WBP-02A-User guide of PC software
Contents
1. Figure 27 29 b Select the items you want on the configuration box as shown in Figure 27 Home page is a summary of the whole report which contains details of patient information trend chart and Statistical analysis of blood pressure records prescription and others such as detailed Statistics Histogram Pie chart Fitting chart Hourly Average and detailed raw records c Click Preview button to browse the report d If need you could click Print Page to print the current page and click Print on the top left corner to print the whole report 4 5 12 Printing If you want to print the data please e Click Print in top toolbar directly Select a proper printer in Pop menu e Then click Print to complete The report fully contains all details Store the report with PDF format click PDF File and store the report in a defined directory with PDF format and users can also select the desinated store place by themselves This function is better for the sharing of patient information Exit the current patient data click exes on second row of top toolbar to exit the current displaying Exit Hingmed blood pressure software click E t on first row of top toolbar Alternatively click on top right corner of the software Introduction of symbols in printing report The following symbols are shown in the original BP data report pages symbols Explanation W2. g 40 SVS in whole day represents that the percentage of the systolic pressure in all systolic press readings is 40 24 b X axis it means blood pressure values or heart rate values The unit of blood pressure is mmHg or kPa 1kpa 7 051mmHg Under the X axis the first row is the readings with unit mmHg and the second row is the reading with unit kPa i e 120 is 120mmHg 16 0 is 16 0 kPa 4 5 8 View Pie chart The pie chart shows the percentage of readings which are beyond the setting standard blood pressure values click Pie Chart in the second row of top toolbar as shown in Figure 22 Data Program Read Management Exit j Trend Statistics Histogram Pie Chart Correlation Hour Average Dr advice Patient Print Preview PDF File Exit ESC Max 175 23 3 At Time 20th 21 23 Systolic Awake frac mmHo kPa Min 118 15 7 At Time 21th 07 53 Systolic Asleep fizo mmHg kPa Max 153 20 4 At Time 20th 22 53 Min 127 16 9 At Time 2 1th 02 53 Max 175 23 3 At Time 20th 21 23 Min 118 23 3 At Time 2 1th 07 53 SYS Awake SYS Asleep SYS All Diastolic Awake Go mmtonay Max 88 11 7 At Time 21th 15 53 Max 80 10 7 At Time 20th 22 53 Max 88 11 7 At Time 21th 15 53 Diastolic Asleep f mmHoa kPa Min 69 11 7 Min 62 8 3 Min 62 8 3 At Time 2 1th 07 53 At Time 2 1th 06 53 At Time 2 1th 06 53 DIA Awake DIA Asleep DIA All Heart Rate Awake f
3. the current patient then tick the box before the names and the data of the current patient will be saved in the original directory after retrieving data If not DO NOT tick the box 4 HIS No The number of patient in HIS system of hospital If the in patient has not the number keep blank 5 Type of time Daytime is the time except of sleeping Nighttime is the sleeping time Generally time type is set in accordance with the patient s sleeping habit Special 1 to 3 are additional periods by which doctor could monitor the blood pressure in wanted periods If doctor consider it is not necessary keep the blanks Null 6 Time interval The interval between two successive measures There are 5 10 15 20 30 45 60 90 and 120 min options to choose from 7 Maximum pressure setting It can be set 40 mmHg higher than the possible maximum systolic BP reading Note that the setting maximum pressure doesn t mean the cuff pressure of each inflating it s just the upper limitation of inflation pressure in terms of safety purpose 12 8 Study within 5min Tick the box before it then the monitor will start to measure automatically within 5 min after programming If do not select this item user needs to press Start key on the monitor manually to start the programming measurement 9 Display There are enable disable options If choosing Disable the screen will only display time battery capacity and other general inf
4. 1th 06 53 21th 02 53 Time Min 21th 06 53 126 17 5 20th 22 53 76 11 1 21th 06 53 94 131 20th 22 53 62 21th 05 53 42 6 4 SD Max 3 73 0 50 139 17 5 451 060 90 111 3 53 0 47 105 13 1 6 22 83 5 27 0 70 58 6 4 DIA 77 8 DIA 76 09 Histogram in the second row of top toolbar as shown in Figure 21 Data Program Read Management Exit nd Me amp o Trend Statistics Histogram Pie Chart civ HourAverage Dradvice Patient Print Preview PDFFile Exit ESC 30 30 R 20 R 20 R A A A T T T 10 10 E E E 0 0 100 120 140 160 180 100 120 140 160 180 13 3 16 0 18 7 21 3 24 0 13 3 16 0 18 7 21 3 24 0 SYS mmHg kPa All SYS mmHg kPa Awake 50 60 40 R 30 R 40 R A A A p 20 T 920 T E 10 E E 0 0 50 60 70 80 90 50 60 70 80 90 6 7 8 0 9 3 10 7 12 0 6 7 8 0 9 3 10 7 12 0 DIA mmHg kPa All DIA mmHg kPa Awake 50 40 R R R 30 A A A 7 20 T T E 10 E E 0 60 80 100 60 80 100 H R bpm Awake H R bpm All Figure 21 These histograms contain the information of systolic pressure diastolic pressure and rate in whole day daytime and nighttime 60 40 20 0 4110 120 130 140 150 160 14 7 16 0 17 3 18 7 20 0 21 3 SYS mmHg kPa Asleep 40 30 209 10 0 50 60 70 80 90 6 7 8 0 9 3 10 7 12 0 DIA mmHg kPa Asleep 80 609 40 20 0 60 70 80 90 H R bpm Asleep a Y axis The percentage of systolic pressure diastolic pressure or heart rate e
5. 3 20 53 1753 3 74 9 31 12 20 2013 21 23 153 20 4 75 10 0 97 12 20 2013 21 53 Edit Awake Asleep Period Edit Thresholds 153 20 4 80 10 7 88 12 20 2013 22 53 Lying 140186 7 7368 7 76 12 20 2013 23 53 Lying 139118 5 75 10 0 70 12 21 2013 00 53 Lying ovanan A wo hy BS Q a k la la le le fa la fa fa fe mmHq kPa Pe epee Spee eee eas E me tesa E area ES eter a Seem 7O 0 lt 0 Figure 13 4 5 2 View Ambulatory Blood Pressure ABP study See Figure13 it displays all raw data in the left top area systolic pressure diastolic pressure heart rate measuring time body position and event code Below the table it is blood pressure trend chart X axis is time and Y axis is blood pressure readings with the unit of mmHg or Kpa and heart rate readings with the unit of bpm Beside the raw data area there are two options Threshold and Analysis function Click Threshold there are two options Edit Awake Asleep period is used to set the start end time of day and night see Figure 16 Edit Thresholds is used to set the analysis standard of blood pressure values see Figure 17 AHA JNC7 is America Hypertension Association standard ESH is European Society hypertension standard Default is used most commonly for doctor Manual means user can set a standard by oneself User clicks Update to confirm the settings Analysis Func
6. 6 21th 09 23 Total 24 27 Effective 38 Total 40 95 SD Max 11731 56 163 18 5 7 27 0 97 105 11 9 8 36 1 12 124 14 0 Time 21th 07 53 SYS 21th 07 53 DIA 21th 07 53 20th 19 53 HR 20th 20 53 Diff BPLoad BP Variation Corr Time Min 20th 19 23 118 18 5 21th 15 53 76 119 21th 15 53 89 14 0 21th 16 53 61 20th 19 23 35 6 8 DIA 8 4 Non Dipper DIA 60 5 DIA 0 06 DIA17 20 sys mmHg kPa 139 18 5 DIA mmHg kPa 89 11 9 Mean mmHg kPa 105 14 0 HR 80 10 02 99 Diff mmHg kPa 51 6 8 7 68 1 02 70 6 8 Asleep Dip SYS 7 7 Non Dipper BPLoad Smoothness Index BP Variation Corr Morning Surge Arteriosclerosis Index 100015 Time 21th 18 27 21th 09 24 Total 24 27 Effective 29 Total 31 95 SD Max Min Time Time SYS mmHg kPa 142 18 9 1216 1 62 163 18 9 20th 19 23 118 189 24th 07 53 DIA mmHg kPa 91 12 1 7 02 0 94 105 124 241th 15 53 76 121 24th 07 53 Mean mmHg kPa 107714 3 8 35 1 114 124443 21th15 53 89 143 21th 07 53 HR 82 10 37 99 21th 16 53 61 20th 19 53 Diff 8 13 1 08 70 6 8 20th 19 23 35 6 8 20th 20 53 BPLoad DIA 55 2 BP Variation Corr DIA 9 64 Figure 20 4 5 7 View Histogram Histogram shows the percentage of readings which distributes different ranges Preview PDF File mmHg kPa 131717 5 mmHg kPa 83 11 1 mmHg kPa 98 13 1 Exit ESC Asieep Time 22 00 07 30 Total 9 30 Effective 9 Total 9 100 Time 21th 01 53 21th 05 53 21th 05 53 2
7. If select the White Coat Analysis then you can get the White coat analysis form which is based on the BP readings within first hour Data Program Read Management Exit Gate i seed Trend Statistics Histogram Pie Chart Correlation Hour Average Dr advice Patient Print Preview PDF File Exit ESC Main Statistics Time Slice Statistics Overall Time 20th 18 56 21th 19 23 Total 24 27 Effective 38 Total 40 95 Asleep Time 22 00 07 30 Total 9 30 Effective 9 Total 9 100 SD Max Time Min Time SD Max Time Min Time SYS mmHg kPa 142718 9 12 62 1 68 175 18 9 20th21 23 118 18 9 241th 07 53 SYS mmHo kPa 137 18 3 7 12 0 95 153 183 20th22 53 127 18 3 24th 02 53 DIA mmHog kPa 77 10 3 6 07 0 81 83 10 3 24th 15 53 62 103 21th 06 53 DIA mmHoa kPa 71 9 5 5 40 0 72 20th 22 53 62 9 5 21th 06 53 Mean mmHg kPa 98 13 1 7 01 0 93 112 13 1 24th 15 53 85131 24th 07 53 Mean mmHg kPa 92 12 3 5 35 0 71 112 20th 22 53 87 923 21th 02 53 HR 10 13 106 21th 15 23 63 21th 08 23 HR bpm 75 5 32 20th 22 53 70 21th 00 53 Diff mmHog kPa 64 8 5 41 33 51 109 85 20th 21 23 46 8 5 21th 10 53 Diff mmHa kPa 66 8 8 6 00 0 80 21th 06 53 58 8 8 21th 03 53 Asleep Dip gt SYS 4 4 Non Dipper DIA 10 4 Dipper BPLoad SYS 100 0 DIA 0 0 BPLoad gt SYS 71 1 DIA 0 0 BP Variation Corr SYS 4 82 DIA19 44 Smoothness Index SYS 0 04 DIA 0 02 BP Variation Corr SYS 24 60 DIA 41 05 Morning Surge Arteriosclerosis Index Awake Time 07 30 22 00
8. The first user should firstly set the database i e patient information and medical history database the database path may be set based on his her needs See the detail of path establishment in this chapter Software use Menu Management Configuration Data Configuration 4 1 Menu and Toolbar introduction 4 1 1 Menu e Blood Pressure Data Mainly patient information management playback and view e Programming Set blood pressure monitoring frequency and time input patient information and set functions and parameters for monitoring e Read Upload the blood pressure records into computer after measuring e Management Database path setting Data exporting importing function configuration lt on line help e Exit Exit the software 4 1 2 Toolbar e Trend charts Display raw data edit blood pressure threshold value set statistical parameter and show blood pressure trend curve e Statistics Record and analyze blood pressure at different intervals and count various parameters for reference e Histogram Distribution proportion of blood pressure records in different range e Pie Chart Proportion of the blood pressure records which are beyond the standard setting e Scatter Plots Linear fitting distribution of systolic pressure values relative to diastolic pressure values and to heart rate values respectively and correlation coefficient and distribution center points e Hourly Average Analyze the av
9. Total 15 0 Effective 29 Total 31 93 White Coat Time 18 56 19 53 Total 0 57 Effective 3 Total 3 100 Mean SD Max Time Min Time SD Max Time Min Time mmHoa kPa 143719 4 13 55 1 81 175 99 4 20th21 23 11849 1 21th 07 53 mmHoa kPa 155 207 5 72 0 76 163 207 20th 19 23 150 207 20th 19 53 mmHa kPa 79 10 5 4 82 0 64 88 105 21th15 53 69 405 21th07 53 mmHaikPa 78 10 4 2 05 0 27 8140 4 20th 18 56 76 104 20th 19 23 mmHa kPa 100433 644 086 112 133 21th15 553 85 33 21th07 53 mmHog kPa 103 13 7 0 94 0 13 104 43 7 20th 18 56 1023 7 20th 19 53 10 21 106 21th 15 23 63 21th 08 23 bpm 84 5 91 89 20th 18 56 76 20th 19 53 mmHa kPa 64 8 5 42 501 67 107 85 20th 21 23 46 8 5 21th 10 53 i mmHa kPa 77 10 3 7 32 0 98 87 10 3 20th 19 23 71403 20th 18 56 gt SYS 62 1 DIA 0 0 gt ISYS 100 0 DIA 0 0 BP Variation Corr SYS 17 24 DIA 22 08 BP Variation Com DIA 0 00 Figure 19 Asleep Dip it is the analysis about how much dip the BP readings descend from sleeping period to waking period Base on this analysis Hingmed BP program tell the patients which situation they belong to in below options Note The following statistical indexes just as a reference for medical staff e Reverse dipper A patient shows a decrease of 0 or less systolic or diastolic blood pressure readings taken during sleep compared to readings taken when awake e Dipper normal A patient shows a decrease of 10 20 systolic or diastolic blood pressure readings
10. Use the program supplied in setup disk to install Hingmed software Secondly Please place setup disk in the CD drive of your computer The CD will run automatically screen will display the installation instructions lf the CD does not work automatically operate as following a b Open my computer Double click CD drive and open the CD C d Double click to install the file of HingMed EXE Sr A A SA Operate by following the instructions on screen C Technology statement about Hingmed Website lf you have any trouble in using our product please refer to Management Help on the top toolbar of software or log in our website www Hingmed com for help If the problems are still unsolved please contact after service department of our company You can log in our website to download the latest version of software or turn to the after sale department of HingMed for help Contact way Company Shenzhen Hingmed Instrument Co Ltd Address 4F Zhonghangfeixiang Building NO 371 Guangshen Road Bao an District Shenzhen China Telephone 086 075523720600 Fax 086 075523720602 E mail info Hingmed com 32
11. User Guide of PC Software Version A 0 Date April 24 2014 Contents 1 Introduction to Ambulatory Blood Pressure Monitoring ee eeeeeeeeeen 4 Zecs Mecca aieel st A 4 3 SOMWale INSTA All Ol senncctnictmannisnaneinnntannianainnnnniaeynnnannniadnnnanababeianianndanaiamiaindadnontmenionanoenainnnent 5 SNETI ON O UMNA Y e 5 S Ee E ONA clic ee AA rT 6 2 S UNN StaliNg Me sok cl sent eT tr et etre ee tt ee re 8 Aseo ABPM SOMWANG osasia ne ECR AME Ke NN enaa E 8 A WISI UAC OOID AR WVU CNC LOU cetera tet ttt etc cate teagan 8 a a Pa SIN Ne MMe eccentric tons lll Detonation 8 Ae VOOIDAM uncommon a 9 Oy US arr eee 9 EEU WEE OCC CHOI A ces NE NEA AE A NEE snafus ques E E manip E anstianiaie 9 A E E reaa E E ee ee ee eT 9 A eN ON aeeaeenere enter entrrce ne ee nee nen 9 Doe CIMA UIT VE O cere cece eee a a eee a ee eee eee oa 11 AREE mle O ect tetera E E E E E T 13 4 4 Data information management sssseseesssssssrrrrrrrrrrrrrrrnnnsssrrnnnnrrrrrrnttttnssrrrrnnnnrrrrrrnne 15 Bhs ANTM ONION a A A A A A ee rated 15 a a iad 016d AEA E EE E 15 AAS DeLee and Adii Taea aa 16 Ao LOODA S O aaa ee iat 17 4 5 1 Edit and study an ambulatory blood pressure sssssssssssssssssssssssssssssssssssnssnnnssssnns 17 4 5 2 View Ambulatory Blood Pressure ABP StUdY ee eeeeeeeree 17 4 5 3 Edit an ambulatory blood pressure ABP study sssssssssssssssssssssssssssssssssssssssns 18 4 5 4 Adjust blood pressure Threshold ssssssssssssrrrrssss
12. a proper one by his or her demand The minimum demands for computer configuration e Windows 2003 Windows XP or more advanced Windows system e The minimum display adapter 1024 768 resolutions with at least one available USB port e Minimum 20M disk space 3 software installation 3 1 Version Summary There are two versions of the software server version and stand alone version Custor could choose one of the two The details of version are as following al Server version Several customers in a Local Area Network LAN could access t 5 database at the same time if one computer or the LAN server is installed of server side The data that related to the software is shareable among computers But once the computer host with server side or the LAN server is closed other computers would not access It fits hospital b Stand alone version The stand alone version is software used on a single computer The data is not shareable among computers Version information Hingmed ABP software version 1 0 released at April 24 2014 Note The information in the guide may lag behind due to the version upgrading The actual version and release date refer to the message on the software 3 2 Install the software The only difference between the two versions is server version need the installation of server side The installation is as following 3 2 1 Install MySQL database a Input IP address b Find the file MySQL 5 5 Comm
13. ample 2 White Coat Hypertensi Sample 1 Systolic Hypertension Basic Information Patient ID Gender 2015623103447 Male Female Name HIS Ho Nationality Birthday Phone No ZIP Email H Identity Humber Social Security No Address m Figure 10 On the top right of the dialog box there is the searching way by name and number You can use this function when there are too many patients and it is difficult to find the target patients through screen viewing Input the patient name and or number the possible patients will display on the In searching box Double click the patient name you wanted to obtain the details of data 4 4 Data information management This function is managing patient files and data in main window 4 4 1 Import The function allows the user to copy the patient data from outside to a target computer a Copy outside pressure data and store the data in a directory of a target computer b Open software and click Management Import c Enter the dialog box as Figure 11 and click Query Measure No Figure 11 d Select the wanted patient in the directory and click it e Click Import to open and analyze the data 4 4 2 Export 15 The function exports the ABP data Steps are as following a Click Data and select the target data b Click icon or double click patient name Room time Measure time b
14. and Line Client in installation disc Double click and install the software Note Follow the instructions in disc to operate except the options displayed in Figure 1 need modification BySQL Server Instance Configuration Vizard MySQL Server Instance Configuration Configure the MySQL Server 5 0 server instance Please select the default character set Standard Character Set Makes Latini the default charset This character set is cuted for Engish and other West European languages C Best Support For Multilingualism Make UTFS the default character set This is the recommended character set for storing text in many different languages Manual Selected Default Character Set Collation Please specify the character set to use Character Set ini X Figure 1 3 2 2 On above dialog box you should a In third option select gbk or gb2312 from the dropdown menu b As Figure2 run the script rodb txt in the server mysqiclient run command is source space key text path text name H Database configuration MySQL Sever IP 192 168 1 100 Database name Hinged User name hingmed Passwords 123456 Port 3306 Save Figure 2 The accomplishment of this step indicates the successful installation of server side 3 2 3 After installing the sever side the next steps of installing the sever version are the same as stand alone version put the Install
15. as bpm Heart Rate Asleep Max 106 21th 15 23 Max 88 20th 22 53 Max 106 21th 15 23 Min 63 21th 08 23 Min 70 21th 00 53 Min 63 21th 08 23 if bpm Heart Rate Awake Heart Rate Asleep Heart Rate All Figure 22 These Pie charts contain the information of systolic pressure diastolic pressure and heart rate in the whole day daytime and nighttime a The pie chart is based on the BP standard on the left The data on the left of each pie chart are the highest and lowest readings and happening time during related time slot b The red part in the pie chart represents the proportion of readings beyond standard setting The green part represents the proportion within the standard setting c Maximum represents the maximum reading during the measuring period Minimum represents the minimum reading during the measuring period d The BP standard on the left side cannot be adjusted If it needs to be adjusted please go to Trend Threshold Edit Threshold see Figure 17 for details 4 5 9 Check Correlation User can check the linear fitting gragh of ABP study by clicking Correlation in the second r of top toolbar See Figure 23 Linear fitting gragh makes all the BP readings to fit linearly it establishes the regress 25 equation to analyze the linear relationship between systolic pressure and diastolic pressure as well as systolic pressure and heart rate For instance in the data 120 80 65 respectivel
16. ation CD into CD drive then follow the steps below a Open my computer or computer b Click CD drive and find installation software HingMea select server software version or stand alone software version according to your actual need c Double click the installation program and click next next Select a language Chinese or English and click next and continue to install On the final dialog box click close to finish the installation as Figures jf HingmedClient Sms Installation completion ESBS HingmedClient has been installed Click Close to exit Please operate Windows Update to inspect the important update of NET Framework Figure 3 After installation an icon as Figure 4 displays on the computer table PC software of Hingn ABPM has been installed in your computer successfully HingMled ABP Figure 4 3 3 Uninstalling the software The uninstallation of the software Is as same as that of common software a Click start find the icon of HingMed blood pressure software in program click uninstall b Or uninstall on control panel 4 Use of ABPM software The use of ABPM software is very simple and flexible e Connect the software to monitor by USB data wire e Collect and retrieve the records e Moreover users could set the parameters through PC software to control the measuring activity
17. ct blood pressure threshold in line with actual situations c Click Update for successful update 20 Ia Set Measure Stand He Vessels ol Exit ESQ Measure Code AHA JHC7 ESH Awake Asleep 140 90 85 120 80 75 Default 140 90 85 120 80 75 Manul Figure 17 4 5 5 View Analysis Function Click Analysis Function on Trend interface see Figure 18 Threshold Analysis Function wo White Coat Analysis BP Variation coefficient w BP Smoothness Index Arteriosclerosis Index Ww Morning Surge Figure 18 The tab contains five options White Coat analysis BP variation coefficient BP smoothness index Arteriosclerosis index Morning Surge The interpretation of these terms is presented in the following Note You can choose to enable or to disable the White Coat analysis The white coat syndrome affects patients whose blood pressure is abnormally rising when they are in a medical environments Enable the white coat analysis by ticking V in the box the other options are as the same 1 chosen indexes and their statistical result will be displayed in statistical table View statistics Click Statistics Main statistics in the toolbar and open the statisti 21 analysis The tab as Figure 19 displays e Whole day analyze all the data of measuring period e Daytime the data of awaking period e Nighttime the data of sleeping period e White coat time
18. cts the stability of blood pressure decreasing Morning Surge MS The biggest fluctuation of blood pressure usually occurs in early morning At that time the patients become active from sleeping state and the blood pressures rise rapidly up to a high level even up to the highest level in a day The MS is the average value of systolic pressure readings within 2 hours from awaking minus the average value of the lowest systolic pressure readings within one hour in sleeping state Ambulatory Arterial Stiffness Index AASI AASI is an index reflecting the arterial stiffness The index value is attained by processing and calculating the 24 hour s ambulatory monitoring data AASI is formulated as 1 f f is a regression slope of the diastolic blood pressure and systolic blood pressure It reflects the severity of arterial stiffness AASI values approaches to 1 more closely it means the arterial stiffness is more severe It reflects the stiffness of the whole arterial system not just some parts of the system 4 5 6 View Statistics in special period If you program the BP measuring in special period then the software can count the readings in the special period individually click Statistics Time slice statistics see Figure 20 23 aha Read aai ZrO BBS Histogram Pie Chart Ee Hour Average Dr advice Patient Print Data Trend ed Main Statistics Time Slice Statistics 100014 Time 20th 18 5
19. d please see 4 3 2 4 b for details of color configuration Adjust the size of graph by a Adjusting vertical axis Move mouse pointer on vertical axis area Press mouse left button pull the pointer upward or downward to adjust the size of graph when the pointer becomes double headed arrow b Adjusting horizontal axis Move mouse pointer on the area below horizontal axis Press mouse left button pull the pointer on the left or right to adjust the size of graph when the pointer becomes double headed arrow Adjust the size of table by a Moving the mouse pointer on the bottom lines b Pull the pointer upward or downward to adjust the size when the pointer becomes double headed arrow 4 5 3 Edit an ambulatory blood pressure ABP study You could edit the ABP study when you view the historical data 1 Exclude the records In the trend tab records marked by monitor will not be analyzed and will be neglectec printing user can also mark by moving the cursor to the relevant box of Tag column tt click by left mouse button to exclude the data that will not be analyzed by user s nee 18 meanwhile user can also delete by clicking the left mouse button If a measurement failure j without records occurs the data will be marked with in retrieving The marked data will be neglected in analysis could not be cancelled manually 2 Select data a If select one reading in th
20. e form there would be a vertical broken line on the trend chart marked the reading points b If select one reading point on the trend chart there will be a vertical broken line and the relevant data in the form will become blue background 3 Data in the table a The interpretation of the terms Systolic Pressure Diastolic Pressure and Heart Rate sees the View Hourly Average in the guide b Event code EC it is the code of event causes Software identifies incorrect records a automatically during retrieving and marking with or P in Tag column The code will be given in EC column and the event causes will be listed in Comment column c Body position It is a characteristic feather of our monitor Our monitor can judge the body positions during the application The body potion options are Stand Sit Slight Motion Lying and Heavy Motion etc d Comment it is written by doctor doctor can make an option in accordance with patient s actual situations Details refer to Figure 15 Figure 15 4 Adjust daytime awake nighttime asleep Daytime and nighttime have been set in programming You can change the setting later if needed Operation as follows a Select Threshold on Trend chart b Click Edit Awake Asleep Period to adjust the awake time and asleep time c As Figure16 you could move the Time Slice to reset awake t
21. erage hourly of systolic pressure diastolic pressure mean pressure heart rate pressure amp rate product and the comparison analysis of one patient in distinct time e Medical Advice Condition description doctor s diagnosis and prescription e Patient Details Fill in patient information details and medical history e Printing Print the reports e Print Preview Preview the report e PDF Files Report of Adobe Portable Document Format e Exit Exit current database 4 2 Software use Connect the Hingmed Ambulatory Blood Pressure Monitor ABPM to computer through USB data wire Make sure the monitor is removed from patient and connect the ABPM to your computer by USB data wire 4 3 Menu introduction The command functions in menu contain Exit Management Programming Read and Blood Pressure Data 4 3 1 Exit Click Exit to exit the software after the operation finish 4 3 2 Management Mainly modify the configuration of the basic settings of the software The command conta some subcommanads Import Export Help and Configuration 4 3 2 1 Import Import the patients data from computer to software for further study The format of the data must be consistent with the requirements of the software and this data are generally uploaded by other users from the software 4 3 2 2 Export Export the patient data from the software 4 3 2 3 Help Use this function when you have troubles in software use 4 3 2 4 Configura
22. ime and asleep time in the tab The dark part represents asleep time and white part represents awake time clock is Beijing Time i e 12 00 is noon 18 00 is 6 p m 00 00 or 24 00 is midnight d Click Update for successful update 19 5 Set Measure Awake Asleep time SP orz Hx Vesatetrs X Delete F4 DA Exit ESQ r 0 00 Measure Code 2 18 00 Name Sample S Arteriosclerosis 12 00 Awake From07 30T022 00 Time To GetUp i TEEEyTIREGEETanE Tan SOIT PREIS REE TTT EER Time To Bed Figure 16 4 5 4 Adjust blood pressure Threshold Blood pressure threshold applies to all patient files and contains JNC7 AHA ESH default setting and user defined JNC7 AHA according to the Seventh Report of Joint National Committee of USA on the Prevention Detection Evaluation and Treatment of Hypertension the threshold during waking period is 135 85 85 and 120 75 75 for sleeping period ESH The ESH European Society of Hypertension guides the threshold is 135 85 85 for waking periods and 120 70 75 for sleeping periods Default setting The default setting for Hingmed is 140 90 85 for waking periods and 120 80 75 for sleeping periods User defined It applies to all studies for a particular patient The setting can be adjusted individually in line with actual situations Operation as follows a As Figure 17 select Threshold Edit Thresholds in Trend chart tab b Sele
23. ison 21 00 21 59 164 21 9 748 9 104 13 9 89 11 9 i 12 20 2013 22 00 22 59 153 20 4 80 10 T 104 13 9 73 7 88 13 5 12 20 2013 23 00 23 59 140 18 7 73 7 394 12 5 67 8 9 76 10 6 12 20 2013 systolic BP 00 00 00 59 139 18 5 75 10 0 96 12 8 646 5 70 9 7 12 21 2013 01 00 01 59 136 18 1 76 10 1 95 12 7 60 8 0 73 9 9 12 21 2013 Diastolic BP 02 00 02 59 127 16 9 68 9 1 87 11 6 59 7 9 72 9 1 12 21 2013 03 00 03 59 130 17 3 728 6 31 12 1 58 7 7 70 9 1 12 21 2013 04 00 04 59 132 17 6 65 8 7 87 11 6 676 9 78 10 3 12 21 2013 l Heart Rate 05 00 05 59 134 17 9 68 8 1 89 11 9 66 6 8 72 3 6 12 21 2013 l mmHg bpm l Mean BP kPa bpm SYS Rate 1000 0 30 0 40 0 M SyYS Rate 1000 250 25 0 33 3 200 20 0 26 7 150 15 0 20 0 100 10 0 13 3 50 5 0 6 7 00 0 0 ck 48 19 20 21 22 0 1 3 6 8 9 12 13 14 15 16 17 18 19 Time Hour Figure 24 Users can tick and select the indexes of Systolic BP Diastolic BP Mean BP Heart Rate lt SYS Rate 1 000 26 e Systolic Blood Pressure SBP The highest arterial blood pressure reached when the ventricles are contracting WHO standard hypertension adult SBP 2 140mmHg or and DBP 2 90mmHg borderline hypertensive adult SBP 2130mmHg and lt 140mmHg normal pressure adult SBP lt 130mmHg ideal pressure adult SBP lt 120mmHg e Diastolic Blood Pressure DBP The lowest arterial blood pressure when the ventricles are relaxed and the a
24. mparison Then the screen will give the hourly average comparison of the two dates readings 4 5 11 Check Doctor s advice You can check or edit doctor s advice prescription and the information of doctor in charge by clicking Dr advice in the second row of top toolbar Dialog box as Figure 25 pops up 2 Program Read Management Exit Trend Statistics Histogram Pie Chart Correlation Hour Average Dr advice Patient Print Preview PDF File Exit ESC m Advice _ Medications Patient used to be systolic hypertension 24 hours ABPM confirm that he still has it Have medication arrangement and follow up another ABPM in 2 weeks fo assure proper control The ABPM study also shows that patinet AASI is very high much more than the limitation of 0 55 Suggest to do further inspection of arteriosclerosis EEEmedicine 5mg each time o nce everyday Doctor Medications HimgMed Dose Frequency Save z z Add Attention Double Click To Del Figure 25 To edit Advice or Medications please a Select Dr advice input your advices in Advice column b Increase the information of medications please Firstly Inout medicine name to the blank of Medications in the bottom Secondly Input Dose Frequency click Add to add the messages to above box c Click Save after completion of inputting 4 5 12 Edit details of patient Depending on the actual conditio
25. ns users can edit Basic Information Patient ID Gender Name HIS NO Social security NO Nationality Phone NO E mail Zip code Identify NO and Address etc and Hospitalization Information Date Weight Room NO Height Department Medical history etc See Figure 26 28 Data Program Read Management Exit Ed 8 Fee i Trend Statistics Histogram Pie Chart E A Hour Average Dr advice Patient Print Preview PDF File Exit ESC Basic Information Patient ID Gender 4651111115 C Male Female Name HIS No Social Security No Sample 5 Arteriosclerosis A523 B456 laggggggg Nationality Phone No Email China ka655555555 f gg 1i63com tis Zip Code Identity Number 51 8000 999999999999999999 Address In Hospital Information In Date Weight p a0 kg Room No Height Ma2 h70 o Department Age Medical History a Save Figure 26 To edit details of patient please a Select Patient on second row of top toolbar b Then input the information in the blanks directly c Click Save after updating the information 4 5 12 Create report Print preview a To create and view BP analysis report click Preview on second row of top toolbar it appears Preview dialog box see Figure 27 E Print Page Selected p Frint Information Iv Front Page i Statistics I Bar W Pie IW Correlation Iw Average W Detail Preview Exit
26. onitor is an auxiliary diagnosis Doctor could give advice to use this medical device by his her judgment if the patient is e Hypertension e Hypopiesis e Borderline hypertensive BH renal inadequacy e Control efficacy of anti hypertension drug evaluation and so on Users should refer to documents before application the first document is User Manual which is mainly about the application of pressure monitor host and the second document is User Guide of PC software which is mainly about the application of PC software 2 Software introduction The software is a simple powerful application that allows maximum flexibility in the ambulatory blood pressure study interpretation and reporting The functions of the software include data playback management of medical advices and patient data analysis of measuring records review of trend chart comparison of patient data and blood pressure values in different body positions report printing and so on The software is easy to use that is if only operator can operate computer and know the basic operation of windows system Users should read this user guide carefully before use The menu driven design of the software enable user to analyze the ABP data in a number of ways User could decide the items of report by his or her demands Overview of the blc pressure characteristics in data analysis report could help to evaluate the blood pressure d Home page of the report
27. ormation but do not display BP readings which can avoid unnecessary impaction to subjects who see the measuring results Note that the setting of disable will only start to work after 30 minutes later within 30 minutes screen will still display the BP readings If choose Enable the screen will display BP readings normally 10 Keypad There are enable disable options If choosing Disable the functions of the keys will disable except power on and power off and measuring process will follow the programming Note that the setting of disable will only take effect after 30 minutes user can still start stop measuring within 30 minutes 11 Time Interval Two modes are optional i e Standard or Fixed For standard mode there is 2min of deviation For fixed mode there is no deviation 12 Daytime alarming Enable or Disable is optional Select Enable the monitor will alarm at daytime if the reading exceeds the setting value Select Disable there is no alarm 13 Nighttime alarming Enable or Disable is optional Select Enable the monitor will alarm at Nighttime if the reading exceeds the setting value Select Disable there is no alarm 14 Maximum systolic pressure setting Upper limitation setting of systolic pressure alarming monitor alarms when the readings are higher than the upper limitation 15 Maximum diastolic pressure setting Uppe
28. pty the device s data then it pops up the dialog box shown in Figure 8 re program the monitor for further measuring ep aor Pr eee gt 4 Detete F4 ol Exit ESC Patient ID Name Weight de dede dedede deee REEEKEKERE XX In Hospitalized No Room Ho Height XXXXXKXXXXXX XXX XXX Department In Date Age maa Coo ia Medical History XXXXXXXXXXXXXXXXXXXX FK_PATIENT_SERI RECORD_TIME eeeeee Figure 12 16 e Double click Room date by the left mouse button then click the Measure Time by the right mouse button then user can select the operations of Export data Set standard BP Set awake and asleep Delete the measure Note 1 Operation of Program can delete the data saved in the monitor 2 After operation of Read click Save on the dialog box or the data would be lost 4 5 Toolbar use 4 5 1 Edit and study an ambulatory blood pressure Introduce the function of trend chart select the patient data double click Room date and double click Measure Time then data trend chart shows on the software see Figure 13 Data Program Read Management Exit ea 8 TANA nd Statistics Histogram Pie Chart Pr rrelation Hour Average Dr advi STOR a Exit ESC i Threshold Analysis Function 163 301 7 76 10 D 88 TE 2013 19 23 150 20 0 78 10 4 76 12 20 2013 19 53 00 0 00 0 0 12 20 2013 20 23 4 135 18 0 75 10 0 91 12 20 201
29. r limitation of diastolic pressure alarming monitor alarms when the readings are higher than the upper limitation 16 Minimum systolic pressure setting Lower limitation of systolic pressure alarming monitor alarms when the readings are less than the lower limitation 17 Minimum diastolic pressure setting Lower limitation of diastolic pressure alarming monitor alarms when the readings are less than the lower limitation 18 Unit mmHg or Kpa is optional unit of the readings E OF i 19 Complete other blanks And Click to upload the information to monitor Monitor sounds beep after successfully programming and at the same time the screen shows a message programming success No beep means a failed programming 4 3 4 Read This function searches the data in the monitor meanwhile upload them to computer C Read dialog box as below Figure 9 pops up 13 BlueTooth Figure 9 Users could use USB data wire to obtain data click Read the data will be searched and uploaded to computer the monitor sounds Beep when reading completion no Beep means timeout and retrieving failure ATTENTION Click Save after the reading completion or the data will be lost The monitor which is conducted in the programming stage there would be a name checking in the column of the dialog box Same name patients see Figure 8 for details if it s the same pe
30. reasons re measure Measurement overtime exceed 150s in Keep quiet Press Start Stop button to adult children mode re measure Keep quiet Press Start Stop button to EC 10 Manually stop ep een EC 11 Reopen device If the error is frequent ask professional to maintain EC 16 Cuff pressure exceeds the maximum Reprogram in PC software and raise setting the maximum setting EC 32 Handshaking communication failure in po Step a a tie EC 33 Safety pressure exceeds 15mmuHg Deflating until the pressure is lower cannot measure again than 15mmHg and re measure EC 34 Measurement finish measure again when Deflating until the pressure is lower the pressure is still above 15mmHg than 15mmHg and re measure EC 35 No response after start measuring and Press Start Stop button to measure measurement fails again EC 36 Measuring results are unattainable heey pal ep err on Temes tte EC 37 Measurement overtime Measure again EC 48 Full of internal memory cannot measure Empty the data after program the again monitor If the event could not be corrected please call agent or after service department of Hingmed for help System error O O 6 Notice A The software supports the analysis of 72 hour successive records at most and the softw will not support the analysis of records which are exceeded 72 hours 31 B Technology assists to Hingmed ambulatory blood pressure monitoring software Installation Firstly
31. rson you can select the name in the column and then the new BP data will be automatically saved under the same patient name in the process of data retrieving While retrieving data after connecting monitor with computer if there is no patient name in the monitor namely user didn t program the patient name into the monitor while programming or the name was deleted there would be a question comes out New patient Select the answer of Yes to precede the data retrieving After the data transition finished please input the patient name If there is the same name in the computer then it will ask Is it the same person If select answer of Yes then the data will be saved under the same person If No the system will be saved under separate patient name even though it s the same name Note Repeating retrieve would also pop up the dialog box of New patient BP blood pressure records The measuring times in total Red digitals are uploading records from monitor to software black digitals are records stored in the monitor 4 3 5 Blood Pressure Data This function can view the user data and data playback also can edit user data Press Data at the top toolbar the dialog box as Figure 10 pops up then select patient required on the left 14 f All Record In Searching Fl Sample S Arteriosclerosis Query Name l Sample 4 MS Hypertertension a Sample 3 Comparison Study Query Patient No H S
32. rterial vascular walls elastically retract e Mean Arterial Pressure MAP It means the average value in the artery over the period of one heart beat its average value of normal adult is 70 105mmHg it is calculated MAP SBP 2 DBP 3 or MAP DBP 1 3 SBP DBP e Difference of Pulse Pressure It is calculated by subtracting the diastolic from the systolic reading It is another hemodynamic parameter that may serve as an indicator for cardiovascular risk e Heart Rate HR The number of heartbeats per unit of time usually expressed as beats per minute The HR is 60 80 times per minute for normal people Activity will increase the HR The HR of athlete is slower than normal people e Pressure Rate Product PRP This is the product by multiplying the average systolic reading and the average heart rate then divide by 1000 PRP strongly correlates to a patient s action and body position and may be a key indicator of cardiovascular risk e Comparison It is to compare the BP readings collected at different dates on the same patient based on the hourly average data such as to compare the BP reading of today and two weeks ago then we can find if there would be BP reading improvement after two weeks treatment which can help doctor to make further diagnosis The operation processes are Open patient data click comparison on the hourly average screen the screen gives options of different measurement date select one date to precede the co
33. srrrrrrrrssssrrrrrrrirsseernrrrnresnernns 20 45 5 VIEW ANALYSIS FUNGUO sssini 21 4 5 6 View Statistics in special period ssssssssssssrrirrrsssserrrrrrrissserrrrrrrirssnerrrrinnreseerrena 23 AO NEW cal O16 esha hee mene eee mer eee eee eee ee eee eee nee eee een ee een een een eee een een ee eee ee eee 24 AD ONION PIE CNAN Meee eT ee eee ne ee ee ree een at 25 A 5 9 CHECK COR GIAO indin EE E E 25 45 10 Check AOU FAV NAC sec ccc ccc 26 ores Wy Os a 0 DOCO S AOOO ee ee ne Tt A 12 EGIL OSAS DAE EE erature a Wo a Pan lt 2 OPODO eaaa rere errr E errr rere re rere ctr rr rrr rrr tr er ie eM O E E A 5 Event code descpron and OS ON ITN IA arie he eae 6 Notice 1 Introduction to Ambulatory Blood Pressure Monitoring Ambulatory blood pressure monitoring is a diagnosis technology for collecting blood pressure data at intervals for 24 hours and a clinical tool for collecting many blood pressure data Currently in clinic the parameters widely used in ABPM ambulatory blood pressure monitor contain systolic pressure SBP diastolic pressure DBP pulse rate PR mean blood pressure overnight changes in blood pressure white coat analysis blood pressure variability blood pressure smoothness index arterial stiffness index and morning peak index and so on Ambulatory blood pressure monitoring is superior in predicting target organ damage morbid events or cardiovascular risk Scope of application Hingmed Ambulatory blood pressure m
34. supplies the basic blood pressure analysis and patient informati 4 Statistical analysis histogram hourly average fitting chart and pie chart indicate the blood pressure trend well to assist in patient treatment Statistical calculations including Difference of Pulse Pressure and Pressure Rate Product provide further analysis of patients The PDF report creates by the software makes it easy to share the information of the patient Any of the following combination could be contained in the report e Patient information on the home page blood pressure data analysis statistical result trend chart and diagnosis and so on e Statistics e Histogram pie chart and fitting chart eHourly averages of collected ABP readings with additional statistical analysis Detailed record of collected ABP readings Hingmed software has a good capacity of storage and retrieval of history data The stored data is never lost even if the software is reinstalled after uninstalling the software which attributes to the separation of software installation path and database path Under fault condition the history data could be retrieved by restarting the software even when monitor is disconnected lf the software failure is due to system problem or other problems shut down the software and restart it The software is open it is no need to set the passwords or access authority Both Chinese and English versions are available user could select
35. taken during sleep compared to readings taken when awake e Non dipper abnormal A patient shows no decrease or less than a 10 decrease meaning his or her blood pressure does not fall during sleep compared to the readings while awake Extreme A patient shows a 20 decrease of systolic or diastolic blood pressure readings taken during sleep compared to readings taken when awake Blood Pressure Load BP Load The percentage of readings exceeds the upper limited threshold e g 75 4 of BP Load means that 75 4 of the readings are above the up limited threshold The possibility of hypertension correlates with the BP load h 22 percentage of BP load means more possibility of hypertension BP Load is counted in distinct period based on different systolic pressure and diastolic pressure Blood pressure smoothness index Sl SI is an index of evaluating the antihypertensive effects Ambulatory Blood Pressure Curve Smoothness Index is a ratio of the average of hourly dropping values to standard deviation after 24 hours medical treatment High SI value means better and more balanced antihypertensive effects Blood Pressure Coefficient of Variation CV CV is a ratio of standard deviation to BP hourly average decreasing The index reflects the blood pressure fluctuation in a certain period of short term or long term The CV values of 24 hour daytime or nighttime represent blood pressure fluctuation of distinct period Sl 1 CV refle
36. tion allows users to select the wanted statistical items Tick the box before item you want which means the analysis results will follow the ticked items and vice versa 17 Data Program Read Management Exit x Be kh O 1S aed tt x Trend Statistics Histogram Pie Chart Correlation Hour Average Dradvice Patient Print Preview PDF File Exit ESC m DIA 8100 8 Threshold Analysis Function MV White Coat Analysis 152 20 3 81 o i le d 1 52 20 3 81 00 8 89 Slight Motion 2 163 21 7 76 10 1 88 12 20 2013 19 23 Slight Motion 3 150 20 0 7800 4 76 12 20 2013 19 53 Sit Stand F 4 0 0 0 0 0 0 o 12 20 2013 20 23 4 Sit Stand Weak signal M BP Variation coefficient 5 135018 0 7500 0 91 12 20 2013 20 53 Sit Stand M BP Smoothness Index 6 175 23 3 74 9 a1 12 20 2013 21 23 Sit Stand T 153 20 4 75 10 0 oT 12 20 2013 21 53 Sit Stand 2 9 153 20 4 8010 7 88 12 20 2013 22 53 Lying MV Arteriosclerosis Index M Morning Surge 140 18 7 7368 7 TG 12 20 2013 23 53 Lying 139 18 5 75 10 0 70 12 21 2013 00 53 Lying le le le le le le lole a o gt 70 Oxo Time Hour Figure 14 From Figure 14 the shaded area with different colors means the studying period Default color meanings are e Blue Shadow White coat period it means one hour period after measuring e Light Gray Shadow Asleep period e Green Shadow Morning peak period The color could be change
37. tion a Database configuration Database configuration method management gt configuration gt Database configuration The dialog box as below Figure 5 pops up _ ee oe a Be Jatabase co SQLite Database path D Hingied DataBase Database name HingMedDB20140808 Create Figured O Create Select then click l User may set individual storage path click Save then the following search or uploading data will be stored in the setting path automatically b Color configuration Database configuration method managemenit gt configuration gt color configuration The dialog box as below Figure 6 pops up Users may modify the color by their demands Restart the software the color modification will become valid 10 Pa UHE A Exit ESC cy ee E Ai N Thite Coat Background DIA Morning Heart Rate SYS Histogram DIA Histogram SYS Rate 1000 HeartRate Histogram SYS Standard Over Thresholds FieChart DIA Standard Under Thresholds PieChart Asleep Background Middle Thresholds FieChart Figure 6 cO Hospital information configuration Database configuration method management configuration hospital information The dialog box as below Figure 7 pops up Hrs Urte ol Exit ESC Hosptial Name Internet Address Telephone pees o ooo Figure 7 Fill in with hospital information click Update at top left corner and click E
38. xit The hospital information will appear on the top of printing page 4 3 3 Programming Mainly set the monitoring frequency and time import patient information and set the functional parameters of monitor through PC software shown in Figure 8 11 Set Measure Time Patient No Begin Time End Time Minutes 2015713165034 re 07 30 vfis 00 vfiz0 HIS Ho In Hospital Date 19 00 07 20 Bal 120 2015 07 13 xjl xj i Hull vi Null vj Null Department Room No o l j Null Null Null Null Hull mal teke be be be Gender Male Female Identity Number Weight nO Max Pressure mmHg Display 280 Enabled Social Security No Height nable Keypad Intervals Enabled Standard Phone Ho Age L Awake Alarm Asleep Alarm Zip Code Disabled Disabled n Address E oO Same Name Patients Measure Unit mmHg V Begin In Five Minutes EA 0K BlueTooth Efi Figure 8 1 Patient No Patient number set by doctor or hospital system 2 Name Fill in the patient s name which is required or the programming will fail There is no limitation on patient name quantity Same name patient 3 Patient of same name it locates on the left bottom corner If there are the same patient names in the system when inputting patient name then the same patient name will display in the blank If the names are verified to be the same patient as
39. y means systolic blood pressure diastolic blood pressure and heart rate 120 80 corresponds to one point in the left graph and 120 65 corresponds to one point in the right graph Data Program Read Management Exit Ga Trend Statistics Histogram Pie Chart Correlation Hour Average Dr advice Patient mmHg kPa SYS DIA y f x y 0 92 x 70 44 Correlation Coefficients R 0 44 R R 0 20 180 Distribution Center S 77 142 24 0 2 Seed Preview PDF File Exit ESC mmHg kPa SYS Rate y f x y 0 80 x 75 85 Correlation Coefficients R 0 64 R R 0 41 180 Distribution Center S 82 142 24 0 160 160 21 3 21 3 S S Y v S440 S mo 18 7 18 7 120 120 16 0 16 0 100 100 13 3 13 3 50 60 70 80 90 100 60 80 100 120 6 7 8 0 9 3 10 7 12 0 13 3 DIA mmHg kPa H R mmHg kPa Figure 23 4 5 10 Check Hourly Average You can view hourly average readings by clicking the Hour Average in the first row of top toolbar The readings display in the table See Figure 24 Data Program Read Management Exit Na 4 A H Gila mA Le J Fy KA es 4 Trend Statistics Histogram PieChart Correlation Hour Average Dradvice Patient Print Preview PDFFile Exit ESC Time Systolic BP Diastolic BP Mean BP Pulse Heart Rate SYS Rate 1000 19 00 19 59 156 20 8 TT 10 3 103 13 7 79 10 5 82 12 20 2013 20 00 20 59 135 18 0 75 10 0 95 12 7 60 8 0 2 12 20 2013 Compar
40. y Indicates that the reading was measured manually by pressing the Start Stop key on the monitor Indicates that this reading was a re measuring reading it starts measuring blood pressure by pressing the Start Stop key manually and obtains the reading Indicates that the records exceed the standard setting 5 Event code description and resolution Event PE EC 01 Loose cuff caused winding loose or cuff is Retighten cuff or keep correct post not winded when measuring 30 Resolution Tighten connector and check cuff and hose Contact with distributor if leakage cannot be stopped EC 03 Pressure error valve does not open Check whether electromagnetic valve normally works normally or not EC 04 Weak signal too weak pulse or loose cuff Tighten cuff if it is too loose Blood pressure exceeds range maybe the Press Start Stop button to measure subjects BP pressure exceeds the again If problem persists change a maximum measuring range monitor of larger range to retry EC 06 Excessive motion maybe signals contains Keep quiet and don not move the arm too much motion artifact or interference with BP cuff in measuring Overpressure in adult mode the pressure Press Start Stop button to measure EC 07 exceeds 290mmHg again Gas Leakage due to valve or air circuit EC 02 leaks EC 05 EC 08 Saturated signal large signal amplitude Keep quiet press Start Stop button to due to motion or other
41. y the left mouse button select measure time click the right mouse button and select Export data in the Pop Menu c Choose a storage path in the Pop Menu and click store to store the files in the defined directory d Alternatively export data by opening the wanted data and click Management Export in the menu Choose a storage path and click Save 4 4 3 Delete and add This function allows you to delete the data of one or several patients All of the blood pressure data of the patient will be deleted by this function Operate as following a Click Data it pops up the dialog box as Figure 10 b Delete patient data select the target patient and click the right mouse button then select Delete the patient in dropdown menu to delete the data c Add patient data select the target patient and click the right mouse button then select Add being hospital in dropdown menu then it pops up a dialog box named In Hospital Information see Figure 12 user can update delete or add information in the blanks except blanks of Patient ID and Name then click Add Update Delete on the top and click Exit to shutdown the dialog box d Add measuring data double click the patient name by the left mouse button then click the Room date by the right mouse button select Add measure select Yes on the box of Would you want to em
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