The E-Scope® Electronic Stethoscope
Contents
1. New Recording z 5 x File Sounds View Tools Help s A S R a Hos sy 10 sec Er gt O i eel Patient Position NONE Anatomical Location NONE Y No Patient Selected Ready SoundCard Stopped 10 00 sec 8000Hz pocketMONITOR Software for PC Description The above photo illustrates a phonocardiogram displayed on a PC connected to the E Scope With individuals that have a severe hearing loss a visual display is often very useful The software called pocketWONITOR provides an excellent quality phonocardiogram while simultaneously hearing the sounds with the E Scope If the phonocardiogram has low frequency noise it can be filtered to produce an appropriate display The pocketMONITOR can Record Playback at normal or half speed Filter out noise Display heart rate Measure the length and frequency of a murmur to assist the user in differentiating between an innocent systolic murmur and the murmur of aortic stenosis Approximate the pressure gradient across the aortic valve e Measure heart rate 17 Accessories for Teaching Stethophone Cat no 718 0500 Stethophone for second listener For teaching with E Scope Description The Cardionics Stethophone can be attached to any E Scope Its purpose is for training Two listeners can hear a single patient simultaneously The sound heard by both listeners is identical 18 pocketMONITOR for PC cat no 718 8055 Spectrograph view o2. Clinical Model With Specialist Pediatric Bell Specialist Adult Bell And Specialist Adult Diaphragm Specialist Pediatric Bell Specialist Adult Bell and Specialist Adult Diaphragm supplied Description Same as general description except that the Clinical Model E Scope shown above is supplied with three Specialist heads the Specialist Pediatric Bell Specialist Adult Bell and Specialist Adult Diaphragm This E Scope is designed for professional clinical use with emphasis on pediatrics In addition to the Specialist heads this E Scope is also supplied with a pediatric diaphragm E Scope Electronic Stethoscope Clinical Model with Specialist heads Cat no 718 7740 Suggested Application Professional Clinical Use Specialist Adult Diaphragm supplied Description Same as general description except that the Clinical Model E Scope shown above will be supplied with a Specialist Diaphragm and Specialist Bell It is the same as model 718 7700 except that it includes a Specialist Bell This E Scope is designed for professional clinical use In addition to the Specialist Bell and Diaphragm this E Scope is Supplied with a pediatric diaphragm E Scope EMS Electronic Stethoscope Cat no 718 7800 E Scope EMS Electronic Stethoscope Description The E Scope EMS is designed for use in an ambulance It has aviation style headphones and a detachable stethoscope assembly Itis designed to provide maximum amplification of
3. The first and second sound is approximately 70 Hz to 120 Hz and the third heart sound is approximately 50 60 Hz Murmurs are generally in the 250 350 Hz range Therefore the hearing aid itself may be a limitation Hearing loss often occurs in the higher frequencies with lower frequencies still normal Method 1 In these cases an ear mold may be the answer This method has been quite successful The ear mold can be obtained from either Westone 1 800 525 5071 or Emtech 1 800 376 5719 It should have a large vent Then use with the E Scope Belt Model Cat No 718 7710 or 718 7750 These models are supplied with external headphones The headphones are placed over the ear mold when using the E Scope This method bypasses the hearing aid and depends entirely upon the E Scope for low frequency amplification 10 Method 2 A direct audio input cable for one ear Cardionics cat no 711 7123 for two ears cat no 711 7125 can be connected from the E Scope to the audio shoe sometimes called a boot of the hearing aid Your audiologist will provide the audio shoe The direct audio input cable DAI connects the Sounds output of the E Scope to the audio shoe that in turn snaps on to the hearing aids E Scope with DAI cable connected to audio shoe boot of a BTE hearing aid DAI cable Euro plug connectors This photo shows the 3 prong Euro plug used on DAI cables 11 Method 3 A silhouette induction coil can be connected t
4. 00 4 E Scope Hearing Impaired Model UE O e 8 BTE D e 10 E Scope Pediatric Model ee 5 E Scope with Specialist heads 6 Index H Headphones Large Encompassing c00008 12 Large ECNCOMPASSING ccccees 15 DASE W CIM op coec nce sscneranercenesowsivnccncte 14 L Learning Cardiac Auscultation CD ROM sorires 21 P pocketMONITOR Software 17 19 S Service and Repalfs ccccceesseeseeeees 22 Silhouette cord Induction coil 12 16 Software pocketMONITOR 17 Specialist 51 1 P E E 3 Diaphragm ssseeeeeessssssseeerrsssssseee 3 P diatrie Be lleensisssrsonounace 3 SEMONO NC seroso enire 18 T Teaching STETHOP NONE ssssrecis nai 18 Teaching with E Scope cccccc 18 23
5. breath sounds and heart sounds with superior insulation from outside noise The E Scope EMS defaults to the breath sound mode for convenience of the paramedic The E Scope EMS is supplied with a Specialist Diaphragm but Specialist Bell or Specialist Pediatric bell can be added E Scope Electronic Stethoscope Hearing Impaired Model for ITE type hearing aids Cat no 718 7710 and 718 7750 Suggested Application With ITE in the ear type hearing aid I Specialist Adult Diaphragm Supplied on model 718 7710 and 718 7750 Specialist Adult Bell supplied on Model 718 7750 only Description The E Scope Electronic Stethoscopes cat no 718 7750 or 718 7710 are designed for individuals with in the ear ITE type hearing aids The dB level of the E Scope is 130 dB SPL This is approximately 30 times louder than a normal acoustic stethoscope The normal stethoscope earpieces have been removed and replaced with an external set of low frequency headphones These headphones are placed over the ears without removing the hearing aid Amplification is supplied by both the hearing aid as well as the E Scope This has worked well for the vast majority of hearing aid users These headphones are intended for use with ITE type hearing aids Each set of headphones are tested for low frequencies and serialized If using a half shell type hearing aid we can supply these headphones with special leatherette covers that keep the headphone from t
6. andard Diaphragm over the 20 to 200 Hz frequency range Specialist is a trademark for a series of chest pieces machined from high grade stainless steel Specialist Pediatric Bell The Specialist Pediatric Bell output has on average about 60 higher than the standard pediatric bell over a 50 to 200 Hz frequency range for both heart and breath sound filter settings Warranty One year parts and labor Below is a photo and description of each model E Scope supplied by Cardionics The description will be the same as above except when indicated E Scope Electronic Stethoscope Clinical Model Cat no 718 7700 Suggested Application Professional Clinical Use E Scope Electronic Stethoscope Clinical Model Specialist Adult Diaphragm supplied Description Same as general description except that the Professional Model E Scope shown above will be supplied with a Specialist Diaphragm as a standard item effective April 15 2005 This E Scope is designed for professional clinical use In addition to the Specialist Diaphragm this E Scope is supplied with a pediatric diaphragm as well as three sizes of plastic bells adult pediatric and infant w E Scope head with E Scope head with Specialist Adult Bell Specialist Adult Diaphragm E Scope Electronic Stethoscope Pediatric Model Cat no 718 7745 Suggested Application Professional Clinical Use in Pediatrics and Adult patients E Scope Electronic Stethoscope
7. f the murmur Note the narrow band excitation corresponding to the 0 x Patient F nding Anatomical Locate tic area y w Average spectrum is calculated for better spectral estimate of the murmur e The duration of the spectral intensities above 250 Hz is measured by the vertical calipers and in this case is reported to be 227 msec e The peak frequency excluding the mechanical vibration of the valve can o be seen to be about 400 Hz Description Cardiac murmur arising from a stiffened aortic valve The user identifies the first instance while the software identifies all the other The pocketMONITOR is a software program that can be installed on any PC It provides a display of the heart or breath sounds 19 pocketMONITOR can display record and playback heart breath or bowel sounds and full or half speed It will also approximate the pressure gradient across the aortic valve pocketMONITOR has a built in library of sounds permitting the user to listen to prerecorded real patient heart sounds One of the unique characteristics of pocketMONITOR is its ability to measure the frequency and duration of any murmur a feature that is very helpful is differentiating an innocent murmur from one that is pathologic This helps the user distinguish between an innocent systolic murmur and the murmur of aortic stenosis pocket MONITOR can also assist the user identification of HCM hypertrophic cardiomyopa
8. ionics Inc Webster Texas 7 598 Summary of Use E Scope Electronic Stethoscope Accessories a 718 T7140 E Scope oo E Scope with Specialist Pediatric Bell Dida al el E Scope headphones With ITE 718 7710 Hearing Impaired None hearing aid 718 7750 E Scope with headphones With BTE 718 7712 Hearing Impaired DAI or hearing aid E Scope without Silhouette headphones but Cables with Specialist heads With Implant 718 7712 Hearing Impaired Speech processor None Cochlear or Baja E Scope without Cable set Call for headphones but information with Specialist heads Special Use 718 7712 Hearing Impaired Ear buds 13 with ear buds E Scope without headphones but with Specialist heads Ambulance EMS 718 7800 E Scope EMS with None 7 use aviation style headphones Supplied with Specialist Adult Diaphragm Supplied with Specialist Adult Bell amp Specialist Adult Diaphragm ek Supplied with Specialist Pediatric Bell Specialist Adult Bell amp Specialist Adult Diaphragm Description Common to all E Scope Models Features and Benefits Cardionics supplies three basic types of E Scopes E Scope Clinical Model E Scope Hearing Impaired Model and the E Scope EMS Various accessories are added to adapt these E Scopes to different procedures and applications Slim line design The E Scope is a slim line design that easily wraps around the neck when not in use It is lighter than an acoustic
9. o the E Scope for one or both ears The silhouette has worked well in many situations with BTE hearing aids For one ear use cat no 711 7133 and for two ears Cat no 711 7135 This is a small flat plastic device that loops behind the ear between the BTE and the head and is worn only when using the stethoscope Turn the BTE to the Telecoil position when using the silhouette cord induction coil Silhouette cord for use with a BTE hearing aid Fits between BTE and head Connects to E Scope Method 4 The Cardionics large headphones Cardionics cat no 718 0408 cover the entire ear and the BTE hearing aid These have worked well in many cases These headphones fold up for ease of carrying They are somewhat bulky when not in use which is their major drawback i Cardionics large headphones cat no 718 0408 As in all cases where hearing loss is involved the audiologist can advise you as to the best solution for your situation If they are unfamiliar with electronic stethoscopes please have them call Cardionics and I ll put them in touch with an audiologist that is very familiar with the E Scope 12 Special use items Low Frequency Ear Buds Cat no 718 0430 Single ear bud Cat no 718 0425 Two ear buds Description The Ear Buds can be attached to any E Scope They have been tested and meet all existing specifications for low frequency sound reproduction They have been used in oral surgery by taping the
10. ompletely encompass the ears They can be used with ITE or BTE type hearing aids 15 Accessories for BTE hearing aids Direct audio input cable Cat no 711 7123 amp 711 7125 Description For use with BTE hearing aids A direct audio input cable for one ear Cardionics cat no 711 7123 for two ears cat no 711 7125 can be connected from the E Scope to the audio shoe sometimes called a boot of the hearing aid Your audiologist will provide the audio shoe The direct audio input cable DAT connects the Sounds output of the E Scope to the audio shoe that in turn snaps on to the hearing aids E Scope with DAI cable connected to audio shoe boot of a BTE hearing aid Silhouette Cord Induction coil Cat no 711 7133 single ear Cat no 711 7135 two ears Description A silhouette induction coil can be connected the E Scope for one or both ears The silhouette has worked well in many situations with BTE hearing aids For one ear use Cat no 711 7133 and for two ears Cat no 711 7135 This is a small flat plastic device that loops behind the ear between the BTE and the head and is worn only when using the stethoscope Turn the BTE to the Telecoil position when using the silhouette cord Silhouette cord for use with a BTE hearing aid Fits between BTE and head Connects to E Scope 16 Accessories for BTE hearing aids continued pocketMONITOR Software for PC Cat No 717 8055 PC Monitor
11. ouching the half shell hearing aid Both of the above stethoscopes can be attached to a belt or lab coat with a removable belt clip The two models shown above cat no 718 7710 and 718 7750 differ only in that cat no 718 7750 is supplied with an Adult Specialist Bell and Adult Specialist Diaphragm while cat no 718 7710 is supplied with a Specialist Adult Diaphragm only The Specialist head are machined from high grade stainless steel They provide a superior sound quality and have a heavier feel and less likelihood of outside noise IMPORTANT NOTE Hearing deficiencies vary considerably from person to person Your audiologist is the best source of information on your particular hearing problem You should consult with your audiologist if you have any specific questions about the use of your hearing aid with the E Scope Electronic Stethoscope or any similar device E Scope Electronic Stethoscope for BTE type Hearing Aids Cat no 718 7712 Suggested Application With a BTE behind the ear type hearing aid E Scope cat no 718 7712 with Specialist Bell and Specialist Diaphragm Description The E Scope Electronic Stethoscopes cat no 718 7712 is designed for individuals with behind the ear BTE type hearing aids It is used with one of the accessories mentioned below Hearing aids are designed for speech and generally have a low frequency in the 250 Hz range Heart sounds however have a much lower frequency 20 Hz to 650 Hz
12. stethoscope Fingertip Control All the controls for volume and heart sound or breath sound filters are on the head of the stethoscope making it easy for the user to set the volume or filter Volume control On the stethoscope head there is a and symbol that allows the user to increase or decrease the sound level Filter control A frequency switch for heart sounds 45 900 Hz and breath sounds 50 2000 Hz This allows the listener to concentrate on a particular sound Automatic shut off The E Scope shuts off automatically at or about two minutes Cardionics also has models with 8 30 and 60 minute shut off timers available upon request at no additional charge at the time of order Automatic volume restart The E Scope remembers the last volume setting so that when it is turned on the volume will be set to the previous volume Off the Shelf Battery The E Scope uses a standard off the shelf AAA battery that operates the E Scope for 4 5 months assuming usage at 30 times per day 6 days per week Replacement batteries are available at any supermarket or drug store Extra ear tips The E Scope is supplied with two additional types of ear tips so the user can select the most comfortable soft rubber hard plastic or mushroom type Ability to change heads Most electronic stethoscopes have a fixed diaphragm with an electronic switch to change to a bell Most physicians however prefer a physical bell as is found on a standard aco
13. stethoscope head to the patient s chest Then the ear bud is placed in an ear mold fitted to the oral surgeon so listening can be done during surgery E Scope with Ear Buds Supplied with one or two ear buds Ear Bud only for one ear cat no 718 0430 Ear Bud only for two ears cat no 718 0425 13 Accessories for ITE hearing aids Low Frequency headphones Catalog No 718 0405 with bridge over head Catalog No 718 0415 with bridge behind the head a Low frequency headphones Active Style Headphones Cat No 718 0405 Cat no 718 0415 Description Cardionics supplies two types of lightweight low frequency headphones The headphones shown above right are supplied as standard with the E Scope Hearing Impaired Models cat no 718 7710 and 718 7750 They can be ordered separately under catalog no 718 0405 or 718 0415 These headphones are tested for low frequency They are serialized and the test data kept on record These headphones are placed on the ears They do not encompass the entire ear but sit on the outside of the ear If using a half shell type hearing aid we can supply the above headphones with special leatherette covers that keep the headphone from touching the half shell hearing aid and thereby reducing any feedback 14 Headphones Large Encompassing Catalog No 718 0408 Description These headphones can be used with cat no 718 7710 or 718 7750 Hearing Impaired Model E Scopes They c
14. thy pocketMONITOR allows the user to quickly identify and compare the sound under study with a large installed database of heart sounds and murmurs 20 Learning Cardiac Auscultation CD ROM with quiz lol xi File view Control Help Physiological Splitting of Second Sound A2 P2 1 Inspiration Expiration 73 BPM Master Volume Control Physiological Splitting of Second Sound Mute E S1 First Heart Sound Play E Second Heart Sound Split Present Labels Off Split Absent Compare E Breath Sound Description This CD ROM presents all common heart sounds and murmurs as well as their variations It is possible to alter the volume of any part of a sound For example in listening to the murmurs of mitral stenosis the middiastolic murmur can be played while muting the presystolic murmur for teaching purposes In the above example Physiological Splitting of the Second Sound is seen and heard Breath sounds are added so as to heart the effects of respiration on the splitting Heart rates of each sound are displayed 21 Sales Service and Technical Information All E Scope products are warranted for one year for any defects in manufacturing Please see the warranty statement in the E Scope Operator s Manual Service or Repairs Under warranty Cardionics will endeavor to repair any Cardionics product in a minimum of time at reasonable cost If your E Scope is under warranty and the problem one of a manufac
15. turing defect there will be no charge for the repair However there will be a 12 00 shipping and handling charge This charge will be made on your credit card Out of warranty Most E Scope repair charges for out of warranty repairs range between 25 and 50 00 plus shipping and handling charge of 12 00 Cardionics will call you with an estimate prior to making any out of warranty repair Shipping charges The customer is responsible for shipping the products to Cardionics We recommend UPS FedEx or insured US Mail Cardionics cannot issue a pick up order Exchange price If you order an E Scope it may be exchanged for another model within 90 days of purchase There will be a 25 00 handling charge for an exchange This is due to reprocessing and retesting and administrative work in serial number identification recording Trial Unit If an E Scope is ordered and returned within 30 days for any reason there will be a 25 00 restocking charge for reprocessing and retesting plus the outgoing freight charges Technical Support Cardionics will supply unlimited technical support 22 A Accessories Is ea E E E E E 16 DTT E A A 14 C CD ROM Learning Cardiac Auscultation 21 D DAI Direct Audio Input Cables 16 DAI cables Direct Audio Input eee 1 Dever ul 014 h eeerereere tener re renee rte eer ene worr rere 2 E Par DUUS eee 13 E scope EMS ossessioni 7 E Scope Clinical Model
16. ustic stethoscope A real bell allows the physician to listen to lower frequencies in a manner in which he she is most accustomed A bell is used to listen to the lower frequencies and has no diaphragm touching the skin By pressing the bell on the skin it can be stretched forming a natural diaphragm Selection of diaphragms and bells The E Scope is supplied with an adult and pediatric diaphragm as well as three sizes of bells adult pediatric and infant E Scope Electronic Stethoscope General Description Features and Benefits Continued Less amplification of room noise The design of the E Scope significantly reduces the amplification of unwanted outside room noise when used in the heart sound setting When used in the lung sound setting there is a little more noise introduced due to the wider frequency band Maximum Amplitude For the E Scope IJ the maximum amplitude or sound pressure level output without distortion is 120 dB at 100 Hz This is about 30 times louder than an acoustic stethoscope Operator s Manual and Instructional CD ROM A complete Operator s Manual as well as an informal instructional CD ROM is included with each E Scope Specialist Bell and Diaphragm Cardionics supplies a Specialist Adult Diaphragm as standard on all E Scopes An optional Specialist Adult Bell and Specialist Pediatric Bell are available The performance of the Specialist Adult Diaphragm has a 3 dB or 50 higher output than the st
17. vee Cardionics leaders in auscultation The E Scope Electronic Stethoscope Catalog of Products Cardionics Inc 910 Bay Star Blvd Webster Texas 77598 USA Telephone 281 488 5901 Toll free USA amp Canada 1 800 364 5901 Web www cardionics com Email keith cardionics com Contents Description Page No UMNO NAIL ea E ve audicccesa raed nea E 1 E Sscope Product description as session ssaeceansractonssevsucasiacedenssevncsaaseacionssees 2 E Scope for General Clinical Use ccc cece cece cece n eee seeren 4 EMS use in Ambulance NeW cccccccsscccssccscccscccccsccsscccssccssscceecs 7 In the ear ITE hearing aids cccccccccccccecceseeeesssessesseeeeeeeeeeeeees 8 Behind the ear BTE hearing aid ccc cece ccc eeeeeeeeees 10 FSSC OMe SOL Special USE iz sat ise osaraneseehtaceioresasasatdiaes eiA a aN R 13 Accessories Tor ITE bheann AlGissssctasctas seexvewcdecessuaeeiesaecetes 14 Accessories for BTE hearing aids ccccceeeeeeeene eee eees 16 Accessories for T CACIING vuivscaiesessnacacinercedaareedensiunadcamesaysedaraes lO pocketMonitor Software MeW cssssccccccccccsssccccccccccscces 19 Service or technical information cc cece cccccececccecececees 21 MO cases eran ces cs ee seis os se ss ee oe se a eee 22 E Scope is a registered trademark of Cardionics Inc Webster Texas 77598 Specialist amp Pocket Monitor are trademarks of Card
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