Actiheart Guide to Getting Started
Contents
1. 2 5 Installing the Software Once the hardware is installed select My Computer from the Start menu on the host PC Select the drive which contains the CD with the software on This is typically either the D drive or E drive Double click on the Actiheart software folder which will bring up the following screen Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 10 Actiheart Release SW V 2 2 File Edit View Favorites Tools Help Back amp J Search iP Folders FE Address C Program Files Actiheart Actiheart Release SW V 2 2 a E Go Norton Antivirus wi a Actiheart User Manual V 2 2 doc Actiheart V2 2 msi File and Folder Tasks G usb drivers Microsoft Word Document Windows Installer Package 4 735 KB 30 780 KB Make a new folder ExtEdit exe The Actiheart Guide to Getting Started The Actiheart Whats New V2 2doc Publish this folder to th r a ac ore wA Shortcut wj V2 2 doc w Shortcut 1 KB Z Shortcut m 1 KB E Share this folder Other Places Actiheart 3 My Documents Shared Documents i My Computer My Network Places Then double click on the Installation file called Actiheart4 msi The following screen will be displayed Windows Installer Preparing to install Cancel Follow the on screen prompts through the following screens Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 11 i Actiheart 4 Welcome to2. cam tech The Actiheart Guide to Getting Started Issue Date 6 02 09 Issue Version 4 0 25 Document No 30071 CamNtech Ltd Upper Pendrill Court Ermine Street North Papworth Everard Cambridge CB23 3UY Tel 01480 831223 Fax 01480 831733 Email technical camntech co uk Website www camntech co uk This manual is designed to be read in conjunction with the Actiheart Manual Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 1 Actiheart Medical Device Information The Actiheart is a Class Ila Medical Device conforming to the essential safety amp health requirements and provisions of EC Council 0120 Directives 93 42 EEC Annex V and VII CamNtech Ltd has been assessed and certified as meeting the requirements of the above directive by SGS United Kingdom Ltd Notified body number 0120 Actiheart certificate number GB06 67703 Manufacturer wal CamNtech Ltd Upper Pendrill Court Papworth Everard Cambridgeshire CB233UY UK Applicable Standards EN60601 1 2001 Medical electrical equipment General requirements for safety EN60601 1 2 2002 Medical electrical equipment Part 1 2 General requirements for safety Collateral standard Note Electromagnetic compatibility Requirements For and tests safety and EN60601 1 2 2002 Medical electrical equipment Part 1 2 General requirements for safety Collateral standard Electromagnetic compatibility Require
3. a BM jE 10 Second Activity and A wave display Signal levels RA wave signal 46 6 C Noise level 1 4 1 17 05 Scan all Display options AEC Ml Activity Tests available to view Actiheart monitor 99901_A wave 22 4ug 2008 11 15 Setup i 22 4ug 2008 10 56 FirstUser_Exercise010201 23 Jun 2008 16 06 FirstUser_Exercise010201 23 Jun 2008 16 06 99901_RA wave 11 AJun 2008 11 22 Reports and export 99901_R wave 11 Jun 2008 11 22 99901_R wave 114un 2008 11 22 Print info Preview Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 23 Clicking the Setup button produces the following screen F Find or Add a User What do you want to do Find An Existing User Create a New User CU sers garyungless4ppL ata VActiheart data Actiheartdemo mdb Clicking Find allows the settings for an existing user to be retrieved Clicking Add New allows the details for a new user to be added 5 1 Selecting an existing User from the Database If the user is already present in the selected database selecting Find will produce the following screen Locate an Easting User n DOB Cancel Cancel The required user can now be selected from the list and the recording can be set up as detailed in Section 7 Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 24 5 2 Setting up a new User If a new user is being set up selecting Add New produces the fol
4. a new recording For further details on analysing data and all other functionality of the Actiheart please refer to the full User Manual Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 31 7 Summary of Recording Reading and Analysis Options Once a Signal Test has been successfully completed the collection of data can then commence It is important to choose the recording mode taking into account a Type of data required Activity and average heart rate are always recorded but the Interbeat Interval IBT is not b The recording resolution epoch which is fixed in some modes and selectable in others c The duration of the recording which is dependent on both a and b see table below d The type of analysis required 7 1 Recording Recording can be set up for one of two main objectives namely Activity Heart rate and Energy Expenditure Actiheart Software Version 4 0 7 Actiheart Software signal Test Daily EE View or setup Energy Expenditure Advanced EE View or set up Activity amp Heart Rate Exercise Test Utilities Seral number 9999 9919 rd Demo Version www Camntech com Activity and Heart Rate options 7 1 1 1 Short Term Recording a Maximum 440 000 beats Maximum 96hrs at an average of 76 BPM b Fixed 15 sec epoch Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 32 c Activity and Heart Rate recorded d Every Interbeat Interval IBD is logged for HRV analysi
5. the Actiheart 4 Setup Wizard The installer will guide you through the step required to install Achheart 4 on your computer Click Nest to continue WARNING This computer program is protected by copyright law and international treaties Unauthorized duplication or distribution of this program or any portion of it may result in severe civil or criminal penalties and will be prosecuted to the masimum estent possible under the law Cancel Please note the copyright warning By accepting this the user is accepting the CNT terms and conditions of use of the Actiheart software Again select Next ix Actiheart 4 Select Installation Folder The installer will install Actheart 4 in the following folder To install in this folder click Nest To install to a different new or existing folder enter one below or click Browse Folder C AProgram Files Wactiheart 4 fou can install the software on the following dives Volume Disk Siz EI L r4hE Z 22blak lt Crea Beer Click Next to accept the default folder Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 12 i Actiheart 4 Contirm Installation The installer is ready to install Actheart 4 on your computer Click Next to start the installation Cancel Previous N l This will then install the Actiheart software in the selected file destination It will also create an Actiheart software icon on the desk
6. 5 3 0V Green 2 Charged The Actiheart uses a lithium rechargeable battery The maximum voltage is 3 0V However a rapid drop to 2 75 volts is normal When fully charged the battery will last about 21 days when doing a long term recording The battery life in the short term recording mode is only 4 days due to the LED flashing with every heart beat ACTIHEART DISCHARGE CURVE IN LONG TERM RECORDING MODE Serez VOLTS N o 3 3 Charging the Actiheart using the Mains Power Supply Select and fit appropriate ac input adaptor for country of use The power supply is fitted with the correct power plug to suit the AH charger Plug cable into USB Reader or the multi charger Place Actiheart on Reader or multi charger When the Actiheart is on the Reader the red LED doesn t flash whilst the AH is eS a charging and it flashes when the unit 1s fully charged 6 When the Actiheart is on the multi charger the LED is red during charging and turns to green when charging is completed Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 16 Setting up a Database All data used in the Actiheart system is stored in Microsoft Access databases For full details of the databases used by the system please see the chapter in the main manual on databases Once the software and drivers for the USB Reader have been installed the Actiheart software will be installed by default in the following folder C Program Files Actihea
7. ant to run this software i Name Actiheart4 msi Publisher Unknown Publisher Type Windows Installer Package From C Documents and Settings Tom Evans tmp Always ask before opening this file This file does not have a valid digital signature that verifies its publisher You should only run software from publishers you trust How can decide what software to run Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 5 Installing the Drivers New Users Insert the supplied CD ROM into the CD DVD drive on the host PC and plug the USB Reader into a free USB Port The computer will display a message saying Found New Hardware USB Serial and the following screen will then be displayed Found New Hardware Wizard Welcome to the Found New Hardware Wizard Windows will search for current and updated software by looking on your computer on the hardware installation CD or on the Windows Update Web site with pour permission Read our privacy policy Can Windows connect to Windows Update to search for software Yes this time only Coes now and every time connect a device Click Next to continue Select No not this time and click on Next The following screen will be shown Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 6 Hardware Update Wizard This wizard helps you install software for USE Seral Converter IF your hardware came with an installation CD lt or f
8. art Software Short Term View or setup Activity amp Heart Rate Long Term oignal Test Daily EE View or setup Energy Expenditure E ar Adwanced EE Step Test Exercise Test Utilities Senal number 9999 9919 r J Demo Version www camntech com The user is now is a position to begin using the Actiheart and software IMPORTANT The ActiheartDemo database first installed will not be overwritten when a later version is installed Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 18 4 Preparing for a Recording 4 1 Selection of appropriate ECG Pads and Preparation of the Skin Range of Pads Before the Actiheart can be used the subject has to be fitted with ECG pads to clip the Actiheart to Selection of appropriate pads is difficult because there are many different types of skin and different skin types react differently to different pads There are a huge variety of electrode pads available CamNtech has tried many but suggest as a starting point the following Short Term Recording Pads These tend to be foam backed pads with high adhesion 3M Red Dot 2560 These are extremely adhesive pads that provide very good adhesion for short term use The downside of this is that on removal CamNtech has noticed some gel residue left on the skin They are not really suitable for long term use Long Term Recording Pads These tend to be micro porous cloth backed pads which allow the skin to breathe during longer term rec
9. cement on physical activity estimates during treadmill locomotion and free living Eur J Appl Physiol 2005 DOI 10 1007 s00421 005 0112 6 4 5 Use of the Actiheart in Water Although the Actiheart 1s waterproof use in the water for example when swimming can result in attenuated signal levels and the results gained may not therefore be accurate This can be avoided by covering the Actiheart unit completely with a large waterproof plaster or equivalent whilst swimming Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 22 5 Setting up a User in the Database Once the subject has been fitted with ECG pads and before a recording is started it is necessary to set up the user in the selected database A user can be set up in any of the recording modes but prior to commencing a long term or short term recording it is recommended that the level of signal being picked up by the unit is checked by recording a short signal test so this is usually the most appropriate place to set up a new user Actiheart Software Version 4 0 6 Actiheart Software Signal Test View or set up Activity amp Heart Rate z Daily EE View or set up Energy Expenditure Advanced EE Exercise Test Utilities Serial number 9999 9919 A Z arsion www camntech com Click on the Signal Test button This brings up the screen shown below r R Wave Signal Test User details UserID SleepingHR E a Age EE Sex Enae Weight 3 Height
10. ctiheart Guide to Getting Started 4 0 25 06 02 09 Page 4 2 Installing the Software 2 1 System Requirements The Actiheart system is supplied with a CD ROM containing all of the components of the software package ordered and the drivers to support the hardware required by the system The following are the minimum requirements of a host PC for installing the Actiheart software IBM compatible 300Mhz Windows 2000 NT or XP operating system 100 MB hard disk space USB port A CD ROM drive or equivalent Graphics 800 x 600 pixels minimum Printer if hard copy output is required In general a faster processor will provide superior performance 2 2 New Users Please install the drivers as described in Section 2 4 before attempting a software installation as described in Section 2 5 2 3 Existing Users The section on installing drivers does not apply Ifyou have already installed USB drivers previously go directly to Section 2 5 Users upgrading older versions of software may be asked if they wish to repair or remove the existing version of the software when the new software CD ROM is run for the first time The option to remove should be selected and then the software CD run for a second time to install the new version as described in Section 2 5 The following message may be displayed click Run to accept Open File Security Warning The publisher could not be verified Are you sure you w
11. heart Reader Actiheart Analysis Software Optional 3 unit Multi charger For up to date pricing and availability of these components please contact CamNtech The Actiheart clips onto a single standard ECG electrode with a short ECG lead to another electrode that picks up the ECG signal It is normally worn on the upper or lower chest It is comfortable to wear continuously for long periods of time and is the first truly lightweight and waterproof self contained logging device which allows physical activity to be correlated with heart rate and energy expenditure to be calculated from both The Actiheart contains a rechargeable battery providing up to 21 days of continuous operation It 1s easily recharged via the purpose built interface that links to a computer USB port or via a 3 unit mains multi charger The Actiheart simply clips on to the two 4mm studs on the interface The same interface is used for downloading data to a PC where the data is analysed using the Actiheart software The Actiheart has a red LED on the front which flashes with a frequency that depends on the recording mode selected see table below for further details on the recording modes please see Section 8 1 on recording modes Epoch Short Term Long Term Advanced EE_ Daily Living Step Test 15 sec with IBI_ Every beat _ Everybeat Jo o o 15 sec Every 15 sec__ Every 15 see Every 30 sec Every 30 sec Every 30 sec eere A
12. ich provides a Pass Fail indication of whether the signal is acceptable For full details on analysing a signal test recording please see the main Actiheart User Manual Since artefacts are often aggravated by poor adhesion of the pads with the skin and movement of the pads relative to the skin during exercise it is important that a The pads are worn for at least 30 minutes before conducting the test b The subject moves around and even jogs on the spot for a few minutes during the test The user has the ability to record for up to 12 minutes in this mode although four or five minutes will be sufficient The method described below for making a recording and downloading the data to the PC for analysis applies equally to the various recoding modes described in the User Manual and summarised in Section 8 of this guide 6 1 How to set up a Signal Test Place the Actiheart onto the Reader The face of the Reader indicates which way round the Actiheart should be placed From the Utilities tab select the Actiheart tab then click the Signal Test button to show the screen shown on the following page Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 27 r R Wave Signal Test User details UserID sleeping HR B4 R ECER Sex Emale Weight BM EEn BM jE 10 Second Activity and A wave display Signal levels R wave signal 48 5 C Noise level 0 0 0 57 30 Display options cas ee NL Scanal ai Sca
13. iles can be analysed from any tab 7 3 Analysis IBP files can be analysed using Short Term Recording or Advanced Energy Expenditure Normal files can be analysed using Long Term Recording or Advanced Energy Expenditure Variability files can be analysed using Long Term Recording or Advanced Energy Expenditure or Daily Energy Expenditure Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 34 The following flow chart and tables summarise the various recording and analysis capabilities mentioned SLEEP ANALYST ACTIVITY amp SLEEP ENERGY HEART RATE ANALYSIS EXPENDITURE Tab optional Tab LONG TERM Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 35 1 1 Recording Options for Activity and Heart Rate Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 36 1 3 1 4 LS 1 6 1 7 Safety and Handling Information Decontamination e Devices used in the field must be considered to be contaminated e Returned devices must be cleaned with alcohol wipes to minimise any potential contamination The operator must use gloves to handle such devices before and during de contamination Battery e The device is battery operated and operates at voltages below 3VDC there is hence no risk from electric shock equipment Type B e The battery is NOT user replaceable Water Ingress e The device is tested to 2 BAR and is considered to be suitable for exposure to moist
14. loppy disk insert it now What do you want the wizard to do Install the software automatically Recommended Click Next to continue lt a Nea Make sure that the supplied CD ROM 1s in the drive select Install from a list or specific location Advanced and click Next Hardware Update Wizard Please choose your search and installation options a gt Search for the best driver in these locations Use the check boxes below bo limit or expand the default search which includes local paths and removable media The best driver found will be mstalled Search removable media floppy CO ROM Include this location in the search Wont serer Cam techt Distribution disc ctiheart c Browse Choose this option to select the device driver from a list Windows does not guarantee that the driver you choose will be the best match for your hardware Select Don t search I will choose the driver to install and click Next The window below should appear Sometimes windows will decide to display some other windows first possibly appearing to lock up for a minute or two at one point If Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 7 it does this you may be forced to choose a device category Choose any and look out for the Have Disk button next which you must find in order to proceed Hardware Update Wizard Select the device driver you want to install for thi
15. lowing screen Add New User Personal Details Enter the New User ID Date of Birth and Sex gt on ME ve me The user ID date of birth and sex are entered in this screen Selecting Next produces the following screen Add New User Personal Details The weight and height of the user are selected from this screen It 1s possible to input the user details either in Metric or Imperial units The increments are 1cm and 0 1 Kg Once entered selecting Next produces the following screen Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 25 Add New User Personal Details This allows selection of a fitness rating and an estimate of the maximum heart rate and sleeping heart rate to be entered Once this is done clicking Next shows the message below Actiheart 4 Do you Wank to save this user data This new user is now correctly set up in the database Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 26 6 Checking Signal Integrity and Performing a Test Recording Before starting any serious recording it is recommended that a short signal test be carried out This is to check that the level of R wave signal being picked up by the Actiheart is adequate and helps to avoid serious recordings being marred by artefacts due to either high noise or a low R wave signal The test involves making a short recording and analysing the signal using a built in utility called Signal Test wh
16. ments and tests EN60601 1 4 1997 Medical electrical equipment Part 1 4 General requirements for safety Collateral standard General requirements for programmable electrical medical systems handling advice please refer to Section 9 Contents Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 2 BRAM 10 me Pa A sce sesaeen sete tisarivarweetenadntsstadess biasdincssnesseascenbemusinddy 4 1 1 An ernier Gems Ce Gs ROR aa 4 2 0 Using ihe Se or ihe first HM dace ccc rs sence tee recunadeacannee sie eieelaebeneeanberstens 13 2 Selection of the correct Communications POfFt c ccccececceccecescesususcsusesususususueuses 14 Ranc or AGS eeose E E E EE E T EA 19 Short Term Recording Pads cz scsicsecvsssesasevsedecasesduansecetensscbavesiesehisetevencteaenecstendianens 19 Long Term FG COL CUNO PAS essiri nn EN E EE 19 Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 3 1 Introduction to the Actiheart System Td An Overview of the Actiheart System The Actiheart is a compact lightweight device that a Records e Physical activity e Heart rate e Variability of R R Interbeat Interval IBD if a relevant recording mode is selected Calculates energy expenditure based on the activity and heart rate data c Detects the presence of Obstructive Sleep Apnoea and identifies Sleep Stages Optional Add in for research purposes only The Actiheart system consists of 4 components Actiheart Acti
17. n all E Ml Activiy Tests available to view Actiheart monitor 99901_Feswave 22 4ug 2008 11 15 Setup 22 4ug 2008 10 56 FirstUser_Exercise010201 23 Jun 2008 16 06 2 FirstUser_Exercise010201 23 Jun 2008 16 06 114Jun 2008 11 22 Reports and export 11 Jun 2008 11 22 99901_R wave 112Jun 2008 11 22 Prin Copy Info Preview Selecting Setup brings up the following screen F Find or Add a User What do you want to do Find An Existing User Create a New User If the user has been setup in the database select Find if not then refer to Section 6 1 2 Setting up a New User Height Cancel Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 28 Selecting Next then shows Heart Signal Test Setup User ID 99901 TestID Actlhheart monitor Serial No H90000131 Battery volts 2 564 E Actiheart detected and ready USB Communications es Transmit Dn Receive If the parameters selected are correct selecting Send will transfer these parameters to the Actiheart WARNING The Actiheart MUST be removed IMMEDIATELY from the Reader Failure to do so may lead to the Actiheart being unable to record in which case the setup procedure would need to be repeated Once the Actiheart is removed from the Reader it can be placed on the user by clipping onto the previously attached pads 6 2 Downloading recorded Data from the Actiheart Once the subjec
18. n order to facilitate the precision of electrode placement at the correct horizontal level and at the correct lateral positions 1 Rautaharju PM Park L Rautaharju FS Crow R A standardized procedure for locating and documenting ECG chest electrode positions consideration of the effect of breast tissue on ECG amplitudes in women J Electrocardiol 1998 Jan 31 1 17 29 Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 20 4 4 Positioning of the Actiheart For good accurate measurement of activity the Actiheart needs to be placed with the cable exit as near the horizontal as possible A 10 degree tilt Fig 2 gives a theoretical activity reading error of 3 A 45 degree tilt would mean that the detected magnitude is 30 less than the actual The electrodes should be positioned so that the cable is stretched to its full length Fig 1 This will avoid unnecessary rotation of the sensor in situ The diagram below shows an illustration of this Direction of motion Fig 1 pron Measured Acceleration A Cosa A Actual Vertical Acceleration Accelerometer Orientation Fig 2 Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 21 For more information about the implications of electrode placement on physical activity estimates please refer to S ren Brage Niels Brage Ulf Ekelund Jian an Luan Paul W Franks Karsten Froberg Nicholas J Wareh Effect of combined movement and heart rate monitor pla
19. ordings Unomedical Unilect Long Term 4620M These are cloth backed pads and are small in size These pads would be the most suitable type for paediatric use m Unomedical Unilect Long Term 4060M These are similar to the 4620M but larger in size They have a raised section of the backing plastic that is designed for use in skin preparation Bio Protech ECG electrode E5 Tele815 These are very similar in construction to the Unilect Long Term 4060M pads They also appear to be good value financially 4 2 Skin Preparation In all cases adequate skin preparation is vital to the success of any recording The R wave signal that the Actiheart requires is usually low and adequate skin preparation is required to ensure that the levels captured by the device are high enough and consequently that noise levels are low enough for a good quality recording The purpose of skin preparation is to remove the top layer of the skin the Stratum Corneum and to scratch the surface of the next layer of skin down the Stratum Granulosum The recommended skin preparation procedure is as follows Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 19 Procedure for Skin Preparation Clean the skin to ensure that it is clean and oil free This can easily be achieved by using warm water and soap or other detergent Alcohol should not be used as this can potentially cause skin irritation which needs to be avoided Use an abrasive material to remove the
20. rate 3 unit charger The Reader can be powered either from the PC or from an optional separate power supply The same power supply is used for the 3 unit charger The advantage of the 3 unit charger and the separate power supply for the Reader are that they are mains powered and do not rely on power being available from the host PC IMPORTANT After an Actiheart is read it should be powered down and then recharged as soon as possible either for storage or for making a new recording Storage of the Actiheart with little or no charge will shorten battery life WARNING Charging an Actiheart will disable recording Recorded data will not be lost However any further recording will require a new setup to be initiated 3 1 Charging the Actiheart from the PC When the Actiheart is to be charged from the PC ensure that the Actiheart is on the Reader and select Charge from the Utilities menu The screen shown below will be displayed Actiheart Recharge Stop Charging O Charging Actiheart from PC Show details below 3 2 Normal Operating Voltages The coloured blocks represent the voltage level in the Actiheart and correspond to the very approximate voltages and estimated charging times as follows Voltage Colour Expected charging time a None 12 hours 2 3 2 4 Red 8 hours 2 4 2 5 Orange 1 4 hours 2 5 2 6 Orange 2 2 hours 2 6 2 75 Green 1 1 hour Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 15 2 7
21. rt A shortcut icon will also have been created on the desktop If this is double clicked the message below appears and a database called ActiheartDemo containing a selection of short term and long term recordings is installed in C Documents and Settings Username Actiheart Data Actiheart 4 The program is using the demonstration database Actiheartdema mdb The data in this database may be lost on any re installation For important data you must create a new database Do you want to create your new database now 3 4 Reason for the Creation of a new Database The reason why the software recommends that a new database is created is that if in the future a new version or update of the software is installed this may overwrite any data stored in the demo database If Yes is selected at this point then the following screen is shown lah Actiheartdb2 o Lak actiheartdema My Recent EH actiheartdemoz Documents lah Actiheartdemot E ActiheartdemosS kek Mike Purday 4 mew database File name Aike Purdar hi N Files of type Actiheart database mdb Cancel Places Open as read only Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 17 This new database will then be stored in the following folder C Documents and Settings Username Actiheart Data database name mdb When OK is selected the following screen is produced Actiheart Software Version 4 0 7 Actihe
22. s hardware Select the manufacturer and model of your hardware device and then click Next IF you have a disk that contains the driver you want to install click Have Disk USB Seral Converter USB Seral Converter Tell me why driwer signing is important Ignore the items in the list and click Have Disk instead Install From Disk Insert the manufacturer s installation disk and then make sure that the corect dive is selected below Cancel Copy manufacturer s files from a Click on Browse and then use the standard file window to find the USB drivers folder on the CD Select ftdibus inf from this folder and click on Open The window above will re appear with a filename at the bottom Then click OK Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 8 Hardware Update Wizard Select the device driver you want to install for this hardware Select the manufacturer and model of your hardware device and then click Next IF you Ke have a disk that contains the driver you want to install click Have Disk Show compatible hardware Model USB Seral Converter ALAN This driver is not digitally signed Have Disk Tell me why driver signing is important Cancel You can now select the correct driver in the list and click Next Depending on your system settings the window below may appear Hardware Installation The software
23. s if required WARNING The recording time is dependent on the signal quality A poor signal with many artifacts will result in a shorter recording time 7 1 1 2 Long Term Recording a Maximum 21 days recording b Choice of 15sec 30 sec or 1 minute epoch c Activity and Heart Rate recorded d Optionally limited IBI logging 1 e min max interval per epoch The Energy Expenditure options 7 1 1 3 Daily Energy Expenditure Fixed 1 minute epoch for daily living studies b Limited IBI logging as standard c Maximum recording time 21 days 7 1 1 4 Advanced Energy Expenditure a Maximum recording time 21 days b Choice of 15 sec with every IBI and 15 sec 30 sec or 1 minute epoch with limited IBI logging as standard The table below summarises the recording durations refers to Actiheart 4 Recording time HR Act 21 days 21 days 21 days Recording time HR Act IBI Recording IBI 440 000 beats Maximum 96 hrs maximum at 76 BPM depending on signal quality Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 33 TELS Step test Activity and R wave waveform recording for 13 minutes of standardised step test Can be used for individual calibration 7 1 1 6 Exercise test Activity and R wave waveform recording for 53 minutes and can be analysed for other exercise tests such as walking running rowing etc l2 Reading the Data Data can be downloaded from the Actiheart using any of the tabs above However not all f
24. screen 1s shown 6 3 Storing Comments with the Data Comments stored along with this rec x Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 30 This allows the user to add comments on the recording which will be stored along with the data This could be for example the type of ECG pads that were used for the recording etc Once any comment required is entered into this screen pressing finish saves the data into the selected database and produces the following message 6 4 Powering down the Acttheart Power Down Actiheart Ifyou wantto stop making recordings the Actiheart unit should be powered down and recharged storage of the Actheart without powering down and recharging will shorten battery life Powering down will make the data unreadable e recommend that you quickly view your recording betore clicking on the button below to power down Selecting Power Down Actiheart will power down the Actiheart and the data stored in the unit will then become unreadable After an AH is read it should be powered down and then recharged as soon as soon as possible either for storage or for making a new recording Storage of the AH with little or no charge will shorten battery life If a user tries to re read an Actiheart after it has been powered down the following message will be displayed Actiheart 4 This Actiheart was powered down after reading The data is invalid To use this Actiheart it must be setup for
25. t has worn the Actiheart for the required length of time making sure that the subject has moved around to fully test pad contact the data can then be downloaded to the PC After placing the Actiheart on the Reader there are two options for reading the data The data can either be read in the recording mode application that the unit was set up in e g the Signal Test in this instance or alternatively the general Read function can be selected from the Utilities tab Selecting the general read function produces the following screen detailing the different recorded file formats and where in the software they can be analysed This message does not appear if the Actiheart has been set up and read from within a particular application or using one of the specific recoding modes detailed in Section Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 29 8 of this guide Actiheart 4 Actiheart recording type Waveform LIST OF RECORDING TYPES Vanabiltty Can be analysed using long term recording Advanced EE Daily EE Waveform May be viewed in R signal wave test Clicking OK then commences the download of the data and the screen on the following page is shown Pf Actiheart Read Seral No jH90000131 Battery Yolts Hi 2 5 Recording Achheart ready for reading The data recorded on the Actiheart is then downloaded to the PC via the Reader USB interface Once this is finished the following
26. top IMPORTANT The Actiheart V4 software will be installed in a folder labelled Actiheart 4 in C Program Files Any existing installation of V 2 x software will not be affected 2 6 Using the Software for the first time Double clicking on the Actiheart icon on the desktop will produce the following screen asking the user to input a serial number for the software Serial Humber Registration my Enter your d digit serial number from the label on the CD Into this screen enter the 8 digit serial number that will have been supplied with the software on the front of the CD case This serial number is unique to the user and will Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 13 enable the user to obtain software support from CamNtech Once this is done the software is ready to use 2 7 Selection of the correct Communications Port The first time that the software is used the correct communications port for the Reader will automatically be set and a screen will be shown saying that this has been done Which port is selected will depend on the number of other USB and serial port devices connected to the host PC Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 14 3 Charging the Actiheart Before the Actiheart can be used the user must ensure that it is fully charged The charging function is accessed in the Utilities tab in the software It is possible to charge the Actiheart from the Reader or from a sepa
27. top layer of skin The ideal preparation material is a Cardio prep which is similar to very fine emery paper One that CNT has tried with success is the Cardio Prep from Unomedical stock code 2121M These are low cost adhesive backed skin preparation pads which are supplied in packs of 50 In the absence of an abrasive material a suitable alternative is to rub the skin with a towel or other cloth If this 1s done it should be vigorous enough to remove the top layer of skin Some redness will be seen and this is normal and should not be cause for concern Apply the chosen pads to the chest This is best achieved by placing the pad in the centre of the chest and locating the Actiheart on it Attach the second pad to the other clip on the Actiheart and use the wire to position the second electrode Further details on positioning of the Actiheart are shown below 4 3 Electrode Positioning The best ECG signals can usually be picked up by placing the round end of the Actiheart unit in a position midway between and below V1 and V2 The other electrode can be placed at V4 or V5 A position on the upper chest shown in the diagram below can also be used This may be either more or less acceptable for female users depending on their breast size According to Rauharju et al breast tissue appears to have a practically negligible effect on ECG amplitudes and in women the placement of chest electrodes on the breast rather than under the breast is recommended i
28. ure in normal daily living and swimming for short durations Warnings general e Device is NOT defibrillation proof Disposal Electrical and Electronic Equipment Directive 2002 96 EC that manufacturers and or distributors of Electronic and or Electrical Equipment manage and pay for the collection and p Waste Electrical amp Electronic Equipment WEEE The EU requires under the Waste ai further handling of WEEE products as well as provide WEEE related information to their customers CamNtech has taken the following approach to complying with this Directive CamNtech has registered with an approved producer compliance scheme PCS in accordance with the requirements of the WEEE Directive CamNtech will provide free recycling for all of its WEEE products when returned to CNT CamNtech WEEE products will be designed with recycling reuse and waste management as a consideration CamNtech WEEE products will be labeled or stamped with the WEEE marking in accordance with European Standard EN 50419 Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 37
29. you are installing for this hardware USB Seral Converter has not passed Windows Logo testing to very its compatibility with Windows esP Lell me why this testing is important Continuing your installation of this software may impair or destabilize the correct operation of your system either immediately or in the future Microsoft strongly recommends that you stop this installation now and contact the hardware vendor for software that has passed Windows Logo testing Continue Anyway If this window appears click Continue Anyway The underlying drivers are in fact tested and approved by Microsoft but the certification 1s invalidated when they are configured to match our reader devices Actiheart Guide to Getting Started 4 0 25 06 02 09 Page 9 Hardware Update Wizard Completing the Hardware Update Wizard The wizard has finished installing the software for USB Seral Converter Click Finish to close the wizard Cancel When this window appears your drivers are installed The Actiheart reader requires two sets of drivers which work together so 1t may appear to begin the whole procedure again after you click Finish here You should follow through in exactly the same way again It will not happen a third time there are simply two sets of drivers If you have any problems installing the drivers please read the help document and download the latest drivers from http www camntech com drivers htm
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