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Meet Accreditation Standards with a Lymphedema Prevention Program

Frequently Asked Questions

Please review our list of frequently asked questions. If you are unable to find a solution, please request support and a member of our team will follow up with you promptly.

L-Dex Score Frequently Asked Questions

What is an L-Dex Score?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. It was developed by ImpediMed to aid in the clinical assessment of lymphedema in an arm or a leg. It is measured using ImpediMed’s SOZO® Digital Health System.

Learn more

How do I know if an L-Dex Score is normal?

The normal range for an L-Dex score is between -10 and +10. Values greater than +10 can indicate lymphedema. Values which have increased by more than 6.5 units from a baseline measurement can also indicate early stages of lymphedema. The healthcare professional should consider the patient history when interpreting the L-Dex values and use the score as an aid in their clinical assessment of lymphedema.

How do I know if an L-Dex Score is abnormal?

The normal range for an L-Dex score is between -10 and +10. Values greater than +10 can indicate lymphedema. Values less than -10 are often a sign of a measurement or procedure issue. Values which have increased by more than 6.5 units from a baseline measurement can also indicate early stages of lymphedema. The healthcare professional should consider the patient history when interpreting the L-Dex values and use the score as an aid in their clinical assessment of lymphedema.

What does it mean to have an abnormal L-Dex Score?

The normal range for an L-Dex score is between -10 and +10. A value greater than +10, or a value which has increased more than 6.5 units from a baseline measurement, indicates an accumulation of excess fluid outside the cells in the at-risk limb which can indicate lymphedema. The healthcare professional should consider the patient history when interpreting the L-Dex values and use the score as an aid in their clinical assessment of lymphedema.

How does the L-Dex Score aid in the prevention of cancer-related lymphedema?

Like many medical conditions, secondary, cancer-related lymphedema develops in stages and if caught early, progression can be prevented. At Stage 0, lymphedema is typically reversible. The lymphatic system is impaired but there is not enough fluid buildup for patients to notice symptoms. At Stage 1, fluid accumulation usually results in noticeable swelling and discomfort. Treatment at this stage can alleviate symptoms and sometimes reverse progression. At Stages 2 and 3, lymphedema is irreversible. In order to prevent lymphedema, it must be identified and treated at an early stage.

The L-Dex score is a measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. It is capable of detecting lymphedema at the subclinical stage, when it is still reversible. If subclinical lymphedema is detected, patients will be instructed on at-home therapy using standard compression garments.

Learn more: www.preventlymphedema.com

Why not prescribe prophylactic use of compression sleeves instead of proactive monitoring?

Prophylaxis with compression has been recommended for many years but has proven to be highly unsuccessful as demonstrated by continued high incidence rates. The literature on patient compliance to prophylaxis has shown that the burden is better tolerated if the benefit is real and measurable.

An L-Dex score, measured using ImpediMed’s SOZO Digital Health Platform, is an effective tool used by a clinician to help identify those patients who have subclinical lymphedema.

Learn more: www.preventlymphedema.com

What is the recommended protocol to monitor patients at-risk for lymphedema?

Clinical Practice Guidelines for Bioimpedance Spectroscopy (L-Dex) for Breast Cancer Related Lymphedema Assessment were published in The Breast Journal in 2016. The guidelines recommend the following protocol for monitoring patients at-risk for lymphedema with a clinical assessment using L-Dex:

Baseline

Years 1-3: Every 3 months
Years 4-5: Every 6 months
Years 6+: Annually

Are there any patient brochures that will help me explain the L-Dex Score?

Yes, ImpediMed offers multiple patient education materials free of charge to customers. Digital versions are available in our Knowledge Center. For hard copies, please contact your ImpediMed representative or customer service to obtain these brochures.

What parts of the body can be assessed for lymphedema using the L-Dex Score?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. It can be used to assess lymphedema in arms or legs. A unilateral measurement will measure an L-Dex score for one arm or one leg. A bilateral measurement will measure an L-Dex score for both arms or both legs. The healthcare professional selects the appropriate measurement based on the individual needs of each patient.

What if both arms are at risk for developing lymphedema?

If both arms are at risk for developing lymphedema, guidelines suggest routine screening using clinical exam and symptom assessment.

What if both legs are at risk for developing lymphedema?

When a patient is at-risk of developing lymphedema in both legs, this is known as a bilateral assessment. When the bilateral assessment is selected, SOZO will measure an L-Dex score for both legs by comparing the impedance for each leg to the healthy ipsilateral arm. The healthcare professional selects the appropriate measurement based on the individual needs of each patient.

What if one arm and one leg are at-risk of developing lymphedema?

When a patient is at-risk of developing lymphedema in both one arm and one leg, this is known as a unilateral assessment for the arm and a unilateral assessment for the leg. When the unilateral assessment is selected, SOZO will measure an L-Dex score for the arm at risk or for the leg at risk. When an L-Dex score is required for both an arm and a leg, there is no need to take two measurements. However, the patient profile must be changed from Unilateral Arm to Unilateral Leg to view the L-Dex score for the appropriate limb. Be careful in selecting the correct settings. The healthcare professional selects the appropriate measurement based on the individual needs of each patient.

Does L-Dex Score work for men and women?

Yes, the L-Dex score using ImpediMed’s SOZO device works for adult men and women.

How does an L-Dex Score improve on the tape measure or volumetric bath?

The L-Dex score is an objective and validated metric for lymphedema assessment worldwide, and has excellent repeatability. Tape measure and water displacement measurements are subject to user variability. Unlike L-Dex, tape measure and water displacement measurements are not specific to fluid changes and are impacted by changes in muscle or fat. Multiple clinical studies demonstrate the benefit of L-Dex.

Learn more: https://www.impedimed.com/resources/clinical-evidence/

Does L-Dex distinguish between lymphedema and other types of edema?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. It cannot distinguish the source of fluid between lymphedema and swelling caused by other means such as trauma, infection, or disease. The healthcare professional should consider the patient history when interpreting the L-Dex score and use it as an aid in their clinical assessment of lymphedema.

Does fibrotic tissue affect the L-Dex Score?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. It can monitor increases or decreases in the fluid outside of cells in fibrotic limbs. In patients with advanced cases of fibrosis where there is little excess fluid, the L-Dex score may not correspond to the physical size of the arm or leg.

Will the L-Dex Score change if a patient develops a new malignancy?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. It cannot distinguish the source of fluid between lymphedema and swelling caused by other means such as trauma, infection, or disease. The healthcare professional should consider the patient history when interpreting the L-Dex score and use it as an aid in their clinical assessment of lymphedema.

Will the L-Dex Score change with chemotherapy or radiation?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. It cannot distinguish the source of fluid between lymphedema and swelling caused by other means such as trauma, infection, or disease. Chemotherapy drugs, such as taxanes, which are known to cause swelling in some patients, may impact the L-Dex score. The healthcare professional should consider the patient history when interpreting the L-Dex score and use it as an aid in their clinical assessment of lymphedema.

How does general weight gain affect the L-Dex Score?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. Normal weight gain due to an increase in muscle or fat will not affect the L-Dex score. The healthcare professional should consider the patient history when interpreting the L-Dex score and use it as an aid in their clinical assessment of lymphedema.

How does water retention affect the L-Dex Score?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. It cannot distinguish the source of fluid between lymphedema and swelling caused by other means. Normal water retention that affects the entire body evenly will not impact the L-Dex score. The healthcare professional should consider the patient history when interpreting the L-Dex score and use it as an aid in their clinical assessment of lymphedema.

How does dehydration affect the L-Dex Score?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedemas compared to a healthy limb. Dehydration that affects the entire body evenly will not impact the L-Dex score. The healthcare professional should consider the patient history when interpreting the L-Dex score and use it as an aid in their clinical assessment of lymphedema.

What is an L-Dex baseline?

An L-Dex baseline is a patient-specific reference value for tracking changes of future L-Dex score measurements. For each patient, the SOZO system tracks the change in L-Dex score over time. A healthcare professional can set any measurement as a baseline from which to monitor future changes in the L-Dex score, making the assessment personalized for each patient.

When should the L-Dex baseline be measured?

The optimal time to measure the L-Dex baseline is before a patient begins any cancer treatment. If a patient already began cancer treatment, a baseline L-Dex score may be tested if a clinical assessment shows no signs of lymphedema. The patient should be assessed for signs of lymphedema or swelling prior to setting any L-Dex measurement as the baseline.

What should a pretreatment L-Dex baseline be for a patient?

The normal range for an L-Dex score is between -10 and +10. Values greater than +10 can indicate lymphedema. Values less than -10 are typically due to a measurement or procedural error and should be investigated further. The healthcare professional should consider the patient history when interpreting the L-Dex values and use the score as an aid in their clinical assessment of lymphedema.

When is the best time to take a post-operative L-Dex baseline measurement?

An L-Dex baseline measurement can be taken at any time post-operatively. However, many practitioners will wait for post-surgical swelling to resolve. If a post-operative L-Dex measurement is used as the baseline, the patient should be assessed for signs of lymphedema or surgically-related swelling prior to setting the L-Dex measurement as a baseline measurement.

What is an L-Dex unit?

L-Dex is a ratio that compares the extracellular fluid (fluid in the body that is outside of cells) in a limb at risk for lymphedema to the extracellular fluid in a healthy limb. As a result, an L-Dex score does not have a unit of measure. Instead, it is measured on a scale. The L-Dex scale is centered at 0, which is the mean ratio for a normal, healthy population taking into account gender and limb dominance differences. A change of 10 L-Dex units on the scale is an equivalent of 3 standard deviations (SD) from 0.

L-Dex Scale

Imaage of the L-Dex Scale

What does an L-Dex Score of 10, 20, or 30 mean?

The normal range for an L-Dex score is between -10 and +10, which is 3 standard deviations from the mean of 0. Values greater than +10 can indicate lymphedema, and values which have increased by more than 6.5 units from a baseline measurement can also indicate early stages of lymphedema. L-Dex scores of +20 and +30 represent 6 and 9 standard deviations from the mean, respectively, which can indicate increasingly severe lymphedema. The healthcare professional should consider the patient history when interpreting the L-Dex values and use the score as an aid in their clinical assessment of lymphedema.

What is the maximum L-Dex Score?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. Since it is a ratio, there is no theoretical L-Dex score maximum. The normal range for an L-Dex score is between -10 and +10. Values greater than +10 can indicate lymphedema. The healthcare professional should consider the patient history when interpreting the L-Dex values and use the score as an aid in their clinical assessment of lymphedema.

Can an L-Dex Score be used to grade lymphedema?

No. An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. It is intended to aid a healthcare professional in the assessment of lymphedema. Diagnosis and grading of lymphedema should be performed by the healthcare professional.

Can I compare an L-Dex Scores and a volume measurement?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. It is a direct measurement of fluid accumulation outside of the cells and is not affected by changes in weight due to volume changes in muscle or fat. For this reason, exact comparisons of L- Dex scores to volume measurements cannot be made.

Why does the L-Dex Score go down in a patient who has visible lymphedema and fibrotic changes?

An L-Dex score is a unique measurement of fluid buildup in a limb which is at-risk of developing lymphedema compared to a healthy limb. It will monitor increases or decreases in the fluid in fibrotic limbs. In patients with advanced cases of fibrosis where there is little excess fluid, the L-Dex result may not correspond to the physical size of the arm or leg.

BodyComp Analysis

What are the SOZO BodyComp outputs?

The SOZO BodyComp Analysis provides a comprehensive fluid, tissue, and metabolic analysis of the human body. The outputs include:
Total body water (TBW)
Extracellular fluid (ECF)
Intracellular fluid (ICF)
Skeletal muscle mass (SMM)
Fat mass (FM)
Fat-free mass (FFM)
Protein and minerals
Basal metabolic rate (BMR)
Phase angle
Body mass index (BMI)

What are the reference ranges for SOZO BodyComp outputs?

SOZO presents BodyComp outputs on reference ranges for average healthy individuals. The reference ranges are based on age and gender. Reference ranges for SOZO fluid outputs are derived from data collected by ImpediMed. Reference ranges for skeletal muscle mass, fat mass, and body mass index are based on published research and guidelines.

Download our BodyComp Reference Range Guide: https://www.impedimed.com/body-composition-analysis-reference-ranges/

How does SOZO measure Body Composition?

SOZO uses bioimpedance spectroscopy (BIS), which is the most advanced method of using bioimpedance measurements to assess fluid levels and tissue composition. SOZO sends an electrical current through the body and measures the body’s resistance and reactance to this electrical current at 256 unique frequencies.

Segmental BodyComp Analysis

What are the SOZO segmental BodyComp outputs?

The SOZO Segmental BodyComp Analysis provides a detailed analysis of the fluid, muscle, and lean soft tissue composition of each arm and each leg. The following outputs are provided for the right arm, left arm, right leg, and left leg:
Total body water (TBW)
Extracellular fluid (ECF)
Intracellular fluid (ICF)
Skeletal muscle mass (SMM)
Lean soft tissue (LST)
Phase angle

How does SOZO measure segmental body composition?

SOZO uses bioimpedance spectroscopy (BIS), which is the most advanced method of using bioimpedance measurements to assess fluid levels and tissue composition. SOZO sends an electrical current through the body and measures the body’s resistance and reactance to this electrical current at 256 unique frequencies. The SOZO segmental outputs are based on impedance measurements of each individual limb.

SOZO® Digital Health Platform

What is the SOZO Digital Health Platform?

The SOZO Digital Health Platform is the world’s most advanced, bioimpedance spectroscopy (BIS) medical device. In a single, non-invasive, painless, 30-second assessment, SOZO delivers a precise snapshot of fluid status and tissue composition as well as the L-Dex score to aid in the assessment of secondary, cancer-related lymphedema. The SOZO Digital Health Platform is commonly referred to as “SOZO”.

How does SOZO work?

SOZO uses bioimpedance spectroscopy (BIS), which is the most advanced method of using bioimpedance measurements to assess fluid levels and tissue composition. SOZO sends an electrical current through the body and measures the body’s resistance and reactance to this electrical current at 256 unique frequencies. The measurement is non-invasive, painless, and takes less than 30 seconds to complete.

What is the meaning of the name “SOZO”?

SOZO is derived from the Greek word for “healed”. The Greek word “sozo” has been translated as: healed, preserve, save or saved, well, and whole.

Can the patient feel the SOZO measurement when it is taken?

No, the electrical current used is at a very low level and imperceptible.

Are there any patients I shouldn’t measure with this device?

For information about which patients are appropriate to measure with SOZO, please reference the Instructions for Use found at https://www.impedimed.com/support/ifu-documents.

Can SOZO be used to measure patients with orthopedic implants?

Yes, patients with orthopedic implants may have measurements taken using SOZO. The implants may alter the measurements slightly compared to a patient without orthopedic implants, but the impact on the measurement will be consistent for each subsequent measurement. The implant may affect the initial measurement relative to normal reference ranges, but should not affect trends over time.

Can a SOZO measurement be performed on a patient with a chemo port?

Yes, the SOZO system may be used to take a measurement on patients with plastic or metal chemo ports. However, the presence of the port should be noted in the patient’s record as it could impact the measurement.

What if a patient cannot stand on the device?

The SOZO system can be configured to test patients in either standing and seated positions. It is strongly recommended that patients take readings from the same position each time to enable accurate comparisons over time.

What are the steps to take a high-quality SOZO measurement?

In order to get a high quality measurement, the following steps should be taken:

  • Ask the patient to remove all metal jewelry and portable electronic devices
  • Dampen the patient’s hands and feet or the SOZO electrodes
  • Ask the patient to stay still during the 30 second measurement

Should you take an additional measurement after you take the first one to make sure they are the same?

Every time a measurement is taken with SOZO, the device records the quality of the measurement. Healthcare professionals have the opportunity to reject the measurement if the results are deemed low-quality. If the healthcare professional rejects the measurement, then a second measurement should be taken. Otherwise, no additional measurements are required.

Do you have to take the measurement at the same time of day every time you take a measurement?

For L-Dex measurements, it is not required to take the SOZO measurement at the same time of day for a given patient. For the body composition, segmental, and heart failure assessments, however, it is recommended to take measurements with the SOZO system at the same time during the day for a given patient to aid in consistency when comparing results over time.

If a patient is being treated for lymphedema with a compression garment, when and how should they be measured for L-Dex?

The use of compression garments can impact a patient’s L-Dex score or segmental fluid volume measurements. If measuring a patient to see how well the garment or treatment is working to help move fluid out of the limb, for consistency, the patient should be assessed immediately after the garment is removed. If measuring the patient to determine if fluid will increase after removing a compression garment, the garment should be removed for a longer period of time before the patient comes in for a measurement.

Do patients have to remove all jewelry for a SOZO measurement?

Yes. For the most accurate and consistent results, a patient should remove all metal jewelry and electronic devices.

Can patients wear pantyhose, stockings, or socks during a SOZO measurement?

No. SOZO measurements must be taken with bare hands and feet.

Does very dry skin affect a SOZO measurement?

Yes. Dry skin can affect the contact between the patient’s hands and feet and the SOZO device. It is recommended to dampen the patient’s hands and feet or the SOZO electrodes with water before taking a measurement. Do not use skin creams prior to measurement on dry skin.

What if a patient moves during a SOZO measurement?

For the most accurate and consistent results, a patient should remain still during a SOZO measurement. If there is movement during the measurement, and it impacts the measurement quality, then the healthcare professional may reject the measurement and retake it.

What is a Cole plot?

A Cole plot is a visual representation of the SOZO measurement data that allows a healthcare professional to visually confirm the quality of the measurement. It plots the 256 resistance and reactance measurements for each body segment measured. Cole plots are rated as low quality, medium quality, and high quality. Low quality and medium quality Cole plots are presented to the clinician, who has the opportunity to reject and retake the measurement.

What is the self-test function?

The SOZO self-test ensures that all electronics are functioning properly before taking patient measurements. It is recommended that a self-test be performed at the start of each day before any measurements are taken.

How do I purchase SOZO?

SOZO is sold by ImpediMed or authorized ImpediMed distributors. For more information, contact:

 

U.S Sales or Distributors:
info@impedimed.com
+1-877-247-0111 (Toll Free)

 

International Sales:
enquiries@impedimed.com
+61-7-3860-3700

 

Request a quote

Will I get a tablet with my purchase of a SOZO device?

Yes, customers may choose between a Samsung Android tablet or an Apple iPad.

What kind of tablet will I get with my SOZO purchase?

Customers may select either a Samsung Android tablet or an Apple iPad as part of the SOZO purchase.

Can I run any other apps on my tablet?

The tablet is a commercially released device and is capable of running other apps. ImpediMed strongly recommends that the tablet be limited to use with the SOZO system, and cannot guarantee the continued use of the SOZOapp or the security of data collected with the SOZO device if other apps are installed.

Does the tablet support Mobile Device Management (MDM)?

Yes, the SOZO tablets and SOZOapp support typical MDM systems for securing the devices.

Does the tablet require maintenance?

The supplied tablet comes partially charged and will need to be charged periodically. ImpediMed recommends charging the tablet upon initial receipt of the SOZO system, and maintaining an adequate charge to ensure the system can be used effectively.

Does the SOZO device use Bluetooth®?

Yes, the SOZO device uses Bluetooth® to communicate with the tablet.

What are the environmental operating conditions for the SOZO device?

The SOZO device must be operated in the following conditions:

  • A temperature range of +5°C to +40° C (+41°F to +104°F)
  • A relative humidity range of 15% to 93%, non-condensing
  • An atmospheric pressure range of 700 hpa to 1060 hpa

How should I transport and store the SOZO device?

The SOZO device must be transported (moved) and stored in the following conditions:

  • -25°C (-13°F) without relative humidity control and +70°C (158°F) at a relative humidity up to 93%, non-condensing.

If SOZO has been stored at the extremes of these temperature ranges, please allow it to return to its operating temperature conditions before installing or using.

What is the warranty and can I buy extended a warranty?

ImpediMed’s warranty is specific to the geographic region or country of the customer. For more information, contact your ImpediMed representative or ImpediMed customer service:
https://www.impedimed.com/support/request-support/

What are the Care and Maintenance instructions for SOZO?

The SOZO device should not be subjected to ingress of liquid or liquid spillage, impact and excessive heat (direct exposure to sunlight). This can cause damage to the device or harm to the patient or give an incorrect reading. The SOZO device should be used in a dry environment. When not in use the SOZO device may remain set up and does not need to be uninstalled. If storage is desired, always keep the SOZO device in its original packaging. There is no periodic maintenance or calibration required of the SOZO device.

What is the cleaning and disinfecting process?

The external enclosure of the SOZO Device should be cleaned between each use with nonbleach-based disinfecting agents or as per your clinic’s policy. ImpediMed does not recommend the use of bleaching agents to clean/disinfect the SOZO Device as that may cause corrosion of the electrodes. The external enclosure of the SOZO device may be cleaned with disinfecting agents such as isopropyl alcohol 70% or Peridox® Concentrate Sporicidal Disinfectant and Cleaner for devices that do not display the following label ‘Germicide Compatible.’

Germicide Compatible

SOZO Devices with the ‘Germicide Compatible’ label located on the side of SOZOtouch may also be cleaned with the following: Cavicide Liquid, Cavicide 1 Liquid, Caviwipes 1, Caviwipes XL, Cavicide 3 Liquid, Clinell Liquid, Clinell Wipes, Clinell Universal Wipes, Clinell Universal Spray, Sani- Cloth Prime, Super Sani Cloth Wipes, Sani Prime Liquid, Medizar Wipes, and Oxivir 1 Wipes.

The Tablet may require cleaning and disinfection as well. For the Samsung tablet provided with your SOZO device, ImpediMed recommends the use of protective disposable tablet sleeves, to be used and replaced as per your clinic’s policy. The use of a protective sleeve prevents the need to use potentially damaging chemicals on the tablet itself.

For more information, review the SOZO Instructions for Use https://www.impedimed.com/support/ifu-documents

What type of repairs can be done to the SOZO device?

There are no user-repairable electronic parts within the SOZO device. Please contact ImpediMed or an authorized agent should service or repair of the SOZO device be required. Do not attempt to use the SOZO device if it does not appear to be functioning correctly or is in need of repair.

How do I recycle a SOZO device?

Contact ImpediMed to learn about SOZO recycling.

 

Australia:
Phone: +61 7 3860 3700

 

European Union:
All products at the end of their life may be returned to ImpediMed for recycling.  You can also contact ImpediMed at:  impedimedeu@impedimed.com

 

United States:
Phone: +1 (760) 585-2525

SOZOapp Frequently Asked Questions

Is SOZOapp compatible with apple products?

Yes, the SOZOapp will operate on an Apple iPad running iOS v13 or greater.

Do I need to update my SOZOapp?

Customers will be notified of SOZOapp updates when they are available. ImpediMed technical support can help complete the updates if needed.

Can I download SOZOapp from ImpediMed’s website?

SOZO devices are shipped with either a Samsung Android tablet that is pre-loaded with the SOZOapp or an Apple iPad. ImpediMed provides a redemption code to download the SOZOapp from the AppStore for customers using iPads.

Is Impedimed business associate compliant?

ImpediMed is HIPAA Business Associate compliant and SOZO is HiTrust certified.

Learn more about SOZO privacy and security

Where does SOZO store data?

All data are stored on secured infrastructure hosted by ImpediMed through Amazon Web Services. No data are stored in the tablet (SOZOapp) or the SOZO device itself.

Does SOZO encrypt data?

All data sent between SOZOapp and MySOZO.com and all data at rest are encrypted using SSL/HTTPS. All data sent between SOZOapp and the SOZO device are encrypted using standard Bluetooth® encryption.

If there is a data breach, what is the breach notification process?

ImpediMed adheres to HIPAA’s breach notification requirements, which in turn adheres to the breach requirements of many other regional regulatory bodies. Upon detection of a breach, immediate mitigation steps are taken to limit the extent of the breach. Affected Business Associates and Covered Entities are notified within 5 business days. Notifications to the governing bodies adhere to specific regional requirements.

Can SOZO use Active Directory for user accounts?

Yes, SOZO offers integration into Active Directory and LDAP protocol.

What languages are supported?

The most current version of SOZOapp and MySOZO.com is in the English language only.