IST Programme MobiHealth End User Manual
Contents
1. n Dori Lad aa re ram ari 2 Eyma EXE 8 et n asd Ful Jzhuwrari Hn Fadia Tee ee EG ee HIRI ehe open raada F nier hal E 1264 zia tog M Tz amp EzGi poni 0 TI ORT QE E2207 E DOOR A KE y Figure 3 2 the patient list Using your mouse or the arrow keys you can step through the list and you can highlight the patient records Select a patients name by double click or choose open Back will bring you back to the start window To add a new patient name select add new patient the screen as is shown in figure 3 3 will be visible Patient Information First Name Last Name Peuscher Date of Birth e 1 1950 Address Holzikweh BO Fastal Code PD City Enschede Country Netherlands Fhone 31 534769849 Comment Field for teste of the MC s of Jan Cancel Figure 3 3 the patient information MobiHealth BAN PortiLab Manual Page 33 MOBIHEALTH USERMANUAL version 1 4 December 2003 This window is used to enter the most important items concerning the patient A number of fields h2. reete Adde a eau ea 7 2 2 3 Getting to know the GPRS Jackel us b bee pete invitet uu 9 2 2 4 Inserting the PDA into the GPRS 000000 000000 1000000 11 2 2 5 Charging the battery of the PDA amp GPRS 11 2 2 6 Resetting he T DA E pu EE 14 277 doulhecareor the FDA ortu 14 2 3 THE MBU SOFTWARE 15 2 3 1 General software 5 lt 027077070000000000 aedis 15 253422 O cuti aaa ea ka eae 16 2 353 Sensor VIOWOF ome ch Sado deen cha een ue a 26 2 4 THE SENSORBOX GARDEN TNR EK 28 2 5 THE DP MILI AL Mr DIEA 30 PORLAB MANUAU a ns dete ave gusce ua recu Gus cuo eae ou eat 31 3 1 GENERAL INFORMATION 2ccccececcececcccececcececcccecuccuceceecececauaececeseceeecerseacaecsuaesecacaeceracsecass 31 3 2 WORKING WITH PORTILAB2 THE PATIENT DATA 32 3 2 1 Non realtime realtime 200000000011000 35 3 3 THEREVIEW iM MEAM DM IDA MM A EMIL D IRR O
3. This check the sanity check that is performed is different for every trial because each trial has different input values Table 2 37 shows per trial which values are checked and how Trial Name value Required Min value Max value Max length Lighthouse Text No 100 Cardio BP Sys No 70 250 BP Dia No 50 200 Text No 100 Nurse BP Sys No 70 250 BP Dia No 50 200 Glucose No 2 0 40 0 Temperature No 36 0 42 0 FEV 1 No 0 1 10 0 FVC No 0 1 20 0 PEF No 0 1 25 0 Text No 100 Outdoor BP Sys No 70 250 BP Dia No 50 200 Text No 100 Pregnancy BP Sys No 70 250 BP Dia No 50 200 Text No 100 RA Step No 5 200 Text No 100 Remote BP Sys No 70 250 BP Dia No 50 200 Glucose No 2 0 40 0 CRP No 1 999 Text No 100 Resp Step No 5 200 FEV 1 No 0 1 10 0 FVC No 0 1 20 0 PEF No 0 1 25 0 Text No 100 Trauma BP Sys No 70 250 BP Dia No 50 200 Fluid amount No 0 250 Text No 100 ID information ID Yes 11 First name No 15 Last name No 25 Text No 100 Table2 37 Checked values Stop the MobiHealth software When enough measurement data is send to the server then the MobiHealth software can be stopped This can be done by pressing the stop button All data that s not send yet buffered data will be send and the message displayed on the MBU will be Flushing data The MBU disconnects from the server when all the data is send Note You ll have to wait at least three minutes before restarting the MobiHealth software MobiHealth
4. DYA d Information Society rac MM H Technologies i European Commission M 0 TH IST Programme Project Number IST 2001 36006 Acronym MobiHealth A project funded by the European Community under the Information Society Technologies Programme 1998 2002 MobiHealth End User Manual Editor B Peet Yucat BV NL Richard Bults University of Twente NL Project co ordinator Yucat B Peet University of Twente MOBIHEALTH USERMANUAL version 1 4 December 2003 TABLE OF CONTENT 22 oe 2 1 GENERAL 3 1 1 COMPONENTS DESCRIBED IN THIS MANUAL 3 1 2 USERS ADDRESSED IN THIS 1 3 1 3 TRIAL SPECIFIC 3 3 2 BAN WN I M ss 4 2 1 DESCRIPTION OF THE BAN 5 eoi od Gece sve aont eod red decet bo a eden 4 2 2 THE MBU HARDWARE 8 5 Zee What Sin the DA BOX tematici etum 6 222 Gellinodo Know the PDA au
5. e ETE Figure 3 8 Overview of all performed measurements MobiHealth BAN PortiLab Manual Page 35 MOBIHEALTH USERMANUAL version 1 4 December 2003 The measurement configuration that is selected has been pre configured with the BAN type that is given in the user comments part perform the measurement select the Measurement Configuration as shows in figure 3 9 PortiLab2 Measurement Info x Start time Date Duration Name Test forthe manual Description This is to test the data base measurement for the manual pictures Configuration Mobithealtht File Data source HttasSnooper lt Back Cancel Figure 3 9 Measurement info screen MC will now contact the back end server via the Internet When contact has been established the screen as show in figure 3 10 will be shown The unique MBU number will automatically be selected and the measurement can be started by pressing OK in this screen From this point measurement signals will be received and displayed on the PortiLab screen To save the data the Store button must be selected Please enter the data source B x http bdr mobihealth 4 D 34NIT B 824030 Identifier ae ABE pe Data File 4G2ADW34NDOBS 924030005 start 10 28 26 3 2003 Figure 3 10 MobiHealth info screen RealTime Realtime offline measurement When viewing
6. 2 4 3 Sensors sensors connected to the human body and collect all the data The number and type of sensors used are different per trial The sensors are not described in this manual Figure 2 1 components of the BAN MobiHealth BAN PortiLab Manual Page 4 MOBIHEALTH USERMANUAL version 1 4 December 2003 2 2 The MBU hardware This part of the manual describes the hardware part of the MBU The software part the applications running on the MBU is described in 2 3 The MBU hardware is divided into two parts PDA This is the actual device that is used for the manual data input and to store the data GPRS Jacket The GPRS jacket is the part that does the actual sending of the data to the MobiHealth server Figure 2 2 PDA Figure 2 3 GPRS jacket Both the PDA and the GPRS jacket have their own battery which should be charged at regular intervals Charging of the batteries is discussed in 2 2 3 MobiHealth BAN PortiLab Manual Page 5 MOBIHEALTH USERMANUAL version 1 4 December 2003 2 2 1 What s in the PDA box Figure 2 4 shows all the items that are included in the PDA box er Extra stylus IPAQ Pocket PC H3800 series Universal cradle for both USB and serial connections with tether AC adapter DC adapter plug oo ood Figure 2 4 What s in the box MobiHealth BAN PortiLab Manual Page 6 MOBIHEALTH USERMANUAL version 1 4 December 2003 2 2 2 Getting to kn
7. Mobi is the on off button When the battery cover of the Mobi on the backside is removed you have access to the battery compartment and the slot for the MultiMediaCard for ambulatory measurements Connecting sensors All different sensors have their own type of connector on the front panel of the Mobi It is virtually impossible to make mistakes with this Please note that for ECG measurement you will always need to connect also the Patient Ground lead GND The connection for the pulseometer is on the backside 4 pin metal connector Connect the pulseoximeter module first and then connect the finger sensor to the module Status light The light LED in the front panel indicates the status of the Mobi e During power up orange followed by solid green e Solid green powered and ready e Blinking green powered and recording on MultiMediaCard MMC e Blinking orange batteries are running low or after trying to start an ambulatory recording on the MMC recording error e Solid orange batteries are empty Mobi will finish all actions and shut down within a few seconds On off button The button on top of the Mobi has two functions power on off and alarm button alarm trail only When the Mobi is off it can be powered on by shortly pressing the on off button The status light gives an indication It can be shut down by again pressing the on off button shortly The status light will go out For the alarm trail only when
8. fully charged e Mobi shutdown state batteries fully charged or new batteries inserted Note Mobi batteries will last for 12 hrs depends on capacity of batteries of monitoring time 4 2 Preparation of the patient Prepare the patient for monitoring i e attach the sensors connect the wires to the Mobi etc Note Don t start the Mobi yet 4 3 Start the MobiHealth BAN 1 Press the reset button on the bottom of the MBU i e iPAQ with the stylus for 1 second see figure 4 1 2 Wait until the startup screen ARM Bootloader screen appears and press the blue button on the GPRS sleeve until the LED on the sleeve turns off takes 7s and release the button see figure 4 2 Figure 4 1 Resetting the MBU MobiHealth BAN PortiLab Manual Page 43 MOBIHEALTH USERMANUAL version 1 4 December 2003 ud Figure 4 2 Startup screen ARM Bootloader screen START TIME CRITICAL PHASE 3 Login on the MBU The general login information is Username root Password rootme However for some iPAQs in particular the Swedish ones individual user accounts have been created Users will need to use their own username password combination to login to the iPAQ 4 Start the Mobi and check if the LED turns green 5 Check the GPRS connection by selecting the Network icon in the Settings menu wrench icon on top of the screen and check if an Internet address appears in the Point to Point pppO line s
9. it in Portilab2 This can be done by doing a right mouse click on the list and selecting import Figure 3 44 The downloaded configuration file can be selected and added to the list by pressing open Now this configuration file can be edited or used within the patient management part of Portilab2 PortiLab Configurations Confiquration Management P Name Type Source Rate Comment a m BSS 2 new Healbme Into descr Dan server Info descr M anual input resp Playback 128 Info deser New Configurationb 0 New ENTM ECG mobility position HA Resp Arial Realtime 1 mobility daily life act acti online v1 Playback ECG mobility position Lighthouse_orine_vl Playback 1 iocus mobility postion drop alam and Traumateam cilline a Playback REED CG resp 2 and HAT ach and Res mm Outdoors v Realtime CE Import ED _ mobility positon HA Add Back Edi Figure 3 44 Importing an existing configuration file MobiHealth BAN PortiLab Manual Page 42 MOBIHEALTH USERMANUAL version 1 4 December 2003 4 GETTING YOUR MobiHealth BAN started A STEP BY STEP APPROACH This chapter describes step by step how to get your MobiHealth BAN version 3 0 started using GPRS 4 1 Begin situation e MBU shutdown state battery
10. programs are being used on the PDA The MobiHealth software This is the main program on the PDA that has the following functions o Receives the sensordata from the SensorBox o Handle manually inputted data o Sends the data to the BackEnd system The data viewer This program can be used to view the data that is being measured directly on the PDA This program should be used for check purposes only These programs are explained in this part of the manual Both general issues as trial specific issues are handled here To be able to work correctly with the programs on the PDA we will first discuss some general issues Home screen of the PDA Using the keyboard to do text input 2 3 1 General software issues Using the keyboard To be able to input data on the PDA the build in virtual keyboard must be used To show this keyboard click on the keyboard icon in the left bottom of the screen see figure 2 17 098011 16 Figure 2 17 Showing the virtual keyboard There are two input methods available 1 Handwriting figure 2 18 2 Regular keyboard MultiKey figure 2 19 THIS IS THE RECOMMENDED INPUT METHOD Choosing between these methods is done by clicking on the arrow next to the keyboard icon see figure 2 17 112 345 SIG TRIB am tabla sur n m ss T ALT CTRL 0 15 37 o
11. the Mobi is powered on an alarm is triggered when the on off button is pressed The status light will start blinking either green or orange when an alarm is triggered MobiHealth BAN PortiLab Manual Page 29 MOBIHEALTH USERMANUAL version 1 4 December 2003 Replacing the batteries It is recommended that for each use a fresh set of batteries is used 2 AA type cells are required either rechargeable NiMH 1 2V or non rechargeable Alkaline 1 5V Please note that rechargeable cells have a considerably shorter lifetime Open the battery cover by squeezing it slightly on the bottom side at the mark and sliding it backwards Please make sure that the polarity of the batteries is right This is indicated by the figure on the inside of the battery compartment Close the cover Make sure that it is tightly shut If the battery cover is not closed correctly the Mobi cannot be started Also note that when the Mobi is active while the battery cover is opened it shuts down immediately This is a safety precaution Battery tips When using the Mobi to measure continuously replace the batteries daily When the Mobi is not used for a long period remove the batteries 2 5 The sensors This paragraph gives a short description of the different type of sensor used in the MobiHealth trials Pulse oximeter Measures saturation value 5 2 plethysmographic waveform heart rate and sensor status The sensor is to be applied to the finger and m
12. BAN PortiLab Manual Page 25 MOBIHEALTH USERMANUAL version 1 4 December 2003 2 3 3 SensorViewer The sensor can be used to view the data that is being measured by the Mobi directly on the MBU This program is useful for checking the connection with the Mobi To start the SensorViewer on the PDA take the following steps Select the MobiHealth tab figure 2 38 Start the Mobi by pressing the on off switch figure 2 42 Click on the SensorViewer icon figure 2 39 NOTE It is recommended NOT to have both the Start MobiHealth and the Senorviewer active on the MBU Therefore it is better to exit the Start MobiHealth application before starting the Sensorviewer application Mebiheath m i Mobihealth is Stat MobiHealth Health Tt t 2 I ES 5 1 18 Go ris Figure 2 38 MobiHealth tab Figure 2 39 Sensor Viewer Icon MobiHealth BAN PortiLab Manual Page 26 MOBIHEALTH USERMANUAL version 1 4 December 2003 If the MBU is able to connect to the Mobi then a screen like figure 2 40 should appear For each sensor that is connected to the MBU a tab is shown at the top of the screen By clicking on one of these tabs the data of this sensor will be shown Some actions can be performed to change the view e Speed The interval of drawing can be changed with the slider at the bottom of the screen When the value this slider is 1 then every incoming data is shown If
13. Note If you don t succeed in activating the MBU go to step 8 8 Stop the MobiHealth application by pressing the Stop button MobiHealth BAN PortiLab Manual Page 45 MOBIHEALTH USERMANUAL version 1 4 December 2003 9 Shutdown the MBU by selecting the Shutdown icon in the Settings menu wrench icon on top of the screen and place the MBU into the cradle see figure 4 5 22 6 4 City Time Pim Conf File Editor Applications Date Time Games Launcher 22 Mebihealkh Light amp Power Desktop x Packages ui Rotate Recalibrate 19 Logout My System Info User Manager Figure 4 5 Shutdown the MBU 10 Detach sensors from Mobi and the Mobi will automatically switches off GO TO BEGIN SITUATION MobiHealth BAN PortiLab Manual Page 46 MOBIHEALTH USERMANUAL version 1 4 December 2003 Glossary BackEnd The MobiHealth server that collects all the received sensor data system BAN Body Area Network The complete set of MBU SensorBox and Sensors p Bluetooth Short range wireless radio technique used in the MobiHealth trials to communicate between the MBU and the SensorBox GPRS General Radio Packet Service Communication technique for wireless data transport IPAQ This is the type of PDA that is used within the MobiHealth trials Jacket The clipon device that is attached to the PDA used for the wireless GPRS communication MBU Mobile Base Unit The Mob
14. R EL 40 3 4 WORKING WITH PORTILAB2 THE CONFIGURATION 42 4 GETTING YOUR MOBIHEALTH BAN 5 2 2 43 4 1 BEGIN 000008000000 43 4 2 PREPARATION THE ese e sire irse ares sasag e 43 4 3 START THE MOBIHEALTH 40 001 43 X 47 MobiHealth BAN PortiLab Manual Page 2 MOBIHEALTH USERMANUAL version 1 4 December 2003 1 GENERAL INFORMATION 1 1 Components described in this manual This manual describes the following parts of the MobiHealth system 1 The BAN Body Area Network The BAN is the part that is worn by the patient or used by the nurse to perform the actual measurements 2 The PortiLab PC application This is the application running on the PC at the hospital that enables the doctor to view the received medical data 1 2 Users addressed in this manual This manual should be used by both patients and medical persons doctors and nurses who are involved in the MobiHealth trials Depending on your role in the trial your focus should be on a different part of the manual Role Work Description Interested parts of this manual Doctor View
15. TH USERMANUAL version 1 4 December 2003 MANUAL INPUT PART For each trial there is a separate part in the BAN MobiHealth software that enables manual input The function of this manual input is to input non sensor data into the MBU and send this together with the sensor data to the MobiHealth server The medical meaning of the manual input differs per trial Patient temperature measured with a traditional thermometer Activity type Fluid type Pupil size Additional comments For each trial there is a different manual input section This section is started by selecting the menu item Manual Input figure 2 24 and then select the name of your trial Manual Ing ut ead ee ien an Figure 2 24 Start the manual input Changing the language To change the program language select the menu time Language and then select the language of your choice After selecting another language the MobiHealth application has to be restarted to use the new selected language MobiHealth BAN PortiLab Manual Page 18 MOBIHEALTH USERMANUAL version 1 4 December 2003 Input manual data Before entering any data in the manual input fill in Lami age Definitions the patient information figure 2 25 This screen can be started by selecting the menu item ae Definitions and then select id information To turn back to the manual input click on the Change id info but
16. UAL version 1 4 December 2003 Figure 2 8 Back view of GPRS jacket Component Function Power Button Powers on your Wireless Pack and activates the signal Your Wireless Pack stays on until you remove it from your Pocket PC or press the power button to power It off MobiHealth BAN PortiLab Manual Page 10 MOBIHEALTH USERMANUAL version 1 4 December 2003 2 2 4 Inserting the PDA into the GPRS jacket Since the GPRS jacket does the actual data sending to the server it is essential that the PDA should always be inserted into the jacket during the trial Figure 2 9 shows how to insert the PDA into the jacket the result is show in figure 2 10 7 Figure 2 9 Inserting the PDA into the jacket Figure 2 10 PDA inserted into the jacket 2 2 5 Charging the battery of the PDA amp GPRS jacket When using the PDA it is very important to charge the battery at regular intervals When the battery of either the PDA or the jacket is running low the data cannot be send to the hospital meaning the trial cannot be performed correctly When the PDA is charged the jacket is automatically charged with it it is therefore sufficient if you charge only the PDA In order to keep the batteries full it is recommended to charge the PDA when you are not using it Detecting if the battery is running low The PDA will indicate if the battery is running low Try to recharge it as soon as possible when this happens If the GPRS jacket is ru
17. a has been stored on the backend server and is being shown in PortiLab at a later time An non realtime or realtime measurement is performed as follows First add the patient that is monitored to the database NOTE In the comment part of the patient data it is recommended to input the BAN number that is used by the patient to connect to the back end server This is done to simplify the selection of the correct measurement later on in PortiLab If the BAN number is entered the format MUST be exactly as mentioned here Example is show in figure 3 7 ATTENTION The format used here to enter the BAN number is MBUzZ gt where Is MBU PortiLab Palients 4 First Lasi Dein chinh Comment Hemsede 125 1957 Benbeschrivende Jen Pausrhar 2 1 1950 test amvranment sor ram ieai 12 5 2003 Testes elganlrnes van ECCO tust 21 5 2003 test congress preag Jette 1 6 1986 Tein hal cogr ean schonlax men 02 2003 test juztiariemporery razults an Ege 24 1947 Hoe the HC nas Cemio Smienk 11 7 1953 lar hem Benz 1581995 Old dete Thal wee mensured in Pa cane in Heiden Jen 4452003 test with the imp
18. ard MMC Each mobi comes with a carrying bag for easy ambulatory use lt TO BE ADDED gt Figure 2 40 Top view Sensor connectors Figure 2 41 Bottom view SpO2 connector Figure 2 42 Front view Power button Figure 2 43 Back view 1 Woes BT adress 00 AC 9E Figure 2 44 Front view with open battery cover mm 2 45 Attached sensors MobiHealth BAN PortiLab Manual Page 28 MOBIHEALTH USERMANUAL version 1 4 December 2003 Sensors that can be connected to the Mobi ECG electrode leads for 2 lead 3 lead or 12 lead ECG respiration sensor amp ctivity movement position sensor pulse oximeter gives saturation value plethysmographic waveform and heart rate marker alarm button By means of hardware variations and embedded software definitions the systems can be tailored to the needs of the different trials In this way 6 different variants are defined Type Base nr of ECG nr of AUX pulse marker Used in trails a alarm 3 M o Lighthouse cardio 4 3 1 RA dem mob 4 0 no Pregnancy 4e 4 4 0 o mob8 8 DE m demage On the front of the Mobi are the connectors for the ECG leads the respiration and activity sensor and the marker alarm button The front panel also has a status light LED The back of the Mobi has a connector for the pulseoximeter sensor On top of the
19. ave to be filled in otherwise the program will not continue After having filled in the items you return to the database by pressing OK When you do not select Add new patient but select an existing name you will enter the database of measurements that where performed on that patient the measurement list See figure 3 4 fan Pausch m E 25 i Jan Peuscher a i echa BA parendi 160951 10 iyi d ax I d ac 7j 14 Tace mri ee 12 04 preci CET iater 122 38 14 ene pie rv Erie n ae preci Lag ELESE acm id omn HE ur pes ie THRVEERFIEER HERO TES TR bean piri ere MR en ping Tira RE EP T Tip HL onc tni Lon ra die FL plui SHAR Ag SP Orie dau ics EHT rebatan 17 imc bora pia Toe three Git CECI Tzu eee Bo 155551 ap uH dil T fd D re sii caca 14 2000 1E 2 a
20. ca 8 15 34 Figure 2 18 Handwriting input method Figure 2 19 Keyboard MultiKey input method RECCOMENDED MobiHealth BAN PortiLab Manual Page 15 MOBIHEALTH USERMANUAL version 1 4 December 2003 2 3 2 MobiHealth software Start the MobiHealth software To start the MobiHealth software on the PDA take the following steps Select the MobiHealth tab figure 2 20 Click the MobiHealth icon figure 2 21 Wait until the screen as shown in figure 2 22 is shown activate the software by pressing the Start button see figure 2 22a and wait until the text MBU Activated is shown figure 2 22b Make sure to turn on the SensorBox see part 2 4 within 3 minutes after starting the MobiHealth BAN software so the MobiHealth software can connect to the SensorBox lf the MobiHealth software is connected to the SensorBox the icon in the left part of the screen shown in figure 2 23 should appear EO Mobihealth Start FEE MobiHieatth 1 18 i TE 1 18 2 20 The MobiHealth tab Figure 2 21 The MobiHealth Icon MobiHealth BAN PortiLab Manual Page 16 MOBIHEALTH USERMANUAL 07 Sd 211 Figure 2 22a Startup screen AS GPO Figure 2 23 Icon indicating successful connection to the SensorBox MobiHealth BAN PortiLab Manual version 1 4 December 2003 SEEL ENI 3 14 Figure 2 22b MBU is activated Page 17 MOBIHEAL
21. data measurement part This part should NOT be used during the MobiHealth trials PortiLab will be pre configured by TMSi PortiLab2 Welcome to PortiLab2 Flease select an option Fatient Management Configuration Management Figure 3 1 the starting screen of PortiLab2 MobiHealth BAN PortiLab Manual Page 32 MOBIHEALTH USERMANUAL version 1 4 December 2003 After starting the Patient manager you will enter the patient database This database shows you a list of patients as shown in figure 3 2 This list contains the following fields First name Last name Date of Birth Comment a aioe eae m cem Management 2 8 8 zi Feria MED Enn Pu ed acr bel amamus LP aie ee mb donet COT n Fa Ext 6r rites Fr EAT DO Dl Rn 1 pastas 42 330 iari pi eee Lass wre Baus eu Bae hl nn Lo here ida 2 CT ban Tr I AI I Arian bri riha s deck rm Brarz aE TES pid pela f oe r Fai ee Co r bag od iia Kreis hc bacia wr TEI Rar a ST r Bb OE Fj oT ur 4 4 Hutac bes EH Erb mu Lorne ad be are 19 ke eet xh aperia
22. dj fax Reano see i E Figure 3 4 Measurement list of patient Jan Peuscher The measurement list shows the most important details of all previous saved measurements Name Measurement Configuration Measurement Date Measurement Duration Type of Measurement Comments on this Measurement After you have entered the measurement list of the chosen patient two main choices are available Perform a new measurement Select an existing measurement for review editing or report Performing a new measurement on a patient After having selected Add New Measurement a new measurement can be performed and the measured date can be added to the measurement list of the selected patient Two types of measurements are available Non realtime measurements Realtime measurements MobiHealth non realtime measurements The measured data is send to the MobiHealth server were it is stored Later on this data can be received on the PC and stored locally Mobihealth realtime measurements While sending measured data to the MobiHealth server the data is redirected to the PC where it can be viewed directly and stored if needed MobiHealth BAN PortiLab Manual Page 34 MOBIHEALTH USERMANUAL version 1 4 December 2003 3 2 1 Non realtime realtime measurements Measurements can be performed either realtime the measurement data is shown in PortiLab at the same time while it is measured or non realtime the measurement dat
23. e 3 12 measurement example screen MobiHealth BAN PortiLab Manual Page 38 MOBIHEALTH USERMANUAL version 1 4 December 2003 If the measurement has manual input in it and the configuration file is configured in a way that it can show it then an extra window will appear which shows the manual input figure 3 13 View Frame Status Breathing exercises PationID 12345 FirstName Piet LastName Paulusma Text This is a manual input test Statue Cleaning indoor PaLionID 12345 FirstName Piet LastName Paulusma Figure 3 13 measurement with manual input MobiHealth BAN PortiLab Manual Page 39 MOBIHEALTH USERMANUAL version 1 4 December 2003 3 3 The review To show the review of a measurement file double click the file Patient measurement and configuration information can be shown via the menu and the dashboard After the data file is selected in the MEASUREMENTLIST screen figure 3 8 an overview screen is shown which presents all stored data Via the menu multiple windows can be shown next to each other and the dashboard can be switched on or off Multiple measurement files can be opened via the menu to compare data of multiple measurements Using split screen it is possible to open the same measurement file multiple times to compare the different intervals of one measurement Events and the eventlist can be shown using the dashboard Jumping trough the eventlist will automatica
24. easures the signal by means of red and infrared light Activity This sensor measures acceleration in 1 direction It can be used to detect activity high frequency part of the signal and 1D position standing up lying down DC low frequency part of the signal It should be positioned in such a way that the top of the sensor points to the head of the subject patient Respiration This sensor measures respiration by detecting changes in the circumference of a belt around the thorax or abdominal region ECG ECG is measured by placing pre gelled AgCI surface electrodes single use at predefined places and connecting these electrodes to the Mobi amplifier with shielded electrode leads These leads have a snap connector so that they fit onto a large number of standard available ECG electrodes MobiHealth BAN PortiLab Manual Page 30 MOBIHEALTH USERMANUAL version 1 4 December 2003 3 PORTILAB MANUAL 3 1 General information The PortiLab PC application is the part of the MobiHealth system that is being used to view the received medical data at the hospital PortiLab must be used by the medical persons who want to view the collected patient sensor data PortiLab should therefore be installed on a PC in the hospital which has access to the Internet to be able to receive the sensor data PortiLab uses the following components e Configuration This is the trial specific configuration file that is created by TMSi e Patient Each pat
25. edence megesuremgn Ip tune the pacemakers of several pacemaker parents 4 6 2003 Special MAC s ara bested Ey PE Eduardo 22 4 1936 peciel meesuremenis pr research of EAG neree sysiem nea 26 5 1998 spacial maesuremant tor diaphragme ekgnrithmmas Richerd vanOiken 44 1960 GAR lest deck 45 2009 undogy Pressura and EMG Johnson 4 0 1947 Tests with Pari for tme relabons and OG Elska wan Tuin 6 6 1461 LET member measurements of nerve systenm Rob Hea amp MC 4412 1154 pobygraphy m the ninata 21 6 1904 EEG s In test besinmap Mia Mog Mugar 43 2003 Test EEG in epena eerie te ets k leal laribulance 3 126 2003 4 6 2005 Uca Figure 3 7 Patient called Mobi Health wears BAN number 4G2ADW3406H Inthe patient database select add new measurement The screen in figure 3 8 is shown PortiLab2 Mobi Health i TMS Se Se resi Configuration Comment M abi nealt T2 E 2003 8 31 27 126 2003 0 32 02 eai again Mobehealihl 12 6 2003 20 18 30 next isst other 122 2003 20 1426 new test next number Review 12 6 2003 20 21 04 Info 2 1
26. ee figure 4 3 and figure 4 4 If yes close the Network Settings window and continue with step 6 If not close the Network Settings window wait for 2 minutes and repeat step 5 MobiHealth BAN PortiLab Manual Page 44 MOBIHEALTH USERMANUAL Documents Oc ee 6 11 57 44 1 Appearance Backup And Restore 5 2 m Button 61 12 Cry Time 2 Pim 8 Conf File Editor Applications 4 Date Time e Games Launcher 22 Mobiheakth Light amp Power EX 1 Desktop Packages ui Rotate Recalibrate Suspend Shutdown Logout System Into amp Emma 22 User Manager Figure 4 3 Start Settings Network 6 Start the MobiHealth application version 1 4 December 2003 Network Settings D Connections Profiles w Disconnected X PPP 0 10 77 106 0 4 Unknown Unknown usbt d Unknown A Loopback lo 127001 Information Configure Add Remove DEJ g Orc Sebo fiizisem Figure 4 4 Network settings 7 Press Start button in MobiHealth application screen Note Application is running if the Status MBU activated or Status MBU sending message appears on the bottom of the MobiHealth screen Note If the message Status MBU Unregistered appears EXIT the MobiHealth application and go to step 5 END TIME CRITICAL PHASE
27. iHealth name for the PDA Handheld Personal Digital Assistant The handheld device used within the MobiHealth trials type Compaq iPAQ PortiLab The PC application used in the MobiHealth trials to view the sensordata in the hospital MobiHealth BAN PortiLab Manual Page 47
28. ient is created in PortiLab and has its own measurement e Measurement Each measurement creates an output for the viewer The figure below shows the overview of these components Measurement 1 Configuration lt pre configured by Measurement 2 gt Patient 1 T TMSi gt Measurement 3 v Viewer Portilab2 startup Patient 2 A Configuration lt pre configured by Measurement 1 Patient 3 TMSi gt Measurement 2 Measurement 3 The steps to take in order to view the sensor data for a patient are Startup the PortiLab application Select the Patient Management option Select an existing patient or create a new patient Select an existing measurement or create a new measurement View the signals in the viewer TA E All steps are explained in detail in the following paragraphs MobiHealth BAN PortiLab Manual Page 31 MOBIHEALTH USERMANUAL version 1 4 December 2003 3 2 Working with PortiLab2 The patient data manager After PortiLab2 is started you will have two main modules e Patient management This part is used to perform standard routine measurements on patients This is the only part that is used within the MobiHealth trials Configuration management This part is used to develop the measurement configurations that are used in the Patient
29. le on the bottom of the PDA see figure 2 6 2 e Remove the stylus and wait until the regular screen has returned be patient this can take a few minutes After the PDA has been reset a username and password has to be given The default values here are Username root Password rootme However for some iPAQs in particular the Swedish ones individual user accounts have been created Users will need to use their own username password combination to login to the iPAQ Note Do NOT reset the PDA if you are not absolutely sure this will help A complete step by step approach on how to get your MobiHealth MBU started can be found in chapter 4 2 2 Houtine care of the PDA To keep the PDA in good condition and working properly follow these guidelines Keep the PDA away from excessive moisture and temperatures extremes Do not expose your PDA to liquids Do not place anything on top of your PDA to prevent damage to the screen Clean the screen of the PDA by wiping the screen and the exterior with a soft damp cloth moistened only with water Avoid exposing the PDA to direct sunlight or strong ultraviolet light for extended periods of time Also avoid scratching the surface of the screen and banging it against hard objects Only use the PDA stylus to prevent scratching the screen MobiHealth BAN PortiLab Manual Page 14 MOBIHEALTH USERMANUAL version 1 4 December 2003 2 3 MBU software During the trials two
30. lly jump the marker to the correct position LA LL LL r i A Figure 3 14 The review display The following functions are available in the review screen Function Control Forwards browsing double arrow in screen Backwards browsing double arrow in screen Walk trough signal arrow keys on keyboard Marker and mouse Arrow in screen forward backward Zoom in Zoom out MobiHealth BAN PortiLab Manual Page 40 MOBIHEALTH USERMANUAL The following properties can be set using right mouse button e Color Signal Background Marker Grid e Scaling en offset Timebase Grid Signal Line Stars Blocks Filled Numeric indication Markers events and comments can be added to the signal Measuring variables on the screen using the mouse Amplitude Amplitude difference Time intervals Split screen same file or other file Pop ups Dashboard Event comment list Display 1 2 3 n Amplitude bar Numeric indicator Action on selected block Process Analyze Copy Report MobiHealth BAN PortiLab Manual version 1 4 December 2003 Page 41 MOBIHEALTH USERMANUAL version 1 4 December 2003 3 4 Working with PortiLab2 The configuration manager An overview of all the configuration files available in Portilab2 will be shown after selecting the configuration manager in the main menu Figure 3 40 C
31. medical data at the hospital Chapter 3 PortiLab manual using the PortiLab viewer Nurse Use the BAN to visit patient and Chapter 2 BAN manual performs tests Chapter 4 Getting your MobiHealth BAN started Patient Wear use the BAN during the trial Chapter 2 BAN manual Chapter 4 Getting your MobiHealth BAN started 1 3 Trial specific information In part 2 3 2 MobiHealth PDA software the trial specific Manual Input on the PDA is discussed MobiHealth BAN PortiLab Manual Page 3 MOBIHEALTH USERMANUAL version 1 4 December 2003 2 BAN MANUAL This part of the manual deals with the BAN Body Area Network part of the MobiHealth system This is the part that is either worn by the patient or used by the nurse It collects all data using the sensors and transmits these to the MobiHealth server using the MBU Mobile Bas Unit 2 1 Description of the BAN A short description of the BAN is given here to have an overview of the functions of each component As shown in figure 2 1 the BAN consists of the following components 1 The MBU The MBU also called PDA or is the device that receives data from the SensorBox stores them temporarily and sends them to the hospital The MBU hardware is described in 2 2 the software in 2 3 2 SensorBox The SensorBox also called Mobi or FrontEnd is connected by wire to all sensors and sends the sensor data via Bluetooth to the MBU The SensorBox is described in
32. nning low on battery this will be indicating by the slow blinking red LED on the jacket if the LED does not turn on when the Jacket is turned on it should also be charged There are two methods for charging the PDA battery 1 use the cradle 2 use the AC adapter MobiHealth BAN PortiLab Manual Page 11 MOBIHEALTH USERMANUAL version 1 4 December 2003 1 Using the cradle to charge the PDA battery To charge the PDA battery using the cradle follow these steps 1 Insert the AC power adapter no 5 in the box into the back of the cradle no 4 in the box figure 2 11 2 Insert the AC power adapter into the AC outlet figure 2 12 3 Insert the PDA into the cradle figure 2 13 Figure 2 12 Insert the adapter into the AC outlet Figure 2 13 PDA inserted into the jacket MobiHealth BAN PortiLab Manual Page 12 MOBIHEALTH USERMANUAL version 1 4 December 2003 2 Using the AC adapter to charge the PDA batter To charge the PDA battery using the AC adapter directly without using the cradle follow these steps 1 Insert the DC adapter plug no 6 in the box into the bottom of the PDA figure 2 14 2 Insert the AC adapter power plug into the DC adapter plug figure 2 15 3 Insert the AC adapter into the AC outlet I 4 4 Put the plug into this slot i Figure 2 14 Insert the DC adapter plug into the Figure 2 15 Insert the AC adapter into the DC bottom of the PDA adapter plug Al
33. onfiguration files can be changed new configuration files can be created and existing configuration files can be imported 3 PortiLab Configurations B x Tos P Configuration Management ia Mame Type Source Hate Comment B55 Portlab new ver Real time Infa descr REI Own server Real time b4 Infa descr Manual input resp Playback 128 Info descr Ss Mew Configurations New Configuration Realtime E4 3 ECG mobility position HR E Resp trial Real time saturation mobility HA daily life act acti online Playback 3 ECG mobility position HR mmi Lighthouse v1 Playback 3 ECG mobility position drap alarm and m Traumateam Playback 3 resp SP Z and HAT ach and Hes mmm Outdoors online 1 Real time 3 ECG mobility position HA Add lt Back E dit 2 Figure 3 40 Overview of configuration files Edit create configuration file Editing an existing or creating a new configuration file should not be done by the trail owners therefore this part is not included in the manual Please contact your MobiHealth support contact if more information is needed about this subject Importing an existing configuration file For the trials there are pre configured configuration files available they can be downloaded from the MobiHealth web site An existing configuration file has to be imported if you want to use
34. ow the PDA FRONT PANEL Figure 2 5 shows all the most important parts of the front panel of the PDA Stylus push to eject push to lock Power amber flash charging amber solid charged green alarm Power Button speaker Color Display Application Buttons 1 4 Navigation Button serall through a list Application Button 5 Light sensor adjusts backlight stereo Headphone Jack Active Bluetooth Indicator flashes when Bluetooth radio is on Mierophone o e e e e Figure 2 5 Front panel of the PDA The display 5 The PDA has a color touch display which can be controlled using either the stylus 1 or your finger The pen stylus 1 The pen also called stylus is located at the right top of the PDA It can be removed by pressing it To make sure not to loose the pen always insert it into the PDA when not using tt The buttons Power button 3 The power button must be pressed to switch the PDA on and off NOTE If pressing the power button does not have any affect when trying to switch the PDA off an alternative method is selecting suspend via the start menu Scroll button 7 Use the scroll button to scroll to lists MobiHealth BAN PortiLab Manual Page 7 MOBIHEALTH USERMANUAL version 1 4 December 2003 Indicator lights Bluetooth indicator 9 The blue light at the left of the PDA is the Bluetooth indicator This light should always be blinking Po
35. ternative charge method Instead of inserting the DC adapter into the PDA it is also possible to charge both the GPRS jacket and the PDA by inserting the DC adapter directly into the top of the GPRS jacket The charging hole in the GPRS jacket showed with number 1 in figure 2 7 should be used to insert the DC adapter plug into Note use the ROUND connector of the DC adapter the same as is used in figure 2 11 when charging via the cradle to charge directly into the GPRS Jacket This charging method should be used if the method described above inserting the DC adapter into the PDA does not recharge the PDA When this charge method is used both the GPRS jacket and the PDA should indicate the charging see next page MobiHealth BAN PortiLab Manual Page 13 MOBIHEALTH USERMANUAL version 1 4 December 2003 Check if the battery is charging PDA When the PDA battery is charging the amber light figure 2 16 is blinking The amber light is solid non blinking during charging when the battery is fully charged GPRS jacket During charging the LED on top of the jacket see figure 2 7 2 is red the LED turns green if the jacket is fully charged Figure 2 16 Battery status light 2 2 6 _ Resetting the PDA In case the PDA does not respond after approximately one minute to user input anymore a reset is needed Resetting the PDA is done as follows e Insert the top of the stylus for 1 second into the small ho
36. the measurement data we can choose between a realtime and an offline measurement With realtime the data that is measurement is shown live in PortiLab With an offline measurement a file on the BackEnd server can be selected that was measured in the past When selecting RealTime the live data will be shown automatically MobiHealth BAN PortiLab Manual Page 36 MOBIHEALTH USERMANUAL version 1 4 December 2003 When selecting Offline all measurement files that are present on the BackEnd server are shown see figure 3 11 View Frame Please enter the data source hip fdr mabihieaihorg perla AG2AD NDGA fAGEADINWAN BH 9240300 BAN Identifier MOBIHEALTH 824030003 start 11 31 11 4 2003 SensorSiahis 4GZADV 34N05H 824030003 stert 11 35 26 3 2003 iis 524030003 ster 11 44 6 8 2003_ Saw Tooth 4GZADWWA14NO5H 524030003 ster 11 53 24 2003 GADW JAISH 624030003 start 11 55 28 2005 4GZADV 34NOBH 824030003 stam 11 57 5 5 2003 AGcADVEJ4NUGH 924030009 start 12 17 2 4 2003 7 7024030003 4 924030007 start 11 1 2 420038 Ch CO oC Figure 3 11 MobiHealth offline file selection screen An example of this measurement is shown in figure 3 12 Frame Fino MobiHealth BAN PortiLab Manual Page 37 MOBIHEALTH USERMANUAL version 1 4 December 2003 Figur
37. this slider has value 4 then each forth incoming measurement is shown e Amplitude The amplitude of the view can be changed with the and buttons at the bottom of the screen Go to the SawTooth tab to check if the Mobi is really sending data and is connected correctly to the MBU SawTooth is drawn figure 2 41 the connection between the Mobi and the MBU is ok The connection is lost when you see flat line Restart the Mobi and the SensorViewer program to solve this problem MobiHealth BAN PortiLab Manual Sensor Viewer 2294 2 Figure 2 40 SensorViewer ECG view IY 8 38 PM 2 41 SawTooth view Page 27 MOBIHEALTH USERMANUAL version 1 4 December 2003 2 4 The SensorBox The SensorBox consists of a so called front end and a set of sensors All trials can be covered with two types of front ends a 4 channel front end Mobi4 and a 9 channel frontend Mobi9 The Mobi4 can be configured to have either 4 inputs for ECG or 3 inputs for ECG and 1 auxiliary input Further optional parts are a marker alarm button input and a pulse oximeter input The auxiliary input can be used to connect either a respiration sensor or a movement activity sensor The Mobi9 has 9 ECG inputs These signals can be converted into a standard 12 lead ECG setup Both types are fitted into the same type of enclosure For verification purposes it is possible to store the measured signals locally on a MultiMediaC
38. ton E 5 5 2 23 Figure 2 25 Patient information Because the data that is inputted manually is different per trial figure 2 26 to 2 35 show the manual input screen s for each trial 5 OSADO Figure 2 26 LIGHTHOUSE trial Figure 2 27 CARDIO trial MobiHealth BAN PortiLab Manual Page 19 MOBIHEALTH USERMANUAL version 1 4 December 2003 A a eR 1 48 AS Blo 1 49 d 075835 1 51 Figure 2 28c NURSE trial Figure 2 29 OUTDOOR trial MobiHealth BAN PortiLab Manual Page 20 MOBIHEALTH USERMANUAL version 1 4 December 2003 Figure 2 2 31 a and b RA TE MobiHealth BAN PortiLab Manual Page 21 MOBIHEALTH USERMANUAL version 1 4 December 2003 d Q Gb D 1 55 OE 4 58 1 55 Figure 2 33 a and b RESP trial MobiHealth BAN PortiLab Manual Page 22 MOBIHEALTH USERMANUAL version 1 4 December 2003 Pda FI 1 m f Figure 2 34 a and b TRAUMA trial n ET 3 LieTinrtronss Ons 1 12 Figure 2 35 c TRAUMA trial General manual input issues For text input either numerical or alohanumerical use the virtual keyboard see 2 3 1 To select an item from a list for example in the RA trial figure 2 31 click on the arrow the list with items is then shown The scroll buttons right next to the list enable yo
39. u to see all items in the list Select the required item by clicking it The cursor is not always visible To check if the cursor is in the correct textbox start typing on the virtual keyboard If the cursor is in the correct textbox the typed in text will appear here now MobiHealth BAN PortiLab Manual Page 23 MOBIHEALTH USERMANUAL version 1 4 December 2003 Send the manual inputted data After the manual data has been inputted it must be send to the MobiHealth server This is done by pressing one of the send buttons If the send action was successful then the manual input screen disappears it can be shown again by selection the menu item Manual Input again Cancel the manual input When the manual input is started by accident or you want to quit the manual input then you can use the cancel button This button can be found on each screen The screen will be hidden by pressing this button without sending the data to the MobiHealth server see figure 2 37 p Q AS 112 Figure 2 37 Cancel button Sanity check All the values in the screen will be checked if the send button previous button or next button is pressed When some values are proved invalid an error message will be shown see figure 2 36 Value of BPzyst has a wrong format 0 9 a OTSAS Figure 2 36 Error message MobiHealth BAN PortiLab Manual Page 24 MOBIHEALTH USERMANUAL version 1 4 December 2003
40. wer indicator 2 The amber power indicator indicates if the battery is being charged blinking or fully charged non blinking BOTTOM PANEL Figure 2 6 the bottom panel of the PDA Charging Comm nications Port connect to universal cradle USB or serial cable Unit Reset Switch reset with stylus Expansion Pack Connector connect te an optional Expansion Pack Figure 2 6 Bottom panel of the PDA MobiHealth BAN PortiLab Manual Page 8 MOBIHEALTH USERMANUAL version 1 4 December 2003 2 2 3 Getting to know the GPRS Jacket The GPRS jacket is essential for the communication between the PDA and the hospital Figure 2 7 shows the top view of the GPRS jacket figure 2 8 shows the back view Figure 2 7 Top view of GPRS jacket Component o DC Connector e Status LED amp SIM Tray SIM Ejector Button MobiHealth BAN PortiLab Manual Function Connects to a power SOUrce Provides status information for GSM GPRS on your Wireless Pack The color and blink state of the light indicate the following Green Blinking slow On and in service No light Off or battery depleted Red Blinking slow Low battery voltage also shown in Wireless Pack display Red solid Charging Green solid Charged Green Blinking fast Indicates SMS or Voicemail message is waiting Red Blinking fast Shows unit is powered on but not registered on network Holds the SIM card Ejects the SIM tray Page 9 MOBIHEALTH USERMAN
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