than in court, and can be subject to very limited review by courts. Arbitrators can award the same damages and relief that a court can award. Our agreement to arbitrate disputes includes, but is not limited to all claims arising out of or relating to any aspect of these Terms, whether based in contract, tort, statute, fraud, misrepresentation or any other legal theory, and regardless of whether the claims arise during or after the termination of these Terms. YOU UNDERSTAND AND AGREE THAT, BY ENTERING INTO THESE TERMS, YOU AND IRHYTHM ARE EACH WAIVING THE RIGHT TO A TRIAL BY JURY AND TO PARTICIPATE IN A CLASS ACTION.

    • Exceptions. Notwithstanding Subsection 17.1, we both agree that nothing herein will be deemed to waive, preclude, or otherwise limit either of our rights to (i) bring an individual action in small claims court, (ii) pursue enforcement actions through applicable federal, state, or local agencies where such actions are available, (iii) seek injunctive relief in a court of law, or (iv) to file suit in a court of law to address intellectual property infringement claims.

    • Arbitrator. Any arbitration between you and iRhythm will be governed by the Commercial Dispute Resolution Procedures and the Supplementary Procedures for Consumer Related Disputes (collectively, "AAA Rules") of the American Arbitration Association ("AAA"), as modified by these Terms, and will be administered by the AAA. The AAA Rules and filing forms are available online at www.adr.org, by calling the AAA at 1-800-778-7879, or by contacting iRhythm.

    • Notice; Process. A party who intends to seek arbitration must first send a written notice of the dispute to the other, by certified mail or Federal Express (signature required), or in the event that we do not have a physical address on file for you, by electronic mail ("Notice"). iRhythm's address for Notice is: iRhythm Technologies, Inc., 699 8th St. Suite 600, San Francisco, CA 94103 ATTN: CFO. The Notice must (i) describe the nature and basis of the claim or dispute; and (ii) set forth the specific relief sought ("Demand"). We agree to use good faith efforts to resolve the claim directly, but if we do not reach an agreement to do so within 30 days after the Notice is received, you or iRhythm may commence an arbitration proceeding. During the arbitration, the amount of any settlement offer made by you or iRhythm shall not be disclosed to the arbitrator until after the arbitrator makes a final decision and award, if any. In the event our dispute is finally resolved through arbitration in your favor, iRhythm shall pay you (i) the amount awarded by the arbitrator, if any, (ii) the last written settlement amount offered by iRhythm in settlement of the dispute prior to the arbitrator’s award; or (iii) $1,000.00, whichever is greater.

    • Fees. In the event that you commence arbitration in accordance with these Terms, iRhythm will reimburse you for your payment of the filing fee, unless your claim is for greater than $10,000, in which case the payment of any fees shall be decided by the AAA Rules. Any arbitration hearings will take place at a location to be agreed upon in San Francisco County, California, provided that if the claim is for $10,000 or less, you may choose whether the arbitration will be conducted (i) solely on the basis of documents submitted to the arbitrator; (ii) through a non-appearance based telephonic hearing; or (iii) by an in-person hearing as established by the AAA Rules in the county (or parish) of your billing address. If the arbitrator finds that either the substance of your claim or the relief sought in the Demand is frivolous or brought for an improper purpose (as measured by the standards set forth in Federal Rule of Civil Procedure 11(b)), then the payment of all fees will be governed by the AAA Rules. In such case, you agree to reimburse iRhythm for all monies previously disbursed by it that are otherwise your obligation to pay under the AAA Rules. Regardless of the manner in which the arbitration is conducted, the arbitrator shall issue a reasoned written decision sufficient to explain the essential findings and conclusions on which the decision and award, if any, are based. The arbitrator may make rulings and resolve disputes as to the payment and reimbursement of fees or expenses at any time during the proceeding and upon request from either party made within 14 days of the arbitrator’s ruling on the merits.

    • No Class Actions. YOU AND IRHYTHM AGREE THAT EACH MAY BRING CLAIMS AGAINST THE OTHER ONLY IN YOUR OR ITS INDIVIDUAL CAPACITY AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING. Further, unless both you and iRhythm agree otherwise, the arbitrator may not consolidate more than one person’s claims, and may not otherwise preside over any form of a representative or class proceeding.

    • Modifications. In the event that iRhythm makes any future change to this arbitration provision (other than a change to iRhythm's address for Notice), you may reject any such change by sending us written notice within 30 days of the change to iRhythm's address for Notice, in which case your account with iRhythm shall be immediately terminated and this arbitration provision, as in effect immediately prior to the amendments you reject shall survive.

    • Enforceability. If Subsection 17.6 is found to be unenforceable or if the entirety of this Section 17 is found to be unenforceable, then the entirety of this Section 17 shall be null and void and, in such case, the parties agree that the exclusive jurisdiction and venue described in Section 15 shall govern any action arising out of or related to these Terms.
       
  18. Consent to Communications. By using the Service, you consent to receiving certain electronic communications from us as further described in our Privacy Policy. Please read our Privacy Policy to learn more about your choices regarding our electronic communications practices. You agree that any notices, agreements, disclosures, or other communications that we send to you electronically will satisfy any legal communication requirements, including that such communications be in writing.

  19. Quality and Accuracy Testing. In order to better improve the Service, we may offer you the opportunity to help us test the accuracy and quality of the Service. If you choose to participate in such tests, we may correspond with you and provide you information about your use of the Service for you to verify. In order to ensure the quality of these tests, some of the information that we will provide may be randomized or incorrect.

  20. Contact Information. The services hereunder are offered by iRhythm Technologies, Inc., located at 699 8th St. Suite 600, San Francisco, CA 94103. You may contact us by sending correspondence to the foregoing address or by emailing us at support@irhythmtech.com.

  21. Notice to California Residents. If you are a California resident, you may have these Terms mailed to you electronically by sending a letter to the foregoing address with your electronic mail address and a request for these Terms. In addition, under California Civil Code Section 1789.3, you may contact the Complaint Assistance Unit of the Division of Consumer Services of the California Department of Consumer Affairs in writing at 1625 N. Market Blvd., Suite S-202, Sacramento, California 95834, or by telephone at (800) 952-5210 in order to resolve a complaint regarding the service or to receive further information regarding use of the service.

  22. Special Terms Regarding Apple. To the extent that you are using our mobile applications on an iOS device, you further acknowledge and agree to the terms of this Section 22. You acknowledge that these Terms are between you and iRhythm only, not with Apple, and Apple is not responsible for the Service and the content thereof. Apple has no obligation whatsoever to furnish any maintenance and support services with respect to the Service. In the event of any failure of the Service to conform to any applicable warranty, you may notify Apple and Apple will refund any applicable purchase price for the mobile application to you; and, to the maximum extent permitted by applicable law, Apple has no other warranty obligation whatsoever with respect to the Service. Apple is not responsible for addressing any claims by you or any third party relating to the Service or your possession and/or use of the Service, including, but not limited to: (i) product liability claims; (ii) any claim that the Service fails to conform to any applicable legal or regulatory requirement; and (iii) claims arising under consumer protection or similar legislation. Apple is not responsible for the investigation, defense, settlement and discharge of any third party claim that the Service and/or your possession and use of the mobile application infringe that third party’s intellectual property rights. You agree to comply with any applicable third party terms when using the Service. Apple and Apple’s subsidiaries are third party beneficiaries of these Terms, and upon your acceptance of these Terms, Apple will have the right (and will be deemed to have accepted the right) to enforce these Terms against you as a third party beneficiary of these Terms. You hereby represent and warrant that (i) you are not located in a country that is subject to a U.S. Government embargo, or that has been designated by the U.S. Government as a “terrorist supporting” country; and (ii) you are not listed on any U.S. Government list of prohibited or restricted parties.

Privacy Policy

 

Last Updated: June 2020

 

Welcome, and thank you for your interest in iRhythm Technologies, Inc. (iRhythm, we, or us), and our MyZio mobile app (the MyZio App) and related web sites, networks, downloadable software and other services provided by us and on which a link to this Privacy Policy (this Policy) is displayed (collectively, together with the MyZio App, our Service).

This Policy describes the information that we gather from you on the Service, how we use and disclose such information, and the steps we take to protect such information. By using the Service, you consent to the privacy practices described in this Policy.

This Policy is incorporated into and is subject to the MyZio Terms of Use https://www.myzio.com/terms. Capitalized terms used but not defined in this Policy have the meaning given to them in the iRhythm Terms of Use.
 

The information we collect on the Service:

  • User-provided Information. When you use the Service, you may provide and we may collect what is generally called “personally identifiable” information, or “personal information,” which is information that specifically identifies an individual. Examples of personal information include name and email address. Personal information also includes other information, such as symptom information that you may enter into the App, when any such information is linked to information that identifies a specific individual. You may provide us with personal information in various ways on the Service. For example, you provide us with personal information when you register for an account, use the Service, respond to email communications from us related to the Service or send us customer service-related requests.
  • “Cookies” and “Automatically Collected” Information. When you use the Service, we may send one or more cookies – small text files containing a string of alphanumeric characters – to your device. We may use both session cookies and persistent cookies. A session cookie disappears after you close your browser. A persistent cookie remains after you close your browser and may be used by your browser on subsequent visits to the Service. Please review your web browser “Help" file to learn the proper way to modify your cookie settings. Please note that if you delete, or choose not to accept, cookies from the Service, you may not be able to utilize the features of the Service to their fullest potential. We may also automatically record certain information from your device by using various types of technology, including “clear gifs" or “web beacons.” This “automatically collected" information may include your IP address or other device address or ID, web browser and/or device type, the pages or other content you view or otherwise interact with on the Service, and the dates and times that you visit, access, or use the Service.
  • Information from Other Sources. We may obtain information, including personal information, from third parties and sources other than the Service, such as our partners. If we combine or associate information from other sources with personal information that we collect through the Service, we will treat the combined information as personal information in accordance with this Policy.
     

How we use the information we collect. We use information we collect on the Service in a variety of ways in providing the Service and operating our business, including the following:

  • We use the information that we collect on the Service to operate, maintain, enhance and provide all features of the Service, to provide services and information that you request, and to respond to comments and questions and otherwise to provide support to users.
  • We use the information that we collect on the Service to understand and analyze the usage trends and preferences of our users, to improve the Service, and to develop new products, services, features, and functionality.
  • We may use your email address or other information we collect on the Service (i) to contact you for administrative purposes such as customer service, to address intellectual property infringement or violations of third party rights or (ii) to send communications.
  • We may use “cookies” information and “automatically collected” information we collect on the Service to: (i) personalize our services, such as remembering your information so that you will not have to re-enter it during your visit or the next time you visit the Service; (ii) provide customized content, and information for the Services; (iii) monitor and analyze the effectiveness of Service; and (iv) monitor aggregate site usage metrics such as total number of visitors and pages viewed.
     

When we disclose information. Except as described in this Policy, we will not disclose your information that we collect on the Service to third parties without your consent. We may disclose information to third parties if you consent to us doing so, as well as in the following circumstances:

  • We will provide the symptom and other information you enter into the Service as well as information gathered from iRhythm heart monitor devices linked to your account to your designated health care provider.
  • We may work with third-party service providers to provide website, application development, analytics, hosting, maintenance, and other services for us. We also work with third-party service providers to create insights and suggestions. These third parties may have access to or process your information as part of providing those services for us. Generally, we limit the information provided to these service providers to that which is reasonably necessary for them to perform their functions.
  • We may make certain automatically-collected, aggregated, or otherwise non-personally-identifiable information available to third parties for various purposes, including (i) compliance with various reporting obligations; (ii) for business or marketing purposes; or (iii) to assist such parties in understanding our users, and usage patterns for certain programs, content, services, , and/or functionality available through the Service.
  • We may disclose your information if required to do so by law or in the good-faith belief that such action is necessary to comply with state and federal laws, in response to a court order, judicial or other government subpoena or warrant, or to otherwise cooperate with law enforcement or other governmental agencies.
  • We also reserve the right to disclose your information that we believe, in good faith, is appropriate or necessary to (i) take precautions against liability, (ii) protect ourselves or others from fraudulent, abusive, or unlawful uses or activity, (iii) investigate and defend ourselves against any third-party claims or allegations, (iv) protect the security or integrity of the Service and any facilities or equipment used to make the Service available, or (v) protect our property or other legal rights (including, but not limited to, enforcement of our agreements), or the rights, property, or safety of others.
  • Information about our users, including personal information, may be disclosed and otherwise transferred to an acquirer, or successor or assignee as part of any merger, acquisition, debt financing, sale of assets, or similar transaction, as well as in the event of an insolvency, bankruptcy, or receivership in which information is transferred to one or more third parties as one of our business assets.
  • We also may disclose your information as may be described in a notice to you at the time the information is collected, or in any other manner to which you consent.
     

Your Choices

You may, of course, decline to share certain personal information with us, in which case we may not be able to provide to you some of the features and functionality of the Service. If you wish to access or amend any other personal information we hold about you, or to request that we delete any information about you, you may contact us at support@irhythmtech.com. Please note that while any changes you make will be reflected in active user databases instantly or within a reasonable period of time, we may retain all information you submit for backups, archiving, prevention of fraud and abuse, analytics, satisfaction of legal obligations, or where we otherwise reasonably believe that we have a legitimate reason to do so.


Your device operating system or browser may include settings, options, or add-on components to control the placement and presence of cookies and access to location information. We do not track our users over time and across third party websites to provide targeted advertising and do not specifically respond to Do Not Track (“DNT”) signals. However, some third party websites do keep track of your browsing activities, including across other websites on the Internet, which enables these websites to tailor what they present to you. If you are visiting such websites, your browser may allow you to set a DNT signal on your browser so that third parties know you do not want to be tracked.


We use Google Analytics to collect and process certain analytics data (e.g., IP address, location, browser type, referral source, length of visit and pages viewed). The collection of such information involves the use of cookies and similar technologies, as described above. Google provides some additional privacy options described at https://policies.google.com/technologies/partner-sites.


If you receive promotional email from us, you may unsubscribe at any time by following the instructions contained within the email. You may also opt-out from receiving promotional email from us, and any other promotional communications that we may send to you from time to time, by sending your request to us by email at support@irhythmtech.com, or by writing to us at the address given at the end of this policy.


Please be aware that if you opt-out of receiving commercial email from us or otherwise modify the nature or frequency of promotional communications you receive from us, it may take up to ten business days for us to process your request, and you may receive promotional communications from us that you have opted-out from during that period. Additionally, even after you opt-out from receiving commercial messages from us, you will continue to receive administrative messages from us regarding the Service.
 

Third-Party Services

The Service may contain features or links to Web sites and services provided by third parties. Any information you provide on third-party sites or services is provided directly to the operators of such services and is subject to those operators’ policies, if any, governing privacy and security, even if accessed through the Service. We are not responsible for the content or privacy and security practices and policies of third-party sites or services to which links or access are provided through the Service. We encourage you to learn about third parties’ privacy and security policies before providing them with information.
 

Children’s Privacy

Our Service is not directed to children under the age of 18, and we do not knowingly collect personal information from children under the age of 18. If you are a parent or guardian and discover that your child under 18 years of age has obtained an account on the Service, then you may alert us at info@irhythmtech.com and request that we delete that child’s personally identifiable information from our systems.
 

Data Security

We use certain physical, administrative, and technical safeguards in an effort to protect the integrity and security of personal information that we collect and maintain. We cannot, however, ensure or warrant the security of any information you transmit to us or store on the Service, and you do so at your own risk. We also cannot guarantee that such information may not be accessed, disclosed, altered, or destroyed by breach of any of our physical, technical, or managerial safeguards.
 

Privacy Settings

You may request to verify and edit any of your personal information by contacting the iRhythm’s Customer Service via the contact information listed below.
 

International Visitors

The App is intended only for users in the United States. If you choose to use the App or otherwise use the Service from the European Union or other regions of the world with laws governing data collection and use that may differ from U.S. law, then please note that the Service is hosted in the United States and thus, you may be transferring your personal information outside of those regions to the United States for storage and processing. Also, we may transfer your data from the U.S. to other countries or regions in connection with storage and processing of data, fulfilling your requests, and operating the Service. By providing any information, including personal information, on or to the Service, you consent to such transfer, storage, and processing.
 

Changes and Updates to this Policy

Please revisit this page periodically to stay aware of any changes to this Policy, which we may update from time to time. If we modify this Policy, we will make it available through the Service, and indicate the date of the latest revision. In the event that the modifications materially alter your rights or obligations hereunder, we will make reasonable efforts to notify you of the change. For example, we may send a message to your email address, if we have one on file, or generate a pop-up or similar notification when you access the Service for the first time after such material changes are made. Your continued use of the Service after the revised Policy has become effective indicates that you have read, understood and agreed to the current version of this Policy.
 

Our Contact Information

Please contact us with any questions or comments about this Policy, your personal information, our use and disclosure practices, or your consent choices by phone at 1-888-693-2401 (24 hours, 7 days a week) or by email at support@irhythmtech.com.

iRhythm Technologies, Inc.
699 8th Street, Suite 600
San Francisco, CA 94103

The symptoms you enter into the MyZio app are not reviewed until after the heart monitoring device has been returned to iRhythm and the cardiac rhythm data are under review.

If you need immediate medical attention, please call 911.

iRhythm Technologies, Inc.
699 8th St #600,
San Francisco, CA 94103

Tel: +1.888.693.2401 (USA Only)
Tel: +1.888.543.4200 (USA International)
Fax: +1.888.693.2402 (USA Only)

Customer Care

You can reach us at 1-888-693-2401

 

Call us immediately if you are experiencing any of the following:

  • The Zio monitor fell off
  • Severe skin irritation
  • The Zio monitor is flashing orange. Note: This does not mean that there is a problem with your heart. It means that the patch is not attached well. To troubleshoot this issue on your own, see “What if the Zio monitor flashes orange while I’m wearing it?” section.

 

Email support@irhythmtech.com

Call 1(888)693-2401

Common Questions

Your symptom entries, from either the MyZio app or Log booklet, will be shared with your healthcare provider so they know what you were feeling when you pressed the button. Up to 50 entries will be included with your results.

Your healthcare provider will receive some information while you wear your Zio monitor. After you ship your Zio monitor back to iRhythm, we will review the data and will typically send a comprehensive report to your healthcare provider within one to four business days. Your healthcare provider will let you know when they are ready to review the results with you.

Please refer to the troubleshooting section. If you see the Zio AT monitor flashing orange, this does not mean there is a problem with your heart; it just means that the monitor is not well attached. Press evenly on the wings of the monitor for 3 to 5 minutes. If the flashing continues or comes back, call Customer Care at 1-888-693-2401.

Call Customer Care at 1-888-693-2401. Our Customer Care Team is available 24 hours a day, 7 days a week.

Getting Started

Applying the Zio AT monitor

If you received a Zio AT monitor at your home, it is important you apply it immediately so your healthcare provider can better understand your condition and develop your plan of care.

This series of videos will guide you through the patch application process.

 

Zio Application Introduction

1. Position 

First, you will locate the left side of your chest, where you will prepare your skin and place your Zio Patch.

2. Prep your skin 

Each step to prepare your skin is very important. They help ensure that the Zio patch stays on your chest for the entire wear period, so that it captures your heart rhythm, and your healthcare provider can make a diagnosis.

3. Apply Patch 

Before starting step three, be sure to have completed steps one and two.

4. Connect the Gateway

The gateway enables your healthcare provider to receive notifications from the Zio AT monitor while you are wearing it. In this step you will turn on the gateway.

5. Wearing your Zio AT

Keep these important tips in mind while you wear the Zio AT monitor. If you have any questions, please contact iRhythm Customer care.

The Zio AT monitor is applied to the chest and records your every heartbeat during your wear period.

The gateway has internet connectivity. It “talks” to the Zio AT monitor and sends important segments of heart data to iRhythm for analysis. Keeping the gateway close by will help to send data quickly.

When you feel a possible symptom, press the button on the Zio monitor, and use the provided Log booklet or the MyZio app to jot down what you are feeling.

The Zio AT monitor is recording your every heartbeat. Your healthcare provider will use the heart rhythm data from the Zio monitor to determine the right course of action.

The gateway wirelessly sends heart rhythm data from the Zio AT monitor each time the monitor button is pressed, and each time the system automatically detects an arrhythmia. iRhythm receives and analyzes the data and provides a report to your healthcare provider.

When your Zio AT monitor is functioning normally, you will not see any flashing lights or hear any noise.

Yes. However, when carrying the gateway keep it in line of sight of the Zio AT monitor. The gateway will need to be in front of your body and within 10 feet of the monitor.

Wear the monitor according to your healthcare provider’s prescribed wear time, but no longer than 14 days. Please note that based on varying individual experiences, your wear time may be shorter than prescribed.

It is essential you send your Zio monitor back to iRhythm immediately after wear so we can provide your data to your healthcare provider. See “How do I remove and return the Zio Monitor” section for instructions.

Your healthcare provider will receive some information while you wear your Zio monitor. After you ship your Zio monitor back to iRhythm, we will review the data and will typically send a comprehensive report to your healthcare provider within one to four business days. Your healthcare provider will let you know when they are ready to review the results with you.

Wearing a Zio Monitor

Yes, but excessive sweating may weaken the adhesive and shorten wear time. Within the first 24 hours of wearing the Zio AT monitor it is recommended that you avoid activities that may cause sweating.

Yes, but please avoid showering during the first 24 hours of wearing the Zio AT monitor. After that, take brief showers with your back facing the shower head, and keep soaps and lotions away from the monitor. When towel-drying, hold down the Zio monitor with one hand, and press it against your skin to secure.

Yes, but keep the Zio AT monitor above water. Keep the gateway away from all water.

No, do not swim or enter a hot tub or steam room while wearing the Zio AT monitor. Water, steam, and excessive sweating will weaken the adhesive. Keep the gateway away from all water.

Do not shower within the first 24 hours of wearing your Zio AT monitor and avoid any activity that may cause you to sweat. After the initial 24 hours, avoid activities that cause excessive sweating since they may cause the monitor to slide, become loose, fall off, or shorten wear time.

Yes, the wings of the monitor may become cloudy after a few days of wear.

Yes. The Zio monitor may move slightly from its original position. A blue gel may be seen under the wings of the monitor. Call Customer Care at 1-888-693-2401 if you have any concerns.

Most patients do not experience skin irritation or itchiness. However, some patients have reported minor skin irritation and/or itching while wearing the Zio AT monitor. If the irritation or itching is severe or hives or blisters develop, please contact our Customer Care Team at 1-888-693-2401.

No. As long as it is able to send data, the gateway will not flash or make noise.

The following medical procedures will not interfere with the Zio AT monitor:

  • Electrocardiogram (EKG)
  • Echocardiogram
  • Electron-beam Computed Tomography (EBCT)
  • Electroencephalogram (EEG)
  • Mammogram
  • Ultrasound
  • Nuclear Stress Test
  • X-RAY
  • Radiation
  • Computed Tomography (CAT Scan)
  • Positron Emissions Tomography (PET SCAN)
     

It is not recommended you wear the Zio AT monitor for the following procedures:

  • Magnetic Resonance Imaging (MRI), any job that exposes you to a large magnetic field
  • Neuromuscular Stimulators: Brain Stimulator; Neurostimulator; Spinal Stimulator; TENS Unit
  • External cardioversion/defibrillation

The Zio monitor communicates with the gateway using Bluetooth. The gateway communicates with iRhythm through a cellular network. It does not use Wi-Fi. If proof of design is required by your employer or similar authority, or if you require additional device specifications, warnings or precautions, please email us at support@irhythmtech.com.

Recording Symptoms

A ‘symptom’ is anything that you feel that is abnormal to your usual heartbeat. Some symptoms are typically felt as a flutter, a skipped beat, a racing heartbeat, or shortness of breath, or light headedness. If anything feels unusual to you, press the button on your Zio monitor and describe how you feel in either the MyZio app or the Log booklet provided.

No, you only need to keep the gateway in front of you and within 10 feet of the monitor to stay connected wirelessly after you press the monitor button. The gateway should also be kept in a place with good cell signal.

First, press the button on the monitor. Then, use the MyZio app to enter your symptom details by tapping on the ‘Log Symptom’ button on the Home screen or fill out a page of the Log in the booklet provided with your Zio monitor.

While pressing the button is important to “tag” and wirelessly send an event, the Zio monitor is recording your every heartbeat and capturing possible arrhythmias. Do not be concerned if you forget to press the button.

Recording your symptoms and activity gives your healthcare provider additional information about what may have caused the symptom. While this is useful, the more important thing is to press the button.

Your symptom entries, from either the MyZio app or Log booklet, will be shared with your healthcare provider so they know what you were feeling when you pressed the button. Up to 50 entries will be included with your results.

The monitor will store the data until the gateway is in range, then the data will be sent.

The gateway will store the data until it has cell signal, then the data will be sent to iRhythm.

Troubleshooting

Animated picture of a hand and monitor

Slow Flashing green rectangle 
Once every 3 seconds

This indicates the gateway has lost connection to your monitor.

To reconnect, hold the star button star for 3 seconds until the orange light stays on. If the light then flashes green, the gateway has reconnected to the monitor.

If the orange flashing continues, call Customer Care at 1-888-693-2401.

Animated picture of a hand and monitor

Slow Flashing gold triangle
Once every 3 seconds
 

This indicates that the gateway does not have cellular signal.

To reconnect, move the gateway to a place with good cellular signal (near a window or go outside).Hold the star button star for 3 seconds until the orange light stays on.
 

If the light then flashes green, the gateway has reconnected. Do not move the gateway until the green light stops flashing.
 

If it does not flash green, move the gateway to a new place and try again.
 

Animated picture of a monitor

Fast Flashing green rectangle or gold triangle
3 times per second


Fast flashing indicates that your gateway is not working. Call Customer Care at 1-888-693-2401
 

Wireless devices that use 2.4 GHz signals such as baby monitors, some cordless home telephones, and wireless routers can interrupt communication between the monitor and gateway if used within 6 feet. Objects placed inside the gateway can also cause communication problems.

Please refer to the troubleshooting section. If you see the Zio AT monitor flashing orange, this does not mean there is a problem with your heart; it just means that the monitor is not well attached. Press evenly on the wings of the monitor for 3 to 5 minutes. If the flashing continues or comes back, call Customer Care at 1-888-693-2401.

Please refer to the troubleshooting section. If you see the gateway flashing orange, this does not mean there is a problem with your heart; it just means that the Zio monitor cannot send information wirelessly. Turn to Troubleshooting or call Customer Care at 1-888-693-2401.

The Zio monitor may flash orange after removal. It is okay to mail the device while it is flashing. Please read the ‘Removing and Returning the Zio monitor’ section.

Press and hold along the edges to re-stick.

Call Customer Care at 1-888-693-2401. Our Customer Care Team is available 24 hours a day, 7 days a week.

It is likely due to a small shaving cut when the monitor was applied to your chest. Call Customer Care at 1-888-693-2401 if you are concerned.

Traveling with the Zio Monitor

Turning On
Press and hold the airplane button inside the gateway for 3 seconds, until the lights flash orange quickly. The airplane light on the outside of the gateway will flash as long as it is in airplane mode.

Turning Off
Press and hold the airplane button inside the gateway for 3 seconds, until the lights flash green quickly. The outside airplane light will stop flashing.

Yes. If questioned during security screening, show the statement on the TSA Screening page in the ‘How do I get through airport security?’ section. Note that the Gateway will not have cellular connection outside the United States.

Yes, though the gateway should be placed in airplane mode.

Present this screening statement to TSA.

 

Security Screening

 

This person is wearing an iRhythm Zio® AT monitor prescribed by their healthcare provider. This device is currently adhered to the patient’s chest and is monitoring their heart. It can only be removed under the direction of their healthcare provider.


If you have any questions, please call the iRhythm Clinical Center at 1-888-693-2401 24 hours/day, 7 days/week.

Removing and Returning the Zio Monitor

Animated picture of a patient attaching Zio AT monitor

Step 1
When you have worn the monitor for the time prescribed by your healthcare provider, remove it as described below.

Using the adhesive remover from the opposite page, tilt the center of the monitor up and sweep between your skin and the monitor - while lifting one side from the center out. Repeat the other side, lifting from the center out. Wash the skin with mild soap, rinse with water, and pat dry.



Animated picture of a patient holding Zio AT monitor

Step 2
Place the monitor inside the gateway as shown.

 

Animated picture of a patient holding Zio AT monitor

Step 3
Lift the panel in the gateway to remove the return envelope.

 

Step 4

Place the monitor, gateway and the booklet inside the envelope and seal it. Ship it back via the U.S. Postal Service as soon as possible.

 

To send your Zio back via expedited shipping (FedEx, UPS) at your own expense, send it to the following address:

 

iRhythm Technologies, Inc
Attn: Intake
6550 Katella Ave, Cypress, CA 90630


You may be held responsible for the cost of the device if both the monitor and gateway are not returned.

The Zio monitor may flash orange after removal. It is okay to mail the device while it is flashing.

If you need a replacement return label to mail your Zio back, please call iRhythm Customer Care at 888-693-2401 and follow the automated menu prompts to receive a free UPS return label to your email.

Insurance and Billing

We understand that insurance coverage for your Zio is important to you. Thus, we have partnered with insurance providers in the US as well as with Medicare to provide coverage for our patients. Depending on your plan and benefits, you may be responsible for a portion of the Zio monitor cost. Our dedicated team of patient advocates can assist with your insurance benefits and help you understand any potential out-of-pocket costs. Additionally, we offer payment plans and financial assistance for every type of patient. For more questions about your benefits and coverage, call us at 1-888-693-2401, Option 4.

iRhythm offers a number of payment programs tailored to your needs, including our financial assistance program and prompt pay discount. Our patient advocates can help you determine which payment option might be right for you.

After you’ve worn and mailed back your Zio monitor, you will receive an Explanation of Benefits (EOB) from your insurance provider. The EOB is not a bill; you do not need to reply and can keep it for your records.

You will receive a bill from iRhythm if there is any amount owed after your insurance provider has processed your claim, and any appeals are complete. Your insurance company determines the amount you owe, based on your plan. The amount owed is determined by your insurance company based on your plan and benefits. If applicable, you will receive an iRhythm Bill in 3-6 months.

For any questions about your bill, please call 1-888-693-2401 to speak with an iRhythm Patient Advocate.

We offer three convenient ways to pay and accept personal checks or Visa, MasterCard, American Express, and Discover cards.

Pay Online with a credit card at www.irhythmtech.com/billpay.

Pay by Phone with a credit card by calling 1-888-693-2401.

Pay by Check. Include your account number on your check, and make it payable to iRhythm Technologies.

Send it to:
iRhythm Technologies, Inc.
Dept CH 19717
Palatine, IL 60055-9717

Safety Information

Review the Zio® AT Important Information booklet for comprehensive safety information.
 

Indications for use

The Zio AT ECG Monitoring System is intended to capture, analyze and report symptomatic and asymptomatic cardiac events and continuous electrocardiogram (ECG) information for long-term monitoring. While continuously recording patient ECG, both patient-triggered and automatically detected arrhythmia events are transmitted to a monitoring center for reporting. After wear, a final report is generated based on beat-to-beat information from the entire ECG recording. It is indicated for use on patients 18 years or older who may be asymptomatic or who may suffer from transient symptoms such as palpitations, shortness of breath, dizziness, light-headedness, pre-syncope, syncope, fatigue, or anxiety. The reports are provided for review by the intended user to render a diagnosis based on clinical judgment and experience. It is not intended for use on critical care patients.



Contraindications

    • Do not use Zio AT for patients with symptomatic episodes where variations in cardiac performance could result in immediate danger to the patient or when real-time or in-patient monitoring should be prescribed.
    • Do not use the Zio AT for patients with known history of life threatening arrhythmias.
    • Do not use the Zio AT in combination with external cardiac defibrillators or high frequency surgical equipment near strong magnetic fields or devices such as MRI.
    • Do not use the Zio AT on patients with neuro-stimulator, as it may disrupt the quality of ECG data.
    • Do not use the Zio AT on patients who do not have the competency to wear the device for the prescribed monitoring period.
       

    Warnings

    • Do not use the Zio AT Patch on patients with known allergic reaction to adhesives or hydrogels or with family history of adhesive skin allergies. Patient may experience skin irritation.
    • Do not reuse the Zio AT Patch on multiple patients. It is a single patient use device. Reuse will cause incorrect patient data and patient may experience skin irritation.
    • Do not use the Zio AT on patients residing in areas with limited to no cellular reception.
    • Do not modify the Zio AT system.
    • The Zio AT system is MR Unsafe!

      • Do not expose the Zio AT patch or gateway to a magnetic resonance (MR) environment.
      • The Zio AT patch or gateway may present a risk of projectile injury due to the presence of ferromagnetic materials that can be attracted by the MR magnet core.
      • Thermal injury and burns may occur due to the metal components of the Zio AT patch that can heat during MR scanning.
      • The Zio AT patch may generate artifacts in the MR image.
      • The Zio AT patch or gateway may not function properly due to the strong magnetic and radiofrequency fields generated by the MR scanner.

    Caution If skin irritation such as severe redness, itching or allergic symptoms develop, remove the Zio XT Patch from the patient’s chest.

    Prescription OnlyCAUTION: Federal (USA) law restricts the sale of this device to or on the order of a physician.
     

    Precautions

    • Safety and effectiveness of the Zio AT Patch on patients receiving any form of pacing therapy has not been established. Paced cardiac rhythms may not be accurately detected and may be incorrectly classified.
    • Safety and effectiveness of the Zio AT system on pediatric patients (younger than 18 years old) has not been established.
    • The Zio AT system includes temperature and humidity limitations when stored/transported. If exposed during storage/transport, patients may experience degradation of adhesive performance causing the Zio AT patch to slip or fall off during the patient wear duration.
    • The Zio AT system has a shelf-life date. Use of expired device may cause a degradation of ECG signal quality and/or low battery condition.
    • Do not use the Zio AT system if package is damaged. Device may not perform as intended.
    • Keep device and packaging away from young children. Contents may be harmful if swallowed. Patch contains button cell batteries that are not accessible during normal use but, if exposed, are known choking hazards and may cause severe tissue injury if ingested.
    • Registration errors may result in limited functionality or erroneous ECG reporting. Utmost caution should be applied to ensure that patient registration is accurate and complete.

    About MyZio

    MyZio™ Terms of Use

     

    Last Updated: June 2020

     

    Welcome, and thank you for your interest in iRhythm Technologies, Inc. (“iRhythm”, “we,” or “us”) and the MyZio mobile app (the “MyZio App”) and related web sites, networks, embeddable widgets, downloadable software, mobile applications (including tablet applications), and other services provided by us and on which a link to these Terms of Use is displayed (collectively, together with the MyZio App, our “Service”). These Terms of Use are a legally binding contract between you and iRhythm regarding your use of the Service.

     

    PLEASE READ THE FOLLOWING TERMS OF USE CAREFULLY. BY CLICKING “I ACCEPT,” DOWNLOADING, INSTALLING, OR OTHERWISE ACCESSING OR USING THE MYZIO APP OR THE SERVICE, YOU ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREE TO BE BOUND BY THE FOLLOWING TERMS AND CONDITIONS, INCLUDING THE MYZIO PRIVACY POLICY https://www.myzio.com/privacy (COLLECTIVELY, THESE “TERMS”). If you are not eligible, or do not agree to these Terms, then you may not use the Service.

     

    THESE TERMS DO NOT COVER YOUR USE OF THE IRHYTHM HEART MONITORING DEVICE OR SERVICE OR ANY OTHER SIMILAR DEVICES OR SERVICES PROVIDED BY IRHYTHM. For more information on any such devices and services, please contact iRhythm Customer Service at 1-888-693-2401 or support@irhythmtech.com.

     

    You acknowledge and agree that, as provided in greater detail in the Terms:

    • The MyZio App is licensed, not sold to you, and you may use the Service only as set forth in these Terms;
    • Your use of the Service may be subject to separate third-party terms of service and fees, including without limitation the terms of service and data, SMS, MMS, and other fees of your mobile network operator (the “Carrier”), which are your sole responsibility;
    • You consent to the collection and use of your personally identifiable information in accordance with the MyZio Privacy Policy https://www.myzio.com/privacy;
    • The Service is provided “as is” without warranties of any kind and iRhythm’s liability to you is limited; PLEASE NOTE THAT WE DO NOT PROVIDE PROFESSIONAL MEDICAL, DIAGNOSIS OR TREATMENT ADVICE. There is no express or implied physician-patient relationship between you and iRhythm, its employees, agents or consultants;
    • The symptoms you enter into the MyZio App are not reviewed until after the heart monitoring device has been returned to iRhythm and the cardiac rhythm data are under review. IF YOU NEED IMMEDIATE MEDICAL ATTENTION, PLEASE CALL 911.
    • Disputes arising hereunder will be resolved by binding arbitration, AND BY ACCEPTING THESE TERMS, YOU AND IRHYTHM ARE EACH WAIVING THE RIGHT TO A TRIAL BY JURY AND TO PARTICIPATE IN A CLASS ACTION. YOU AGREE TO GIVE UP YOUR RIGHT TO GO TO COURT to assert or defend your rights under this contract (except for matters that may be taken to small claims court). Your rights will be determined by a NEUTRAL ARBITRATOR and NOT a judge or jury and your claims cannot be brought as a class action. Please review the Dispute Resolution Section below for the details regarding your agreement to arbitrate any disputes with iRhythm;
       

    iRhythm Service Overview. The Service allows users to document symptom-related information while wearing iRhythm heart monitoring devices. Data collected via the MyZio App may be utilized in conjunction with such iRhythm devices and processed to create related clinical information that is relayed to a user’s designated medical provider in accordance with the Privacy Policy https://www.myzio.com/privacy.
     

    1. Eligibility. You must be at least eighteen (18) years of age to use the Service. By agreeing to these Terms, you represent and warrant to us: (i) that you are at least eighteen (18) years of age; (ii) that you have not previously been suspended or removed from the Service; and (iii) that your registration and your use of the Service is in compliance with any and all applicable laws and regulations. If you are using the Service on behalf of an entity, organization, or company, you represent and warrant that you have the authority to bind such organization to these Terms and you agree to be bound by these Terms on behalf of such organization.

    2. Accounts and Registration. To access most features of the Service, you must register for an account. When you register for an account, you may be required to provide us with some information about yourself (such as your e-mail address or other contact information). You agree that the information you provide to us is accurate and that you will keep it accurate and up-to-date at all times. When you register, you will be asked to provide a password. You are solely responsible for maintaining the confidentiality of your account and password. You agree to accept responsibility for all activities that occur under your account. If you have reason to believe that your account is no longer secure, then you must immediately notify us at support@irhythmtech.com.

    3. App Terms. The terms of this Section 3 govern your acquisition and use of the MyZio App.
      • Third Party Accounts. In order to download the App, you may be required by the third party who is distributing or providing you access to the App, such as Apple, Inc. (each, a “Distributor”), to create an account. You are solely responsible for maintaining the security of any logins, passwords, or other credentials that you select or that are provided to you to access your account with any Distributor. Your use of any account with a Distributor is subject to any terms, conditions, and policies, including privacy policies, of that Distributor. iRhythm is not responsible for any act or omission of any Distributor.

      • License to the App. Subject to your complete and ongoing compliance with all the terms and conditions set forth in these Terms (including without limitation compliance with all license restrictions), iRhythm grants you (1) a limited, non-exclusive, non-transferable, non-sublicensable, revocable license to use one copy of the MyZio App downloaded directly from iRhythm or from a legitimate marketplace (such as Apple’s iTunes store), solely in object code format and solely for your personal use for lawful purposes, on compatible mobile devices that you own or control; and (2) permission to access and use the Service, only for your personal use, and solely through the use of a licensed copy of the MyZio App. You may not reproduce, distribute, publicly display, or publicly perform the MyZio App or any part of the Service. Except if, and solely to the extent that, such a restriction is impermissible under applicable law, you may not (a) decompile, reverse engineer, or otherwise access or attempt to access the source code for the MyZio App, or make or attempt to make any modification to or derivative work of the MyZio App; or (b) interfere with or circumvent any feature of the MyZio App, including without limitation any security or access control mechanism. You may not use the MyZio App or the Service for any purpose other than a purpose for which the MyZio App and the Service are expressly designed. The term MyZio App, as used herein, includes any update or modification to the MyZio App made available to you by iRhythm (unless provided with separate terms). If you are prohibited under applicable law from using the MyZio App or the rest of the Service, you may not use them.

      • Access to the MyZio App; Third Party Fees. iRhythm does not provide you with the equipment to use the MyZio App. You are responsible for all fees charged by third parties to access and use the MyZio App (e.g., charges by mobile carriers). Without limiting the foregoing, you are solely responsible for the payment of all applicable fees associated with any carrier service plan you use in connection with your use of the Service (such as voice, data, SMS, MMS, roaming, other applicable fees charged by the carrier). Accordingly, you should use care in selecting a service plan offered by your carrier. If your device is lost or stolen, you must notify iRhythm immediately to suspend services.
         
    4. Prohibited Conduct. BY USING THE SERVICE YOU AGREE NOT TO:
      • use the Service for any illegal purpose, or in violation of any local, state, national, or international law, including, without limitation, laws governing protected health information, intellectual property and other proprietary rights, and data protection and privacy;

      • violate, or encourage others to violate, the rights of third parties, including by infringing or misappropriating third party intellectual property rights;

      • interfere with security-related features of the Service, including without limitation by (i) disabling or circumventing features that prevent or limit use or copying of any content, or (ii) reverse engineering or otherwise attempting to discover the source code of the Service or any part thereof except to the extent that such activity is expressly permitted by applicable law;

      • interfere with the operation of the Service or any user’s enjoyment of the Service, including without limitation by (i) uploading or otherwise disseminating viruses, adware, spyware, worms, or other malicious code, (ii) making unsolicited offers or advertisements to other users of the Service (iii) attempting to collect personal information about users or third parties without their consent; or (iv) interfering with or disrupting any networks, equipment, or servers connected to or used to provide the Service, or violating the regulations, policies, or procedures of such networks, equipment, or servers;

      • perform any fraudulent activity including impersonating any person or entity, claiming false affiliations, accessing the Service accounts of others without permission, or falsifying your age or date of birth;

      • sell or otherwise transfer the access granted herein or any Materials (as defined in Section 10 below) or any right or ability to view, access, or use any Materials;

      • attempt to do any of the foregoing in this Section 4, or assist or permit any persons in engaging in any of the activities described in this Section 4.
         
    5. Third-Party Services and Linked Websites. iRhythm may provide tools through the Service that enable you to export information to third party services, including through features that allow you to link your account on iRhythm with an account on the third party service. By using one of these tools, you agree that we may transfer that information to the applicable third-party service. Third party services are not under our control, and we are not responsible for any third party service’s use of your exported information. The Service may also contain links to third party websites. Linked websites are not under our control, and we are not responsible for their content.

    6. Termination of Use; Discontinuation and Modification of the Service. If you violate any provision of these Terms, your permission to use the Service will terminate automatically. Additionally, iRhythm, in its sole discretion may terminate your user account on the Service or suspend or terminate your access to the Service at any time, with or without notice. We also reserve the right to modify or discontinue the Service at any time (including, without limitation, by limiting or discontinuing certain features of the Service) without notice to you. We will have no liability whatsoever on account of any change to the Service or any suspension or termination of your access to or use of the Service. You may terminate your account at any time by contacting customer service at support@irhythmtech.com.

    7. Feedback. If you provide feedback to iRhythm regarding the Service (“Feedback”), you acknowledge that the Feedback is not confidential and you authorize iRhythm to use that Feedback without restriction and without payment to you. Accordingly, you hereby grant to iRhythm a nonexclusive, royalty-free, fully-paid, perpetual, irrevocable, transferable, and fully sublicensable right to use the Feedback in any manner and for any purpose.

    8. Privacy Policy; Additional Terms
      • Privacy Policy. Please read the MyZio Privacy Policy carefully for information relating to our collection, use, storage and disclosure of your personal information. The iRhythm Privacy Policy (https://www.myzio.com/privacy) is hereby incorporated by reference into, and made a part of, these Terms.

      • Additional Terms. Your use of the Service is subject to any and all additional terms, policies, rules, or guidelines applicable to the Service or certain features of the Service that we may post on or link to on the Service (the "Additional Terms"), such as end-user license agreements for any downloadable applications that we may offer, or rules applicable to particular features or content on the Service, subject to Section 9 below. All such Additional Terms are hereby incorporated by reference into, and made a part of, these Terms.
         
    9. Changes to the Terms. We reserve the right, at our discretion, to change these Terms on a going-forward basis at any time. Please check these Terms periodically for changes. In the event that a change to these Terms materially modifies your rights or obligations, we will make reasonable efforts to notify you of such change. We may provide notice through a pop-up or banner within the Service, by sending an email to any address you may have used to register for an account, or through other similar mechanisms. Additionally, if the changed Terms materially modify your rights or obligations, we may require you to provide consent by accepting the changed Terms. If we require your acceptance of the changed Terms, changes are effective only after your acceptance. If you do not accept the changed Terms, we may terminate your access to and use of the Service. All other changes are effective upon publication of the changed Terms. Disputes arising under these Terms will be resolved in accordance with the Terms in effect at the time the dispute arose.

    10. Ownership; Proprietary Rights. The Service is owned and operated by iRhythm. The visual interfaces, graphics, design, compilation, information, data, computer code (including source code or object code), products, software, services, and all other elements of the Service (the “Materials”) provided by iRhythm are protected by all relevant intellectual property and proprietary rights and applicable laws. All Materials contained in the Service are the property of iRhythm or our third-party licensors. Except as expressly authorized by iRhythm, you may not make use of the Materials. iRhythm reserves all rights to the Materials not granted expressly in these Terms.

    11. Indemnity. You agree that you will be responsible for your use of the Service, and you agree to defend, indemnify, and hold harmless iRhythm and its officers, directors, employees, consultants, affiliates, subsidiaries and agents (collectively, the "iRhythm Entities") from and against any and all claims, liabilities, damages, losses, and expenses, including reasonable attorneys' fees and costs, arising out of or in any way connected with (i) your access to, use of, or alleged use of the Service; (ii) your violation of these Terms or any representation, warranty, or agreements referenced herein, or any applicable law or regulation; (iii) your violation of any third-party right, including without limitation any intellectual property right, publicity, confidentiality, property or privacy right; or (iv) any disputes or issues between you and any third party. We reserve the right, at our own expense, to assume the exclusive defense and control of any matter otherwise subject to indemnification by you (and without limiting your indemnification obligations with respect to such matter), and in such case, you agree to cooperate with our defense of such claim.

    12. Disclaimers; No Warranties

      THE SERVICE AND ALL MATERIALS AND CONTENT AVAILABLE THROUGH THE SERVICE ARE PROVIDED "AS IS" AND ON AN "AS AVAILABLE" BASIS, WITHOUT WARRANTY OR CONDITION OF ANY KIND, EITHER EXPRESS OR IMPLIED. THE IRHYTHM ENTITIES SPECIFICALLY (BUT WITHOUT LIMITATION) DISCLAIM ALL WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED, RELATING TO THE SERVICE AND ALL MATERIALS AND CONTENT AVAILABLE THROUGH THE SERVICE, INCLUDING BUT NOT LIMITED TO (i) ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, QUIET ENJOYMENT, OR NON-INFRINGEMENT; AND (ii) ANY WARRANTIES ARISING OUT OF COURSE OF DEALING, USAGE, OR TRADE. THE IRHYTHM ENTITIES DO NOT WARRANT THAT THE SERVICE OR ANY PART THEREOF, OR ANY MATERIALS OR CONTENT OFFERED THROUGH THE SERVICE, WILL BE UNINTERRUPTED, SECURE, OR FREE OF ERRORS, VIRUSES, OR OTHER HARMFUL COMPONENTS, AND DO NOT WARRANT THAT ANY OF THE FOREGOING WILL BE CORRECTED.
       

      NO ADVICE OR INFORMATION, WHETHER ORAL OR WRITTEN, OBTAINED BY YOU FROM THE SERVICE OR ANY MATERIALS OR CONTENT AVAILABLE ON OR THROUGH THE SERVICE WILL CREATE ANY WARRANTY REGARDING ANY OF THE IRHYTHM ENTITIES OR THE SERVICE THAT IS NOT EXPRESSLY STATED IN THESE TERMS. YOU ASSUME ALL RISK FOR ALL DAMAGES THAT MAY RESULT FROM YOUR USE OF OR ACCESS TO THE SERVICE, YOUR DEALINGS WITH OTHER SERVICE USERS, AND ANY MATERIALS OR CONTENT AVAILABLE THROUGH THE SERVICE. YOU UNDERSTAND AND AGREE THAT YOU USE THE SERVICE AND USE, ACCESS, DOWNLOAD, OR OTHERWISE OBTAIN MATERIALS OR CONTENT THROUGH THE SERVICE AND ANY ASSOCIATED SITES OR SERVICES AT YOUR OWN DISCRETION AND RISK, AND YOU WILL BE SOLELY RESPONSIBLE FOR ANY DAMAGE TO YOUR PROPERTY (INCLUDING YOUR COMPUTER SYSTEM USED IN CONNECTION WITH THE SERVICE) OR LOSS OF DATA THAT RESULTS FROM THE USE OF THE SERVICE OR THE DOWNLOAD OR USE OF SUCH MATERIALS OR CONTENT.

      SOME JURISDICTIONS MAY PROHIBIT A DISCLAIMER OF WARRANTIES AND YOU MAY HAVE OTHER RIGHTS THAT VARY FROM JURISDICTION TO JURISDICTION.

      The Service provides information and readings to you based on your symptom entry into the Service. YOU AGREE THAT IRHYTHM CANNOT VERIFY THAT YOU HAVE CORRECTLY COMPLETED SYMPTOM ENTRY ACTIONS ON THE MYZIO APP, OR THAT ANY INFORMATION OBTAINED THROUGH THE SERVICE IS ACCURATE, AND THEREFORE IRHYTHM CANNOT BE HELD RESPONSIBLE FOR ANY ACTION OR INACTION RESULTING FROM DISPLAY OF "SYMPTOM OR OTHER RELATED INFORMATION” ON THE SERVICE. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE. IF YOU HAVE ANY CONCERNS OR QUESTIONS ABOUT YOUR HEALTH OR THE CONTENT ON THE SERVICE, YOU SHOULD ALWAYS CONSULT WITH A PHYSICIAN OR OTHER HEALTH-CARE PROFESSIONAL. DO NOT DISREGARD, AVOID OR DELAY OBTAINING MEDICAL, HEALTH OR CLAIMS MANAGEMENT RELATED ADVICE FROM YOUR HEALTH-CARE PROFESSIONAL BECAUSE OF SOMETHING YOU MAY HAVE READ ON OR THROUGH THE SERVICE. THE USE OF ANY INFORMATION PROVIDED ON OR THROUGH THE SERVICE IS SOLELY AT YOUR OWN RISK.

      Nothing stated or posted on the MyZio App or available through any Service is intended to be, and must not be taken to be, the practice of medicine or counseling care. Your access or use of the MyZio App and the Service does not create in any way a physician/patient, confidential, or privileged relationship, or any other relationship that would give rise to any duties on our part or the part of our licensors.

       

    13. Limitation of Liability

      IN NO EVENT WILL THE IRHYTHM ENTITIES BE LIABLE TO YOU FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL OR PUNITIVE DAMAGES (INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF PROFITS, GOODWILL, USE, DATA, OR OTHER INTANGIBLE LOSSES) ARISING OUT OF OR RELATING TO YOUR ACCESS TO OR USE OF, OR YOUR INABILITY TO ACCESS OR USE, THE SERVICE OR ANY MATERIALS OR CONTENT ON THE SERVICE, WHETHER BASED ON WARRANTY, CONTRACT, TORT (INCLUDING NEGLIGENCE), STATUTE OR ANY OTHER LEGAL THEORY, WHETHER OR NOT THE IRHYTHM ENTITIES HAVE BEEN INFORMED OF THE POSSIBILITY OF SUCH DAMAGE.
       

      YOU AGREE THAT THE AGGREGATE LIABILITY OF THE IRHYTHM ENTITIES TO YOU FOR ANY AND ALL CLAIMS ARISING OUT OF RELATING TO THE USE OF OR ANY INABILITY TO USE THE SERVICE (INCLUDING ANY MATERIALS OR CONTENT AVAILABLE THROUGH THE SERVICE) OR OTHERWISE UNDER THESE TERMS, WHETHER IN CONTRACT, TORT, OR OTHERWISE, IS LIMITED TO $100.


      SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES. ACCORDINGLY, THE ABOVE LIMITATION MAY NOT APPLY TO YOU.


      EACH PROVISION OF THESE TERMS THAT PROVIDES FOR A LIMITATION OF LIABILITY, DISCLAIMER OF WARRANTIES, OR EXCLUSION OF DAMAGES IS TO ALLOCATE THE RISKS UNDER THESE TERMS BETWEEN THE PARTIES. THIS ALLOCATION IS AN ESSENTIAL ELEMENT OF THE BASIS OF THE BARGAIN BETWEEN THE PARTIES. EACH OF THESE PROVISIONS IS SEVERABLE AND INDEPENDENT OF ALL OTHER PROVISIONS OF THESE TERMS. THE LIMITATIONS IN THIS SECTION 13 WILL APPLY EVEN IF ANY LIMITED REMEDY FAILS OF ITS ESSENTIAL PURPOSE.
       

    14. Special Considerations for International Use. While iRhythm has designed the Service for users in the United States, we recognize the global nature of the Internet. As a condition of using the Service, you agree to comply with all local rules regarding online conduct. Specifically, you agree to comply with all applicable laws regarding the transmission of protected health information, including clinical and personal data, exported from the United States or the country in which you reside.

    15. Governing Law. These Terms shall be governed by the laws of the State of California without regard to conflict of law principles. To the extent that any lawsuit or court proceeding is permitted hereunder, you and iRhythm agree to submit to the personal and exclusive jurisdiction of the state courts and federal courts located within San Francisco County, California for the purpose of litigating all such disputes.

    16. General. These Terms, together with the Privacy Policy and any other agreements expressly incorporated by reference herein, constitute the entire and exclusive understanding and agreement between you and iRhythm regarding your use of and access to the Service, and except as expressly permitted above may be amended only by a written agreement signed by authorized representatives of all parties to these Terms. You may not assign or transfer these Terms or your rights hereunder, in whole or in part, by operation of law or otherwise, without our prior written consent. We may assign these Terms at any time without notice. The failure to require performance of any provision will not affect our right to require performance at any time thereafter, nor shall a waiver of any breach or default of these Terms or any provision of these Terms constitute a waiver of any subsequent breach or default or a waiver of the provision itself. Use of section headers in these Terms is for convenience only and shall not have any impact on the interpretation of particular provisions. In the event that any part of these Terms is held to be invalid or unenforceable, the unenforceable part shall be given effect to the greatest extent possible and the remaining parts will remain in full force and effect. Upon termination of these Terms, any provision that by its nature or express terms should survive will survive such termination or expiration, including, but not limited to, Sections 1, and 6 through 22.

    17. Dispute Resolution and Arbitration
      • Generally. In the interest of resolving disputes between you and iRhythm in the most expedient and cost effective manner, you and iRhythm agree that any and all disputes arising in connection with these Terms shall be resolved by binding arbitration. Arbitration is more informal than a lawsuit in court. Arbitration uses a neutral arbitrator instead of a judge or jury, may allow for more limited discovery than in court, and can be subject to very limited review by courts. Arbitrators can award the same damages and relief that a court can award. Our agreement to arbitrate disputes includes, but is not limited to all claims arising out of or relating to any aspect of these Terms, whether based in contract, tort, statute, fraud, misrepresentation or any other legal theory, and regardless of whether the claims arise during or after the termination of these Terms. YOU UNDERSTAND AND AGREE THAT, BY ENTERING INTO THESE TERMS, YOU AND IRHYTHM ARE EACH WAIVING THE RIGHT TO A TRIAL BY JURY AND TO PARTICIPATE IN A CLASS ACTION.

      • Exceptions. Notwithstanding Subsection 17.1, we both agree that nothing herein will be deemed to waive, preclude, or otherwise limit either of our rights to (i) bring an individual action in small claims court, (ii) pursue enforcement actions through applicable federal, state, or local agencies where such actions are available, (iii) seek injunctive relief in a court of law, or (iv) to file suit in a court of law to address intellectual property infringement claims.

      • Arbitrator. Any arbitration between you and iRhythm will be governed by the Commercial Dispute Resolution Procedures and the Supplementary Procedures for Consumer Related Disputes (collectively, "AAA Rules") of the American Arbitration Association ("AAA"), as modified by these Terms, and will be administered by the AAA. The AAA Rules and filing forms are available online at www.adr.org, by calling the AAA at 1-800-778-7879, or by contacting iRhythm.

      • Notice; Process. A party who intends to seek arbitration must first send a written notice of the dispute to the other, by certified mail or Federal Express (signature required), or in the event that we do not have a physical address on file for you, by electronic mail ("Notice"). iRhythm's address for Notice is: iRhythm Technologies, Inc., 699 8th St. Suite 600, San Francisco, CA 94103 ATTN: CFO. The Notice must (i) describe the nature and basis of the claim or dispute; and (ii) set forth the specific relief sought ("Demand"). We agree to use good faith efforts to resolve the claim directly, but if we do not reach an agreement to do so within 30 days after the Notice is received, you or iRhythm may commence an arbitration proceeding. During the arbitration, the amount of any settlement offer made by you or iRhythm shall not be disclosed to the arbitrator until after the arbitrator makes a final decision and award, if any. In the event our dispute is finally resolved through arbitration in your favor, iRhythm shall pay you (i) the amount awarded by the arbitrator, if any, (ii) the last written settlement amount offered by iRhythm in settlement of the dispute prior to the arbitrator’s award; or (iii) $1,000.00, whichever is greater.

      • Fees. In the event that you commence arbitration in accordance with these Terms, iRhythm will reimburse you for your payment of the filing fee, unless your claim is for greater than $10,000, in which case the payment of any fees shall be decided by the AAA Rules. Any arbitration hearings will take place at a location to be agreed upon in San Francisco County, California, provided that if the claim is for $10,000 or less, you may choose whether the arbitration will be conducted (i) solely on the basis of documents submitted to the arbitrator; (ii) through a non-appearance based telephonic hearing; or (iii) by an in-person hearing as established by the AAA Rules in the county (or parish) of your billing address. If the arbitrator finds that either the substance of your claim or the relief sought in the Demand is frivolous or brought for an improper purpose (as measured by the standards set forth in Federal Rule of Civil Procedure 11(b)), then the payment of all fees will be governed by the AAA Rules. In such case, you agree to reimburse iRhythm for all monies previously disbursed by it that are otherwise your obligation to pay under the AAA Rules. Regardless of the manner in which the arbitration is conducted, the arbitrator shall issue a reasoned written decision sufficient to explain the essential findings and conclusions on which the decision and award, if any, are based. The arbitrator may make rulings and resolve disputes as to the payment and reimbursement of fees or expenses at any time during the proceeding and upon request from either party made within 14 days of the arbitrator’s ruling on the merits.

      • No Class Actions. YOU AND IRHYTHM AGREE THAT EACH MAY BRING CLAIMS AGAINST THE OTHER ONLY IN YOUR OR ITS INDIVIDUAL CAPACITY AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING. Further, unless both you and iRhythm agree otherwise, the arbitrator may not consolidate more than one person’s claims, and may not otherwise preside over any form of a representative or class proceeding.

      • Modifications. In the event that iRhythm makes any future change to this arbitration provision (other than a change to iRhythm's address for Notice), you may reject any such change by sending us written notice within 30 days of the change to iRhythm's address for Notice, in which case your account with iRhythm shall be immediately terminated and this arbitration provision, as in effect immediately prior to the amendments you reject shall survive.

      • Enforceability. If Subsection 17.6 is found to be unenforceable or if the entirety of this Section 17 is found to be unenforceable, then the entirety of this Section 17 shall be null and void and, in such case, the parties agree that the exclusive jurisdiction and venue described in Section 15 shall govern any action arising out of or related to these Terms.
         
    18. Consent to Communications. By using the Service, you consent to receiving certain electronic communications from us as further described in our Privacy Policy. Please read our Privacy Policy to learn more about your choices regarding our electronic communications practices. You agree that any notices, agreements, disclosures, or other communications that we send to you electronically will satisfy any legal communication requirements, including that such communications be in writing.

    19. Quality and Accuracy Testing. In order to better improve the Service, we may offer you the opportunity to help us test the accuracy and quality of the Service. If you choose to participate in such tests, we may correspond with you and provide you information about your use of the Service for you to verify. In order to ensure the quality of these tests, some of the information that we will provide may be randomized or incorrect.

    20. Contact Information. The services hereunder are offered by iRhythm Technologies, Inc., located at 699 8th St. Suite 600, San Francisco, CA 94103. You may contact us by sending correspondence to the foregoing address or by emailing us at support@irhythmtech.com.

    21. Notice to California Residents. If you are a California resident, you may have these Terms mailed to you electronically by sending a letter to the foregoing address with your electronic mail address and a request for these Terms. In addition, under California Civil Code Section 1789.3, you may contact the Complaint Assistance Unit of the Division of Consumer Services of the California Department of Consumer Affairs in writing at 1625 N. Market Blvd., Suite S-202, Sacramento, California 95834, or by telephone at (800) 952-5210 in order to resolve a complaint regarding the service or to receive further information regarding use of the service.

    22. Special Terms Regarding Apple. To the extent that you are using our mobile applications on an iOS device, you further acknowledge and agree to the terms of this Section 22. You acknowledge that these Terms are between you and iRhythm only, not with Apple, and Apple is not responsible for the Service and the content thereof. Apple has no obligation whatsoever to furnish any maintenance and support services with respect to the Service. In the event of any failure of the Service to conform to any applicable warranty, you may notify Apple and Apple will refund any applicable purchase price for the mobile application to you; and, to the maximum extent permitted by applicable law, Apple has no other warranty obligation whatsoever with respect to the Service. Apple is not responsible for addressing any claims by you or any third party relating to the Service or your possession and/or use of the Service, including, but not limited to: (i) product liability claims; (ii) any claim that the Service fails to conform to any applicable legal or regulatory requirement; and (iii) claims arising under consumer protection or similar legislation. Apple is not responsible for the investigation, defense, settlement and discharge of any third party claim that the Service and/or your possession and use of the mobile application infringe that third party’s intellectual property rights. You agree to comply with any applicable third party terms when using the Service. Apple and Apple’s subsidiaries are third party beneficiaries of these Terms, and upon your acceptance of these Terms, Apple will have the right (and will be deemed to have accepted the right) to enforce these Terms against you as a third party beneficiary of these Terms. You hereby represent and warrant that (i) you are not located in a country that is subject to a U.S. Government embargo, or that has been designated by the U.S. Government as a “terrorist supporting” country; and (ii) you are not listed on any U.S. Government list of prohibited or restricted parties.

    Privacy Policy

     

    Last Updated: June 2020

     

    Welcome, and thank you for your interest in iRhythm Technologies, Inc. (iRhythm, we, or us), and our MyZio mobile app (the MyZio App) and related web sites, networks, downloadable software and other services provided by us and on which a link to this Privacy Policy (this Policy) is displayed (collectively, together with the MyZio App, our Service).

    This Policy describes the information that we gather from you on the Service, how we use and disclose such information, and the steps we take to protect such information. By using the Service, you consent to the privacy practices described in this Policy.

    This Policy is incorporated into and is subject to the MyZio Terms of Use https://www.myzio.com/terms. Capitalized terms used but not defined in this Policy have the meaning given to them in the iRhythm Terms of Use.
     

    The information we collect on the Service:

    • User-provided Information. When you use the Service, you may provide and we may collect what is generally called “personally identifiable” information, or “personal information,” which is information that specifically identifies an individual. Examples of personal information include name and email address. Personal information also includes other information, such as symptom information that you may enter into the App, when any such information is linked to information that identifies a specific individual. You may provide us with personal information in various ways on the Service. For example, you provide us with personal information when you register for an account, use the Service, respond to email communications from us related to the Service or send us customer service-related requests.
    • “Cookies” and “Automatically Collected” Information. When you use the Service, we may send one or more cookies – small text files containing a string of alphanumeric characters – to your device. We may use both session cookies and persistent cookies. A session cookie disappears after you close your browser. A persistent cookie remains after you close your browser and may be used by your browser on subsequent visits to the Service. Please review your web browser “Help" file to learn the proper way to modify your cookie settings. Please note that if you delete, or choose not to accept, cookies from the Service, you may not be able to utilize the features of the Service to their fullest potential. We may also automatically record certain information from your device by using various types of technology, including “clear gifs" or “web beacons.” This “automatically collected" information may include your IP address or other device address or ID, web browser and/or device type, the pages or other content you view or otherwise interact with on the Service, and the dates and times that you visit, access, or use the Service.
    • Information from Other Sources. We may obtain information, including personal information, from third parties and sources other than the Service, such as our partners. If we combine or associate information from other sources with personal information that we collect through the Service, we will treat the combined information as personal information in accordance with this Policy.
       

    How we use the information we collect. We use information we collect on the Service in a variety of ways in providing the Service and operating our business, including the following:

    • We use the information that we collect on the Service to operate, maintain, enhance and provide all features of the Service, to provide services and information that you request, and to respond to comments and questions and otherwise to provide support to users.
    • We use the information that we collect on the Service to understand and analyze the usage trends and preferences of our users, to improve the Service, and to develop new products, services, features, and functionality.
    • We may use your email address or other information we collect on the Service (i) to contact you for administrative purposes such as customer service, to address intellectual property infringement or violations of third party rights or (ii) to send communications.
    • We may use “cookies” information and “automatically collected” information we collect on the Service to: (i) personalize our services, such as remembering your information so that you will not have to re-enter it during your visit or the next time you visit the Service; (ii) provide customized content, and information for the Services; (iii) monitor and analyze the effectiveness of Service; and (iv) monitor aggregate site usage metrics such as total number of visitors and pages viewed.
       

    When we disclose information. Except as described in this Policy, we will not disclose your information that we collect on the Service to third parties without your consent. We may disclose information to third parties if you consent to us doing so, as well as in the following circumstances:

    • We will provide the symptom and other information you enter into the Service as well as information gathered from iRhythm heart monitor devices linked to your account to your designated health care provider.
    • We may work with third-party service providers to provide website, application development, analytics, hosting, maintenance, and other services for us. We also work with third-party service providers to create insights and suggestions. These third parties may have access to or process your information as part of providing those services for us. Generally, we limit the information provided to these service providers to that which is reasonably necessary for them to perform their functions.
    • We may make certain automatically-collected, aggregated, or otherwise non-personally-identifiable information available to third parties for various purposes, including (i) compliance with various reporting obligations; (ii) for business or marketing purposes; or (iii) to assist such parties in understanding our users, and usage patterns for certain programs, content, services, , and/or functionality available through the Service.
    • We may disclose your information if required to do so by law or in the good-faith belief that such action is necessary to comply with state and federal laws, in response to a court order, judicial or other government subpoena or warrant, or to otherwise cooperate with law enforcement or other governmental agencies.
    • We also reserve the right to disclose your information that we believe, in good faith, is appropriate or necessary to (i) take precautions against liability, (ii) protect ourselves or others from fraudulent, abusive, or unlawful uses or activity, (iii) investigate and defend ourselves against any third-party claims or allegations, (iv) protect the security or integrity of the Service and any facilities or equipment used to make the Service available, or (v) protect our property or other legal rights (including, but not limited to, enforcement of our agreements), or the rights, property, or safety of others.
    • Information about our users, including personal information, may be disclosed and otherwise transferred to an acquirer, or successor or assignee as part of any merger, acquisition, debt financing, sale of assets, or similar transaction, as well as in the event of an insolvency, bankruptcy, or receivership in which information is transferred to one or more third parties as one of our business assets.
    • We also may disclose your information as may be described in a notice to you at the time the information is collected, or in any other manner to which you consent.
       

    Your Choices

    You may, of course, decline to share certain personal information with us, in which case we may not be able to provide to you some of the features and functionality of the Service. If you wish to access or amend any other personal information we hold about you, or to request that we delete any information about you, you may contact us at support@irhythmtech.com. Please note that while any changes you make will be reflected in active user databases instantly or within a reasonable period of time, we may retain all information you submit for backups, archiving, prevention of fraud and abuse, analytics, satisfaction of legal obligations, or where we otherwise reasonably believe that we have a legitimate reason to do so.


    Your device operating system or browser may include settings, options, or add-on components to control the placement and presence of cookies and access to location information. We do not track our users over time and across third party websites to provide targeted advertising and do not specifically respond to Do Not Track (“DNT”) signals. However, some third party websites do keep track of your browsing activities, including across other websites on the Internet, which enables these websites to tailor what they present to you. If you are visiting such websites, your browser may allow you to set a DNT signal on your browser so that third parties know you do not want to be tracked.


    We use Google Analytics to collect and process certain analytics data (e.g., IP address, location, browser type, referral source, length of visit and pages viewed). The collection of such information involves the use of cookies and similar technologies, as described above. Google provides some additional privacy options described at https://policies.google.com/technologies/partner-sites.


    If you receive promotional email from us, you may unsubscribe at any time by following the instructions contained within the email. You may also opt-out from receiving promotional email from us, and any other promotional communications that we may send to you from time to time, by sending your request to us by email at support@irhythmtech.com, or by writing to us at the address given at the end of this policy.


    Please be aware that if you opt-out of receiving commercial email from us or otherwise modify the nature or frequency of promotional communications you receive from us, it may take up to ten business days for us to process your request, and you may receive promotional communications from us that you have opted-out from during that period. Additionally, even after you opt-out from receiving commercial messages from us, you will continue to receive administrative messages from us regarding the Service.
     

    Third-Party Services

    The Service may contain features or links to Web sites and services provided by third parties. Any information you provide on third-party sites or services is provided directly to the operators of such services and is subject to those operators’ policies, if any, governing privacy and security, even if accessed through the Service. We are not responsible for the content or privacy and security practices and policies of third-party sites or services to which links or access are provided through the Service. We encourage you to learn about third parties’ privacy and security policies before providing them with information.
     

    Children’s Privacy

    Our Service is not directed to children under the age of 18, and we do not knowingly collect personal information from children under the age of 18. If you are a parent or guardian and discover that your child under 18 years of age has obtained an account on the Service, then you may alert us at info@irhythmtech.com and request that we delete that child’s personally identifiable information from our systems.
     

    Data Security

    We use certain physical, administrative, and technical safeguards in an effort to protect the integrity and security of personal information that we collect and maintain. We cannot, however, ensure or warrant the security of any information you transmit to us or store on the Service, and you do so at your own risk. We also cannot guarantee that such information may not be accessed, disclosed, altered, or destroyed by breach of any of our physical, technical, or managerial safeguards.
     

    Privacy Settings

    You may request to verify and edit any of your personal information by contacting the iRhythm’s Customer Service via the contact information listed below.
     

    International Visitors

    The App is intended only for users in the United States. If you choose to use the App or otherwise use the Service from the European Union or other regions of the world with laws governing data collection and use that may differ from U.S. law, then please note that the Service is hosted in the United States and thus, you may be transferring your personal information outside of those regions to the United States for storage and processing. Also, we may transfer your data from the U.S. to other countries or regions in connection with storage and processing of data, fulfilling your requests, and operating the Service. By providing any information, including personal information, on or to the Service, you consent to such transfer, storage, and processing.
     

    Changes and Updates to this Policy

    Please revisit this page periodically to stay aware of any changes to this Policy, which we may update from time to time. If we modify this Policy, we will make it available through the Service, and indicate the date of the latest revision. In the event that the modifications materially alter your rights or obligations hereunder, we will make reasonable efforts to notify you of the change. For example, we may send a message to your email address, if we have one on file, or generate a pop-up or similar notification when you access the Service for the first time after such material changes are made. Your continued use of the Service after the revised Policy has become effective indicates that you have read, understood and agreed to the current version of this Policy.
     

    Our Contact Information

    Please contact us with any questions or comments about this Policy, your personal information, our use and disclosure practices, or your consent choices by phone at 1-888-693-2401 (24 hours, 7 days a week) or by email at support@irhythmtech.com.

    iRhythm Technologies, Inc.
    699 8th Street, Suite 600
    San Francisco, CA 94103

    The symptoms you enter into the MyZio app are not reviewed until after the heart monitoring device has been returned to iRhythm and the cardiac rhythm data are under review.

    If you need immediate medical attention, please call 911.

    iRhythm Technologies, Inc.
    699 8th St #600,
    San Francisco, CA 94103

    Tel: +1.888.693.2401 (USA Only)
    Tel: +1.888.543.4200 (USA International)
    Fax: +1.888.693.2402 (USA Only)

    Customer Care

    You can reach us at 1-(888)-693-2401

     

    Call us immediately if you are experiencing any of the following:

    • The Zio AT monitor fell off
    • Severe skin irritation
    • The Zio AT monitor is flashing orange Note: This does not mean that there is a problem with your heart. It means that the patch is not attached well. To troubleshoot this issue on your own, see “What if the Zio monitor flashes orange while I’m wearing it?” section
       

    Email support@irhythmtech.com
    Call 1(888)693-2401

    Woman on a headset

    Full support

    Questions about products, billing, or our services? We have you covered.

    iRhythm offers dedicated support to help with issues like inventory management and customer satisfaction. We even have a specialized billing team to help manage revenue cycle questions and billing inquiries available 24/7/365. 

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