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OM2200000 CloudPAT User Manual

1. CloudPAT Page 20 Operation Manual Itamar Medical Ltd Report Details Patient Killebrew Har mon C Office Itamar Medical sales team Provider Bracelet Study Unknown Patient ID Twin City 123 Bracelet ID Study Date 5 24 2010 Comments Assigned To Specialist Demo Insurance Specialist Coverage Status Analysis Ready Yes Report Ready Ne Files Excel gt Figure 24 Report Details for reviewing sleep study reports Analysis File Qanalysis69 pd Simply click on the Analysis File link for a details report complete with comments and diagnosis from the Specialist and or click the Excel File link to download an equivalent file in Excel format Depending on the default setting for your institution an unofficial and un reviewed version of the sleep report may be available right after uploading your patient study Note Contact Itamar Medical support for other file type options of report availability 3 5 Managing Patient Information You may use this function in order to manage patient information or see all studies that have been recorded for a particular patient You may browse or edit patient details by pressing View Reports from the main screen which will display the Search for Patients screen see Figure 25 You may press on the Search button in order to see all patients or you may search by Patient ID name etc CloudPAT Page 21 Operation Manual Itamar Medical Ltd USIF USIL Home Settings S
2. am VENRES i A f Ul jadi olga ih i y w NY W medical vioad Failed Failed Upload was unsuccessful please check that the WatchPAT device is connected securely and try again If this error persists please contact customer support at 888 xxx xxxx Figure 20 Upload failed screen 3 3 2 Manual Mode In the rare event that a manual upload is needed such as when an internet outage occurred and sleep study was uploaded locally using zzzPAT select Switch to Manual Upload in which case the following files patient dat sleep dat and log dat if it exists should be concatenated into a single ZIP file and uploaded this way You may press Browse for the Combined zzp file ZIP file location and press Next see Figure 21 See Appendix C Uploading study from zzzPAT to CloudPAT Guide Home View Reports Manage Patients Create New Study Upload Study Manual Upload G nex Please zip compress the following files from the WatchPAT device Patient dat Sleep dat Log dat if it is exists into a single file then press choose file select the file press Next to continue Figure 21 Manual Upload In both modes at the end of a successful upload you will see the following screen Study uploaded successfully The study was sentto analysis and will be ready for review shortly Figure 22 Successful upload screen CloudPAT Page 19 Operation Manual Itamar Medical Ltd 3 4
3. field is left empty and you have more than one Specialists to choose from More Details optional Figure 10 shows the ability to add More Details Diseases and or Medications in the respective drop down lists From this screen you may require a bracelet to be used as Positive Chain of Custody in Occupational Testing e g truck drivers See WatchPAT user manual for further details Once the study definition is completed press Save and Initialize Device see Figure 9 The system will prompt you to verify that the WatchPAT device is connected to the computer and then you should continue by selecting Proceed with initialization see Figure 11 Note The first time you run the initialization process a one time PC resident program will be downloaded see Section 3 2 1 2 Page 13 Operation Manual Itamar Medical Ltd 7 A pop up application will open and manage the initialization of the device See section 3 2 1 3 for error handling in different cases 8 The system will prompt you once the initialization process is completed Home View Reports Manage Patients Create New Study Upload Study Enter Patient Details for Sleep Study Save and Initialize Device S Office Itamar Medical sales team Current Doctor Rose Mark Patient ID Alpha numeric 17 Prefix Gender First Name Last Name E Date of Birth 04 21 1926 Insurance Coverage Send to Specialist Tirosh Roy x Q More Details Othe
4. Review studies reviews new or displays completed studies 4 Manage templates defines new or edits existing templates used for Clinical diagnosis and recommendations while reviewing studies CloudPAT Page 23 Operation Manual Itamar Medical Ltd SEIE Settings Support Logout ita aa A r il il a iil Y medical Studies Templates New Completed ff CSV Results search EL Scorch Figure 28 Specialist s Home screen 4 2 Studies 4 2 1 Reviewing a Study After a patient sleep study has been sent for interpretation you will receive an email notification that a sleep study is waiting for your interpretation Alternatively you may poll this site by pressing on the New tab from the main screen which will display the new studies screen see Figure 29 You may also select the Completed tab for viewing completed sleep study reports You have the option to review subsets of your studies by selecting a particular Office Patient name etc see Figure 29 Note Click on the CSV icon see Figure 29 if you want to obtain an Excel file containing the Results SPENE Settings Support Logout om Ital ld f GUNA PELAN alg sh medical Studies Templates Completed Results search CSV fF tC CC Search Results Patient ID Patient Office Current Doctor Study Date Waiting days OffC P3 OfficeC Prove 6 27 2009 99 Showing 1 1 of 1 Figure 29 Study selection screen CloudPAT Page 24 Oper
5. All title to the Licensed Software and all intellectual property rights in and to the Licensed Software and the Licensed Products shall remain with Itamar I DEFINITIONS 1 1 Licensed Product s means the Watch PAT200 the PAT Probe Integrated Snore amp Body position sensor Tamper proof Patient Identification Bracelet and the corresponding components of any Third Party Product with which this License Agreement was received Some Licensed Products are stand alone products and some Licensed Products are incorporated as components within Third Party Products in each case sold or otherwise made available by Itamar and or third parties If you have received this License Agreement with a Third Party Product this License Agreement applies only to the Licensed Product incorporated as a component within such Third Party Product CloudPAT Page 55 Operation Manual Itamar Medical Ltd 1 2 Licensed Software means the zzzPAT software CloudPAT software and the associated media and accompanying materials provided to you with such software Some Licensed Software is a stand alone product and some Licensed Software is incorporated as a component within a Licensed Product in each case sold or otherwise made available by Itamar and or third parties If you have received this License Agreement with a Licensed Product which incorporates the Licensed Software as a component within such Licensed Product this License Agreement applies to th
6. Anew box will open and we will now save the changes to our CloudPAT folder and select OK 062012 kz Desktop LE My Documents a CloudPAT r di Export Studies a 2012 di July a m June alb 062012 Qi 062112 d Interpretation d The manually edited changes now need to be uploaded to CloudPAT To do so follow these remaining steps 1 Click on Browse CloudPAT Page 47 Operation Manual Itamar Medical Ltd Load Manual Events and Reanalyze ii Find the saved file highlight it and click Open Choose File to Up Export Studies 2012 June Search June P Organize New folder H Fr Favorites Documents library m Desktop June ip Downloads Name Date ma a Recent Places Arrange by Folder Ji 062012 6 26 20 di 062112 6 20 20 1 HSTWEIL2 0001_5_190412090726raw zzp 4 19 20 6 26 20 Libraries E3 Documents LE My Document di Public Docume ial Export HST al Music Pictures F Videos 4 m File name ID_HSTWEN2 0001_5D_20127_04_18_3 11 Now click Save PATIENT Download to zzzPAT Es Save and Lock Report iv The manually edited study is now saved to CloudPAT and is ready for interpretation using the customizable template system Record saved 6 26 2012 8 11 56 AM 15 Preview the new report Enter your Diagnosis and Recommendations and click on Save and Lock Report t
7. Information First Name Jama Last Name Dean Birth Date 28101 1280 Age 21 Gender Insurer 18 0 W 121 Ib H 87 Neck Cir Address Sleep Study Information Siudy Date O2 26 2010 H A Version Referring Physician Information First Mame Last Mame Work Phone Mobile Phone Medical Information Medical History Frequent arousals Medications Thyroid hormone replacement Comments Summary amp Diagnosis Suppine related apnea Recommendations refer io ENT Figure 31 First page of sleep report CloudPAT Page 26 Operation Manual Itamar Medical Ltd 4 2 2 Viewing a Completed Study After selecting a Patient ID while on the Completed studies tab you will be brought to the following screen see Figure 32 from which you can view the old sleep study Here are the main actions that can be selected from this screen 1 Analysis File link you can Click on the Analysis File link in order to see the two page report that was produced automatically by CloudPAT 2 View report you can click on the View report button in order to see the three page final report with your interpretation included SP IL Settings Support Logout itamar Sa medical Saudia Templates PATIENT Dean Jama Amah File anaidai ceil Lowd Marea Ewent and Reanahre Disgrensi Suptend eled apnea Reconenend amon refer to ENT Tpecialiss SF ill Figure 32 View a completed study 4 3 Template
8. Medical Watch PAT device Initializion Timed out Previous study found apre udy on the dev he iloed ty modile toe expat dev leas Operation Manual Initializing was cancelled as the process took more than the allotted time If this problem persists please contact customer support at 888 xxxX KXXX Itamar Medical Ltd Itamar Medical Watch PAT device Could not The PC does Make sure access not recognize WatchPAT is device WatchPAT connected to the PC via the USB Could not access device Please check the device connection to the system and se check the devi click the retry button below Click the exit button to return to the website Select Retry Possible Cause Upload Study screen Failed to The station may Save the data Send not have using Save Internet access option and send it later Failed to The Itamar Save the data Send Upload service using Save is temporarily option and send unavailable it later Could not The PC does Make sure a a access not recognize WatchPAT is itamar device WatchPAT connected to the a Oe PC via the USB Fea SE on Select Retry ie Could not access device CloudPAT Page 31 Operation Manual Itamar Medical Ltd 6 Appendix A Initializing WatchPAT via CloudPAT Guide This guide will give you step by step instructions on how to initialize a WatchPAT device using CloudPAT 1 Go to https cloudpat precisemd com
9. Profile Settings Login ID US1b Prefix Last Name feee Suffix Answer os l Address OO Po Notifications Figure 5 Profile Settings For assistance please call one of the numbers listed below When instructed by the support agent please click this link Click Here UWS and Canada Tel 1 838 748 2627 Intemational Tel 372 4617 7000 Toll free numbers Fustralia 1800256948 aly 00782332 ustra 0079538 1 Nethenands 80007279438 Belgium 0073034 Howay S00 10023 Canada 186627562506 Sweden 20795399 Denmark 80887119 Spain 900940734 France 00902142 UK 8009175110 Germany 001825392 USA 18002066952 Figure 6 Support screen Note that the contact numbers shown above are subject to change CloudPAT Page 11 Operation Manual Itamar Medical Ltd 3 Using CloudPAT as a User 3 1 Main Access Screen Home Lobby Here are the main actions that can be selected from this screen 1 Create New Study prepares amp initializes WatchPAT for a new sleep study 2 Upload Study uploads sleep study files from WatchPAT to the CloudPAT web server and subsequent redirection e g Board certified interpretation by a Specialist according to pre determined instructions 3 View Reports enables the User to see which sleep studies have been analyzed and for which diagnosed sleep reports exist The User may optionally elect to receive an email notification that a sleep study has been inter
10. and the following screen should appear O BS X S CloudPAT Sign in About CloudPAT Support ita aa A r ei old ay il medical Sign in to CloudPAT Forgot your password Terms and Conditions Your use of the Itamar Medical s CloudPAT portal service confirms your agreement to be bound by the terms 2 Enter the Username and Password that was emailed to you and click Sign In 3 Clicking on the Create New Study from the main screen will start the process of device initialization using CloudPAT USIF USIL Home Settings Support Logout ES ta itamar medical a u R View Reports Manage Patients Create New Study Upload Study O Upload Study 4 Thereafter the following screen will open up The only mandatory field is Patient ID but you may put as much patient information as you like including date of birth gender etc Make sure to select a specialist in the Sent to Specialist field otherwise you will be prompted to select a specialist while uploading in case you have several specialists to choose from CloudPAT Page 32 Operation Manual Itamar Medical Ltd Home View Reports Manage Patients Create New Study Upload Study Enter Patient Details for Sleep Study Save and Initialize Device Office Itamar Medical sales team Current Doctor Rose Mark Patient ID Alpha numeric 17 Ju ust as wit ZZzZPAT the Prefix andatory field is there is other LastName Elizabeth
11. information ETC to fill out but it Gender ge the study Date of Birth 04 21 1926 eee ecessary Insurance Coverage Other Insurance Royal NHS Insurance Send to Specialist Tirosh Roy v More Details First Name gt Diseases gt Medications Pe 5 Clicking the button m next to either More Details Diseases or Medications allows even more patient details to be entered end to Specialist Specialist Demo Selection of the interpreting physician can be selected P OE during initialization or while the study is been uploaded ore tails Additional Patient Details Weight lb 174 Neck Circ in com Si Comments Any comments about medications etc can be a entered here for the interpreting physician Chain of Custody for occupational Sync Clock Make sure your clock is in the right Bracelet Study workers or clinical research timezone for where the test will be conducted especially if drop shipping the k a Diseases R device k a Medications 6 After the Patient ID mandatory and any of the other patient details you want to enter are completed you will now select Save and Initialize Device in the upper right portion of the CloudPAT screen CloudPAT Page 33 Operation Manual Itamar Medical Ltd Mr Phillip Dukes Home Settings Support Logout 1 ta d r Wi it jl i Jal Wh Hl medical Home View Reports Manage Patients Enter Patient Details f
12. the following screen see CloudPAT Page 22 Operation Manual Itamar Medical Ltd Figure 30 from which you can edit the Patient details Here are the main actions that can be selected from this screen 1 Save saves your changes to the Patient record 2 Save and Initialize Device loads WatchPAT with the current patient information while saving your changes if any to the Patient record The bottom of the screen lists all studies for the specific patient and you may select the Study Date link in order to view the corresponding Report Details screen see Figure 24 tees Home View Reports Manage Patients Create New Study Upload Study Enter Patient Details for Sleep Study Save and Initialize Device Office OfficeA v Current Doctor ProvA Patient ID 10000_1 Prefix Middletntial SS Age 112 First Name Last Name H Date of Birth 01 16 1946 Insurance Coverage m 5 a N lt lt Send to Specialist k a More Details k a Diseases k a Medications KS Previous Studies Study Date Analysis Ready Sent to Specialist Report Ready Report Viewed 6 27 2009 Yes Fe o No No k a Initializations Figure 27 Manage Patient Details screen 4 Using CloudPAT as a Specialist 4 1 Main Access Screen When you sign in CloudPAT as a Specialist you will be presented with the Specialist s Home screen see Figure 28 Here are the main actions that can be selected from this screen 3
13. with Upload Find the file select Browse ne 5 J O Q p _ The file extension is Zzp Proceed as in Select Open for the file you want to normal upload Upload Proceed as in Step 3 for a regular Upload Sleep Study CloudPAT Page 52 Operation Manual Analyze Import Study Itamar Medical Ltd Specialist Board certified physician review of raw sleep study data Download study for scoring amp interpretation Before you Start Enter CloudPAT via the Web Select patient study View auto analyzed suggestions Analyze amp save Sleep Study raw data Start zzzPAT Manual Study Upload CloudPAT Do you have 1 PC workstation w internet access 2 Internet Explorer 7 0 or higher 3 Username amp Password 4 zzzPAT familiarity amp installed Log in to www cloudpat precisemd com e Enter your Username amp Password e Select Sign In You may e Analyze a study Studies or e Create custom forms Templates Select the patient you want to analyze Various Sort options are available at the bottom e To view the auto analyzed 2 page report that the Provider uploaded select Analysis File e To view patient information select Preview Report To download the raw data for review e Select Download to zzzPAT e Browse for a Folder you created prior to this step Suggestion name it CloudPAT e f wh
14. year from the date of delivery of the Licensed Product to you If the Licensed Product contains a defect in design materials or workmanship and such Licensed Product is returned to Itamar within one 1 year of delivery of the Licensed Product to you Itamar will repair or replace the Licensed Product or issue a credit for the purchase price of the Licensed Product with the choice to repair replace or credit being within the sole discretion of Itamar The foregoing repair replacement or credit remedy will be your sole remedy for breach of the warranty set forth in this Section 4 b c As to Licensed Software Itamar warrants that for a period of ninety 90 days from the date of delivery of the Licensed Software to you the Licensed Software will under normal use be free from defects in materials and workmanship and will perform substantially as it is intended to perform If during such ninety 90 day period the Licensed Software has a defect in materials or workmanship or does not perform substantially as it is intended to perform Itamar shall a attempt to correct or assist you around errors with efforts which Itamar believes suitable to the problem b replace the Licensed Software with a functionally equivalent software or c issue a credit for the purchase price of the Licensed Software with the choice to correct or assist replace or credit being within the sole discretion of Itamar The foregoing correct or assist replacement or cr
15. 04120907 26raw zzp 6 26 20 Libraries La Documents ca Export HST al Music E Pictures E Videos File name SMU SUS ee ee ee Save as type Z7P File d We are now ready to open zzzPAT to review the raw data 9 To review the raw data open zzzPAT software and put in the Login and Password 111 for both entries default values Login Type Ok C Active Directory Service ADSI f 2272P47 Database Cancel Login 111 Password i DE Connection Local 10 Select Import Packed studies under Tools CloudPAT Page 45 Operation Manual Itamar Medical Ltd File Edit View Events Paging Setup Analyze Report Tools Help E EA Export Delete Import Backup Restore Move Files to New Location Export General Settings Import General Settings Import Packed studies 11 The following box will open and we need to highlight the zzp file to import and select Open EIS Select Packed Studies to Impe Look in Interpretation ek Eee Name Date er r p 4 FELELETET LLELLE LLL ii rere rrr e p F Fa E ar i h raw zzp Recent FI aces fhlaa t a n e EEEE EAEE EE EEEE EEE EE EEE TE EEEE EENE EEEE ENEE EEEO EEEE EA EEE E EAA AAAA EAE TFET UT ETT TENET Desktop T I File name IMSTWEI12 0001_5_ 190412090726raw Files of type Packed Studies zzp zip Cancel CloudPAT Page 46 Operation Ma
16. CH A LICENSED PRODUCT OR LICENSED SOFTWARE IS INCORPORATED SHOULD YOU HAVE ANY QUESTIONS CONCERNING THIS LICENSE AGREEMENT PLEASE CONTACT THE VENDOR FROM WHICH YOU PURCHASED THE LICENSED SOFTWARE LICENSED PRODUCT OR PRODUCT INTO WHICH A LICENSED PRODUCT OR LICENSED SOFTWARE IS INCORPORATED YOU MAY ALSO CONTACT ITAMAR AT THE ADDRESS PROVIDED AT THE END OF THIS LICENSE AGREEMENT This License Agreement is a legal agreement between you as an individual company organization or other entity and Itamar Medical Ltd Itamar By installing copying or otherwise using the Licensed Software and or by using the Licensed Product or third party product into which a Licensed Product or Licensed Software is incorporated Third Party Product you agree to be bound by the terms of this License Agreement with respect to the Licensed Software and Licensed Products If you do not agree to the terms of this License Agreement including without limitation the Restrictions on Use as provided in Section 2 do not install use or copy the Licensed Software or use the Licensed Product or the Third Party Product The Licensed Software and the Licensed Products are protected by US patent laws trade secret laws copyright laws and international treaty provisions as well as other intellectual property laws and treaties Therefore you must treat the Licensed Software and the Licensed Products like any other copyrighted and protected material or product
17. Delete Export ta CSW Export for Interpretations 4 You will now be asked to save this file to your hard drive Generally I choose a folder called CloudPAT that I create prior to this step After selecting the folder to save the exported file click OK Browse for Folder Please select export folder June je Desktop dj E My Documents a CloudPAT a Export Studies a j 2012 Ji uy a June 062012 W 062112 gt ud Itamar 5 Now go to https cloudpat precisemd com and the following screen should appear CloudPAT Page 39 Operation Manual Itamar Medical Ltd 8 https cloudpat precisemd com wafform aspx pP Rex I g CloudPAT Sign in E dh v Pagey Safety Toos S M itamar About CloudPAT Support medical Sign in to CloudPAT Sign In Forgot your password Terms and Conditions Your use of the Itamar Medical s CloudPAT portal service confirms your agreement to be bound by the terms 6 Enter the Username and Password that was emailed to you and click Sign In 7 Uploading a zzp exported for interpretation study using CloudPAT is performed by following these steps 8 Select Upload Study from Home screen 9 Thereafter the following screen will open up Select Switch to Manual Upload Mr Phillip Dukes Home Settings Support Logout medical Home View Revers Manage Paint Upload Study The system
18. Itamar Medical Ltd Itamar CloudPAT Web Software Operation Manual ltamar Medical REF OM2200000 itamar PAT Telemedicine amp Beyond May Caution Federal U S law restricts this device to sale by or on the order of a physician Copyright 2011 2012 by Itamar Medical Ltd Software Version 1 0 CloudPAT Page 1 Operation Manual Itamar Medical Ltd This manual and the information contained herein are confidential and are the sole property of tel Itamar Medical Ltd Only Itamar Medical Ltd or its licensees have the right to use this information Any unauthorized use disclosure or reproduction is a direct violation of Itamar Medical s proprietary rights DISCLAIMER Itamar Medical Ltd shall not be held responsible in any manner for any bodily injury and or property damage arising from operation or use of this product other than that which adheres strictly to the instructions and safety precautions contained herein and in all supplements hereto and according to the terms of the warranty provided in the License Agreement in Appendix F Screen layouts are subject to change from time to time without notification and without being altered in this Web software operation manual as long as the intent of the content has not been altered significantly This product and or method of use is covered by one or more of the following US patents 6319205 6322515 6461305 6488633 6916289 6939304 7374540 as well as any pe
19. OF OR FAILURE TO PROVIDE SUPPORT SERVICES BY ITAMAR EVEN IF ITAMAR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH CONSEQUENTIAL DAMAGES THE FOREGOING DISCLAIMER OF CONSEQUENTIAL DAMAGES SHALL BE APPLICABLE REGARDLESS OF WHETHER THE ACTION GIVING RISE TO SUCH DAMAGES IS IN TORT CONTRACT STRICT PRODUCTS LIABILITY OR OTHERWISE C IN ORDER TO BE ENTITLED TO INDEMNIFICATION HEREUNDER IN CONNECTION WITH AN INFRINGEMENT CLAIM YOU MUST 1 NOTIFY ITAMAR IN WRITING PROMPTLY UPON BECOMING AWARE OF AN INFRINGEMENT CLAIM OR THE POSSIBILITY THEREOF 11 GRANT ITAMAR SOLE CONTROL OF THE SETTLEMENT COMPROMISE NEGOTIATION AND DEFENSE OF ANY SUCH ACTION AND i11 PROVIDE ITAMAR WITH ALL INFORMATION RELATED TO THE ACTION THAT IS REASONABLY REQUESTED BY ITAMAR NOTWITHSTANDING THE FOREGOING ITAMAR SHALL HAVE NO INDEMNIFICATION OBLIGATIONS WITH RESPECT TO ANY INFRINGEMENT CLAIM TO THE EXTENT ARISING FROM YOUR USE OF THE LICENSED PRODUCT AND OR LICENSED SOFTWARE IN CONJUNCTION WITH OTHER HARDWARE OR SOFTWARE WHERE USE WITH SUCH OTHER HARDWARE OR SOFTWARE GAVE RISE TO THE INFRINGEMENT CLAIM CloudPAT Page 58 Operation Manual Itamar Medical Ltd 6 TERMINATION Without prejudice to any other rights or remedies Itamar may terminate this License Agreement immediately if you fail to comply with any of its terms and conditions In the event of such termination you must within ten 10 business days of receiving notice of termination from Itamar cease al
20. PAT offers simple preparation and uploading of WatchPAT sleep studies that can be sent transparently for interpretation by a local Board certified specialist or from a national network of telemedicine Board certified specialists After interpretation the sleep study results will be attached to the patient s record The regular comprehensive WatchPAT sleep study report is available for printing export and analysis All data is securely stored and backed up on the Web CloudPAT Page 6 Operation Manual Itamar Medical Ltd 1 4 Overview Obstructive sleep apnea syndrome OSAS is considered a major public health problem The prevalence of the syndrome is estimated at 2 to 5 in the adult population It 1s characterized by recurrent events of complete or partial obstruction of the upper airways during sleep often leading to hypoxemia and or arousals associated with sympathetic nervous system activation The diagnosis and assessment of the sleep apnea patient is based on the Respiratory Disturbance Index RDI the number of Apneas Hypopneas and Respiratory Effort Related Arousals RERA per hour of sleep and or apnea hypopnea index AHI along with sleep architecture The common consequences of this sleep disruption are daytime sleepiness poor daytime performance and increased vulnerability to accidents Cardiovascular complications such as systemic pulmonary hypertension ischemic heart disease and arrhythmias are the major sequel of O
21. SAS in the adult population The WatchPAT device is worn on the wrist and utilizes a plethysmographic based finger mounted probe to measure the PAT Peripheral Arterial Tone signal The PAT signal is a measurement of the pulsatile volume changes in the fingertip arteries which reflects the relative state of the arterial vasomotor activity and thus indirectly the level of sympathetic activation Peripheral arterial vasoconstriction which mirrors sympathetic activation is shown as attenuation in the PAT signal amplitude The PAT signal is recorded continuously and stored on a micro SD card along with pulse rate derived from the PAT signal data from a built in pulse oximeter the sensor is mounted on an adjacent finger and an actigraph embedded in the device Following the sleep study in an offline procedure the recordings are uploaded to a web server and analyzed using the proprietary CloudPAT software CloudPAT uses the same algorithms as zzzPAT The study data can be downloaded to a local PC in case the whole night data needs to be viewed and the automatically detected events need to be revised manually using the ZZZPAT software This manual provides the information necessary for routine use of CloudPAT software CloudPAT Page 7 Operation Manual Itamar Medical Ltd 1 5 Terminology CloudPAT supports various types of users and entities o Office a practice including one or more referring physicians as well as technici
22. T Page 61 Operation Manual
23. The device s PSTAGES provides supplemental information to its PRDI PAHI The device s PSTAGES is not intended to be used as the sole or primary basis for diagnosing any sleep related breathing disorder prescribing treatment or determining whether additional diagnostic assessment is warranted WatchPAT is not indicated for children less than 17 years old 1 2 2ZZPAT S W Definition ZZZPAT is an analysis software package used with the WatchPAT device to aid in diagnosis of sleep related breathing disorders and detects REM Light Sleep Deep Sleep and Wake stages The zzzPAT S W displays the signals recorded by the WatchPAT device automatically identifies breathing disordered events and REM Light Sleep Deep Sleep stages and generates a comprehensive report for the physician 1 3 CloudPAT S W Definition CloudPAT is a HIPAA compliant PL104 191 web based application supporting the sleep apnea lifecycle from diagnosis through interpretation It offers individual physicians or large organizations the ability to control the process of sleep disorder management seamlessly and electronically in a turnkey fashion In its basic implementation CloudPAT is a parallel adjunct to the local ZZZPAT sleep analysis software sold separately with WatchPAT CloudPAT uses zzzPAT s analyzing software modules that are responsible for the identification of the breathing disordered events and REM Light Sleep and Deep Sleep stages Cloud
24. Viewing Reports After a patient sleep study has been sent to your Specialist for reviewing and Board certified interpretation you will receive an email notification that your patient sleep study report is available Alternatively you may poll the system by pressing View Reports from the main screen which will display the newest studies as well as a list of previously viewed sleep study reports see Figure 23 You have the option to review subsets of your patient studies by selecting Yes No for the different options Sent to Specialist Report Ready or Report Viewed or by entering a specific Patient ID name etc Note Click on the CSV icon see Figure 23 if you want to obtain an Excel file containing the List of Reports Dow Rubin Home Settings Support Logout z A ami cited a a itamar See medical Home View Reports Manage Patients Create New Study Upload Study Search for Reports il search s Sent to Specialist Yes No Either Report Ready Yes C No Either Report Viewed Yes No Either Search List of Reports Patiant ID Hama Study Date Sant to Specialist Raport Reach Raport Wiemed Twin City 123 Killebrew Harmon C 5 24 2010 Yes Mo No Showing 1 1 of 7 Figure 23 Viewing Sleep Study Reports After selecting a Patient ID you will be brought to the following screen see Figure 24 from which you can review the Board Certified sleep study report
25. ans and administrative staff o Doctor the primary physician administering the sleep test o User typically a Provider such as a technician or a nurse but might also be a physician This is the most common type of user using CloudPAT functions such as Creating a new study Uploading a study and Viewing reports see Section 3 o Specialist a Board certified physician performing the sleep study analysis interpretation and diagnosis This is another type of user using CloudPAT functions Reviewing studies and Managing templates for diagnosis and recommendations see Section 4 o Patient the person who undergoes the sleep study 1 6 Minimum requirements An internet connection using a PC workstation with Microsoft XP SP2 and above running at a minimum upload speed of 1 Mbps and Internet Explorer version 7 0 or higher is required 2 Setting CloudPAT Access 2 1 Obtaining an account Usage of CloudPAT is intended for WatchPAT customers only using Watch PAT200 devices A secure and individual login account must be assigned by the trusted Itamar administrator To obtain a Username and Password contact Itamar Medical or send an email to info itamar medical com After a vetting process you will get an email invitation containing your assigned Username followed by a 2 email with the initial password Note Be sure to change the initial password upon sign in CloudPAT Page 8 Operation Manual Itamar Medical Lt
26. atchPAT s Micro USB port 1 Disconnect the Oximetry module by disconnecting the Oximetry module connector Gently slide the WP200 out of the wrist strap until a click is heard and the Micro USB port is exposed CloudPAT Page 16 Operation Manual Itamar Medical Ltd USIF USIL Home Settings Support Logout itamar ma medical Home View Reports Manage Patients Create New Study Upload Study gt Lobby Help View Reports preciseMD a a m Corporate Privacy Contact Figure 15 Upload Study Selection Proceed by selecting the Proceed with upload button see Figure 16 Home View Reports Manage Patients Create New Study Upload Study Upload Study The system is ready for Upload Please check that the WatchPAT device is connected and click on proceed to continue with Upload Switch to Manual Upload E Proceed with upload Figure 16 Upload Study Dialog box A small PC resident program will be downloaded the first time remote access is requested from CloudPAT see Figure 12 and select Run During the upload process you will see a screen informing that upload is in progress If more than one Specialist is defined for the current Office and no Specialist was previously designated while creating the new study you will be prompted to select a Specialist at this time see Figure 17 from a list of Specialists which were defined for your office USTF USTL Settings Support Logout m
27. ation Manual Itamar Medical Ltd After selecting a Patient ID while on the New studies tab you will be brought to the following screen see Figure 30 from which you can review the new sleep study SPIL Settings Support Logest PATIENT Toadies Templates Anghit File analysisd 24 oot Wark frecornclusrwe EEM Load Manual Events ee ad Feannaig g Category Gar a Statist S Dia ame pe Diagn sE Recommendation Ta n Figure 30 Review a new study Here are the main actions that can be selected from this screen I CloudPAT Analysis File link you can Click on the Analysis File link in order to see the two page report that was produced automatically by CloudPAT According to the Respiratory indices various statistics and sleep stages you will be able to make your interpretation and fill in the Diagnosis and Recommendations sections see Figure 30 Preview report after you fill in the Diagnosis and Recommendations sections you can click the Preview report button in order to see the first page of the final report with your interpretation included see Figure 31 sections Summary amp Diagnosis and Recommendations You may use the Diagnosis and Recommendations templates if you wish to insert an already defined paragraph in the corresponding section Download to zzzPAT if you wish to see more details on the study s signals you can use the Download to zzzPAT f
28. cess Protection Data entry protection Once the system saves the patient details after pressing Save or Save and Initialize the system checks the values of the entered fields Relevant fields will be highlighted in red if not all mandatory fields have values or if there are illegal out of range values in any of the fields Correct the errors and proceed Overwrite protection If a previous study was found on the WatchPAT device that was not uploaded to CloudPAT it will not permit you to overwrite but will prompt by saying Previous study found see Figure 13 and that you should upload the study before proceeding This behavior prevents you from accidental overwriting a study that was not uploaded CloudPAT Page 15 Operation Manual Itamar Medical Ltd Itamar Medical Watch PAT device itamar Previous study found medical There is a previous study on the device please use the upload study module to export device data before proceeding to initialize device Powered by preciseMD Figure 13 Protection from accidentally overwriting previous sleep study 3 3 Uploading a Study 3 3 1 Normal Mode When a patient returns WatchPAT after a night study simply connect WatchPAT s Micro USB port see Figure 14 to any USB port on the PC by using WatchPAT s communication cable and select Upload Study from the Home Screen see Figure 15 Figure 14 WatchPAT s Micro USB port Note In order to expose W
29. d 2 2 Accessing CloudPAT All subsequent access to CloudPAT will be via the Sign in icon located on the home screen of www l tamar Medical com or directly at https cloudpat precisemd com Access to CloudPAT starts with the Sign In screen where Username and Password are entered see Figure 1 About CloudPAT Support itama w pilat agoa a Y Sign in to CloudPAT g Username Password Terms and Conditions our use tthe itermmar le ite amages of lost profits arising trom Agreement internet Protected Mode On Figure 1 Sign In screen 2 3 Setting Initial Password Upon initial account setup you will be prompted to enter an initial temporary password Upon first time signing in CloudPAT you will be prompted to pick a new password see Figure 2 Set Password Please reset your password before you continue Organization Itamar Medical Name Yournamehere password Secret Question What is your mothers maiden name w Figure 2 Set Password screen For identification purposes you will be prompted to fill in an answer to a secret question CloudPAT Page 9 Operation Manual Itamar Medical Ltd Note All asterisk tagged fields are mandatory and should be filled see Figure 2 g 2 4 Resetting Password In the event you forgot your password simply click on Forgot your password link on Sign In screen see Figure 1 and you will get the following
30. ded T x successfully Data has now been sent for amar 2 5 Upload analysis to your Specialist and after you 3 result have now been prompted to select a D Specialist Sone cet Upload Failea try again or call Support CloudPAT Page 51 Operation Manual Itamar Medical Ltd Manual Upload from zzzPAT to CloudPAT Rarely needed e g if an internet outage occurred and sleep study was saved locally on zzzPAT se aen zzzPAT Login ech ae Login Type C Active Directory Service ADSI Open zzzPAT 1 Start zzzPAT default Login and Password 111 for both entries wee i Analyze Report Tools Help Import Start Export process Select Export Delete under Tools Find a patient Highlight the patient that you want to via ID export to CloudPAT and select Export for number Interpretation Browse for a Folder you created prior to this step Suggestion name Save it CloudPAT Exported file After selecting that Folder Save the exported file by selecting OK The file will end in zzp Save Export Locate Study Create Export Preparation E l Log into CloudPAT like a regular Log into study www cloudpat precisemd com CloudPAT Enter your Username and Password Select Sign In Manual Study Select Upload Study scoenerte a Upload Select Switch to Manual Upload _ Pee 2 compress he faowing Me fom he WARASAT dee ed to continue
31. e 14 Operation Manual Itamar Medical Ltd 3 2 1 1 Initializing WatchPAT Pressing the Save and Initialize Device button saves the patient information in the system and initializes the device Alternatively you can choose to prepare patient information without initializing the device by clicking the Save button shown in Figure 9 This action will save the patient information in the system for later use You will be able to return later on to this patient from the Manage Patients screen and quickly initialize the device by clicking the Save and Initialize Device 3 2 1 2 First Time Initialization The first time you run the Initialization process a small one time PC resident program will be downloaded from CloudPAT see Figure 12 If your system asks you for permission to run this application please enable to process it is required for the successful connection to the WatchPAT device Application Run Security Warning N Publisher cannot be verified Are you sure you want to run this application Name Itamar From Hover over the string below to see the full domain ec2 50 19 234 147 compute 1 amazonaws com Publisher Unknown Publisher an ont While applications from the Internet can be useful they can potentially harm your computer If you do not trust the source do not run this software More Information Figure 12 Message to download the PC resident program 3 2 1 3 Initialization Pro
32. e Licensed Software 2 GRANT OF LICENSE AND RESTRICTIONS ON USE 2 1 Itamar hereby grants you a non exclusive right to use the Licensed Software solely for its intended use in sleep medicine with the term sleep medicine including Cheyne Stokes respiration as well as research in sleep medicine and Cheyne Stokes respiration 1 with the Licensed Product s and 11 in accordance with the provisions of this License Agreement and the instructions provided in the documentation accompanying the Licensed Software and the Licensed Product You may make one copy of the Licensed Software solely for backup or archival purposes or transfer the Licensed Software to a single hard disk provided you keep the original solely for backup or archival purposes However you may not cause any Licensed Software which is not designed for use on a server to execute or be loaded into the active memory or media of more than one computer at any one time 2 2 Any use of the Licensed Software and or Licensed Product other than as set forth in Section 2 1 above is strictly forbidden Without derogating from the generality of the above you may not e Distribute reproduce copy assign rent lease or otherwise transfer the rights granted to you under this License Agreement to any third party except explicitly as set forth in this License Agreement e Reverse engineer recompile or disassemble as applicable the Licensed Software or the Licensed Product except as ex
33. ed or error free Itamar is not responsible for problems caused by changes in the operating characteristics of the hardware or operating system software CloudPAT Page 57 Operation Manual Itamar Medical Ltd you are using nor for any problems in the interaction of the Licensed Software with non Itamar software ITAMAR HEREBY DISCLAIMS WITH RESPECT TO THE LICENSED PRODUCTS AND THE LICENSED SOFTWARE ALL OTHER WARRANTIES AND CONDITIONS WHETHER EXPRESS OR IMPLIED INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OR CONDITIONS OF OR RELATED TO MERCHANTABILITY FITNESS FOR A PARTICULAR PURPOSE ACCURACY OR COMPLETENESS OF INFORMATION LACK OF NEGLIGENCE AND CORRESPONDENCE TO DESCRIPTION 5 LIMITATION OF LIABILITY A TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW EXCEPT FOR DAMAGES ARISING UNDER SECTION 4 A ABOVE IN NO EVENT SHALL ITAMAR BE LIABLE TO YOU FOR DAMAGES IN EXCESS OF THE PURCHASE PRICE YOU PAID FOR THE LICENSED SOFTWARE THE LICENSED PRODUCT OR THE APPLICABLE THIRD PARTY PRODUCT THE FOREGOING LIMITATION SHALL BE APPLICABLE REGARDLESS OF WHETHER THE ACTION GIVING RISE TO SUCH DAMAGES IS IN TORT CONTRACT STRICT PRODUCTS LIABILITY OR OTHERWISE B IN NO EVENT SHALL ITAMAR BE LIABLE FOR ANY SPECIAL INCIDENTAL INDIRECT OR CONSEQUENTIAL DAMAGES WHATSOEVER ARISING OUT OF OR IN ANY WAY RELATED TO THE USE OF OR INABILITY TO USE THE LICENSED SOFTWARE AND OR THE LICENSED PRODUCT AND OR THE THIRD PARTY PRODUCT OR THE PROVISION
34. edical Home View Reports Manage Patients Create New Study Upload Study Select Reviewer Patient Assigned To SPIL Specialist Select Reviewer from list then press Next Figure 17 Select Specialist Dialog box CloudPAT Page 17 Operation Manual Itamar Medical Ltd While uploading the following dialog see Figure 18 will be displayed Itamar Medical Watch PAT devi Please wait while study data is it a m A r uploaded from device me Figure 18 Patient sleep study upload in progress Note Depending on your connection speed to upload and the size of the study data file the upload time will vary between 2 and 5 minutes If upload is successful you will receive the message Upload Complete Study uploaded successfully The analyzed data file will be ready shortly under Reports Data has been sent to be reviewed by Specialist s name see Figure 19 USTE USITIE Settings Support Logout koa h yey 1 ta l A r Lil pallid lib dy Hah i i Ai A m medical Home View Reports Manage Patients Create New Study Upload Study Upload Complete Study uploaded successfully The analyzed data file will be ready shortly under Reports Data has been sent to be reviewed by SPIL Figure 19 Upload complete screen If an error is reported you will need to try again see Figure 20 CloudPAT Page 18 Operation Manual Itamar Medical Ltd Mr Phillip Dukes Home Settings Support Logout
35. edit remedy will be your sole remedy for breach of the warranty set forth in this Section 4 c d Limitation of Warranties The warranties contained in Sections 4 b and 4 c above do not cover damage to the Licensed Products or the Licensed Software caused by accident misuse abuse negligence failure to install in accordance with Itamar s installation instructions failure to operate under conditions of normal use and in accordance with the terms of the documentation accompanying the Licensed Product and or the Licensed Software failure to maintain in accordance with applicable documentation accompanying the Licensed Product and or the Licensed Software alteration or any defects not related to materials or workmanship or in the case of Licensed Products design materials or workmanship This warranty does not cover damage which may occur in shipment This warranty does not apply to Licensed Products and or Licensed Software not purchased new This warranty does not apply to any Licensed Product or any individual parts of a Licensed Product which have been repaired or altered by anyone other than Itamar or a person or entity authorized by Itamar to repair Licensed Products While every reasonable effort has been made to ensure that you will receive Licensed Software that you can use Itamar does not warrant that the functions of the Licensed Software will meet your requirements or that the operation of the Licensed Software will be uninterrupt
36. eement is governed by the laws of the State of New York excluding its conflict of laws principles The United Nations Convention on Contracts for the International Sale of Goods shall not apply to any of the transactions contemplated by this License Agreement 11 ENTIRE UNDERSTANDING This License Agreement represents the complete and exclusive understanding between you and Itamar concerning the license by Itamar to you of Licensed Software and Licensed Products and supersedes all prior agreements and representations between the parties with respect to the subject matter hereof unless specifically stated otherwise in a CloudPAT Page 59 Operation Manual Itamar Medical Ltd writing signed by Itamar and you This License Agreement may not be amended other than by a written agreement specifically intended for this purpose and signed by Itamar and you Note Should you have any questions concerning this License Agreement or if you desire to contact Itamar for any reason please write to Itamar Medical Ltd 9 Halamish St P O Box 3579 Caesarea 38900 Israel Facsimile 972 4 627 5598 or visit Itamar s web site at www itamar medical com CloudPAT Page 60 Operation Manual Itamar Medical Ltd 12 Appendix G Regulatory Representative Itamar Medical s authorized regulatory representative 1s P O Box 231 5 Beaumont Gate Shenley Hill Radlett Herts WD7 7AR England Tel 423 663 169205 Tel Fax 44 1923859810 CloudPA
37. en scoring results are satisfactory diagnosis and recommendations have been entered select Save and Lock Report e You are done Open zzzPAT default Login and Password 111 for both entries e Select mport Packed studies under Tools Get to Select Packed Studies to Import Go to your previous CloudPAT Folder Highlight the zzp file to Import Select Open Edit Score as usual with zzzPAT Page 53 Problems or Questions Select Support or Call 1 888 748 2627 PATIENT Winkle Rip Van Download to zzzPAT Save and Lock Report T Preview report D Analysis File PATIENT PAT Logi zzz Login m Login Type C Active Directory Service ADSI 222PAT Database por Tools gt elp CA Export Delete Import Move Files to New Location Export General Settings Import General Settings Operation Manual se A Lock amp Notify Save Cloud Itamar Medical Ltd Specialist Board certified physician review of raw sleep study data Score Interpret Upload Changes Save amp Lock Report lt a Acton Manually edit and score the sleep study Save Event changes on local disk Upload Event changes to CloudPAT Save Event changes on CloudPAT Lock report notify Provider CloudPAT e Add and or Delete Events per your training e The changes now need to be saved on your local disk e Select File e Select Export Ma
38. esineen o A 19 Figure 23 Viewing Sleep Study Reports cccccccccssssssseccccccecaeeeseseeceeeeesaaeasesseeees 20 Figure 24 Report Details for reviewing sleep study reports ccccccecceeeesseeeeeeeeees 21 Fiure 23 Search 1 Or Paves SCV Ci iit n cece tehic nase E TENS 22 Figure 26 Search TOP Patien SCLC ei aioe assed a a E 22 Figure 27 Manage Patient Details screen eeriosionosiecnarna iana 23 Figure 28 Specialist s FOME SCH C Na a aea E 24 Pisure 29 Study selection sereo isre a aA a aero 24 Proure 50 Review 4 hew Study oien e E eadanieeetedicetian sade 25 Fisure 31 First page of sleep TEpOT t c sdssccessreadueasvo nein divindsvadinctaautenderaavescdeedtndereduncteds 26 CloudPAT Page 4 Operation Manual Itamar Medical Ltd Revision Table Revision Date Description Chapter 0 August 2011 November 2012 1 Release CloudPAT Page 5 Operation Manual Itamar Medical Ltd 1 Introduction to CloudPAT 1 1 Intended Use of WatchPAT WatchPAT is a non invasive home care device for use with patients suspected to have sleep related breathing disorders The WatchPAT device is used as a diagnostic aid for the detection of sleep related breathing disorders and sleep staging Rapid Eye Movement REM Sleep Light Sleep and Deep Sleep The device generates a peripheral arterial tonometry PAT Respiratory Disturbance Index PRDI Apnea Hypopnea index PAHI and PAT sleep staging identification PSTAGES
39. ing a Chain of Bracelet Custody bracelet e Select Save amp Initialize Device e Select Proceed with initialization e 1st time usage a small PC resident program will be downloaded Select Run Initialization complete Success CloudPAT Page 50 Operation Manual Itamar Medical Ltd Upload Sleep Study from WatchPAT to CloudPAT Ss a a Do you have Before you PC workstation w internet access Problems or Questions start Internet Explorer 7 0 or higher Select Support or Username amp Password Call 1 888 748 2627 Minimum upload speed of 1 Mbps n itamar S 14 Enter Log in to www cloudpat precisemd com r CloudPAT e Enter your Username amp Password 5 gt viathe Web e Select Sign In Upload a Select Upload Study Sleep Study Slide WatchPAT out of its cradle to 2 WatchPAT reveal the USB connection to CloudPAT Connect WatchPAT to any USB port Select Proceed with upload e 1 time usage a small PC resident a Connect program will be downloaded 3 WatchPAT Select Run _ a to USB port If no Specialist was pre selected for Study interpretation you will be z prompted to select one after the study has uploaded S aS z Depending on your connection speed lana 5 4 Upload in upload time will vary between two 2 and progress five 5 minutes If an error is reported you will need to try again Upload Complete Study uploa
40. interpretation of raw data 6 To view the auto analyzed 2 page report that the technician uploaded double click the Analysis File PATIENT ee Download to zzzPAT Save and Lock Report Preview report a e S530 0 EE Analysis File analysis458 pdf 7 This will open a new window in Internet Explorer to a 2 page pdf document At the bottom of the new page you can scroll to view both pages of the sleep report Snore Body Position Show next page Right Arrow Nwwsaan Catiuratian Diilen Data 8 To download the raw data for review follow these steps a Click on Download to zzzPAT PATIENT N Download to zzzPAT Save and Lock Report ee ee Se ee ee b At the bottom of the webpage you will see a new box open Click on Save and a new box will open then click on Save as rempiate Recommendations Do you want to open or save HSTWEI12 0001_5_190412090726raw zzp 8 57 MB from cloudpat precisemd com Open c From here you will need to save the file to your hard drive I do this by creating a new folder in Documents called CloudPAT so that I can find the zzp file for import into zzzPAT in subsequent steps CloudPAT Page 44 Operation Manual Itamar Medical Ltd Organize New folder w i Hr Favorites Documents library E fotier MM Desktop Interpretation p Downloads J Name ERA El Recent Places _ HSTWEIL2 0001_5 19
41. is ready for Upload Please check that the WatchPAT device is connected and click on proceed to continue with Upload NT HI Switch to Manual Upload Proceed with upload ee 10 Now you need to find the file that was exported out of zzzPAT by selecting Browse Mr Phillip Dukes Settings n FET F medical Home View Reports Manage Patients Upload Study Manual Upload Please zip compress the following files from the WatchPAT device Patient dat Sleep dat Log dat if it is exists into a single file then press choose file select the file and press Next to continue m Combined zzp file Koo D 11 The file will end in zzp Select the file that you want to upload and select Open CloudPAT Page 40 Operation Manual Itamar Medical Ltd Organize New folder vir Favorites 3 Export HST library W Desktop Includes 1 location l Downloads z S Recent Places Arrange by Folder Mame Date modified a 2012 1 i cae C Users Phil E9 Donem HSTWEN2 0001_5_190412090726raw zzp 4 19 2012 9 07 AM ZZP Export HST al Music le Pictures F Videos 2 Homegroup o 4 ULL File name HSTWEIL2 0001_5 190412090726raw All Files 12 Select Next Mr Phillip Dukes Settings medical Home View Reports Manage Patients Upload Study Manual Upload Next D Please zip compress the following files from the WatchPAT device Patient dat Sleep dat Log dat if
42. it is exists into a single file then press choose file select the file and press Next to continue Combined zzp file C Users Phil 2012 HS 13 Depending on your connection speed to upload and the size of the study data file the upload time will vary between 2 and 5 minutes If an error is reported you will need to try again 14 Now the study must be assigned to a sleep specialist Then click Next Mr Phillip Dukes Home Settings Support Logout medical won Wwe Mae pasene Select Reviewer Select Reviewer from list then press Next CloudPAT Page 41 Operation Manual Itamar Medical Ltd 15 The following screen will appear and the process is complete Mr Phillip Dukes Settings ih d he medical Went Ma Pians Upload Complete Study uploaded successfully The analyzed data file will be ready shortly under Reports Data has been sent to be reviewed by Specialist Demo CloudPAT Page 42 Operation Manual Itamar Medical Ltd 9 Appendix D Interpretation and editing of events by the Specialist Guide This guide will give you step by step instructions on how to view download to ZZZPAT edit events upload to CloudPAT and generally interpret a study using CloudPAT 1 Go to https cloudpat precisemd com and the following screen should appear B https cloudpat precisemd com wafform aspx O BOX CloudPAT Sign in o 9 _ v Page v Safety v Tools v SN fc gt N About Cl
43. l use of the Licensed Software and destroy all copies thereof and cease all use of the Licensed Product including Licensed Product incorporated within Third Party Product 7 TRANSFERABILITY You may only transfer or assign the rights and obligations hereunder together with the Licensed Software and or the Licensed Product or Third Party Product as a whole without retaining any rights or subject to Sections 2 and 3 above any obligations arising after the date of such transfer or assignment or retaining any installed or uninstalled copy of the Licensed Software the Licensed Product or the Third Party Product Any attempt by you to rent lease sublicense assign or transfer any of the rights duties or obligations hereunder in any other way is forbidden and shall be null and void 8 SEVERABILITY Should any term or provision of this License Agreement be declared void or unenforceable by any court of competent jurisdiction in any country or countries such declaration shall have no effect on the remainder of this License Agreement in such country or countries or on this License Agreement in other countries 9 NO WAIVER The failure of either party to enforce any rights granted to it hereunder or to take action against the other party in the event of any breach hereunder shall not be deemed a waiver by that party as to subsequent enforcement actions in the event of future breaches 10 GOVERNING LAW AND JURISDICTION This License Agr
44. ms 2 Enter the Username and Password that was emailed to you and click Sign In 3 Clicking on the Upload Study from the main screen will start the process of uploading a study from the WatchPAT device to CloudPAT US IF USIL Home Settings Support Logout Home View Reports Manage Patients Create New Study Upload Study Lobby Help Create New Study preciseMD 4 Thereafter the following screen will open up We will select Proceed with upload when uploading directly from the device CloudPAT Page 35 Operation Manual Itamar Medical Ltd Mr Phillip Dukes Home Settings Support Logout l j ba ta A f un ver allie ih sly i al My medical Home View Reports Manage Patients Upload Study Upload Study The system is ready for Upload Please check that the WatchPAT device is connected and click on proceed to continue with Upload ee O OOOO O O Switch to Manual Upload Proceed with upload gt P a 5 Depending on your connection speed to upload and the size of the study data file the upload time will vary between 2 and 5 minutes If an error is reported you will need to try again Itamar Medical Watch PAT devi mies Please wait while study data is it a m A r uploaded from device Powered by preciseMD Mr Phillip Dukes Home Settings Support Logout j ba ta i A r o Wegfle yl ib wily i medical Home View Reports Manage Patients U
45. nding US patent applications and corresponding patents and or applications filed in other countries Itamar Medical Ltd 9 Halamish St P O Box 3579 Caesarea 38900 Israel Tel 972 4 617 7000 Fax 972 4 627 5598 www itamar medical com support itamar medical com C SP 207233 0473 ISO 9001 2008 and ISO 13485 2003 certified CloudPAT Page 2 Operation Manual Itamar Medical Ltd Table of Contents Ie Introduction t0 ClouUdgPACD nesne osna E lls Tende User Wate hP A Vix scsi sven tet T tes cadasenameteeces Ve ZZA T S W Denm oies a t3 CloudPAT S W Denimi Mecena eetebvileaasnenee Meher SOV CLV IEW oein a N eecenemn red Los MSHI OLOGY eaan sesso nie dase dare candi near senate OS Lo Mmmm rcge meni osie E E 2 setting CloudPA T ACCES Soini a E seco iuetians 2k ODAN accoun A N 2 2 Accessing ClhoudPA D resririucnen onen a A 29 setting Mua Passw O00 e a a a Dm RESCUING PASS wWordosesr a E ue tele teemta tert 10 29 Prone scnis co SUPPOL arenchor wreck a an eames teats 10 Oe UsmEeCloudPA Tasa WSC ease E T mbes 12 3 1 Main Access Screen Home Lobby 2 0 0 0 ccccccccccssssssssssssssessseeeeeeeeeeees 12 32s Creatine a New SOUCY enoi e a a EE 12 3 2 1 Preparing WatchPAT for a New Study sseennsessssseenessssssssserrssssssssees 13 Solel minah Watch PAW sran ccateadt ative bench eur avadmmiabeuda save 15 Jka Pist Time Unita ZAM OM poset tence sities ies aalitasineenseu a a 15 3 2 13 I
46. nitialization Process Protection wasiccus iaenuie nena ieemwie 15 395 AI PlOAGin aS 00d esenee phen sebaansces cionueaudseseeat 16 Sle Nma MOI eeir N A A E 16 32 Manual Mode ocase T E a 19 Deh MIC WINS REDONS crine daa tie uate bavndeadauenaeiul naaalaih Geelbendaed 20 335 IManacive Patient Intocmai on sses ER 21 4 Usm ChbudPAT asa Specialist orie ereen eea i E EET 23 Bas MiM ACCS SOC TOO rer E teeatads outside sncauetantee te 23 Ben SOUICICS a A E dene den Aieaain E dened Ateaainseuescancust 24 42l CVI WAI mody eraren e a od taieciena 24 42 2 Niewine a Completed Study suisrarreranein ae 21 Ae Lempa Ser tosoramiekiantans uot oe aaenlaadeatnsect smtammeceotiot 27 A ks MIAN ACN FemplaE Sree R 28 DS ITOUDICSNOOUNG arse i a a a E E 30 6 Appendix A Initializing WatchPAT via CloudPAT Guide eee 32 7 Appendix B Uploading study from WatchPAT to CloudPAT Guide 35 8 Appendix C Uploading study from zzzPAT to CloudPAT Guide 38 9 Appendix D Interpretation and editing of events by the Specialist Guide 43 10 Appendix E CloudPAT Assistant cheat sheets ccccccccccseeeeeeeeeeeeeees 49 Is Appendir F Micense A ereement eiri a al ioeaatrei neko eats 55 12 Appendix G Regulatory Representative essessssooereessssssseeeersssssssseerees 6l CloudPAT Page 3 Operation Manual Itamar Medical Ltd Table of Figures BTS VS POP TI SC UC Nate eoteersda actos ea nosanea ac
47. nual Itamar Medical Ltd 13 The study is now available to be reviewed and manually edited by the interpreting physician 14 If changes are made the study will need to be uploaded to CloudPAT by following the steps below e Add and or Delete events per your training f Go to File and select Export Manual Events mer revor HSTWEI12 0001 Tested on 04 18 2012 Analysis created on 4 19 2012 9 07 29 A uper User Reviewed ae S In el i Ea View Events Paging Setup Analyze Report Tools Help Study Details Ctr N f ED All Open Study Ctrl O Save Study Results Cti S Ti man mi Close Study Ctrl F4 Load Study and Analyze Ctrl L pee E Resp E Resp If Resp A FRe fe Res Resp Event PE Perr FEE xcluded KE Print Ctrl P R Exclude Export Data gt Export Manual Events Exit PulseR ate BPM E ENA aiii Mie De Dest C CD Desatu Desat Desaturation Light T3 Light Sle Light SI Light I Light Light Light Sleep REM Deep Sle Light SI Light Light Sleep Light Sle Ligt Light Sh Light Sleep Weal EM Deep Sleep REM Deep Sleep RER REM Deep Slee Deep ad Light Sleep REM Wake J Wake EE Wake Wake Wa Wake REM Sa02 akel Deep Dee Lial Loh Sleep Light Slee Light 4 Deep zt Actigraph Body Position sre Snore e0 i n dB I 05 38 08 DB Connection Local ABS Begin 20 38 08 00 09 51 58 AM c
48. nual Events e A new box will open e Save the changes to your local CloudPAT Folder e Select OK e The manually edited changes now need to be uploaded back to CloudPAT e Select Browse e Find the saved file highlight it select Open e Select Save from the CloudPAT toolbar e Your manually edited study is now saved on CloudPAT ready for diagnosis using your customizable template system e Preview the new report e Enter your Diagnosis and Recommendations e Select Save and Lock Report to complete the process e Provider will be alerted automatically that the study is complete Page 54 Comment s gt 2PAT Baier Trevor HSTWEI12 0001 Tested on O4 18 3 View Events Paging Setup Anahze Re New Study Details Crte N f Zz Open Study Cti T Load Manual Events and Reanalyze PATIENT r i Download to zzzPAT save Save and Lock Report n De BL J PATIENT Download to zzzPAT Save Save and Lock Report J T Operation Manual Itamar Medical Ltd 11 Appendix F License Agreement License To User From Itamar IMPORTANT PLEASE READ THIS LICENSE AGREEMENT CAREFULLY BEFORE INSTALLING OR OTHERWISE USING THE LICENSED SOFTWARE AS DEFINED BELOW OR THE PRODUCT WITH WHICH YOU RECEIVED THIS LICENSE AGREEMENT THIS LICENSE AGREEMENT APPLIES TO a ALL LICENSED SOFTWARE b ALL LICENSED PRODUCTS AS DEFINED BELOW AND c ALL THIRD PARTY PRODUCTS INTO WHI
49. o complete the process and alert the provider that the study is complete CloudPAT Page 48 Operation Manual Itamar Medical Ltd 10 Appendix E CloudPAT Assistant cheat sheets You may print the following pages for a quick reference to frequent tasks CloudPAT Page 49 Operation Manual Itamar Medical Ltd Create a New Study Initialization via ClooudPAT P see 7 Do you have Before you 1 PC workstation w internet access Problems or Questions start 2 Internet Explorer 7 0 or higher Select Support or 3 Username amp Password Call 1 888 748 2627 4 Minimum upload speed of 1 Mbps Enter Log in to www cloudpat precisemd com CloudPAT e Enter your Username amp Password via the Web e Select Sign In Create initialize e Select Create New Study new Sleep e Slide WatchPAT out of its cradle to Study using reveal the USB connection CloudPAT Connect WatchPAT to any USB port Only one 1 patient field is mandatory Patient ID Select your Board certified interpreter Patient under Send to Specialist Detail Entry If no Specialist was selected for study interpretation you will be prompted to select one when eventually uploading a study Select Save amp Initialize Device OR Patient Detail Entry OPTIONAL For more patient detail entry select More Details opening another screen Chain of e Select the box Bracelet Study for Custody occupational testing us
50. or Sleep Study Office ltamar Medical sales team Current Doctor Tirosh Roy MD Patient ID HST12 12212 Prefix fl LastName Dukes ala m Date of Birth 7 The following screen will appear Click on Proceed with initialization Mr Phillip Dukes Home Settings Support Logout l nN fifa ath ott ta Mm A r W Wy wi Nh i medical Home View Reports Manage Patients Upload Study Initialize Device The Patient s information is now ready for initialization Please check that the WatchPAT device is connected and click on proceed to continue with Initialization Proceed with initialization Device Initiated successfully medical The device is ready for study Powered by preciseMD CloudPAT Page 34 Operation Manual Itamar Medical Ltd 7 Appendix B Uploading study from WatchPAT to CloudPAT Guide This guide will give you step by step instructions on how to upload a study directly from the WatchPAT device to CloudPAT 1 Go to https cloudpat precisemd com and the following screen should appear s cloudpat precisemd com wafform aspx P BCX CloudPAT Sign in mp v Pager Safetyy Toos N N it a Mm A r alli aa jhh UE A About CloudPAT Support medical Sign in to CloudPAT Forgot your password Terms and Conditions Your use of the Itamar Medical s CloudPAT portal service confirms your agreement to be bound by the ter
51. or both entries zzZZPAT Login Login Type O Active Directory Service ADSI f 272P47 Database Cancel Login 111 Password i DE Connection Local 2 Select Export Delete under Tools Ei zzzPAT ae File Edit View Events Paging Setup Analyze Report Help ana Export Delete Import Backup Restore Move Files to New Location Export General Settings Import General Settings Import Packed studies User Administration 3 Highlight the study that you want to export to CloudPAT and select Export for Interpretation CloudPAT Page 38 Operation Manual Itamar Medical Ltd CR a Current Selection All Studies ID First Name H57 12 0003 HSTLSU12 001 HSTLSU12 0002 HST WEI 2 000 H57 12 0001 CK FLUS REDS 34054 blue 4 blue Steve Austin Last Name 1 selected out of 12 total studies Name Comment DE Connection Local 0371872012 0410 2012 0410 2012 O4 1872012 O4 27 72012 05 14 2012 05 18 2012 06706 2012 0670772012 0670772012 0671172012 0671172012 0410 2012 0410 2012 0471172012 041972012 O4 27 72012 05 15 2012 05 19 2012 06706 2012 067 0772012 067 0772012 0671272012 061272012 Revie Unrevi Revie 20460 KB out of 245 760 EB total estimated Select All Unselect All Study Selection Start Export Start Archive Start
52. oudPAT Support Sign in to CloudPAT Username Password Terms and Conditions Your use of t ical s lt 2 Enter the Username and Password that was emailed to you and click Sign In 3 After logging in to CloudPAT the following screen will appear Note circled in red at the top left corner to options Studies and Templates Choose Studies Beneath Studies there are two options New and Completed Templates Cen Completed Results search i CSV a Completed Studies are studies that have been interpreted b New Studies are studies that have been uploaded to CloudPAT and are in the queue awaiting interpretation These studies can be sorted by clicking Patient ID Patient Office Current Doctor Study Date or Waiting days See below Results Sa GED Geen CloudPAT Page 43 Operation Manual Itamar Medical Ltd 4 Once you have sorted searched and identified the study to interpret the next step is to open the file by clicking on the Patient ID name HSTWEI1 2 0001 2 ltamar Medical sales team 4 18 2012 2 5 The next steps for the interpreting specialist is to Preview Report 1st page of report that is the dictated impression and recommendations from the custom template and is blank until selections are made Download to zzzPAT to review the raw data and Save and Lock Report completed review and
53. pload Failed Upload was unsuccessful please check that the WatchPAT device is connected securely and try again If this error persists please contact customer support at 888 XXX XXXX 6 The study will automatically attach itself to the associated patient if the device was initialized via CloudPAT 7 Now the study must be assigned to a sleep specialist Then click Next CloudPAT Page 36 Operation Manual Itamar Medical Ltd Mr Phillip Dukes Home Settings Support Logout ka i be wM r ed pailt Wp aly l A A mes i medical Home View Reports Manage Patients Select Reviewer Select Reviewer from list then press Next Patien Resigned To Specialist Demo Specialist 8 The following screen will appear and the process is complete Mr Phillip Dukes Settings Support medical Home View Reports Manage Patients Upload Complete Study uploaded successfully The analyzed data file will be ready shortly under Reports Data has been sent to be reviewed by Specialist Demo CloudPAT Page 37 Operation Manual Itamar Medical Ltd 8 Appendix C Uploading study from zzzPAT to CloudPAT Guide This guide will give you step by step instructions on how to upload a study from ZZZPAT to CloudPAT This process will be utilized when you do not have an internet connection and you loaded the study to zzzPAT from the WatchPAT device 1 Open zzzPAT default Login and Password 111 f
54. pressly permitted by applicable law or e Modify in any manner the Licensed Software and or the Licensed Product unless obtaining the prior written consent of Itamar 3 TRADEMARKS Cardio PAT Sleep PAT and all trademarks and logos which appear on or in connection with the Licensed Software and or the Licensed Products as may be amended from time to time are unless stated otherwise trademarks of Itamar No right license or interest to such trademarks are generated or granted hereunder other than the limited right to use provided herein and you agree that no such right license or interest shall be asserted by you with respect to such trademarks You may not remove or destroy any copyright trademark logo or other proprietary marking or legend placed on or contained in the Licensed Software or a Licensed Product CloudPAT Page 56 Operation Manual Itamar Medical Ltd 4 LIMITED WARRANTIES AND DISCLAIMERS a Against Infringement Itamar hereby warrants to you that it has the right to grant you the license to use the Licensed Software and or the Licensed Product and to enter into this License Agreement and that neither the Licensed Software nor the Licensed Product s infringes the intellectual property rights of any third party b As to Licensed Product Itamar warrants that the Licensed Product with which this License Agreement was delivered will be free from defects in design materials and workmanship for a period of one
55. preted and diagnosed 4 Manage Patients enables the User to see which sleep studies have been performed on patients alter the patient s information or generate a follow up sleep study for an existing patient USIF USIL Home Settings Support Logout t ai dics sda ed Home View Reports Manage Patients Create New Study Upload Study Lobby Help Create New Study Upload Study View Reports T a a D Figure 7 Home Lobby screen 3 2 Creating a New Study In order to prepare WatchPAT for a new study select Create New Study from the Home screen see Figure 8 CloudPAT Page 12 Operation Manual Itamar Medical Ltd USIF USIL Home Settings Support Logout itamar S Se dq Create New Study Upload Study Ss Lobby Help Figure 8 Create New Study selection 3 2 1 Preparing WatchPAT for a New Study The following steps are involved in preparing for a new study I CloudPAT Fill the mandatory Patient ID in the Patient fields as in Figure 9 T Note If the User is associated with only one Office then this Office will be automatically filled Insert any additional information if needed the rest of the fields are optional You may insert additional information after the study is saved to WatchPAT if necessary see Section 3 5 Note that you will be prompted to select a Specialist while uploading the study see Section 3 3 13 2 1 if the Sent to Specialist
56. r Insurance Royal NHS Insurance k Diseases Q Medications Figure 9 Patient data entry screen cJ More Details Additional Patient Details Height cm EPworth Score Weight kg Neck Circ cm Address Home Phone a A Amoety disorder 5 City L Mobile Phone CDay time sleepiness Depression i r jm Frequent arousals b State L Pager E Frequent arousals gasping for air n a_i idele Ischemic heart disease Zip code Anti acid Email Morbid obesay Anti arrhythmia Morning headaches r 9 n Country Anti coagulants Bracelet Study i remand Anti depressants None Comments Anticonvulsants Obesity Aspirin Osteoporosis 5 eptic uice Diuretics 7 PLMD Hypoglycemic RLS Inhaled steroids Schizophrenia Number of Nights Sync Clock Sleep apnea 1 Insulin m gt d None Stable Angina Diseases Oxygen therapy Statins Medications Thyroid hormone replacement Figure 10 More Detail screen for patient data optional Dov Rubin Home Settings Support Logout Itamar medical Home View Reports Manage Patients Create New Study Upload Study Initialize Device The Patient s information is now ready for initialization Please check that the WatchPAT device is connected and click on proceed to continue with Initialization Proceed with initialization Figure 11 Initialize Device screen CloudPAT Pag
57. s Templates are predefined paragraphs ready for use while reviewing a study and entering the Clinical diagnosis or Recommendations sections For example you may define a diagnosis template for Severe Sleep Apnea and a different one for Mild Sleep Apnea You may have a number of predefined templates for Clinical diagnoses or Recommendations and which can be used with a click of a button in order to facilitate the Reviewing process CloudPAT Page 27 Operation Manual Itamar Medical Ltd Note Click on the CSV icon see Figure 33 if you want to obtain an Excel file containing the Templates Selecting the Templates tab will open up the Template Search screen see Figure 33 SPIL Settings Support Logout it A aa A r i ji ol Wh mH medical Studies Templates Template search C csv New Search Templates Name Type Text SP1 D1 Diagnosis test diagnostics SP1 D2 Diagnosis test diagnostics number 2 SP1 rl Recommendation first recommendation of SP1 SPI fr Recommendation first recommendation of SP1 version 2 SPI r2 Recommendation 2nd recommendation of SP1 Showing 1 5of5 Figure 33 Search a template screen 4 3 1 Managing Templates Clicking on the New button will open up a new template for editing see Figure 34 SEIE Settings Support Logout Ga fh f fA f medical Studies Templates Enter details about the Template i S22 8 New il Delete pf vise gl Sa
58. sequence where you press Continue after each stage Follow the instructions on each screen see Figure 3 Forgot Password wino TS Forgot Password Continue ii Sae n S e E pam a i ils Please answer the following question If your answer matches our answer on file we will send you instructions for resetting your password to the email account on file mothers maiden name Forgot Password An email has been sent to the address on file Please check your email and follow the instructions in it If you have any problems please contact customer support at 888 XXX XXXX Figure 3 Reset Password screens 2 5 Profile Settings amp Support Users may set their preferences by selecting the Settings option from the top of any screen at any time see Figure 4 The only mandatory fields are the Last name and Email address see Figure 5 In addition you must select a secret question and provide an answer to that question for the purpose of resetting your password A new temporary password will be sent to your email address Please contact administration support by pressing Support from any screen if any difficulties arise The Support screen contains the up to date phone numbers see Figure 6 aaa ccc Home Settings Support Logout ita aa a f atl iid si re medical Figure 4 Functions available from all screens CloudPAT Page 10 Operation Manual Itamar Medical Ltd
59. t cutnor taeos da etal See uennaetancew coe eecoesuaaens 9 USOC 2 SEU IE dss WONG SCLC CI ets cian cates a cteate a a A eeseeanemauets 9 Figure 3 Reset Password SCreens 05 s5siajssusiewtvaaa a E N aE 10 Figure 4 Functions available from all screens ccccceeeecccceeeececeeeeeaeeeeeeeeeeeeeees 10 Pisure 5 Prole Seti GS seia a 11 Fis re 6 SUpport Sereen eiiaoe a E E E A E A eS 11 Broure 7 HOme LODDYy SCE einun N 12 Ficu o Create New Study selec HON iucictrecntetetcncacieroctliouies E 13 Pisure S Patentdata eni yS Cree on N tne sone eens 14 Figure 10 More Detail screen for patient data optional ssssssssssseeeeeeeresesssssssss 14 Fiours Ti Initial Ze D vice scie iena NE N 14 Figure 12 Message to download the PC resident program sssesesseeeeeeresesssssssss 15 Figure 13 Protection from accidentally overwriting previous sleep study 16 Figure 147 WatchPA Ts Micro USB Porbersiicueceorieneienr ee 16 Figure 15 Upload Study Selecon ssiru E 17 Fisure LO Upload Study Dialoe box ism ees eee eed N 17 Figure 17 Select Specialist Dialoe DOK encriroren en a e ntetdanmeaaeriaeae 17 Figure 18 Patient sleep study upload in progress cccccccccccccsssseeeeecececeeaaeeessseeeees 18 Fig r 19 Upload complete SCre en isere nn a a E eens 18 Proure 20 Upload Taled SCreem mionnan E E A 19 Figure 2i Manvial Uploaden E stureserinioenianeieceiial teases 19 Figure 22 SUCCESSIUL UplOAd SCLCEN
60. unction in order to download a copy of this study to your local computer Once the study files are downloaded you can use the Import Packed study zzzPAT s function see zzzPAT s OM in order to open the study view the signals and edit the Respiratory events or sleep stages if needed Page 25 Operation Manual Itamar Medical Ltd 4 Load Manual Events and Reanalyze in case you used the Download to zzzPAT function and manually edited the Respiratory events or sleep stages you will be required to save the new events file see zzzPAT s OM and then point to this file when clicking on the Load Manual Events and Reanalyze button see Figure 30 This action will re analyze the study using your input and will generate an updated sleep report You may review the new report by clicking on the Analysis File link 5 Save and Lock Report finally when you are satisfied with your interpretation select the Save and Lock Report button At this point the study report will be automatically digitally signed with your name tagged as completed and be available for the Physician s review 6 Save saves your input without locking the report Note Once a report is Locked no more changes can be added Use the Save button if you are not sure if you are done with this study If a report is accidently locked contact Itamar Medical in order to unlock it Sleep Study Report OfficeA THeader1 OficeA THeader2 Patient
61. upport Logout medical Home View Reports Manage Patients Create New Study Upload Study i CSV Search for Patients Create New Study Search patient SS LastName SS oe I FirstName Sd Current Doctor SS pate ofith SS A Insurance Coverage Study Date OoOO O m Pg Figure 25 Search for Patients screen After selecting Search you will be brought to the following screen see Figure 26 from which you can select the specific Patient to manage USIF USIL Home Settings Support Logout ki i ta A f us an SED viii y medical Home View Reports Manage Patients Create New Study Upload Study Search for Patients Es Create New Study patient ID OOS lat Name Sd office fistName ooo Curent Doctor C F pateof ith S Insurance Coverage studydte Sd Po List of Patients Patient ID Name Date of Birth Insurance Coverage Study Date TestAllPatientF Levi Rami Jr 7 30 1974 5 15 2011 PID456 7890123456 LN 3456 789012345 FN3456 789012345 12 31 1970 6 27 2009 050505 ManualEvents TestUpload 7 10 2003 6 27 2009 07261_1 MCh StraightSBPCon 3 17 2012 0000000000 Not initialized Patient details 1 1 1900 3 12 2012 00000000000 PatientFirst PatFirst 8 4 1975 10 14 2010 Figure 26 Search for Patients screen Note Click on the CSV icon see Figure 26 if you want to obtain an Excel file containing the List of Patients After selecting a Patient ID you will be brought to
62. ve t Type t Text Figure 34 New Template screen You need to fill all three fields Name Type and Text in order to define the new template CloudPAT Page 28 Operation Manual Itamar Medical Ltd Clicking on an existing template name see Figure 33 will open up the Template screen for editing see Figure 35 Here are the main actions that can be selected from this screen 1 Save amp New Saves the template and creates a duplicate copy 2 Delete Deletes the template 3 List Returns to the list of templates 4 Save Saves the template SETE Settings Support Logout ita aa A r i ili a my mit medical Studies Templates Enter details about the Template i Seve t ew of Delete fil List Bl save p Name ENT al Type t Text Refer to ENT for consultation Figure 35 Existing Template screen CloudPAT Page 29 Operation Manual Itamar Medical Ltd 5 Troubleshooting Possible Cause New Study screen You took too long in replying to a message that there is another study resident on WatchPAT Creating a new study timed out There is a sleep study still on WatchPAT that has not been uploaded from the device Previous Study found CloudPAT Re run the initialization process a little quicker If the problem persists it could be an internet connectivity problem so contact Support Press Exit and upload this old study itamar Page 30 Itamar

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