Home

TensioMed® TensioWin™ software

image

Contents

1. 12 05 2011 St tus e Graph ha 12 05 2011 N amp 20 13 05 2011 10 20 ee Aix 3 lmmiig Wei pre e eed 4 natic ee a ae ee Ee DIESES H RHA iz 5 atic a uc es sc 200 ME i is bhert e dt 100 SI oils cu SE RAI DRUMS NEM WU MD ZERO 7 mibtic 8 tic iy 9 12 20 d is PARA N 50 taf 10 i E 1 1 ee of rere MONICA e ET MEE TFH IL RETE x DOR Dei ats E e a C DEGERE aa 15 13 50 WIR cpu IB REN LIE exar ete eee EEEE i E T E Un 16 1405 sol POS RACER I RRR EHE SO Ls sol ORE A o DIA N di I cc 17 14 20 ee ne eee ee ee ee ee J HH Ee HeeeMRBSEBIl dg LA H to Ga e S t E 1 i 1 L 1 1 r 1 t i L n S 1 LI 1 ijf HU GTO o c gocaguaeu us eR O a Beste se De ESSI yee esperar ar ey cec Sen ti 10 11 12 13 14 15 16 11944 2021 2223 07 EP 6 7 8 9 10 10 111213 141516 1718 19202122230 12 34 56 78 9 0 11 LLLA Ae Tp SBPbr 139 DIA 66 1R 50 MAP 90 SBP 40 140 Graph AlXbr 50 77 AlX0 63 34 PWVa0 8 00 PWYSd Ibi Arterial function O 1 45 21 05 Automatic PS Operator Test Phisician II Patient ArterioGraph 24 Test From 12 05 2011 10 20 tl 13 05 2011 10 20 17 The graphical page of Results 1 8 7 6 9 TENSIONIAED TensioWin Containing two additional pages The Graph page The si
2. e Arm circumference After adding the arm circumference the software automatically suggests the proper size of cuff to be used The suprasternal notch jugulum pubic bone symphisis distance should be measured in a straight line Measuring on the body surface can lead to overestimation e g in case of obese patients X et Wrap the suggested cuff around the dominant upper arm tightly e To avoid the irritation of the skin a long sleeved shirt made of some thin material can be worn under the cuff e Measure the suprasternal notch pubic bone distance Jug Sy with use of the supplied tape measure e Ensure optimal measuring conditions o Try to avoid speaking muscle movements especially the movement of arm muscles as these activities significantly increase the measuring time may result in measurement failure or may reduce the precision rate thereof Muscle movements tremor distort the form of the measured pulse wave and render its evaluation impossible Edit patient data If the patient returns to the clinic for a follow up visit or has new laboratory or blood pressure data you can edit the patient database and prepare a follow up report To do so select the patient in the Patient details module whose data you want to edit and TENSIONISD TensioWin click the Edit button or go to the Patient Edit menu A pop up window appears where the patient details can be edited In the Baseline symptoms Phy
3. 0 utols 0 3 3 Sz tvalogat s Kijel lt ter let 28 28 28 The print setup window The required task and printer can be selected and configured here If it is done select OK then the print preview appears TensioWin 35 TENSIONI W 0 amp amp x B Standard report TENSIONE Date of Birth zz ll le4z Helght lem am BMI 23 21 female Welgnt BE HI Bg zderd reper TL ds e PUR et ee i Ri Sa el ART A einer erat zia ya iL on Palo lieto iaia fateli eae eae as cO Be lath ist el er ater ARNG 19 12 13 14 15 16 17 18 19 20 21 See C 7 3 1 W Awake In za L Pes opem PE Poem my Ll pecu D LIA 7 ir H Wi r n ens aor or a a i ar H a rm i pm DI mi foie si ini us quio In Ehi aa JS 37 iz G Go GG G GG Si 140 185 fl BI SL 10 um EB as i 145 G Go GG o Go zz 31 mE LO 782 31 um mun I aL 7 5 G Go E Ga GG 11 ia 1 ao z5 a I7 142 3 4 12 G nu of G GI Oper ators department Tenzin Win zoftware w 23 0 0 T Terakt Led HiG ocupa Kiir ud k ud in uftanalrtadrzrr Fora paghi baraer mr Page 1 of 2 29 Print preview With use of the toolbar on this screen the following functions can be accessed Zoom tool la rh The print preview page can be zoomed to fit the screen height Zoom to fit to fit the screen width Zoom to width and to the original size 100 Navigation tool Mm 4m m m This tool can be used to navigate to the First page Previous page Next page or to the Last
4. E mail info tensiomed com Website www tensiomed com TensioWin TENSIONE 3 1 Installation and setup of the TensioWin software Minimum System Requirements A computer with processor Pentium IV 256 MB of storage 2 GB of free space on HDD CDROM drive display of resolution 1024 768 pixels Windows XP operational system with Service Pack 3 Active Bluetooth or infrared port Note TensioWin software is capable of controlling TD1 and TD2 devices as well even under former operational systems Windows 2000 with SP4 XP operational system became to be a minimum requirement for devices TD3 and TDL2 Installation Insert the CD in your computer s CD ROM The installation CD will start automatically In case it does not happen double click on the setup exe file on the disc and the installation setup will begin The installation process will offer you the default directory for the program Wait until the files are copied to the directory At the end of installation the TensioWin icon will be created and placed on your desktop TENSION Tae For Microsoft Windows Xp Vista 7 ni T TensioMed Kft All rights reserved CE 1008 wil TensioMed Kft K r str 2 e 1103 Budapest Hungary TENSIONI info tensiomed com www tensiomed com 1 Installation CD for TensioWin Start TensioWin TENSIOMA N TensioWin You can start using the program by double clicking on the TensioWin icon Tens
5. Increased Pulse Pressure LVH Isolated Systolic HT Non dipper Normatensive non dipper WiC HT Normotensive overdipper CHD ACBG Patent ArterioGraph 24 Test SEK IDnumber 5 Height 169 STI male Date of Birth 1942 11 22 Weight 68 kg Age 70 Arm circumference O Um iQ female BMI 23 81 JUCSY 54 om 4 Patient s sheet 2 In the second module you can find functions for communication with the device i e programming the device or downloading measured data from it Plan setup Data transfer ri Set up protocol and program device Retrieve data from device 5 Measurement 3 The third module shows the list of the measurements of the currently selected patient along with the most important results and the preview of the selected measurement TensioWin 9 TENSIONI Selection can be done by 1 Clicking on the required measurement and select Graph review button 2 Clicking on the required measurement and select the Onward button signed by an arrow on the right 3 Double click on the required measurement Either way the result is the same the required measurement will be displayed ArterioGraph 24 Test 3 Start test Receive Date Time A 2009 11 13 20 00 00 2009 11 23 10 36 15 1 2011 05 12 10 20 00 2011 05 16 10 52 28 Pre set plans 15 30 24h Length of test hour 2 NB sBPbr M DIA 3 SEPao 6 Selecting measurements 3 3 The main menu of TensioWin The menu bar contains the menu ite
6. and keep the mouse button down while selecting the required section To complete the selection simply let the button off TensioWin software automatically tries to evaluate the given section which will appear on the screen above 7 in case of success If this latest result is preferred to be stored instead of the standard evaluation then the newly activated Save button must be selected The Data page The Data page is the tabulated list of the time the date and the measurement data blood pressure heart rate pulse pressure Threshold values based on which some of the statistics are calculated can be modified by clicking on the Blood Pressure threshold button at the bottom of Study data page The passive period is indicated by the shaded area and the special period by an at the beginning of the row Re defining the start points of the active and passive periods will not change the marks of the data at the tabulated list The status column indicates whether the reading is the result of an automated or manual measurement The status column also lists the time of pill intakes and the time of waking up or going to bed The comment column can be used to type in comments to a particular reading e g dizziness noted by the patient While the blood pressure measuring algorithm of the device automatically discards extreme blood pressure and heart rate values the summary statistics is based on all data listed in this page You can manually ed
7. be managed by the TensioWin software the proper type of the device and connection port have to be selected when initializing data transmission see also above In case the transfer of data is intended to be done from a computer different from which the device was programmed to or the device was programmed via the device button TensioDay2 TensioDay 3 from the drop down list of Tools in the menu Downloading measurements of current patient to the PC should be selected to connect TensioWin TENSIOMEN the transferred measurement to the preliminary selected patient If you didn t select this checkbox the software will not realize any defined measurements in these cases Please note that in case the measurement was registered on the PC before then the current patient s test in progress if there is any will considered to be completed thus no more measured data will be added The measured data will appear in a separate measurement of the patient Once a test is considered to be completed it cannot be resolved It may happen that you would like to retrieve data of another Operator s patient In this case you can complete data transfer by using the required operator s password during the process The process of data transfer to the computer can be followed on the progress bar The successful transfer is confirmed After successful data transfer the blood pressure values are ready for analysis NOTE You can transfe
8. hypertrophy detected by ECG cholesterol and HDL cholesterol values 5 Programming the device To set up a measurement protocol and to program the device press the Set up protocol and Program device button on the second module E gt Setup protocol and program device 9 Programming In the Set up protocol and Program device window you can either select a pre set monitoring plan for the ambulatory monitoring or create your own protocol The monitoring protocols are characterized by e the length of the test e the active awake the passive asleep and optionally the special periods This latter may be needed if there is a period of special interest e g early morning hours before awakening during which you want different measurement frequency e the measurement frequencies during the active passive and if included special periods e the starting time of the test and the different periods TENSIONIAED TensioWin L ABPM protocol setup rx Tools Patient Normotensive overdipper CHD ACBG Please select the type of device Device type 15 30 24h Standard 1 _ 10 30 24h Standard 2 TensioDay TDI TensioDay Plus 30 60 15 24h Standard 3 20 40 15 24h Standard 4 i TensioDay Arteriograph24 Length of test hour 24 m gt l si Communication ports Test number act Tea COM53 TensioDay 2 03 TD0304 Awake 06 00 Frequency min 15 Sleep Start 22 00 Frequenc
9. passive periods can be modified at the Study data page Graph Data 12 05 2011 10 20 13 05 2011 10 20 Arterial function AIx ao AIx br B Pwv ao Da l From 12 05 2011 10 20 Until 13 05 2011 10 20 Analysis Full test Time segment SBPbr 139 DI 66 HR 50 MAP 99 SBPao 146 Graph AXbr 50 77 AlXa0 63 34 PWVao 8 00 PWVSd Bl Arterial function 22 Arterial function The Aix ao Aix br and PWV ao parameters can be displayed or hidden Thus it is possible to evaluate the standard arterial function parameters and the data measured by Arteriograph24 either in parallel or separately It can easily be done by clicking on the checkboxes above the graph Graph and or Arterial function TensioWin 29 TENSIONI The different curves can be displayed or hidden The parameters of SBP ao TensioDay Plus SBP ao Aix ao Aix ao Aix br PWV ao can only be displayed in the case of Arteriograph24 Pulse Wave Curve The device records the pulse wave curves for each measurement If you coordinate via the Standard Measurement List 1 the required Pulse Wave Curve can easily be selected The required extent of the amplitude can be set by clicking the and buttons next to the curves As a default the software evaluates the curve but it is still possible to evaluate manually To do so click to the starting point of the required section of the curve
10. patient data calculate cardiovascular risk and print report New A new patient can be added here Edit The data of a selected patient can be edited here Delete By clicking this menu item the selected patient can be deleted TensioWin 44 TENSIONI Device types Search device The available devices around the computer can be found The required device type can be selected It can be changed before setting up the communication The devices are as follows TensioDay 1 24hours ABPM TensioDay 24hours ABPM TensioDay Plus 24hours ABPM central aortic blood pressure Arteriograph24 24hours Arteriograph Protocol menu Set up protocol and program device This menu item allows you to prepare the blood pressure monitoring schedule and to download the plan to the TensioMed device Retrieve data from device This menu item allows you to download the blood pressure data recorded by the TensioMed during the monitoring period and display it Tools Windows control panel All the major functions of windows control panel are available from here e Telephones and modems e System e Bluetooth tools e Time and date setup E mail settings The parameters for the e mail function of the software can be set here Setup By clicking on this menu item you can modify the following settings of the device e you can set the target pressure of the device to a pre determined starting value or to 50 mmHg above the previous MAP value e
11. youcan determine the type of the cuff e you can set the device to repeat the faulty measurements e you can select or prohibit that the placing of the cuff should be checked by the device or not e you can download the actual date and time into the device e you can change language TENSIOME TensioWin These settings are only take effect after sending those to the device by pressing the Download into the device button Shall select the type of the device Shall select the required communicational port Information menu Help files This function provides you with help in using the software User s manual The User s Manual can digitally be displayed To use this function a program capable of reading PDF files should be installed to the PC Manufacturer and software version information This function gives you information about the TensioWin software 4 Using the TensioWin software 4 1 Operator s data Add new operator physician If you want to add a new physician to the database go to menu Operator New and enter the data of the physician in the pop up window Note that the colored fields are mandatory to be filled out Click OK to save the data The name of the new physician now appears in the list It will also be listed in the login names list upon starting the software Selection of the operator In case you intend to choose a different operator than the one which is already logged in select the Change Operator men
12. TENSIONIZD ORIGINAL EXCELLENCE TENSIOWin PC software For Microsoft Windows XP Vista 7 8 User s manual Please read the user s manual carefully before the first use Table of Contents OMI CUCU RETO OT 4 Z AG ontenmts or the misil as edosduietand auta ced o eda oun aste eet ies E E 5 Bi TNE TENSIOWIM SOT WdE e adosseauciaeu aat ome ecd adhue E eee A cuiu a iaia 5 3 1 Installation and setup of the TensioWin software i 6 3 2 The Structure of the TensioWin software emen 8 3 3 The main menu OF TenstoWNJTT assi oet poco bos sept E Dv Rabe ea 11 A Using the TensroWIW SOWA E unida vium poste tacent datu e gua pd Sab cda es a bae do Yi e GR a eBA 13 a VOD Chat OMS lla ria 13 AZ Patients dE desidia A li dna 15 Enter and delete office blood pressure data ii 17 Enter cdraiovascularrisk factors aa 17 Enter and delete laboratory O3 desse eire iet ondes e s ebestrebse uctus deaur aka atia eg eas Gu S Cuz auae 17 5 PFOSFAMMINBENEG VICO 18 6 Retneve data TroOrm deViIG Guetta vasis e 21 7 Analyzing data evaluating measurements rie 24 Z Le Spe OS eto ee aac 25 72 VINE graphical page Of Tesults secs stesse iab deni red ater Lisa tab a dere T taeda tea Cen 26 Ihe Gap Dae E zssaseeseretkecieiter utes reae cate EE eed exin be pad odia edad vbt gait idet rdi S 27 BIO00 PFESSUFECUNe aaa 27 i g zigriM RU See ED TNT 29 Pulse Wave CUP VB rei aaa 30 IND 30 7 3 5tatstic
13. al dildlySlS licia 32 The Statisucs DaBgO scs se liacle 32 COrrciation pafE abili UNT 32 FIsto ceramici 32 SPAN als CIO ON cas nea 33 9 TorWarding a report DY esmallssaeen dos iaia 37 TO Importing data Ddse zie aerei 38 I Foubleshootine bb 40 TensioWin 3 TENSIONI 1 Introduction to TensioWin Thank you for choosing TensioMed TensioWin TensioMed devices are controlled by the TensioMed TensioWin software The measurement schedule and the blood pressure readings are loaded via infrared communication from and to the physician s PC respectively Automatic measurements can be set for up to 72 hours with frequencies ranging from 10 to 90 minutes Separate measurement frequencies can be set for the active daytime passive night time and for a third special period The measured data namely the systolic and diastolic BP value the pulse rate the date and time of the measurement will be stored in the EEPROM of the device Apart from the programmed measurements the patient may start a manual measurement e g he shows symptoms or feels sick This can be done by a simple push button operation All manually initiated measurements are stored and displayed on the software report Copyright 2011 TensioMed Ltd Budapest Hungary All rights reserved Under the copyright laws this manual cannot be reproduced in any form without prior written permission of TensioMed Ltd Every effort has been made to ensure that the i
14. ata Enter and delete laboratory data You can enter laboratory data of the patient in the Cardiovascular risk factors window At the bottom of the window you will find prepared fields for entering some of the laboratory values If you want to enter new data select the New lab data button in the laboratory data panel Fill in the fields and save data by clicking on the Save button You can select the dimension of the values to be entered e g mmol l or mg dl After saving your work the current date will be added to the panel You can review previously entered laboratory values by clicking on the Previous lab data button If you whish to delete a set of laboratory data simply find the data by using the Previous or Next lab data buttons and then click Delete All laboratory data belonging to that date will be deleted Print cardiovascular risk factors and laboratory data TensioWin r 7 TENSIONE Select the Print button on the cardiovascular risk factors window A print preview of the page will be presented with the risk factors laboratory data and the estimated risk of cardiovascular disease in the next 10 years for the patient The risk is calculated according to the equation derived from the Framingham study Anderson KM et al Cardiovascular disease risk profiles Am Heart J 1990 121 293 8 The data needed to calculate risk are date of birth sex systolic blood pressure current smoking status diabetes left ventricular
15. cial Frequency min d Length of test hour E Plan name Ok cancel E DES MED 11 Protocol setting up You can always modify the starting time of the test Once the protocol is set click on the Send button As several TensioMed products can be managed by the TensioWin software the proper type of device has to be selected when initializing data transmission In case the communication port is not known but we intend to define it then click on the search button next to the available communication ports or close the window going back to the control panel and select the Search device button on the toolbar This way we can monitor the examination of the COM ports existing on the computer Where the software finds a related device it reveals the name of the device next to the port i e COMJ3 TensioDay 3 Thereafter the selection of the required device is possible from the drop down list Warning Make sure that time is displayed on the screen before communication starts neither BLUELINK or CONNECT in case of Bluetooth communication nor IrDA or CO PC in case of infrared communication should be seen If known the number of the communication port can also be selected This action can be omitted as the software automatically detects the correct port and stores its number so it does not have to be searched for next time When selections are made click Send In case there are more devices available but only on
16. e is intended to be used of which the communication port is known TensioWin is capable of connecting only via the selected communication port This way the automatic search can be avoided and it is impossible to re program another device connected to a different port The process of download of the measurement protocol to the device can be followed on the progress bar CONNECT in case of Bluetooth communication or CO PC in case of infrared communication is displayed on the screen of the device The successful download is confirmed TENSIONIED TensioWin In case you wish to delete the previously registered devices from your list choose Tools from the menu of the Set up protocol and program device window and select delete the previously registered devices 6 Retrieve data from device If you want to transfer data from the TensioMed device into the computer select the Retrieve data from device button in the second module 23 Retrieve data from device 12 Retrieve data The pop up window for device selection appears Bl TensioMed Software Tools Please select the type of device Device type TensioDay 1 TensioDay Plus TensioDay Arteriograph24 A Communication ports COMS53 TensioDay 2 037 TD O04 Only the selected port must be active x J c EN EMED 13 Selecting the device and the communication port As several TensioMed products can
17. ew from the main menu you can hide and display certain parts of the window ensuring the larger view for evaluation This way you may reduce the apparent data for the blood pressure curve only while all the main functions are still available from the main menu These functions are available via Tools in the main menu Export The complete measurement results can be exported from here and can be evaluated later on by another software in chart form Save The measurement can be saved as a special data format in order to be portable and readable in another TensioWin Save PDF Report The report of the selected measurement can be saved in PDF format Save and send This is a complement to the previous Save function with a further option for sending e mails including the saved measurement together with the standard report Print To print the measurements It can be done either in the form of Standard report or a selection of the printable reports can be prepared as well Return to the main device menu screen It closes the present measurement and leads back to the control panel where a new measurement can be selected launched or the User can quit the program The four pages of analysis e the Study data e The graphical page of results e Page of Statistics e Conclusion page UTSENISSO CO TS TensioWin 7 1 The Study data contains the main specifications and the status of the measurement protocol in progress comple
18. gns of Figure16 are as follows Standard Measurement list Blood Pressure Curve Arterial function Curve Blood Pressure Curve Arterial function display hide Select the display parameters Select the display period Numerical display of the given measurement Pulse wave Curve Settings of the Pulse Wave Display E O ee e a Standard Measurement list 1 The measurement list helps the better coordination between the measurements of a given patient By clicking to a specific measurement a red vertical line appears on the curve showing the required measurement its numerical data 7 below and the corresponding Pulse Wave Curve 8 The reverse is also true Clicking to a specific measurement result on the blood pressure curve will change the focus of the measurement list as well and reveals the Pulse Wave Curve In case of Arteriograph24 Blood Pressure Curve 2 Graph Data 12 05 2011 10 20 13 05 2011 10 20 Graph V Standard report SBP br DBP br HR SBPao V Comment MAP Hourly averages TOS 250 isa From 12 05 2011 10 20 Until 13 05 2011 10 20 Analysis Full test Time segment SBPbr 139 DIA 66 HR 50 MAP 99 SBPao 146 EI Graph AIXbr 50 77 AMao 63 34 PWVa0 8 00 PWVSd MI Arterial function 18 Blood Pressure Curve TensioWin TENSIOMEN The graphical display of the measurement data as a function of time can be seen here The set
19. he Analysis window In case you use the function for the first time the program will offer you a TensioWin 37 TENSIONE registration window in which the colored fields must be completed because without knowing these data the e mail cannot be sent After completing the fields the software will save the file or report containing the data of the given examination automatically and it will display Microsoft Outlook or the basic corresponding program of the Windows with the completed data 10 Import database TensioWin software is capable of importing the database of a former TensioWin program so the past data will be operable via the new software Import m Type of the Database TensioWin 1 TensioWin 2 Paradox MsAccess Browse a MsAcces Database Source Source PATH C Program Files TensioMed Ltd TensioWin Data Destination C ProgramData TensioMed TensioWin data abpmacc mdb pensi MED Figure30 Database import TensioWin The process of importing a database is as follows You can import database from File menu Select the type of software you intend to import TensioWin 1 or TensioWin 2 The selected part of the window is always active i e If you intend to import from TensioWin 1 select TensioWin 1 button and click on Browse a Paradox Database giving the direction of the database The default is C Program Files TensioMed Ltd TensioWin Data To launch the process cl
20. ick on the start import button After finishing the import and noting the warning message you must restart TensioWin program TensioWin 39 TENSIONE 11 Troubleshooting Prolem Bevictetype Possible causes e Communication adapter is not TensioDay connected No communication TensioDay Plus The device is not recognized by the PC Arteriograph 24 No or low batteries in the device The device was turned off TensioDay Plus Arteriograph 24 No SBPao values are displayed Loose cuff Arrhythmia No arterial function parameters are Tremor Arteri h24 displayed DDR TensioDay No print preview TensioDay Plus No printer has been installed to the PC Arteriograph 24 TensioDay The PDF report cannot be opened TensioDay Plus Adobe Reader is not installed to the PC Arteriograph 24 TensioDay Database import cannot be completed TensioDay Plus Arteriograph 24 Not the proper database was opened or the database was damaged e Outlook is selected at the e mail TensioDay settings but it is not installed to the PC Cannot send e mail successfully TensioDay Plus e Standard e mail is selected at the e Arteriograph 24 mail settings but no mail software has been configured on the PC TENSIONISD 40 TensioWin TensioWin re TENSIONE TENSIONIED TensioWin TENSION ORIGINAL EXCELLENCE www tensiomed com
21. ioWin TENSIONE 3 2 The Structure of the TensioWin software For proper operation please choose the required operator and enter the proper password When starting the software a login dialog window appears From the drop down list any formerly registered login name can be chosen You can also choose the default login name Arteriogram below Ele View Operator Patient Devicetype Protocol Tools Information 4 Search device Import data file ArterioGraph 24 Test Start test Receive Date Time ArterioGraph 24 E 5 A 2009 11 13 20 00 00 2009 11 25 10 36 15 Increased Pulse Pressure Isolated Systolic HT Normotensive non dipper Normotensive overdipper bal Pre set plans 15 30 24h Length of test hour 24 Patent ArterioGraph 24 Test Sex ID number 5 Height Date of Birth 1942 11 22 Weight 6 male Age 70 Arm circumference female BMI 23 81 JUG SY 2 Plan setup Data transier Pater T 24 mi 24 Test gt lt Set up protocol and program device Retrieve data from device Fi TensioWin Operator TEST PHISICIAN II Patient ARTERIOGRAPH 24 TEST 3 Control panel TENSIOMA TensioWin 1 The first module shows the details of the currently selected patient and functions for adding editing deleting data and searching among patients LE t Search for search by Name ID number L Famlyname First name ID number ArterioGraph 24
22. it or delete a particular reading by double clicking on that row Selecting the checkbox the given parameters of the measurement will be inactive as temporarily being deleted In the case of Arteriograph24 there s a possibility to delete only the parameters of arterial function Delete Arterial Function parameters of the measurement TENSIONIED TensioWin Date Time 53 03 2011 1 12 39 12 59 13 19 SBP br DIA MAP PP HR 5BP aa Aix ao Aix br PPao PWV ao PWVSd Comment Comment False measurement A False measurement A False measurement A False measurement A False measurement A False measurement A False measurement A 23 Data By doing so the standard hemodynamic parameters will reveal on the blood pressure curve but the arterial function parameters will not The temporarily deleted parameters neither will be displayed on the graphs nor in the statistical analysis Double clicking again on the previously edited reading results will mean the re inclusion of that reading in the graph and statistics TensioWin Measurement 15 Time 03 03 2011 17 19 Comment Delete ABPM results of the measurement Delete Arterial Function parameters of the measurement o a a 24 Editing results 31 TENSIONI 7 3 Statistical analysis is shown on Statistics page The statistics window contains 3 pages The Statistics page gives you the summary statistics of the tes
23. ms through which all major functions are available File Import data file Interpreting a TensioWin data file previously saved by TensioWin or received by e mail Export data The data of the selected patient can be exported for further analysis Import from a database To import previously saved TensioWin database Backup database Backup database for safety purposes by selecting the destination directory for the backup file When starting the software a warning massage will pop up if there had been no backup in 30 days Exit Escape from the program View Toolbar To display or hide toolbar Status bar To display or hide status bar Button labels To display or hide the labels on the Toolbar buttons Patient details To display or hide the selected Patient s data Patient functions To display or hide the available functions of the selected Patient new edit delete Operator You can add edit or delete the operator s data here Change Operator By changing the login name it is possible to operate amongst the given patients and measurements without actually exiting the program New A new login physician can be added by clicking this menu item Edit The data of a selected physician can be edited here Delete The data of a selected physician can be deleted here Allocate patient The patients belong to other operators can be allocated to the current operator Patient By clicking on this menu item you can add edit or delete
24. nformation in this manual is accurate Succeeding models and manuals are subject to change without notice TensioMed is not responsible for printing or clerical errors TensioMed TensioWin is an unregistered trademark of TensioMed Ltd Other company and product names mentioned herein may be trademarks of their respective companies TENSIONIED TensioWin 2 Contents of the manual This manual helps you in setting up and starting to use the TensioMed TensioWin software Attention Before first use please read and understand this document carefully 3 The TensioWin software Preliminary information about TensioWin software The TensioWin Software is a Windows based software The common Windows mouse operations are to be used in the program left single click double click drag etc TensioWin software has two main components e the patient and physician database This database is similar in all TensioMed products and allows for efficient patient management at a hypertension or cardiovascular clinic for the calculation of cardiovascular risk and for printing reports e the second component is specific for TensioDay and allows the programming of the device the download and analysis of ambulatory blood pressure data Useful addresses and telephone numbers The Manufaturer of TensioWin software is TensioMed Ltd 2 e K r str Budapest H 1103 Telephone 36 1 433 1700 Fax 36 1 433 1709
25. ort which contains the measured parameters of arterial function This setting can easily be changed by clicking on Setup and in the pop up window you can select the parameters to be displayed on the default report setting Report Correlation CD Report IC All data Cardiovascular risk factors 7 Awake Standard report Asleep Arterial function Special Data Histogram All data Systolic E Awake Systolic All data Diastolic Awake Diastolic OJAI data MAP Awake MAP IC All data HR IC Awake HR ID Asleep Systolic 7 Special Systolic Asleep Diastolic C Special Diastolic Asleep MAP Specials MAP Asleep HR Special HR Graph Iq AL Comment Comment MAP MAP Hourly averages Hourly averages Comment MAP Comment MAP MAP Hourly averages MAP Hourly averages Comment Hourly averages Comment Hourly averages Comment MAP Hourly averages Comment MAP Hourly averages 26 The setting of a required report In case data was added and you selected Save the pint screen will be as follows TENSIONIED TensioWin TENSIO MED 27 Completed report After you set the required report for printing click on Preview Now the print setup window appears Nyomtat N v HP Deskjet FZ200 series llapot zemk sz Tipus HP Deskjet F2200 series Haly USBOO1 x Megjegyz s A teljes dokumentum P ld rysz m 1 O Oldalak els
26. page of the medical report Search tool Ww With use of these tools a search can be performed by page number Go to page or by a keyword Search for text TENSIOMA TensioWin Print tool amp The page can be printed with the previously determined settings Save Load tool E c The Report can also be saved in a file by clicking on Save report The SW offers the patient ID as complemented with the current date and time as the file name The destination directory of the saved file can be chosen The patient s previously saved Reports can be selected and displayed by clicking on Load Report in the Print preview dialog box Save PDF report A The page can be printed in PDF format with the previously determined settings RS The Print preview screen can be closed by using this button 9 Forwarding a report by e mail It is possible with the TensioWin software to write a patient s full data relevant to a given examination into a file from the program s data base and send it in via e mail to a certain address with the general report in pdf format or to download a similar file into your program TensioWin Please enter your name Please enter your ID number E mail address of recipient Send a copy to Your e mail address Your directory to save the sent data CA All marked fields should be completed NSO 30 E mail settings This function can be operated by clicking on the mail icon on the top of t
27. per CHD ACBG 1933 12 21 2 eros 8 Allocate Patient 4 2 Patient s data Selection of the patient You can select any patient that belongs to the formerly selected operator login name by using the patient list in the Patient details module of the main window or by using the search function above the mentioned list Hint you can search for a particular patient of the physician by using the search function You can search for names or ID numbers To search for a name check Name in the Search for field and start typing the name of the patient The search commences with partially entered names Add new patient If you want to add a new patient click New in the Patient details module or go to the Patient New menu item A pop up window appears where the patient details can be entered The setup of the database corresponds to the steps of a usual outpatient visit This allows to enter information on medical history on current complaints on examinations on laboratory data and to assess cardiovascular risk You can save data by clicking OK Comments or opinions given here are automatically added to the printed report Please note that the following colored fields have to be completed e Family name TensioWin 5 TENSIONE e First name e Date of Birth In case of TensioMed TensioDay Plus TensioMed Arteriograph24 the following data must be entered e JUG SY Jugulum Symphisis distance
28. r the blood pressure data any time during a particular ambulatory blood pressure monitoring test This may be necessary for example if you want to check the performance of the device or see the blood pressure values while the test is in progress The data transfer does not affect the set protocol and after data transfer the test will resume until the set length of the protocol is completed If you transferred data while the test was in progress i e before the full length of the test was complete this fact is shown in the Status window of the first page of the Analysis If you transfer additional data from the same test e g at the end of the monitoring these new data will be appended to the partial results transferred previously to allow complete data analysis TENSIONIED TensioWin View Graph 12 05 2011 10 20 13 05 2011 10 20 250 Gg PPP ee PAD EEEE CN VAI a MN IUUD MERC NONE i all 4 A Appennini eni mA e CE E ne v UNE T D Se aes Se LL m SBPbr 95 DIA 51 HR 44 MAP 66 SBPao 100 AlXbr 19 54 AXao 47 53 PWVao 12 00 PWVSd 14 Largest view of analysis page hiding all the possible parts TensioWin 23 TENSIONE 7 Analyzing data evaluating measurements In the third module of the main page select the required test from the list of the given patient The Analysis page can be personalized for the purpose of easier usage Selecting Vi
29. sical examination Office blood pressure fields the current date will automatically be displayed You can review previous data by using the scroll bar Only data entered with the newest date will be printed in the report Modified data can be saved by clicking on the OK button Enter and delete office blood pressure data If you want to enter new office readings to a particular patient s database select New on the Office BP panel on the Patient details window Enter the systolic and diastolic blood pressure reading and the heart rate value then click Save Entered values will be listed in the right panel with the date and time Repeat these steps with each office reading The average of the readings from the same date is automatically calculated and displayed on the bottom of the panel and can be printed as well If you want to delete previously entered office blood pressure data first select the row you want to delete by clicking on it These data will now appear on the left side of the Office BP panel Delete these data by clicking Delete Enter cardiovascular risk factors The software allows you to enter clinical data that determine cardiovascular risk and to calculate this risk Open the Patient details window of the patient to whom you want to enter cardiovascular risk factors and click on the Risk factors button This brings you to the Cardiovascular risk factors window where you can enter the data Click OK to save the d
30. t You can define which period to be analyzed active passive special and whether the full test or only a segment of it is to be considered The start and end point of the different periods can always be re defined Temporarily deleted values of Study data page are not included in the statistics The statistical summary includes e Mean e Maximum and minimum e Standard deviation e Diurnal index DI that denotes the difference in mean blood pressure between the active and passive period expressed as a percent of the mean pressure during the active period If you re define the start and end time of the active and passive period the value of DI changes accordingly e Percent time elevation PTE denotes the length of time during the test the patient s blood pressure was above the threshold limits expressed as percent of the length of the full test The calculation assumes that the change in blood pressure between two readings is linear If you re define the threshold values the PTE changes accordingly e Blood pressure load Load denotes the area under the blood pressure curve exceeding the threshold limit You can add the summary statistics of the different periods or time segments to the print list The Correlation page allows you to view the histogram of the monitoring data Similar to the previous pages you can define which period to be analyzed and whether the full test or only a time segment is to be considered You can selec
31. t the systolic diastolic mean arterial pressure or the heart rate data to be displayed The displayed histograms can be added to and removed from the print list The Histogram is a correlation plot of the systolic values as a function of the diastolic readings You can display the plot separately for e alldata e the active period e the passive period e the special period only if there was one defined To select the data and the period to be printed click on the appropriate period in the Period window TENSIONIAED TensioWin Similar to the previous page you can view the plot for either the full test period or only for a time segment of the test Clicking on Time segment at the bottom of the page allows you to define the time segment to be plotted 8 Print a report There are several options for printing the results By clicking on the print icon at the right upper corner of Analysis window or the Print button at Tools menu you can compile and print out the full report Print Standard report Standard report 25 The Print window TensioWin 33 TENSIONI Standard report The generally used report form can be set here The default setting is as follows Standard report of 2 pages a summary report together with the blood pressure curve and the corresponding statistics corresponding opinion In the case of Arteriograph24 the standard report above is completed with the arterial function rep
32. ted besides the patient s data During analysis the active and passive periods can be changed subsequently the test both for statistical analysis and for graphical review It can be necessary if the patient didn t observe the preliminary set Sleep and Awake periods Selecting the Day Night set buttons you will see as follows Day Might set Awake start Sleep start 1 03 03 2011 22 00 2 04 03 2011 06 00 2 04 03 2011 22 00 3 05 03 2011 06 00 3 05 03 2011 22 00 ok jJ ewe MEE DET MED 15 Day Night set If you change the start and endpoints of the active and or passive periods then the graphical review of the analyzed data will be based on the modified time setting The target blood pressure values can also be changed here selecting the ABPM thresholds button ABP Thresholds SBP br DIA Awake IEF 85 Sleep 120 75 pensi MED 16 Setting the thresholds TensioWin software will reveal this threshold by a continuous black line on the blood pressure curve TensioWin 25 TENSIONI 7 2 The graphical page of results displaying also the measurement results numerically 2 3 5 24 E ect PI e ren N s a A Tack TancinWin Tac 7 esi ensio 25 Tools Vi View mm Printregort J save PDF Report Save and Send ba sve EB Export L opinion eum GrapN Data
33. threshold values for the systolic and diastolic blood pressures for the active and passive periods are indicated by solid lines 10 note that you can modify at the Study data page both the threshold values as well as the start and endpoints of the active and passive periods The pill intake is indicated by a green circle on the top of the graph There are several options for the graphic display e the readings may be displayed either as individual bars or the systolic and diastolic values connected by a solid line Figure 19 20 11 e the comments typed in on the 2 page can be displayed 12 e youcan have the mean arterial pressure for each reading be displayed 13 e youcan view either the individual measurements or the hourly averages 14 e you can view either the full test period or only a time segment of it Clicking on Time segment at the bottom of the page allows you to define the time segment to be displayed 6 B 7 Standard report la sEP br DBP br M HR d SBPao v Comment 402 MAP 2 13 Hourly averages WB Alx ao PWwV a0 19 Editing of the graphical display TENSIONI TensioWin 20 Without connection 21 Connected by a solid line Arterial Function 3 The graphical display of the arterial function as a function of time can be displayed here It is all the same as for the Blood Pressure Curve that both the threshold values and the start and endpoints of the active and
34. u item or select Change Operator from the drop down list of Operator in the main menu Find the physician in the list and select it by clicking on the name and then clicking the OK button The name of the selected physician is indicated in the title row of the window Edit operator data If you want to modify or edit previously entered data go to menu Operator Edit Modifications can be saved by clicking OK Delete operator TensioWin 13 TENSIONI You can delete one or more operators at a time via the Delete operator menu item Simply select the required operator and press Delete button The action will only be performed if the password of the particular operator was given To complete operation TensioWin software has to be restarted Test Phisician II EN Sno MED 7 Delete operator Allocate Patient In case you would like to insert a Patient assigned to another Operator select Allocate patient From the pop up window you can select to allocate the required patients only if you are aware of the assigned Operator s password To complete allocation select the required Patients and press Allocate patient button TENSIONIAED TensioWin Enter your login name Test Phisician II ArterioGraph 24 Test 1942 11 22 5 Increased Pulse Pressure LVH 1932 10 26 1 Isolated Systolic HT Mon dipper 1928 01 01 3 Mormotensive non dipper WC HT 1937 02 06 4 Normotensive overdip
35. y min 3 Lp El Only the selected port must be active Special Start End Frequency min TEST MED 10 Measurement protocol Pre set plans are listed in the window The first number in the name of the pre set plan refers to the measurement frequency during the active the second number to the measurement frequency during the passive and the third number to the measurement frequency during the special period respectively i e 30 60 15 The length of the planned monitoring is indicated by the number in parenthesis 24h Even when selecting a pre set plan you can modify the length of the test the start time of the test the different periods and the measurement frequencies of the different periods Measurements can be programmed up to 72 hours with frequencies from 10 to 90 minutes If you want to use monitoring schedules different from those listed in the pre set plan window frequently select New This allows you to define new customized protocols that can be programmed quickly later When preparing a new pre set plan you can define the length of the test and the measurement frequencies for the active daytime the passive night time and for an additional special period Save the new pre set plan by clicking OK after naming the new pre set plan The details of the new pre set plan appear in the window TensioWin 19 TENSIONI New pre set plan mi im Awake Frequency min d Sleep Frequency min Spe

Download Pdf Manuals

image

Related Search

Related Contents

Descarga las instrucciones  Hauck Spirit  italy at work  BlueWalker AVR 3000/SIV  Samsung SGH-C506 User Manual  Severin PW 7010 personal scale  User Manual - Projector Central  

Copyright © All rights reserved.
DMCA: DMCA_mwitty#outlook.com.