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        Personal Device for Cardiovascular System Diagnostics. User`s
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1.                                                                                                                                                                                                                                                                   60   75             69             A 7 YA       p M                                           5                                                                                                                                5 3                                                                                                       4 7    15 3   2 7   E y p y M p  5 3                                                       45    55                                             E        36   43          46 ner                                                                                                                                                                                                                                                                                                                                                            lt  100 112 A    zt A y p PY P P E                                                                                                    5                2010 16 57 13 http   vrvrw angioscan ru                52 Printing Problems  As different printers have different settings  some problems when printing via AngioScan program might  occur  If it happens  try to change settings of  Print Tr
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3.                                                                                                                                                       Before use     e Charge the battery  e Switch on the device    e Set time and date    e Select your personal record  e Set your personal parameters  date of birth  height  usual blood pressure   e Select a test    e Find a quite place  relax  perform the test       Your state as well as time and place of test performance strongly influences on the state of your  cardiovascular system  In order to obtain reliable results pay attention to the rules of test preparation  and performance     Additionally  if you want     e Choose the menu language   e Set up display settings  contrast  orientation   e Choose sound settings   e Upgrade firmware       2014 AngioScan Electronics LLC    Stand alone Mode 12    3 2 Turn On           owitch on AngioScan 01P by shortly pushing the control button once and holding it for three seconds     To turn off the device use the menu or wait for automatic switch off  The device will automatically turn off  after 60 seconds if you do not push the button or in case the test is not being conducted     e To turn on the device hold control button until it activates  not less than     seconds     e Startup logo will appear on display    e According to the settings  the voice greeting will be played        e After the startup logo disappears the Start Menu will show up    e Push the button shortly to move curs
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6.                                                 I Ne 32   VIEW  Saved OSU             LEE 32   14                                  Results                                                             34                       Er 35  MASCUIAN        E 35   TY Per OF PUSE                             sentent        nent der                                            in ent      35                                                                                                ne sun he  saine en ce nue 36                                                                                                                    TA      36        2                                                                                                           ea          nt ere            36   Pulse Hn  dec                                      37   15  TEOUDICS MOOUING aieo tie i es deb             37  Chapter IVUse of AngioScan with computer 39  1 AngioScan Software Installation een 39  USB  Driver InstallatlOn                                                ee dc                   VER UE doa        40   2 Use of AngioScan with laptop   22                       2  6    0       41         Menu                            M ce          41  4  Choose Another User  Dialog                   20       000010 43  5    Test results Dialog        na euam dba s 45  6  Device Settings  Dialog    ai acr Eb et cota rir               ced 47  7  Confirm Memory Card Formatting  Dialog ire 48  8  Program Settings  Dial
7.                28                       29                         31                                   29                               30                                 29                                   29                                28  31                                32                       31                                        35                       12                                 36       2014 AngioScan Electronics LLC                                              37                              35             21                               21                                 21                            21            17                       17       2014 AngioScan Electronics LLC    
8.        16  Structure of Device  MEDU nn a eate                                           cae 16   10  Device Settings cocci ES Un    17  Menu  Language Cn 17   Date  and Ume                                                    nn                             aaa aE Ra          18   SOMMA              EE a a                        E a 19   Sereen SOINS send ea               A             en etes 21   11 Setting personal parameters 2  uc sed                   22  User NUMDO PE E d Mc    M I          E 22   Date or Bir uet scetur er      A MI LM DC UU E                 23   HEDE     m E NP        25   Blood pressure parameters   eie oiter        no er E eoa ede      1eme ter etai          i eve ein E doa e e peso es E GRANI intel 26   12 Select tesi                                                    28  13 Assessment of cardiovascular system state   test performance                                  28  Pr  paration  TOR                                                            29   Time        place of test performance un uunc nn         tresses tee ee 29  Behavio  r during  the test   i ectetur Ex a gua De aun adus                 30   Placing device                                                                   30            POSION        RR RE UN 30   select  personal record oido                                                 AE 30   Start  perform                                           31       2014 AngioScan Electronics LLC                              View TES ETES   
9.      If the device AngioScan 01P with a built in memory is connected to the computer  all the testing results  made in a stand alone mode will be transferred from the device s memory to the computer s database   When the transfer process is over  the request to delete all test results from the device s memory will  appear        2014 AngioScan Electronics LLC    Use of AngioScan with computer              AngioScan  Test Results    Smith John  45 years       Date M Pressure HeartRate Vascular stiffness Pulse Curve Type Vascular Aging Stress Index Oxygen Saturation      A 30 B 15 C 55   38  Aug 22  2012 15 54 BE    A 30 B 15 C 55  Jul 31  2012 11 35 2   1    20    40    40  Jul 16  2012 14 50 2 i 8     100  Jul 16  2012 14 22 d       40    40    20  Jul 16  2012 14 16 20 7 6 B 45 C 55  Jun 18  2012 18 23 120 7         A 55 B 15 C 30  Jun 18  2012 18 20      1 8    5    90     5         7  2012 16 06 20 8 zd A 10 B 70 C 20  Jun 7  2012 16 00 20 8     B 10 C 90  Jun 7  2017 15 59 201 8 39    5    95         7  2012 15 48 201 8         5    85    10  Jun 7  2012 15 41 120 8 3  B 10 C 90  Jun 7  2012 15 31    B 15 C 85                Conclusion  view     Test statistics         Delete selected record     Conclusion  print     Delete test data from the device memory                       Conclusion     button creates a medical report upon the results of the selected test and opens it in  HTML browser  A sample of a conclusion can be found here      Details     button opens the dial
10.     Apply Settings  button sets up the device s configurations without closing the dialog menu  if you push       2014 AngioScan Electronics LLC    Use of AngioScan with computer 48             button  it is not necessary to push           Settings    button as it will apply all the configurations  automatically      4 7  Confirm Memory Card Formatting  Dialog    Card formatting may help in case of the memory card read write errors  During formatting  all scans  data are erased and cannot be recovered  After formatting  the system settings  display  sounds   etc   are automatically restored  The information about users registered on the device can be restored  optionally                                             ATTENTION           You are going to format the AngioScan device memory card  All tests data  saved on the memory card  if any  will be erased                                                confirm that I have read the above warning    w  Format the memory card            4 8  Program Settings  Dialog    In the dialogue  the AngioScan program options can be configured          AngioScan  Program Settings    Enable automatic checking for AngioScan updates  Check for AngioScan updates        On each start     Daily  O Weekly    Monthly    Display warning before test start if notebook is connected to the power outlet       Skip the  Test Conditions  instruction dialogs        Interface Language  list allows to choose the language for program s interface        2014 Ang
11.    12 16                    12                                 21                                  12 16           16                                        16                                12 16                 12 16                                 12 16                                  21                     17                                 17                            11                                          37                              22                                        15                                17                                     29                                          34                                    21                                      34                                                  22  23  25 26                              22                                                30                              21                                     29                              30               30                                     30                                      29                   15                                      30                       12                       32  34                                        32                                  32  34  35  36  37                                            32           22 25            30                               30                                    28                                                       31           28  31                       29        
12.    Push long the control button to select convenient  level of contrast    To return to previous level of menu shortly push the  control button        It is possible to rotate the image on screen so that it will be comfortable to perform tests on the left    hand     e Ru  Contr ast    e LER Eg    Right hand          Shortly push the control button to move cursor to      is   Rotate screen     Push and hold the button to switch to screen  orientation submenu        Push and hold the button to select the convenient  screen view for  Right hand  or  Left hand     Push and hold the button to switch to screen  orientation submenu    To return to previous level of menu shortly push the  control button        After setting up screen options you can return to Start page        2014 AngioScan Electronics LLC    Stand alone Mode 22    o    vo    Shortly push the control button twice to move the  cursor to  Return    e Push and hold the button to switch to Start menu     Contre ast       3 11 Setting personal parameters    The parameters of your cardiovascular system depend on the state of your body health    Blood vessels become more stiffed with aging  A norm for a middle aged person can be a symptom of  disease for a younger one    For right interpretation of test results it is important to correlate them with patient s age  height  arterial  pressure  The device can perform tests and store the results for up to 9 users  It is necessary to set  personal values of age  height and art
13.   not from the laptop netbook  If it is impossible to  disconnect the laptop from mains supply  you should place its power supply as far away as possible  from the AngioScan device and its wires     In AngioScan settings  there is an option  Display warning before test starts if notebook is connected to  the power outlet   The option is set by default and the warning appears before the test starts  the    program automatically recognizes that the operation is being performed on the laptop connected to the  mains supply      Start Menu    The dialog box appears when you start AngioScan        2014 AngioScan Electronics LLC    Use of AngioScan with computer 4      AngioScan device connected   JA  User selected  Smith John  45 years   Choose another user     Edit user data       Test the main parameters of the condition of the cardiovascular system   perform the test of the heart rate variability  Approximate test duration is  2 3 minutes     View results of the performed tests  download test results to the computer          Set up the mobile device  Choose language  torn on or off the device  Device Settings    sounds  set up the display contrast  etc     Access the professional AngioScan functions  Extended database access   enlarged set of measured parameters  better graphic display  etc        The status of AngioScan device is displayed at the top right corner of the dialogue  In case the device is  not connected to computer  the  Start test  button will be unavailable  Plea
14.   parameters of vascular system  In order to reduce errors that might occur during the test  follow the  rules    stay in peace   relax your hands  legs  belly   breath calmly   do not move your hand and finger with device attached   do not speak   do not laugh   avoid vibration   avoid bright illumination    3 13 4 Placing device on finger    Turn the right hand palm down    Take the device in left hand  screen up with the control button on the right side    Insert index finger of the right hand into the device from the side of the button    In case of opaque nail polish  turn the device 90 degrees so that light sensor could pass along the  nail     3 13 5 Hand position    e In lying position put the right hand with the device attached along the body on thick cushion  or in  the middle of chest            sitting position put the right hand with the device attached on thick cushion or on left hand elbow    e Remember the selected position of the hand and put it the same way every time you conduct the  test     3 13 6 Select personal record    The device saves record history for up to 9 users  Thus  it helps to see the tendencies of parameter  changes for 9 patients    Before starting test  it is important to check the user s number  and  if necessary  change it on  proper one        2014 AngioScan Electronics LLC    Stand alone Mode    3 13 7 Start  perform  finish test    e Push and hold the control button until the device switched on   Startup logo will appear at display  
15.   the  damping ability sharply reduces  That causes damage to capillaries and disturbance of microcirculation  in various organs  primarily in cerebrum and kidneys  The mark before the number  shown in test results   is the most important indicator    The mark before the number  shown in test results  is the most important indicator  The negative mark  points the good elasticity of arterial wall  The more negative mark the stiffness has  the better condition  of your large arteries is  The ideal value of the parameter ranges from  20  to  30   Vascular stiffness  increases because of aging and developing of cardiovascular diseases  For precise assessment of the  parameter it is important to set up the correct patient s age in device menu        2014 AngioScan Electronics LLC    Use of AngioScan with computer 52         AngioScan  Measured Parameters                 Vascular stiffness      1 8 9 o    Stiffness index is normal according to specified age  6 2    The elasticity of arterial walls is preserved     Previous          4 9 4  Vascular Age  Bookmark    The parameter indicates the state of small arteries  The aim of these arteries is to provide the optimal  blood supply of organ s tissues  The interpretation of the parameter is rather simple  if you are older  than your vascular age according to the test  it is very good  If the vascular age is older  it reflects the  unsatisfactory state of your small arteries    It is very important to measure this parameter at a certa
16.  Push        hold the button to switch to screen e            settings submenu   o Contrast   o Rotate 180    Concer ast    Screen options       3 10 1 Menu Language    The device supports several menu and messages languages   To select the language switch to menu  Device settings    Language      e Push shortly the control button twice and switch  the cursor to  Screen options  at Start menu page           2014 AngioScan Electronics LLC    Stand alone Mode              Push and hold the button to switch to screen    i          options submenu    Push shortly the control button twice and switch  the cursor to  Language  at screen options  Screen options submenu     Contr ast             LEE         Push and hold the button to switch to language    i oo  submenu      Push long the control button to select the  Language language of menu  English     LER quu    To return to previous page push shortly the control p i oo  button        English Lanquage       After setting language  you can switch to screen settings   Also you can return to Start menu page     e Shortly push the control button four times to move  cursor to  Return  item   e Push and hold the button to switch to Start menu        3 10 2 Date and time settings    Set time and date before starting to work with the device   To set date go to  Device options    Date      e Shortly push twice the control button to move the    i oo  cursor to  Device options  on Start menu page        Device options       Push and hold th
17.  Saturation    Stress Index         107          4 10  Trend Graphs  Dialog    The dialogue shows the variation in measured parameters from test to test  It helps to assess  for  example  the impact of the medication on state of cardiovascular system        2014 AngioScan Electronics LLC    Use of AngioScan with computer  54      14 AngioScan  Trend Graphs            gio Scan    Smith John  45 years   Measured Parameters  June 6  2012 15 54  Heart Rate   Vascular stiffness   Pulse Curve Type   Vascular Aging     Stress Index     Testresults are displayed when the cousor is moved over the graphs at  left        On the left side of the dialogue there are graphs of parameters  variations  The number of points on each  graph corresponds to the number of tests performed     When you move the mouse cursor on graphs you will see the corresponding test results displayed on  the right side  Date and time of test performance are displayed on the top of the list of results     4 11  Test statistics  Dialog    The dialogue shows the statistics of tests  performed in certain time intervals  The statistics is  calculated for all users registered in database     IN Test Statistics    Total Today Last week Last month   Interval  135 1 1 3 2          Today   Interval  from August 2  2012 to September 12  2012 un      12  2012  Interval Report se 7 Help       To set up time interval use the buttons indicating date  The statistics for the chosen period of time will be  displayed in the column  
18.  button   e Toreturn to previous level push shortly the button        User number       If user s number is set for the first time  it will be proposed to set date if birth  height and blood pressure   After changing user s number you can switch to personal parameters or return to Start menu        LEE        Shortly push the control button 5 times to move  the cursor to  Return     e Push and hold the button to switch to  Test  options  submenu  Release the button     User number    e Shortly push the control button 4 times to move  the cursor to  Return    e Push and hold the button to switch to Start menu           2014 AngioScan Electronics LLC       3 11 3 Height    To set up the user s height go to  Test options    User    Height  submenu     e By pushing shortly the control button move the  cursor to  Test options  at Star menu    e Push and hold the button to go to  Test options   submenu  Release the button        e Push and hold the button to switch to personal  settings submenu        ai    e Shortly push the control button twice to move the  cursor to  Height     e Push and hold the button to switch to  Height    Height submenu     e Push and hold the button to set the hundreds of  centimeters of height    e Push shortly the control button to move the cursor  to tens of centimeters field     e Push and hold the button to set the tens of  centimeters of height  Release the button    e Push shortly the control button to move the cursor  to the units of centimeters f
19.  can set up other personal parameters or return to Start menu        LEE       Shortly push the control button several times to  move the cursor to  Return     e Push and hold the button to switch to  Test  options  submenu  Release the button     User number    e Shortly push the control button 4 times to move  the cursor to  Return    e Push and hold the button to switch to Start menu        3 11 2 Date of Birth    To set the date of birth go to  Test options    User    Birthday      e Shortly push the control button to move the cursor      i oo  to  Test options  at Start page   e Push and hold the button to switch to  Test Test options  options  submenu  Release the button           2014 AngioScan Electronics LLC    Stand alone Mode            Push and hold the button to switch to personal e EE  settings submenu     User number          e 49    Shortly push the control button to move the cursor      LEE gu  to  Birthday    Eirthday e Push and hold the button to go to  Birthday   submenu     e Push and hold the button to set the century   Release the button     e By pushing shortly move the cursor to the field  with year s number    e Push and hold the button to set the year  Release  the button    e By pushing shortly move the cursor to the field  with month s name     e Push and hold the button to set the month   Release the button    e By pushing shortly move the cursor tp the field  with date           Push and hold the button to set the date  Release Fa    LEE     the
20.  device  for test to start   If everything is done  test will start           e LEE guum  Press and hold the button to move to tests submenu 7  an results   Test options o Choose user    o Choose test  o View saved results       i oo Press and hold the button to move to settings  submenu      Menu language               Date and time settings    o Sound settings    Press and hold the button to move to test s display        settings submenu  eae       Display contrast settings                           Potate 180    e Press and hold the button to switch off the device     Power o       3 9 1 Structure of Device Menu    otart page    Start test      Test options       User         User number        Date of birth          Height          Blood pressure      Select test        Test results      Return       2014 AngioScan Electronics LLC    Stand alone Mode      Device Options      Date        Sound         Global enable        Keytone         Test running         est end tone        Intro music         Return       Return     Screen options       Contrast       Rotate screen       Menu Language      Return     Power off       3 10 Device settings  Device Settings include menu language  time and date  sound  contrast and screen orientation settings     e Push shortly to move the cursor to the selected  menu item   e Push long to switch to selected submenu        i oo Push and hold the button to move to submenu   o Language   o Date and time                            Sound      
21.  e Voice greeting will be played according to configurations selected     After startup logo Start page will show up   Push and hold the button on  Start test  item until the device starts to  perform the test     e You are given 10 seconds to place the device on  the finger    If the finger is not placed within 10 seconds  the  test will be stopped    Shortly push the control button to return to Start    page        If the finger is placed  the sensor will start setting         up  In this mode the timer at status bar will show  the time left to finish the setting    e Then the initial assessment of pulse parameters  will be conducted  The timer will show the time left  to compete the test        100        e During the test  the form of pulse wave  pulse rate   type of pulse wave  pulse level will be displayed on  screen    e When the test ends  you will hear a sound  and a  report will appear on display        e  he test ends in automatically set time  2 or 5 minutes    e  f you push the button during the test  it will be stopped and data will not be saved   e  f you put out the finger before the test ends  the test will be stopped without saving any data     Ty        Wave   number of pulse waves  accumulated for         ISP     further analysis    e PR   pulse rate     Type   type of pulse wave  e PI  pulse filling index          2014 AngioScan Electronics LLC    Stand alone Mode    3 13 8 View test results    Immediately after completing the test you will be proposed to
22.  impacts and rough handling may cause serious damage to electronics   e Electromagnetic field can damage the device  Avoid exposure to strong electromagnetic fields     e Light sources  electronic and household appliances  cordless phones can cause interference to device  performance     e When bringing the device from frost to warm room  leave it in warmth for 2 hours without opening   Otherwise the condensation may cause damage to the device     e Use the device carefully as the display is made of glass and can be broken in case of rough handling        2014 AngioScan Electronics LLC    Introduction 6    e Do not disconnect the device from the computer during the firmware update  Any attempt to interrupt  the download process may cause damage that is to repair only in service center    2 6 Developers Information   AngioScan   Electronics  Ltd     105005 Moscow  Baumanskaya St   16 bldg   1  office  Tel   7 495 661 4480   E mail  info angioscan ru   Web  www angioscan ru          2014 AngioScan Electronics LLC    Introduction    2 7 Certificate in Regulatory Compliance                                                        GOO                                             e                                                                                  1            7P          42011 r               1117746500354                                      craie una                         pau                                                                                            
23.  see the results  Parameters of  cardiovascular system state are presented on several pages one parameter on one page  Meaning and  description of each parameter are presented in relevant section     To review the results of all tests  the last and earlier performed ones  go to  Test options    Test results   submenu     MEN EE           During the test performance  the form and type of  Fa       pulse wave  pulse rate and pulse level will be  displayed on screen    e When the test is completed  you will hear a signal   and a report will appear on display     e Shortly push the control button to switch the  device in test results review mode    e There is a conventional scale on page of each  parameter  The position of label shows on test  results     e  he right green side of the scale corresponds to  good values of parameters  relevant to or better  than natural age norms    e The label on the left red side of the graph indicates  possible cardiovascular problems        e Shortly push the button to see the information  about another parameter    e Shortly push the button to switch to Start page    e For more information about test results and their    meaning read the Results  their meaning and  analysis  section        3 13 9 View saved results    Before viewing saved test results select the appropriate number of user   To view saved results of all tests  the last and earlier performed ones  go to  Test options    Test    results  submenu  The user s number is displayed at
24.  status bar on the top of the screen  Test results of  this user will show up  To view test results of another patient change user s number        2014 AngioScan Electronics LLC    Stand alone Mode       Shortly push the control button to move the cursor      LEE a  to  Test options  at Start page   Push and hold the button to switch to  Test Test options  options  submenu  Release the button        e Shortly push the control button twice to move the i          cursor to  Test results  item     results       LEE           Push and hold the button to go to test results  navigation submenu  Release the button    e  f there are no records of test results for selected   Test results user  the warning will appear   There are no   records for this user      e  f there are records of selected user  you will be  asked to choose one for review  The number  date  and time of selected test record will appear    e Shortly push the control button to move the cursor    to            to switch to former records   Aie SPI    to switch to next records  e Push and hold the button to select the record   Release the button        e Shortly push the control button to move the cursor e   EL E    to   e Push and hold the button to switch to review of  test results for selected record  Release the  button                    e Shortly push the control button to switch the  device in test results review mode    e To see detailed information about other parameters  shortly push the button        e Ther
25.  test results  is the most important indicator  The negative mark  points the good elasticity of arterial wall  The more negative mark the stiffness has  the better condition  of your large arteries is  The ideal value of the parameter ranges from  20  to  30   Vascular stiffness  increases because of aging and cardiovascular diseases developing  For precise assessment of the  parameter it is important to set up the correct patient s age in device menu     3 14 5 Stress Index    The parameter reflects the state of centers regulating cardiovascular system  Index value below 150  indicates good state of regulation of blood flow  If the result exceeds the threshold value of 150  it  indicates an excessive tension in regulatory mechanisms  Index value of 900 and more indicates marked  abnormality of the regulation     The parameter is calculated on basis of the distributive analysis of the pulse   wave s durations    e 50     150   norm    e 150     500   stress  physical stress  fatigue  reduced reserves of the organism  caused by aging    e 500     900   angina pectoris  psycho physiological fatigue  marked stress    e 900     1500   marked abnormality in regulatory mechanisms  observed in  preinfarction angina        Note  In case of arrhythmia and serious respiratory disturbances  the method is not applicable  as the  result of stress index will be artificially lower than it is     3 14 6 SpO2   Blood oxygen saturation    Oxygen saturation of hemoglobin oxygen is a vital inde
26.  the fault of the  manufacturer        2014 AngioScan Electronics LLC    5 Introduction    2 44 System Requirements    AngioScan software runs under the following operating systems     Operating 32 bit  System                        2 5 Security Warning        Use Instructions    Please read instruction before using the device     Security Warning  Precaution    2 5 1 Security Warning       Keep the device out of reach of children and pets  In order to avoid accidents keep the device         its accessories out of reach of children and pets     e Do not use the device in potentially explosive and flammable environment  Keep the device  switched off at petrol stations and near flammable liquids  Do not store or transport flammable liquids   gas or explosive materials with the device  its parts and accessories     e Only qualified professionals should repair the device  Do not disassemble it by yourself     2 5 2  Precaution    e Please read the manual before using the device   e Keep away from extreme temperatures    0      or   45         Too hot or too cold temperature reduces  capacity and shortens battery life     e Do not use defective charger   e Do not squeeze the device  press lightly     e Avoid soakage  Moisture can cause serious damage to the device  In case of soakage the  manufacturer s warranty becomes invalid     e Do not use or store the device in dirty areas  It can cause damage to movable parts of the device and  reduce the quality of diagnosis     e External
27.  the following basic assessment variations are possible     e green colour   good state  no abnormalities     e yellow colour   satisfactory condition  but functional disorders of the cardiovascular system are  possible     e red colour   ill being state with the high risk of developing of cardiovascular diseases  It is highly    recommended to consult the doctor in order to examine in details the cardiovascular disease risk  factors        2014 AngioScan Electronics LLC    Stand alone Mode    3 14 1    3 14 2    3 14 3    Pulse rate    Pulse rate or number of heart beats per minute   Inverse value is the duration of pulse wave    The device measures the duration of each pulse wave   calculates the instantaneous value of pulse rate and  assesses an average value on base of test results        It is the most important parameter  representing  primarily  the persistence of cardiovascular system   CVS   The higher heart rate in quiescent state  the less persisted CVS is  Those who do physical  exercises regularly have heart rate of 55   60  that is considered to be perfect state  60   80   good state   over 80   ill being     During the specialized therapy  especially with the use of beta blockers  these criteria cannot properly   reflect the state of CVS  For more detailed test of CVS you can perform one with physical exercises    1  Measure the pulse rate in normal quiescent state    2  Do 20 sit ups in 30 seconds    3  After 3 minutes  re measure the pulse and calculate the d
28.  the last pulse wave are displayed  When the test ends  the average results of    measured parameters are represented     After the test is completed  the following buttons under the list of measured parameters will become  available      Conclusion     button creates a medical report on base of the results and opens it in HTML browser  A  sample of a report can be found here     If  Open Report Automatically  option is enabled  it will be created and opened automatically after the  end of the test      Details     button opens the dialogue  Measured Parameters  with the detailed information about each  parameter      Print  button allows to print out the medical report on printer connected to the computer  Please read    here if problems occur while printing      To the beginning  button closes the dialogue and opens AngioScan Start Menu dialogue        2014 AngioScan Electronics LLC          5 Appendix    5 1 Medical Record Sample                                                                                                                                                                                       43            176  Bec  0                                  22        2009 20 06           8 499 723 36 67  e mail  vkrasnov phyton ru                                 Oct 4  2010 20 29 02                                                                                                                                                                                         
29.  years without risk factors  for cardiovascular diseases  associated with atherosclerosis    e The maximum pressure of the reflected wave reaches a heart at late systole of  cardiac cycle  The correspondent point of pulse wave s pattern is placed on  the descending arm of the plot near the aortic valve closure point           2014 AngioScan Electronics LLC    Stand alone Mode    e B type wave is typical for subjects older than 40 years or for younger persons  with risk factors for cardiovascular diseases    e The maximum pressure of the reflected wave is corresponding with the middle  systole near the overall maximum of pulse wave s pattern     e A type wave is typical for subjects older than 55 years or for younger persons  with increased arterial stiffness and high tone of the small resistive arteries    e The maximum pressure of the reflected wave is corresponding with the middle  systole very close to the overall maximum of pulse wave s pattern        3 14 4 Vascular Stiffness    The parameter examines the state of large arteries  aorta and its major  branches   The assessment of stiffness of large arteries is very important  as it  shows the abilityability to damping of pulsatile blood flow which generating by the  left ventricle  When the vascular stiffness increases  the damping ability sharply  reduces  That causes damage to capillaries and disturbance of microcirculation  in various organs  primarily in cerebrum and kidneys        The mark before the number  shown in
30. 014 AngioScan Electronics LLC    Use of AngioScan with computer 5      There is    test status indicator under the patient s name on the left top corner of the window  During the  test  it reflects the state of the test process in per cents  Test duration depends on user s pulse rate   sensor position on the finger  pulse filling index  see below   etc  Test ends after the device has collected  a sufficient for test analysis number of pulse waves of admissible quality     Under the test status indicator there is a Graph of Sense s Signals displaying the real time signal from  the device s sensor  and Stress Index Diagram     Below there are two diagrams displaying the quality of the sensor s signal  Pulse filling index should  be over 1  and the signal rate should vary between 3    120  Otherwise  test results will be unreliable  In  this case  the following warning message will appear     The reasons of bad quality signal can be     e  he low temperature of the finger that is often observed amoung the female users  It is necessary to  warm up hands  but it is not recommended to use hot water for this purpose     e Opaque nail polish  In this case  it is allowed to turn the device 90 degrees on the finger      Restart Test  button restarts test s procedure  If test is restarted before the current test is completed   test results will not be saved in database     There is a list of measured parameters on the right side of the dialogue  During the test  the  parameter values of
31. A new technology for health e       m             end ife Span control  eur       AngioScan 01P  AngioScan 01M    Personal Device for  Cardiovascular System Diagnostics    User s Manual         Personal Device for Cardiovascular System Diagnostics  User s Manual    Contents    Chapter                  of Devices 2  Chapter llintroduction 4  1                                                                 indita             4  2 NAC JDLEBI                                                   4     s ane NC a ee                  4  4 SYSTEM Regulremehls  convas mio utra dra c ba d a nc nant cpu 5  5 Security Warning and Use Instructions          5                                                                                                   5  PRECAUTION                                                                                                         5  EP Miura 6  7 Certificate in Regulatory Compliance  2  2222                 04  40211  7  8 FSR Registration Certificate              8  9 Patent Certificate for Invention eese enne nnns 9  Chapter IlIStand alone Mode 11  I Preparing  TOR WV OTN cesis pavet      ade ener ber            11  2 TUM             SR             nai ie 12  At                       12  A DISPIAY d                                                                     12  es ERROR 14  6  5ound IndiCatlOli ES Riads 14   rudem td      15  8  Firmware  Upgrade                  eee 15  2 USING MENU sesa                                                    
32. Interval Report      4 12  Measure the Pressure  Dialog    It is necessary to measure blood pressure before test performance  as its value is needed for calculating  test results  If it is impossible to measure blood pressure  set the approximate estimated value        2014 AngioScan Electronics LLC    55 Use of AngioScan with computer    T  AngioScan  Measure the Pressure    Smith John  45 years     Before test  measure the blood pressure for the patient  The pressure values are used for calculation of the test results  If  pressure could not be measured at the moment  enter the supposed values   Enter values of the blood pressure   Systolic pressure         Hamm    Diastolic pressure  80                    4 13 Dialogs with test performance instructions    Before test performance  you are invited to consult the procedure of necessary user s preparation and  conditions in which the test should be held  There are several dialogues of instrutions with photos and  explanations  All dialogues have  Skip the instructions  button that allows you to go directly to the test    performance dialogue   4 14  Test of cardiovascular system state  dialog    The dialogue is designed to perform the test of cardiovascular system state   Wi AngioScan  Cardiovascular System Test  Wa               Smith John  45 years   Measured Parameters         Test complete    2 9 70  A 30 B 15 C 55        24 28 32    Sensor Signal Parameters    Pulse Index        es    Signal Level     eee 74521          2
33. affects state of heart and blood vessels  Likewise  changes in cardiovascular system  state of heart and  blood vessels have an effect on the whole body  By examine the pulse  it is possible to notice many  undesirable changes  prevent diseases  learn about effects of medicine  etc        2014 AngioScan Electronics LLC      2   Stand alone Mode    3 13 1    3 13 2    AngioScan 01P device gives the opportunity to see the blood flow filling the capillaries of finger with  each heart beat  Record and further analysis of each heart beat can give a lot of information about state  of large and small arteries  about stress disturbing our mind and body  Some methods of pulse analysis  are well known to experienced physicians  others have become possible nowadays thanks to results of  researches held recently     The test assess such parameters of cardiovascular system as pulse rate  stiffness of blood vessels  the  differences of arterial pressure between the late and the middle systole  biological age  Meanwhile   stress index of the whole body is tested as well     AngioScan 01P helps to assess the state of cardiovascular system  here and now  by performing one  test  But it would be much more productive and interesting to perform test regularly  By following simple  rules you will obtain results comparable with each other  You will be able to see the changes happening  in the body  examine the effect of medical treatment or lifestyle  You will also be able to notice unwanted  chan
34. and first  results     Result   e Good persistence     up to 5 beats     e Satisfactory     5 10 beats   e  ll being   over 10 beats        2014 AngioScan Electronics LLC    Use of AngioScan with computer  090      T  AngioScan  Measured Parameters    Heart Rate     70 b min    da Previous       4 9 2  Pulse Curve Type  Bookmark     Pulse Curve Type  bookmark provides a qualitative description of patient s arteries  Pulse waves are  divided into three types according to their form    C type indicates a good condition of arterial wall  B type   satisfactory condition and A type    unsatisfactory condition  Often several types of pulse curve can appear during the test  The more pulse  curves of C type  the better condition is     e Subjects under the age of 30 with no cardiovascular disease risk factors  associated with  atherosclerosis  usually have the pulse curve of C type  The maximum pressure of the reflected wave  reaches heart at late systole of cardiac cycle  The correspondent point of pulse wave s pattern is  placed on the descending arm of the plot near the aortic valve closure point    e Subjects over 40 years and those younger having a risk factor of cardiovascular diseases have a pulse  curve of B type  The maximum pressure of the reflected wave is corresponding to the middle systole  near the overall maximum of pulse wave s pattern    e A type wave is typical for subjects older than 55 years or for younger persons with increased arterial  stiffness and high tone o
35. can 01P is designed for longtime stand alone use   The construction and specifications allow to perform tests and store the results in build in memory  The  results are available for viewing on device s display  Built in memory stores up to thousand tests     In addition to stand alone mode the device can run under PC via USB cable connection  included   It is  necessary to install AngioScan Personal software  CD is included  on PC before connecting the device  to computer for the first time  By the help of AngioScan Personal software it is possible to transfer test  results to computer s memory  view and print the conclusion with interpretation of measured parameters   view graphs of changes in test results during the whole period of testing  delete unnecessary data from  device s memory  etc  For more information about software interface read  Use with computer      Turn On   Off    Menu Usage   Device Settings   Setting Personal Parameters   Select a test   Test performance   contour analysis  Test results  their meaning and analysis    Preparing for Work  Firstly     Take the device out of the package   Check the device and its parts   Read the instruction manual   Check the package contents according to device s passport  Check passport and warranty card   Fully charge the battery                                                                                                                                           ee                                                     
36. ce 90 degrees so that the sensor s light could pass along the nail  not through it    e perform test on another hand     Troubleshooting      Situation     Possiblereasons   Troubleshooting    When pushing the button  the   The battery is discharged       Charge the battery   device does not switch On    Faulty firmware    Upgrade Firmware   the screen remains dark  no   greeting sound is played    Faulty device    Contact a vendor of the device     When pushing the button  the  Faulty display    Contact a vendor of the device   screen does not switch on    the display remains dark  but   greeting sound is played           2014 AngioScan Electronics LLC       _      Use of AngioScan with computer    4 Use of AngioScan with computer    The section contains descriptions of dialogues and windows of AngioScan     4 1 AngioScan Software Installation    Several versions of AngioScan software        be installed on one PC  Software updates are available       Internet     When updating the software  the installer checks already installed versions of AngioScan software and  proposes to transfer working environment of existing version to the updated one  Working environment  contains AngioScan setting files  The user s database is one for all AngioScan software versions  it  cannot be changed during the installation of a new version neither deleted during the uninstallation     5al AngioScan Personal v  3 26 02 Installation    Setup has found that the following AngioScan Personal vers
37. ce is connected to the computer        Device Memory  Language        Total  3 871 MB  Used  0 MB  0 0      Display Orientation Display Contrast Free  3 856 MB  100 0        For left hand      Time Sound            Turn on device sounds    Startup Shutdown sounds  Key sound   Test process sound   Test complete sound    Synchronize device time with computer when device is connected     si Synchronize now  September 3  2013 14 11 47         Language  list allows to choose the language of device s interface      Display Orientation  rotates the image on the device s display  that makes convenient to perform the  test on the left or on the right hand      Display Contrast  sets up the image s contrast on the device s display  The higher the contrast  the  more energy is used  and thus  the device can operate less time in a stand alone mode  without  connection to computer       Synchronize device time with computer when device is connected  option synchronizes the  device s clock with the computer s one      Sound  settings allow to turn on off various sounds of the device   Turn on device settings  option  turns on off all the sounds at once     In  Device Memory  section the information about build in flash memory  that is used for test results    data storage  is displayed  The  Format Memory Card     button formats the device flash memory  card  Card formatting may help in case of the memory card read write errors  Before formatting  you will    be prompted for confirmation  
38. ck its version  If the installed driver has later version  than the being installed one  the system will not perform any action  Otherwise the installed driver will be  updated     Usually  the system restart is not needed after driver installation  However  in case it is needed to restart  the system   the corresponding messages will show up     Driver installer is available after software installation as well  there is an icon  USB Device Driver    Installer  in AngioScan folder  If the problems occur during driver installation  this installer will help to  manage them        2014 AngioScan Electronics LLC     04   Use of AngioScan with computer    4 2    4 3    Use of AngioScan with laptop    Please note thatin case the device AngioScan is connected to laptop or netbook  laptop s power  supply may cause severe interferenceto the device s photo sensor                                                                                                                                                                                  Sensor signal with interference          0 2 04 06 08 10 12 14 16 18 20    CCCCECELECCEEECET Pee Peer reer ere reentry Perret y    Sensor signal without interference          O2 04 06 08 10 12 14 16 18 20    The interference to sensor signal is likely to make the results unreliable  so it is highly recommended to  disconnect a laptop netbook from the mains supply during the test  Please note  that the power  supply should be disconnected from the outlet
39. d indication of  device s modes     Sound indication is used when     switching on   pressing button   releasing button   switching between menu items  going to another menu page  setting parameter values  setting test variations  performing test   finishing test       2014 AngioScan Electronics LLC    15 Stand alone Mode    3 7    3 8    It is possible to turn on off all or divided into groups sounds at once     Global enable  Key tone   Test running tone  Test end tone  Intro music    Battery charging    To charge the battery    e Insert the narrow end of USB cable into the connector on butt end of the device    e Insert the wide end of USB cable into USB connector or use special charger      e when charging for the first time  leave the device connected to the power for 2 hours   e disconnect the device from power     Pay attention to the icon of battery charge indication when using the device   When you see two lines or red coloured ones on indicator charge the battery   Blue indicator near the connector will appear when the charging starts     III Wrong connection to power supply can cause serious damages to the device  The device   damaged due to misuse  is not eligible for warranty service       Availability of the charger in device s kit depends on type of delivery  The charger can be purchased  separately     Use only specially designed chargers or computer s USB port for charging the battery   Connection to wrong source of power can damage the device  In this case t
40. dication is used when   switching on   pressing button   releasing button   switching between menu items  going to another menu page  setting parameter values  setting test variations  performing test   finishing test    It is possible to turn on off all or divided into groups sounds at once        2014 AngioScan Electronics LLC    Stand alone Mode 0020      Key tone   Test running tone  Test end tone  Intro music    If you select       Global enable  submenu Sound status  Off  then all sounds will be turned off    If you select in  Global enable  submenu Sound status  On  then all sounds will be switched on    It is possible to select any item of sound setting submenu   Key tone    Test running tone    Test end  tone    Intro music  and set sound status for each of the groups  On or Off     To set parameters of sound indication use  Device options  and  Sound  submenu     e Shortly push twice the control button to move  cursor to  Device options  on Start menu              va Push and hold the button to switch to settings  submenu    e Shortly push twice to move cursor to  Sound     Device options    e e Push and hold the button to switch to sound              indication submenu  Release the button    e Push and hold the button to switch to  Global   Sound enable  submenu     Global enable    e Push and hold the button to select  Off  or  On   option  Release the button    e Shortly push the button to return to previous page  of menu        Lu     Shortly push the control bu
41. dows 98 NT 2000 XP      Processor   Pentium 11 500 MHz and over      Random Access Memory  RAM  128 MB      Video Card SVGA Hi Color 1024  768 8 MB or              Color printer      Not less than 800 MB of free hard disk space      One free serial port and two USB ports      CD ROM     Basic parameters and dimensions  Number of channels for receiving and registering of two input signals   2   Primary transmitter is based on optoelectronic pair   Range of input voltages  LEV  5   100   Channel noise level must not exceed mV  100   Frequency range of input signals  Hz  0 5 130   Unevenness of amplitude frequency characteristics should be     30 to  5   Supply voltage  V  220  Power supply of primary conversion is to be done via personal computer   The power consumed by the complex must not exceed VA 1 5   Overall dimensions of the converter unit are  mm     Width   32     Length   58     Height   30   Weight of the unit converter is  kg  0 5     2 2 Packing List    e AngioScan 01P device   e Interconnecting cable  mini USB   e Basic Software  CD ROM    e Instruction manual    2 3   Warranty                  AngioScan Electronics  Ltd  guarantees an excellent performance of AngioScan 01P device for 24  months since the date of sale to a consumer  if all conditions and rules of exploitation  transportation  and storage are observed as specified in instruction manual  During the warranty period  the  manufacturer provides free repair of the device in case of any malfunction being
42. e button to switch to date  settings submenu  Release the button    e Push and hold the button to set the year  Release  the button    e Move the cursor to month setting field by pushing  shortly        e Push and hold the button to set the month   Release the button   e Move the cursor to date field by pushing shortly           2014 AngioScan Electronics LLC    0019   Stand alone Mode    3 10 3    e Push and hold the button to set the date  Release Fr i oo  the button    e To return on previous page of menu shortly push  control button        e Shortly push the button once to move cursor to   Time    Time e Push and hold the button to switch to time setting  submenu  Release the button    e Push and hold the button to set hours  Release  the button        e Shortly push the button to move the cursor to  hours field    e Push and hold the button to set hours  Release  button    e Shortly push the button to move the cursor to  minutes field  Push long to set the minutes        e Likewise set minutes and seconds   e After setting seconds push shortly to switch to previous submenu     After setting ate and time you can switch to sound settings   You can return to menu start page as well     e Shortly push the control button 4 times to move  the cursor to  Return     e Push and hold the button to switch to another  page of menu        Sound Settings    AngioScan 01P has a built in sound transmitter for button press confirmation and sound indication of  device s modes     Sound in
43. e control button to move the cursor  to the field of tens of mmHg of systolic blood  pressure           2014 AngioScan Electronics LLC    Stand alone Mode       Push and hold the button to set the tens of mmHg  2  of systolic blood pressure  Release the button    e Shortly push the control button to move the cursor  to the field of units of mmHg of systolic blood  pressure         e Push and hold the button to set the units of mmHg       of systolic blood pressure  Release the button    e Shortly push the control button to move the cursor  to the field of hundreds of mmHg of diastolic blood  pressure     e Push and hold the button to set the hundreds of  mmHg of diastolic blood pressure  Release the  button    e Shortly push the control button to move the cursor  to the field of tens of mmHg of diastolic blood  pressure        e Push and hold the button to set the tens of mmHg  2  of diastolic blood pressure  Release the button    e Shortly push the control button to move the cursor  to the field of units of mmHg of diastolic blood  pressure            Push and hold the button to set the units of mmHg         of diastolic blood pressure  Release the button       To return to previous level of menu shortly push the  control button     User number       LEE        Shortly push the control button 5 times to move  the cursor to  Return     e Push and hold the button to switch to  Test  options  submenu  Release the button     User number    e Shortly push the control button 4 tim
44. e is a conventional scale on page of each  parameter  The position of label depends on test  results    e  he right green side of the scale corresponds to  good values of parameters  relevant to or better  than natural age norms    e The label on the left red side of the graph indicates  possible cardiovascular problems           2014 AngioScan Electronics LLC    Stand alone Mode    e Shortly push the button to see the information  about another parameter    e Shortly push the button in the end of test results  review to switch to Start page    e For more information about test results and their  meaning read the  Results  their meaning and    db          4  analysis  section        Then        can continue reviewing user s records    e Toreturn to  Test options  submenu shortly push  the button to move the cursor to        e Push and hold the button to switch to  Test  options  submenu  Release the button              Ok X  t  After reviewing saved results you can switch to  Test options  submenu or return to Start page   e Shortly push the control button 4 times to move    the cursor to  Return    e Push and hold the button to switch to Start page        3 14 Assessment of Test Results  The devices allows to estimate the values of the following parameters     Pulse rate   Vascular age    Type of Pulse Wave   Vascular Stiffness   Stress Index     There is a colour scale with a pointer showing the values of each measured parameter  According to the  colour  marked by pointer 
45. er    4 5         AngioScan  Register User on the Mobile Device    Choose the mobile device user whose data      the mobile device will be replaced with the    Smith  John  data from the computer     User Number Last Name First Mame Birthda  Maranyan   Petipe July 27  1951       Sunny Bill September 9  1962    1  2  3  4  5      7  8  9    Delete test data of this user from the mobile device memory                 Cancel         The list of mobile device s users is displayed      the dialogue  An empty line means that the user with the  corresponding number has not been registered yet     In case the user is registered under the number that has already been registered by another user in a  mobile device  the information about the former user will be deleted from the mobile device  If the     Delete test results of this user from the device s memory  option is enabled  the former user s  information will be deleted from the device s memory as well  when the new user is registered     Please note  that the new user registration on mobile device does not affect the users  database and  their test results on computer  It is possible to delete any user only in the  Choose another user   dialogue and delete the testing results only in  Test results  dialogue      Test results  Dialog    By the help of the dialogue you can see the testing results and the detailed information about each test   There you can also print out the medical report or delete the unnecessary test results  etc
46. erial pressure for each user  Before setting up all the parameters it  is important to select user s number        To set personal parameters use  Test options    User  submenu        Shortly push the control button to move cursor to      i oo   Device options  at Start menu      Push and hold the button to switch to  Test Test options  options  submenu  Release the button        e Push and hold the button to switch to personal               settings submenu  Release the button     e Select  User number    Birthday    Height  or   Art  pressure      e Push and hold the button to switch to selected  submenu     User number       3 11 1 User Number    To select user s number switch to  Test options    User    User number  submenu     e Shortly push the control button to move the cursor              to  Test options  at Start page   e Push and hold the button to switch to  Test Test options  options  submenu  Release the button           2014 AngioScan Electronics LLC    Stand alone Mode    e Push and hold the button to switch to personal e Li 9e  settings submenu     User number       LEE         Push and hold the button to switch to  User  number  submenu    e Push and hold the button to select the number of a  patient  Release the button    e To return to previous level of menu shortly push the  control button     User number       If user s number is set for the first time  it will be proposed to set date if birth  height and blood pressure   After changing user s number you
47. es to move  the cursor to  Return    e Push and hold the button to switch to Start menu           2014 AngioScan Electronics LLC    Stand alone Mode 0028         3 12 Select test    AngioScan 01P device has the opportunity to conduct tests of cardiovascular system state in 2 modes   You can select 2 or 5 minute test  Two minute test assesses the values of main parameters available  from the analysis of pulse wave form  It is recommended to perform 5 minute test in order to obtain more  detailed assessment of stress level and other parameters     e By pushing shortly the control button move the             cursor to  Test options  at Start page   e Push and hold the button to switch to  Test Test options  options  submenu  Release the button     e By pushing shortly the control button move the  cursor to  Select test  item    e Push and hold the button to switch to test  selection submenu  Release the button        LEE         Push and hold the button to set mode of test       i oo    Release the button      To return to previous level shortly push the control    Full   5 min button  Full   2 min       After setting test mode you can set other test options or return to Start page     e Shortly push the control button 4 times to move  the cursor to  Return    e Push and hold the button to switch to Start page        3 13 Assessment of cardiovascular system state   test performance    Cardiovascular system connects all parts of human body  Everything happening to body and mind  
48. f the small resistive arteries  The maximum pressure of the reflected wave is  corresponding to the middle systole near the overall maximum of pulse wave s pattern     The pulse wave analysis allows to identify a time of origin of the maximum pressure s points of forward  and reflected waves  Two vertical lines of the graphs correspond to the waves  The left line shows the  maximum of forward wave and the right one shows the maximum of reflected one        2014 AngioScan Electronics LLC    51 Use of AngioScan with computer    4 9 3    T  AngioScan  Measured Parameters    Smith John  45 years       Heart Rate   Pulse Curve Type   Vascular stiffness   Vascular Aging   Stress Index   Oxygen Saturation       Pulse Curve Type   A 5 B 90 C 5 9 o    A type wave is typical for subjects older than 60 years  In persons  younger than 60 years  A type wave may suggest for development of  cardiovascular diseases such as atherosclerosis  arterial hypertension   and diabetes as well        B type wave is typical for subjects older than 40 years     C type wave is typical for younger subjects in the age of 18 35 years  with normal elasticity of arterial walls            Vascular stiffness  Bookmark    The parameter examines the state of large arteries  aorta and its major branches      The assessment of stiffness of large arteries is very important  as it shows the abilityability to damping  of pulsatile blood flow which generating by the left ventricle  When the vascular stiffness increases
49. for configuration of operating mode      During the test the current pulse wave and additional parameters are shown on the display     e Wave   the number of the pulse waves  accumulated for further analysis   e PR   pulse rate   e Type   type of pulse curve   e PI  pulse filling index         Use the device carefully as the display is made of glass and can be broken in case of rough handling      Status bar at top of display        otatus bar displays    e Current time  or time until termination of test  e User s number   e State of audible indication    e Battery charge level       2014 AngioScan Electronics LLC    Stand alone Mode 14      To read about types and meanings of icons please see the  Icons      3 5 Icons    Different icons are used for indication of fields on Status Bar Panel        Current time  time until test or setup termination  countdown   User s number   Sound indication is switched on   Sound indication is switched off   Battery is discharged  connect the device to charger   10  of battery charge   50  of battery charge   Battery is fully charged    r1  Cun     Icons on the bottom menu bar are used to refer to buttons   This menu bar is used for navigation in data of previous test results        PEOk t    Previous record   Next record    SW Open selected record   Exit from records control menu    To move cursor shortly press the control button   3 6 Sound Indication    AngioScan 01P has a built in sound transmitter for button press confirmation and soun
50. ges and contact a physician in proper time     You should follow several simple but necessary rules in order to obtain reliable data by performing test  on AngioScan 01P  Start by reading the relevant sections of manual     Preparation for test   Time and place of test performance  Behaviour during test   Placing device on finger   Hand position   Select personal record    Start  perform  finish test  View test results    View saved results    Please read the description of test results for more information   Preparation for Test    The parameters of cardiovascular system sensitively respond to the state of body and nervous system   Before conducting the test try to exclude the factors deforming test results    Leading healthy lifestyle you should eliminate the following factors at least one day prior to test    e tobacco smoking   intake of vaso active drugs   intake of caffeine   intake of alcohol   intake of stimulants   Energetics     heavy physical exercise    If you take prescribed medicine  smoke or have other habits  the test will be very useful as well  Please  note  that in this case the device tests not only you  but  for example   you and tobacco   One cigarette  smoked prior to test of cardiovascular system may augment your biological age for more that 10 years     Right before test performance take a 10 minute rest in a warm  obscure  quite room   Cold hands can be the reason of low rate of pulse filling index  If necessary  warm your hands     Opaque nail polis
51. h can be an obstacle for device operation  In case it is impossible to remove it   turn the device 90 degrees  so that the light sensor passed along the nail     Time and place of test performance    You can perform the test anywhere and any time  But it is important to note that time and place affect  test results  It is better to perform test in a quite  warm room without bright lightening  You can perform it       2014 AngioScan Electronics LLC    Stand alone Mode    while sitting or lying  on your left or right hand  Please pay attention that during the test  the hand should  be placed on the same level with the heart  It is especially important when the test is being conducted in  sitting position     Avoid contact with direct sunlight  backlight of television  computer monitor and other light  sources of rapidly varying intensities     Only test results obtained in the same conditions can be compared   e the same time of a day   e the same position of body   e the same hand    For example  you perform the test regularly 3 times a day    o in the morning before getting up  on your right hand  lying   o before lunch  on your right hand  sitting   o in the evening before going to sleep  on your right hand  lying    It is reasonable to compare morning results with morning ones  day results with day ones  evening  results with evening ones     3 13 3 Behaviour during the test    The device is equipped with highly sensitive measurement system that helps to assess properly the
52. he device is not  eligible for warranty service       Availability of the charger in device s kit depends on type of delivery  The charger can be purchased  separately     Firmware Upgrade  The manufacturer regularly upgrades the software   The device has a build in function of firmware upgrade     To upgrade firmware    e Download updated version of AngioScan Personal software  http   www angioscan ru index php   downloads    Install downloaded version on your computer and run AngioScan Personal software    Connect the device to computer s USB port with the help of USB cable  included     Switch on the device    Firmware upgrade will start automatically  A corresponding message will appear on display  Wait for  the upgrading process to finish     Note  Do not turn off the device or disconnect USB cable until the process ends     In case of firmware upgrade process interruption  the device can be damaged  To  repair the device contact the service center        2014 AngioScan Electronics LLC    Stand alone Mode 16      3 9 Using menu      Short press on control button moves the cursor to the next menu item   Start test   gt  Test options    gt  Device Options    gt  Display options    gt  Turn Off    gt  Start test           Long press on control button confirms the choice and switches to another page of menu or operating  mode     e Prepare for the test   e Press and hold the button until the device starts    to perform the test   e You will be asked to put your finger in the
53. ield        e Push and hold the button to set the units of height  centimeters  Release the button    e Toreturn to previous level push shortly the control  button           25 Stand alone Mode        EL E    T as         pt   ors       i va    User number       i gu    User number       After setting user s height you can switch to personal settings or return to Start page        2014 AngioScan Electronics LLC    Stand alone Mode 0026      e LEE        Shortly push the control button 5 times to move  the cursor to  Return     e Push and hold the button to switch to  Test  options  submenu  Release the button     User number    e Shortly push the control button 4 times to move  the cursor to  Return    e Push and hold the button to switch to Start menu           3 11 4 Blood pressure parameters    To set values of patient s blood pressure go to  Test options    User    Art  pressure  submenu     e Shortly push the control button to move the cursor                   to  Test options  at Start page   e Push and hold the button to switch to  Test Test options  options  submenu  Release the button        e Push and hold the button to go to personal e LEE    settings submenu  User number    e Shortly push the control button thrice to move the  cursor to  Art  pressure     e Push and hold the button to switch to         pressure  submenu     Art  pressure       Push and hold the button to set the hundreds of  mmHg of systolic blood pressure  Release the  button    e Shortly push th
54. ifference between the second and first  results     Result    e Good persistence     up to 5 beats   e Satisfactory   5 10 beats    e  ll being   over 10 beats     Vascular Age    The parameter indicates the state of small arteries  The aim of these arteries is  to provide the optimal blood supply of organ s tissues  The interpretation of the  parameter is rather simple  if you are older than your vascular age according to  the test  it is very good  If the vascular age is older  it reflects the unsatisfactory  state of your small arteries    It is very important to measure this parameter at a certain time of day and on the  same hand  preferably on the right one  The morning hours from 9 to 11 are  especially good for the test performance        Type of Pulse Wave    Provides a qualitative description of patient s arteries  Pulse waves are divided into three types according  to their form    C type indicates a good condition of arterial wall  B type   satisfactory condition and A type    unsatisfactory condition  Often several types of pulse curve can appear during the test  The more pulse  curves of C type  the better condition is    The pulse wave analysis allows to identify time of origin of the maximum pressure s points of forward and  reflected waves  Two yellow points on the graph correspond to the pulse waves  The left point shows the  maximum of forward wave and the right one shows the maximum of reflected one     e C type wave is typical for subjects younger than 30
55. in time of day and on the same hand  preferably  on the right one  The morning hours from 9 to 11 are especially good for the test performance          AngioScan  Measured Parameters    Heart Rate   Pulse Curve Type   Vascular stiffness Stress Index   Oxygen Saturation    Vascular Aging     Al Previous             2014 AngioScan Electronics LLC    53 Use of AngioScan with computer    4 9 5  Stress Index  Bookmark    The parameter reflects the state of cardiovascular system regulating centers  Index value below 150  indicates the good state of regulation of blood flow  If the result exceeds the threshold value of 150  it  indicates an excessive tension in regulatory mechanisms  Index value of 900 and more indicates marked  abnormality of the regulation     The parameter is calculated on basis of the distributive analysis of the pulse wave s durations     50     150   norm   150     500   stress  physical stress  fatigue  reduced reserves of the organism caused by aging   500     900   angina pectoris  psycho physiological fatigue  marked stress     e  e  e  e 900     1500   marked abnormality in regulatory mechanisms  observed in preinfarction angina     Note  In case of arrhythmia and serious respiratory disturbances  the method is not applicable  as the  result of stress value will be artificially lower than it is   T  AngioScan  Measured Parameters  V Angio   Smith John  45 years     Heart Rate   Pulse Curve Type   Vascular stiffness   Vascular Aging   Stress Index   Oxygen
56. ioScan Electronics LLC    _ 4   Use of AngioScan with computer    4 9    4 9 1     Enable automatic checking for AngioScan updates  option turns on the automatic check of  software updates  It is recommended to use the last version of software  as not only the computer s  software  but also the device s one  implementing the data analysis algorithms  is updated      Display warning before test starts if laptop is connected to the power outlet  option  the PC s  power supply often causes severe interferences to device s photo sensor  AngioScan program  automatically recognizes when the test is about to be performed at a laptop connected to mains supply   If the option is set up  the warning with recommendation to disconnect the laptop from the mains supply  will appear on the display before the test starts  See also Use of AngioScan with computer      Measured Parameters  Dialog    In the dialogue each measured parameter is described in details  The dialogue has several bookmarks  according to the number of measured parameters  To switch from one bookmark to another bush  Next   or  Previous  buttons or click on the title of desired bookmark     Colour scale with a pointer gives an assessment for each measured parameter  According to the colour   marked by pointer  the following basic assessment variations are possible     e green colour   good state  no abnormalities    e yellow colour   satisfactory condition  but functional disorders of the cardiovascular system are  possib
57. ions has been already  installed on this computer  Tou may wish to transfer the working environment from one  of the installed versions  Click the    Details button for more information       3 26 01   532500       Onwards you will be proposed to delete old AngioScan software versions        2014 AngioScan Electronics LLC    Use of AngioScan with computer 24      sa AngioScan Personal v  3 26 02 Installation    Setup has found that the following AngioScan Personal versions has been already  installed on this computer  You may wish to uninstall some of these versions  Choose  AngioScan Personal versions to uninstall before installing version 3 26 02     3 26 01       4 1 1 USB Driver Installation    The driver will be installed automatically during the AngioScan software installation  In case of error   window of driver s installer will remain on screen     AngioScan device can be connected or disconnected from computer  It is preferable to connect the  device to computer after software and driver installation  as in this case  Found New Hardware  dialogue  will not appear  If the device is connected before software installation  the  Found New Hardware   dialogue will appear  Close the dialogue without performing any action     It might take some time  several seconds  to connect USB device after driver installation so that the  system could initialize device s parameters  During that time the device will not operate     If the driver is already installed  the system will che
58. le    e red colour   ill being state with the high risk of developing of cardiovascular diseases  It is highly  recommended to consult the doctor in order to examine in details the cardiovascular disease risk  factors     For more detailed information about each measured parameter please see the following sections    Heart Rate  Bookmark     Pulse Curve Type  Bookmark   Vascular Stiffness  Bookmark       Vascular Age  Bookmark   Stress Index Bookmark      Heart Rate  Bookmark    The dialogue shows the heart rate or the number of heart beats per minute  The inverse value is the  duration of pulse wave  The device measures the length of each pulse wave  calculates the  instantaneous value of heart rate and determines the average value according to test results     It is the most important parameter  representing  primarily  the persistence of cardiovascular system   CVS   The higher heart rate in quiescent state  the less persisted CVS is  Those who do physical  exercises regularly have a heart rate of 55   60  that is considered to be perfect state  60   80   good  state  over 80   ill being     During the specialized therapy  especially with the use of beta blockers  these criteria cannot properly  reflect the state of CVS  For more detailed test of CVS you can perform one with physical exercises     1  Measure the pulse rate in normal quiescent state    2  Do 20 sit ups in 30 seconds    3  After 3 minutes  re measure the pulse and calculate the difference between the second 
59. llows to perform     e Farly diagnostics of cardiovascular diseases  such as atherosclerosis  essential hypertension  heart  failure  diabetes  coronary arterial disease     e Monitoring the effectiveness of cardiovascular therapies  food supplements and physical exercises     Functions of AngioScan 01P device in stand alone mode     e Accumulation of diagnostics data in device s memory   Displaying test results on build in screen    e Personal guidance for up to 9 users    e Transfer of data to PC     AngioScan 01M device does not have built in screen and stand alone mode  The computer is  necessary for work with the device    The device helps you to monitor your health  it does not replace a doctor  If case of any questions  or concerns contact a specialist     AngioScan 01P is a high tech and sensitive diagnostic device  In order to obtain reliable results   read the instructions and follow the suggestions about place  time and conditions of test  performance        2014 AngioScan Electronics LLC       Introduction 4    2 Introduction    The section is an introduction to AngioScan 01P and AngioScan 01M devices  Further the devices will  be referred to as  device  or  AngioScan 01      2 1 Technical Specifications    General Technical Specifications  The complex corresponds to technical requirements TU 9442 001 30577 000009020 2008  GOST P  50444 and to design documentation s set     The complex runs under IBM PC with minimum system requirements       Operating System   Win
60. og       2 2 2222222 2                48  9  Measured Parameters  Dialog                         49  Heart Rate  BOOKIaEK uei vi                               cra dun dd                                         dude FLUE 49    Pulse Curve Type  BOOKMARK    edis Ur eee                          c eue    Be PUR    50     Vascular stiffness  Bookmark    ob Lenox        wo av o      oda                             e E                 51   Mascular           BOOKmImarFk                     een Ee EE ia Dra cv          52    Stress  Index    BOOKInark        td oro                                                       SEU eee 53   10  Trend Graphs    Dialog onec cete on hetero        53  11 Teststatistics Dialog          oet dedi             IS            UN      54  12  Measure the Pressure  Dialog        2 2 22222  2                       54  13 Dialogs with test performance instructions              2    2        42  4   4      72  55  14  Test of cardiovascular system state  dialog         2    2            2 2          55  Chapter VAppendix 58  1 Medical Record Sample                                      58  9  Printing Problems                             58  Index 59       2014 AngioScan Electronics LLC       Purpose of Devices 2    1 Purpose of Devices       AngioScan 01P AngioScan 01M    The device AngioScan 01P is designed for stand alone diagnostics of cardiovascular system state   accumulation and transfer of data to PC for storage and further analysis     AngioScan 01P a
61. ogue  Measured Parameters  dialogue   where the detailed information  about each measured parameter of the test can be found      Print     button allows to print out the results of the selected test  Please read here if problems occur  while printing        Trends    button opens the dialogue  Trend Graphs   The variation in measured parameters can be  clearly seen in the dialogue     Thelink  Print results of selected test     allows to print out the medical report on the printer  connected to the computer     The link    Print trend graphs and results table     allows to print out the trend graphs and test results  table on the printer connected to the computer     Thelink  Teststatistics     opens the same name dialogue with statistics of tests  performed in certain  time intervals     Thelink  Delete selected record     deletes the selected record from the database  Press the Shift   Ctrl and left button on your mouse if you want to delete several records or all of them     The link    Delete test data from the device memory     is available when AngioScan 01P with a build     in memory is connected to the computer  If you have declined to delete the test results from device s  memory when opening the dialogue  you can delete them by using this link        2014 AngioScan Electronics LLC    Use of AngioScan with computer    4 6  Device Settings  Dialog    In the dialogue  one can set up AngioScan 01P device s configuration  The  dialogue is available only in case the devi
62. or on selected item of menu    e Push long the button to confirm your choice and move to an appropriate  page of submenu        e To turn off the device move to   Turn      menu item by shortly pushing  the button 4 times   e Long button press in this position turns the device off     Power off       3 3 Control    The device is equipped with easy to understand menu structure and it is controlled by one button  Sound  indication also helps to use the device     There are two types of button press  short and long one    e Short press moves the cursor to the following unit of menu or parameter    e Long press switches to anotherpage of menu  turns back on previous menu level  changes the value  of a chosen parameter     When you start to push the button  you will hear a short sound  If you continue to press  you will here a  long sound and the menu will switch to another page  If you push shortly  the cursor will move to another  unit of submenu  When you release you will here a short sound          The button press sound can be switched off   3 4 Display    The device has high contrast color display        2014 AngioScan Electronics LLC    Stand alone Mode       Startup logo     Size   1 3    Colours number   65 000  Contrast   2000 1   Number of Pixels   12 288  Technology   OLED       Solo      LL       LEE EE                    E ILL                           Display is used when operating the device   It shows the process of test and its results   The display is also used 
63. se see  AngioScan Software  Installation  for more information about USB driver installation     The link  Choose another user     is available when the device is connected to computer only  It opens    the dialog  Select user     With the help of the dialogue you can choose another user from the database  as well as add a new one or delete an existing one     The link    Edit user data  opens the same name dialog where you can put the user s information  name   date of birth  height etc         2014 AngioScan Electronics LLC           Use of AngioScan with computer    T  AngioScan  Edit User Data    4 4    Enter user data  Bold fields are required     Last Name   Jackson  First Name   Paul  Middle Name  Birthday   Apr 12  1945       Female  Weight 0  Height 164       The  Begin Test  button is available when the device is connected to computer  Before the test starts   series of dialogues with test instructions will be displayed     The    Test Results  button opens the dialogue  Test Results   By the help of the dialogue you can see  the testing results and the detailed information about each test  There you can also print out the medical  report or delete the unnecessary test results  etc     The  Device Settings     button is available only for AngioScan 01P  for AngioScan 01M the button is  not available   The  Device Settings  button opens the dialogue  Device Settings      The    Professional mode  button turns the AngioScan into professional interface mode  The  profe
64. ssional mode is available only if the professional diagnostic device AngioScan 01 or a special    version of one channel device AngioScan 01M are used  The professional mode has advanced functions  for test conducting  data analysis and database management  It is designed for healthcare workers        Choose Another User  Dialog    With the help of the dialogue one can choose another user from the database  add a new one or delete  already recorded one        2014 AngioScan Electronics LLC    Use of AngioScan with computer  04      Choose the user to perform tests       on device   Last Name First Name Middle Name Date of Birth    Naranyan   Petipe   July 27  1951  Smit Barbara January 7  1975   John July 26  1967  Wayne January 2  1970  Bill September 9  1962  Penelope October 22  1990  Raymond December 17  1960    fin Register user on the mobile device                              If AngioScan 01P is connected to computer  it allows to conduct the tests in stand alone mode  In this  case  the user s number  registered on mobile device  will be displayed in    on device  column  The  user s identification is performed by matching user s name  surname and date of birth     With the help of  Register user on the mobile device  button one can copy the personal data of a  selected user to the mobile device AngioScan 01P  In order to select the number of mobile device s  user  the following dialogue opens        2014 AngioScan Electronics LLC    _ 4   Use of AngioScan with comput
65. tton to move the cursor e  to   Key tone    Test running    Test end tone  or   Intro music     e Push and hold the button to switch to selected  submenu     Global enable       e Push long to select  Off  or  On  option     LEE             return to previous level of menu shortly push the  control button     Global enable       After setting up sound indication options you can return to Start menu        2014 AngioScan Electronics LLC    21 Stand alone Mode          3 10 4 Screen Settings    Shortly push the control button 5 times to move  the cursor to  Return     Push and hold the button to switch to settings  submenu     Shortly push the control button 4 times to move  cursor to  Return    Push and hold the button to switch to Start menu        You can set screen options convenient for you    There are 11 levels of screen contrast  from 0 to 10   Level 3 is set by default  The less level of contrast  is the slower battery discharges  High levels of contrast are convenient for use in high lightened places   The device is programmed to perform tests on right hand  For conducting tests on left hand rotate screen    on 180 degrees     To set up screen options use submenu  Screen settings    Contrast  or  Rotate screen      e       Contrast       Shortly push the control button 3 times to move  cursor to  Screen options  at Start menu   Push and hold the button to switch to screen  settings submenu    Screen options    Push and hold the button to switch to  Contrast   submenu 
66. ueType as graphics  item in printer s options  This    option might also be named as  Send TrueType as Bitmap      To avoid any printing problems  download virtual printer  for example  doPDF  Such virtual printers create  PDF file that can be easily printed or shared        2014 AngioScan Electronics LLC         Personal Device for Cardiovascular System Diagnostics  User s Manual    Index    Blood oxygen saturation 36  SpO2 36    aBTOHOMHOe                            11                         15                                            22 26                     12                  22                                 35              18                                           29                        28                       12            18                                             18                            22  23                 12                                 12 16                                    36               30                           30                                         30                              30                                           15           14  19                               19                                 19                                 19                                      14               14                14                                                  37                                                  22                                                  11                                      16            
67. x  the value of which  is determined by     e Pump function of the heart   e  he lung function to saturate the blood with oxygen   e State of hemoglobin  oxygen carrier            2014 AngioScan Electronics LLC    Stand alone Mode    3 14 7    3 15    The normal value of oxygen saturation  saturation  hemoglobin oxygen varies from 96 to 99   A drop       hemoglobin oxygen saturation below 90  is considered as acute respiratory failure     Correct interpretation of this indicator requires the prior determination of the individual normal level  To do  this  take a few measurements over time  This will reveal the individual characteristics of fluctuations in  blood oxygen  and in the future will help to interpret the changes in this parameter     Pulse Filling Index             EE             pulse filling index is a technical parameter  It reflects the level of signal   ve  41 available for further analysis  If the value is less than 1 0  it indicates insufficient  EA ih i Xave Tl  quality of signal  The reason could be cold hands  opaque nail polish  artery  pathology  In this case test results will be unreliable                                                                                                           ET     If the index is less than 1 0  the warning will show up and it will be proposed to perform test one more  time in more comfortable conditions    Depending on reasons of pulse filling index decrease we recommend you to    e warm your hands    e turn the devi
    
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