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VitalVision MS-2100

1. 91 Printing patient history for measurement and other tests 1 On the Patient Information and Measurement Data screen select the patient information that you wish to print Rr a aI Patient Information Figure118 2 Click Print History Print Record Delete Dats Other Tets Feci Dua 8S Trend Graph BP Trend Graph BHI Trend Graph other Tes Figure119 On the Print screen configure the print style and the number of copies The print preview box displays the ready to print images Figure 120 For details on the available print styles see the descriptions on page 73 4 Click Print to start the print job After printing the Print End message is displayed and the print screen automatically closes Figure 120 92 Print style Measurement History The Measurement History print style generates a report like the one in Fig 121 Detailed information about the data fields 1s provided below Header TAL Meaaiiretnert History YODOCODCDOODOODODOQUUE Hespia ISION Elisod Pressure TAS ABI E i reme pmen OOO o eass e A a at TENE HF MN MNT RE MR Measurement Histor moans us Maa Sum o ma bi Mgeasuremmnl Hieslr agihan Data Mo Messurernert Cale Biten e gend Huy Age Lett ae PULSE B me Mei alis DA E t En205 4 Measitement Site rit E LF E t iHB 1205 KW En Measurement Data ABI m agr E OFF mi Braebtai Ei idt Leh Bestial en id Fight Anite 55 Let Antia
2. Mew Peme Expert Iepa Setrng Header Paneec Mae Sen Dum af Bam age iri Heg A rect Paes inira mpri huile d dotabasz Format de Figurel62 Import window Format Export The template data header information can be exported and patient information created by external programs can be imported into the MS 2100 database Exporting the header creating the template of import data The Format export functions is used to export template data header information so it can be used to format patient information created by external programs which can then be imported into the MS 2100 database 1 On the Format Export panel select the option to format the export header for a patient data text file 131 Figure163 Format Export panel 132 2 Inthe output destination and file name fields type the destination location for the header file The default output destination is the Data VitalVision Data folder Click Open to select a different destination file T Flags EL 7 qeu eire Vege l age Parum jn kir s e dg E op i EHEITLCIUES om Figurel64 3 Click OK to start the format export A message is displayed when the format export completes 4 Click OK to end the export task Note Open the already saved CSV folder under the Format Export panel then type in the patient information or cut and paste from other folders Also make sure that the items are correct when cutting and pastin
3. U2 U3 U4 114 Es aitsiber nigBNeN E m mU m 115 3 ff a E E HIS E E E EE E EE A T 117 EE E n IB PERTO EEEE RT T AE AEE E AAN 145 Configuring the start up screen 1 Initial Setting When the MS 2100 software starts the first time the Initial Setting screen 1s displayed to set the default values for the Metabolic Syndrome definition and the facility If you need to change the settings after the initial settings have been configured click the Setting button on the measuring screen The diffinition of WMlatabclic Syndrome Metabolic Syndrome Tha Haeisbolc Syndrome dagnpeg atandand advo dimin Imapan Tha htgmaltinnal Debes Federation Hatebolic Syndrome Ihfnian inr Europa The htemeinnai Diabetes Federahnn l einbake Syndrome Minion Tor All People NCEP ATE WiNsrenal Coker Eruc sin Program Tng 3rd Resson of dhe Adut Treatment Of estimating irn amp CKD Treatment Guide from The Japanese Snrety of fleshralagy The MORAD fornia jor estimation n1 GFR F di k ili v hl al n B Other Information Figure144 Initial Settings window field and button descriptions Metabolic Syndrome Select the definition of the Metabolic Syndrome The IDF Definition For Europeans The IDF Definition For All People except Europeans The Metabolic Syndrome diagnosis standard advisory definition Japan The NCEP ATP III Standard Guideline Select the formula to estimate GFR See page 161 for e GFR refer
4. Fr Ror Pak Tin i T Print style 7 Bat Facit Tee d A I3 E Far ni Tope Close Figure93 Print Out screen Print screen field descriptions Displays the Patient Information Print Preview Displays the print preview Left click to zoom in Right click to zoom out Set the blank spaces of the print outs Carries out the print job Opens the printer setting screen Check the check box then click on the Print button the print image will then be saved in the JPEG format Configure the print style and the copy number Close the Print screen 75 Printing the Measuring Screen Analysis Report 1 On the Measuring screen click Print T z CHE is pea i eT oe Ls E om ima amie Bd imm s i tyh adi Lot ME 443 e 108 Right Beachial mm 117 5 Left Brachia neu 118 i Deme T X Dame B1 m TW eT Cik so PN gt E e H READ a 33 Latt Ankia k 15 muni A N mi 7A k Ria 51 up am ag MEFE kermi 34 es Fass Figure94 Printing a report 2 Onthe Print screen configure the print style and the number of copies For details on the available print styles see the descriptions on page 73 3 Click Print After printing a Print End message is displayed and the Print screen automatically closes Weder im m i Tai a Pee Cane See aS ok E Figure95 76 Printing reports on historical data l E ouem Pati
5. M M JP i on n Fm Aem m m an E imu Cai mad ET iul _ m am ae o Bd D di EE x ier AI ion di Faha le ai Lr Fe eae m me ee oum m mpm IL l E d aht i Barhal Right Rrachial Left Brachial Might B echial as 2 Left Brachia Rig d Cm a Dari a eam hi l komm F E e nil 4 Th Pa a T n EI IRI i pi i i M BEEN AI il i 1 Lu Right Ande ATE Left Ankia Serin MUT Seki Dna l i Laco LIE IL Timm Pre il LRL Kl m aol Figure 27 Pulse Wave Envelope Panel The Pulse Waveform Panel displays the pulse waveform during measurements oo zb one qc EE a e imb me Bii T a m a i Eii Agi bri E Ptt didi Let b Pias Bui tmu umm Se r Gime Eisi mr Right Brachial Left Brachia Righi amije Left ankie Tys Figure28 The Pulse Waveform Panel This panel also displays the MAP UT ankle only and PVR of each measurement site and calculates ABI according to the measurements as shown in Figure 29 1 13 1 08 Right Bzachial Left Birger tlie Figure 29 29 Display measurements After the measurements are displayed the measuring process stops immediately The Pulse Wave Envelope Pane Individually displays the pulse wave envelope diastolic pressure systolic pressure pulse pressure ASI and ABI of each measurement site Click on the zoom in button to display the magnified pulse wave envelope immediately REIR
6. The blood profile can be co managed with the measurements After the blood profile data is entered it can be used in the Framingham risk evaluation the metabolic syndrome and the e GFR diagnostic programs The diagnosis standards for the Framingham risk evaluation and the metabolic syndrome analysis are displayed on this screen and in printed reports These standards are determined by the default settings specified using the Initial Settings screen For more information on these options see Initial Setting on page 115 Tl gata eme UE ie Fe Patient Information Display Display Panel Selection Tab Display Panel Other Tests Data Display Operating Button Figure35 Other Tests Screen The following sections provide more information about each section of the Other Tests screen Note You can change the display and print setting for the Other Tests screen For details see Option Setting on page 117 4 01 Patient Information Display Bar Displays the registered patient information Descriptions on the displays ID Displays the ID Name Displays the name Gender Displays the gender 33 Age Displays the age Height Displays the height Weight Displays the weight BMI Displays the Body Mass Index Waist Displays the waist 34 4 02 Other Test Information Display Bar Use the Other Test Information display bar to review existing and imported test data Figure 36 These results are requi
7. is selected for the exercise status Displays the ABI and the arterial risk using images Measurement Results ASI Test Results This display provides the ASI test result for each measurement site Test results that are out of the standard range are displayed in red Arterial Stiffness Test Result Estimated Arterial Age Graph ASI Figurel12 ASI Measurement Results result filed descriptions Displays the estimated arterial age Displays the ASI and the arterial risk using images Displays the right brachial ASI Displays the left brachial ASI Displays the ASI of the right ankle Displays the ASI of the left ankle Trend Graph in For Patient Type 1 print style Displays the ABI trend graph 7 fas ABI Trend Graph Y axis ABI X axis Measurement Date ja nae 0800 0045 7 J008 2008 Figurel13 ASI Trend Graph Displays the ABI trend graph oo L3 A E A ASI BP Petsi Ls ABT Trend Graph Y axis ABI o X axis Measurement Date 135 c E m Daia CAD 2x8 Figurell4 89 Trend Graph When the For Patient Type 2 print style is selected This display shows the ABI and ASI trends The ABI is displayed as bar graphs The ASI is shown as line graphs Trend Graph Y 1 axis Left ABI Y2 axis Right ASI X axis Measurement Date Date 01 28 O18 0128 2009 2009 2009 Figurel15 Age Level Graph When the For Patient Type 2 print style is selected Dis
8. After the tab 1s changed information from the same date and time is displayed using the same time scale After the patient 1s switched the displayed date and time are deleted Operating Button Display Panel Selection Tab Figure67 Measurement Data Display Bar Measurement Data Display button descriptions Delete Data Delete the selected measurement data on the measurement data Print Record Print the analyzing results of the selected measurement data The print format changes according to the display panels Print History Print the measurement data blood profile and trend graphs of the selected patient The print format changes according to the display panels Other Tests Open other test data that corresponds to the measurement data onto the Other Tests screen Recall Data Open the selected measurement data onto the measurement screen Close the screen and return to the measuring screen Display Panel and the Print Format The print format changes according to the display panels The following print options are available Name of Button Display Panel Description Print Record Measurement Data Print the analyzing result of the measuring screen Other Tests Print the analyzing result of the other test screen Print History Measurement Data Print the measurement data Other Tests Print the other test measurement data ABI Trend Graph Print the trend graph ASI Trend Graph The s
9. Closes the software Patient Add Patient Opens the patient s profile screen Select Patients Opens the Manage Patient Information screen Settings Options Settings Opens the options setting screen Print Opens the printing screen Other tests Other Tests Opens other test screens Help Help Opens the help feature Opens the startup screen Print Printer Settings Opens the printer setting screen 20 Information Display Screen Use the Information Display screen to view data and reports for three types of data Pulse Wave Envelope Pulse Waveform and the results of the measurement analysis You can view the data by selecting one of the tabs on the Select a panel tab Pulse Wave Envelope Pulse Waveform Analysis Figure 16 Information Display screen panel descriptions Pulse wave envelope Displays the pulse wave envelope for each measurement site Pulse waveform Displays the pulse waveform for each measurement site Analysis Displays the analyzing results of measurements Note You cannot switch the panel view during the measurement process If you do switch views the data might be lost or you might not be able to save it Pulse Wave Envelope Panel This panel displays the pulse wave envelope for each measurement site During the measurement process the panel automatically switches into the magnified display Figure 19 When this occurs the MS 2100 software displays the mercury column image the cur
10. E i M i F a Figure166 4 On the Header screen specify Yes to import the header if desired When you select this option the headers are created after the line numbers are specified 5 Click on Next to open the Name screen Figure 167 135 Wu d dm Viper 4 fee La ee Set a Ru u n 2 rp 1 Bd gt Lar p iret aa pa j jira gt be 4e E 1 pr 1 jai AT nr aiti i i 1 pou 1 Figurel68 6 Select the columns rows for the data Double click the names from the patient list to select them Then click Next Onthe Sex screen specify the sex date of birth age ID height weight waist comment and the table columns using the same method To skip the ID height weight BMI waist and comments fields click Skip After specifying the comments click Next to display the DB Table screen a Wu d 9 b LX db n 39m Tae ee mc i nd Res LE Fieure 169 Te Cue Haee m lume sem ue Es be 4 a m I d i mre de z mung T m iy i a NN i e L i E P a i i u E 1 i i E hi i i di Figure 170 m w ii e p Note If the specified location is incorrect click Deselect to undo the selection and then double click on the correct location 136 7 To select the table for import click the Open TB button to select an existing table or create and save a new table dikt Fugo be Eur ERU aem J a a md i l a
11. Flag aare aa E E T UU E 18 2 O3Displaying the Patient Profile ABI Results 20 0 0 ccecccceeeeceeeeeeeeeeseeeeseeeessueeseaeeeseeeseeeesees 19 Paent S Proe ISOIAY a NT MP 19 Seal Ching DY cciam 19 Reviewing measurement dala sc 9 miii bue ui ci aialcncaleicaiaeet E le tacinigaeatae LR iei 20 Menu ener wr rr ar renee ne reg et re ee none eer ne ere eran er a ene M 20 Inrormauon Display SOLO esae tese ere apesiesziuntam toque sora caaeaetwedaatene sede tbs eatestd equ a 21 Pulse Wave Envelope Pallelsususeeesodnesusa kk aes puer DaEAPIUN MERE Deu DR ta oq REMOR eM CR KV KEIRA aC babe UMEUN vEDPEAKREA TIRE 21 PUSE VVavelorrm dolce nce doti doct bra Und Doe de oos uci sub ub equam bc t optat Lies End ode CUN 24 2 Pulse Waveform Panel Standby display and field descriptions esuesssus 24 Pulse Waveform Panel real time measurement display and field descriptions 25 Analyses arieloes ei egenbi D euiec i oon NEA oda EEn Ida MOS oM DU nU DU MPO DS cuA 25 Analyses Panel field and display descriptions cccccceececceeeeeeaeeeeseeeeeesaeeeeeaeeeessaaeeeseaeeesseeessaes 26 3 Running the measurement display and analysis process ccccseccceeeeeeeeeeeeeeeeeceeeceeeeseeeseeeeaes 27 Take qnedsHremelllS ssisistsdeetud ees erattu edu mdekot duc det cdit ette armo tiM eta Desi Cd tum etes ML DAMM PUE 27 Display TileasBretellls orreen n E R 30 Saving MEASUNEMEMIS sip atc
12. This is due to the compound properties of the tunica media and the tunica adventitia layers as well as the inability of the tunica media properties shown here to provide us a perfect straight line Therefore once the trapezoidal part of the pulse waveform is calculated treat the highest value of the pattern as 10040 and treat the range between that and the point where the waveform amplitude decrease to it s 80 as the flat section allowing range then carefully derive the flat section from this range Fill in hypothetical pulse waves between the pulse waves after smoothening using the average mobility calculations and processed to eliminate noise the pulse amplitude change within the range of 540 1s derived and treated as the flat section range Also putting into consideration that physiological variations such as blood pressure changes can be caused by activities such as breathing the ASI value reliability 1s raised by using the average from many measurements Slow Decrease of Cutt ed Elastic Property of Extemal Artenal Layer z Tunica Acventitia n E Plastic Propet of A Compound Property of the at Me Pi T In Intemal Arterial Layer External and Internal i xi z Us Arterial Layers D Pu ASI uH ree oe PD mn T et l lt i 3 Arterial CE i Ecce E i TM E z teszel Conpiess1on E Eo High Blood IEEE nirio Average Blood praeci es ima lh Blood Pressur
13. and use the ARTERY mark to verify the position of the cuff 11 Face the Knee mark towards the knee Figure 5 2 Align the ARTERY mark to the posterior tibial artery Posterior Tibial Artery E ARTERY Mark Figure 6 If the position of the ARTERY mark shifts it can result in inaccurate measurements Position the bottom edge of the cuff approximately 1 cm above the edge of the bulge which 1s located on the inner side of the ankle 3 Wrap the cuff around the patient s ankle Figure 7 Make sure that the cuff 1s properly wrapped around the ankle Any added space between the ankle and the cuff can cause measurement inaccuracies Check that the blood pressure cuff 1s not shifted downwards and avoid overlapping the cuff at the ankle position 4 Follow the same procedures when applying the ankle cuff on the left ankle 12 1 04 Selecting the Measurement site and the Initial Cuff Pressuring Value Before measuring convert the measurement site and the initial cuff pressure value using the rotary knob located on the main unit Warning When applying the blood pressure cuffs avoid any wounded or infected areas The initial cuff pressure value control knob can be used to test and select a proper site for cuff application The rotary switch that controls the cuff pressure values for each corresponding measurement site 1s located on the main unit During the measuring process
14. glycated hemoglobin ALT Alanine Aminotransferase ALT Smoker Diabetic You can enter the risk factor data required to run the Framingham Risk Evaluation Analysis Risk factor field descriptions Smoker Smoker or not Yes No Diabetic Diabetic or not Yes No 36 Blood Pressure In this section you can enter the blood pressure data required for the ASI Arterial Stiffness Index and estimated arterial age test The results of the test are also displayed in this section This section also provides information on the higher brachial pressure left and right Blood pressure field descriptions for a ASI analysis Field Name Description Systolic Pressure The systolic pressure level Diastolic Pressure The diastolic pressure level Pulse The pulse Pulse Pressure The value derived from subtracting the diastolic pressure from the systolic pressure ASI The Arterial Sclerosis Index Estimated Arterial Age The estimated arterial age interpreted according to ASI Other test displays This section displays the results of the Framingham risk evaluation metabolic syndrome and e GFR diagnosis programs using the information entered Results for diagnostics tests field descriptions Framingham Risk Displays the Framingham risk evaluation 96 Metabolic Syndrome Displays the metabolic syndrome diagnosis Metabolic syndrome non metabolic syndrome e GFR Displays the estimated Glomerular Filtration R
15. pressure is continually exerted by the cuff until the pressure value reaches the limit set by the initial cuff pressure value control knob There are a total of 4 initial cuff pressure control knobs each targets one specific measurement site the right brachium the left brachium the right ankle and the left ankle Select a cuff pressure value from the four options of 140mmHg 180mmHg 230mmHg and AUTO When the AUTO option is selected the pressure exerted by the cuff is adjusted automatically according to the patient s blood pressure value Select the OFF option for other sites that are not being measured Rotary Knob Message descriptions No measurement performed AUTO The cuff pressure is adjusted accordingly to the patient s systolic pressure 140 Pressurizes until the value of 140mmHg is reached 180 Pressurizes until the value of 180mmHg is reached 230 Pressurizes until the value of 220mmHg is reached Warning About the AUTO mode On patients with cardiac arrhythmia or a weak pulse the Auto mode pressure might not work properly When you are working with such a patient do not use Auto mode Select the most appropriate pressure value from the 140 180 and the 230 options 13 Note Set the proper pressure maximum using the standard value of systolic pressure 40 60mmHsg Applying too much pressure can cause the patient pain and insecurity Therefore set the proper initial cuff pressure value according to each patien
16. 02 Registering a patient 1 On the Patient Information and Measurement Data screen click the New button to open the Fesser Dara ae nn m bo ri um nm mum mo he rs baot bara d maa bk i 7 x B i E Figure 84 Patient Information window 2 Onthe Patient Information window type the patient information in the fields provided You must specify information in the required fields marked with an 3 After completing the fields click OK to register the patient Click Cancel to return to the previous screen without saving the patient information Note The age is calculated and displayed automatically after the date of birth 1s entered If the age 1s specified first the date of birth 1s automatically calculated and displayed as being January 1 of that specific year Before saving the record verify the month day and age carefully to make sure it 1s correct 69 70 06 03 Editing patient information If necessary you can update patient information that has already been saved in the system 1 On the Patient Information and Measurement Data screen highlight the name of the patient and click to select it The selected patient information is displayed in blue although the color might differ based on the computer display settings Henie megl Dara Wurf mdli ie L L E rmm Pom Figure86 2 After selecting the patient click Edit to open the Patient Information editing screen Me
17. 112 10 TAG ICID A CAG v t E 113 PIDDGNGICC S DENEN RM 114 UM anicibe usem EM M PE 115 2 S cieRel eme S UU uU ES 117 O21 BnEe uep C 119 D2 2 COM POM estessbinii ute ion Dae quo a a cO Rue lane nd uoo aaan 122 02 9 Imporning Other TestIDITOFTnallOEUs ades o titus adesto uU catu nidis dudes atu deeusd susti etia 123 02 4 Backing up and restoring your data ccccseccccescecceseeccceuceccaececsueceeseueessaeeesseeesseseesssaeees 125 BaACKNO UD ed E OL ot 125 missis iaedBI i NER I D UU UU TM 126 02 5 EXODO dalos a LL ETE 127 02 6 Importing patientiniormat ON susce ose beu exp eu tu ra E tbele te eet ert ratu US oer edd 131 Exporting the header creating the template of import data eseeeeseeesseeesssss 131 NINO OMI TNC Cl Aes E ETT TOT 133 FACVIC WIIG IMD OMG CCA et Ne EO a ee asa acts oe eile Rano UE 138 02 pi eed ERR 140 02 8 Managing DB TADES a sigslessiscee 141 Opening ihe DB Table essan ie seplelded eet a E a 141 Creating a Mew Bla Ole s itii react ta te ati oan iem td ohare ta ent etUm sti occa eneneeeseaacne 142 02 9 Selitig PrIDUODEHOLIS ueni fee a ceracts Ui ie teat eate estia pUoM Miu uM oe tet a e D DUO LUNO HEU 143 IoC UDNE FNNO tO OUT 145 4 Configuring the start up sCreen cccccccccccsssseecceesseecceeueeeeseaeeeessaaeeessauseeeeesageeecsegeeessegeeessees 146 6 PD DECNGICCS c T 147 S Ero
18. 84 ROCKO OOOO JOODOOOOOOODOOODOOODODODOODDOUOOUE He ader X000O0O0OOO0O0O0O000000000000000000 X KEXXEXXXXKXXXXXXXXXXXXXXXXXXXXXX Nama Mr Patiento1 ID 1 mure Gm A m4 nw Wei wem i Patient Information Measurement 200900281823 Mae dive 280 too 790 9 Date and Time Measurement Result Measurement Result R Brachial L Brachial Test Result EN m Right ABI Left ABI ASI ASI 43 1 05 1 04 428 80 PAD Test Result Y Normal red SYS DIA J SYS DIA T e die vd Estimated Arterial Age 33yrs ASI a ASI a Pal Arterial Stiffness Test ASI Result 105 e EE dg fo Et S 141 79 SYS DIA 140 81 SYSIDIA 69 nse E Age Level Graph RB54 LE43 RAS LAS Lupe Graphical illustration of an ASI Trend Graph Next Scheduled Check up Figurel109 Report output for Patient Type 2 Header The header field shows the print title the Facility and other information address etc that provides information about the report context Note the Facility and other information address etc can be entered from the print setting section See Print setting on page 142 Patient information Date and time These fields provide information about the patient and the date and time of measurements Patient Information Date and Time report output field descriptions Date Time Displ
19. A efter T ATTE s ES Ed DU keine tete an an e tene sv isa S EEA 153 4 Arterial Stiffness Index ASU a eee emen ene id 154 NU dq NI ir NEN 158 147 1 Error Messages Error messages can occur because of machine related problems device software communication or because of inaccurate measurements Use the information in this section to troubleshoot any error messages you encounter while operating the MS 2100 software or blood pressure cuff Errors related to the Microsoft Windows operation Errors can occur because of problems related to the Microsoft Windows operating system If you encounter these types of errors close the Windows application being affected Then try the following actions in this order e Re run the task that was running when the error occurred e Close and restart the VitalVision MS 2100 software e Restart the computer MS 2100 Error messages The MS 2100 error messages are classified into the following categories based on message number For details on specific message types numbers see the detailed message descriptions Error Message Types 100 and 101 108 EE M software amp device page 148 100 150 100 150 Software 0 0 page pageld 0 180 181 200 206 ASI Arterial Stiffness Index page 154 300 302 me ABI Arterial Brachial Index page 153 Device Error Messages Error002 Insufficient pressure Please make sure that the blood pressure cuff is properly wrapped
20. EN Jl ADF MENAI ll MAP aF Right Ankle UT Fone _ Right Ankle SYS 14 i DIA 79 il I io 2 PP 62 i MA J ASI 105 1 B Lef Anka juo Comment Maud Radar Chart ASI ABI Graph Estrmated Arterigl Age Eyra a Prout x niihi ASAR Gra Trend Graph Figure99 Facility Type 1 Print style 78 Header Patient Information Measurement Date and Time Measurement Result Right Brachial MAP338 88 Right ABI Pulse 69 Left ABI 1 05 104 Right Brachial S Left Brachial of Brachial SYS 134 HW SYS 128 DA 35 if DA 80 PP 49 1 PP a ASI 54 M ASI 43 MAP IE JUTiT ms Right Ankle Left Ankie SYS 141 Svs T1410 DIA 79 DIA 81 M i PUN PAIR RM Se x He comes uen MAP 43 Comment UT 165ms Radar Chart Comment Age Level Graph E Simaied Alenal Age 3xX3yrg Trend Graph Ag Level Graph Ti LUI 1 d 1 1 Figurel00 Facility Type 2 Print style Header The Header field displays the print title and the facility information Note The Facility information is specified from the Print Setting screen Other information such as the address is not displayed on print outs for the facility For details see Setting Print options on page 143 Patient information Date and time This group of fields provides patient information and the date and
21. I S co ERR EEUU Eds 56 JsiM retient m 57 AOL Trend arap I ane sae EEEE E ER Ae Ee 58 BP rena crab Parelcososesa atico papae ta tace ae de atu Md Leser nem Mn ace ds 60 BMI Tend Graph icu PR UU t siaiieeesadaineere nine 61 Other Tests Pane RTL T TT 62 5 04 Accessing the measurement Aata ccccceeccccssececceeeeccececceeecssuueeeseuseesseeessueeeeseaseessaseessags 63 5 OS ACCESSING ONC 1S Calas e EET T i mn 65 5 06 Deleting measurement Gala sceiten site dus pedea eere id cee dieses Ote o a cesat sees 66 G Patient Mormaii E nex tosssiae Geen bedeasatolengeustenlonnentes 67 6 01 Patient Information SCle ON aiisontiinstiientirniviendibnddeinchiaivnwtieidanieldGen tied absdaaiaiaea 67 05 02 TREGISTSMMG d Dalle ib oi rbd aca Deka dtr dad ba D bare di teen Leo e tv quad DIU rad ette E 69 06 03 Editing Balle Pd iTOEFO S OT sessionen E emen eiu a ded es oh hr ok neos Eze uae 70 TC ANCL mc 71 Searching for Patient InFormialtlOli iie eu ce ca aree o6 duis Fa aep ota eso ede test luo Na Dec des dna eno 72 o3 un rer per T 73 Printing the measurement analysis report cccceseccceeeeceececeeeecceeeeceucecsueessueeeceecessueeeseeessaeeesaess 74 Print screen Printing the Measuring Screen Analysis Report 75 Printing the Measuring Screen Analysis R pOrt ccccccccccsssecceeseeceeceeeeceeseeeeeeeseeeeeeesaeeeeeesaaaeeees 76 Fraud reports omnistollcal dale iod ca tua tinea aser utut Testen Uca ads tu oec educ ona ce
22. Measurement Data screens and return to the measuring screen 50 Menu Bar The display settings of the menu bar can be carried out from the Unit Selection screen window Menu bar option descriptions File Close Closes the patient information and measurement data screen and return to the measuring screen Patient New Opens the patient information screen Register new patient information Update Opens the patient information screen Edit the selected patient information Deletes the selected patient information Opens the search screen Opens the selected patient data onto the measuring screen Printer Setting Opens the printer settings screen Print History Opens the print screen Prints the measurement data of the selected patient Print Report Opens the print screen Prints the selected measurement data Switches the print style according to the measurement data tab Other Tests Opens the Other Tests screen Help Opens the help feature 51 5 01 Finding patient information Open the previously registered patient information from the measuring screen 1 On the Patient Information and Measurement Data screen highlight the name of the patient in the patient information list Then click to select it arsi remet Dara m ami m mee Van miri md Chabi 8 et ER oo bd d rm dr dm Im Lum e mmm irm mm s n i be ir rn hum Le B L a ee NE m ma i 1 D i ou 4 Figure 62 2
23. Patient Information Displays the print preview Left click to zoom in Right click to zoom out Set the blank spaces of the print outs Carries out the print job Opens the printer setting screen 99 Printing Trend Graphs Note The time axis 1s linked to the displaying position in all panels After the tab is changed information from the same date and time 1s displayed using the same time scale After the patient 1s switched the displayed date and time 1s deleted but the time scale and the graphs remain unchanged 1 On the Patient Information and Measurement Data screen select the patient information that you to print Fieasunement Dua m um a i BEN bd E sdb Pm pou Less i F Figure125 2 Click Print History The Print History button is available when either one of the Measurement Data or the Other Tests display panels is selected Print Jobs can be run from the any of the following panels ABI Trend Graph ASI Trend Graph or BP Trend Graph D ata Print Record Frnt History Delete Data Other Tests ABI Trend Graphi SI Trend G BBP Trend Graph Bi BMI Trend G Figure126 3 Start the print job Click on the Print button on the print screen Figure 127 and the printing begins After printing the Print end message will appear and the print screen will be automatically closed 100 Print style for Trend Graphs The Trend Graphs print style generates a report
24. Print Other Tests Report Automatically prints the results of the measuring screen can be set as ON or OFF For Facility use The difference between 1 and 2 1s how the results are being displayed When under the manual printing mode print jobs can be activated by clicking the print button on the measuring screen and the Print Record button on the Patient Information and Measurement Data screen Automatically prints the results of the measuring screen can be set as ON or OFF Measurement results given to the patients for records The difference between 1 and 2 1s how the results are being displayed When under the manual printing mode print jobs can be activated by clicking the print button on the measuring screen and the Print Record button on the Patient Information and Measurement Data screen Prints the Measurement History Print jobs can be activated by clicking the Print History button on the Patient Information and Measurement Data screen Prints the Other Tests History Print jobs can be activated by clicking the Print History button on the Patient Information and Measurement Data screen Prints the Trend Graphs Prints the trend graphs of ABI ASI and the blood pressure level Print jobs can be activated by clicking the Print History button on the Patient Information and Measurement Data screen Prints the results on the Other Tests screen Print jobs can be activated by clicking the Print button on the Other
25. Tests screen and the Print Record button on the Patient Information and Measurement Data screen Note For details on setting print options see Print on page 73 73 Printing the measurement analysis report After the measuring process is finished the measurement analysis report can be printed automatically Two types of report are printed one for facility use and the other for patients You can also use the Print button on the measuring screen to manually start the print job If you want to print a report based on existing data use the Print Record button provided on the Patient Information and Measurement Data screen Notes e The print screen does not display when the measuring screen analysis report is printed automatically Figure 93 e Automatic printing can be set as On of Off The exported print style can also be configured e For details on setting print options see Print on page 73 74 Print screen Printing the Measuring Screen Analysis Report To print measurement data directly from the screen click Print on the measuring screen or Print Record on the Patient Information and Measurement screen 3 Patient Information Tier Cenanil S EXIF TIE Lat Foor WRK zLOLTDECDIm Rone Hah zm mm p larem bal Srei ip Ira miir EE Dci Print Preview PRO Test Pen Reehi AER Margin IJI tte qike Print iF antral Aitean Tasi Prauuk L Setting JPEG ja Por Pelitr Tepe i Sheets
26. With the patient name selected click the Recall button under the status to open the patient file and view the data Mele LSPS 33 170 0 80 0 208 OP Fmrala iO TESI io SO 244 Ed Zi rs lil rrt n Right Beachial Left Brachia m s E d ede ELI Deserted ae y t aes ff Y e act Right Anila Left Ankin riai IU perv Wu mare iv aan ak sci Figure 64 Patient information screen 52 5 02 Deleting patient information Note After the patient data is deleted all information regarding the patient including the Data No is removed Use extra precaution when managing by Data No 1 To select data to delete click the desired patient information from the patient information list on the Patient Information and Measurement Data screen Figure 65 Figure65 Patient Information and Measurement Data screen 2 Click Delete Parsi 3a 170 0 eii 208 Td LOST IE c LED 5S 24 4 i Figure66 Patient Information and Measurement Data screen 3 Check to see that the correct patient information is displayed on the screen 4 Click OK to confirm the remove request and delete the selected information po 5 03 Measurement Data Display Bar Use the Measurement Data Display bar to view and managing existing measurement results To select the data list and trend graph click the desired panel tab Note The time axis is linked to the displaying position in all panels
27. appointment information for the next scheduled check up Print Display Display the next scheduled checkup on the report for patient The next scheduled checkup can be adjusted in the unit of months Do not print or Do not display Do not display the next scheduled checkup on the report for patient 143 Facility Information Box Input the Facility information here to include it on the reports Cancel Close the Settings screen without saving the configuration changes and return to the Option Setting screen OK Carry out the configuration and return to the Option Setting screen 144 3 Setting up the Printer Select a printer that is connected to Windows online Note This window differs depending on different OS types versions i Eire Printer Copies nx E cav Help Print Range OK Cancel Figure184 Printer Setup screen Print Setting field and button descriptions Printer Select a printer that 1s connected to Windows online After you specify the number of copies you are can configure more advanced options such as print quality Print range Configures the range of pages to print for example pages 5 8 This option setting 1s not reflected on the print setting Copies Configures the number of copies to print OK Enable the configuration and close the window Close the window without saving the configuration changes 145 4 Configuring the start up screen Use the Hel
28. du M marum ET US E g r m mm ott md Bi nm E mbi mmi Rd Fac br ATi lat E Fx br A31 Lar itt j Ph bum EX 4 13 82 1 08 1 13 82 1 08 Pha o Gum zi iru kl rar amc LI T Right Brachial 117 Left Brachia Righe Brachial Left Brachial e TATE Li 1 Pana 75 r 4 E E 2 AIU d Tk uM 52 Y l lk ld a ght Ande 133 os Left Ande 128 Righe Aade Left Ankie 3 wel ha r r w A Dwexk 7A hia UE LB Fidis m renee 21 HIT inm i umm ai Tw iid So Ji Figure 30 w4 The arrhythmia icon is displayed when shaking or irregular pulse wave intervals occur during the measuring process If this happens measure the patient again If an error occurs during the measurement process the measurements are not accurate See the 01 Error Messages on page 148 to troubleshoot the problem Resume the tests after the problem is resolved Saving Measurements 30 The MS 2100 software automatically saves the measurement information for each patient If a patient performed exercise during the test and has an exercise flag you can enter a memo into the system to keep track of the patients exercise status For more information see The Exercising Flag on page 18 The measurement data is automatically saved after the measuring process ends However if you enter or edit additional information after the measurement session make
29. group Use these options to configure the Menu Bar Display Measurement Display and Patient Database Display Measurement Display and Patient Database Display ON Display On 9 OF L Display Off Figure149 Item of Setting Measurement Display and Patient Database Display 121 02 2 comPort Use the COM Port option to set up the connection between the measurement device and the computer Note If this the first time the device 1s being used with this computer make sure that the USB driver program is installed on the computer before connecting the device COM Port device setting xs Device Setting Serial Port Port COM Port Figure 150 Descriptions on the buttons Serial Port Select the desired serial port Serial ports that are registered on the computer system are displayed Set the selected port as default and close the window Forgo the selected port and close the window Setting the Serial Port 1 Before you begin verify that the device and software are in the following state gt Turn on the power for the device Connect the device to the computer using the USB cable Make sure the USB driver program is successfully installed V NON Verify which port is used to connect the device to the computer and select the port number 2 Determine the port number used to connect the device to the computer 3 On the Option Setting screen click COM Port 4 Select
30. lipid profile Lipid Profile data fields T Chol The total cholesterol level LDL Chol The low density lipoprotein cholesterol level HDL Chol The high density lipoprotein cholesterol level Al Atherogenic Index T Cho HDL VHDL Scr The Serum creatinine Scr The Triglycerides level 97 F Glucose Fasting blood glucose level 2 h Glucose 2 hour blood glucose level HbAIc Hemoglobin Alc glycated hemoglobin ALT Alanine Aminotransferase ALT Other Information This group of fields provides miscellaneous information Other information report output field descriptions Smoke Smoker or not Yes or No M Diabetic or not Yes or No Weigh a Page Number This output field provides the page number for the prints 98 1 02 Printing Trend Graphs for current data You can print ABI ASI and blood pressure trend Graphs directly from the measuring screens Print Screen Trend Graph To print a Trend Graph from the Patient Information and Measurement Data screen click Print History on the Patient Information and Measurement Data screen The history is displayed on the screen You can print the display from the ABI Trend Graph the ASI Trend Graph or the BP Trend Graph display panels LI Ed Patient Information Print Preview Resolution G0 Dii Peg kate LF argin was cy Print 2 Setting Close Figure124 Trend Graph print screen Trend Graph report field descriptions Displays the
31. one for right brachia and the other for the left brachia Make sure that the cuffs are applied to the correct side of the body 1 Ask the patient to lay down with the brachium exposed or covered with thin clothing Do not roll up the sleeves of shirts or jackets If the blood pressure cuff 1s placed on top clothing make sure that clothing does not overlap on the arterial side Do not exert excess pressure on the brachium because it can cause inaccurate measurements Figure 1 10 2 Place the brachial cuff on the right brachium Face the Shoulder mark in the direction of the shoulder IH Shoulder Mark Figure 2 3 Place the ARTERY mark of the brachial cuff directly on top of the artery Figure 3 4 Wrap the cuff around the patient s brachium Figure 4 5 Follow the same procedure when applying the brachial cuff on the left brachium Applying the Blood Pressure Cuff on Ankles Note The blood pressure cuffs for the ankle come in two types one for right ankle and the other for the left ankle Make sure that the cuffs are applied to the correct side of the body 1 Place the ankle cuff on the right ankle Blood pressure cuffs for the ankle are specially designed taking into account the fact that the circumference of the leg gets slimmer as one move closer to the ankle The position where the ankle cuff is wrapped around the ankle is very important Use the Knee mark to confirm the direction of the cuff
32. r5 a SE B Adi R Od L O87 PULSE Rr Grech sl oll LI N i irem Am i FHS ZAST DEANE te MESTIH 4 S TAG 122469 inia nl 70580 1234567595 224587 250 a ABI Fight Brachial Len Beach RO Aniye infe Ending AHI Fight Brachiai ant eat cui Right Anite Left Artie d L 1d FULBE Ran Blac tial i4n us belt Based ia E i45 ak FAM M Pom Page Number Left amp nkig i i i Sp ie Figurel21 Measurement Data print display Header The header fields provide the print title and the facility information Note The facility information can be entered from the print setting section Other information address etc will not be displayed on the measurement data print outs See Print Setting on page 142 93 Patient information Date and time Displays the patient information and the date and time of printing Patient Information report output field descriptions i Weg wis Measurement History The measurement information is arranged sequentially and displayed in tables Measurement History Data Me Measurement Date Right ABI Left ABI PULSE Memo ASI Svs DIA PP LL EDS e TO xercise Measurement Gie ABI o Right Brachal 50 145 96 48 Left Brachtal d 145 96 49 Right nike 55 i80 Ex 57 Lert Ankle 7B Figure122 Measurement History reports Measurement History report data fields Data No Displays the Data Number registered according to measuring order Measurement Date Display
33. rage are displayed in red rains ap M eink CATO TPA maecens Bony CA Apa Dr gemere ps dened ae t2 Diagnosis Standard Keire Serre hein Genre Obas pius any Gn of me heaving four eztona Test Result Standard Value Diagnosis Result Figurel41 Metabolic Syndrome test results as displayed on the Other Tests screen 110 Estimated Glomerular Filtration Rate e GFR The data fields from the Estimated Glomerular Filtration Rate e GFR test are shown below This data can be extracted in a report by using the Print function from the data display screen RACE AGE GENDER Scr maid j Blood Data Unit eGrR 00 0 Y STAGE CKD Stage Figure142 Race 111 9 Closing the application 1 When you are finished using the MS 2100 software program close the application gt Click the Close button in the upper right corner of the screen or select Close from the File menu See Figure 143 gt When the close confirmation message is displayed click OK to close or cancel to return to the measuring screen 1 Close Button imd Fais enu Bar Right ABI Left ASL aol b im File Patient Setting Pr Save Ctrl Close Figure143 2 Turn off the power switch Then unplug the AC adaptor 112 1 Othe Help Feature When you are using the software click the Help button or press the F1 key to get additional information on a product function and how to use it 113 Appendices 01
34. the Port Then click OK to set the port number 122 02 3 importing Other Test information Use the Import Other Test Information function to transfer data such as blood lipid test results from a CSV file into the patient database of the MS 2100 software After information has been imported it can be managed using the MS 2100 software functions You can only import data if the patient 1s already registered in the system Other Test Data File LIS OF TS RT ET BST Bl E e E al Lari Die iO vitafruinn Dar hy hid asi ik Ta RI 1 di Leuk ian File List File Selection Cancel OK Figurel51 Other Test Data File screen field and button descriptions Speciation of Field Order Test Date Range Setting Data Display Bar Cancel OK Help Figure152 123 Select Other Test Data File screen field and button descriptions Field Order Specify the field order of the CSV file to be imported specification The field order is saved so you can re use it in subsequent import operations Importing other test data Before you import a data file for a patient make sure the patient is registered in the system If the patient 1s not registered the import operation will fail 1 On the Option Setting screen click Import Other Test Data button 2 Onthe Open Other Test Data File window select the data file to be imported After the first data file selection the directory which the data file was selected fro
35. time of measurements Patient information Date and time field descriptions Displays the gender Displays the age Displays the weight Displays the Body Mass Index 80 Measurement Results This display provides the measurement results of each measurement site The brachial measurement results which are out of standard range will be displayed in red Right ABI Pulse Left ABI Left ABI 1 15 Right Brachial PEE Left Brachial DA 73 FP 33 AS 53 Right Ankle Right Ariki MEM oft ee tamale Left Ankie ary Da T4 PP OBA ASI 82 Memo Figurel01 Measurement results field descriptions Displayed on the screen if Yes is selected for the exercise status Displays the left brachial blood pressure pulse pressure and ASI Displays the blood pressure pulse pressure and ASI of the right ankle Displays the blood pressure pulse pressure and ASI of the right ankle Memo items entered in the memo box of the measuring screen 1s displayed here Displayed when shaking or irregular pulse intervals occur during the measuring process 81 Measurement Site Pulse Wave Envelope MAP UT Figurel102 Measurement results displays descriptions Measurement site Displays the measurement site Pulse Wave Envelope Displays the pulse wave envelope recorded during the measuring process Also displays the wave lines representing the air release rate JOMAP UT Displays the MAP and UT from the pu
36. 5mm Margin Right 5mm Down Smm Resolution 600 Dpi Magnification 100 707 Margin Left is E Right io 9 Down a mE S48 CEE LEELEE EEEE EEREEE NE CNN Ss Seasann SRS CEER 2002225 Nic 3 s L s I II EI JPEG image output to File Me L Accentirg Io Ine Te Synvirome diagnosis riaan advisory deni on dn Japart tr a perron lobe dedred a qw clic Syrdrome hairy Cental obesity plus ang Wo of he Toon Your qs cher Detned ac i lt A N el eal min Figurel137 106 Print style for Other Tests current data report The Other Tests print style generates a report like the one in Fig 138 Detailed information about the data fields 1s provided below Header Patient Information Lipid Profile and Other Tests ON Other Test Report SION Framingham Risk Analysis Metabolic Syndrome GFR Framingham Risk TU qe cardi azzulzr rish fee bira and errem Exfl euin Caereg rg Feist Dette Fond Ese dd 10 T Ear CHE Fk Metabolic Syndrome e GFR CKO STAGE Figure138 Header Displays the print title and the Facility information entered during the initial setting Note The facility information can be entered from the option settings section Other information address etc will not be displayed Patient information Date and time These output fields displays the patient information and the date and time of printing Patient Information Date and Time report output field descriptions Displays the d
37. Diabetes Federation Metabolic Syndrome Definition For Eurapids The International Diabetes Federation Metabolic Syndrome Definition For All People PCEF ATPF Ill National colesterol Education Prograni The 3rd Revision of the Adult Treatment Select Ehe Formula of estimating GFR Selection of the e GFR Formula CKD Treatment Guide From The Japanese Society of 2 Neohrolagy The MORDO formala For estimation of GFR Figure147 Item of Setting Definition of Setting The Metabolic The Metabolic Syndrome diagnosis standard advisory definition in Japan Syndrome Diagnosis The IDF definition for Europeans The IDF definition for All People The NCEP ATP III definition The formula of CKD Treatment Guide from The Japanese Society of Nephrology ESL SETS The MCRD formula for estimation of GFR Unit Setting group Use these settings to configure the ASI display the pressure unit and the blood test results ASI ASI Range ASI ASI amp Type 3 0 70 71 ASI Range ASI BP Type 2 0 80 81 Select the Unit of pressure mmHg Pressure Unit Selection kPa Select Ehe Unit of blood test Blood Test Unit Selection mgjdL mmol t dL Figure148 120 Item of Setting Unit of Setting ASI ASI ASI bp ASI Range ASI Range ASI Cardiovascular Risk ASI bp 130 Low lt 71 The Pressure Unit mmHg The Blood Test Unit mg dL Selection mmol dL Type 3 Menu Bar on Windows
38. M 8 LBS e Patient Information LX oppor Oa Tq po Other Information ima mm i ki M Drs y risas rs ta get o iB F at ee om us mie i MN I EEEE DE a cof nea Gite mm Lipid Profile Other Tests Results emn 0 fab 90 3 ccm jc EE maaan ed zje Es SE sos of Teo pore maa Ain ax amimi re Figure123 Header This field displays the print title and Facility information Note The Facility information can be entered in the print setting section Other information such as the address is not displayed on the Other tests reports For details see Setting Print options on page 142 96 Date Time These fields show the date and time that the report was generated Patient Information Displays the patient s information Patient Information output field descriptions ID Displays the ID number Name Displays the name Gender Displays the gender Other Tests Results This group of field includes information about the diagnosis history made by the Framingham Risk Metabolic Syndrome and e GFR diagnosis programs Report field descriptions The date of the tests The time of the tests F Risk 1 Framingham Risk evaluation Estimated 10 Year Coronary Heart Disease CHD Risk C Risk 2 Comparative Risk Estimated 10 Year CHD risk low 10 Year CHD Risk GFR 4 Glomerular Filtration Rate CKD 5 Chronic kidney disease stage Lipid Profile This group of data provides the history of the blood
39. VitalVision MS 2100 Professional Hemodynamics Monitor User Manual Software Amendment 1 Dec 22 2008 Table of Contents 1 Operating the VitalVision MS 2100 Specific Software eesseseeeseseeseeeneeeenennennne 8 1 01 Preparing Tor MessHrermiellSusnesc udo Di et En abu cvi use Du uet coiend ipte Dun alu RRatu tM tv M pU S a tU ipu HCM Dead 8 1 02 Measuring ISU IC TIONS ise iocos vat decet ue Rr Marta rint uence asad sud o RED eU Mu PL Poa CUR acne 9 1 03 Applying the Blood Pressure Cuff sess nnne nnne nennen nnns nnns 10 Applying the blood pressure cuff to the DraChiUM ccccccceecceceeeeeceeeeeeseeeeeseaeeeseaeeeeseeeeessaeeesaaes 10 Applying the Blood Pressure Cuff on ANK Suenan a E 11 1 04Selecting the Measurement site and the Initial Cuff Pressuring Value 13 1 05Starting the VitalVision MS 2100 Software eessseessssssesseseeeee enne nnnm nnns 15 2 Understanding the Measuring screen uessesssssssssseseee nennen nnne nnn nnn nnne nn nnns 16 PAO COGS BE isesimesittustutivteusuia aet Sae IU UR ON EN nc tae ae yea camenta unmet UR TU E NrUIEIA 17 2 02Menu Button the Exercise Flag and the Memo Box cccccccseccceeceeeeeeeeseeeeseeeeaeeeseeeeseeeaes 17 TAS Terni BH OE Los cnisat tu qe daro a quiae Ripa Fui eui dud Edu Feu da CRT S M MR EVCuU V CE iade du rELE 17 THe Memo BOX MN o IEEE 17 LNG EXGrClSind
40. actors Decision Non Metabolic Syndrome Figure 43 Metabolic Syndrome According to the Metabolic Syndrome the International Diabetes Federation Definition for a perso nto be defined as the Metabolic Syndrome having Central Obesity plus any two ofthe following fo ur factors Decision Non Metabolic Syndrome Figure 44 Metabolic Syndrome According to The International Diabetes Federation Metabolic Syndrome definition for a persont o be defined as the Metabolic Syndrome having Central Obesity plus any two of the following four factors Decision Non Metabolic Syndrome Figure 45 Metabolic Syndrome According to the Metabolic Syndrome the International Diabetes Federation Definition for a perso nto be defined as the Metabolic Syndrome having Central Obesity plus any two of the following fo ur factors Decision Non Metabolic Syndrome Figure 46 e GFR Displays details on the estimation of Glomerular Filtration Rate e GFR Figure47 Race Diagnosis Standard Chronic Kidney Disease Stages e GFR Chronic Kidney Disease Stages Figure 47 The e GFR is calculated once the required items are typed in The displayed stage 1 5 of Chronic Kidney Disease CKD Stage is derived from the calculated e GFR value The 2 categories of e GFR calculating formulae are the Japanese Society of Nephrology Standard formula and the Modification of Diet in Renal Disease standard f
41. ain AXXmmHg Please restart the computer ASI Errors Error200 Displayed when shaking or irregular pulse wave Recommended to measure intervals occur during measurements The a few times to verify the measurement results may be inaccurate measurement results Recommended to measure again Please do not speak during Error201 The ASI value may be inaccurate when the pulse measurements Please pressure High blood pressure Low blood pressure make sure that the cuff is applied properly and that pressure is lower than 50mmHg properly during Error203 The ASI value may be inaccurate when the pulse measurements number is lower than 50 beats per minute Error204 The measuring cannot be carried out accurately if the pulse waveform signal reaches the upper limit of the display screen during measurements Error205 The measurement results may be in accurate Recommended to measure again Error206 Displayed when shaking or irregular pulse wave intervals occur during measurements The measurement results may be inaccurate Recommended to measure again 150 ABI Error Messages Error300 The estimated ankle blood pressure is extremely low Recommended to measure and is estimated to be less than XXmmHg a few times to verify the Error301 Measurements cannot be taken because the pulse is too IDEST eME NETESUN weak or the pulse number is too small Please do not speak during measurements Please Error302 The blood vessels at th
42. am 100 Figure 40 Score Table of Each Risk and the Corresponding Table of Risk 39 Table of risk field descriptions The Score Table of each Risk Displays the risk analysis table of Step1 6 In principle the LDL Chol is prioritized for the Step2 cholesterol test In situations when the LDL Chol 1s not entered but the T Chol 1s the focus and the risk 96 table item 1s displayed and estimated using the T Chol value The Corresponding Table of Risk Displays the corresponding table of risk The Metabolic Syndrome e GFR Panel The details of the Metabolic Syndrome Diagnosis and all e GFR Risks can be confirmed here Metabolic Syndrome According to the Metabolic Syndrome diagnosis standard advisory definition in Japan for a per son to be defined as the Metabolic Syndrome having Central Obesity plus any two of the followin g four factors Central Obesity Raised TG Level Raised Fasting Waist cm ReisedBloodPressure p n cen HDL Chol Plasma Glucose Metabolic Syndrome Diagnosis 98 0 112 66 66 46 120 85cm in males Systolic a 30mmHg TG 21 DNE gt 90cm in Females FPG 110mgj dl Diastolic 85mmHg HDL Chol 40mag dl Decision Non Metabolic Syndrome e GFR CKD Treatment Guide from The Japanese Society of Nephrology ofa sj amp GFR Age 31 Risk Factors For kidney disease t increased And more e g Diabetes Hypertension risk an Family history older age Gender Male j i E thnic group ae More than Ki
43. and applied then measure again 148 Error003 Mixed interference When measurements are taken in the sitting position please have the patient s feet step on the floor and wait till he she reaches a stable condition to measure again When measuring the limbs please make sure that the patient 1s lying down and a stable condition is reached before re measurements Error004 Please re apply the cuff and measure again Error005 Pulse waveform undetectable Please make sure that the cuff 1s applied properly Communication Errors Software and Device Error100 Please check the power Please make sure that the power source of the device source and the connection of is under a printable status Please also make sure that the device the MS 2100 device is properly connected to the computer The connecting cable may experience damages if this 1s the case please replace it with a new cable Please make sure that the USB port on the computer is usable Please restart the computer Errorl04 Check if the device is ready Please turn off the device power temporarily then reconnect it and start the measurements again Please restart the computer Errorl05 The device is currently under The device is currently in measuring or calculation the measuring status mode please wait for the run to end If the run does not end please turn off the device power temporarily then turn on the power and measure again Please restart the
44. ate e GFR value Note The diagnosis standard can be selected from Option Setting Other Test screen Operating button descriptions Opens the print screen Saves the entered information Closes the screen 37 4 03 Other Tests Display Panel Use the Other Tests display panel to view the details about results of the Framingham risk metabolic syndrome and e GFR diagnoses To view information select the panel tab for the test that you are interested in Figure 37 iFramingham Risk Metabolic Syndrome e GFR Figure 37 Diagnostic test display panels Test Display panel descriptions Framingham Risk Displays the Framingham Risk Estimation Panel Figure 3 Metabolic Syndrome Displays the Metabolic Syndrome e GFR Panel Figure 41 e GFR Framingham Risk Panel Use this panel to review and confirm the scores on the Framingham risk The panel also lists all other risks factors discovered by analysis Figure 38 Framingham Heart Studies Circulation 1998 97 1837 10 year cardiovascular risk for Men and Women Fr amingham Risk Estimating Coronary Heart DEEA Ri cope For Estimating Coronary Heart Diese Risk Estimatad id Year CHO Risk t celu sulcus Exe TES mg See s Average i0 Yea CHO EE dais eee eee En Dividing the subject s ris by the lov risk provides an estimate of the relatiee risk meaning that colona u risk For thi indhicual is apprasimately x timag hat
45. ate and time of measurements Displays the ID number Displays the name Displays the gender Displays the age 107 Displays the height Displays the weight BMI Displays the Body Mass Index 108 Lipid Profile and Other Tests Fig 139 calls out some of the output fields that can be included in a report on Lipid Profile and Other Tests data Detailed descriptions of the fields are provided below Lipid Profle arid Other Test Dharar reg tol Trigyrerdn s vail firtemad Schrei index 1 HADA Lnd Waid F Sioa imi Hbaic Ser L L Cmo 5 7 mdi hunsa mgdL AT quia Unit Test Value Name Figure139 Lipid Profile and Other Tests Lipid Profile and Other Tests report output field descriptions 2 hour blood glucose level Hemoglobin A1C glycated hemoglobin Alanine Aminotransferase ALT Atherogenic Index T Cho HDL VHDL The Serum creatinine Scr Framingham Risk Report output for Framingham Risk data includes the output fields shown in Figure 140 Values that are out of the standard range will be displayed in red rasis d i Frey E LL Hii Ar reer 18 yar carsliiseumculur nah lor Mam amd ener Mo lar Pejimaiiig Coronam Hoari Dao RR Eitin Geoi nan ear Csap Bek eh ls EU do peta I Figure140 Framingham Risk test results 109 Metabolic Syndrome Report output for the Metabolic Syndrome results includes the data shown in Fig 141 Values that are out of the standard
46. ays the date and time of measurements 85 Height Displays the height BMI Displays the Body Mass Index 86 Measurement Results This display includes the measurement results for each measurement site The brachial measurement results that are out of standard range are displayed in red Right Brachial Left Brachial ASI 110 125 7 amp 8 131 7 8 Siro f DLA i oof QA 143 82 117 78 d iiis Blood Pressure Pulse al lu Figurel 10 Measurement Results report output Measurements Results report field descriptions Displays the right brachial blood pressure pulse pressure and ASI Displays the left brachial blood pressure pulse pressure and ASI Displays the blood pressure pulse pressure and the right ankle ASI Displays the blood pressure pulse pressure and the right ankle ASI Displays the pulse number Displayed when shaking or irregular pulse intervals occur during the measuring process 87 Measurement Results ABl Test Results This screen shows the left and right ABI test results Test results that are out of the standard range are displayed in red PAD Test Regt imi Right ABI Left ABI L 09 gt pao Man hiid To Wade rare Seuere compressible Ppap BAD Right ABI Left ABI Graph mn Figurell1 ABI Measurement Results result filed descriptions Displays the right ABI Displays the left ABI Displayed on the screen if Yes
47. brachial systolic pressure by the left right ankle systolic pressure ABI is the abbreviation of Ankle Brachial Index the blood pressure ratio between the ankle and the brachium and is used as a marker for the evaluation of arterial stenosis at the ankle portion Right ABI Right Ankle Systolic Higher Brachial Systolic Left ABI Left Ankle Systolic Higher Brachial Systolic ABI values and descriptions The graph analysis screen and the print memo is displayed according to N Engl J Med Vol 344 No21 Page 1608 1621 gt 1 30 Noncompressible 0 41 0 90 Suggests mild to moderate peripheral arterial disease Suggests severe peripheral vascular disease 153 04 Arterial Stiffness Index ASI The ASI Arterial Stiffness Index Calculation Principles and Measurements The Oscillometric method is a way of indirectly measuring blood pressure In this method external pressure is applied to the artery and measurements are made by monitoring the blood vessel volume change During the process where the cuff pressure decreases the blood vessel volume change which corresponds to the Pt transmural pressure the pressure difference between the blood pressure and the cuff pressure is detected as oscillations in the cuff If the blood pressure remains unchanged during the blood pressure measurement then the detected pulsation differences will be used to reflect the vessel elasticity The correlation between the vessel pressure and the ve
48. computer Error106 Error encountered during Please turn off the device power temporarily then measurements reconnect it and start the measurements again If error messages continue to appear the device may require repair Please restart the computer Errorl08 The total pulse waveform Please measure again amplitude wasn t obtained Please restart the computer successfully Errorl51 Error occurred during ASI Close unnecessary programs and restart the calculations computer Please make sure that the cuff 1s applied properly Error152 Error occurred when during Please restart the computer ASI calculations Please make sure that the cuff is applied properly The High Low blood pressure doesn t exist 149 Error153 Error occurred when during Please restart the computer ASI calculations Please make sure that the cuff is applied properly The pulse waveform amplitude did not reach the value required for ASI calculations Errorl55 The pressure data exceeds Please restart the computer the range of saving Please make sure that the cuff 1s applied properly Error 56 The pulse waveform Please restart the computer amplitude exceeds the range Please re apply the cuff and measure again of saving Measurement Errors Error180 Air discharge rate too slow Please re apply the cuff and measure again AXXmmHg Please restart the computer Errorl81 Air discharge rate too fast Please re apply the cuff and measure ag
49. dney damage protein in uet Creatinine 0 90 the urine and Normal GFR m Kidnev damage and mild 60 to 89 e GFR 8 1 decrease in GFR EE EE 30to59 Moderate decrease in GFR ml min 1 73m 2 15to 29 Severe decrease in GFR CKD 2 Less than Kidney is Failure dialysis or STAGE 15 kidney transplant needed Figure 41 Metabolic Syndrome e GFR Panel Metabolic Syndrome Displays details on the Metabolic Syndrome Diagnosis Figure 42 e GFR Displays details on e GFR Figure 47 40 Metabolic Syndrome This panel displays details on the Metabolic Syndrome Diagnosis Figure 42 Metabolic Syndrome According to the Metabolic Syndrome diagnosis standard advisory definition in Japan for a per son to be defined as the Metabolic Syndrome having Central Obesity plus any two of the followin Selected Diagnosis Standard g four factors Test Result Standard Value Decision Non Metabolic Syndrome _ _ Diagnosis Result Figure 42 Metabolic Syndrome panel The following information can help evaluate these test results e The items included in the display change based on the diagnostic standard selected on the Option Settings screen thus the test items 4 5 Waist blood pressure total cholesterol HDL cholesterol and fasting plasma glucose e Compare the test results with the standard values e All information entered into the patient profile and the Other Tests display Figure 36 is displays on t
50. e CSV format first then contact your retailer 126 02 5 Exporting data Use the Export function to transfer the measurement data and patient information stored in the MS 2100 database to a CSV file that can be used in other applications Before you can export data you must agree to the conditions under which data can be exported These conditions are presented to you during the Export process To process data efficiently and increase the chance of success do not run any other tasks during the Export The amount of time required to export the data depends on the amount of data being transferred Export window Terms mr pae papi Chipped paii hijd jb aam Lope m Loma ein Caution mil dert ca A I ante woe mn edi Flee ru TITEL A aieo rat ia divom lai sient lites ion Figure154 Exporting data in CSV format 1 On the Option Setting window click Export 2 On the Caution screen review the terms under which data can be exported You cannot export data unless you agree to these terms Figure155 3 If you agree with the terms click Agree Then click Next 4 On the File Export page specify the directory location and file name for the information you want to export To change the directory or file click the Open button next to each field to find the information 127 BI cr LES le fr ipa Dmm aded els DRE semen Lnd PTs Figure156 5 After selecting the directory click Next 6 On the O
51. e Wave Panel Figure 21 and the Data Analyzing Panel Figure 24 Use the panel tabs to select the panel you want to view The Pulse Wave Envelope Panel and the Pulse Wave Panel display a visual representation of the measurement process as it runs After the process completes the measurement data is also displayed on these panels The Data Analyzing Panel displays the results of the measurement analysis Header Bar Right Brachial Left Brachial Cygni i m i y FN 4 Right Ankle WA Lett Ankie 23 Data Display Panel LUT Gl I Figure 12 Data Analyzing Panel Notes The display and print settings of the measuring screen Figure 12 can be modified Please refer to the Option Setting section on page 116 of this manual for details When a measurement is taken under a screen that is not the measuring screen the system switches immediately to the measuring screen the pulse wave envelope page The data from the current job might be lost or you might not be able to save it 16 2 01 Header Bar The header bar of the measuring screen Figure 13 is used to manage operations such as the savings and the openings of measuring profiles It is also used to display patient profiles and the ABI results etc Patient profile displaying bar ABI Lett ARI 1 13 87 1 08 The operating bar Figure13 Header Bar 2 02 Menu Button the Exercise Flag and the Memo Box Used to operate the measuring scree
52. e and Pulse Waveform Amplitude Figurel 3 The relationship between the ASI principles and the vessel pressure volume properties 156 The analysis screen and the print comment are displayed according to the following standards ASI Range 1 Type 2 Low lt 8 135 Moderate 135 164 ASI bp The ASI logarithm value 157 05 Other Derivatives MAP Percentage Mean Artery Pressure The quotient derived from dividing the pulse waveform amplitude by the average pulse waveform area demonstrated in percentage The value is calculated from the pulse waveform summation average UT Upstroke Time Displays the time duration between the minimal diastolic period and the maximal systolic period pulse waveform amplitude Estimated Arterial Age The age that fits the ASI age association graph Framingham Risk The so called Framingham Risk 1s the arterial risk value proposed by Framingham of Massachusetts United States Framingham s proposal was based on the health survey he conducted on his local residents for more than 50 years and the Framingham Risk is calculated using a score sheet Metabolic Syndrome The diagnosis standard of Metabolic Syndrome The Japanese Society of Internal Medicine In addition to the required qualification if the patient condition fits 2 out of the 3 factors described he she is defined as Metabolic Syndrome April 2005 The Japanese Society of Internal Medicine 158 In addition to t
53. e ankle may be blocked thus make sure that the cuff is measurements cannot be taken applied properly and that the patient is positioned properly during measurements Error Another error has occurred Error Code xxx IM In situations where even the above solutions do not solve the problem turn off the power to the device and contact your retailer 151 02 Oscillometric Method When the pressure cuff is wrapped around the arm and pressed against the artery for blood pressure measurements the arterial pulse below the cuff causes tiny oscillations that are the basis for the oscillometric method The oscillometric method is the same as the ausculatory method in that the pressure cuff 1s applied around the brachium so the cuff pressure exceeds the systolic pressure The pressure of the cuff is then slowly released decreased When the cuff pressure is higher than the systolic pressure the artery is stressed or compressed and the pulse is interrupted After the cuff pressure lowers and becomes similar to the systolic pressure the arterial pulse under the cuff starts again At this point this action of the blood vessel wall 1s directed towards the body and directed towards the cuff with extremely little change on the vessel volume Because there is enough air presented within the cuff this extremely tiny change of volume can be treated as the volume change within the cuff After the cuff pressure becomes lower than the systolic pressure t
54. e dn ms Lire Grp raj enar Tier PF nu aftu p Figure 56 6 Complete and verify the information required on the Metabolic Syndrome and the e GFR diagnosis programs After the required fields are completed the results are displayed on the bottom left part of the screen Figure 57 nr Lips Eros gnat Comer Feat a oe c eee Ld T a d 4 a 5 T1293 pi E Figure 57 7 To print the results click Print on the Other Tests screen Then set up and run the print job 3 1 Farigis Haut Seas PETITI Le E be ee ac ET a il See nj oe mel ee Be Ler Crpida paj eee Tey PA aad phus ee R PER Fimka Figure 58 8 To return to the Measuring screen click Close 47 48 aa Heart Studies Circulation 1998 97 1837 Dar corciesenoular rie for Mier and Women OTHER TESTS Lips Profile and Other Tesis Troas is md Te h Lea a n cm iras iea i mud Fure wer Email Hore 6 hy eee mn Certes ative Fo xn ad Heer box iim 3 oad AL us Um Drapo 2 cig the pict pap tha ee nde pcenis an estmagus ef Vu rates vh aaa ibat crine iai lor T meos um us Hm rebua m anro d ida A Burt Dr umet tq mk a ome i r Ta m Blood Pr csure ipe inate premure peor 219 1 s quei Seem ues cR i 75 ani en Eztiramed r L bem Arrius Are at I Figure 59 5 Patient Information and the Measurement Data Screens Use
55. easurement site Displays the current cuff pressure value Displays the pulse waveform shape of each measurement site Note The unit of pressure values can be selected from the option settings Analyses Panel Use the Analysis panel to review the measurement analysis results after the measuring process has finished Observations Balance Chart ABI Trend Graph ASI ABI Distribution Graph Figure 24 25 Analyses Panel field and display descriptions Observations Displays reference commentaries memo for diagnosis Estimated Arterial Age BP Balance Chart Displays the systolic pressure chart of the 4 limbs Solid line 2 normal value Blue solid line the current measured value Black solid line the last measured value ASI Balance Chart Displays the ASI chart of the four limbs Blue solid line the current measured value Black solid line the last measured value ASI ABI Distribution Graph Displays the ASI and the ABI distribution graphs of the 4 limbs The X axis ABI Blue the right ABI Black the left ABI The Y axis ASI V Legs A Brachium ABI Trend Graph Displays the graph representing the ABI and ASI trend changes X axis ABI left ASI right Y axis Time 26 3 Running the measurement display and analysis process You begin the measurement process by selecting the measurement type The type of measurement determines how information displays during the measurement process MS 2100 software pr
56. ected Database Table screen Switch to create a new table object Close Enables the settings and closes the screen 118 02 1 Unit Setting Use the Unit Setting option to configures the measurement markers ASI Metabolic Syndrome e GFR units and the Menu bar display On the Option Setting screen click Unit Selection to open the Unit Selection window UNT 7 Definition and Formula Selection tsari Ded ricum arai lida eT Aree rini ni od el RT Rn Ira eee rehe darme nanrurd amr ipyre m pg ee AN Unit Selection a rebar Cees Tur Dart z Th ied mpi Sse Paker Fi el ok Dee dim i toe ud Poe crea E B Tad mrs oaa Coico Dren gt a 18d Dee rri E Tr arar 2 mST TRE aby ee a EH orc m LE n Menu Bar on Windows Iz FP ee ire eee et Cancel OK Figure146 Unit Selection screen Field and button descriptions Select Definition and Formula Select Unit Menu Bar on Windows _ Configures the Measurement display and the Patient Database Display Settings Enables the settings and returns to the Option Setting screen Cancel the settings and return to the Option Setting screen Select Definition and Formula group Use these options to select the definition of Metabolic Syndrome and the formula to estimate GFR 119 Select Ehe definition of Metabolic Syndrome Definition and Formula Selection The Metabolic Syndrome diagnosis standard advisory defintion tin Japan The International
57. ed below ASI The cuff pressure range that correspond to the trapezoid pulse waveform pattern x 10 Here the pressure margin is set to be 10 times because the value derived is in the mmHg level and is very small When it is multiplied by 10 it can be displayed as a whole number Another reason is that when the ASI value becomes large it will demonstrate and give out a stiff impression 154 lransmural Pressure Arterial Pressure Cutt Pressure Gradual Decreasing Cutt Pressure Property of External Arterial Layer Tunica Adwventitia Pulse Pressare Mean Transrural Lf Pressure sclerotic Artery m HhHormal Artery Normal Pattern o Iypical Pattern of Osrilloemetric Pulse Arterial Sclerosis Figure1 2 The pulse waveform pattern change corresponding to the arterial stiffness 155 Figurel 3 is the graph describing the principle of ASI calculations The upper part of the graph demonstrates the vessel pressure volume property and the lower part of the graph demonstrates the relationship between the pulse pattern and the cuff pressure corresponding to the actual blood pressure measurements By the demonstration of this graph we know that regarding the arterial vessel wall elasticity ASI exhibits a proportional relationship with the tunica media elasticity After the actual measurements it was seen that the pulse wave graphs mostly displayed a somehow flat arch shape instead of a perfect trapezoid
58. ence information CKD Treatment Guide from the Japanese Society of Nephrology The MDRD formula for estimation of GFR 115 Facility Name Enter the facility information that 1s used during printing Enables the setting and closes the screen 116 2 Option Setting Use the Option Setting screen to configure default settings and options for measurement devices communications data management and printing Click Setting on the measuring screen to open the Option Setting window Unit Selection 9 oder toin CoM Port rw Backup Restore Export Import Database Table Importing Other Test Data Print Setting Clazes Figure145 Option Setting button descriptions Unit Selection Opens the Unit Selection screen Configures the diagnosis standard the formula the unit of pressure the unit of blood test ASI display and the option bar COM Port Opens the Serial Port window Configures the serial port Import Other Tests Data Opens the Other Test Data screen Imports results of the blood lipid test Print Setting Opens the Print Setting screen Configures the print style the next scheduled check up date and the Facility information Backup Restore Opens the Backup Restore screen Export Opens the Export Screen Exports patient information and measurement data in the CSV format Import Opens the Import screen Imports the patient information into the database 117 Database Table Opens the Sel
59. ent Information Feasuremaeat Data hers Budam d Figure96 2 Click Print Record Cher Ted Faci Data Figure97 4 On the Print screen configure the print style and the number of copies For details on the available print styles see the descriptions on page 73 3 Click Print to start the print job After printing the Print End message 1s displayed and the print screen automatically closes Figure98 5 Click Print After printing a print end message is displayed and the Print screen automatically closes TI On the Patient Information and Measurement Data screen select the patient information that you wish to print Print style For Facility The Facility print style generates measurement reports that are kept by the facility This style has two versions that report different types of information Figure 99 shows the information included in the Facility 1 report Figure 100 shows the information included in the Facility 2 report Patient Information Measurement Date Time Gene sw Height Weight Waist Date and Time 200801281873 Mme a mo no wo Measurement Result IASON id UUU I Header SION Pulse Wave Analysis Report Name Mr PatientO1 EFT 4 Koasurameonl Rosulla Fight Brachial CeMAP SS Right ABI Pulse 69 Left ABI 1 05 1 04 m i Right Brachial Left Brachial cll 5Y5 1M Mf SYS EDIT DIA T j PP 1
60. ent Information Fun Search Heasuremest Gata mal m in Figure90 1 On the Search screen type the search criteria in the appropriate fields For example to search by ID enter a value in the ID field When Searching by the ID Number 1 Search Close Clear Figure91 2 Click Search A list of all patients matching the specified criteria is displayed on the Patient Information and Measurement Data screen Click Close when you are finished with your work E zz Patient Information When Searching by the ID Number 1 Patient Information Display of ID Number 1 eacurensent Data bi j iai dak fe T Figure92 72 e Print The measurement data can be exported to printers that are registered on the Windows system Using the MS 2100 software you can generate and print reports on current data as it 1s collected and processed or you can create reports on historical measurement data This chapter describes the reports the different ways to generate them and provides examples You also have a number of different print format options for reports to help generate the right type of content for your audience Table provides an overview of the available formats Print Style format descriptions Print Format For Facility Type 1 For Facility Type 2 For Patient Type 1 For Patient Type 2 Print Measurement History Print Other Tests History Print Trend Graphs
61. es measurement reports that are issued to the patient This style has two versions that report different types of information Figure 99 shows the information included in the Facility 1 report Figure 100 shows the information included in the Facility 2 report The printing of the measuring screen For Patient 1s divided into 2 types Header XXXXXXXXXXXXXXXXXXXXXXXX XXXX00000000000000000000000000X XXXXOOOO0000000000000000000000X XXXOO000000000000000000000000XX Patient Information Measurement Date Name Mr PatientO1 ID 1 jas and Time Date Time Gender Age BM Heh Weigh Wain 200901281820 Mae Sty 280 580 709 980 Measurement Result Measurement Result R Brachial L Brachial iai ie Right ABI Left ABI ASI ASI en i 4 05 104 PAD Test Result 134 85 SYS DIA 128 80 SYS DIA 0 9 0 4 This is gust a grapchecal diustrabion of an ABI Arterial Stiffness Test Result Estimated Arterial Age 33yrs ASI he ASI gt 45 be POP Ge Arterial Stiffness Test Resul ur ise 140 81 terial Stiffness Test Result SYS DIA J Y so SYS DIA ASI 70 180 RB54 LB43 RA105 LAM This es pnt a graphical ilkstation of an ASI Trend Graph Rght ReASi d LoASI amp ABI Lai A AS REAS MEI Lb asi f R Ankle L Ankle Dale 0128 Ee E T Date ova ote mA na a 2009 2008 2000 2000 2000 2008 2009 Next Scheduled Check up Figurel08 Report Output for Patient Type 1
62. etting of each Trend Graph panel 1s reflected onto the printings The time axis is shared by all BP Trend Graph BMI Trend Graph No print job performed Displays the selection tabs displays the panel selection tabs Select the measurement data display panel from the tabs Figure 68 EE EE ES E E Measurement Data ABI Trend Graph ASI Trend Graph BP Trend Graph BMI Trend Graph Other Tests Figure68 Test measurement displays data descriptions Measurement Data Displays the measurement data panel Figure 69 and data summary ABI Trend Graph Displays the ABI trend graph panel Figure 70 showing the ABI measurement data ASI Trend Graph Displays the ASI trend graph panel Figure 71 showing the ASI measurement data BP Trend Graph Displays the BP trend graph panel Figure 72 showing the blood pressure measurement data BMI Trend Graph Displays the BMI trend graph panel Figure 73 showing weight height and BMI statistics Other Tests Displays the other tests panel Figure 74 showing any existing blood profile data available in the system 55 Measurement Data Panel Use this panel to display the measurement data summary for a selected patient Figure 69 Measurement Data Details Display Bar Measurement Data List Display Bar Figure 69 Measurement Data List Display Bar Note The time axis 1s linked to the displaying position in all panels After the tab 1s changed information from t
63. from the same date and time is displayed using the same time scale After the patient is switched the displayed date and time are deleted 58 Graph Displaying Items Displayed Time Duration Change M Graph Page Moving Button Trend Graph Display Bar Figure71 ASI Trend Graph Panel ASI Trend Graph Panel description of data types represented on graph Rb ASI Displays the trend graph of the right brachial ASI Ra ASI Displays the trend graph of the right ankle ASI Lb ASI Displays the trend graph of the left brachial ASI La ASI Displays the trend graph of the left ankle ASI Changing the time scale for the graph button descriptions Trend Graph change data display button descriptions Displays information in the past by the displayed graph backward Displays information in the future by the displayed graph forward Displays the most recent information from the graph Check the Display Measurements check box and the measurements will immediately be displayed on the graph The Trend Graph display range of standard color codes ET Yellow Abnormal ranges ASI over 70 59 BP Trend Graph Panel Use this panel to displays the trend graph of the Blood Pressure BP measurement data Figure 72 To change the display click the check box in front of each graph selections to change what is included and excluded from the display In the this graph the Y axis 1s the Blood Pressure BP value a
64. g information If all items are correct the overwriting or saving operations can be carried out to complete the data import Importing the data Open the MS 2100 program compatible CSV folders that contain fulfilled database format files 1nto the database Note Limit the ID number to 20 half sized alphanumeric characters or else proper import cannot be carried out Name of Header Text Entering Condition Name required Within 40 characters Sex required M Half width or F Half width Date of Birth required YYYY MM DD Half width Age required Half width numeric characters Patient ID Limit of 20 half width alphanumeric characters contains no dash and 133 BENE RE Height cm Half width numeric characters Weight kg Half width numeric characters Limit of 120 characters 134 1 On the menu click Import Patient Information option on the Menu panel Figure 165 Then click Next button to display the Import Setting screen le Pue Pn eee Hee heri Fee born mh i H ym T art Figurel65 2 Select a CSV folder Onthe Import Setting screen create an import folder directory and a file name or specify an existing CSV folder and file Click Read to preview the CSV folder Tochange the CSV folder click Open to specify the disk and the folder name 3 On the Import Setting panel Figure 166 click Next to open the Header screen ee ee mb kaa bss j 1 o Lisa LL ee he mi Rm Nam u 1 ve a ir
65. ght name of the DB table you want to open and click to select it After you select the DB table is displayed blue After the table is attached with descriptions 141 you can view the content in the Comment box If you want to change a comment click Edit Comment 3 Click Open button to open the DB table 4 Click Cancel to return to the Option Setting screen without opening the database Creating a new DB table caa D Tas Bud Al WT Creme pes be m lame mat DS mbh mepa so OE mhl erment Peat tF Dena miltai Table Selection Bar Create New Table Figure182 Create DB Table Create DB Table field and button descriptions DB Table list Displays the registered DB tables Create New Table Input the new DB table name and click on the Create button to create the new DB table Create Creates new DB table Once this button is clicked the Restart the program message will be displayed Cancel Forgo the selections and return to the Option Setting screen Creating a new DB table 1 On the Option Setting screen press and hold the Shift key on the keyboard and click on the Database Table button 2 Inthe DB table list highlight name of the DB table you want to open and click to select it 3 Inthe Table Name field type a name for the new DB table The DB table name is limited to 50 half sized alphanumeric characters 4 Optionally type any necessary comments to the DB table in the Comment box The va
66. gurel78 3 Click OK to restore the selected data Note If the restore job fails save the data 1n the CSV format first then contact your retailer 140 02 8 Managing DB Tables After the MS 2100 software is installed the DB table is created automatically However you can view edit and create a DB table if necessary For details see the following procedures Opening the DB table on page 140 Creating a new DB table on page 141 Note The VitalVision Data folder is automatically created on the C drive when the MS 2100 software is installed All the patient information and measurement data created and used by the MS 2100 software program is saved in the Vital Vision Data folder To change the location where data 1s saved follow the configuration process documented for the Windows ODBC setting screen JT cae A Lue Dis yah Pease cick Een bia Laden 6 DB tuis from tne mt osi dopo corer Te medale Ca perite Table Selection Comment Cancel Open Figure181 Open DB Table screen Open DB Table field and button descriptions Displays the registered DB tables Type in the comments and click on the Save button to save Switches the DB table Once this button is clicked the Restart the program message will be displayed Forgo the selections and return to the Option Setting screen Opening the DB table 1 On the Option Setting screen click the Database Table button 2 Inthe DB table list highli
67. he required qualification if the patient condition fits out of the 3 factors described he she 1s defined as Metabolic Syndrome The 2004 National Health and Nutrition Examination Surveys Required Qualification Diagnosis Standard 85cm in males 2 90cm in females TG Level HDL Cholesterol IDF 2005 In addition to the required qualification if the patient condition fits 2 out of the 4 factors described he she is defined as Metabolic Syndrome Required Qualification Diagnosis Standard Waist differs btw race 94cm in males 2 80cm in females for Europids 90cm in males 2 80cm in females for all people USA National Cholesterol Education Program The 3 Revision of the Adult Treatment gt gt NIH publication No 01 3670 May 2001 When the patient qualifies for 3 of the factors described he she is defined as Metabolic Syndrome Test Item Diagnosis Standard Waist gt 102cm in males 88cm in females 159 TG Level gt 150mg dL 1 7 mmol L HDL Cholesterol 40mg dL 1 03 mmol L in males 50mg dL 1 29 mmol L in females Blood Pressure Systolic 2 130mmHG or and Diastolic 85mmHg Fasting Plasma Glucose gt 110mg dL 6 1 mmol L 160 e GFR estimated GFR e GFR is the abbreviation of estimated GFR estimated Glomerular Filtration Rate and is used as the evaluation marker for the kidney function The level of severity is evaluated according to the CKD stage GFR 1s the abb
68. he same date and time is displayed using the same time scale After the patient 1s switched the displayed date and time are deleted The saved measurement data is managed by the unit of rows The following table provides field descriptions for the data display Measurement data list field descriptions Date The date of measurements Time The time of measurements Empty Column e e Exercise If yes is selected for the exercise status then e is displayed ABI Right The right ABI ABI Left The left ABI Rb ASI The right brachial ASI 56 The right ankle pulse pressure LbPP The left brachial pulse pressure LaPP The left ankle pulse pressure Pulse The Pulse The detailed display of the measurements Display the selected measurements on the image ABI Trend Graph Panel Displays the Trend Graph of the ABI Measurement Data Figure70 To change the display click the check box in front of each graph selections to change what is included and excluded from the display In the ABI Trend graph the Y axis 1s the ASI value and the X axis shows the time or the order of measurements Note The time axis is linked to the displaying position in all panels After the tab 1s changed information from the same date and time is displayed using the same time scale After the patient 1s switched the displayed date and time are deleted Wascremai is RET Trend Crap AS Fra rah isnt Un LII Tem Gh Tum Graph Displayi
69. he screen e Ifa value exceeds the standard the frame for the value is marked in red e If the standard of Metabolic Syndrome is being met the Defined as Metabolic Syndrome signal is included in the display e If the standard of Metabolic Syndrome is not being met the display indicates Defined as not Metabolic Syndrome signal 41 Summary of Metabolic Syndrome diagnosis standard and display panel The Metabolic Syndrome diagnosis standard has four categories Any of these can be selected as the basis for the Metabolic Syndrome diagnosis The following summary provides a list of each category and shows the product display panel associated with the standard Metabolic Syndrome diagnosis standards panel descriptions Diagnosis Standard The corporate Metabolic Syndrome standard advise defined by 8 academic associations in Japan Japan IDF Standard For Europids Metabolic Syndrome defined by the International Diabetic Federation Europe IDF Standard For non Euro Americans Metabolic Syndrome defined by the International Diabetic Federation For AII People NCEP ATP III Standard NCEP ATP III National Cholesterol Education Program The 3rd Revision of the Adult Treatment Display Panel Metabolic Syndrome According to the Metabolic Syndrome diagnosis standard advisory definition in Japan for a per son to be defined as the Metabolic Syndrome having Central Obesity plus any two of the followin g four f
70. his tiny pressure change appears in stratifications If you continue to lower the cuff pressure the pressure change amplitude increases slowly When the average blood pressure equals the cuff pressure the pulse waveform amplitude is at its highest From that point on the pulse wave amplitude slowly attenuates during the period where the cuff pressure lowers to approach the diastolic pressure The arterial pulse won t start until the cuff pressure reaches the systolic pressure thus this change of pulse waveform amplitude is used to interpret the average blood pressure and the diastolic pressure Figure 1 1 shows the critical points in pulse waveform amplitude used to determine blood pressure e The systolic pressure is determined at the starting point of the pulse waveform increase e The average blood pressure is determined at the point where the pulse waveform amplitude is at its greatest e The diastolic pressure is determined at the starting point of rapid decrease is determined to be the diastolic pressure Figurel 1 ovstelic Pressure Average Blood Pressure Diastolic Pressure y Cuff Pressure iE e S Ra RR i dd RR RA RN ao Pulse Waveform Amplitude Time Figurel 1 The relationship between the cuff pressure and the pulse waveform amplitude 152 03 Ankle Brachial Index ABI The value derived by dividing the higher
71. ial diastolic and systolic pressures e The lower part of the graph displays the trend graph of the ankle diastolic and systolic pressures BMI Trend Graph Panel The trend graphs of height and weight are displayed as bar graphs The BMI trend graph is displayed as curve lines Figure 73 To change the display click the check box in front of each graph selections to change what is included and excluded from the display In this graph the x and y axes represent the following Y 1 axis left Height and Weight Y2 axis right BMI Body Mass Index Weight Height2 X axis Time or the order of measurements Note The time axis 1s linked to the displaying position in all panels After the tab 1s changed information from the same date and time is displayed using the same time scale After the patient 1s switched the displayed date and time are deleted Wien 4 er ect ii d Ege Bn EEE TT 5 ILILIETL TI M e a A l ee 0e demi Ee e Displaying Items E Time Duration Change Graph Page Moving Button Trend Graph Display Bar Figure73 BMI Trend Graph Panel Items displayed by graph Height Displays the trend graph of height 8 Weight Displays the trend graph of weight BMI Displays the trend graph of BMI 6l Change the displayed time scale by selecting from the menu buttons Year Displays graphs using year as the unit Month Displays graphs using month as the unit Measurement Displays graphs using the order of measu
72. ient ID 1 On the ID display bar type the patient s ID in the ID display bar located in front of the patient s profile then click on the Enter The profile of that patient 1s displayed on the measuring screen If the profile 1s not found the patient profile screen 1s displayed so you can search for another using an ID and other information 2 Click OK to return to the measuring screen The status on the measuring screen shows that the patient information has been input The barcode device used in Windows as the keyboard device can be used with the ID search function 19 Note The Reading Value Enter setting needs to be performed when using the barcode Hyphens and _ underscores cannot be used when typing in ID s Reviewing measurement data After the measuring process completes the ABI and the pulse rate values calculated from the measure blood pressure value are displayed on the screen See the following table for information on the fields displayed ABI measurement data output field descriptions Right ABI Display the ABI of the right side Left ABI Display the ABI of the left side Pulse Display the pulse rate Displayed when shaking or irregular pulse intervals occur during the measuring process Menu Bar You can change the settings for the Menu bar from the Unit Options Screen Window Menu Bar option description Menu Description File Saves the information displayed on the measuring screen
73. ion collected by the system For details see the Other Tests Screen on page 33 1 03 Applying the Blood Pressure Cuff The VitalVision MS 2100 devices provides two types of blood pressure cuffs for testing one for the brachia and the other for the ankles Types of blood pressure cuffs The right brachial cuffs To be applied on the right brachium The left brachial cuffs To be applied on the left brachium The right ankle cuffs To be applied on the right ankle The left ankle cuffs To be applied on the left ankle Warning When applying the blood pressure cuffs please avoid any wounded or infected area Notes During the blood pressure measuring process enormous pressure will be applied to either the brachium or the ankle Therefore depending on the status of the patient huge pain or temporary spots caused by subcutaneous hemorrhaging may occur These spots will fade and eventually disappear over time However be sure to notify patients about these possible side effects beforehand and adjust the cuff pressure value according to different situations If a patient experiences an overwhelming amount of pain stop the measuring process immediately Do not start the measuring process until the blood pressure cuffs are properly applied If any air leakage occurs the resulting measurements are not accurate Applying the blood pressure cuff to the brachium Note The blood pressure cuffs for the brachia come in two types
74. is iiam a5 i i mahi i zB Und 4 LL I Yak E darum p ji Inra nimm d ML tu ice 1D eur CES 3 A ntes dus Bubrie a ieu by iiec Padi pigios an genexyos pl Hs rebate ss manua Dur iolenarny sek for arap a m Ti man m pA En i ties that cf g g tha CE imet esi d hose ri rod le Diabetic ne Blood Pressure tighten 2002 01 19 12544 LU 1 Pb dz v H Frise l dia Cao Fir m AS Ei T Eze um eg i ber Arte ial ige lmi Tpweangham Pei Matibolc Syndrama cP Han 6 atavaa 81 eres t EL Iam Do i n Z i a E obs Poria i E 12817 85 ae LIL Lad I T EESE oe ae EL EA TR 73 ud az Ti mh 1 a ant i e a CULO ee Print Figure133 The print preview is displayed on the print screen Figure 134 ID Name Gender Age 1 Patient01 Male 31 Printer WYOKOLVR C4580 Form width 210 200 mm Form Height 227 287 mm Margin Left 5mm Up 5mm Margin Right Smm Down Smm Resolution 600 Dpi Magnification 100 9 707 Margin left 15 Right a E Down a E ee co x rp rint Name Mr Pate Peet i ee ee Ee cconding to Ihe Te Iabollc Syndrome diagnosis panas enuzory deni fon An Japan tr aper obe deined a te Me bolic Gyreirome hairy Cental operit plus ang hwo oT We AAM Yet 8 cui Close 2 On the Print screen click Print 3 Click Print to start the print job After printing a Print end message is displayed and the p
75. le iaaio a 170 0 oo zi Feral LOEONEQSE dd PE 55 0 x Figure87 3 Change the information as required Make sure that all required fields are complete Items marked with are required items 4 Click OK to save the changes and return to the previous screen Click Cancel to close the screen and return to the previous screen without saving your changes Search Use the Search function to find patients by name gender age or ID After you specify the search conditions you can run searches against a selected patient information list The patient information search 1s operated from the Patient Information and Measurement Data screen The Search screen Figure 60 shows the Search interface where you specify search criteria and run commands You can also review an example of a search on the next page gt Search C Male 1 Female Search Criteria Input Bar TEE Operating Button mx pcc nl Figure89 Search screen Search screen buttons and descriptions Items of Patient Search Search Item Search Condition Name Search by the patient name Gender Search by selecting either the male or female category Age Search by the age or age range of the patient only half form characters can be entered Search by the patient ID only half form characters can be entered 71 Searching for Patient Information 1 Onthe Patient Information and Measurement Data screen click Search ee ee T Pati
76. like the ones in figures 128 129 and 130 This report prints the data entered on the Trend Graphs screen Detailed information about the data fields on the Trend Graph report are provided below i E b WL oe pim Header Sion Trend Graph of Past Measurement Data Um deest d Patient Information Measurement Date and Time ABI Trend Graph ASI Trend Graph P Trend Graph B i 1 8s du s s s B p BP Trend Graph Figure128 Header Displays the title and Facility information Note the Facility information can be entered from the print setting section Other information address etc will not be displayed on the trend graph print outs Please refer to the Print Setting section on page 115 of this manual for detailed instructions Patient information Date and time This group of fields provides the patient information and the date and time of measurements Patient Information Date and Time report output field descriptions Displays the date and time of measurements Displays the ID number Displays the name 101 Gender Displays the gender Age Displays the age Height Displays the height Weight Displays the weight BMI Displays the Body Mass Index Trend Graph reports Prints the ABI ASI and blood pressure trend graphs Note The trend graph display reflects the Trend Graph Settings of the Patient Information and Measurement Data screen ABI Trend Graph Displays the trend graph of the ABI measure
77. lse waveform Only MAP is displayed for the brachia Displayed when shaking or irregular pulse intervals occur during the measuring process Comment The Comments display shows the comparative result between each measurement and its standard value This comment box shows the estimated arterial age Comment stimated Arterial Ace Figure103 Systolic Pressure ASI Balance Chart This chart provides the systolic pressure value and ASI using balance charts It also shows the values of current and previous measurement 82 Systolic Pressure ASI Figurel04 ASI ABI Graph When the For Facility Type 1 print style is selected This display provides the distribution graph of ASI of the 4 limbs and that of the left and right ABI ASHABI Graph Y axis ASI Riga Lon l X axis ASI Figure105 Trend Graph This graph shows the ABI and ASI trends The ABI is displayed as bar graphs and the ASI as line graphs AE EE Yl axis Left ABI ABI Y2 axis Right ASI X axis Measurement Date Figurel06 Age Level Graph When the For Facility Type 2 print style is selected Displays the ASI Age graph The X axis represents the patient s age and the Y axis represents ASI 83 Age Level Graph Y axis ASI ASI Graph Male Right Brachial ASI e Left Brachial ASI X axis A ge 2 SD SD Mean Figurel07 Print style For Patient The Patient print style generat
78. lue must be less than 40 characters To edit comments see the comments in the comment box can be verified and edited from the Open DB Table window 5 Click on the Create button to create DB table Once the Cancel button is clicked the inputted information will be cancelled and the system will return to the previous screen display 142 02 9 Setting Print options Use Print setting to select the type of data to print and configure the print style Each line of the Facility information section can contain up to 30 bytes To specify the print options click Print Setting on the Option Setting screen to open the Print style setting screen in E EB Pont setting E Print Style Primout automatically T Par Pament Typel i Print Setting J Por Panent Type j eo Fai 7 pel Next Scheduled checkup Display in a Footnote v Parth late Setting of the Next Scheduled Check up amp p pot display Facility Information Input Fields Cancel OK Figure183 Print Setting screen Print Setting field and button descriptions Print Style Configures the print style and automatically based on the following option settings Print automatically Automatically prints reports after the measurement is complete You can also configure the report type and copy numbers Do not print automatically Do not print the report automatically when measurement completes Next Scheduled checkup Select whether to print
79. m j Figure 171 Figurel72 8 To specify the import conditions select an existing DB table Then select the settings to manage data when a table already exists Configure settings to manage data when the DB table already exists Select the Delete the DB table with the same DB table name and create new DB table option to delete the existing DB table and create a new DB table If you select the add the data to the DB table with the same DB table name option data is added to the DB table with the same folder name If you decide to add to an existing table set the option to check for duplicate IDs to prevent overwriting of patient data Configure settings to manage data when a name matches a name already in the database When Identical ID name and sex 1s existed After selecting Confirmed ID and Name the patient information that has the identical name sex and date of birth won t be registered into the database 9 After configuring the import settings click Next to go to the Confirmation panel Figure 173 10 Click OK to import the data Do not run any other tasks during the process During the import process a status bar displays to track the process 137 eg gy e t Figure 173 6 oe ee fee Lie b ie Pa DE Daum bm Figure174 11 When the process is completed a confirmation message displays Click OK to end the task Reviewing imported data The import log data pro
80. m is saved in the setting file The directory becomes the default location that opens when you select files to import 3 Onthe Select Other test data screen select the fields to import and then specify the field order 4 Inthe Test Date Range Setting field type the date range for the data you want to import 124 02 4 Backing up and restoring your data Use the Backup Restore function to protect your data You can only backup and restore data that 1s currently in use Backup Restore screen Fr BackupiRestore Figure153 Backup Restore screen field and button descriptions Selection of Task Select the task to be carried out Backup or Restore OK Back up start the backup Restore start to restore Cancel Forgo the selection and return to the Option Setting screen Backing up data 1 On the Option Setting screen click Backup Restore 2 Click either the Backup or Restore option as required Then click OK 125 Restoring Data If the data 1s damaged during the combine and import process use the Restore option to bring back the original data file Onthe Menu screen click Restore feel hme je lae pe eed ere ob ed bd C Nam rie n Figurel76 2 Click on the Open TB button to select the DB table you wish to restore i ha l I i m i lpr Figurel77 Figurel78 3 Click OK to restore the selected data Note If the restore job fails save the data 1n th
81. ment data n Prem men i Legend Y axis ABI X axis Time or Order of Measurements an Pols zu m Figure129 ABI Trend Graph ASI Trend Graph Displays the trend graph of the ASI measurement data ASI Trend Graph A EA Legend Y axis ASI X axis Time or Order of Measurements 102 BP Trend Graph Displays the trend graph of the blood pressure measurement data BP Trend Graph Bo bs Legend i F g a i p j Y axis Blood Pressure whiti z a EET 2 E 79 m X axis Time i I or Order of Measurements En L i i EE 5 1 m mi J j 5 hk an am it i i d s E keale EO 87 E apicc Figure131 BP Trend Graph 103 7 03 Printing Other Tests reports on current data Use the Print option on the Other Tests screen to generate reports from the other test data You can use the Print Record option on the Patient Information and Measurement Data screen to create reports on previous data Print screen for Other Tests reports Click Print on the Other Tests screen or the Print History button on the Patient Information and Measurement Data screen to display the print screen Figure 132 Descriptions of the report output fields are provided below E Other Test Report bakas s s ID Name Gender Age Patient Infor mation 1 Patient01 Male 31 Printer YWOKO1tiR C4580 On Test Report Form Width 210 200 mm ngham Risk Analysis Met F
82. n open other screen displays making memo during the measuring process and selecting the exercise status Figure 14 Menu Button The Menu Button Opening Different Screens from the Menu Button Select patients Open the patient profile managing screen and the measuring information screen Save Save the entered information Save te entered informan The Memo Box Supplemental information can be entered along with the measuring information as text Please click on the Save button after input 17 The Exercising Flag If the patient is measured under the exercising mode an exercise flag will be attached to the data when saved Click Save after making your selection Note The saved measurement and the existence of the exercise status can be verified as measurement supplemental information Export the measurement results when printing printouts for facility use and when printing the measurement data 18 2 03 Displaying the Patient Profile ABI Results Use the Patient Profile display to review patient information and measured values such as the ABI values m T oe et eee MUT Be Baur fae 7 Patient Information Display Measurements Display Figure 15 Patient s Profile Display Patient s Profile Display Patient s Profile Display field descriptions wo rwemem Display the height Display the weight Display the BMI Body Mass Index Display the waist Searching by Pat
83. n the Other Tests screen if measurement data exists 1 On the Measuring screen click Other Tests 117 Lote Au T8 A taie E i Ge 1 k nmi ap B rg d nf Fearr j iM gt k a aln F rs Ea ze 52 hd IN 1 n Bgltaste gg P Left ankle sen 1258 wok 7 li tae FQ Ce a amo mo s Figure 52 2 Onthe Other Tests screen review the patient information and measurement data Heioht Weight B M I Waist 168 0 79 0 28 0 96 0 Blood Pressure Higher brachiloressura POOEVIAVS 12 12 Systolic LIF aHa ed FS 37 feta AE E Pube 5 Estimated Figure 53 45 The waist information shown on the right 1s located on the Patient Information screen If this information is not available on the Other Tests screen enter the data provided on the Patient Information screen Enter as much information from the Patient Information and Measurement Data screen as you need to 3 After entering all the updates review the relevant risk factors and update the information as required Lipid Previa and Cer Tests Held Profile anc Omer Tests Chokester ol Trigltcerida Cholesterol 192 madl Triaiycer des GD mgid LEL znolsrenoi maid F Gkhirnse sid LE Chalesitg ol 122 wil F Glucose 120 ingid Hot Choke ter nl mg 2 4 Guns nied HG Coetesiermi 45 raldi eh Gbrcnse nud Al HDb41c AT HHA IE LA sale RAE Ddwli AL T creabline Crestrina Smoker amatz E n D sherc Gaah ee in Figure 54 4 To save the data yo
84. nd the X axis shows the time or the order of measurements Note The time axis 1s linked to the displaying position in all panels After the tab is changed information from the same date and time 1s displayed using the same time scale After the patient is switched the displayed date and time are deleted but the time scale and the graphs remain unchanged A BE Graph Displaying Items IBI ea du Graph Page Moving Button Trend Grap Display Bar Figure72 BP Trend Graph Panel BP Trend Graph Panel description of data types represented on graph Right Displays the trend graphs of the highest diastolic pressure of the right brachium and the right ankle Left Displays the trend graphs of the highest diastolic pressure of the left brachium and the left ankle Change the displayed time scale by selecting from the menu buttons Graph Page buttons to change time scale for the data display Displays information in the past by the displayed graph backward Displays information in the future by the displayed graph forward Displays the most recent information from the graph The Trend Graph display bar component description e Displays the BP trend graphs of the 4 limbs e The Blood Pressure values are displayed as bar graphs The displayed values on top are the systolic pressure and those on the bottom are the diastolic pressure e The upper part of the graph displays the trend graph of the brach
85. ng Items Scale Graph Page Moving Button Trend Graph Display Bar Figure70 ABI Trend Graph display descriptions Right ABI Displays the trend graph of the right ABI Left ABI Displays the trend graph of the left ABI 57 Change the displayed time scale by selecting from the menu buttons Year Displays graphs using year as the unit Month Displays graphs using month as the unit Measurement Displays graphs using the order of measurements as the unit ABI Trend Graph change data display button descriptions Displays information in the past by the displayed graph backward e Displays information in the future by the displayed graph forward He Displays the most recent information from the graph Measurement Check the Display Measurements check box and the measurements will immediately be displayed on the graph The Trend Graph range of standard color codes Abnormal ranges under 0 9 over 1 3 ASI Trend Graph Panel Use this panel to display the trend graph of the ASI Arterial Stiffness Index measurement data Figure 71 To change the display click the check box in front of each graph selections to change what is included and excluded from the display In the ASI Trend graph the Y axis is the ASI value and the X axis shows the time or the order of measurements Note The time axis 1s linked to the displaying position in all panels After the tab is changed information
86. ng the measuring process the screen switches to the during measurements display Figure 23 to immediately display the current pressure value and the pulse waveform shape After the measuring has completed the system switches into the Standby display mode Figure 21 and individually displays the UT pulse waveform ankle only and the MAP of each measurement site at the Mean 1 beat The following figures show examples of displays during standby and at the end of measurements After the measuring process completes the pulse waveform shape 1s displayed Right Brachium Measurement Result Left Brachium Measurement Result Left Brachial Left Ankle Measurement Result Right Ankle Measurement Result Name of Measurement Site J MAP UT PVR Figure 22 Pulse Waveform Panel Standby display and field descriptions Display the name of the measurement site Display the PVR of each measurement site Display the MAP and UT from the pulse waveform Only MAP is displayed for the brachia 24 The following figure shows the Pulse Waveform Panel display during the measurement process Matte brite Pulan Minem Name of Measurement Site A fN La It E c ANNUS UNJNGJSUS UN Lef imc a ed ed el ee ieee Pulse Waveform Display Bar NISMS MINES Pressure Value Figure 23 Pulse waveform shape during measurement Pulse Waveform Panel real time measurement display and field descriptions Displays the name of the m
87. nsmural pressure intersects the pressure that corresponds to the tunica media line during the process of cuff pressure decrease This width represents time in the pulse waveform graph derived from the actual measurement Therefore in the measured pattern the observed width changes according to the cuff pressure decreasing speed If the top base of the trapezoid pattern 1s not considered to be time but instead the cuff pressure change which correspond to this width 1s thought as the range of the flat section then the flat section information that does not depend on the cuff pressure decreasing speed can be accurately expressed This width holds a pressure unit and at the same time it corresponds to the vessel pressure volume property line section that is displayed depending on the tunica medial elasticity Thus the softer the tunica media the smaller the pressure margin which correspond to the line section If the tunica medial pressure volume property can be treated as a straight line then the pressure width and the elasticity rate exhibit a proportional relationship After the cuff pressure corresponding to the top base of the trapezoid blood waveform pattern is detected the width of this pressure 1s shown to exhibit a proportional relationship with the arterial tunica media level elasticity This pressure value is derived as the marker for arterial stiffness determinations The value is used to determine the arterial stiffness level as describ
88. oF a man Boe came aga with a loa rid profile Hind Pressure Maie mo nt pow Ge aes The Score Table of Each i Risk and The Cross Reference Table of Risks Figure 38 Framingham Risk Panel 38 Estimating the Framingham Risk analysis On the Framingham Risk panel type the values for the elements required for the estimation of Framingham Risk Then the risk value is calculated Estimated 10 year CHD Risk Framingham Heart Stu i tins Comparative Risk n Score for Estimating CHD Risk Estimated 1D Year CHD Risk a i LOicholesterolingid ener E HDL cholesterd maid Average 10 Year CHO Low 10 Yaar CHD Risk Dividing tha subjecta rigk bee Bora how risk piles ders an Yatim ata of thie nad athea rich maaninag that oolonary rick For the deisel i aoprosimstel 5 mes thet aM man Esame age with alos ret pratis Average 10 Year CHD Low 10 Year CHD Risk Figure 39 Framingham Risk Analysis Risk analysis results field descriptions Displays the Framingham Risk estimation Displays the comparative value against the low 10 year CHD Displays the average risk value within the 10 year range Displays the average risk of the low risk group within the 10 year range The Score Table of Each Risk and the Corresponding Table of Risk Figure 40 Sep Ste n4 Total cheer Bleed Pressurei male T The Score Table of Each Risk l Fem Seok Wasan mma 0 sD H4 Eh5 d33 90 4 Te
89. orm Height 297 287 mm m Right Smm Down Smm Pr 1nt Pr eCVICW Resolution 600 Dpi Magnification 100 707 n Margin s T PT et HH HH HH4HHHH7HH EE JPEG image output to File Print Metabollo Syndrome a bbe Mered s he Me bol dic ie oye arin why dre ona O pesival plus ef ed a rte tice kardon pu re JPEG re g MaedMinadPreamee grgeegnoccnd Parm caca F Non 112 66 66 46 120 Setting i Metabolic E Close Figure132 Other Tests Reports report output field descriptions Patient Patient Information Displays the Patient Information Print Preview Displays the print preview Left click to zoom in Right click to zoom out Marein 000 Set the blank spaces of the print outs Carries out the print job Opens the printer setting screen Check the check box then click on the Print button the print image will then be saved in the JPEG format Close the Print screen Printing reports on current data 1 On the Other Tests screen click Print to open the print screen E Hame Gendir ke Punkt aiga Bh st In Pens ETT ii Jig pn mu Framingham Biisk Metabolic Suneroma pem i OTHER TESTS Framingham Heart Studies Circulation 1998 87 1837 Diea caror risk for Ten and loner Lipid Profile and Cer Teste Darang riure hued Tropa Wek Siaa d i Cpe Lorie Heart mi Pad TOT Choker ae mud Toa Ai mid y m bitip 10 rer CHE Ea ipi heart t mari Unt T 1 ETE Comper itv fi
90. ormula The e GFR panel displayed will vary depending on different e GFR formulae and serum creatinine Scr units being used The formula and the unit can be selected from the unit options Diagnosis Standard Calculate e GFR by the selected diagnosis standard The CKD Chronic Kidney Disease Treatment Guide from the Japanese Society of Nephrology Female GFR Male GFR 0 739 Male GFR 194 Scr age 0 5 The MDRD Modification of Diet in Renal Disease formula Standard unit mg dL GFR mb min l 7332 21980x Scr 1 154 x Ag6 0 203 x 0 742 fof female x 1 210 for African Americans Standard unit 43 Race If you are using the MDRD formula select a race on the panel Summary of the e GFR formulae and panels Panel Displayed According to the Unit Selected The CKD Treatment Guide from the Unit Standard unit Scr unit mg dL Japanese Society of Nephrology Figure 48 Unit International unit Scr unit micro mol L a ICI Figure 50 Unit International unit Scr unit micro mol L 44 Figure 51 4 04 Entering information from other tests Use the Other Test functions to enter additional patient information and measurement data This information can be used to run additional tests such as the for Framingham Risk Metabolic Syndrome and e GFR diagnosis tests For information about these tests and others related tests see 05 Other Derivatives on page 158 You can only enter data o
91. ovides two types of measurement display e Pulse Wave Envelope measurements display the pulse wave envelope of each measurement site e Pulse Waveform measurement displays the pulse waveform of each measurement site Measurement display types Pulse Wave Envelope Pulse Waveform d L1 Right Beachial Left Brachia Right Brachial Lett Brachial L pr Dk rz 4 Tiere 1 ij Anm By 4 i d M ri T xl PLAN Al FIN V qerawe Right Ankle y Left Ankle man ih i Derri i LY IL LUI Pale LU WT errs rr WE issue UR kki LE Righe Amiga Figure25 Take measurements 1 On the Measuring screen select either the Pulse Wave Envelope tab or the Pulse Waveform measurement tab to switch to the Measurement screen Select the measurement display type 2 Press the START STOP button to begin the measuring process The LCD display of the device lights up 27 28 RIGHT ABI cm TED ABI START BEG ss en STOP BBB d BBB on 2388 F3 3 Figure26 LCD display for measuring device After the measuring starts the system displays a measuring screen like the ones shown below in Figures 27 and 28 The Pulse Wave Envelope panel displays the mercury column image the current pressure value the pulse wave amplitude and the wave line represent the air release rate For more information on these screens see Reviewing measurement data on page 20 e m 7 E WERSZEC
92. p About function to configure the startup screen display You can also use this function to check the device label and software version VITAL Vi SION MS 3 100 LEEREN Version Federal law restricts this device to sale by or an the order of a physician or other healthcare provider licensed oy tne law of the State in which they practice to use or order the use of Vitalvision hA 2100 This device both measures blood pressure and also provides indicators of Along wiih the patient s blood pressure reading a pulse wave palilem is also shown nnthesrresn Please nole thal these indicators should be used as reference information for tha medical prafessianal only and are noi mean to taka tha placa of a diagnosisorex aminati anb ya qualified healthc areprowid er CX pyrgeateyosachion Lid U Don t deplay next startup Figure185 Startup Screen OK Display Setting 1 On the Measuring screen click Help About 2 On the Startup screen use the Don t display next startup check box to configure the start up behavior Check the box to display the Startup screen the next time the MS 2100 device is activated gt If you do not want this screen to display at device activation remove any selection from the Don t display next startup selection field 3 Click OK to save your changes 146 Appendices MSS Ra eS AI Ye ERN RR 148 DA cs ee Fa se E MEMON atat rates nt oett tust nett ee Et Xe tentes tudo at temm
93. plays the ASI Age graph The X axis represents the patient s age and the Y axis represents ASI Age Level Graph Y axis ASI ASi Granma X axis Age e Right Brachial ASI Left Brachial ASI D 6 NENNEN M 20 3 40 ol 60 r BO yrs Figurel16 Next Scheduled Checkup Displays the next scheduled check up date Note You can enter the next scheduled check up date from the Print Setting screen See page 143 90 71 01 Printing Other Tests History reports Use the Patient Information and Measurement Data screen to generate history reports for measurement data and data from other tests To print click the Print History button on the Patient Information and Measurement Data screen Specify any print settings required and then click Print You can also print historical data from the Measurement Data and Other Tests display panels TE een Dat SIEN Hare Patient Information Amien Canon E Coa cows ED LITERIS pra A TE Sere Fiera Hagh 253 Z1 nam Pang rer rani Lip enin Print Preview Bpl aane ble Dos Margin Print Setting Page Setting Close Figurell7 Information and Measurement Data screen Patient Information and Measurement Data display field descriptions Displays the Patient Information Print Preview Displays the print preview Left click to zoom in Right click to zoom out Coste Prince OOOO Close the Print screen
94. rMoSSage Seieren LO DOT SM 148 Errors related to the Microsoft Windows operation cccceeccecseeeeceeeeeeseeeeceaeeesseeeesaeeeesaaeeesanes 148 MS 2100 Error MESSAGES asado Dieser auima pub aed ta dvi eat tat amat ido su vov luo tate n voa m bre D dsi pu MUS EUR veEadde 148 Device EIordVessades tss ipao iud Meas Gates a dent niu iu cotes pais M Aqu Ads Eis d M E DR RUM C S MEL REC DIUI E RI EET ERU Pont 148 Communication Errors Software and De VICE ccccccssseeeeeeeeseneeeeeeeeaaeeeeeeeeseeeeeeeeeesaaeeeeeesaanaes 149 Measurement BITOFS istas uiosane Sa emt euR Dao ccb di see ei dmn cae uU sumi e Pu apo DE ua EU Un datu oo amp I M NORMA dm dS 150 ASIJEEOLS vitavit ah nk reheated ausu a So UEBER LEE Mp u eras UE 150 ABI ENOL IVICS SAG OS tasas esi amaba u Eu ud deco tli cca ERO D CoD Eds deca emat td cu SEA Dems 151 SNO eleiedgeom in a nestatienpanctas 152 7 Ankle Brachial Index ABI csecasicesiadssscos ttm aru uti vto p eto E TUE iin eua Deos 153 9 Arterial Suffness Irdex ASI au ssuse dieses in n tec ete ur Ehe Deae keine ta e aab au ett Goo heme Sia e De Eds eds 154 SEGUIRE TU LU EE 158 JeMAP Percentage Mean Artery Pressure seeessessseessseeeeeeee nennen nennen nnne nra nn rns 158 JIC DSTOKE MMIC m 158 Estimated Artena Ag ETT TL O 158 Fe FAINT lg RIS Kepe OO DLE 158 Metabole Syndrome me 158 e GFRIesumated GI A saspe sv eibetst Eu otacesa aston aennece USEERENBIQUUTE E SR e Se EV ce
95. red to run the additional diagnostic tests for Framingham risk Metabolic Syndrome and e GFR programs After the test data 1s entered the diagnostics tests can run and display the result immediately See the tables below for information on the fields and buttons provided in each section of this display OTHER TESTS Lipid Profile and Other Tests Lipid Profile and Other Tests Cholesterol mgd Triglycerides mg dl LOL cholesterol majd F Glicose mgd HDL Chalgsternl NE z h Glucose mg dl AI HbAic Serum Creatinine mpi uir Smoker Smoker YES w No Diabetic Diabetic YEE amp No Blood Pressure Higher brachial presse 2008 12 12 12 12 Systolic 115 Pulse 41 Blood Pressure mmHg Pressure mmHg Diastolic 74 ASI 45 mmHg Estimated Pulse ay bpri Arterial Age Other Tests Result Display Framingham Risk Metabolic Syndrome Operating Button Figure36 Other Test data screens 35 Lipid Profile and Other Tests Use this section to enter blood test results Field descriptions Field Names Description Cholesterol The total cholesterol level LDL Cholesterol The low density lipoprotein cholesterol level HDL Cholesterol The high density lipoprotein cholesterol level AI Atherogenic Index T Cho HDL VHDL Serum Creatinine Serum creatinine Scr Triglycerides Triglyceride level value F Glucose The Fasting blood glucose level 2 h Glucose The 2 hour blood glucose level HbAIc Hemoglobin AIC
96. rements as the unit Graph Page buttons to change time scale for the data display Measurement Check the Display Measurements check box and the measurements will immediately be displayed on the graph The Trend Graph display bar Displays the trend graphs of height weight and BMI Height and weight are displayed as bar graphs and BMI 1s displayed as curve lines Other Tests Panel Displays other test results and the blood test summary Figure74 Note The time axis is linked to the displaying position in all panels After the tab 1s changed information from the same date and time is displayed using the same time scale After the patient 1s switched the displayed date and time are deleted Field Name M p e a s Data Display Bar Figure74 Other Tests Panel List of other tests field descriptions Date The date of measurements Framingham Risk Estimated 10 year CHD risk Relative Risk Estimated 10 year CHD risk low 10 year CHD risk 62 e GFR Estimated GFR N x Weg a Metabolic Syndrome Metabolic Syndrome diagnosis Yes or No 5 04 Accessing the measurement data You can access previous measurement data from the Patient Information and Measurement screen so you can verify or reprint it for example 1 On the Patient Information and Measurement Data screen highlight the name of the patient and click
97. rent pressure value the pulse amplitude and the air release rate After the measuring process is completed the system switches into the Standby mode Figure 17 and displays the pulse wave envelope diastolic pressure systolic pressure pulse pressure value and ASI in each part of the screen 21 During Standby mode the size at termination 1s measured After the measuring run the pulse wave envelope and the measurements are displayed Right Brachium Measurement Result Zoom In Button Left Brachium Measurement Result Left Ankle Measurement Result Figurel7 Right Ankle Measurement Result Ri ht An kle 1 4 4 Name of Measurement Site Systolic Systolic Pressure ET Diastolic 82 _ Diastolic Pressure Pulse 21 Pulse Pressure I 56 ASI 126 Pulse Wave Envelope Irregular Pulse Icon Pulse Wave Envelope Panel display and button descriptions Name of measurement site Display the name of the measure site Pulse wave envelope Display the pulse wave envelope recorded during the measuring process Displays the wave lines representing the air release rate Systolic pressure Display the measured systolic pressure Diastolic pressure Display the measured diastolic pressure Pulse pressure Display the value derived from subtracting the measured systolic pressure value from the measured diastolic pressure value Display the Arterial Sclerosis Index Displayed when shaking or irreg
98. reviation of Glomerular Filtration Rate The e GFR Calculating Equation CKD Treatment Guide from The Japanese Society of Nephrology Female GFR Male GFR 0 739 Male GFR 194 Scr Age The Modification of Diet in Renal Disease MDRD Study equation Conventional Unit GFR mL min 1 73 m 186 x Scr x Age x 0 742 if mg dL female x 1 210 if African American conventional units CKD Stage Risk factors for kidney disease At Increased risk More than 90 e g Diabetes High blood pressure family history older age ethnic group C4 More than 90 Kidney damage protein in urine and Normal GFR 161
99. rify that the information you want to delete is displayed on the screen 4 Click Delete Data 5 Deleting the measurement data Then click OK on the delete confirmation message box Print R sconci Frit Hiha ny Del ebe Dads Ohe Tets Facai ahy Figure82 Please make sure that the patient information you wish to delete is displayed on the screen 6 Click OK to delete the measurement data Click Cancel to cancel the delete request and return to the previous screen click Cancel The data will not be deleted 66 6 Patient Information To manage patient health information using the VitalVision MS 2100 software patients must be registered in the system If a patient is not registered any measurement data collected by the measuring device cannot be saved You can register patients and manage patient information from the Patient Information Screen 6 01 Patient Information Screen Click New on the Patient Information and Measurement Data screen to display the patient information window Mamet 1 Patient Information Input Bar pU rena Text Box Figure83 Use the following field and button descriptions to determine what information is needed for this screen Patient Information field descriptions Weg a wis 67 Patient Information button descriptions OK Save the entered information and return to the previous panel Cancel Close the patient information window and return to the previous panel 68 06
100. rint screen automatically closes Figure 134 When planning to print previous data Carry out the print job from the Patient Information and Measurement Data screen Selecting the patient information you wish to print Select the patient information you wish to print from the patient information list on the Patient Information and Measurement Data screen Figure 135 105 2 Selecting the information you wish to print Select the blood profile you wish to print from the Other Tests panel of the Patient Information and Measurement Data screen Figure 135 The selected measurement data will be displayed in blue differs depending on the computer settings Figure135 3 Displaying the print screen 99 Click on the Print Record button on the Patient Information and Measurement Data screen Figure 137 and the print screen will immediately be displayed Figure 137 Prntk story Delete Data Other Tests RecalData ASI Trend Graph y BP Trend Graph 1 BMI Trend Graph E Other Tests r chol Figure136 6 Performing the print job Click on the Print button on the print screen and the printing begins Figure137 After printing the Print end message will appear and the print screen will be automatically closed EE Other Test R i Lo Name Gender Age Patient01 Male 31 Printer WYOKOL VR C4580 Form Width 210 200 mm Form Height 297 287 mm Margin Left Sram Up
101. rinting patient history for measurement and other teSts cccceeccceececeeeeeseeeeaeeeeeneeseeeeeaeeeeaeees 92 Print style Measurement HIStOry ccccccescecseeeecececeeeeceaceseeeeeceucesseesseeeeceusessueesseseessesessesensags 93 Printstyle Other Tests HIStory s iet t lees Pace ce ure pace deu da sek vec ve es e oL a puit bate unl 96 1 02 Printing Trend Graphs for current dala o o baies beu isch BU P Enea He ERO o RU nta casae cab teni 99 PIiptcreend Trend GESDDsesdetens settivssn duda RED REN UH CSS RecUvR Ee Euh nana nae vin qiu qut pedit sioner 99 Punung Trend Ciclo RITE mom 100 PrintstleTor Trend QrapllSusiiesca bate emere Ede ede oe a Aog roe ves an ou edi eased ees 101 Trend Gra NCD OMS usitata ae o ere atia tuu dus Neue cud ot ee L aded at tU LEE 102 7 03 Printing Other Tests reports on current data cccccceccceceeeececeeeeeeeeeaeeeeeeseeeeeeesaaeeeeseaeeeeeeeas 104 Print screen for Other Tests reports S seraa E S 104 Printing repons OM curent dala eet e D e D vest La eed ce vas hd Dieu uu und 105 Print style for Other Tests current data report lseeeessssssssssssesseeeenen nennen nnns 107 LipicsProtile and Quer it E OOo DTE 109 PRARMOGM ANI iE EE OU tmn 109 WETADOINIC SY MORON EET EO DET 110 Estimated Glomerular Filtration Rate GFR ccccccecccsecceeecesseeeeceecesseeeeseeeeseeeseaeesseeeseueesees 111 9 eeriaebiszxcicele iie me
102. s the measurement date Exercise If the exercise box on the measuring screen is checked then Exercise will be displayed on the screen Measurement Site Displays the name of the measurement site Displays te nae ofthe measurement sie 94 Displays the systolic pressure according to the measurement site Displays the diastolic pressure according to the measurement site Displays the pulse pressure according to the measurement site Flag Displays the flags of the corresponding data 95 Measurement History error flag field descriptions Err200 During measurements all measurement sites experienced shaking or irregular pulse wave intervals The measurement results may thus be inaccurate Recommended running the measurement process again i Err205 The measurement results might be inaccurate due to problems in the test Recommended running the measurement process again Err206 During measurements the patient s body experienced shaking or irregular pulse wave intervals The measurement results may thus be inaccurate Recommended to measure again Page Number This field displays the page number on reports Print style Other Tests History Prints out the data entered on the Other Tests screen and the diagnosis history created by the diagnostic programs Detailed information about the data fields is provided below Header Print Date and Time WITAL _ Eier Texas i Hon ELI E ORCI ER tate GC TT VISION Leiva mnn
103. ssel volume is not linear Instead it is a complex display of the softer mechanic property of the tunica medial and the stiffer mechanic property of the tunica adventitia The arterial atherosclerosis 1s demonstrated according to the thickening and the hardening of this tunica media Thus if the pulse waveform pattern derived from the Oscillometric method can elucidate the relation between the pattern and the mechanical characteristics of the tunica media a new marker for understanding atherosclerosis can be obtained Figurel 2 Conceptual graph of the comparison between the vessel pressure volume property of sclerotic blood vessels and that of normal blood vessels Sclerosis of the tunica media causes the slope of the pressure volume line to increase within the lower arterial pressure range This causes the whole arterial pressure volume property curve to be shifted upwards In blood vessels with their cuff pressure increasing the Y axis of the graph can be considered to represent the blood pressure cuff pressure values Thus under certain conditions as the cuff pressure decrease a pattern change is observed just by monitoring the pulse waveform amplitude As demonstrated by the graph blood vessels with normal tunica media elasticity exhibit a mountain shape pulse wavetorm pattern and vessels with stiffer tunica media exhibit a trapezoid pulse waveform pattern The width of the trapezoid s top base equals the width of the section where the tra
104. sure to click Save to store your work If no measurement data exist the measurement memo and the existence of the exercise status cannot be saved E netiis FE Poire ait a bis pk in Perm Tapi ie Thi Lady D repr aa ana Ham o mm Bd Vara Et 1 Patera Mais i ian TEC zd A iru adam ron or Pulse Crews Tain rri 1 13 82 1 08 E Figure3 1 Note To update previous data such as the measurement memo and the existence of the exercise status open the data from the measuring screen The data can then be edited and saved on the measuring screen Print measurements To print the measurement data from the Patient Information and Measurement screen click Print Then set up the printer options to print the job For more detailed instructions see on page 75 To print manually please click on the Print button and perform the print job from the Print screen Figure 32 Heint walt BM1 Walst 146 0 79 0 24 0 8 0 Select Patient 4 Exercise Sava titer Test Hali Satting Figure32 Display Analysis Results After completing the measurements the Analysis panel displays the analyzed results m t w 108 Ss Display Content w Diagnostic Cp Comment gt F o z Estimated Arterial EE ETETE Eaa mwe Ee amp amp Balance Chart Figure33 3 The ending of measurements Click on the Close button to close the program Figure 34 31 Figure34 32 4 Other Tests Screen
105. t Completed message is displayed Then you can close the Export screen If the export did not complete successfully verify the output destination and try to export the data again The amount of time required to export the data depends on the amount of data being transferred The output speed differs depending on the size of the output data Verifying the output data after export The following table lists the export items that might display on the output terminal Use these examples to verify the exported data i Weien a wis 02 6 Importing patient information Use the Import function to transfer patient information name sex date of birth age ID height weight BMI comment from the CSV folder into the MS 2100 software database Before importing patient information the data must be formatted so that 1t can be integrated into the existing MS 2100 database structure You can use the Format export function to help prepare the data to be integrated into the application database This function generates an import template in CSV format that can help tailor the patient information according to the output format so that it can be imported into the MS 2100 patient information records Note When you import data make sure that the ID value 1s at most 20 half sized alphanumeric characters or else proper import cannot be carried out To configure the import settings click Import on the Option Setting screen to open the Import window
106. t s status An improper initial cuff pressure value can lead to a lower measured blood pressure value Refer to the pulse wave envelope display Figure 8 to set the initial cuff pressuring value Figure 8 The following example illustrates how to set up and measure the right brachium and the right ankle 1 Select AUTO as the initial cuff pressure value for the right brachium and the right ankle Select OFF as the initial cuff pressure value for the left brachium and the left ankle Right Brachium Left Brachium Select AUTO Select OFF COF A Eui Right Ankle Left Ankle Select AUTO Select OFF Figure 9 Measuring the right brachium and right ankle 14 1 05 starting the VitalVision MS 2100 Software 1 Start the Vital Vision MS 2100 software from the Windows system Onthe Windows task bar click the Start menu gt Select All Programs Then click the VitalVision MS 2100 option on the All Programs menu The labeling information software version and device label information 1s displayed on the Startup screen 2 Click OK to open the Measuring screen VITAL riri RR z VISION ME 2100 Version 1 0 0 4 a pL x ven r Federal gi Tegic his device pr sale By oor Da creer of a physician ar ether healthcare prewicier licensed by the law of the ae i ntn a prec tice h hiner m wise Fwitalupzi 1 Eran Oprig bs sach Ca Ltd it Fang DoriE depl next star
107. tee o duced 77 Print Style For Faci c TE 78 Measurement HeSUIIS ci de uaenito tuti ose otn aod x d ndvidebosenawaasuasegeuats NE 81 COMMENT ANE UU I E 82 Systolic Pressure ASI Balance Guar steam ies cad siad dise blasen iut emat tnde rated taie o Red lesa 82 ASI ABI Graph When the For Facility Type 1 print style is selected 83 Mi aefeiiout E u R 83 Age Level Graph When the For Facility Type 2 print style is selected 83 4 islas wel Fable a NE om mE 84 Measurement BOSHISS eei inue Hee ia arae bad ema du entere eant ouo ia tiu pe unte mob UAR ua edat t dd 87 Measurement Results ABI Test Results ccc cccccceecceeeeeeeeeeeeeeeeeeeeeseeesaueesaeeseeeesaeeseeseeeeseeees 88 Measurement Results ASI Test Results cece cceccceeccccesceceeeececesaeeesseeeeseueeseuseseueesseeesseseeseeeees 88 TrendxraphumRorPalient Type print SUO eiie iiie i OE o qub oU S 89 ASi Tend Grab ieor I T 89 Trend Graph When the For Patient Type 2 print style is selected sse 90 Age Level Graph When the For Patient Type 2 print style is selected 90 7 5031 Printing Other Tesis FISIOPy TO DOFIS irao iaaa rdiet eu bte de ex Mec ont medietate pad oe eden ute 91 P
108. the Patient Information and Measurement Data screens to view and manage patient profiles measurement data and test results To view these screens click Search Patient on the Measuring screen ET ar rame eee Patient Information i IE Patient Information Display Bar easurement Data Display Bar Figure 60 Patient Information screen Note You can change the display and print options for the data screens from the Option Setting screen See page 117 Patient Information Display Bar Use the Patient Information display bar to view summary data for registered patients Figure 61 To view the data select a patient name The selected item 1s displayed in blue differs depending on the computer settings and the patient information can then be opened and edited ah fe ey Patient Information Patient Information List Figure 61 Patient Information Display Bar 49 Patient Information Display bar button descriptions New Opens the patient information screen Register new patient information Search Opens the search screen Search patients using the ID number and Name Edit Opens the patient information screen Delete Deletes the selected patient information Patient information list Patient Managing Item descriptions D Displays the ID number Displays the ID number Age wee BMI Displays the waist O General button descriptions Close Closes the Patient Information and
109. the patient information For instructions see Patient Information on page 67 If you have previously digitized patient profiles you can use the Import function to transfer the information into the Patient profile database from a CVS file For details see Importing patient information on page 131 3 Select and open the Patient Profile For instructions see page 52 4 To start the measuring process press the START STOP button on the equipment Measuring begins immediately For details on the measuring process see Running the measurement display and analysis process on page 27 Note To stop the measurement immediately press the START STOP button at any time during the process 5 Apply the Blood Pressure Cuffs to the patient as described on page 10 6 Select the proper measurement site and set the Initial Cuff Pressure Value for the patient to be monitored See page 8 for details 7 After the measuring process ends review the data displayed on the Measuring screen See Understanding the Measuring screen on page 16 8 The MS 2100 software automatically saves the measurement data in the patient profile For more information see Saving Measurements on page 30 9 Measurement data can be printed automatically if desired See page 73 for details You can add additional health information to the system using the Other Tests screen This function allows you to co manage blood profile data with other health related informat
110. to select it 2 Onthe measurement data panel select the desired data The selected patient information displays in blue Fieacuremear Gata a Figure75 Select patient information and data 63 B 64 Click Recall to display the selected measurement data on the measuring screen Figure77 5 05 Accessing other test data You can review existing data on other tests from the Other Tests screen so you can verify or reprint it for example l On the Patient Information and Measurement Data screen highlight the name of the patient and click to select it 2 On the measurement data panel select the desired data The selected patient information displays in blue Figure78 4 Click Other Tests to display the selected measurement data on the Other Tests screen Print Picard Print Hitan Delete Dee Facai Dua AS Trend Graph BP Trend Graph BHI Trend Graph Other Tes Domenas H z 1 Manius Hig Turmae Cini see ZO ITO LI T LI TE Figure80 65 5 06 Deleting measurement data Measurement data that were saved can be deleted 1 On the Patient Information and Measurement Data screen highlight the name of the patient and click to select 1t 2 Onthe measurement data panel select the data you want to delete Measurement Dara j aS umra raza db olds Pe i 7 La te mI T AL ae rr Figure8 1 3 Ve
111. tup Figure 10 Warning If the option Don t display next startup is selected on the Startup screen The Startup screen does not show up when the Vital Vision MS 2100 software application starts To restore the display on startup click Help About on the menu bar of the Measuring screen On the Startup screen click Display next startup in the menu bar of the measuring screen and uncheck the Don t display next startup option The startup screen Figure 10 will appear thereafter Important When the VitalVision MS 2100 software opens the first time the Initial Setting screen is displayed so you can specify the default settings for some of the tests along with information about the facility where the tests are run For details on setting these values see Initial Setting on page 115 Figure 11 15 2 Understanding the Measuring screen The Measuring screen has two parts 1 A header bar that you can use to open manage and save measurement information and 2 the display screen which shows all the measurements such as the measured pulse wave and all other measurements Figure12 The header bar on the measuring screen is used to operate and display the patient s profile and ABI Ankle Brachial Index measurements It is also used to access all kinds of displays The information display at the bottom of the measuring screen provides three measuring display options the Pulse Wave Envelope Panel Figure 17 the Puls
112. u entered together with the measurement data click Save naro conde ge Hage wege ewa waat 1l Fanento 1 Ma 3 280 1940 OTHER TESTS Framingham Heart Studies Circulation 1998 97 1837 lyer cardiovascular risk for Men and Women Lipid Profile and Other Tests VAM i P koumatno Corey Heart Deae Rr Score ter Estate Corewury Heart Cease Roh TOT Ch liegerot 1152 raid Trigycw tes t mya s E Estimated 16 Yew CHO Rus LOC Deer e F Accom y SJ HO Ooan 46 mud chc a Comparative Wat Al T Hot 1 Ha Average H Year CHO ceram D 30 1 velie E pute Creators od ALT at Low 10 Year OO Kk 2 T jon Tons a Crveirap Pwr edger arak by thee los rick provides an eamate of the relative rit meaning et colony mak Por l Smoke oom NU us n sanna p cete x t that of mao the sana ge rath a lowe mi pecie iab te ew No Blood Presa re bige trated irmao 2009 01 19 15 44 ee E HT wet Pressure 42 mm Dustotc AS Da we hia 5 bstimated 1 ie eral Age Framingham 9 ek Mataibokc Sworn cr 6 perk 8 Metabolic 1 Figure 55 5 Complete the information required for Framingham Risk diagnosis program After the required fields are completed the results are displayed on the bottom left part of the screen Figure 56 46 F m Franighurs Haart tudes Localrion FEAE LETT Lissa Caic Eee Lire e te a e a EG ERLZZUMO 1 210 20 aa one unma Bad E Fa 1 EN Farigis Hart broaden Hea Hear LT THE TEL Dea Cac Eres Co el H
113. ular pulse wave intervals occur during the measuring process Irregular pulse icon A The magnifying button Switch to the magnified pulse wave envelope display screen Note ASI can be switched between ASI and ASI bp For details see page 117 22 During the measuring process and the time when the pulse wave envelope the display is magnified The lines representing the mercury column image the current pressure value the pulse amplitude and the air release rate are displayed along with the pulse waveform during the measuring process Right Brachium Measurement Result Zoom Out Button Left Brachium Measurement Result Left Ankle Measurement Result Right Ankle Measurement Result Figure19 Right Ankle et Irregular Pulse Icon EM xe Mercury Column Image 150 E M 100 5l X LL lin S urrent Pressure Valve Figure 20 Pulse Wave Envelope Panel buttons and image descriptions Switch to the measurement end screen during the standby mode The mercury column image Changes according to the cuff pressure value during measurements The current pressure value The displayed value represents the current cuff pressure value Displayed when shaking or irregular pulse wave intervals occur during the measuring process Irregular pulse icon 23 Pulse Waveform Panel This panel displays the pulse waveform of each measurement site individually Duri
114. ur Luo dia et a a a rogue D 30 FP MIME ANG ASUIL CIN GINS coetui dace osi rua aESR Nd ia desattducse ts N 31 Display ANALY SIS INCSUNS cearn esas tel ex rota es cosi has elt eder exerce Edna zoe me edes in dines aaa emen ina 31 eSI deiner M 33 4 01 Patient Information Display Bal cxcistin cus trataba e eheu oque Ove Educ Ue tU IP ra aseo e e Coe dub Io dear Deco iode 33 4 02 Other Test Iritormiation DISPlay Bal ei ro iio E Lo tinier ei S RU US Dub ais Pan e Cas mesa ened 35 4 03 Other Tests DISplay PAM la s secci euin anie et utu atu ra ean o ROB a Sete atic dace tubae estus cuca 38 I raminohiarm disk P ablelusiesenisen pae vue i vx apa EE Tua abre Fu E Eox o dox anuo dine EXXuRGa EE Ea ax Fou RAE REB aA Rua sva RUE 38 The Metabolic Syndrome e GFR Panel cccccsssececcceseceeeceeceeseeeeseeseeeseeeeseeecessseeeeessaaeeeesagaes 40 4 04 Entering information from other te StS ccccccseececeeeeseeeeeeeeesseeeeseeseseuseseaeesseeeesesesseeeneeesaas 45 5 Patient Information and the Measurement Data Screens sesssssssseseenee 49 5 01 Finding patient IGTOFTiatlOlsssdusosoxie por oa ekz uk eu o eva et our a esi E dix dOut d v ucon uto dT 52 5 02 Deleting patient IMIG MALO uiuo conta telco e a a e aa aa aa EE 53 5 03 Measurement Data Display Bat cccccsscccsscecesececsecceseeseuececaeeeseeeseeeeeeeeeseesssseesseeesees 54 Measurement Data Fane lier M acciaio butt ces eec
115. utput Field one screen choose the export data gt Select the table you want to export gt Inthe table select the name of the patient and specify a date range to select the measurements for export You can select more than one patient or all patients To export all available measurement data leave the date range field blank E all Figurel57 7 After selecting the patient and the date interval click Next 8 On the Output Field 2 screen check the box next to each item of patient information or measurement data you want to export To remove a selection click the check box again m Pie baee caben mw e P nm Cy Cie Se rers lard Figurel158 128 9 Click Next to select the following Output Options gt Check Include Header Information to export the item name of the data gt Check indicating patient data change to display an before the field column whenever the patient information being exported is changed Select the options for text output Pimia uM mem Femme Lieu ee ie 6 kEi Hm Figure159 10 Click Next to verify the directory and output source terminal settings Figure 160 11 Click OK to export the data During the export process the green status bar tracks the entire process the blue bar tracks the status of the folder processing Shei ES ia oe mies Peel uum Lik Ugo ee lir eed es Figurel61 129 If the export is completed successfully a Expor
116. va ann MOINS outs emesis 161 1 Operating the VitalVision MS 2100 Specific Software These instructions provide a brief overview of the tasks required to use the Vital Vision MS 200 software and measuring devices Each step provides a link to more detailed information or instructions available in this User Manual 1 01 Preparing for Measurements l 2 Install the Vital Vision MS 2100 software and the USB drivers For instructions see page 8 Connect the Vital Vision MS 2100 device to the computer using the USB cable provided See COM Port page 121 Connect the device to the AC adaptor and turn on the power switch to check the power Start the Vital Vision MS 2100 software For instructions see page 15 Warnings and cautions of the device are displayed on the opening screen Establish the default settings for test and Facility information when the application is started the first time This task 1s only required once when the software application is first used See page 115 for details Open the Measuring Screen Display to start testing and data management The measuring screen is displayed as soon as the software is activated You can open the patient information screen the measurement printing screen and use other functions from this screen See page 16 for more information 1 02 Measuring Instructions Onthe Patient Information and Measurement Data screen click the New button 2 Onthe Patient Profile page enter
117. vides the following types of information about the import job gt VV V WV gt Number of errors Number of data with their required field left empty or in incorrect format Number of entries Amount of readable data Same patient Number of unreadable data due to the selection of identical ID s or identical names If the import process is not successful verify the following items in the import data files before trying to run the process again 138 LI LI O O O O Data is formatted in CSV text format The following required fields all contain a value name sex date of birth and age Each item uses the correct selection order All field values are entered correctly Values for the Gender field are entered as M or F The date of birth is specified in YYYY MM DD format The following example shows an arrangement of imported data in the database i Tare of Amhii ige 1977 07 30 198Y 1027 47 arsi o RAO n Figurel75 Note Don t proceed other performance while in restoring data Do ID number under Half width Alphanumeric Font size 20 139 02 7 Restoring Data If the data is damaged during the combine and import process use the Restore option to bring back the original data file On the Menu screen click Restore bema Pux js ge mau feed bees Pam dmm cud ud Ram i ear oo Figurel76 2 Click Open TB to select the DB table you wish to restore Figurel77 E e Fi

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