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NC-stat® DPNCheck™ Communicator Software Manual

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1. Archive Report Datastore Backup Normal Limits Interpretation Notes Physicians Technicians 5 10 2012 12 19 M Jones e Archive allows you to modify the timeframe for tests that will display in the Archive list located on the left side of the screen Users can select one of the following Last 10 Days Last 30 Days Date Range and All Available 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 19 Communicator Software Manual Wresk Communicator Settings Show following test dates gt Last 10 Days D Last 30 Days This Date Range From To All available Report allows you to customize the format for printed sural nerve conduction study reports Users can select the date and time format and language Users can select option to show Severity Scale on the report Also shows the default physician profile of the document header e g clinician name practice name address as shown in the sample below Note This information may also be entered or modified in the Report tab of a particular study i Bee meget Settings ae Measurement units US Metric Show Severity Scale l Yes No Date Format 3 4 2010 Time Format 03 30 55 Select language English United States Document Header Physician Name John Smith M D Practice Name Main Street Primary Care Address I 100 Main Street Address2 Suite A Address3 Any Town MA 98765 In
2. 70 210 pe a http portall 120 communicator By Patient Name By Patient Id By Physician By Practice By Date Range All Studies 9 10 2012 11 20 Stevens 5 10 2012 11 08 C Adams e By Patient Name allows you to review the studies by a patient s name i e Smith John e By Patient ID allows you to review the studies by a patient s ID number e By Physician allows you to review studies by physician name e By Practice allows you to review studies by practice name e By Date Range allows you to review studies within a specific date range e All Studies allows you to review a list of all studies 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 18 Communicator Software Manual Settings Menu NC stat DPNCheck Communicator File Studies Help Archive Patient Report Report Gender Female Male Unknown EN Datastore Backup FirstName ark LastName Jones Normal Limits Subject ID 123456667 Interpretation Notes Physicians Birth Date 1 1 1960 f Technicians s Age 52 5 10 2012 12119 M Jones 5 10 2012 11 P0 R Stevens Heightlinches ag 5 10 2012 11 08 C Adams 3 10 2012 10 32 T Trent Weight pounds 210 A27 2012 09 51 I Doe 4 27 2012 09 59 K Hancock 4327 2012 09 49 I Johnson 22 29 2012 13 14 6 Quinn 2229 2012 11 42 Fe http portal1 120 communicator
3. Technician 4 27 2012 09 57 01 Jane Washington M D Main Street Primary Care 100 Main Street Any Town MA 98765 OG Tim Shaw Severity Amplitude CV Normal Normal Normal Mild Normal Abnormal Moderate Abnormal Normal or Abnormal Severe Undetectable Left Leg i Amplitude uV 39 Conduction Velocity m s 59 Interpretation l Normal Mild DPN Moderate DPN Severe DPN Other Notes This is normal nerve conduction study senerate Report hitp portall 120 communicator 02013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 30 Communicator Software Manual Shown without Severity Scale 4 27 2012 09 57 01 Physician Jane Washington M D Practice Main Street Primary Care Address 100 Main Street City State Zip Any Town MA 98765 Test Purpose Technician Tim Shaw Left Leg Amplitude uV 39 Conduction Velocity m s 59 Interpretation l Normal Mild DPN Moderate DPN Severe DPN Other This is normal nerve conduction study Print Datasheet Save Changes Archive 2 http portall 120 communicator Save Changes is a button located at the bottom of the screen in the middle Users should select this button whenever changes have been made NC stat DPNCheck Communicator File Studies Settings Help 2 Queue Repor 10 24 2012 17 55 M Jones inii Date 10 24 2012 05 55 26 Today 11 25 2012 Physician Jane Washington
4. Organize New folder z Faite Mame Date modified Desktop di backups 6 19 2012 10 41 PM File folder mi Downloads di datastore 2 7 2012 12 01 PM File folder El Recent Places di downloads 2 7 2012 12 01 PM File folder m pqueue 9 14 201212 25 PM File folder Libraries di wip 2 7 2012 12 01 PM File folder E5 Documents DPNCheckCommunicatorNotes xml 9 14 2012 2 02 PM XML Document al Music phyprofiles xml 9 14 2012 10 17 AM XML Document E Pictures SLCommunicatorStng xml 9 14 201212 23 PM XML Document z Videos technicians xml 9 14 201210 18 AM XML Document JE Computer amp Local Disk C ah Recycle Bin Cakewalk Projects a Config Msi File name 3 5 Defining Normal Limits Users can define normal limits for amplitude and conduction velocity within the Communicator software When these are defined any amplitude or conduction velocity result that is below the lower limit of normal will be flagged with an on the Report tab and on the report To define normal limits select Settings then Normal Limits 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 47 Communicator Software Manual Normal Limits Definition i Optional normal limits for NC stat DPNCheck are described in the following monographs Version 1 5 and earlier of software Version 2 0 and later of software Use normal limits described in monographs Do not use normal limits described in monographs
5. Windows Removable Disk E 1 Filename 593762 export file txt Save as type bet files txt 7 Hide Folders 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 51 Communicator Software Manual 3 7 Exporting a Series of Studies Results to Spreadsheet or Database Files To export a series of nerve conduction results to a spreadsheet or database select Studies from the main menu Next select the desired criteria Then click Export List Patients Tested From Date 4 30 2012 To Date eal il Count 6 Name Gender Age CV L Amplitude L CV R Amplitude R Interpretat ES a aa a 593762 EE Richard 5 10 2012 MildDPN 53854 Jones Mary 9 10 2012 Female 83 610 70 Normal 8352 Stevens Robert 5 10 2012 Male 48 0 4 0 Normal 92354 Adams Catherine 5 10 2012 Female I Normal 74834 Trent Thomas 5 10 2012 Male 19 MildDPN Date 9 14 2012 Patient Doe John ID 23453 Gender Male Age 52 Physcian Jane Washington M D Practice Main Street Primary Care Left Right Amplitude 8 0 CV 66 0 Print Datasheet Next choose the file destination and name the file and click Save The data will be saved in a csv file format 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 52 Communicator Software Manual 3 8 Uploading Data via the Internet To upload data follow the steps below Note An Internet connection is required 1 Select the study to
6. Communicator iim eo pa File Studies Settings Help Archive Normal Limits Interpretation Notes Physicians Technicians 5 10 2012 12 19 M Jones 9 10 2012 11 20 R Stevens 5 10 2012 11 08 C Adams S 10 2012 10 32 T Trent Next click on the Advanced button on the Datastore tab 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 49 Communicator Software Manual DPNCheck Communicator Settings Folder Locations Private Folder CADPNCheck Share Folder Share records j Note Must enter the share folder location Share Normal Limits Definition No before selecting a Yes option Share reports Share notes collection Share list of physician profiles Share list of technicians Advanced Within Advanced Settings select the EMR Export Format and the Server Location for the EMR system When finished click OK The Communicator is now configured to export reports to your EMR system Lock Cursors Yes No Track Test Imports Yes No EMR Export Format XML HL7 Server Location https hub neurometrix com Communicator 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 50 Communicator Software Manual To export a report to the EMR system click on the Export Record button File Studies Settings Help Queue 4 Archive t Date 10 24 2012 05 55 26 Today 11 25 2012 EE a November excluding today Physician Jane Washington M D
7. Format XML HL7 Server Location https hub neurometrix com Communicator 4 Select Ok 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H
8. Items as that term is defined at 48 C F R 2 101 consisting of Commercial Computer Software and Commercial Computer Software Documentation as such terms are used in 48 C F R 12 212 or 48 C F R 227 7202 as applicable Consistent with 48 C F R 12 212 or 48 C F R 227 7202 1 through 227 7202 4 as applicable the Commercial Computer Software and Commercial Computer Software Documentation are being licensed to U S Government end users a only as Commercial items and b with only those rights as are granted to all other end users pursuant to the terms and conditions herein Unpublished rights reserved under the copyright laws of the United States 11 Complete Agreement Governing Language This Agreement constitutes the entire agreement between the parties with respect to the use of the Software licensed hereunder and supersedes all prior or contemporaneous understandings regarding such subject matter No amendment to or modification of this Agreement will be binding unless in writing and signed by Licensor 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 60 Communicator Software Manual 4 5 NeuroMetrix Inc Information Privacy and Security Statement NeuroMetrix s goal is to provide physicians with immediate and cost effective information which will aid in the diagnosis of common neuromuscular conditions To this goal NeuroMetrix customers may transmit patient information and diagnostic results to
9. Refers to a time period in which backup files are kept within the system Waveforms Noun Refers to the shape and form of an electrical signal Sensory Nerve Action Potential SNAP is what the NC stat DPNCheck device measures and displays for each patient test imported into the software 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H Communicator Software Manual 1 2 Communicator Operation The Communicator software for the NC stat DPNCheck device allows you to store and print reports of the patient data collected using the device With this software you can e Store NC stat DPNCheck data and print patient reports e Review the physiologic signals recorded by the device e Add patient information and physician interpretation to the report e Store data locally on your computer e Print data sheets to provide patients with results and specific instructions e Export reports directly to EMR systems e Export study data to spreadsheets or other databases e Receive software and device updates for your NC stat DPNCheck internet connection required 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H Communicator Software Manual CHAPTER TWO Communicator Installation 2 1 PC Requirements The following information outlines the equipment users must have before the Communicator software can be installed For more information please contact Customer Service at 1 888 786 7287 An existing Microsoft PC can be used
10. Rev H 13 Communicator Software Manual 2 Download the update Downloading file 1 of 1 3 The update will install automatically b x Please wait while Setup configures the components This might take several minutes 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 14 Communicator Software Manual CHAPTER THREE Using the Communicator 3 1 General Overview General use of the Communicator for data transfer review and report generation follows the following basic steps 1 Performa test ona patient 2 Open Communicator software on the PC The software must be running first before connecting the device to the PC Connect device to the PC with the USB cable provided with the device Data transfer takes a few seconds Enter Patient ID and limb data will appear in the Queue list If a second test is needed for the patient disconnect USB perform the test and follow steps 1 4 again Review the patient data enter any desired patient practice and interpretation information Send the study to the Archive list and Generate a Report Print a Datasheet for patients optional S es Fe Ss oe Export report to EMR system optional Note The NC stat DPNCheck device stores one test at a time If you perform multiple tests for a single patient transfer your data to Communicator after each test At import you are only asked to input the patient ID All other information may be input at your c
11. Weight pounds 4 27 2012 09 57 J Doe 4 27 2012 09 55 K Hancock 4 27 2012 09 49 J Johnson 2 29 2012 13 14 S Quinn 2 29 2012 11 42 G Harris Height inches 70 210 Review Response f oo http portall 120 communicator 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 54 Communicator Software Manual 3 9 Downloading amp Installing Software Updates The Communicator will automatically check for device or Communicator updates once each day that a test is imported from the device providing that the Communicator is connected to the Internet Users may also manually check for Communicator and device updates by selecting Updates under the File menu Please note that the device must be connected to the Communicator and powered on when checking for and installing device updates If a device is not connected to the Communicator when selecting Updates it will search for Communicator updates only NC stat DPNCheck Communicator HA NT le EE am i _ BE ex File Studies Settings Help Backup Patient Waveforms Restore Gender Female l Male Unknown Updat Xda ee FirstName Mark 1 MacDoanld Last Name Jones 0 H rurTsrEv yes James 10 19 2012 16 00 M Ford 10 19 2012 15 42 J Doe Birth Date 1 1 1960 9 14 2012 12 22 I Doe 5 10 2012 12 34 R Sawyer Age 52 5 10 2012 12 19 M Jones 5 10 2012 11 20 R Stevens Height inches 5 10 2012 11 08 C Adams 5 10
12. and would require a device update Check for new updates and if there are none then contact Customer Service at 888 786 7287 You are able to move patient studies from the Queue to the Archive by selecting the study in the Studies List and select the Archive button at the bottom right of the screen No Patient Studies can only be combined when a new test is located in the Queue You can combine tests in the Queue or Archive by importing a new test and entering the same Patient ID from Archive 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 63 Communicator Software Manual B Life Time Error I received a life time You are unable to import duplicate patient tests If you test error message received this message it means you have already imported which says the upload the patient test that is stored on the device Look for the of my test failed patient test in the Queue or Archive You should also unplug the device from the PC perform a new test and import the next test Saving a Test The test imported Unplug the device and plug back into the PC to trigger from the device was importing it again never saved and need to import it again If you continue to experience technical issues please call NeuroMetrix Customer Service at 888 786 7287 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 64 Communicator Software Manual Appendix B Task Modes The box lo
13. be submitted from the Queue or Archive File Studie Queue Patient Report 4 Archive Today 11 25 2012 November excluding today Prior Months 10 24 2012 17 55 M Jones 10 24 2012 13 53 M MacDoanld 10 24 2012 13 01 D H f 10 19 2012 16 01 B James Subject ID 123456667 10 19 2012 16 00 M Ford 10 19 2012 15 42 J Doe Birth Date 1 1 1960 9 14 2012 12 22 I Doe 5 10 2012 12 34 R Sawyer Age 52 5 10 2012 12 19 M Jones 57 10 2012 11 20 R Stevens Heightlinches 5 10 2012 11 08 C Adams 5 10 2012 10 32 T Trent Weight pounds 4 27 2012 09 57 I Doe 4 27 2012 09 55 K Hancock 4 27 2012 09 49 J Johnson 2 29 2012 13 14 5 Quinn 2 29 2012 11 42 G Harris Gender Female Male Unknown First Name Mark LastName jones 70 210 Fa http portall 120 communicator 2 Right click the study and select Submit for Review 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 53 Communicator Software Manual ee en File Studies Settings Help Queue Patient Waveforms Report 4 Archive po Today 11 25 2012 Gender Female Male Unknown November excluding today A ior inik First Name Mark 10 24 2012 17 55 M J 10 24 2012 13 53 M Submit for Review Last Name Jones 10 24 2012 13 01 DH 10 19 2012 16 01 B James Subject ID 123456667 10 19 2012 16 00 M Ford 10 19 2012 15 42 J Doe Birth Date 1 1 1960 fis 9 14 2012 12 22 J Doe re 5 10 201
14. button located at the bottom right side of the screen Users should select this when the study is complete in the Queue and they would like to save the patient study in the Archive nome i ae ne File Studies Settings Help 4 Queue Repor 10 24 2012 17 55 M Jones Date 10 24 2012 05 55 26 4 Archive grr 11 25 2012 Physician Jane Washington M D November excluding today Practice Main Street Primary Care Prior Months 2 10 24 2012 13 53 M MacDoanld Address 101 Main Street 10 24 2012 13 01 D H City State Zip Any Town MA 98765 10 19 2012 16 01 B James Test Purpose 10 19 2012 16 00 M Ford 10 19 2012 15 42 Doe 9 14 2012 12 22 J Doe Severity Amplitude CV 5 10 2012 12 34 R Sawyer Normal Normal Normal 5 10 2012 12 19 M Jones Mild Normal Abnormal 3 10 2012 11 20 R Stevens Moderate Abnormal Normal or Abnormal 5 10 2012 11 08 C Adams Severe Undetectable 5 10 2012 10 32 T Trent 4 27 2012 09 57 J Doe l Right Leg 4 27 2012 09 55 K Hancock Amplitude uV 4 427 2012 09 49 J Johnson Conduction Velocity m s 61 2 29 2012 13 14 5 Quinn 2 29 2012 11 42 G Harris Technician Tim Shaw bes Interpretation Normal Mild DPN Moderate DPN Severe DPN Other Nerve conduction data is consistent with moderate neuropathy Save Changes Generate Report I http portall 1 Wy communicator 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 33 Communicator Software Manual 3 3 Data T
15. consistent with mild neuropathy Note The arrows located in the Interpretation Note Library allows users to change the order of the notes by moving up or down 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 41 Communicator Software Manual Removing Interpretation Notes 1 Select the note to be deleted then select Remove Create and edit the interp retation note library To create a new interpretation note select Mew enter the note in the Text box and then press Ok To edit an existing interpretation note 54lect the note in the Library and edit the Text box then select Ok To delete an existing interpretation p te select the note in the Library and select Remove E New interpretation note Note Nerve condcution data is consistent with severe neuropathy This is normal nerve conduction study Nerve conduction data 15 consistent with mild neuropathy Nerve condcution data 15 consistent with severe neuropathy 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 42 Communicator Software Manual 2 Select Save Changes Create and edit the interp To create a new interpretation note select New enter the note in the Text box and then press Ok To edit an existing interpretation note select the note in the Library and edit the Text box then select Ok To delete an existing interpretation note select the note in the Library and select Remove E New interpretation note N
16. different folder enter it below or click Browse Folder C Program Filez Meurometnxs NC stat OPN Check Communicator Ts J io Meurometrix NC stat DPHCheck Communicator Confirm Installation The installer iz ready to install Meurometns NC ztat DPNCheck Communicator on your computer Click Hest to start the installation 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 10 Communicator Software Manual A progress screen will appear to update the status of the install i Neurometrix NC stat DPNCheck Communicator Installing Neurometrix NC stat DPNCheck Communicator Meurometrs NC stat DPN Check Communicator 1 being installed Please wait dd 7 The Driver Install screen will appear Select Install i Meurometrix NC stat DPNC heck Communicator Installing Neurometrix NC stat DPNCheck Communicator Neurometric Neuromebrix NC stat DPN Check Communicator Drivers Driver version 6 3 Cancel 02013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 11 Communicator Software Manual 8 Choose whether you want to use normal limits described in the respective monographs then select Continue Heurometrix NC stat DPNCheck Communicator Installing Neurometrix NC stat DPNCheck Com We eee Sia Optional normal limits for NC stat DPNCheck are described in the following monographs Version 1 5 and earlier of software Version 2 0 and later of software Neuro
17. the Communicator software file locations at any time You may also set the software to perform automatic back ups see Settings section e Restore allows you to restore both the test data Queue Archive and Reports Configuration settings Archive Datastore Advanced and Backup can also be restored from the last backup taken Note If a new test is imported and Restore is selected you will not lose a test that has been imported e Updates brings you to the Updater page which allows you to check for any updates available for the Communicator or the NC stat DPNCheck device e Exit allows you to terminate your current session and close the software 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 17 Communicator Software Manual Studies Menu vennen ammen ame ee ne File Settings Help By Patient Name Patient Report By Patient Id EEI Gender Female Male Unknown By Practice FirstName ark By Date Range All Studies 10 19 2012 16 01 B James 10 19 2012 16 00 M Ford 10 19 2012 15 42 J Doe Birth Date 1 1 1960 9 14 2012 12 22 I Doe i 5 10 2012 12 34 R Sawyer Age 52 5 10 2012 12 19 M Jones 5 10 2012 11 20 R Stevens H eightlinch es 10 2012 11 08 C Adams h 10 2012 10 32 T Trent Weight pounds 7 2012 09 57 J Doe 2 7 2012 09 55 K Hancock M27 2012 09 49 J Johnson 29 2012 13 14 Quinn 29 2012 11 42 G Harris LastName Jones Subject ID 123456667
18. the Studies menu euge O 14 2012 12 22 ID 23453 Archive Today 9 14 2012 September excluding today 4 Prior Months 5 10 2012 12 34 R Sawyer 5 10 2012 12 19 M Jones 5 10 2012 11 20 R Stevens 5 10 2012 11 08 C Adams 5 10 2012 10 32 T Trent 4 27 2012 09 57 Lincoln 4 27 2012 09 55 K Hancock A 27 2012 09 49 J Johnson 2 29 2012 13 14 5 Quinn 2 29 2012 11 42 G Harris Idle 02013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 27 Communicator Software Manual Tests are moved from the Queue to the Archive once they have been reviewed interpreted and saved This action is completed by selecting the Archive button located at the bottom right corner of the screen You can set this window to display all studies or only recent studies see section above on Settings Menu NC stat DPNCheck Communicat a i File Studies Settings Help 4 Queue 9 14 2012 12 22 ID 23453 Archive Today 9 14 2012 September excluding today 4 Prior Months 5 10 2012 12 34 R Sawyer 9 10 2012 12 19 M Jones 5 10 2012 11 20 Stevens 5 10 2012 11 08 C Adams 5 10 2012 10 32 T Trent A 27 2012 09 57 A Lincoln 4 27 2012 09 55 K Hancock A 27 2012 09 49 J Johnson 2 29 2012 13 14 5 Quinn 2 29 2012 11 42 G Harris Idle Data Tabs Data Tabs are located on the right side of the screen and includes Patient Waveforms and Report tabs From any of the three tabs using the buttons along the bottom of
19. the U S and foreign jurisdictions which prohibit unauthorized copying and distribution of copyrighted works The Software and documentation incorporate proprietary and confidential algorithms and techniques of NeuroMetrix Inc the Licensor that are subjected to legal protection as trade secrets The person acquiring and or using the Software the User is granted only those rights expressly conferred by the license grant set forth in Section 2 of this license agreement this Agreement 2 License Grant Licensor grants the User a license to use the Software and any associated documentation for the User s personal use or internal business or professional purposes solely as intended to operate and use the NC stat DPNCheck Communicator and solely as installed on and or provided with the NC stat DPNCheck device purchased from Licensor or its authorized distributor or reseller consistent with the terms of this Agreement 3 Reserved Rights Licensor reserves any rights not expressly granted in Section 2 Without limiting the foregoing Licensor reserves the right to license the Software and any associated documentation to others on such terms as Licensor may establish in its sole discretion 4 Restrictions The User may not a Copy the Software or documentation in any manner or for any purpose b Resell or distribute the Software or any copy by transfer lease loan or any other means or make it available for use by others in any t
20. the screen you may Save any changes you have made Generate a Report Print a Datasheet Export a Record to an EMR system or send the study to the Archive this applies only to tests in the queue once in the Archive the test will still be displayed in the Study list and can be reviewed at any point or another report generated It is advised to review the information on all three tabs before printing a report 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 28 Communicator Software Manual Patient is for entering the Gender First Name Last Name ID and Birth Date Height and Weight EEE hee ecl Patient Report Gender Female Male Unknown FirstName Mark Last Name Jones Subject ID 433456667 Birth Date 1 1 1960 Age 52 Height inches 70 Weight pounds 210 Export Reco Print Datasheet Save Changes Generate Report rchive a http portall 120 communicator Waveforms displays the sensory nerve action potential SNAP waveform s captured in the patient test Patient Waveforms Report Test Date 4 27 2012 09 57 01 5 uV div E joe imsec div TestNo 1 og a tog Left Right Temperature C 26 5 Cursors Onset msec 1 60 Up Peak msec 210 Down Peak msec 280 Nerve Conduction Amplitude uV 39 Conduction Velocity m s 59 Distance mm 922 ea 2 3 4 5 6 7 8 9 10 lJ gt _ m Expor
21. the terme below click Agree then Nest Othenvwise click Cancel NeuroMetrix Inc NC stat DPNCheck Communicator Software License Agreement 1 Proprietary Rights The software including firmware installed on the NC stat OPN Check device including without limitation any updates or Upgrades thereto provided by Neuroetrix Inc collectively the OI Do Not Agree 5 Select Installation Folder The default creates a file on the C drive shown below Select Next If you would like to change the file location select Browse to select the preferred location i Neurometrix NC stat DPHCheck Communicator Select Installation Folder The installer will install Meurometrs NC stat DPN Check Communicator to the following folder To install in this folder click Next To install to different folder enter it below or click Browse Folder C Program Filez Meurometns NC stat DPN Check Communicat lt Bowe 02013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H Communicator Software Manual If the user would like to review the available disk space prior to installing the software select Disk Cost and a screen will appear showing the available disk space shown below i Neurometrix NC stat DPHCheck Communicator Select Installation Folder The installer will install Meurometrs NC stat DPN Check Communicator to the following folder To install in this folder click Next To install to
22. to install the Communicator software Apple Mac computers are not compatible with the NC stat DPNCheck device or software Any PCs to be purchased should exceed the recommended specification to gain the longest lifespan from the new PC RAM 256MB Lower specifications may be used but with reduced performance and reliability Monitor CRT or flat panel Contrast ratio and screen resolution can vary Settings should be optimized by the user to ensure proper evaluation of data waveforms Hard Disk 50 MB of available hard disk space Lower specifications may be used but with reduced performance and reliability Operating System Windows XP with Service Pack 3 32 bit Windows Vista 32 bit Windows 7 32 and 64 bit Internet Access This ensures that the system can transfer or archive data when required This also allows for potential remote diagnostic repair and software upgrades NeuroMetrix will never access patient data information files without the user s permission Internet access is also needed for receiving software updates to your NC stat DPNCheck device Access is only required during the update and users may decide when to receive the update 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H Communicator Software Manual Printers Installation of a printer is the responsibility of the user NeuroMetrix does not provide printer support and cannot guarantee any minimum performance level nor output
23. 12 11 42 G Harris 0 210 Export Record Print Datasheet Generate Report hitp portall 120 communicator 2 Select New interpretation note then enter the text to be saved Select Ok Create and edit the interpretation note library To create a new interpretatigotiote select New enter the note in the Text box and then press Ok To edit an existing Iptefpretation note select the note in the Library and edit the Text box then select Ok To delete ap efisting interpretation note select the note in the Library and select Remove New interpretation note Note Nerve condcution data is consistent with severe neuropathy This is a normal nerve conduction study Nerve conduction data is consistent with mild neuropathy save Changes Cancel 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 40 Communicator Software Manual 3 The saved note will be moved to the list below Select Save Changes Create and edit the inte To create new interpretation note select New enter the note in the Text box and then press Ok To edit an existing interpretation note select the note in the Library and edit the Text box then select Ok To delete an existing interpretation note select the note in the Library and select Remove New interpretation note pr i i Note Nerve condcution data is consistent with severe neuropathy This is normal nerve conduction study Nerve conduction data is
24. 2 12 34 R Sawyer Age 52 5 10 2012 12 19 M Jones 5 10 2012 11 20 R Stevens 5 10 2012 11 08 C Adams 5 10 2012 10 32 T Trent Weight pounds 4 27 2012 09 57 J Doe 4 27 2012 09 55 K Hancock 4 27 2012 09 49 J Johnson 2 29 2012 13 14 S Quinn 2 29 2012 11 42 G Harris Height inches 70 210 Print Datasheet Generate Report http portall 120 communicator 3 A status bar will appear as the data is being uploaded After the review request is submitted the text of the patient study name selected will turn red 4 Once the review response is completed a dialogue box will display and the patient study name will turn green Note If the request is rejected the reason for the rejection is displayed Users may also access the review notes by selecting the patient study from the Queue or Archive and select Review Response as shown below ak Communicator File Studies Settings Help Queue Patient Waveforms Report 4 Archive B E Today 11 25 2012 Gender Female Male Unknown November excluding toWay 4 Prior Months First Name Mark 10 24 2012 13 53 M MacDea Last Name Jones 10 24 2012 13 01 DH 10 19 2012 16 01 B James Subject ID 123456667 10 19 2012 16 00 M Ford 10 19 2012 15 42 J Doe Birth Date 1 1 1960 ffs 9 14 2012 12 22 J Doe 5 10 2012 12 34 R Sawyer Age 52 5 10 2012 12 19 M Jones 5 10 2012 11 20 R Stevens 5 10 2012 11 08 C Adams 5 10 2012 10 32 T Trent
25. 2012 10 32 T Trent Weight pounds 4 27 2012 09 57 J Doe Aff 7 2012 09 55 K Hancock Af2 72012 09 49 J Johnson 2 29 2012 13 14 5 Quinn 2 29 2012 11 42 G Harris Subject ID 123456667 0 210 Export Record Print Datasheet Generate Report hitp portall 120 communicator 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 55 Communicator Software Manual To install a Communicator update select Yes on the Updater page NC stat DPNCheck Communicator Updater There is a software update available for the NC stat DPNCheck Communicator Do you want to install it Recomended NC stat DPNCheck Communicator Updater There is a software update available for the NC stat DPNCheck Do you want to install it Recomended 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 56 Communicator Software Manual CHAPTER FOUR Safety Service FDA Notification License Agreement Information Privacy amp Security 4 1 Safety Notes Accessory equipment connected to the USB port must be certified according to the respective IEC standards e g IEC60950 for data processing equipment and IEC60601 1 for medical equipment Most computers manufactured by major suppliers meet the IEC60950 standard If in doubt consult your local Information Technology support 4 2 Service Should any aspect of the Communicator Software require service contact NeuroMetrix Customer Service at 1 888 786 7
26. 287 or 1 781 890 9989 When you call NeuroMetrix to request service please be prepared to provide the following information Device model Serial number Description of the problem 4 3 FDA Notification The Communicator Software is manufactured in compliance with the U S Federal Quality System Regulation 21 CFR Part 820 As a health care provider you may have responsibilities under the Safe Medical Devices Act SMDA for reporting to NeuroMetrix and possibly the FDA in the occurrence of certain events FDA reportable events are detailed in 21 CFR Part 803 In accordance with our Quality System NeuroMetrix should be notified of any device failures or malfunctions Issues encountered should be reported to the NeuroMetrix Customer Service department at 1 888 786 7287 or 1 781 890 9989 Outside of the United States problems should be reported to the nearest NeuroMetrix distributor This information will help ensure that NeuroMetrix continues to provide products and services of the highest possible quality 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 57 Communicator Software Manual 3 4 NeuroMetrix Inc NC stat DPNCheck Communicator Software License Agreement 1 Proprietary Rights The software including without limitation any updates or upgrades thereto provided by NeuroMetrix Inc collectively the Software and any associated documentation is subject to the protection of the copyright laws of
27. 4 Prior Months i Practice Main Street Primary Care 10 24 2012 17 55 M Jones a 10 24 2012 13 53 M MacDoanld l Address 101 Main Street 10 24 2012 13 01 DH i City State Zip Any Town MA 98765 10 19 2012 16 01 B James Test Purpose 10 19 2012 16 00 M Ford VE 10 19 2012 15 42 J Doe l 9 14 2012 12 22 J Doe E Severity Amplitude CV 5 10 2012 12 34 Sawyer Normal Normal Normal 3 10 2012 12 19 M Jones Mild Normal Abnormal 5 10 2012 11 20 R Stevens Moderate Abnormal Normal or Abnormal 5 10 2012 11 08 C Adams Severe Undetectable 5 10 2012 10 32 T Trent 4 27 2012 09 57 J Doe i ae 4 27 2012 09 55 K Hancock Amplitude uV 4 27 2012 09 49 J Johnson Conduction Velocity m s 61 2 29 2012 13 14 Quinn 2 29 2012 11 42 G Harris Technician Tim Shaw Interpretation Normal Mild DPN Moderate DPN Severe DPN Other Nerve conduction data is consistent with moderate neuropathy Save Changes Generate Report Fe http portall 120 communicator Next you will be prompted to name and save the export file Click Save to complete the export process e Save As X Gr m Computer Local Disk C New folder v 64 Search New folder p Organize New folder gi MSOCache Date modified P NetComponents a PE No items match your search pr oncall components pm PerfLogs pr Program Files pm ProgramData gi Recovery gi System Volume Information pm temp di Users
28. 5 for details on defining normal limits DPNCheckCommunicator Dialog Normal Limit Definitions Amplitude Constant Age Coefficient Height Coefficient Conduction Velocity Constant Age Coefficient Height Coefficient e Interpretation Notes allows users to create and edit the Interpretation Note library See Section 3 4 for details on creating interpretation notes Create and edit the interpretation note library To create new interpretation note select New enter the note in the Text box and then press Ok To edit an existing interpretation note select the note in the Library and edit the Text box then select Ok To delete an existing interpretation note select the note in the Library and select Remove E New interpretation note Note This ts normal nerve conduction study Nerve conduction data is consistent with severe neuropathy Nerve conduction data is consistent with mild neuropathy 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 23 Communicator Software Manual e Physicians allows you to create a library of physician profiles A physician profile can then be selected within the Report tab for each study Create and edit the list of physician profiles Select a profile or enter new profile enter new profile E Default Profile John Smith M D Jane Washington M D Physician Name Practice Name Main Street Primary Care Address 1 100 Main Street Address 2 Sui
29. 56667 10 19 2012 16 00 M Ford 10 19 2012 15 42 Doe Birth Date 1 1 1960 hs 9 14 2012 12 22 J Doe 3 10 2012 12 34 Sawyer Age 52 5 10 2012 12 19 M Jones 5 10 2012 11 20 R Stevens Height inches 5 10 2012 11 08 C Adams 5 10 2012 10 32 T Trent Weight pounds 4 27 2012 09 57 J Doe 4 27 2012 09 55 K Hancock 4 27 2012 09 49 J Johnson 2 29 2012 13 14 5 Quinn 2 29 2012 11 42 G Harris Gender Female Male Unknown FirstName mark Last Name Jones 70 210 Record Print Datasheet pave z Generate Report 2 http portall 120 communicator 3 4 Using the Interpretation Note Library Creating Interpretation Notes 1 Tocreate or edit interpretation notes select Settings then Interpretation Notes 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 39 Communicator Software Manual NC stat DPNCheck Communicator i ee 5 eS File Studies Settings Help Archive Patient Report Report Gender FI ale e Hatactore ender O Female 9 Male w Unknown Backup First Name Mark Normal Limits Last Name Jones Subject ID 123456657 Interpretation Notes Physicians Birth Date 1 1 1960 Technicians Age 52 5 10 2012 12 19 M Jones 5 10 2012 11 20 R Stevens Height inches 5 10 2012 11 08 C Adams 5 10 2012 10 32 T Trent Weight pounds 4 27 2012 09 57 J Doe 4 27 2012 09 55 K Hancock 4 27 2012 09 49 J Johnson 2 29 2012 13 14 5 Quinn 2 29 20
30. 6 Today 11 25 2012 Physician Jane Washington M D November excluding today Practice 4 Prior Months 10 24 2012 13 53 M MacDoanld Address 101 Main Street 10 24 2012 13 01 DH City State Zip Any Town MA 98765 10 19 2012 16 01 B James 10 19 2012 16 00 M Ford 10 19 2012 15 42 J Doe Technician Tim Shaw v 9 14 2012 12 22 J Doe Severit RET CV 5 10 2012 12 34 R Sawyer nr EF Er 5 10 2012 12 19 M Jones Mild PUSET Er 5 10 2012 11 20 R Stevens Moderate Abnormal Normal or Abnormal 5 10 2012 11 08 C Adams kr Uniieteriakde 5 10 2012 10 32 T Trent 4 27 2012 09 57 J Doe Right Leg 4 27 2012 09 55 K Hancock Amplitude uV 4 4 27 2012 09 49 J Johnson 2 29 2012 13 14 S Quinn ar a se 2 29 2012 11 42 G Harris Main Street Primary Care Test Purpose Interpretation Normal Mild DPN Moderate DPN Severe DPN Other Nerve conduction data is consistent with moderate neuropathy Save Changes Generate Report Archive http portall 120 communicator 02013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 36 Communicator Software Manual 7 Once all information is entered in the Report Tab click Save Changes 8 Click on Generate Report which will generate a PDF of the study report and display the report on your screen Once the PDF is created it is automatically stored in the Datastore and can be printed or emailed Sural Nerve Conduction Study John Smith M D Main Street Primary
31. Care Patient Name Richard Sawyer 100 Main Street Patient ID 593762 Any Town MA 98765 Gender Male irth Date 5 11 1935 Test Date 5 10 2012 12 34 19 Birth Date 5 11 193 Left Normal Limit Severity Amplitude cv Test Date 5 10 2012 Normal Normal Normal Mild Normal Abnormal A 7 Amplitude uV i 4 Moderate Abnormal Normal or Abnormal Conduction Velocity m s 53 Severe Undetectable Amplitude nV 4 6 Latency ms Interpretation Normal Mild DPN KModerate DPN SevereDPN Other Nerve conduction data is consistent with moderate neuropathy John Smith M D 9 Once all information is entered in the Report Tab click Save Changes 10 Click on Archive to move the study from the Queue to the Archive Once a study is in the Archive the Export Record and Print Datasheet buttons will become active 11 The Datasheet is intended to be a document that can be provided to the patient with their sural nerve conduction results and specific instructions that the physician would like to provide for the patient To print a Datasheet click on the Datasheet button This will open a new window with the Datasheet form The results of the current test will be automatically populated on the form If the patient had a test 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 37 Communicator Software Manual performed at an earlier date providing the same Subject ID was used the date of the prior test will automatic
32. Continue If user would like to user the normal limits described in the referenced monographs select Use normal limits described in monographs and then select Continue If user would like to define different normal limits select Do not use normal limits described in monographs and then select Continue The following Normal Limit Definitions window will appear DPNCheckCommunicator Dialog Normal Limit Definitions Amplitude Constant Age Coefficient Height Coefficient Conduction Velocity Constant Age Coefficient Height Coefficient 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 48 Communicator Software Manual Within the Normal Limit Definitions window enter the values for each Amplitude and Conduction Velocity parameter Once values are entered the Check button will activate Selecting Check will run an integrity check on the normal limit values provided A pop up window will appear notifying users if the values entered passed or failed the integrity check Once the normal limits are defined select Save Changes 3 6 Exporting Test Reports to an EMR System Test data can be exported directly to an EMR system This includes all data fields except the waveform graphics First set the files type default and serve location by clicking Settings on the main menu then click Datastore Novemb 4 Prior Ma 10 24 10 24 10 22 10 19 10 19 10 19 ar14 5 104 NC stat DPNCheck
33. M D November excluding today Practice Main Street Primary Care 4 Prior Months z 10 24 2012 13 53 M MacDoanld l A a 10 24 2012 13 01 DH City State Zip Any Town MA 98765 10 19 2012 16 01 B James Test Purpose 10 19 2012 16 00 M Ford 10 19 2012 15 42 J Doe 9 14 2012 12 22 J Doe Severity Amplitude CV 5 10 2012 12 34 R Sawyer Normal Normal Normal 5 10 2012 12 19 M Jones Mild Normal Abnormal 5 10 2012 11 20 R Stevens Moderate Abnormal Normal or Abnormal 5 10 2012 11 08 C Adams Severe Undetectable 5 10 2012 10 32 T Trent 4 27 2012 09 57 J Doe l Right Leg 4 27 2012 09 55 K Hancock Amplitude uV lt 4 27 2012 09 49 J Johnson Conduction Velocity m s 61 2 29 2012 13 14 S Quinn 2 29 2012 11 42 G Harris Technician Tim Shaw v Interpretation Normal Mild DPN Moderate DPN Severe DPN Other Nerve conduction data is consistent with moderate neuropathy rm pie So hittp portali 120 communicator 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 31 Communicator Software Manual Generate Report is a button located at the bottom right side of the screen Users should select this button when all the necessary information has been captured in the Patient Waveforms and Report tabs Selecting the button will generate a PDF of the study report which will be displayed on your screen Once created the PDF file may be printed The PDF is automatically sav
34. M File folder J wip 2 7 201212 01 PM File folder DPNCheckCommunicatorNotes xml 9 14 2012 2 02 PM XML Document phyprofiles xml 9 14 2012 10 17 AM XML Document SLCommunicatorStng xml 9 14 2012 12 23 PM XML Document technicians xml 9 14 2012 10 18 AM XML Document 18 Computer amp Local Disk C gy SRecycle Bin di Cakewalk Projects di Config Msi d DataLinks 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 45 Communicator Software Manual Import 1 To import interpretation notes saved on another PC select Import and open the file to be added Creat eate and edit the inte pretation note libra To create a new interpretation note select New enter the note in the Text box and then press Ok To edit an existing interpretation note select the note in the Library and edit the Text box then select Ok To delete an existing interpretation note select the note in the Library and select Remove New interpretation note Note This 15 normal nerve conduction study Nerve conduction data is consistent with mild neuropathy Nerve condcution data 15 consistent with severe neuropathy 2 Select the file to be imported from your software files 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 46 Communicator Software Manual 0000 Navigate to and select an interpretaion note library to import e g DPNCheckCommunicatorNotes xmi di t Computer Local Disk C DPNCheck
35. NOLL D sd Galsre rd Communicator Software Manual ml NEUROMetrix Communicator Software Manual CHAPTER ONE NC stat DPNCheck Communicator Overview VNR 4 DZ ENN 5 CHAPTER TWO Communicator Installation PN 22 ere Ne CUO UD nede EEE EEE nobaacwumertosneonsoans 7 CHAPTER THREE Using the Communicator TONN ENN ER NE NE EE 16 010 TE EEE EE EET 17 Sed 2050 EE NE LO RED MENU EE EE E E eee eee ee 24 NNN DI so EE EN NE EE ee 7 3 3 Data Transfer amp Report G NeratiOn cccccccccssssscecssseceseseseecessseseecesseceseseseeceseseseccesseeseseeeeecessaeaeecessuececcssgeeceseeeeees 33 3 4 Using the Interpretation Note Library rrrrrrrnnnrrrrrnnannnvvnrnrnnnnrrrrnrnennnnrsnssennnnnvenenennnnnnrsnsnennnvevessnnennnvensnennsnnnnsnsnennnvesesenee 38 3 5 Defining Normal LIMITS ajsccscses cn lt cxcacavaciessadesensaubenedemanowanevognderadynavecudaueoaecsaatostsayasbietilansmatnnesanbesdeupsaehedabestnnseepsedieverstsventeees 46 3 6 Exporting Test Reports to an EMR System rrrrnrrnnnnnnnnnernnnnnvnnvnnnnnnnennersvernvnnnnnnnsnnennnrsnnnnnnnnnnnnnnnussvesnennnnnnnsnnsenersversrrerr IG 3 7 Exporting a Series of Studies Results to Spreadsheet or Database Files rrrrurnrnnnnnasnvnnnnenvvevennsnesvuvevnsersssvsverssrrr DL 5 6 Uploading Data via tne InteMmeuavvreereesem ee OZ 3 9 Downloading amp Installing Software UPCates cccccssssscecescsssneceecesseseecesesseaeaeeceseseaeecescessaeeeeceseseeeecescenaeaeeceseeee
36. a centrally located information service NeuroMetrix recognizes its fiduciary responsibility to physicians and their patients to protect this information to ensure privacy is maintained and that the data is held securely and confidentially Patient Identification NeuroMetrix does not collect personally identifying information about individuals To associate nerve conduction study results with a patient the physician may elect to enter a unique practice specific patient identification code with each study NeuroMetrix does not collect or maintain any information that would associate this identification code with a specific patient or individual For the purposes of continually improving product performance and advancing scientific knowledge in the field of neuromuscular diseases NeuroMetrix may from time to time use the aggregated anonymous information from our data servers We will not disclose information about our customer s patients to third parties nor will we disclose statistics or information that can be attributed to a specific customer or practice HIPAA regulations allow for the use of de identified health information as long as identifiers have been stripped and a key is not disclosed that would allow the information to be re identified NeuroMetrix does not possess a key to re identify patient data Privacy of Information NeuroMetrix will only transmit nerve conduction study reports test summaries or population reports reg
37. ally populate on the form When all information is entered click Print and the Datasheet will be both printed and saved simultaneously The sample Datasheet below details the information that can be entered on this form Patient Datasheet Contents Fill in the form and press the Print button Left Leg Last Test Date N A Amplitude 2 Today s Results Velocity 53 E Same E Test results are normal E Im proved DPN Treatment Plan Achieving Goal Lower Alc a Lower triglycerides Lower weight Lower blood pressure No smoking Protect your feet Check feet twice daily Wear well fitting footwear Keep feet clean and dry Use skin moisturizer Medication Therapy Use pain management therapies or take medication s to help manage DPN symptoms Name Dose Description Referral Endocrinology Podiatry Neurology Print Cancel 12 The Export Record function will export the study report directly to an EMR system Section 3 6 for detailed information on this feature 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 38 Communicator Software Manual Cama EET eee ee Ll File Studies Settings Help Queue Patient f 4 Archive Today 11 25 2012 November excluding today 4 Prior Months 10 24 2012 17 55 M Jones 10 24 2012 13 53 M MacDoanld 10 24 2012 13 01 DH 10 19 2012 16 01 B James Subject ID 1234
38. arding a specific patient or a practice to the designated fax number s and or email address to which the physician s device is registered The managing physician of the practice must designate the fax number s and or email addresses in writing Access to nerve conduction studies through the World Wide Web is protected by a password protected web site Transactions are handled securely via state of the art Secure Socket Layer encryption which protects confidential information from interception and hacking NeuroMetrix will not release practice specific or individual diagnostic results to a third party without written permission except as required by law or legal process or to comply with authorized government oversight 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 61 Communicator Software Manual Physical and Technical Safeguards NeuroMetrix takes rigorous precautions to protect its information systems from damage or tampering These safeguards include but are not limited physical security measures such as locked server cabinets restricted access to certain offices or areas and the use of passwords and encryption Technical safeguards include the use of passwords data access permission levels and encryption Human resource security measures include security training and confidentiality agreements Management Review NeuroMetrix has established an information security team for the purposes of addressing patient pri
39. are trademarks and NeuroMetrix is a registered trademark of NeuroMetrix Inc Waltham MA 02451 Patents pending CAUTION Federal law restricts this software to sale or use by or on the order of a health care provider appropriately licensed by the law in the state in which they practice NeuroMetrix Inc 62 Fourth Avenue Waltham MA 02451 USA Customer Service 1 888 786 7287 1 781 890 9989 02013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H Communicator Software Manual CHAPTER ONE NC stat DPNCheck Communicator Overview 1 1 Glossary of Terms Archive Noun Refers to the location where all patient studies are stored after being reviewed and interpreted Verb Refers to the action by the user which moves any study in the Queue to Archive Datastore Noun Refers to location in which patient studies are saved by the software Communicator Noun Application to tag NC stat DPNCheck tests with patient information edit waveform cursors and generate reports Test Noun Refers to a single patient test that has been imported into the software Study or Studies Noun Refers to a single patient study which may include one or more patient tests Studies is also a search function available in the main menu bar PC or Personal Computer Noun Refers to computer that operates on a Microsoft operating system Queue Noun Refers to where patient tests first appear when imported into the software Retention Noun
40. ator application is open on the PC 4 Connect the USB cable to the device and PC 5 After connecting the device to the PC with the USB cable the device LCD screen will display PC Note If the red light on the device appears during this step the data could not be transferred 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 66 Communicator Software Manual Appendix D Data Sharing With your permission NeuroMetrix will automatically receive test data from the NC stat DPNCheck device after it is imported into the Communicator software This data will help NeuroMetrix improve product performance optimize customer experience and enhance product services No patient identifying information is uploaded You will be prompted to select your desired setting upon starting the Communicator for the first time To modify the settings follow the steps below 1 Select Settings then Datastore 2 Select Advanced Settings DPNCheck Communicator Settings belte Report Datastore Folder Locations Private Folder CADPNCheck Share Folder Share records Ye Note Must enter the share Share reports folder location Share notes collection Y before selecting a Yes option Share list of physician profiles Share list of technicians 3 Change the setting for Track Test Imports to your desired setting by selecting Yes or No am Lock Cursors Yes No Track Test Imports Yes No EMR Export
41. cated at the bottom left corner of the screen alerts users of the current mode for tasks being performed by the software Idle will appear when the Communicator is not performing any tasks The software will remain in this mode for the majority of the time when using the software Other modes are outlined below Backup this appears when the software is backing up the data based on the automatic or manual backup preferences Restore this appears when the software is restoring the previous settings You will be asked to restart the software for the changes to take effect Device Update Running this appears when the software is being used to update the software within the NC stat DPNCheck device Device Update Failed this appears after an attempt to update the software within the NC stat DPNCheck device has been unsuccessful 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 65 Communicator Software Manual Appendix C USB Instructions Uploading Data The most recent test results may be uploaded to your PC using a USB cable A mini USB port is located on the side of the device The device can only retain data from a single test Users must upload the data after each test for report generation Note If the device powers off before performing an upload the data is still saved on the device and may be uploaded 1 Power on the device 2 Open the USB port located on the side of the device 3 Ensure that the Communic
42. cess which requires you to select each time when you would like to back up the data This is completed by selecting File then Backup In the backup settings menu you can select an automatic backup which allows you to back up data based on scheduled time and frequency The timing will be set based on the Begin Date that is selected For example if you select a frequency of Weekly and a Begin Date of December 5 which falls on a Monday your system will backup once per week on every Monday until any settings are changed The image below displays an example of these settings DPNCheck Communicator settings n il Backup I Mode amp Manual Automatic Storage location for Backups Path C DPNCheck backups Browse Begin Date 9 14 2012 fs Frequency Hourly Daily amp Weekly Monthly Retention 5 days Last Backup 6 19 2012 10 41 24 The retention period refers to the timeframe in which patient tests are stored within the Archive The default setting is 5 days For example if you set a retention period of 5 days and you backup 5 times in one week and need to revert back to the date from the backup occurred on Day 3 this is possible based on the retention time period that is selected 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 22 Communicator Software Manual e Normal Limits allows users to enter definitions of normal limits for amplitude and conduction velocity See Section 3
43. e test is located in the Queue New Test Dialog we There is an existing study on 11 18 2011 with this identifier Do you want to add the test to the study Ves Ho Cancel 4 Next the Communicator home screen will appear with the data from the uploaded test screen on the Report Tab On this tab users can e Select Gender e Enter Patient Name e Enter Patient s Birth Date this will automatically populate the patient s age in the box below e Enter Patient Height e Enter Patient Weight 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 34 Communicator Software Manual F 7 z ee i kem De Comm _ Li i a aia File Studies Settings Help 4 Queue Patient Report 4 Archive Today 11 25 2012 November excluding today 4 Prior Months 10 24 2012 13 53 M MacDoanld Ge eee Jones 10 24 2012 13 01 DH 10 19 2012 16 01 B James Subject ID 123456667 10 19 2012 16 00 M Ford 10 19 2012 15 42 J Doe Birth Date 1 1 1960 29 14 2012 1222 J Doe 5 10 2012 12 34 R Sawyer Age 52 5 10 2012 12 19 M Jones 5 10 2012 11 20 R Stevens Heightlinches 5 10 2012 11 08 C Adams 5 10 2012 10 32 T Trent Weight pounds 4 27 2012 09 57 I Doe 427 2012 09 55 K Hancock A 27 2012 09 49 J Johnson 2 29 2012 13 14 Quinn 22 29 2012 11 42 G Harris Gender Female Male Unknown First Name Mark 70 210 en Fa http portall 120 communicator 5 If desired you can click on Wa
44. e Study List window on the left of the screen displays the list of NC stat DPNCheck studies transferred to your PC and allows you to select a study to view The Study Data window on the right side of the screen allows you to review data of the study selected from the Study List and add information to the report The sections below provide further detail on the menu options and window displays 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 16 Communicator Software Manual File Menu a El x om mos ami gt File Studies Settings Help Backup Patient Report Restore Gender Female Male Unknown Updates peace First Name mark Last Name Jones Subject ID 123456667 FISTEL TU James 10 19 2012 16 00 M Ford 10 19 2012 15 42 J Doe Birth Date 1 1 1960 9 14 2012 12 22 I Doe 5 10 2012 12 34 R Sawyer Age 52 5 10 2012 12 19 M Jones 5 10 2012 11 20 Stevens Height inches 70 5 10 2012 11 08 C Adams 5 10 2012 10 32 T Trent Weight pounds 710 Af27 2012 09 57 J Doe 42 27 2012 09 55 K Hancock 4 27 2012 09 49 J Johnson 2 29 2012 13 14 5 Quinn 2 29 2012 11 42 G Harris Save Changes Generate Report Archive ie 2 http portall 120 communicator NC stat DPNCheck Communicator File Studies Settings Help Backup Restore Updates 5 10 2012 11 08 C Adam e Backup allows you to manually back up any data stored within
45. each of warranty Licensor does not warrant that operation of the Software will be uninterrupted or error free or that it will satisfy the User s requirements f LICENSOR DISCLAIMS ALL OTHER WARRANTIES EXPRESS OR IMPLIED INCLUDING ANY IMPLIED WARRANTIES OF MERCHANTABILITY FITNESS FOR A PARTICULAR PURPOSE TITLE OR NONINFRINGEMENT OF THIRD PARTIES INTELLECTUAL PROPERTY RIGHTS 7 Limitation of Liability In no event will Licensor be liable for personal injury or any damages including lost profits or other incidental special punitive exemplary direct indirect or consequential damages arising out of or related to the Software documentation or the use or misuse thereof even if Licensor has been advised or is otherwise aware of the possibility of such damages and even if the warranty remedy of Section 6 fails of its essential purpose The User and Licensor agree that the Limited Warranty of Section 6 and the Limited Liability of this Section 7 are reasonable in light of the license fees paid under this Agreement Some states do not allow exclusion or limitation of liability for personal injury or of implied warranties or limitation of liability for incidental special punitive or other indirect or consequential damages so the limitations or exclusions of Sections 6 and 7 of this Agreement may not apply to the User IN SUCH STATES THE LIABILITY OF LICENSOR SHALL BE LIMITED TO THE GREATEST EXTENT PERMITTED BY LAW 2013 NeuroMetrix I
46. ed to the Datastore emailed or saved to a specific folder A report can be generated for tests located in either the Queue or Archive NC stat DPNCheck Communicator HA NT I5 am EN x File Studies Settings Help 4 Queue Repor 10 24 2012 17 55 M Jones Date 10 24 2012 05 55 26 4 Archive hee Today 11 25 2012 Physician Jane Washington M D November excluding today Practice Main Street Primary Care 4 Prior Months 10 24 2012 13 53 M MacDoanld Address 101 Main Street 10 24 2012 13 01 DH City State Zip Any Town MA 98765 10 19 2012 16 01 B James Test Purpose 10 19 2012 16 00 M Ford 10 19 2012 15 42 J Doe 98 14 2012 12 22 I Doe Severity Amplitude CV 5 10 2012 12 34 R Sawyer Normal Normal Normal 5 10 2012 12 19 M Jones Mild Normal Abnormal 3 10 2012 11 20 R Stevens Moderate Abnormal Normal or Abnormal 5 10 2012 11 08 C Adams Severe Undetectable 5 10 2012 10 32 T Trent 4 27 2012 09 57 J Doe l Right Leg 4 27 2012 09 55 K Hancock Amplitude uV 4 4 27 2012 09 49 J Johnson Conduction Velocity m s 61 2 23 2012 13 14 5 Quinn 2 29 2012 11 42 G Harris Technician Tim Shaw Interpretation Normal Mild DPN Moderate DPN Severe DPN Other Nerve conduction data is consistent with moderate neuropathy Generate Report pte otrtall 120 communicator 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 32 Communicator Software Manual Archive is a
47. ees 54 CHAPTER FOUR Safety Service FDA Notification License Agreement Information Privacy amp Security TENNE 56 T2 SNP 56 21 56 4 4 NeuroMetrix Inc NC stat DPNCheck Communicator Software License Agreement rrnnrnnrnnrrrnnnrrensrnnvenssnnres 57 4 5 NeuroMetrix Information Privacy and Security StateEMent cccccccccssssecessseceecesssecescseeecessseseecsssseseseseeeesesseseeeess OG 02013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H Communicator Software Manual APPENDIX Appendix A TroubleShooting ccsescccecsssseceecescseeceeceseseaeecescessaeaeeceseseeeeceeceseseaeecescesaeaeeseseneeaeaeeceseseaeetes 62 Appendix B Task MOd S wesssscccsscccccsczsnrscaccncinasecncoetseassaeoseananassenaciisassehontanduseaacdstaianunaemeeiuaaosneontapastateaeanmantegensennaezene 64 Appendix C USB INStructiONns cccecccccescssseceecesestseecesesseaeceecesessaeeceecessseaeecesesssusseecesenseueeaeeceeceenaeseeseseaeaeeees 65 Appendix D Data Sharring ccccccccsssssseceecessseseecesesesneceecesseaeecescesseeaeeceseseaeeseecesecesseceseseeeeseecessgeaeecesesseeeeees 66 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H Communicator Software Manual No part of this document may be reproduced or transmitted in any form or by any means electronic or mechanical for any purpose without the express written permission of NeuroMetrix Inc NC stat and DPNCheck
48. ime sharing service bureau or similar arrangement c Disassemble decrypt extract reverse engineer or reverse compile the Software or otherwise attempt to discover the confidential algorithms and techniques incorporated in the Software or disclose or use any confidential information of Licensor in any manner other than as expressly authorized in this Agreement or d Modify translate adapt or create derivative works from the Software or the documentation 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 58 Communicator Software Manual 5 Term This agreement is effective until terminated This Agreement and the User s right to use the Software and documentation will automatically terminate without notice in the event of any failure by the User to comply with any of the above restrictions or any term of this Agreement Upon termination the User shall return the NC stat DPNCheck Communicator including all of the Software and documentation in the User s possession All provisions of Sections 1 6 7 and 8 of this Agreement shall survive termination 6 Limited Warranty e The Software and documentation is provided AS IS and in its present state and condition and Licensor makes no other warranty whatsoever with respect to the Software and documentation This is Licensor s entire liability and the User s sole and exclusive remedy in connection with any breach of this Agreement including but not limited to any br
49. m Pleas m f Use normal limits described in monographs f Do not use normal limits described in monographs Continue Cancel awt 9 The Installation Complete screen will appear when done Select Close A shortcut icon will appear on the user s desktop i Meurometrix NC stat DPHCheck Communicator Installation Complete Meurometrx NC stat DPN Check Communicator has been successfully installed Click Close to exit Please use Windows Update to check for any critical updates to the NET Framework Note If the computer does not have NET 3 5 installed please reference the following 3 steps to install the necessary Framework You must be connected to the Internet to download this component from Microsoft 02013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 12 Communicator Software Manual 1 You will be prompted below that NET 3 5 is not installed Select click Accept For the following components NET Framework 3 5 SP1 Please read the following license agreement Press the page down key to see the rest of the agreement MICROSOFT SOFTWARE SUPPLEMENTAL LICENSE TERMS MICROSOFT NET FRAMEWORK 3 5 SP1 FOR MICROSOFT WINDOWS OPERATING SYSTEM View EULA for printing Do you accept the terms of the pending License Agreement f you choose Dont Accept install will close To install you must accept this agreement 2013 NeuroMetrix Inc All Rights Reserved PN2203626
50. nc All Rights Reserved PN2203626 Rev H 59 Communicator Software Manual 8 Controlling Law and Severability This Agreement will be governed by and construed in accordance with the laws of the Commonwealth of Massachusetts as applied to agreements entered into and to be performed entirely within Massachusetts between Massachusetts residents This Agreement shall not be governed by the United Nations Conventions on Contracts for the International Sale of Goods the application of which is expressly excluded If for any reason a court of competent jurisdiction finds any provision or portion thereof to be unenforceable the remainder of this Agreement shall continue in full force and effect 9 Export Law Assurances You may not use or otherwise export or re export the Software except as authorized by United States law and the laws of the jurisdiction in which the Software was obtained In particular but without limitation the Software may not be exported or re exported a into or to a national or resident of any U S embargoed countries or b to anyone on the U S Treasury Department s list of Specially Designated Nationals or the U S Department of Commerce Denied Person s List or Entity List By using the Software you represent and warrant that you are not located in under control of or a national or resident of any such country or on any such list 10 Government End Users The Software and related documentation are Commercial
51. onvenience 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 3 2 Screen amp Menu Overview 15 Communicator Software Manual The NC stat DPNCheck Communicator software consists of a menu bar and two windows the Study List left and Study Data right STUDY LIST NC stat DPNCheck Communicator D File Studies Settings Help 4 Queue 10 24 2012 17 55 M Jones 4 Archive Today 11 25 2012 November excluding today Prior Months 10 24 2012 13 53 M MacDoanld 10 24 2012 13 01 DH 10 19 2012 16 01 B James 10 19 2012 16 00 M Ford 10 19 2012 15 42 J Doe 9 14 7012 12 22 Doe 5 10 2012 12 34 R Sawyer 5 10 2012 12 19 M Jones 5 10 2012 11 20 R Stevens 5 10 2012 11 08 C Adams 5 10 2012 10 32 T Trent 4 27 2012 09 57 J Doe 4 27 2012 09 55 K Hancock 4 27 2012 09 49 J Johnson 2 29 7012 13 14 5 Quinn 2 29 7012 11 42 G Harris STUDY DATA a EEE z gt E Gender Female Male Unknown FirstName Mark Last Name Jones Subject ID 123456667 Birth Date 1 1 1950 Age 52 Heightfinches 70 Weight pounds 210 Save Changes Generate Report hitp portal1 120 communicator The URL located here specifies the location for updates It is included to inform NeuroMetrix Customer Service should troubleshooting support be required From the menus you are able to change settings search for studies and perform other software operations Th
52. ote Nerve condcution data is consistent with severe neuropathy Remove This is normal nerve conduction study Nerve conduction data is consistent with mild neuropathy Nerve condcuton data is consistent with severe neuro 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 43 Communicator Software Manual Exporting Importing Interpretation Notes Export 1 To export interpretation notes to save on another PC select Export Create and edit the i terpretation note libre To create a new interpretation note select New enter the note in the Text box and then press Ok To edit an existing interpretation note select the note in the Library and edit the Text box then select Ok To delete an existing interpretation note select the note in the Library and select Remove New interpretation note Note This 15 normal nerve conduction study Nerve conduction data is consistent with mild neuropathy Nerve condcution data 15 consistent with severe neuropathy 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 44 Communicator Software Manual 2 Save the file on the C drive SPEER EE ET EE ee ee a T 2 export the interoreti oan yte libran Organize v New folder Name Date modified Libraries Ea Documents a Music Pictures Videos Ji backups 6 19 2012 10 41 PM File folder datastore 2 7 201212 01 PM File folder downloads 2 7 201212 01 PM File folder pqueue 9 14 201212 23 P
53. quality from any standard printer due to the nature of the printing processes We would initially recommend a high quality letter A4 inkjet printer 2 2 Installation Instructions 1 Load the Communicator Software CD into the PC disk drive 2 Follow the prompts on screen You must be logged in as the Administrator to properly download the software or this screen will appear i HNeurometrix MC stat DPNCheck Communicator Tou must have Administrator privileges to install this software Please login as an Administrator 3 Once the Welcome Screen appears select Next ig Neurometrix NC stat DPNCheck Communicator amg Welcome to the Neurometris NC stat DPNCheck Communicator Setup Wizard The installer will guide you through the steps required to install Neurometris NO stat OPN Check Communicator on your computer WARNING This computer program i protected by copyright law and international treaties Unauthorized duplication or distribution of this program or any portion of it mar result in severe Civil ar criminal penalties and will be prosecuted to the maximum extent possible under the law Cancel 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H Communicator Software Manual 4 Review the NC stat DPNCheck Communicator Software License Agreement select Agree then Next i Meurometrix MNC stat DPNCheck Communicator License Agreement Please take a moment to read the license agreement now IF you accept
54. ransfer amp Report Generation Transferring Data from NC stat DPNCheck Device to Communicator 1 To transfer data from the NC stat DPNCheck device to the Communicator software first ensure that the Communicator application has been started on the PC If not already on power on device Plug in device to the computer using the USB cable For USB instructions refer to Appendix B This information is also included in the NC stat DPNCheck device User Manual Note Even if the device has powered off the most recent test is saved and may be transferred 2 After connecting the device and PC with the USB cable the device LCD screen will display PC If the red light on the device appears during this step the data could not be transferred 3 The Patient ID dialogue box will appear once the data is ready for entry into the Communicator software Note If the ID you enter matches another study in your data queue the following dialog box will appear Select Yes or No to proceed Select Cancel to return to the previous screen In addition if you select Cancel at this stage you will need to disconnect and re connect your device to start transfer process again as it will not save any of the data imported from the prior test To add the most recent test select Yes Note Users may want to do this to combine multiple tests of a patient into one report for one Patient ID e g if testing both Right and Left limbs This action can only be completed when th
55. t Record Print Datasheet Generate Report https hub neurometrix com Communicator Graph left Set the scale of both axes time in m sec on the horizontal axis and amplitude in uV on the vertical axis These can be adjusted using the drop down menus above Results right 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 29 Communicator Software Manual View results from the study including the numbers for Conduction Velocity and Amplitude that were displayed on the device following the test as well as the values for SNAP onset and peaks as marked with cursors on the graph Report allows you to enter in the Physician Practice Address Test Purpose Technician and Interpretation that will be included on the printed report If user selected Show Severity Scale on the Settings gt Report tab the Severity Scale will display on this tab and on the report Note If you enter your practice information under Settings gt Report tab Physician Practice and Address this information will auto populate for each study The Notes button opens a window containing the Interpretation Notes Library Clicking on an interpretation note in this window will automatically add it to the Notes window on the Report tab See Section 3 4 for details on creating Interpretation Notes Patient Shown with Severity Scale Date Physician Practice Address City State Zip Test Purpose
56. te A City State Zip Any Town MA 98765 e Technicians allows you to create a library of technician profiles A technician profile can then be selected within the Report tab for each study Create and edit the list of technicians Technicians lt add name gt Anne Kelley Tim Shaw E Default Technician 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 24 Communicator Software Manual Help Menu NC stat DPNCheck Communicator p se x a File Studies Settings Help 4 Queue About Patient Report 10 24 2012 17 55 Manual Gender Female Male Unknown Archive Today 11 25 2012 November excluding today Prior Months 10 24 2012 13 53 M Maclhoa 10 24 2012 13 01 DH l 10 19 2012 16 01 B James Subject ID 123456667 10 19 2012 16 00 M Ford 10 18 2012 15 42 J Doe Birth Date 1 1 1960 9 14 2012 12 22 J Doe First Name Mark Last Name Jones 5 10 2012 12 34 R Sawyer Age 57 5 10 2012 12 19 M Jones 5 10 2012 11 20 Stevens Heightfinches E 20 5 10 2012 11 08 Adams 5 10 2012 10 32 T Trent Weight pounds arr Af27 2012 09 57 J Doe 4 27 2012 09 55 K Hancock Af27 2012 09 49 J Johnson 2 29 2012 13 14 5 Quinn 2 29 2012 11 42 G Harris Export Record Print Datasheet File Studies Settings Help Queue About O 14 27012 12 22 ID Manual 4 Archive Today 9 14 2012 September excl
57. terpretation Note Library 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 20 Communicator Software Manual Sample Report Header Sural Nerve Conduction Study John Smith M D 100 Any Street Sampletown MA 98765 Practice Patient Patient Name Robert Crabtree Information Information Patient ID 0000028 Gender Male Test Date 09 13 2011 08 51 52 Birth Date 06 20 1252 Report also allows you to update or edit the Interpretation Note Library with patient notes that when selected will auto populate on a patient report See Section 3 4 for details on creating interpretation notes e Datastore allows you to locate or change where you save your files generated from the software on your local PC Default locations are set by the software A shared folder can also be assigned so that two or more computers and or users on a network can share studies records reports normal limit definitions notes and profiles Folder Locations Private Folder CA DPNCheck Share Folder Share records i Note Must enter the share folder location Share Normal Limits Definition before selecting a Yes option Share reports Share notes collection Share list of physician profiles Share list of technicians 02013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 21 Communicator Software Manual Backup allows the user to set preferences for backing up data The system default mode is a manual pro
58. uding today 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 25 Communicator Software Manual e About allows you to review information about the Communicator version number To check the device revision number select Device Info on the About screen About NC stat DPNCheck Communicator application NC stat DPNCheck Communicator Version 1 5 0 1 Serial number 09110018 Neurometrix Inc Copyright 2012 Device Info Application to tag NC stat DPNCheck tests with patient information edit waveform cursors and generate reports e Manual includes electronic files of both the NC stat DPNCheck device and Communicator software manuals 02013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 26 Communicator Software Manual Studies List Queue amp Archive Studies List is located on the left side of the screen and is where patient tests are stored Queue is the location where tests are imported from the device and assembled into a patient study that may contain one or more tests If you would like to combine multiple tests from the same patient into a single study the data must be imported from the NC stat DPNCheck Device and attributed to the same patient ID Note Test data can be combined into one study that has been imported into the software within the previous 5 days If data for the same patient ID is entered after the 5 day limit a unique report will be created for the patient which is accessible under
59. vacy and information security issues This team is comprised of members of senior management information systems and quality assurance The purpose of this team is to ensure that information privacy and security issues continue to be in the forefront of NeuroMetrix s business strategies 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 62 Communicator Software Manual Appendix A Troubleshooting We recommend regularly checking to ensure you are Software version don t know if have the latest version of the software Install Failure My software install failed Device Update I was not able to update my device using the software Device Firmware I see a blinking red light on the device and nothing showing on the LCD Moving Tests have a patient test that is currently in the Queue but has not been moved to the Archive Combining Tests want to combine multiple tests for the same patient that are located in the Archive Can I do this running on the latest software and device firmware If the installation fails for NET 3 1 components then you can download from Microsoft s site via the following link http www microsoft com download en details aspx id 22 If you experience a failure updating the device and are not able to download a new update please contact Customer Service at 888 786 7287 This indicates a bad Firmware on the device
60. veform Tab On this tab users can e View waveforms adjust display settings view skin surface temperature and view nerve conduction details Cursor settings can also be edited within this tab if the user has enabled this feature ea Patient Waveforms Report Test Date 4 27 2012 09 57 01 5 uV div Lmsec div TestNo 1 ok C Leg Left Right Temperature C 26 5 Cursors Onset msec 1 60 Up Peak msec 210 Down Peak msec 2 80 Nerve Conduction Amplitude uV 39 onduction Velocity m s 59 Distance mm 922 MEET i E N A Export Record Print Datasheet Generate Report https hub neurometrix com Communicator 2013 NeuroMetrix Inc All Rights Reserved PN2203626 Rev H 35 Communicator Software Manual 6 Next click on the Report Tab On this tab users can If needed select a different physician from the Physician drop down menu e Enter the Test Purpose e If needed select a different technician from the Technician drop down menu e Select an interpretation e Click on the Notes button which opens a window with the Interpretation Notes library Click on the desired note to enter that note in the Notes section See Section 3 4 for details on creating an Interpretation Notes Library rca cn Comet ST ee ee ees File Studies Settings Help 4 Queue Patient Waveforms 10 24 2012 17 55 M Jones 4 Archive Date 10 24 2012 05 55 2

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