Nasiff - Medical Equipment Wholesaler
Contents
1. PA OA STJ ST20 ST40 TA QD AD 0 0 4 0 4 0 0 0 0 0 Note that Durations are in msec and Amplitudes are in uV To convert uV to mm simply note that 1mm is 100u for a gain of 10mm mMV 25 ONasiff2013 Network amp Database Utilities The purpose of this section is to show you the Network and Database Utilities For Program Capability or Windows Stability it is strongly recommended that all screen savers and power savers are turned off and that the computer is rebooted at the beginning of each day EE N os ONasiff2013 Database All patient data and indexes are stored in the CAR12WD folder on the drive where the selected database resides This folder can be easily copied to any other Windows compatible drive using standard windows copy functions Procedure The Cardio Software Suite uses standard windows networking protocols All users must have windows network access read and write in order to use the software in a network environment All CAR12WD database folders must be directly off the root database drive CAR12WD cannot be in a sub directory because the software looks for CAR12WD to be a folder directly off the root of the drive letter Transferring Data To transfer data from one computer to another computer make sure Cardio Card is installed in the other computer All data goes to CAR12WD in your C Drive Back this up Go to my Computer Click on the C Dr2. ssn Sort by of test runs come 3 5 6 Name up by date and type C Patient ID ssn eg Flash Holter Stress and Rest12 Current Database is c carl 2wd then click Open View Pending ECGs View Pending ECGs View Log Tracking Change 3 Click on the run CONEN NEL and click OK a ae Pur 1 Tos Rest 22 Run 2 Type Restl2 Ru 3 Type Stress Run Type Flash Holter Rin Type Flash Holter 11 06 50 02 22 12 Wed 4 Note After storing any test for example Name Demo Toot lt Rest12 Stress ho d e VOR Flash Holter the test will appear on the screen You are in the database when you see the arrows at the Loiti IRE E mmm bottom of the Fiere Si Screen and the STATE JEL UJ Autoanaly NOHM NSH Normal ECG begin and end 2 4 TER end suip ime MEITI2AM strip time ONasiff2013 Printing 1 Clicking the printer icon prints reports to the default printer Name Demo LA H Grid On 4 DemogriChart A y Algorithm Display Info i gt Print B Comments Exit 2010 02 01 Run 0 Filters 60r 4 Gain 10 Time 10 17 00 AM EL 0 Bm Begin strip time 10 1 7 00 AM 10 22 20 5 S C End strip time 10 17 12 AM 02 22 12 Wed Nasiff Associates Inc 20 ONasiff2013 Demographics Chart Cardio Suite tm Cardio Card tm v6 03ia Win7 Vista XP 2k c 2012 Nasiff Associates NAD s eene e
3. Print PDF on Save box in Set up located on the lower left side near the bottom of the setup screen will send your final PDF report to your nasiff_reports folder on your desktop automatically To Enhanced Pacemaker Mark turn on pacemaker detection f desired click Default Settings to reset back to factory settings NASIFF ELECTRODE PLACEMENT CHART CardioCard Resting and Stress ECG Lead Placement Select the sites for electrode application The electrodes must be applied over bone or cartilage Refer to the Electrode Placement Chart below Proper prep is Essential vi 4th intercostals space right sternal border v2 4th intercostals space left sternal border v3 Midway between V2 and V4 on a line joining these two points va Interspace in which apex is located 5th or 6th mid clavicular line v5 Anterior auxiliary line on same level with V4 v6 Mid auxiliary line on same level with V4 and V5 Resting ECG Lead Placement Chart LEFT ARM RIGHT LEG i i LEFT LEG Nasiff Associates All rights reserved Cardis 2013 ia e CardioCard CardioECG C CardioMedical Center CardioCard Mobile and G Cai o Universal EMR Interface 10 ONasiff 2013 Preparing a Patient Proper preparation of the patient s skin is absolutely essential to obtain a quality ECG recording Note Without good skin preparation both noise and artifact will frequently degrade the pa
4. ITS SUPPLIERS BE LIABLE FOR ANY SPECIAL INCIDENTAL PUNITIVE INDIRECT OR CONSEQUENTIAL DAMAGES WHATSOEVER INCLUDING BUT NOT LIMITED TO DAMAGES FOR LOSS OF PROFITS OR CONFIDENTIAL OR OTHER INFORMATION FOR BUSINESS INTERRUPTION FOR PERSONAL INJURY FOR LOSS OF PRIVACY FOR FAILURE TO MEET ANY DUTY INCLUDING OF GOOD FAITH OR OF REASONABLE CARE FOR NEGLIGENCE AND FOR ANY OTHER PECUNIARY OR OTHER LOSS WHATSOEVER ARISING OUT OF OR IN ANY WAY RELATED TO THE USE OF OR INABILITY TO USE THE SOFTWARE THE PROVISION OF OR FAILURE TO PROVIDE SUPPORT OR OTHER SERVICES INFORMATON SOFTWARE AND RELATED CONTENT THROUGH THE SOFTWARE OR OTHERWISE ARISING OUT OF THE USE OF THE SOFTWARE OR OTHERWISE UNDER OR IN CONNECTION WITH ANY PROVISION OF THIS EULA EVEN IN THE EVENT OF THE FAULT TORT INCLUDING NEGLIGENCE MISREPRESENTATION STRICT LIABILITY BREACH OF CONTRACT OR BREACH OF WARRANTY OF LICENSOR OR ANY SUPPLIER AND EVEN IF LICENSOR OR ANY SUPPLIER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES LIMITATION OF LIABILITY AND REMEDIES Notwithstanding any damages that Licensee might incur for any reason whatsoever including without limitation all damages referenced herein and all direct or general damages in contract or anything else the entire liability of Licensor and any of its suppliers under any provision of this EULA and Licensee s exclusive remedy hereunder except for any remedy of repair or replacement elected by Licensor with res
5. TO DEFECTS DISCOVERED DURING THE PERIOD OF THIS LIMITED WARRANTY AS TO ANY DEFECTS DISCOVERED AFTER THE WARRANTEE PERIOD THERE IS NO WARRANTY OR CONDITION OF ANY KIND Some states jurisdictions do not allow limitations on how long an implied warranty or condition lasts so the above limitation may not apply to Licensee Any supplements or updates to the Software including without limitation any if any service packs or hot fixes provided to Licensee after the expiration of the Limited Warranty period are not covered by any warranty or condition express implied or statutory LIMITATION ON REMEDIES NO CONSEQUENTIAL OR OTHER DAMAGES Licensee s exclusive remedy for any breach of this Limited Warranty is as set forth below Except for any refund elected by Licensor LICENSEE IS NOT ENTITLED TO ANY DAMAGES INCLUDING BUT NOT LIMITED TO 44 ONasiff 2013 CONSEQUENTIAL DAMAGES if the Software does not meet Licensor s Limited Warranty and to the maximum extent allowed by applicable law even if any remedy fails of its essential purpose The terms of Section V Exclusion of Incidental Consequential and Certain Other Damages are also incorporated into this Limited Warranty Some states jurisdictions do not allow the exclusion or limitation of incidental or consequential damages so the above limitation or exclusion may not apply to Licensee This Limited Warranty gives Licensee specific legal rights Licensee may have other rights which
6. USB port of your computer 4 Take out the CardioCard software Figure 5 and store in a safe place in the event you want to install on another PC The CardioCard software will install on multiple computers ONasiff 2013 Installing CardioCard Software To insure an easy installation please follow the following instructions Make sure that you pause your version of Anti Virus and that you have full administrative rights to your computer prior to the install Place the Nasiff CardioCard software into the DVD drive of your computer Click on the Windows Icon or Start Button located at bottom left of your screen then click on Computer and locate Devices with Removable Storage Highlight the CardioCard software in the DVD drive and RIGHT click on the DVD drive This will open a drop down view click on Explore or Open You will see many files in alphabetical order Scroll down to Setup double click on Setup when prompted click Continue and Yes to all When finished click on Installed Correctly Remember the CardioCard software does not need the internet to install n If this message Heidi ep appears click This program installed correctly Pe What settings are applied Figure 6 I ES When the installation is complete you will see the Nasiff CardioCard icon on your desktop ONasiff 2013 Installing Digital ECG Box Click on the Wi
7. fail after the warranty period follow the service procedures in this manual then contact an Authorized Nasiff Associates Repair Center or call your Nasiff Associates Sales and Service Office for details of the services available DETERMINING IF YOUR CARDIO CARD SYSTEM NEEDS SERVICE Your CARDIOCARD system is designed to give you years of reliable service If you are having a problem with your system however follow the service procedures in this manual ONasiff 2013 RETURNING YOUR SYSTEM FOR SERVICE If your system needs service contact the Nasiff Associates Support Office where you purchased the system for complete service information If you need to ship your system be sure it is packed in a protective carton We recommend that you save the original shipping container for this purpose If needed packaging materials and a carton may be obtained from Nasiff Associates In transit damage is not covered by the warranty We suggest that you always insure shipments You can help assure effective servicing of your system by following these guidelines 1 Follow the instructions in this manual to make certain the malfunction is in your CARDIOCARD system and not the result of an interface error or a malfunction in your computer or software If possible identify the defective area or function 2 If you determine that repair is required please include the following items when you return your systems for service a A description of the
8. functions A very fast easy to use full featured API has been defined that performs this task Note that the Cardio Card program can be run in any standard Windows mode e g normal hidden minimized etc Contact Nasiff Associates at 315 676 2346 for a copy of this API document Nasiff 2013 Product UpDate Policy One of the major advantages offered by the CARDIO System is its ability to incorporate Product Updates Enhancements new Features and Modifications via Software The CARDIO System is Technology Expansive no longer is your diagnostic Equipment obsolete the day it is purchased It is the Policy of Nasiff Associates to extend Software to the Purchaser on a No change basis for the TWO year period of the Warranty This Software will include Product Updates Product enhancements Product modifications All subsequent Software Enhancement and Major Feature additions to the Product will be extended to the USER on a favorable term basis It is important for the USER to Register his CARDIO System not only to activate his her Warranty with Nasiff associates BUT to also be eligible for the above mentioned Software UpDate
9. insulated wires and a jacket usually PVC All cables can withstand a stretch force of up to 5 Ibs Connectors all electrical connectors have at least 0 025 spacing between conductors have a maximum conductor 48 Nasiff 2013 contact resistance of 10ohms and maintain this maximu resistance after 100 connect disconnect cycles NIBP features Report Systolic pressure Diastolic pressure heart rate and in full disclosure pulse and pressure waveforms Indications Ages Infant Adult Arm Circum 8 A4cm Contraindications Open wounds to limb distal to cuff application MEDICAL ELECTRICAL PERFORMANCE amp SAFETY Frequency response 05 120 Hz upper 3db at 120 Hz AAMI amp AHA Stds Lead leakage lt 10 uA AAMI Standards Chassis leakage lt 100 uA AAMI Standards Input impedance gt 100 M AAMI Standards Gain sensitivity 5 10 10 5 and 20 mm mV AAMI CMRR 120 db AAMI 12 lead ECG Sampling rate 250 1000 Hz A D resolution 13 bits A D rate 10 kHz Time base 25 amp 50 mm sec AAMI GENERAL SYSTEM Power consumption lt 300 mA from the pc bus CC Holter recorder 1 AA battery for 24 48 hours of continuous use Dimensions PCC Rev B 5 5 x 4 5 x 0 6 PCC Rev L 6 5 x 4 5 x 0 6 Box12 Rev M 4 5 x 2 5 x 0 8 CCHolter Rev A 6 25 x 2 75 x 0 75 Flash Holter recorder 4 4 x 2 6 x 95 ISOT Rev B 6 x 5 x 4 25 CCNIBP I 5 75 x 3 6 x 1 75 Nasif
10. modem not on site 35 Nasiff 2013 Your Service Agreement covers the following Problem resolution and answers to quick how to questions Modem toll calls and emails Periodic upgrades enhancements to the applications software User documentation updates Invitations to company sponsored user meetings Access to our most recent technical documentation and guidelines for the covered product Assisting a knowledgeable on site representative client designated in diagnosing problems with the software including third party database management systems integrated with Nasiff Software and approved by Nasiff Associates Advice about configuring Nasiff software for maximum performance Assisting a knowledgeable on site representative client designated in installing or configuring Nasiff software including third party database management systems integrated with Nasiff software and approved by Nasiff Associates to our latest specifications Periodic issues of Nasiff company newsletter The Service Agreement does not cover User training on site or extended telephone training Custom software Custom form modifications performed via modem or diskette Any assistance related to the diagnosis and or resolution of problems concerning 3rd party hardware remote communications operating systems and cabling or network software Problems caused by misuse of the program or lack of adherence to commonsense standards improper system shu
11. protections firewalls and spy ware You need to be a Power user on the network Make sure all other applications are closed If the Cardio application will not start up after installation and shows the error message cannot load giveio sys your network firewall maybe blocking the program Contact your network manager Common causes are The user does not have kernel mode rights to run the hardware driver This can be assured by giving them local administrator rights to their own computer OR Your antivirus or anti spyware software is blocking the service OR The firewall is set so strictly that the CARDWIN exe program is not being allowed to execute This program must be included in your firewall s list of allowed programs or made less strict 30 ONasiff2013 NO REMOVABLE DISK If there is no Removable Disk listed try unplugging the card reader from the USB port and plug it in again Printing Problems You need to check to make sure the printer that you are using is the default printer To check this go to start then click printers and faxes Make sure the printer that you are using has a check mark Or go to start then Control Panel then click on printer and faxes Right click on the printer that is your default printer To Test Printer Right click on the printer that you are using as your default printer then click on properties click print test page click OK 31 ONasiff2013 What Version of Window
12. that we have not had a chance to address the call and the anticipated time frame for resolution Non urgent questions may be e mailed to support nasiff com Responses will be e mailed back to the sender unless otherwise specified within one business day We do not check the e mail in boxes of support technicians in their absence Therefore do not send e mail to individual technicians unless specifically requested CNasiff 2013 We prioritize calls based on the urgency of the situation Unless otherwise informed we will use th following protocol to determine the urgency of the call 1 System is down 2 Employee cannot perform their work 3 Month end closing 4 Program termination 5 Insurance claim revision 6 Questions or training over the phone T Custom form changes Many times we receive suggestions and requests to make a change to the standard system To guarantee the integrity of the system changes to standard programs cannot be made on line Also since changes to standard programs affect all clients these changes need to be carefully considered We strongly encourage your suggestions and we track all requests by product and client for inclusion in a future release of the software We will make our best effort to respond to frequently requested or urgent requests as quickly as possible Revisions to the standard system will be made under the following conditions 1 The requested change follows standard sy
13. the card reader You need to take the card out and put it back in making sure it is in all the way Call NAI Support You need to install the Security key thumb drive Can t load Giveio Sys Your network firewall maybe blocking the program You need to turn off the firewall and any security while you are installing There is no disk in the drive Please insert a disk into drive A a car12wd not found Please correct the Database letter in stem Setup Data can only be stored to a valid database drive You need to check the Database drive letter Go to System Setup Then to Database Check the current database If it is wrong change it and click OK You must run event detector first Open the database and bring up your patient and the test If there are flat lines go to the arrows and try to move the screen If nothing moves you may have a corrupted card You need to CHKDSK In there are beats then go to holter opt then to auto analysis change channel increase gain and analyze 33 CNasiff 2013 Technical Support Service General The intention of Technical Support is to assist the USER in solving difficulties which may be encountered while using the CARDIO System In the event of an Operational or How To Question the following STEPS are suggested 1 Reference the USER Manual 2 Fax 315 676 4711 or Email nasales nasiff com 3 Tel Operational questions 315 676 2346 4 Tel Engineering In
14. 13 ECG Interpretive Abbreviations and Definitions Continued Code Stmt _Meaning Normal ECG Same Measurements Same data not available Susp arm Suspect arm lead reversal lead reversal S RSR QR pattern in V1 suggests possible right ventricular conduction delay IRB Probable IRBBB Incomplete Right Bundle Branch Block RB Probable RBBB RBV Probable RBBB plus RVE ILB Probable ILBBB Incomplete Left BBB LB Probable LBBB LA Probable Left anterior fascicular block LP Probable Left posterior fascicular block LPFB BA Probable Bifascicular block RBBB amp LAFB BP Probable Bifascicular block RBBB amp LPFB ID Nonspecific intraventricular delay IB Nonspecific intraventricular block PA Probably anterior MI age undetermined OA Possibly anterior MI age undetermined SDSE Marked st depression possible subendocardial injury or digitalis effect TA Nonspecific T wave abnormality could be normal TAA T wave abnormality consider anterior ischemia ONasiff2013 ECG Interpretive Abbreviations and Definitions MAA TAL MAL Continued Marked T wave abnormality consider anterior ischemia T wave abnormality consider lateral ischemia Marked T wave abnormality consider lateral ischemia T wave abnormality consider anterolateral ischemia Abnormal leftward axis deviation Right axis deviation Minor rightward axis deviation Extreme axis deviation Minor left axis deviation Suspected left ventricular hypertrophy Suspe
15. A by Nasiff Associates Inc Brewerton New York Nasiff2013 GO TO CARDIOCARD CLICK ON HELP MAIN HELP MENU CLICK ON THE SECTION YOU NEED www nasiff com SERVICE amp SUPPORT ONLINE HELP CALL US 315 676 2346 CUSTOMER SERVICE IS AVAILABLE MONDAY FRIDAY 9 00 AM TO 4 30 PM EASTERN STANDARD TIME CARDIO System User Manual Table of CONTENTS Installing CardioCard Software Getting Familiar with ECG buttons Placement Chart Patient Preparation Performing an ECG EKG Test CardioResting ECG Extras Interpretive Abbreviations and Definition Database Operations Network amp Database Utilities Trouble Shooting Technical Support Service Warranty Specifications Special Feature Update Policy ONasiff2013 ONasiff 2013 Nasiff CardioResting ECG Figure 1 CardioCard Digital ECG Box for Resting and Stress ECG CUSB Figure 2 Resting ECG Lead Wires Figure 3 Banana Clips for Resting ECG Figure 4 USB cable for Digital CardioCard ECG Box Figure 5 CardioCard Software Please follow the install instructions for the Resting ECG on the following pages Do not plug in USB cable to your computer until installation of software is complete After installation is complete please insert banana clips Figure 3 onto lead wires Figure 2 2 Plug lead wires Figure 2 into digital ECG Box Figure 1 3 Connect USB cable Figure 4 into digital ECG box Figure 1 then connect into the
16. AGREES TO BE BOUND BY THE TERMS OF THIS EULA BY INSTALLING COPYING OR USING THE SOFTWARE GRANT OF LICENSE Licensor grants Licensee the following rights provided that Licensee complies with all terms and conditions of this EULA 1 Licensee may a install and use a copy of the Software on one personal computer per Software License Key supplied by Licensor to Licensee Alternative Rights for Storage Network Use As an alternative to a Licensee may install a copy of the Software on a network storage device such as a server computer and allow one access device such as a personal computer to access and use that licensed copy of the Software over a private network Licensee must obtain a license to the Software for each additional device that accesses and uses the Software installed on the network storage device b 2 License Grant for Media Elements The Software may include certain photographs clip art shapes animations sounds music and video clips that are identified in the Software for Licensee s use together Media Elements Licensee may copy and modify the Media Elements and license display and distribute them as part of Licensee s software products and services including Licensee s web sites with credit given to Licensor but Licensee is not licensed to do any of the following Licensee may not sell license or distribute copies of the Media Elements by themselves or as part of any collection product or ser
17. Fully Integrated PC Based Diagnostic Cardiology Solutions ZO es c z Nasiff CardioCard Products All CardioCard Products come with Cardio Universal EMR Interface siff leading patient care 3 FDA Clearance since 1989 Veteran Owned Made in USA www nasiff com NASIFF WARRANTY Use this page to register your Nasiff CardioCard Product Fill out the information below and make a copy to return to us for our records Nasiff Associates Inc 841 1 County Route 37 Central Square NY 13036 t 315 676 2346 f 315 676 4711 e acctpay nasiff com The owner should retain this registration for your own records Description ModellSeria Practice Facility Owner s Name Address Phone Number E mail Signature Policy ANY SHORTAGES OR DISCREPANCIES MUST BE REPORTED WITHIN 10 DAYS CLAIMS FOR RETURNS MUST BE MADE WITHIN 30 DAYS OF INVOICE DATE WITH PRIOR AUTHORIZATION FROM NASIFF ASSOCIATES INC AT THAT TIME A RESTOCKING FEE WILL BE CHARGED 10 AFTER 2 WEEKS 25 PER MONTH THEREAFTER 1 FDA Clearance since 1989 TMasiff Associa 7 fes Inc ERE Veteran Owned leading patient care Made in USA www nasiff com CNasiff 2013 Nasiff Associates CardioCard CardioECG User s Guide One System does it all 12 lead interpretive ECG Stress Holter ECG Bluetooth Vital Signs NIBP SpO2 Weight Temperature Glucose Spirometry Stethoscope Mobile Devi
18. NIBP s tolerances time msec pressures 2mmHg pulse rate 1bpm NIBP limits 45 300 mmHg system cut off at 3200mmHg NIBP cuff tubes and connectors Cuff length For bandage cuffs The full cuff length extends beyond the end of the inflatable bladder by at least the equivalent of the length of the bladder The length of the cuff is long enough that when inflated to 300mmHg it does not slip or become loose For hook and contact closure cuffs The cuff is long enough to completely encircle the largest circumference limb 44cm and maintains its full width throughout this length Pressure capacity The cuff completely retains the bladder when the bladder is inflated to a minimum Pressure of 330mmHg The tubes and connectors remain intact at 330mmHg Cuff closures construction for non disposable cuffs The cuff integrity is maintained after 1000 open close cycles and after 10 000 cycles to 300mmHg The cuff bladder length encircles much of the circumference of the limb throughout its length and maintains it s much of its width throughout its length The bladder length is at least 0 80 times the circumference of the limb at the midpoint of the cuff application The cuff bladder width is at least 0 37 preferably 0 40 times the circumference of the limb at the midpoint of the cuff application System leakage cuff bladder tubing and connectors etc is less than 1 mmHg per second Cables all electrical cables have individually
19. VR amp 3 Cardio Suite tm Cardio Card tm v6 03ia Win7 Leads Stress Opt Holte File Algorithm Options Demographics Comments Confirm Sign Display Measurements Batch Telecom 12sec Strips During Store Clean Continuous Page Sweep Speed duration F10 Grid Store Last 12 secs NIBP F2 NIBP Autocycles SpO2 F6 Temperature F5 Weight F8 Glucose QID Cntl F5 Gain ST Reported Limits and cycle Intervals Manual Treadmill Testing Autoanalysis F7 Store Edit Analysis F6 Change Patient Name Change Start Time Measure Cursor On Off bs Mark Measure Cursor Start Point alt m Run PD2i BNORM Sinus e 10 57 48 AM 10 58 00 AM IB PRW 2009 10 22 Run 1 Filters B0r 4 Gain 10 13 50 37 02 2242 Wed Opt CMS Help Name Demo Te AVL i EVF E deed Ne Time 10 17 00 AM EL 0 WD Select Leads Grid On t DemogriChart Aj Algorithm Q Dispay Info gt Print Comments Exit 2010 02 01 Run 0 Filters 60r 4 Gain 10 Autoanaly PNORM NSR Normal ECG Begin strip time 10 17 00 AM End strip time 10 17 12 AM FE Nasiff Associates Inc 10 22 20 02 22 12 Wed 24 ONasiff2013 ECG Stress Measurements Table File Algorithm Options Leads Stress Opt Holter Opt CMS Help Name A Patient Measurements T able
20. al infarction age undermined injury or ischemia Possible lateral infarction age undermined injury or ischemia Probable Lateral infarction age undermined injury or ischemia Probable Anteroseptal infarct age undermined injury or ischemia Probable Pos Anterolateral infarct age undetermined Cannot rule out inferior infarct masked by left anterior fascicular block Possible PAC Poor R wave progression Low Voltage in Limbs ONasiff2013 Database Operations The purpose of this section is to show you the Database Operations For Program Capability or Windows Stability it is strongly recommended that all screen savers and power savers are turned off and that the computer is rebooted at the beginning of each day 1 To open database click on Patient to open the database Cardio Suite tm Cardio Sagd tm v6 03ia Win7 Vista XP 2k c 2012 Nasiff Associates NAT Eo File Algorithm Options Leads s Opt HolterOpt CMS Help i ED m A CC for Windows zl S Holter Pasent n Ed zl i En ECG K Stress BS Holter ve ES Patient RU eet gee NOU eS Boe NU MDG RE L amp Sep Set up I v3 Hep OE Exit aVR V4 a L 5 E aMF i i 1 f VB f 1 fly 08 40 31 02 22 12 Wed Nasiff Associates Inc ONasiff2013 Opening Database 2 Click on any patient Patient Databasen 161 Gi si di ele name and a list Patient D
21. amp Operating Temperature 5 C to 45 C Trans Storage Temperature 40 C to 70 C SpO2 SPECIFICATIONS e Oxygen saturation range 0 100 e Accuracy 2 for 70 100 3 for 50 69 e Pulse rate 30 250 e Probes finger ear non disposable TEMPERATURE SPECIFICATIONS e Range 80 F to 115 F 26 C to 45 C e Accuracy 0 2 C e Self test between each monitor reading about 2 sec e Probes oral and rectal WEIGHT SPECIFICATIONS e Range 400 Ibs 180kg e Accuracy 0 5 Ib 0 2kg e Platform size 12 x 12 25 x 2 25 30 5x31 1x5 7cm HOLTER FLASH RECORDER SPECIFICATIONS Functional Channels m Resolution 8 bit 13 bit in the Cardio Card system Recording Full disclosure Minimum Recording Time 24 hours 48 hours Storage Medium Removable FLASH memory Standard PCMCIA ATA card Download Interface PCMCIA card interface Pace Detection Nasiff 2013 Physical Dimensions 44 x 2 6 x 95 Weight 5 ounces with batteries Enclosure Molded plastic Operating Position Any orientation Operating Temperature 0C to45C Non operating Temperature 40 C to 60 C Operating Humidity 10 to 90 non condensing Electrical Battery One AA Alkaline disposable Connector 50r 7 Lead Wires Test Jacks 3 channels Nasiff 2013 Special Features Special File Export Files When File Export is selected the following files are created from the retrieved Resting ECG
22. aneement F Nuclear Persantine Stupping Huayuri i IMI Hish kautus Irnerctioni es r A Short hatna 8 Indication Motcs Protoco Symptome MnetesPhaa ibis uia H Medsf abbrev Raneluainns I d Su MV nine Dintatien Histey abbrev 21 ONasiff2013 Comments 3 Clicking the comments button allows the inputting of unlimited notes comments diagnoses etc Copy and paste from other programs is also permitted in this area e Display info 3 poem Comments H 5 Exit E Ae Botte hs Nida ninn2 ni i Hun U Filters 60r 40 row d n V NUFRURENNSUAKMUNTEM du A Galin 10 Time 10 17 00 AM EL 0 Autoanaly PNONM NSM Normal ECG E H 2 Beyin stip tine 10 17 00 AM The j 5 uev End strip time 10 17 12 AM 2 22 12 Wen Neasiff Paie ales Inc MEMOECG Comments Confirm Sign This is the Comments field for ECG EKG Interval Measurements HR bpm PD msec 75 PR int msec 116 QS dur msec 96 he QT int msec 338 Full Diagnosis ABNORM Sinus Nonspecific intraventricular block Poor R wave urew msec 330 Progression P axis 34 R axis 48 T axis 45 Abbrev Diagnosis ABNORM Sinus IB PRWP 22 ONasiff2013 Measurement Cursors 4 Measurement cursors are available providing wave measuring capability eg amplitudes d
23. ce Patient Record Management etc CNasiff 2013 All rights reserved No part of this publication may be reproduced stored in a retrieval system or transmitted in any form or by any means electronic mechanical photocopying recording or otherwise without the prior written permission of NASIFF ASSOCIATES Inc NAI The information contained herein is designed only for use with this Nasiff System NAI is not responsible for any of this information as applied to other systems Neither NAI nor its affiliates shall be liable to the purchaser or any users of this product or third parties for damages losses costs or expenses incurred by any of them as a result of accident misuse or abuse of this product or unauthorized modifications repairs or alterations to this product or failure to strictly comply with NAI s operating and maintenance instructions Nasiff Associates Inc shall not be liable for any damages or problems arising from the use of any options or any consumable products other than those designed as original NAI products or NAI approved products by Nasiff Associates Inc Nasiff NAI CARDIO CardioCard CardSuite and CardioVitals are trademarks of Nasiff Associates Inc General notice Other product names used herein are for identification purposes only and may be trademarks of their respective owners NAI disclaims any and all rights in those marks Copyright 2013 by Nasiff Associates Inc 032913 Printed in US
24. censor subsidiary serving licensee s country DISCLAIMER OF WARRANTIES The Limited Warranty that appears above is the only express warranty made to Licensee and is provided in lieu of any other express warranties or similar obligations if any created by any advertising documentation packaging or other communications Except for the Limited Warranty and to the maximum extent permitted by applicable law Licensor and its suppliers provide the Software and support services if any AS IS AND WITH ALL FAULTS and hereby disclaim all other warranties and conditions whether express implied or statutory including but not limited to any if any implied warranties duties or conditions of merchantability of fitness for a particular purpose of reliability or availability of accuracy or completeness of responses of results of workmanlike effort of lack of viruses and of lack of negligence all with regard to the Software and the provision of or failure to provide support or other services information software and related content through the Software or otherwise arising out of the use of the Software ALSO THERE IS NO WARRANTY OR CONDITION OF TITLE QUIET ENJOYMENT QUIET POSSESSION CORRESPONDENCE TO DESCRIPTION OR NON INFRINGEMENT WITH REGARD TO THE SOFTWARE EXCLUSION OF INCIDENTAL CONSEQUENTIAL AND CERTAIN OTHER DAMAGES TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW 45 ONasiff 2013 IN NO EVENT SHALL LICENSOR OR
25. cted right ventricular hypertrophy Suspected biventricular hypertrophy Nonspecific ST elevation abnormality ST elevation consider early repol pericard ST elevation early repol Possible acute pericarditis Acute pericarditis Septal injury Anterior injury Lateral injury Antero septal injury Antero lateral injury Inferior injury Junctional st depression probably normal Junctional st depression probably abnormal ST abnormality probably digitalis Nonspecific ST depression could be normal Marked T depression possible septal subendocardial injury ECG Interpretive Abbreviations and Definitions MSDA MSDL MSDI QRSA RAE PLAE LAE BAE RSAD LVA S1 PD CAI CSI SIF PLI LIF ASIF ALIF CI PPAC PRWP LVL Continued Marked ST depression possible anterior subendocardial injury Marked ST depression possible lateral subendocardial injury Marked ST depression possible inferior subendocardial injury Abnormal qrs t angle consider primary T wave Probable Right atrial enlargement Possible left atrial enlargement Probable Left atrial enlargement Probable Biatrial enlargement Abnormal right superior axis deviation Indeterminate axis Low voltage QRS consider pulmonary disease 1 52 S3 pattern consider pulmonary disease RVH or normal variant Probably Pulmonary disease Cannot rule out anterior infarction age undetermined Cannot rule out septal infarction age undetermined Probably Sept
26. e Software to a different device After the transfer Licensee must completely remove the Software from the former device Transfer to Third Party If Licensor allows in writing for Licensee Licensee may make a one time permanent transfer of this EULA Software and Certificate of Authenticity if applicable to another end user provided that Licensee does not retain any copies of the Software This transfer must include all of the Software including all component parts the media and printed materials any upgrades this EULA and if applicable the Certificate of Authenticity The transfer may not be an indirect transfer such as a consignment Prior to the transfer the end user receiving the Software must agree to all the EULA terms and disclosed to the Licensor S TERMINATION Without prejudice to any other rights Licensor may terminate this EULA if Licensee fails to comply with the terms and conditions of this EULA In such event Licensee must destroy all copies of the Software and all of its component parts t LIMITED WARRANTY FOR SOFTWARE ACQUIRED Licensor warrants that the Software will perform substantially in accordance with the accompanying materials Documentation for the period of ninety 90 days from the date of receipt If an implied warranty or condition is created by Licensee s state jurisdiction and federal or state provincial law prohibits disclaimer of it Licensee also has an implied warranty or condition BUT ONLY AS
27. e list for FREE Software Product enhancements as they become available during the two year limited warranty Nasiff Associates Inc warrants the CARDIO System See below for CARDIO System definition against defects in materials and workmanship for a period of TWO years from receipt by the end USER Please retain purchase Records in event of Warranty Claim If Nasiff Associates is given notice of such defects during the Warranty period Nasiff Associates will either at their option repair or replace products which prove to be defective The Nasiff CARDIO System includes CARDIO System Patient Cable and Leads 90 Day Limited Warranty CARDIO System Holter Electrode Leads 90 Day Limited Warranty CARDIO System Holter Recorder See Recorder User Manual Nasiff shall not be liable for defects or support of any third party devices e g computers treadmills printers other company s Holter recorders etc used with a CARDIO System This includes operating system incompatibilities and hardware incompatibilities e g for PCMCIA systems the computer has to support PCMCIA I O standards etc Warranty and support for these devices is the responsibility of their Manufacturers GENERAL Nasiff Associates Inc warrants the CARDIO system against defects in materials and workmanship for a period of two years from receipt by the end user proof of purchase is required If Nasiff Associates is given notice of such defects during the warranty period Nasi
28. essed or implied with respect to this product Nasiff Associates specifically disclaim the implied warranties of merchant ability and fitness for a particular purpose Some states or provinces do not allow limitations on the duration of an implied warranty so the above limitation may not apply to you However any implied warranty of merchant ability or fitness is limited to the 1 year duration of this written warranty This warranty gives you specific legal rights and you may also have other rights which may vary from state to state or province to province EXCLUSIVE REMEDIES The remedies provided herein are the customer s sole and exclusive remedies In no event shall Nasiff Associates be liable for any direct indirect special incidental or consequential damages whether based on contract tort or any other legal theory Some states or provinces do not allow the exclusion or limitation of incidental or consequential damages so the above limitation or exclusion may not apply to you OBTAINING SERVICE DURING WARRANTY If your hardware should fail during the warranty period follow the service procedures in this manual then take the failed piece to an Authorized Nasiff Associates Repair Center or send the equipment to one of the Nasiff Associates Field Repair Centers Nasiff Associates may repair on site at your option in which case you are responsible for travel charges OBTAINING SERVICE AFTER WARRANTY PERIOD If your hardware should
29. exact configuration at the time of the malfunction including interface cable computer and peripherals and software programs in use b A brief description of symptoms for service personnel c Hard copy produced on a printer that might help illustrate the problem area d The serial numbers for the components in your CardioCard system e If purchased through a Nasiff Associates dealer a copy of the sales slip or other proof of purchase to establish the warranty coverage period 3 Include your name address and a phone number where you may be reached during the day 4 You do not include any operating accessories with the system unless the problem relates to an accessory Do include your CARDIOCARD BOX12 patient connector ISOTR1 isolation transformer any other equipment that is part of your CardioCard system Holter recorders playback hardware NIBP modules etc and original CardioCard software disks 40 ONasiff 2013 Note A valid RMA Number is REQUIRED for ACCEPTANCE of SHIPMENT COSTS Description Hourly Rate Initial Training telephone customer training as included in purchase price part of the initial software purchase Follow up Training On site training requested 200 per hour any time after the purchase of the software Technical Support In house phone support or 185 per hour on site support for Nasiff software third party software hardware training via phone forms modification data manipulation repair o
30. f 2013 Weights PCC Rev B 118g 4 20z PCC Rev L 118g 4 20z Box12 Rev M 268g 9 50z ISOT Rev B 1806g 4lbs CCHolter Rev A 268g 9 50z 1 AA battery Flash Holter Recorder 5oz with batteries CCNIBP I 350g 12 50z Environmental Max temperature range 10 C 50 F to 40 C 104 F Recommended range 15 C 59 F to 35 C 95 F Storage range 40 C 40 F to 60 C 140 F Humidity 10 70 RH non condensing Vibration lt 0 3G over a 10 min period Holter Recorder and NIBP modules Altitude 500 to 5000 feet w r t sea level Note that the instrument s specifications may degrade if operated outside of these environmental specifications CASSETTE PLAYBACK SPECIFICATIONS Signal channels 2 or 3 software selection Clock track Recorded on channel 3 Clock track frequency 32Hz Scanning speed 480 mm sec Rewind speed 2000 mm sec Sample rate 128 samples sec nom referred to 1mm sec Record speed Sample signal Clock track or CD350 tachometer Signal range 2 5 mVPP Analog digital conversion 8 bits per channel Signal resolution 19 6 uV per bit PC board pre amp gain X 5 X1 and X2 PC board amplifier gain 256 levels from X0 to X1 99 PC board address range 340H 35FH PC board data memory size 1MByte Data collection method Software no DMA or interrupt levels needed Nasiff 2013 Bezel 3 77 molded plastic Apple platinum color 12V current 3 amps 12V current 200ma 5V current 1
31. ff Associates will either at their option repair or replace products which prove to be defective EXCLUSIONS The above warranty shall not apply to defects resulting from improper or inadequate maintenance by the customer customer supplied software or interfacing unauthorized modification or misuse operation outside of the environmental specifications for the product or improper site preparation or maintenance Only service personnel authorized by Nasiff Associates Inc directly are allowed to service Nasiff equipment If customer desires to have someone other than Nasiff Associates Inc service the equipment they must get prior written authorization from Nasiff Associates Inc otherwise anyone other than Nasiff Associates Inc providing service voids the warranty ONasiff 2013 OBTAINING WARRANTY SERVICE To obtain warranty service return the product to a service facility designated by Nasiff Associates Nasiff Associates may repair on site at the option of the customer The customer is responsible for travel charges when on site repair is requested Customer shall prepay shipping charges for products returned to Nasiff Associates for warranty service and Nasiff Associates shall pay for return of the products to the customer However the customer shall pay all shipping charges duties and taxes for products returned to Nasiff Associates from another country WARRANTY LIMITATIONS Nasiff Associates make no other warranty either expr
32. final report to EMR click File Print ECG to a PDF the PDF is sent to the nasiff reports folder on your desktop ONasiff 2013 CardioResting ECG Extras F12 on your keyboard allows you to view different lead options F10 on your keyboard will view condensed leads To store multiple ECG strips click on Options located at the top of the CardioCard and scroll down to 12 sec strips during store will allow you to store multiple ECG strips To view measurements go to Options and scroll down to Display Measurements Change patient s name go to Options scroll down to Change Patient Name and change name Increase or Decrease Gain go to Options and scroll down to Gain then adjust View selected leads click on Leads at the top of the CardioCard and scroll down to preference Print Red grid lines click on Set up under Print check the box Lines located top of box and click on Save to hold your settings This is for print only and not meant for PDF Send report by fax click on File located top left of the CardioCard scroll down to Print to a Selected Printer Fax Your PC needs to be connected to Fax machine What do the abbreviations for interpretations mean Click on Help at the top of the CardioCard then click on Main Help Menu then locate and click on Appendix and Examples Figure 04 For networking go to your C Drive and find your patie
33. he ECG button again will only stop the ECG not store save it 2 When satisfied with ECG on screen click Save Save Note you must have clean ECG for 12 seconds In Set up you can check Enter Demogr Before to enter patient s demographics before acquiring ECG 3 Saving the ECG will allow you to retrieve your patient s alien ECG at anytime Click on Patient then highlight patient and click Open next highlight test and click OK IND This is your printer icon Click on the printer icon to print Printer your ECG report If you would like to print your report to PDF click on File at the top left of the CardioCard software then scroll down to print ECG to PDF can be set up automatically 5 f you would like to print to PDF and retrieve this ECG report in an EMR folder make sure you have set up your path as mentioned in Set up ONasiff 2013 Nasiff CardioResting ECG Getting Familiar with ECG buttons ALIEL ECG Stress Holter Patient Save Measure Set up Printer Setup Be sure to click OK or Save to hold settings Set up Filling out the letter head which is located of the way down the page will show up on your reports once saved Under the Print options column in setup you can choose to enter demographics before or after acquiring ECG The software automatically creates a PDF folder in your C Drive and sends a shortcut to your desktop By checking the
34. he driver is loading the ECG data Note that the SpO2pleth buffer is loaded with a different pointer SpO2pp and the SpO2pleth buffer is only 100 points long and only 8 bits 1 byte per point While the table ECG data is 3180 points long and 13 bits 2 bytes per point Calling the Cardio Card from external programs File I O A user program can load a file called ccio to have the Cardio Card do just acquisition retrieve use tempios deleting etc structure when calling cardwin exe all ascii company code ab patient last first mi name cccccccccmmddyyyyr where company code get from factory a is either a r t or d where a is acquisition r is retrieve tis tempio retrieve and d is delete selected file b is the database drive letter ccccccccc is the 9 digit patient number ssn mm is month dd is day yyyy is year r is run number starts with 0 for each patient each day on exit from cardwin exe ccio contains char opcode 0 no store 1 data saved charecgf X 1 ecg taken short heartr heart rate bpm short sysop systolic bp mmHg short meanp mean bp shortdiasp diastolic bp shortspo2 SpO2 percent short pulser pulse rate ppm shorttemp temperature 10 degrees F e g for 98 6 this would be 986 CNasiff 2013 Message API When both the Cardio Card and another program are running at the same time the other program can command the Cardio Card to perform many of its
35. ices conflict with the terms of this EULA the terms of this EULA shall control If any provision of this EULA is held to be void invalid unenforceable or illegal the other provisions shall continue in full force and effect 46 CNasiff 2013 Specifications MINIMUM PC SYSTEM REQUIREMENTS IBM compatible Pentium or higher 512MB ram for program for Windows 2000 XP Vista and Mac with boot camp CD ROM USB Ports 5 MB hard drive space for programs and additional for patient data For standard 12 lead tests only 60kb are needed For Holter 33MB are needed per 24 hr patient test 2000 XP Vista Mac with boot camp Display Any Windows compatible display Printers Any Windows compatible printer Mouse Any Windows compatible mouse Keyboard Any Windows compatible keyboard MEDICAL SYSTEM ECG HOLTER NIBP FEATURES Leads 12 lead systems 12 XYZ optional on PCC16 Standard 12 with BOX12 Holter systems 3 to 12 leads Display LCD Color Monochrome Monitor quality defib protection ECG storage to any device that appears to the pc as a drive e g hard drives floppies optical etc Data stored ECG waveforms time and date and patient information i e demographics ECG transmission by direct connect modem fax and internet Measurement s tolerances time 4msec amplitude 1 22uV at 10mm mV gain Holter analysis standard arrhythmia classification of all beats detected 47 Nasiff 2013
36. ide to Licensee or make available to Licensee after the date Licensee obtains its initial copy of the Software unless they are accompanied by separate terms Licensor reserves the right to discontinue Internet based and other services provided to Licensee or made available to Licensee through the use of the Software UPGRADES To use Software identified as an upgrade Licensee must first be 43 ONasiff 2013 licensed for the software identified by Licensor as eligible for the upgrade After installing the upgrade Licensee may no longer use the original software that formed the basis for Licensee s upgrade eligibility except as part of the upgraded software o NOT FOR RESALE SOFTWARE The Software may not be sold or otherwise transferred for value unless expressly allowed for in this agreement or used for any purpose other than demonstration test or evaluation p EXPORT RESTRICTIONS Licensee acknowledges that the Software is subject to U S export jurisdiction Licensee agrees to comply with all applicable international and national laws that apply to the Software including the U S Export Administration Regulations as well as end user end use and destination restrictions issued by U S and other governments q SEPARATION OF COMPONENTS The Software is licensed as a single product Its component parts may not be separated for use on more than one device r SOFTWARE TRANSFER Internal Licensee may transfer their copies of th
37. ive Right click on CAR12WD Highlight Send To Pick what function you will use to copy on 27 ONasiff2013 Sharing Cardio Card Data on a Network Go to your server and make a folder ex Cardiodata Share the folder by right clicking on the folder and go to Share and Security Under Sharing go to Network Sharing and Security Make sure both boxes are checked Share and Allow Click Apply Click OK Give the folder a drive letter on the client To do this go to My Computer then Tools then Map Network Drive then pick a drive letter You will browse for your folder Highlight it then click OK then Finish Copy CAR12WD and paste to a New drive letter Change your default in Cardio Card to New drive letter To do this go to Cardio Card Open System Setup then database This will bring you to a question screen The question Which database would you like to change to Arrow down to new drive letter Then click OK Close out of everything and reboot your computer 28 ONasiff2013 Batch Telecom Entering Batch Telecom From the opening Cardio Screen Click on Options then Batch Telecom to enter Utilities Build a List Click C button Clear batch list Click Yes to question Are you sure Then Click on the 1 button Edit batch list to build a batch list of tests The list can be built by clicking on individual tests and clicking the add button You can also select li
38. ke tests all Resting all Stress all Holter or the entire database Once the list is built there are additional operations that can be formed as noted in subsequent operations Serial Compare of resting ECGs Click C button Clear batch list Click Yes to question Are you sure Then Click on the 1 button Edit batch list Click ONLY once on the test you want to compare Click Add you will see the test in the box then click OK Click on the G button to compare like tests on the screen or H to print the comparison of batch tests previously selected Delete Batched Files Click C button Clear batch list Click Yes to question Are you sure Then Click on the 1 button Edit batch list Click ONLY once on the test you want to delete Click Add you will see it in the box then click OK then click 9 Delete batch files click Yes to the question Are you sure you want to delete the batch list of runs Pack and ZIP selections Click on the Z button to create a ZIP file for emailing selected tests Rebuild the index Click on the R button to recreate the database index This should theoretically never be necessary However situations like power failures Windows freeze ups etc do occur If you receive the message database has become corrupted you must use this function to rebuild the index 29 ONasiff2013 Trouble Shooting Before installing Cardio Card Turn off all virus
39. l done Puts out 4 chars plus sign per sample from tempio t ascii rsp 500hz file exported from File Export selection outputs data for respiration tab delimited Goes through entire file until done Puts out 4 chars plus sign per sample from tempio e ascii sp ascii tab delimited file of SpO2 values for every 10 sec from tempio s Real time pointer file ptrf During the start up of the program a file called ptrf is produced in the running directory usually cAcardwin It has the following 32 bit pointers to the data in the device driver that assist programs that may want access to the real time sampled data int data int ptr to where vxd int the driver is loading ecg data Itables uint table 0 lead data 4msec apart 3180 unsigned ints data is 13 bit to represent 5mV FS rti uint table 1 lead II data uint nbpil uint ptr to where vxd is loading bp pulse data uint nbpbuf bp pulses 4msec apart loads locations 25 250 Data llis 13 bit as in ECG lead data in table uint SpO2pp ptr to where vxd is loading SpO2 pulse data uint SpO2pleth sio data 4msec apart loads locations 0 99 Data is 8 bit and relative in intensity For example the pointer data is the first 4 bytes of the ptrf file The table 0 pointer is the next 4 bytes The table 1 pointer is the next 4 bytes And so on CNasiff 2013 Note that the first pointer called data gives the position in table 0 and table 1 where t
40. ment of them Licensee may not attempt to gain unauthorized access to any service account computer systems or networks associated with the Internet based services ECG Analysis Speech Handwriting Recognition Any ECG analysis Software speech and or handwriting recognition component s Licensee should understand that ECG Analysis speech and handwriting recognition are inherently statistical processes that recognition errors are inherent in the processes that it is Licensee s responsibility to provide for the handling of such errors and to monitor the recognition processes and correct any errors Neither Licensee nor its suppliers shall be liable for any damages arising out of errors in the ECG Analysis speech and handwriting recognition processes Report Writing Runtime Software Limitations The Software contains report writing runtime software Runtime Software Other than use with the Software Licensee may not use the Runtime Software with any other software application nor use the Runtime Software as part of any process or system that is used to automatically deliver share or distribute documents or other work created using the Runtime Software RESERVATION OF RIGHTS AND OWNERSHIP Licensor reserves all rights not expressly granted to licensee in this EULA The Software is protected by copyright and other intellectual property laws and treaties Licensor or its suppliers own the title copyright and other intellectual property
41. ndows Icon or Start Button located at bottom left of your screen then click on Computer and locate Devices with Removable Storage Highlight the CardioCard software in the DVD drive and RIGHT click on the DVD drive This will open a drop down view click on Explore or Open You will see many files in alphabetical order Scroll down to CDM20600 double click on CDM20600 if prompted click Continue and Yes to all questions Click Finish and close all programs Checking Digital ECG Box Installation Plug the USB cable Figure 4 into the digital ECG box then plug into the USB port of your computer Be sure you have a good connection to the digital ECG box and your computer Unpack your lead wires and plug wires into the 12 pin round connector located on your ECG CUSB box Double click on CardioCard icon on your desktop square icon with red heart With the CardioCard software open locate the ECG button Click once on the ECG button and you should have lines running across the screen click on ECG button to stop You are now ready to begin 7 ONasiff 2013 Nasiff CardioResting ECG Getting Familiar with ECG buttons ECG Stress Holter Patient Save Measure Set up Printer Buttons used for ECG ECG To start ECG press this button Prep patient well to reduce artifact and assure good results 1 With patient hooked up click on ECG button This will start the ECG Pressing t
42. nt database which is the car12wd folder and move it to your network Make sure you make a backup of car12wd before Pacemaker Detection turn on in Set up Calipers measurement Cursors can be used by pressing Backspace use arrow keys to move cursor press ATL and M to mark arrow over and measurements will appear on screen ONasiff2013 ECG Interpretive Abbreviations and Definitions ECG Interpretation Abbreviation Meanings The meanings of the codes are entered here for easy access By looking at the codes they are abbreviations of the typical cardiac diagnostic statement This format was chosen to make the need for this list almost nonexistent Obvious meanings are the intent for ease of use e Special note Computer ECG analyses are an aid for ECG classification Unconfirmed computer ECG analysis reports SHOULD NOT be used for prescribing patient treatment or nontreatment without review by a qualified physician No computerized interpretation is completely reliable and Physicians trained in ECG interpretation should over read the ECG results Actual Reported Code Statement Meanings The program takes as input the standard output of the Cardio Card measurements program and outputs the codes in a character string to be read as Is e On the ECG report and screen the following statement is made No automated analysis is completely reliable and a physician should over read the results ONasiff20
43. pect to any breach of the Limited Warranty shall be limited to US 5 00 The foregoing limitations exclusions and disclaimers including Sections t u and v shall apply to the maximum extent permitted by applicable law even if any remedy fails its essential purpose U S GOVERNMENT LICENSE RIGHTS All Software provided to the U S Government pursuant to solicitations issued on or after December 1 1995 is provided with the commercial license rights and restrictions described elsewhere herein All Software provided to the U S Government pursuant to solicitations issued prior to December 1 1995 is provided with Restricted Rights as provided for in FAR 48 CFR 52 227 14 JUNE 1987 or DFAR 48 CFR 252 227 7013 OCT 1988 as applicable APPLICABLE LAW This EULA is governed by the laws of the State of New York In respect of any dispute which may arise hereunder Licensee consents to the jurisdiction of the federal courts sitting in New York ENTIRE AGREEMENT SEVERABILITY This EULA including any addendum or amendment to this EULA which is included with the Software is the entire agreement between Licensee and Licensor relating to the Software and the support services if any and they supersede all prior or contemporaneous oral or written communications proposals and representations with respect to the Software or any other subject matter covered by this EULA To the extent the terms of any Licensor policies or programs for support serv
44. r EMC support Consulting On site in house or telephone consultation 225 per hour requested with senior level personnel 5 plus years experience Programming Includes software modification for new 225 per hour features custom programming or database repair that requires a programmer Production Includes in house preparation of 225 per hour equipment prior to on site installation Network Engineering Includes on site or in house 225 per and support of network operating systems Installation hour Travel Includes time necessary to travel to and from 125 per hour customer site If travel includes multiple customer sites then travel time is equally distributed among customers NOTE Minimum charge for any provided service is 74 hour Cabling is not provided Unless disputed in writing customers with support payments 30 days or more past due will have their technical support temporarily suspended pending payment of their past due balance Customers without a valid Service Agreement will be provided with assistance at Nasiff s discretion and or upon the reinstatement of a valid Service Agreement If your support coverage has lapsed please contact our Finance and Administration Department for additional information regarding the terms and conditions for reinstating a Service Agreement ONasiff 2013 Licensor is Nasiff Associates Licensee is End User Customer Licensor End User License Agreement EULA terms a LICENSEE
45. rights in the Software The Software is licensed not sold This EULA does not grant Licensee Any rights to trademarks or service marks of Licensor REVERSE ENGINEERING DECOMPILATION AND DISASSEMBLY Licensee may not reverse engineer decompile or disassemble the Software NO RENTAL COMMERCIAL HOSTING Licensee may not rent lease lend or provide commercial hosting services with the Software CONSENT TO USE OF DATA Licensee agrees that Licensor and its affiliates may collect and use technical information gathered as part of the product support services provided to Licensee if any related to the Software Licensee may use this information solely to improve its products or to provide customized services or technologies to Licensee and will not disclose this information in a form that personally identifies Licensor LINKS TO THIRD PARTY SITES Licensor is not responsible for the contents of any third party sites or services any links contained in third party sites or services or any changes or updates to third party sites or services Licensor may provide these links and access to third party sites and services to Licensee only as a convenience and the inclusion of any link or access does not imply an endorsement by Licensor of the third party site or service ADDITIONAL SOFTWARE SERVICES This EULA applies to updates supplements add on components or Internet based services components of the Software that Licensor may prov
46. run note that the ascii root filename is user defined during export ascii txt 500hz file exported from File Export selection Outputs data 4 chars plus sign per sample for each lead tab delimited in order I tINtII taVR taVL taV FLV 1XV2XV3XV4MV5XtV6ln ascii hed ascii tab delimited file of patient demographics Order of fields is name Patient Name ssn Social Security Number street Street address csz City State Zip phone Phone Number dob Date of Birth ashw Age Sex Height Weight doc Doctor orb Office Room Bed empl Employer insur Insurance Codes med Medications notes Notes notesp Notes Protocol notesph Notes Phase bp Blood Pressure autodiag Auto Diagnostics voicedict Voice Dictation ascii rr File Export list of R R times in msec limits allowed are entered by user ascii rrv File Export of R R average times for user defined intervals 1 1000sec ascii rrs File Export of R R limit status Gives beats outside limits etc CNasiff 2013 ascii hrv File Export of HR average bpms for user defined intervals 1 1000sec ascii evt File Export list of times of events being hit during real time pressing F7 causes a log of this time to be saved Times in ascii evt are in 2msec sample number i e 500hz sample number ascii ibp 500hz file exported from File Export selection outputs data for ibp cnibp tab delimited goes through entire file unti
47. s To check what version of windows you have go to My Computer or Control Panel Then Help then About Windows This will tell you the version you are using If your computer goes into Power Save mode You need to turn this off Go to Properties Then to Screen Saver Click on Power Under Power Schemes arrow down to always on Under Turn off Monitor arrow down to Never Click apply Click on Hibernate tab and disable it Click apply Close out of this and reboot your computer When you have Corrupted Files Go to Start Click Run Type cmd Click OK Then type CHKDSK F E The E is where you will type your Drive Letter that your Reader is in Hit Enter It may ask you to reboot if so reboot Type EXIT to get out of this Hit Enter 32 ONasiff2013 Error Messages Database has become Corrupted You need to rebuild the index Go to Cardio Card Screen Click on Options then Batch Telecom Click on the R button to recreate the database index This should theoretically never be necessary However situations like power failures Windows freeze ups etc do occur Make sure it is on your drive letter Then click OK No USB Cardio Card devices s attached Please plug in Unplug and plug back in Invalid Flash Recorder Path Make sure card and reader are plugged in You need to make sure you are in the correct path Cardwin exe no disk There is no disk in
48. s File Algorithm Options Leads Stress Opt Holter Opt CMS Help ID ssn 012345679 WW Select Leads Grid On M DemogriChart y Algorithm Q Display Info gt Print Comments Exit 2010 02 01 Run 0 Filters 50r 4t Gain 10 T Time 10 17 00 AM EL 0 Autoangf PNORM NSR Normal ECG _ mJ Begin sip time 10 17 00 AM 10 22 20 Ej 5 eC End fip time 10 17 12 AM 02 2212 Wed Nasiff Associates Inc 2 Clicking the Demographics Chart button displays detailed patient information and provides entry into the Cardio EMR Chart program TD x y emographics 7 Cancel Required Fislds Offica Facility Store Study ID Site ID ui ite 3 Patient Name A Patient Growler ft Patient unique tt 000004456 i lu Refer Phy Cthe mum EC RSS MEE Relening cerit DUB lunnzdd evvy a Referring PIDH Eo o 1 Nurse Tech Roor Loc Bed 07 HCP AUPE f Vial ID Employer Insur Codes 8 amp uto Diay I ABNORM Sirius I3 PRWF Dwnririeul ke ave Tenue S Progression Phone eio Hesp bun NIDM pO2 Age tor kids under 1 ir vou can add dtor days w tor fsluueinan voli moe weeks or m for months Street State T Char Accession 3 uL civ f Zi SE Ghow Audit 8 miana audit tracked c ooo Shwe Deals F Muelear Treadmill Perfusinn Agent Halter Detaile l Prateat Aa
49. stem conventions 2 The requested change will only be made available as part of a standard software upgrade 3 We reserve the right to make the requesting client s a beta site for new releases 4 The time spent on programming testing and documenting new features may be billed to the requesting client at our standard rates 5 The revision will become available as an option to all clients as part of a future release As a service to our clients we can sometimes create customized user reports within the standard system when requested to do so These customized reports will be developed in house then supplied to a client via modem email or diskette Optionally a customer may request assistance via telephone in order to customize their own reports in either event a report noting an estimated cost and time frame will be generated and upon receipt of authorization the task will be assigned to a support representative Custom designed reports may be made available to other clients at our discretion Should you decide that your organization wishes to design and utilize a custom form or label not supported by our standard forms utilities our support staff will provide a cost estimate and the estimated time frame for completion of the custom programming in the form of a Programming Request Response PRR or Work Order Upon approval the work will be assigned to a support representative Software modifications will customarily be made via diskette or
50. tdown failure to maintain system backups etc On line database integrity verification database repair restoration Support for third party software provided by vendors other than Nasiff Equipment relocation Assistance with product updates Routine updates are to be performed by the client Nasiff will bill at its standard hourly rate if asked to assist with an update Operating system upgrades including Microsoft service packs On site installation of software updates Data repair and or restoration on line database integrity verification Tape Verification Equipment Relocation On site assistance CNasiff 2013 Note The only on site service covered under the Service Agreement is Nasiff application updates that Nasiff Technical Services chooses to perform on site A major mission of SERVICE is to promptly assist the customer in solving problems that they may encounter while using the CARDIOCARD At this time we have established our main TECHNICAL SUPPORT ADDRESS is at NASIFF ASSOCIATES INC CARDIOCARD SYSTEM TECHNICAL SUPPORT P O BOX 88 BREWERTON N Y 13029 Please feel free to call or write anytime for any special questions and projects We welcome any suggestions you may have ONasiff 2013 Nasiff Associates Two Year Limited Warranty It is very important to Register your CARDIO System with Nasiff Associates Not only does it activate the Warranty Benefits of the CARDIO System BUT it also adds your CARDIO System to th
51. tient s ECG to the point of being unusable by the physician Recommended Steps a Select the sites for electrode application The electrodes must be applied over 3 bone or cartilage b Dry shave the electrode areas well c Using the scrub pad or a small square piece of an abrasive material such as 220 grit sandpaper or equivalent to remove the top layer of skin Use moderate pressure abrade the skin at the electrode sites by a making 3 or 4 crossing strokes The strokes should cross at the chosen electrode site Lightly brush the areas with a dry gauze pad to remove any debris You can also use Nuprep d Wipe the skin in the electrode areas with alcohol prep pad Allow the skin to dry thoroughly ONasiff 2013 Performing an ECG The demographics page will appear you must complete the following jJ AOON Patient ID number this must be unique to this patient if less than 9 digits the program will auto fill with zeros Last name First name Age Gender M or F Then press OK zt cm Regard Fl Recall Last Patient ls name ssn age rol NEWPATIENTIDont use aio name DS look Oe Facity Pate NIBP Prete When you get a clean ECG tracing click Save You will be prompted to print yes or no If you press yes the report will print to your default printer Comments can be added by clicking on Comments located on the right of the CardioCard program Send
52. urations rr values To activate or deactivate click Options then Measure Cursor On Off Cursor navigation is accomplished by using the arrow page up and page down keys Mark cursor start point by clicking Options then Mark Cursor Start Point Demographics Comments N Name Confirm Sign ID ssn 000003456 Display Measurements Batch Telecom 12sec Strips During Store Clean Continuous Page Sweep Speed duration F10 ee H z p Tag Y E EDEN OK eae Q oe V Store Last 12 secs D E gt Print age NIBP F2 bDirogiggcii iii MB Comments NIBP Autocycles 3 PES amp Exit SpO2 F6 Temperature F5 Weight F8 atl tt ees Glucose QID Cntl F5 DAML LANAI Gain ST Reported 1 Limits and cycle Intervals 2009 10 22 Manual Treadmill Testing Run 1 VES uns i FEES Atosnayse ten Filters 60r 4 Store Edit Analysis F6 A Gain 10 JN Change Patient Name Change Start Time Time 10 57 Measure Cursor On Off bs BNORM Sinus IB PRW AERA Mark Measure Cursor Start Point alt m e 10 57 48 AM 12 55 49 E Run PD2i 10 58 00 AM cus adici Nasiff Associates Inc 23 ONasiff2013 ECG Functions in Database 5 Clicking on Options then Display Measurement or click on the triangle will bring up the full measurements tables pressing F4 will print these tables to the default printer a
53. vary from state jurisdiction to state jurisdiction LICENSEE S EXCLUSIVE REMEDY Licensor s and its suppliers entire liability and Licensee s exclusive remedy for any breach of this Limited Warranty or for any other breach of this EULA or for any other liability relating to the Software shall be at Licensee s option from time to time exercised subject to applicable law repair or replacement of the Software that does not meet this Limited Warranty and that is returned to Licensor with the additional items such as the key Licensee will receive the remedy elected by Licensor without charge except that Licensee is responsible for any expenses Licensee may incur e g cost of shipping the Software and key to Licensor This Limited Warranty is void if failure of the Software has resulted from accident abuse misapplication abnormal use or a virus Any replacement Software will be warranted for the remainder of the original warranty period or thirty 30 days whichever is longer and Licensor will use commercially reasonable efforts to provide Licensee a remedy within a commercially reasonable time of Licensee compliance with Licensor s warranty remedy procedures Outside the United States or Canada neither these remedies nor any product support services offered by Licensor are available without proof of purchase from an authorized international source To exercise Licensee s remedy use Licensor s contact information given in this agreement or the Li
54. vice if the primary value of the product or service is in the Media Elements Licensee may not grant customers of its product or service any rights to license or distribute the Media Elements License Grant for Documentation The documentation that accompanies the Software is licensed for internal non commercial reference purposes only Mandatory Activation THERE ARE TECHNOLOGICAL MEASURES IN THIS SOFTWARE THAT ARE DESIGNED TO PREVENT UNLICENSED USE OF THE SOFTWARE as well as the single site keys Licensee may not be able to exercise their rights to the Software under this EULA after a finite number of product launches unless Licensee activates their copies of the Software in the manner described during the launch sequence Licensee may also need to reactivate the Software if Licensee modifies their computer hardware or alters the Software Licensor will use those measures to confirm Licensee has a legally licensed copy of the Software If Licensee is not using a licensed copy of the Software Licensee is not allowed to install the Software or future Software updates Licensor will not collect any personally identifiable information from Licensee s devices during this process 42 ONasiff 2013 Internet Based Services Licensee may not use any Licensor Internet based services associated with the Software in any manner that could damage disable overburden or impair such services or interfere with any other party s use and enjoy
55. volved Tech questions CUSTOMER SUPPORT POLICY Our customer support mission is to provide professional timely complete and cost effective telephone support for resolving problems or questions related to the use of Nasiff Associates products OBTAINING CUSTOMER SUPPORT To obtain support call into any of the customer support numbers given above Our Hours of Operation are 9 00 am to 4 30 pm EST at our National Service Center Monday through Friday except holidays Our Systems department is staffed until 4 30 p m The telephone numbers are given above The Support FAX numbers are also given We have a dedicated team of Front Line technicians that triage all incoming calls If your call is a simple Application question our Front Line Team is usually able to provide you with an answer If your question is more complex they may have to schedule a call back If you are experiencing an emergency they will immediately escalate your call to a Back Line technician that will take ownership of your call until the problem is resolve Generally speaking calls are returned according to the priority and in the order they are received We make a best effort to return all calls promptly Because of the complex and time consuming nature of some of the calls received we cannot guarantee a specific turnaround time If we cannot get to your call immediately you will normally receive a call within 4 business hours either to support your call or to notify you
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