Home

Lifescreen Instruction Manual_18 0020_Iss 2.qxd

1. DELMAR REYNOLDS MEDICAL 19 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual CREATING A NEW MEDIUM A new medium must be electronically named before you can use it for archiving If you are using a writable CD or DVD it must be formatted and or made writable by your CD DVD writer software before attempting to name it with CardioArchive When the medium is ready select MEDIUM CREATE NEW MEDIUM from the menu Medium Recording Help Cr C dium Re Delete Medium Select Source Select Destination Update F5 In the next box select the correct drive letter from the list of AVAILABLE DRIVES and enter a name to identify the medium For example January March 2003 Create a New Medium x Medium Name January March 2003 Available drives C OK Cancel Click OK to complete the operation This name will now appear in the list of Source and Destination drives Be sure to write the name of the archive on the CD DVD label A CD or DVD can only have one archive You cannot create January March 2003 and April June 2003 on the same CD for example A new CD is required for the second archive In the case of network drives a new folder must be created and shared on the network 20 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen SELECTING THE RECORDINGS TO ARC
2. Options fe program Pathfinder Report Manager Lifescreen World Holter ISeGIA Gre EGET 18 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen The CardioArchive program and database will be displayed Reynolds Medical CardioArchive File Medium Recording Help Source Dese z Dest pesa z E Patient ist No fter z Recording list No fiter z v Pat Number Haket iRecxdedil A C nnas 52138 yte WINSCHEFFEL ANDR The SOURCE specifies from where you want to move recordings Default is normally hard disk C on the PC The Dest destination specifies to where you want to move recordings Sources and Destinations must appear as drive letters logical drives to the PC for example Fy H M CardioArchive currently does not support UNC names for example server archive If you want to use a network drive it must be mapped as a drive to the PC Please ask your IT department for help with network drives Select the source or destination archive by clicking on the down arrow adjacent to Source or Dest then click on the required name CardioArchive keeps a master list of patient names and recordings for all archives When ALL ARCHIVES is selected as the Source CardioArchive lists all patients and the name of the archive where their recordings are located
3. Instruction Manual Lifescreen Print Report Selecting Print or Preview Report from the File menu provides several choices Click the Preview button to see how the report will look before printing out When you are ready to print out click the Print button or click Cancel if you do not want to print now Print 2 Report Format V Set as default Printer Name HP LaserJet 4050 Series PCL 6 Properties m Print range Copies All ci Number of copies C Pages from to o Preview Cancel Help Report Format You can change the Report Format by clicking the down arrow and selecting from the list Two standard report formats are available Full Report with patient details all graphs and ECG strips or Short Report with patient details and ECG strips only You can create and customise your own report format using the Set Up Report Formats option in the File menu If you want the format you selected to be the default so it is pre selected in the list check the Set as Default box DELMAR REYNOLDS MEDICAL 57 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Printer If you have more than one printer set up to use with this PC you can choose one from the list after clicking the down arrow Print Range and Copies You can choose to print all pages or only a selected range of pages b
4. 4 DELMAR REYNOLDS MEDICAL 41 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Start by clicking the Flowing ECG button B When you select Flowing ECG you can adjust the speed by dragging the Speed Control on the toolbar left or right 9 o by pressing the arrow keys on the keyboard To stop just click anywhere on the ECG display or press any key on the keyboard You can display 1 2 or 3 channels of ECG by making a selection in the ECG Display Settings menu You can also click the cal pulse symbols on the left of the display or press 1 2 and 3 on the keyboard to turn each channel on or off Controlling the Flowing ECG Display If Flowing ECG is not active Pressing the space bar or clicking the run button on the toolbar will start Flowing ECG If Flowing ECG is active Pressing the space bar or the Pause key will pause and resume Flowing ECG Right clicking will pause and resume Flowing ECG exactly like the space bar does Double clicking the ECG will return you to the normal display with the ECG cursor centered at the location that was double clicked This will happen whether or not the flowing ECG is paused Single clicking the ECG will pause the display if it isn t already paused and move the point of interest cursor to the clicked area If Flowing ECG is already paused it just moves the point of
5. tss ea aaa la el alee tlle a pile calla cd cu OOD Demonstration mode iD SECTION 5 REFERENCE Principles of Operation Sample repOTtS celia teen eae eter aT n 71 72 4 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen 1 INTRODUCTION You should have the manuals listed below supplied with this product If any are missing please contact your supplier immediately for a replacement Installation Manual Part 4 047 0049 0 Printed copy or on CD Instruction Manual Part 4 047 0049 0 Printed copy or on CD Quick Guide Part 4 047 0055 0 Printed copy DISCLAIMER Every effort has been taken to ensure the accuracy of these manuals but Del Mar Reynolds Medical cannot accept liability for consequences or losses caused by errors or omissions You are advised to check with Del Mar Reynolds Medical on any point on which you are unsure or need confirmation DELMAR REYNOLDS MEDICAL 5 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual 2 SAFETY AND REGULATORY Intended Use Lifescreen is an ECG screening system for recording and scanning up to seven days of continuous ECG The Lifescreen System consists of the Lifescreen scanning software and the Lifecard CF 7 Day digital ECG recorder pre conf
6. BY EMAIL Sending a report by email is an additional option available for CardioNavigator It requires a dongle protection key You can send or receive all reports and recordings except for Lifecard CF raw ECG AMB ECG Lifecard The recipient must also have the CardioNavigator program The system must have an existing email account The email option must first be set up in the Options see the Installation Manual You may want help from your IT IS department with this SENDING BY EMAIL Highlight the required report or recording Date Type T7 7 JEJ RECORDING List then click the Send 7 11 2002 AMB ECG Lifecard 7 11 2002 AMB ECG Analysis WH Mail button 7 11 2002 AMB ECG Analysis WH 26 11 2002 Event Monitoring Select the recipient from the address list then click OK Recording for Interpretation Windows Messaging El Est View Insert Fong Toss Compose Help olala x sje mie 415 t 4 ve po zi leee ja The report or recording will be attached to an email form Add any further comments then send the email as usual DELMAR REYNOLDS MEDICAL 27 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual MARKING ITEMS As SENT In the Options set up an Extended Information item for the Recording List See the Installation Manual for details and configure the recording list to display th
7. File menu To save a Formatted Report select Save Formatted Report from the File menu These selections display a dialog that allows you to select the destination of the report save operation The Report Name is taken automatically from the patient s name that you entered in the Patient Details dialog but you can replace this with any name you choose The Location specifies the disk and folder where the report is to be saved If there is more than one location set up on your system you can choose the one you want by clicking the down arrow and selecting from the list You can add more locations by using the Configure Folder menu option in the Report Manager program see the user manual for more details Store Report To defines the archive where this report will be stored within the selected location If there is more than one archive set up on your system you can choose the one you want by clicking the down arrow and selecting from the list You can add more archives by using either the Configure Folder or Add Archive to Configuration menu options in the Report Manager program If you are saving a Formatted Report Report Format allows you to select which format the saved report should have You can also Export all or part of the recording to a Del Mar Reynolds Medical Pathfinder analyser Confirm Overwrite Report Lifescreen gives you the option either to replace an original report or create another new report After loading a
8. Installation Manual You may want help from your IT IS department with this Once the utility has been set up you can make a backup at any time by selecting Backup for CardioNavigator from the File menu Backup for CardioNavigator When you run Backup for Backup for CardioNavigator ie dalebade To run the backup program it s necessary to close CardioNavigator must close first click OK when Continue you are ready 24 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen RETRIEVING OR REVIEWING A STORED REPORT OR RECORDING Click on the required patient in the PATIENT LIST whose recording you want to retrieve Then double click on the recording in the RECORDING Lisr to retrieve or review it It will be opened with the appropriate program PRINTING A STORED REPORT To print a stored report directly without opening it first highlight the required report in the RECORDING LIST then click on one of the printer buttons on the toolbar Print report in your Standard Format as defined in the Options see the Installation Manual Choose the format for printing the report This is only available for 12 Lead ECG Ambulatory BP and Event Recorder reports DELETING A STORED REPORT OR RECORDING Highlight the required report or recording in the Recording List the click the X button You can select more than one report o
9. Insurer Reeorder Number 4 Reynolds Medical 01 01 1950 Male 00002005 Reynolds Medical Lifescreen Ambulatory ECG Report Recording Date Recording Duration Analysis Date Operator Physician Hospital Practice Analyser 14 03 2001 5 00 18 57 04 03 2003 Lifesereen Version 2 01 Symptoms or reason for test Patient reported palpitations Operator s Comments Occasional ventricular extrasystoles Episodes of supraventrielar tachycardia Pauses Doctors Comments The patient is to begin medication 72 DELMAR REYNOLDS MEDICAL Operator s Signature Doctor s Date Date Pago 1 of4 Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Reynolds Medical Lifescreen Ambulatory LCG Report Patient Name Reynolds Medical Patient No 4 Printed Strip List Number vent Start Duration Comments 1 1 20 56 15 2 4 03 09 16 3 4 13 09 53 2 itesereen Page 2 of 4 DELMAR REYNOLDS MEDICAL 73 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Reynolds Medical Lifescreen Ambulatory CG Report Patient Name Reynolds Medical Patient No 4 Heart rate 1 min avg BPM 200 180 160 140 120 j wA A 2900 00 3 00 00 4 00 00 5 00 00 6 00 00 day hh mm entire reco 2500 00 3 00 00 00 00 5
10. January March 2003 New Rename Delete Date Range 17172003 f 31 3 2003 M Resting ECG Analysed Bos usos V Resting ECG Confirmed use J state Iv Rhythm ECG M Stress Test Iv 24 hour NIBP v Event Monitoring v AMB ECG Lifecard v AMB ECG Report PA v AMB ECG Report P p 7 AMB ECG Analysis PA v AMB ECG Report LS v AMB ECG Analysis LS IV AMB ECG Report WH v AMB ECG Analysis WH Cancel 22 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Note The Analysed and Confirmed status can only be used with 12 lead ECG recordings from CardioDirect CardioCollect Leave this blank for other types On the left check all the recording types you want to archive In this example we selected all recording types Click OK to apply this filter In the database you will now see only patients and their recordings matching the filter criteria If a patient has recordings from other dates these recordings won t be listed If a patient has no recordings that match their name won t appear in the left hand list To quickly select all patients and recordings in this display click the v button on the screen then click OK to accept the Select Marked option Mark all visible recordings x Choosing Release Marked de selects all previously marked recordings C Reverse marked Reverse
11. L Filtering the recording list oeque i V Archiving and backup pee Archiving and backup Creating a new medium Selecting the recordings io archive oa Automatically selecting all recordings it ina date range Backup for CardioNavigator DELMAR REYNOLDS MEDICAL 3 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual CardioNavigator reports Retrieving or reviewing a stored adi orrecording iocari opea idi Pyintirig a stored eport estet eter tena matte acetates atc aee nA Deleting a stored report or r recording X C Data Export Email functions Sending Ai ta Gut Marking 1tems as Sent ose suse eventus bos tps deett Essa sa tana DO Reading a received mail s 28 CardioNavigator applications Starine A progra Niek einstein petam SECTION 4 LIFESCREEN OPERATING INSTRUCTIONS Good recording quality IA Eoading a ue naa aaO Patient Details and comments Flowing ECG Using graphs and histograms ne tau E S Creating amp labelling ECG amp t graphe events e a A ECG annotation settings bo rm ECG gain amp polarity Patient diary Th Print LiSE rtt anton a E PA TPA e Report formats M SAVIN APE pO cem L A AuA Managing TepOEtsz uece quede on aaa waliwa wa ama KO Keyboard short
12. Report Manager In the Report Manager from the File menu select Find Archive Folders Lifescreen 1 07 F Click on your CD DVD drive this should have the Lifescreen icon as shown here then click OK The Demo Report Archive will be opened Double click on a report to open it in Lifescreen The Formatted report is a stored copy of a printed report which will be reviewed using the Report Manager The Lifescreen full report is a complete analysed edited report with ECG strips and will be reviewed using Lifescreen The sample Lifecard CF Recordings are original ECG recordings that will be loaded into Lifescreen DELMAR REYNOLDS MEDICAL 69 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual amp Archives in folder F Archive Jan Archives El Search Match Any Report dJ Formatted Report STANDA 18 06 2001 1 1250052 a Full Report for Sa STANDA 18 06 2001 1 11 7744 Lifescreen Sample 1 STANDA 12 03 2001 1 19997184 Lifecard Sample 2 STANDA 06 03 2001 0 27172864 Lifecard Sample 3 STANDA 19 03 2001 1 234089152 Lifecard Sample 4 STANDA 06 04 2001 1 73658880 Lifecard Sample 5 STANDA 20 02 2001 0 26641920 Lifecard Please Note When you load a recording from a CD ROM click OK on the warning message that says The recording cannot be marked as read An original recording on a
13. Time annotation click the Icon Font tab then choose the setting you require You can save any changes permanently by checking the Save Settings box ECG Gain amp Polarity Selecting ECG Display Settings from the Options menu will display the ECG Display Settings dialog box You can also display this dialog box by pressing the button on the toolbar 50 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen ECG Display Settings x Channel 1 Settings Vertical ECG Offset 0 Reenceed Invert E Polarity Here you can make adjustments to the way ECG is displayed and you can make individual changes for each ECG channel by selecting the appropriate tab You can save your new settings permanently by checking the Save Settings box You can adjust the Gain for each channel in steps from x1 4 to x4 These changes do not affect the detection of beats but have a big effect on the clarity of the ECG on the screen You may want to use normal or lower gain when first reviewing the ECG so that more can be displayed then increase the gain in areas of interest to reveal any important detail in the ECG The Vertical ECG Offset control moves the ECG up or down Use this adjustment to bring a region of ECG back into view if it is affected by baseline wander You would not usually save this setting Too much baseline wander ind
14. choose the Page Frame the border around the page and the appearance of the Header title on the page and define up to 8 Sections for the report The sections do not need to start on a new page Click the down arrow 7 to the right of each item to make a selection from the list When you have made all your selections click OK Another box will appear where you can either Change This Format modifying the original format and saving it with the same name or Create New Format saving it with a new name and preserving the original format You must choose this option if you started by modifying a system format Other Functions You can delete a customised format by selecting it from the list then clicking the Delete button You cannot delete system formats You can change the name of a customised format by clicking the Rename Report Format button typing a new description in the box that then appears You cannot change the name of a system format Saving a Report There are two types of report that you can save Full Reports or Formatted Reports Full Reports contain all the ECG and analysis data and can be reloaded to continue your analysis Formatted Reports are a copy of a printed report which can be viewed and emailed using Report Manager DELMAR REYNOLDS MEDICAL 59 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual To save a Full Report select Save Full Report from the
15. compact flashcard is electronically marked to show it has been read but this cannot be done to a recording stored on a CD ROM Lifecard CF Interface Program This recording cannot be marked as read It may have been loaded from either a CD ROM or a read only network folder Some functions for example changing patient details or loading new data cannot be performed in demonstration mode You will see a message like this Lifescreen This operation is not valid in demo mode 70 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen 5 REFERENCE PRINCIPLES OF OPERATION Lifescreen has a sophisticated beat detection trigger software algorithm based on the Pathfinder ambulatory ECG analyser There are no adjustments in Lifescreen making it simple to operate Lifescreen triggers on the best quality channel in each minute of the recording The measured beat to beat intervals are used to create the heart rate graph RR histogram and RR tachogram Lifescreen displays ECG sampled at 128Hz 7 8ms resolution The amplitude resolution is 2 5uV with 12 bit 4096 digital resolution DELMAR REYNOLDS MEDICAL 71 Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen SAMPLE REPORTS This is a sample of a Full Report Patient No Patient Name Date of Birth Sex Patient NI Number
16. impairs conductivity SHAVE the site as needed with a new disposable razor the electrode will not remain in place on hair RUB the site with dry gauze to lightly redden the skin This removes dry dead skin lowering impedance and reducing pick up of interference Take care not to break the skin or cause bleeding Avoid abrasion rubbing on patients with delicate skin including children and elderly patients DELMAR REYNOLDS MEDICAL 31 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual ECG Electrodes Always use good quality electrodes designed for long term Holter recording and ensure adequate skin preparation We recommend Ambu Blue Sensor VL 00 S for 24 hour recordings and VLC 00 S for extended recordings up to 7 days Further information can be found at www ambu com Apply the electrodes in the positions shown in the ECG recorder instruction manual Check the ECG quality on the recorder as shown in the recorder instruction manual 32 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Lifescreen Instructions These instructions can also be found in the Lifescreen Online Help To read the Help start the Lifescreen program and click on Help Help topics Help Tip of the Day Help Topics Main Menu Help To display this you click Help and then Help Topics from the
17. main menu The Main Menu Help is a series of pages which explain the features of Lifescreen When you see some blue or purple text underlined like this it is called a hyperlink When you place the cursor over this the cursor changes to a hand You can then click on the text to display more help on the subject You can also click on help topics on the left side of the Help Window to display the corresponding page Help Within a Window or Dialog Box When you are in one of the menu windows or dialog boxes if you click on the question mark button at the top right of the dialog the cursor changes to a question mar 9 You can then click on any of the items for example buttons or edit boxes and a short help message will be displayed If you click outside the items the cursor will return to normal Help From Del Mar Reynolds Medical You can email us at support dmr ferrarisgroup com or visit our website at www delmarReynolds com where we publish the latest information DELMAR REYNOLDS MEDICAL 33 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Toolbar I gis rr 3 of y f 23 58 abo v The Toolbar is the row of pictorial icons or buttons under the Menu Bar at the top of the display Clicking on one of the buttons is the same as choosing the relevant option from one of the menus If you put the mouse cursor over a
18. pulse in the surface ECG Reliable detection of the pacing pulse requires good hookup Sometimes noise creates a false pacing marker Annotate Inhibited Beats will place a greyed out arrow below all beats that you have manually inhibited Disable All Annotation leaves the ECG with no annotation at all You can save any changes permanently by checking the Save Settings box By clicking the Zoom tab for each individual Zoom range there are several options you can select DELMAR REYNOLDS MEDICAL 49 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Display Trigger Arrows places an arrow beneath every detected beat Sometimes noise may be detected as a beat or a poorly projected or noisy beat may not be detected at all The trigger arrows are very useful alerting you to these problems when you are reviewing beat intervals Display Event Markers underlines all areas of ECG which you have marked as an event This is useful when reviewing your analysis Display RR Intervals displays the interval in milliseconds between consecutive detected beats The standard configuration does not display this at smaller zoom ranges to avoid overcrowding the display Display Channel Delineation Lines draws a line under each ECG row You may find this makes viewing easier To change the size on screen of the Polarity Icon cal pulse indicating normal or inverted ECC or the recording
19. the input focus You give the input focus to a window by clicking within it You can tell if a window has the input focus because the window s cursor will be flashing when the window has the focus So for example the ECG cursor will be flashing while the ECG window has the focus and the graph cursor will be flashing when the graph window has the focus The Active ECG Channel Some of the keys affect the active ECG channel Only one channel may be active at any one time The active status for a channel is only used when you press a keyboard shortcut you can ignore the active status at all other times To select a channel as the active channel click on its polarity icon on the left of the ECG window The active channel always has its polarity icon drawn in yellow If a channel is not displayed its polarity icon is drawn in grey If a channel is displayed but not the active channel its polarity icon is drawn in green DELMAR REYNOLDS MEDICAL 63 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Global shortcut keys These keys can be used when any main window has the focus Note that they will have no effect while a dialog box is displayed Shift Keys Keystroke Ctrl Ctrl Ctrl Alt Alt Alt Alt Alt Alt 64 F L DEL MAR REYNOLDS MEDICAL Effect Toggle full screen ECG display Toggle log axis of histogram if histogram is vi
20. time click the Add button Add Edit Patient Diary Entry To edit any entry you have made to the Patient Diary list highlight the required entry and click the Edit button By using the drop down lists you can select a different date time symptom or activity You can also simply type over any item except for the date If the changes do not already exist in the list you will be asked if you want to save them for future use If you answer No they ll be saved only for that diary entry If d decide you don t want one of the entries before accepting the list highlight it then click the Delete button Finally click OK to accept the list 52 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Add Edit Patient Diary Entry 21x Dates must be between 06 03 2001 13 20 00 and 06 03 2001 23 59 59 Date Time 13 20 00 Symptoms Activity Comments Cancel Help An event strip will appear in the Print List and will be printed in the report The diary entries will be removed from the Enter Patient Diary list The Print List shows how many times in each day that the patient pressed the Patient Event button on the recorder to mark the onset of symptoms This may help to identify the most significant days in the recording Lifescreen automatically creates an ECG Event Strip at these times whi
21. 00 00 6 00 00 dayyhhmm RR Histogram entire recording Count 20000 18000 16000 14000 12000 10000 8000 6000 4000 2000 0 aia eite 00 5 2 0 Seconds 74 Lifescreen Page 3 of 4 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Patient Name Reynolds Medical 1 20 56 15 Isolated VEE H 1 Sp 4 03 09 16 Pause y n am 4 13 09 53 SVT Mia Oe oa ia Ambulatory LCG Report Patient No 4 ee a 6 938 Mae we Drawing No 047 0020 0 CN4502 Issue 2 DELMAR REYNOLDS MEDICAL Reynolds Medical Lifescreen 25mm sec E ma sg oa 25mm sec B p 25mm sec Hos Ga wa Ma MAS Ma ama Page 4 of 4 75 Lifescreen Instruction Manual This is a sample of a Short Report Patient No Patient Name Date of Birth Sex Patient NI Number Insurer Recorder Number 76 Patient reported palpitations DEL MAR REYNOLDS MEDICAL Reynolds Medical Lifescreen Ambulatory ECG Report 4 Reynolds Medical 01 01 1950 Male 00002005 Symptoms or reason for test Operator s Comments Doctors Comments The patient is to begin medication Operator s Signature Doctor s Signature Recording Date 14 03 2001
22. 20 0 CN4502 Issue 2 Instruction Manual Lifescreen Import from n 3E0C3519 Auger x Data in file Patient Number pone 3 t Last Name juger i First Name Simon Date of Birth mazs 7 Sex Me Insurance Ref au N I Number TREE E H Recorded on 26 11 2002 19 55 45 Recorded in _ Recording type Event Moritoring Please select patient matching this data in patient list and il CAWINDOWSITEMP1 AugerSimon 20021126 195545 PAe AA The temporary file has disappeared Changes could not be saved Microsoft Outlook 4 program still has file attachment 1 AugerSimon 20021126 195545 PAe open Changes to this document will be lost unless you save your changes to another file by clicking the File menu in the other program and then clicking Save As Click on CardioNavigator s RECEIVED Malt button then select the required item from the list Click AssIGN to compare this recording with the database A matching patient record is NOT selected automatically The mark shows where the patient data does not match the currently highlighted patient in the database If you know this is a new patient click NEW PATIENT to generate a new patient record then click OK to assign the recording If the patient record exists the mark would appear if some details were omitted or mistyped highlight the correct existing record and assign the recording The Find bu
23. Caec Lifescreen ECG SCANNING SOFTWARE INSTRUCTION MANUAL Part No 18 0020 Copyright 2003 Del Mar Reynolds Medical Limited 1 Harforde Court John Tate Road Hertford SG13 7NW UK Tel 44 0 1992 507700 Fax 44 0 1992 501213 Software Version 2 03 or above Drawing No 047 0020 0 Issue2 CN4502 DELMAR REYNOLDS MEDICAL 1 Lifescreen Instruction Manual Lifescreen 7 Day Continuous ECG Recording System 2 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen CONTENTS SECTION 1 INTRODUCTION Arrangement of this Manual D 156 ata tee te eee D SECTION 2 SAFETY AND REGULATORY Intended US t ptt tttm os testa P aa nt di Conformity M Warranty Manufacturer contact details Special CODdItOFS c ee torpet e e E estos atta art do v o N SECTION 3 CARDIONAVIGATOR OPERATING INSTRUCTIONS Database operations Opening CardioNavigator Ai Entering a new Patient i Editing Patient details stets ete ttt tac ctl Restoring a hidden patie tse ette teresa tA Deleting a Patient from the Database Recovering Deleted Patient Details 13 Configuring the Patient List 9 Configuring the Patient Details display Wa T 121 Sorting and searching the patient list NM AUNA Ka Filtering the Patient ia Configuring the recording list
24. ENT button or from the menu bar click PATIENT then NEW PATIENT or press the INSERT button on the keyboard Complete the details in the dialogue box displayed then click O K Edit Patient Details X Patient Number pe Insurance Ref NHS Last Name TATE N I Number pe First Name ohn Date of Birth iz24950 Weight kg 80 Height cm 80 Post Code sci 3 7NW Town City Herford N Street I _4 County Hertfordshire Pacemaker None Cancel Fields marked with must be completed Others are optional DELMAR REYNOLDS MEDICAL 11 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual EDITING PATIENT DETAILS If you want to change the details for a patient either click twice on their name in the database or click once to highlight their name then click the EDIT PATIENT button HIDING A PATIENT IN THE DATABASE Patient Start Recording Help Sort by Number Sort by Name Sort by Date of Birth lon Emergency Pate New Patient Edit Details Delete Patient Recover Deleted Patient Details Display hidden patients Set Filter for Patient List Hide Patient If a patient is not currently undergoing treatment you can hide their record without losing any information Click once on their name to highlight the entry then from the menu bar click on PATIEN
25. Event 1 17 55 05 25mm sec Strip Patient Event 1 17 57 22 25mm sec Strip 1 20 34 13 25mmiec Strip Soo Re No When you left click on an event on the list it will be shown on the ECG display The display will jump to that time DELMAR REYNOLDS MEDICAL 55 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual To edit an event double click on the event in the list It will be shown in the ECG display and the Print Properties will appear When you right click on an event in the list it will be shown on the ECG display and from the pop up menu you can either Edit the event or Delete the event If you select Edit you can change the details of the event from the Print Properties You can delete multiple events by selecting them together in the list To select consecutive events left click on the first one and hold the button down whilst dragging down to select the others Release the button then right click on the highlighted region to display the pop up menu To select non consecutive events hold down Control on the keyboard while you left click in turn on the required events Then right click on the highlighted region to display the pop up menu Undo and Redo You can undo or redo the last action you took on an event by selecting the appropriate option from the Edit menu 56 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2
26. HIVE The left hand window lists all the patients with recordings in the Source archive If a patient has no recordings they won t be listed here because there is nothing to archive The right hand window lists all recordings on that archive for the selected highlighted patient i LEONIE 5 1 OND KEVIN 18 8 507708 Auger Simon 1 12 1959 You can select individual patients and recordings by clicking on the patient s name then double clicking on the recordings you want to archive For example here all recordings for November 2002 have been selected for patient number 507708 When you double click on a recording the size of the recording appears in the column M medium If you want to deselect a recording double click on it again DELMAR REYNOLDS MEDICAL 21 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual AUTOMATICALLY SELECTING ALL RECORDINGS IN A DATE RANGE Most often you will probably want to archive all recordings in a certain date range You do this by first setting up a Recording Filter which specifies the date range Nomer B click on the down arrow adjacent to Recording List and select FILTER No filter Filter definition DEFINITION Click on j to open a new filter template and enter a name for example January March 2003 In the new template type in the appropriate Date Range Filter Definition for Recording List
27. ID 00003354 Physician Operator Recording Date 09 05 2001 Date of Birth Analysis Date Ex Recording ID Patient ID Insurer Comments Description of recording Play Sound File Compression Smallest Compressedilesize Largest Compress Recording Ss t To analyse the recording double click the stored recording in the list 15 05 2003 47907328 Lifecard CF Recording 9 Routinely delete stored recordings you don t need to save disk space and empty the DELETED RECORDINGS Archive selected from the Archive drop down list 36 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen 2 Option 2 Load the Recording and Analyse Now e Insert the compact flashcard recording into the compact flashcard reader connected to your PC Now from the menu click on File and select Load Recording You can also click on the Load Recording button ce on the toolbar The recorded ECG will be loaded and displayed If you have a previous analysis open and not saved it you ll be prompted to do so as all results of the previous analysis will be erased DELMAR REYNOLDS MEDICAL 37 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Loading a 7 Day Lifecard CF Recording When analysing a 7 Day recording you can choose to load all the days or make a selection Yo
28. Lifecard ECG recording from a flashcard When you proceed to store a report more than once during the current analysis Lifescreen gives you the option to replace the original or create another new report You might choose to replace the original if you had made a correction to it and the original was invalid 60 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen You might choose to make a new copy if you need to maintain a history or audit trail of changes made to the report If you re load the same recording or load a new recording you will not see this option when you first store the report even if the report has the same name This is because Lifescreen knows it is from a different analysis session After loading a previously stored full report Lifescreen always gives you the option either to replace the original or create another new report Recover an Autosaved Analysis Lifescreen can recover from a power failure or PC crash if you have been using the Autosave feature this is normally enabled When you next start Lifescreen normally the autosaved analysis will be retrieved This includes all your event strips comments and patient details plus any beat inhibits you had made up to the time of the last autosave If you had been analysing ECG from a flashcard recording when the problem occurred you will need to reinsert the card into the
29. MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Special Conditions 1 INSTALLATION OF DEL MAR REYNOLDS SOFTWARE ON THIRD PARTY PC SYSTEMS The Company accepts no liability for problems introduced in existing systems or software applications caused by installing this product on third party PC systems i e not supplied by The Company as part of an integrated product Installation of this product is entirely at the user s own risk Provision should be made to back up vital data and systems before installing this product 2 INSTALLATION OF OTHER SOFTWARE OR COMPUTER PROGRAMS This product may fail to operate correctly if you subsequently install other software programs Obtain authorisation from either your supplier or Del Mar Reynolds Medical before installation The warranty on this product is INVALIDATED if you proceed with installation without such authorisation Repairs to systems rendered inoperative as a result may be carried out at the customer s expense and at the Company s discretion 2 MODIFICATION OF THE OPERATING SYSTEM This product may fail to operate correctly if you modify the Windows operating system by installing upgrades service packs or make changes to the configuration and settings Obtain authorisation from either your supplier or Del Mar Reynolds Medical before making any modification The warranty on this product is INVALIDATED if you proceed with modification withou
30. Marked changes marked to unmarked a Release marked and vice versa Cancel Make sure the correct Destination archive medium is selected before clicking the gt button to start archiving the recordings CardioArchive x For safety please disable write mode to the CD before proceeding When archiving is complete this message advises you to write protect the medium to prevent accidental overwriting or erasure f you are using a CD R this is called making compatible after which the CD R cannot be written to again DELMAR REYNOLDS MEDICAL 23 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Type Archive Status Rhythm ECG January March 2003 AC Event Monitoring January March 2003 Stress Test January March 2003 CB Rhythm ECG January March 2003 C When you return to the CardioNavigator database if a selected patient has archived recordings the archive is listed in the Archive column of the RECORDING List The Archive name is the one you gave when creating that new archive medium If you want to view those recordings the corresponding archive medium CD DVD or network drive must be ready BACKUP FOR CARDIONAVIGATOR The Backup utility makes a copy of the database to a DVD RAM recordable CD or a network drive This can be used to recover data if the PC hard disk is damaged The Backup utility must first be set up in the Options see the
31. Recording Duration 5 00 18 57 Analysis Date 04 03 2003 Operator Physician Hospital Practice Analyser Occasional ventricular extrasystoles Episodes of supraventriclar tachycardia Pauses Lifesercen Version 2 01 Date Date Page 1 of 2 Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Patient Name Reynolds Medical 1 20 56 15 Isolated VEE H 1 Sp 4 03 09 16 Pause y n am 4 13 09 53 SVT Mia Oe oa ia Ambulatory LCG Report Patient No 4 ee a 6 938 Mae we Drawing No 047 0020 0 CN4502 Issue 2 DELMAR REYNOLDS MEDICAL Reynolds Medical Lifescreen 25mm sec E ma sg oa 25mm sec B p 25mm sec Hos Ga wa Ma MAS Ma ama Page 2 of 2 77 Lifescreen Instruction Manual 78 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2
32. T and select SHOW HIDE PATIENT Show Hide Patient Eq T Hide Patient at All Workstations Check the box to HIDE this patient then click OK pezi In a networked setup this RESTORING A HIDDEN PATIENT applies to all workstations On the menu bar click on PATIENT then select Display hidden patients tafe DISPLAY HIDDEN PATIENTS Select the option to SHOW ONLY HIDDEN Display of hidden patients x PATIENTS C Show only patients not hidden Show only hidden patients Show all patients In the Patient list click on the patient you wish to restore then on the menu bar click on PATIENT then select SHOW HIDE PATIENT Check orr the HIDE selection then click OK 12 Cancel DEL MAR REYNOLDS MEDICAL Finally change the DisPLAY HIDDEN PATIENTS option back to SHOW ONLY PATIENTS NOT HIDDEN Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen DELETING A PATIENT FROM THE DATABASE 5 5 Click once to highlight the required entry CardioNavigator in the patient list then click the DELETE IE PATIENT button You can also press I Do you really want to delete DELETE on the keyboard or select the TATE John menu PATIENT DELETE PATIENT Pat No 6 together with all recordings All recordings for this patient will also be deleted You cannot delete a patient if their recordings are archived and the arc
33. ch you can view from the Print List The digital recorder records the ECG continuously not only when the event button is pressed Importing a Diary List You could arrange for an administrative assistant to prepare the diary list first by typing details into a text document using a word processing program or Windows Notepad The details must be typed in the format lt DATE gt lt space gt lt TIME gt lt space gt lt COMMENT gt using a new line for each diary entry For example 07 04 2001 19 30 00 Chest pain while climbing stairs 07 04 2001 20 10 00 Palpitations 07 04 2001 9 15PM Breathless DELMAR REYNOLDS MEDICAL 53 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual The time can be entered in either 24 hour format or 12 hour AM PM as shown You don t have to enter the number of seconds The date format automatically accepts your local setting European or North American Activities and symptoms cannot be entered separately in this list which must be saved in a text format type txt Click on the Import button and locate the text file to import the list A message will alert you if there is any mistake in the file format Edit Lists By selecting Edit Lists from the Options menu you can customise the drop down lists available to label event strips and the comments in the report Click one of the 5 tabs to select a list Edit Lists i 2 x Event Name
34. compact flashcard recording into the compact flashcard i reader connected to your PC Now click the LIFECARD CF DOWNLOAD button on the toolbar to store the recording in the RECORDING LIST You may then re use the card for another patient 12 12 2000 AMB ECG Lifecard To analyse the recording double click the stored recording in the list Routinely delete stored recordings you don t need to save disk space 3 Option 2 Load the Recording and Analyse Now Insert the compact flashcard recording into the compact flashcard mum reader connected to your PC Now click the LIFESCREEN button on the IImimm toolbar The recorded ECG will be loaded and displayed If you have a previous analysis open and not saved it you ll be prompted to do so as all results of the previous analysis will be erased DELMAR REYNOLDS MEDICAL 35 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual If you have Lifescreen Without CardioNavigator Integrated 1 Option 1 Store the Recording Analyse Later From the Lifescreen menu select FILE MANAGE Reports The Report Manager will start up From the Report Manager menu select RECORDING LIFECARD CF STORE IN ARCHIVE Fill in the required patient details then click OK Unless you intend to email this recording ensure COMPRESS RECORDING is NOT selected Patient Details x Details Patient Name Hospital REG Recorder
35. cording which will replay the patient s name or ID if it was recorded by the operator when the recorder was fitted 40 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Some details are completed automatically by reading details from the Lifecard recording for example Date of Recording Recorder Number and ID You can read more information on these in the Lifecard CF user manual The Analysis Date is entered automatically from the PC system clock There are 3 tabs for comments and each has a drop down list of comments you might frequently use Symptoms or Reason for Test where you could note the reasons for the original referral or the symptoms noted by the patient during the recording Operator s Comments which may be a summary of what was seen in the recording to assist the doctor with their interpretation Doctor s Comments where the doctor can enter a diagnosis and recommendations See also the Edit Lists option and Patient Diary Entries Flowing ECG The flowing ECG display writes ECG on the screen like a conventional ECG machine The ECG is written from left to right and when one page is full it begins overwriting from the top ENSIS CER DEEN aan bem bel Ix Le cw aen Ly cad CE rese eat ee D ie end ted n pe ipsos ipsi docs EUN SM esce EIN y ele ls DEN ay re ps
36. e ECG channel down by a large amount Shift active ECG channel up by a small amount Shift active ECG channel down by a small amount Activate channel 1 2 or 3 if it is currently displayed Display only channel 1 2 or 3 Toggle display of channel 1 2 or 3 Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Selecting ECG using the keyboard It is possible to select ECG using the keyboard instead of the mouse To do this first move the ECG cursor to the start or end of the area that you want to select Then press and hold either shift key while you move the ECG cursor by pressing the ECG cursor movement keys up down left right page up page down home end and so on When you have selected the desired area of ECG release the shift key to display the ECG area selection menu Tachogram and Heart Rate Graph Keyboard Shortcuts These keys can only be used while the tachogram or heart rate graph has the focus Shift Keys Ctrl Ctrl Shift Shift Ctrl Ctrl Ctrl Shift Ctrl Shift Alt Alt Keystroke keypad Home End Home End Page Up Page Down Left Arrow Right Arrow Left Arrow Right Arrow Left Arrow Right Arrow Left Arrow Right Arrow Left Arrow Right Arrow Effect Zoom in Zoom out Display entire graph Move cursor to left of visible portion Move cursor to right of visible portion Move cursor to start of graph Move cursor to end of
37. ected Region option from the pop up menu Compact Flashcard The compact flashcard CF Card is the recording medium for the Lifecard CF recorder The card is 36 x 42 mm and is available with several memory capacities In normal use the data stored on the card is very secure It will not be erased unless it is reprogrammed or physically abused Your Lifecard recorder user manual gives details of the amount of ECG that can be recorded on a given capacity card using a particular patient cable If you need additional CF cards you should buy them from Del Mar Reynolds Medical to ensure compatibility with your Lifecard recorder and Lifescreen system Compact Flashcard Reader The compact flashcard CF Card reader is connected to your PC via the USB Universal Serial Bus socket and is used to read ECG and patient information from the CF card as recorded by the Lifecard CF recorder Make sure you insert the card correctly with the Del Mar Reynolds Medical logo facing down and the lined label facing up Never try to force the card as the reader may be damaged 62 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Keyboard Shortcuts Advanced users may find Lifescreen s keyboard shortcuts to be useful Each of the main display windows the graphs and the ECG window has its own set of keyboard shortcuts These shortcuts will only work when the window has
38. en will display the recording but will exclude it from the analysis The beats and intervals will not be used in the graphs and the beats will have no annotation You can inhibit additional areas manually if they cause erroneous results by highlighting the area in the ECG or on the timebar and selecting Inhibit Manually inhibited areas can also be uninhibited in the same way Undo and Redo You can undo or redo the last inhibit action you took by selecting the appropriate option from the Edit menu 48 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen ECG Annotation Settings Selecting ECG Annotation Settings from the Options menu displays the ECG Annotations Settings dialog box You can also display this by clicking the button on the toolbar ECG Annotation Settings HE Zoom x1 4 Zoomx1 8 Global Icon Font Zoom x4 Zoom x2 Zoom x1 Zoom x1 2 I Display event markers Display R R intervals Display channel delineation lines E ne Cancel Help There are several options you can select under the Global Settings tab Grey out Inhibited ECG colours grey any areas where you have highlighted and selected Inhibit Beats or where Lifescreen has detected an excessive noise level It is useful to see how much of the recording is inhibited Display Pacing Markers draws a yellow line in the ECG wherever the recorder detected a pacing
39. ent should be CE Marked to the LV directive and comply with the IT Safety Standard EN60950 Caution In the US Federal Law restricts this product to use by or on the order of a licensed physician Warranty Subject to the conditions set out below Del Mar Reynolds Medical The Company warrants that its Products will be free from defects in material and workmanship for a period of 12 months from delivery This warranty is given by The Company subject to the following conditions 1 The Company shall be under no liability in respect of any defect arising from fair wear and tear wilful damage negligence abnormal working conditions failure to follow instructions whether oral or in writing misuse improper installation or alteration or repair of the Products without The Company s approval 2 The above warranty does not extend to parts materials or equipment not manufactured by The Company in respect of which the Customer shall only be entitled to the benefit of any such warranty or guarantee as is given by the manufacturer to The Company 3 Subject as expressly provided here all warranties conditions or other terms implied by statute or common law are excluded to the fullest extent permitted by law DEL MAR REYNOLDS MEDICAL 7 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Any claim by the Customer which is based on any defect in material or workmanship of the Product
40. ey on the keyboard at the same time To go back to the last RR you viewed click the 13 button or press Control and Z on the keyboard By selecting a region of the histogram you can restrict the analysis to a certain day by selecting Analyse from the pop up menu The graph results are restricted to only the day you specify You can subsequently return the selection to the Entire Recording Adjusting the Graph Display The standard display is a split screen with ECG at the top and a graph at the bottom You can switch between split screen and full screen ECG selecting Full Screen ECG from the View option in the menu or by clicking the Full Screen ECG button or the Split Screen button gm on the toolbar You can re size the graph by pointing the cursor at the grey border between the ECG When the cursor shape changes to a double headed arrow click and drag the border up or down Zooming and Re scaling Click on the or buttons at the top right of the graph to zoom in or zoom out of the graph Or you can press the and keys on the keyboard The graph zooms around the yellow cursor line To zoom or re scale a graph left click drag and highlight the region of interest a yellow box indicates the area From the pop up menu select Zoom then choose which axes to zoom To return a graph to full scale click the button at the top right of the graph or select Re scale Unzoom from the pop up menu eAlso see the Pr
41. flashcard reader The ID will be checked and the original ECG reloaded before applying the autosaved analysis If you were analysing a stored recording from an archive it will be retrieved and the autosaved analysis applied To help avoid losing your work in the event of a power failure or failure in your PC Lifescreen can automatically save the current analysis You can set the frequency of automatic saves from 5 120 minutes If you don t want to use this feature clear the check box Managing Reports You can search copy move delete rename and reorganise all your stored reports using the Report Manager program Click on Manage Reports in the Lifescreen File menu to start the Report Manager Loading a Report When you select Load Report from the File menu the Report Manager program DELMAR REYNOLDS MEDICAL 61 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual is opened This allows you to view all the reports you have previously saved and to select a Report to load into Lifescreen You can only load Lifescreen Reports Export You can export all or part of the recording in a special format for further analysis using a Del Mar Reynolds Medical Pathfinder analyser To export the entire recording select Export to Pathfinder from the File option on the menu bar To export part of the recording highlight the required region on the timebar then select the Export Sel
42. graph Scroll graph to the left Scroll graph to the right Move cursor one second to the left Move cursor one second to the right Move cursor one minute to the left Move cursor one minute to the right Move cursor one hour to the left Move cursor one hour to the right Move cursor one day to the left Move cursor one day to the right Move cursor to the left display width Move cursor to the right display width Drawing No 047 0020 0 CN4502 Issue 2 DELMAR REYNOLDS MEDICAL 67 Lifescreen Instruction Manual Histogram Keyboard Shortcuts Shift Keys Keystroke Effect Zoom in Zoom out keypad Display entire graph Home Move cursor to left of visible portion End Move cursor to right of visible portion Ctrl Home Move cursor to start of graph Ctrl End Move cursor to end of graph Page Up Scroll graph to the left Page Down Scroll graph to the right Left Arrow Show previous beat in ECG display Right Arrow Show next beat in ECG display Ctrl or Shift Left Arrow Move cursor to previous bar Ctrl or Shift Right Arrow Move cursor to next bar Ctrl Z Undo last cursor move Can undo many moves Alt Left Arrow Move cursor to the left 74 display width Alt Right Arrow Move cursor to the right 74 display width Print List keyboard shortcuts These can only be used while the Print List window has the focus The Print List doesn t have a cursor that f
43. he graph Undo and Redo You can undo or redo the last inhibit action you took by selecting the appropriate option from the Edit menu Lifescreen has a histogram RR HISTOGRAM a bar chart recording the number of RR intervals within a range The width of each bar in the histogram is 50 milliseconds 1000 2000 The histogram is drawn with a logarithmic vertical scale as standard This makes it easier to see low values and high values on the same axis You can change to a linear scale by clicking thelegbutton at the top right of the graph When you click on a bar in the histogram the ECG display shows you the longest RR interval in the bar if you are to the right of the median the shortest RR interval in the bar if you are to the left of the median The rightmost bar contains all intervals of 5 seconds or longer The interval range and the number of intervals in the bar and the current interval are displayed at the top of the histogram To see the next longest interval click the ybutton or press the up or gt right keyboard arrow To jump to the next bar hold down the Control key on the keyboard at the same time DELMAR REYNOLDS MEDICAL 45 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual To see the next shortest RR click the 4g button or press the v down or lt left keyboard arrow To jump to the next bar hold down the Control k
44. hive medium is unavailable or write protected RECOVERING DELETED PATIENT DETAILS Recover Deleted Patient Details If you know the Patient Number you can recover deleted details but deleted recordings cannot be recovered except Patient Number from a backup medium Select RECOVER DELETED PATIENT DETAILS from the FILE menu enter the patient OK Cancel p number and click OK The patient record will be restored DELMAR REYNOLDS MEDICAL 13 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Configure Patient List x r Not visible County First Name Last Name Character size Instruction Manual CONFIGURING THE PATIENT LIST medium hdd Last Name First Name Date of Birth Cancel Configure Patient Detail Screen x Not visible You can choose which patient details to display in the list and the order in which they appear by right clicking in the patient list and selecting the Configuration button Choose which items you want to be visible The columns in the patient list will appear in the same order You may have to use a smaller CHARACTER SIZE to display all the information you have chosen You can add custom fields to the patient details See the configuration information in section 4 CONFIGURING THE PATIENT DETAILS DISPLAY Visible Patient Number Date of Birth Sex Character size medi
45. hoose the day from the sub menu From the same menu you can inhibit or uninhibit the beats in that region This may be useful if one part of the recording contains a lot of noise or artefact You can Export the ECG in the selected blue area for further analysis using a Del Mar Reynolds Medical Pathfinder analyser DELMAR REYNOLDS MEDICAL 39 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Patient Details The Patient Details are displayed by selecting Patient Details from the View menu or by clicking the Patient Details button on the toolbar E Patient Details elx r Patient Last Name Smh First Name fom ID Number IA Date of Birth 12 04 1947 Sex Male NI Number Phone Number o1 332 507700 Address 1 Harforde Court Hertford Insurer PRR Recording Date eom Operator Name D wWisn Analysis Date fraser Doctor Name Dr Reynos Recorder Number foo Hospital Practice John Tate Cine Recorder ID E Symptoms or reason for test Operator s Comments Doctor s Comments Select from this drop down list to add symptoms or you can type text below Cancel Help The Patient Details will be printed on the front page of the report You can type in details to identify the Patient their referring Doctor and Hospital and the Lifescreen system Operator At the bottom of this dialog there is a button to Play Sound Re
46. icates poor hookup and skin preparation Check the Invert Polarity box to invert the ECG in that channel DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 51 Lifescreen Instruction Manual Under the Settings tab you can change the Zoom size of the display in steps from x1 8 to x4 You can also zoom the display by pressing the and keys on the keyboard or by double clicking in the ECG Increase the Zoom setting to magnify a region of interest or reduce it to display more ECG The ECG Display settings select which channels of ECG appear on the screen Normally all 3 channels are on view but you can switch off any channel which is unusable or perhaps have only one channel displayed for maximum clarity You can also switch channels on off by clicking the square Cal Pulse symbols on the left side of the display or by pressing the 1 2 and 3 keys on the keyboard each press turns that channel on off The ECG Row Separation control adjusts the amount of space between rows of ECG Use this setting in conjunction with the Gain and Zoom controls to prevent ECG overlapping between rows Click the Centre Cursor button 9 to centre the currently highlighted ECG in the display Patient Diary If you asked the patient to keep a written diary Lifescreen can automatically create an ECG event strip at the specified times Select the Enter Patient Diary option from the File menu To enter a diary
47. igured for Lifescreen mode You may have purchased the Lifescreen software to use in conjunction with a Pathfinder ECG analysis system and your existing Lifecard CF recorders Lifescreen displays the continuous full disclosure ECG and displays graphs of average heart rate and individual beat to beat intervals to help you identify interval and rate related abnormalities Selected ECG strips and graphs can be printed out in the final report together with your comments and interpretation The operator should be trained in electro cardiography A qualified medical practitioner should make any diagnosis Recordings can be exported in a format compatible with a Del Mar Reynolds Medical Pathfinder ECG system for further detailed analysis CardioNavigator manages the patient database for all your Del Mar Reynolds Medical monitoring programs With CardioNavigator you can Enter patient details Configure the Lifescreen or Lifecard CF recorder Download recordings from the recorder e Start a new analysis Review a previous analysis Print a previous report Make a detailed search for specific patients and recordings 6 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Declaration of Conformity ooss This product is in conformity with the essential requirements and provisions of Council Directive 93 42 EEC concerning medical devices Your PC equipm
48. int List 46 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Creating amp Labelling ECG amp Graph Events You can select areas of the ECG and the graphs for inclusion in the printed report These selected areas are called Events or Event Strips ECG Strips Left click and drag to select a region of the ECG then choose Create ECG Strip from the pop up menu You can also do this by pressing the Print Strip button You can set up properties for the event from the window that is displayed Graph Segments Left click and drag to select a region of the Heart Rate Graph or RR Tachogram then choose Create Graph Segment from the pop up menu You can set up properties for the event from the window that is displayed All your events will be shown in the Print List where you can re edit them General Properties The Start Time and Duration of the selected region are shown at the top of this display window The Event name is the title you want to give to this event You can choose from the list of names for ECG strips by clicking the down arrow and selecting from the list This list can be edited using the Edit Event Names List function The name for Graph Segments is fixed Comments can be appended to the name by clicking the down arrow 7 selecting from the list This list can be also be edited using the Edit Event Names Li
49. interest cursor See below for more information about the Flowing ECG cursors Pressing the Escape key or the Enter key will stop Flowing ECG and return you to the normal display with the cursor centered about the point of interest as 42 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen defined above You can also click the stop button on the toolbar These keys will increase the flowing speed right arrow up arrow on either keypad with or without numlock Rotating the mouse wheel towards you will also increase the run speed These keys will decrease the flowing speed left arrow down arrow on either keypad with or without numlock Rotating the mouse wheel away from you will also decrease the run speed Paused Flowing ECG cursors When Flowing ECG is paused there will be two vertical bar cursors displayed The green cursor shows the rewrite point i e where the next portion of ECG is about to be displayed This represents a discontinuity the ECG in front of the green cursor is later in time than the ECG after it The yellow cursor shows the point of interest that has been clicked on by you You can click to reposition the point of interest as many times as you like while Flowing ECG is paused If the two cursors are in the same place which they always will be if the you press the spacebar to pause the display only the yel
50. is field see page 15 You could label the field Sent Mail with options Yes and No for example When highlighting the item to send by email select RECORDING EXTENDED RECORDING INFORMATION and choose Yes Date Type Sent Mail 7 11 2002 AMB ECG Lifecard 7 11 2002 AMB ECG Analysis WH 7 11 2002 AMB ECG Analysis WH 26 11 2002 Event Monitoring Yes READING A RECEIVED EMAIL Dear Dr Reynolds Please send me your interpretation of the attached recording Open the received email message as usual Your email program may be set up to alert you when new mail arrives C WINDOWSITEMPY AugerSimon 20021 126 195 Double click on the attachment and depending on the email program you are using Open Run or Launch it Don t select the Save option The recording will be copied to the Received Mail List it will not be opened immediately Opening Mail Attachment i2 x W Opening N l AugerSimon 20Q2 L126 199545 PAve from Recording for Tnterpeetation Message Rich Text WARNING Web pages executables and other attachments may contain viruses or scripts that con be harmful computer IR is imporLank to be certain that this is fram a trustworthy source What you lika to do with this fit C Save k to disk FF Always ask before opening this type of file Coe sm 28 DEL MAR REYNOLDS MEDICAL Drawing No 047 00
51. lashes when it has the focus Instead the current row will be highlighted in bright white when it has the focus and in grey when it does not Shift Keys Keystroke Effect Delete Delete the currently highlighted strip Return Edit the currently highlighted strip Up Arrow Select previous strip Down Arrow Select next strip Page Up Move up one page Page Down Move down one page Ctrl Home Go to first strip in the list Ctrl End Go to last strip in the list 68 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Demonstration Mode If you have not purchased Lifescreen you can use it in Demonstration Mode In Demo Mode you can only open sample reports from the Lifescreen CD ROM You cannot load new recordings When you purchase Lifescreen you will receive a dongle security key and a license number so that you can make full use of the program Opening a Sample Report Put the Lifescreen CD ROM into your CD DVD drive Wait for the installation program to begin but then click Cancel as you do not need to proceed with the installation If you have Lifescreen Integrated with CardioNavigator From the Lifescreen File menu select CardioNavigator This switches to CardioNavigator Now select FILE REPORT MANAGER If Lifescreen is NOT Integrated with CardioNavigator From the File menu select Open Report In either case you will now see the
52. low one will be displayed DELMAR REYNOLDS MEDICAL 43 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Using Graphs and Histograms To display a graph or histogram click on the tab at the bottom left of the display or select from the View option on the menu bar Lifescreen can display graphs for HEART RATE GRAPH the rate in beats per minute averaged over every whole minute of recording time All beats that are identified are included See also Trigger Arrows in the Annotations section a vA n n 01 14 00 00 01 15 00 00 01 16 00 00 01 17 00 00 RR TACHOGRAM this displays every detected RR beat to beat interval Adjacent points are joined by lines except where there is an inhibited region in the recording 01 14 00 00 01 15 00 00 01 16 00 00 01 17 00 00 Possible ectopic intervals are readily observed as a big stick in the graph Click on the stick to see the corresponding ECG 44 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen You can inhibit intervals from the analysis using the tachogram Left click drag and highlight the region of interest a yellow box indicates the area and from the pop up menu select Inhibit You can reverse this action by reselecting the area and choosing Uninhibit Inhibited areas are shown as a gap in t
53. lysed and T AMB ECG Report LS Confirmed status can only be AMB ECG Analysis LS AMB ECG Report WH used with 12 lead ECG recordings MADEE from CardioDirect CardioCollect Cancel To limit the Patient List see Show Only Patients With At Least 1 Recording 9 Reselect No Filter to display all recordings DELMAR REYNOLDS MEDICAL 17 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual ARCHIVING AND BACKUP Your CardioNavigator database will gradually become full as the hard disk space is used up The CARDIOARCHIVE program is part of CardioNavigator and is used to move recordings from their default location normally the hard disk to an ARCHIVE MEDIUM such as a DVD RAM recordable CD or a network drive This frees up space on the hard disk and enables you to transfer the database to a more secure medium Note that the recordings are moved After archiving the database there is still only one copy on the new medium The patient details are copied That is the patient s name and details still appear in the CardioNavigator database so that you can add new recordings to that patient To start the archive program click on START ARCHIVE PROGRAM in the CardioNavigator FILE menu File Patient Start Recording Save Screen Location and Size Reset Screen to Default Size Save configuration to disk Printer Setup
54. mall amount Slide ECG left Slide ECG right Slide ECG left by a large amount Slide ECG right by a large amount Slide ECG left by a small amount Slide ECG right by a small amount Toggle running display mode Zoom in ECG Zoom out ECG Centre ECG cursor in display Drawing No 047 0020 0 CN4502 Issue 2 DELMAR REYNOLDS MEDICAL 65 Lifescreen Advanced ECG Shortcut keys Shift Keys Shift Shift Alt Shift Alt Alt Ctrl Ctrl Ctrl Alt Alt Ctrl Ctrl Ctrl Ctrl Alt Alt Alt Shift 66 DELMAR REYNOLDS MEDICAL Instruction Manual Keystroke A F Ya Up Arrow Down Arrow Up Arrow Down Arrow Page Up Page Down Page Up Page Down 1 2 or3 1 2 or3 1 2 or3 Effect Toggles display of ECG Annotation Changes the size of the time text on the left of the window Changes the size of the polarity icons on the left of the window Toggles grey outs for inhibited ECG Toggles display of the polarity icons on the left of the window Toggles display of event markers Toggle display of pacing markers Increase ECG row separation by a large amount Decrease ECG row separation by a large amount Increase ECG row separation by a small amount Decrease ECG row separation by a small amount Increase gain of active ECG channel Decrease gain of active ECG channel Shift active ECG channel up by a large amount Shift activ
55. mpleting the report on the first 24 hours you should load the remainder of the recording A separate report is produced for each part they are not combined Recordings made in this mode cannot be loaded in one pass because of the large amount of high definition data they contain See also 7 Day Recordings There is a button to Play Sound Recording which will replay the patient s name or ID if it was recorded by the operator when the recorder was fitted Timebar m B 00 00 t 2 04 00 i 2 08 00 B 12 00 2 16 00 1 1 20 00 The timebar at the top of the ECG display shows the duration of the loaded and analysed recording The timebar is annotated with Day hours minutes You can immediately jump to any time in the recording by left clicking on the timebar The yellow cursor indicates the current time The green area of the timebar indicates the analysed period The brown area of the timebar indicates the loaded but unanalysed period The grey area of the timebar indicates how much ECG is still to load You can restrict the analysis that is the period for which the ECG is displayed and the graphs calculated to one day or a selected range If you left click or right click drag and highlight part of the timebar you can select from the pop up menu eAnalyse selected area the area you highlighted in blue on the timebar eAnalyse entire recording eAnalyse first day eAnalyse specified day C
56. patient details including custom fields If you leave a field blank it won t be used For example you may wish to setup a filter which will group patients together of a certain age and weight Click the button and type ina Filter name Complete the required fields and then click OK Only patients whose details match the filter will be displayed Cancel atient Filter Definition My Filter Show Only Patients With At Least 1 Recording Checking this box will display only those patients with recordings matching the RECORDING FILTER For example if the recording filter is set for only Lifescreen recordings only patients with these recordings will be listed Rename Delete Date of Birth Insurance Ref Sex Weight kg Height cm EEE Post Code 4 Town City N Street County Pacemaker X 9 Reselect No Filter from the drop down list to r Show only patients with at least one recording display all patients Note Disables fast searching OK Cancel DELMAR REYNOLDS MEDICAL 15 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual CONFIGURING THE RECORDING LIST You can choose which recording details to display and the order in which they appear by right clicking in the recording list and selecting the Configuration button 2 z Choose which items you want to be Configure Recording Lis
57. r recording for the same patient by holding the CONTROL key and clicking or the SHIFT key to select a range GardioNavigator Once you confirm deletion the reports or recordings 9 cannot be recovered 3 Delete Selected Recording s You cannot delete archived items unless the archive medium is ready and is write enabled DELMAR REYNOLDS MEDICAL 25 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual DATA ExPORT OPTIONS These options must be set up first in the CardioNavigator Options see page 4 22 The option button will become active on the toolbar when the appropriate report type is highlighted in the RECORDING LIST otherwise it is greyed out IRI EXPORT QRS INTERVALS from 12 Lead Rhythm ECG and Event Recordings only The data format is described in Section 6 EXPORT EXERCISE STRESS ECG REPORT in Word RTF format A sample is shown in Section 6 EXPORT RAW ECG DATA from 12 Lead Rhythm ECG Resting ECG and Event Recordings only The data format is described in Section 6 fie HOLTER TEXT FILE Saves in text format the patient demographic details and analysis results summary from a Pathfinder ambulatory ECG report The data format is described in Section 6 26 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen SENDING OR RECEIVING A STORED REPORT OR RECORDING
58. s Event Comments perator Comments Doctor Comments Activities Trigeminy 1 Trigeminy 2 Aberrantly Conducted SVE Isolated SVE Ventricular Escape Beat Patient Event PYC Edit Delete Reset to System Default Close Help 54 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Event Names are the titles of ECG events Event Comments may be appended to the name you choose for the event Operator Comments and Doctor Comments are added to the front page of the printed report in the Patient Details Activities are added to information you enter in the Patient Diary In each case you can Add add a new item to the list Another box will appear where you can type in your chosen text Edit modify an existing item Any item can be edited Delete remove this item permanently from the list To return ALL the lists to the original factory settings losing all changes click the Reset to System Default button The Print List All the ECG strips and graph segments you have selected for printing are listed in the Print List To view the list click on the Print List tab at the bottom of the display Event Start Time Duration Print Scale Couplet 1 14 26 26 25mm sec Strip Heart Rate Graph Segment 1 15 59 07 00 52 06 25mm sec Strip Pvc 1 17 53 48 25mm sec Strip Patient Event 1 17 54 01 25mm sec Strip Patient
59. s shall be notified to The Company immediately after discovery of the defect If the Customer does not notify The Company accordingly the Customer shall not be entitled to reject the Products and The Company shall have no liability for such defect Where any valid claim in respect of any of the Products which is based on any defect in the material or workmanship of the Products is notified to The Company The Company shall be entitled to replace or repair at The Company s sole discretion either at the Customer s premises or at The Company s premises in the United Kingdom the Products or part in question but The Company shall have no further liability to the Customer The Company shall not be liable to the Customer by reason of any representation or implied warranty condition or other term or any duty at common law or for any consequential loss or damage whether for loss of profit or otherwise costs expenses or other claims for consequential compensation whatsoever arising out of or in connection with any act or omission of The Company relating to the manufacture or supply of the Products or use by the Customer Manufacturer Del Mar Reynolds Medical Ltd 1 Harforde Court John Tate Road Hertford 13 7NW United Kingdom Tel 44 0 1992 507700 Fax 44 0 1992 501213 Email europeGdmr ferrarisgroup com germany dmr ferrarisgroup com usa dmr ferrarisgroup com www delmarReynolds com 8 DEL MAR REYNOLDS
60. screen FILTERING THE RECORDING LIST SET FILTER DEFINITION FOR THE RECORDING LIST Click on the Down arrow beside the Filter field then select Notte Filter definition to define or setup a new filter for the No filter Recording List You set up a Filter to list only recordings matching defined criteria The filter can be very general or very specific you can use any field appearing in the recording details including custom fields If you leave a field blank it won t be used A check mark means this type of recording will be listed no check mark means it won t be listed For example you may wish to setup a filter which will display only a certain type of recording over a certain date range Click the button and type in a Filter name Complete the required fields and then click OK When you highlight a Patient Record only recordings whose details match the filter will be listed Filter Definition for Recording List Analysed Confirmed My Filter z We Rename Delete Checkboxes DateRange 31 12 2002 Use Filter inspects this setting Resting ECG Analysed e state Resting ECG Confirmed r 4 f m gt E dom State Analysed Confirmed if 24 hour NIBP checked Not Analysed Confirmed T Event Montoring if not checked T AMB ECG Lifecard T AMB ECG Report PA T AMB ECG Report PA p Note The Ana
61. sible Toggle display of RR intervals in the ECG display Displays the ECG Annotation Settings dialog Displays the ECG Display Settings dialog Invert active channel toggle polarity Toggles display of ECG times in ECG window Print strip at current ECG cursor location Load a new recording Display Patient Details dialog Zoom in ECG display Zoom out ECG display Switch focus between ECG and Graphs Print List Drawing No 047 0020 0 CN4502 Issue 2 Basic ECG Keyboard Shortcuts Instruction Manual Lifescreen The ECG keys can only be used while the ECG window has the focus Shift Keys Keystroke Up Arrow Down Arrow Left Arrow Right Arrow Ctrl Home Ctrl End Page Up Page Down Home End Ctrl Left Arrow Ctrl Right Arrow Alt Left Arrow Alt Right Arrow Insert Delete Ctrl Insert Ctrl Delete Alt Insert Alt Delete lt Spacebar gt 5 on keypad Effect Move ECG cursor up Move ECG cursor down Move ECG cursor left wrapping at left of window Move ECG cursor right wrapping at right of window Move ECG cursor to start of ECG Move ECG cursor to end of ECG Move ECG cursor up one page Move ECG cursor down one page Move ECG cursor to the left of the current row Move ECG cursor to the right of the current row Move ECG cursor left by a large amount Move ECG cursor right by a large amount Move ECG cursor left by a small amount Move ECG cursor right by a s
62. st function Choose the appropriate Print Scale by clicking the down arrow 27 and selecting from the list Larger scales use more paper For example if you have selected 30 seconds of ECG it will require 1 page of paper if printed at 25mm s 8 seconds per strip The scale for Graph Segments is fixed DELMAR REYNOLDS MEDICAL 47 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual Callipers for ECG Events Click the check box to include the calliper Time Measurement on the strip This is the duration that was highlighted in the selection You can also add the Beat Beat Rate which converts the time measurement to a heart rate The calliper doesn t detect the beats within the highlighted region so take care to highlight precisely from one beat to the next For display zoom sizes x1 x2 and x4 you can click the check box to include the Amplitude Measurement indicated by the yellow box in the selected area The amplitude is in millimetres and is automatically calibrated ImV ECG 2 large squares on the printed grid This is generally of significance only for ST segment deviation measurement Calliper measurements are not applicable to Graph Segments Undo and Redo You can undo or redo the last action you took on an event by selecting the appropriate option from the Edit menu Inhibit Inhibited areas are parts of the recording where the noise artefact level is too high Lifescre
63. t P visible The columns in the recording list will appear in the same order Depending on your monitor setup you may need to change the order and the Character size to make the columns visible Status Short Format Time Status Field A Analysed 12 lead rhythm ECG Character size medium z B Background 12 lead rhythm stored C Confirmed 12 Lead Report Cancel T exTended information set ADDING NEW COLUMNS EXTENDED INFORMATION TO THE RECORDING LIST User defined fields can be displayed in additional columns in the Recording Details You must define these fields first in the Options see the Installation Manual after which they can be added to the Visible list above For example a list of Recorder Types To assign a value from your list to an individual highlighted recording select EXTENDED RECORDING INFORMATION from the RECORDING menu Baconin op Extended Recording Informat x View Recording Print Recording Standard Format Print Recording Select Format Recorder Type Status Export Recording Recorder Type z Tracker NIBP T CardioColl a e OOS CadoDiect CardioDirect A T CardioDirect T CardioDirect T Set Filter for Recording List CardioCall Delete Recording 16 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Life
64. t such authorisation Repairs to systems rendered inoperative as a result may be carried out at the customer s expense and at the Company s discretion DELMAR REYNOLDS MEDICAL 9 Drawing No 047 0020 0 CN4502 Issue 2 Lifescreen Instruction Manual 3 DETAILED OPERATION CARDIONAVIGATOR amp Ifyou don t have CardioNavigator integrated with your analysis program you can skip this section and go to Section 4 CardioNavigator may be set up to start automatically on your PC If not click twice on the CardioNavigator icon Rai on the Windows desktop or click on START PROGRAMS CARDIONAVIGATOR CARDIONAVIGATOR After starting the program you will see the Patient Database displayed Reynolds Medical CardioNavigator x Fie Patient Stat Recordng Help 144 La titor M No filter hd To search by patient no type no Patient Number 2 No Last Name First Name Date of Birth CardioDirect 711851 Last Name Klinge asterMann Elfriede nng First Name Peter This is the Patient Details Display FFEL ANDREW imon This is the Patient List This is the Recording List zj A YA Start E3 QuarkxPres W database bm 53 Inbox M 4 Reynolds Bice gt 1249 10 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen ENTERING A NEW PATIENT ii Click on the NEW PATI
65. toolbar button without clicking a tool tip appears telling you what that button will do The Menu Bar The Menu Bar is the row of words or menu headings at the top of the display Clicking on one of the headings displays a drop down menu of options Several menu options also have a Toolbar button that performs the same function Tabs E Print List Heart Rate al RR Histogram wat RR Tachogram For Help press F1 When the Lifescreen display is shown in split screen ECG above graphs below you can change which graph or table is shown in the bottom part of the screen by clicking the appropriate tab as shown above You can switch to split screen by clicking on the split screen button Zim on the hawi toolbar You can switch to full screen ECG by clicking the Full Screen button 22 You can arrange the tabs to be along either the top or the bottom of the display by selecting Arrange Tabs in the View menu option Also see how to adjust the graph display 34 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Loading a Recording and Starting a New Analysis If you have Lifescreen With CardioNavigator Integrated 1 Select the Patient 3 amp Select the patient in the CardioNavigator database or enter new patient details by clicking the NEW PATIENT button 2 Option 1 Store the Recording Analyse Later Insert the
66. ttons snap to the matching entry in the database if it exists Only click OK when you are sure the correct patient record is highlighted A message similar to these may appear when you close the original email message This is normal because the attachment has been moved You don t need to save the changes and no data will be lost Drawing No 047 0020 0 CN4502 Issue 2 DELMAR REYNOLDS MEDICAL 29 Lifescreen Instruction Manual STARTING A PROGRAM All your Reynolds Medical analysis programs can be started from the central toolbar or from the FILE menu The appropriate program will also be opened when you double click a report analysis or recording in the RECORDING LIST Start a Lifescreen analysis 30 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen 4 Lifescreen Detailed Operating Instructions Good Recording Quality Your First Priority Hookup Proper hookup or patient connection is essential to ensure intelligible ECG recordings Inadequate skin preparation will result in excessive artefact in the signal causing measurement of false intervals and difficulty in visual interpretation Skin Preparation There are 3 main steps in skin preparation CLEAN the skin using isopropyl alcohol soapy water or a non alcoholic swab This removes grease which prevents the electrode adhering and
67. u cannot have gaps in the selection though Confirm Load Lifecard CF Recording HE Patient Sample 1 r Select ECG to Load IV 24 hours starting at 00 00 on Wednesday March 07 2001 IV 24 hours starting at 00 00 on Thursday March 08 2001 IV 24 hours starting at 00 00 on Friday March 09 2001 IV 24 hours starting at 00 00 on Saturday March 10 2001 v 24 hours starting at 00 00 on Sunday March 11 2001 IV remainder starting at 00 00 on Monday March 12 2001 Recording length is 5 days 23 hours Cancel Help Click the button on for the consecutive days you wish to load and analyse To view any remaining days that you switched off you will need to load the recording again and make a new selection If you load all the days now you can still restrict the analysis to one day by using the Timebar for example At the top of this display there is a button to Play Sound Recording which will replay the patient s name or ID if it was recorded by the operator when the recorder was fitted 38 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Loading a 48 Hour Lifecard CF Recording If you are loading a standard Lifecard CF recording up to 48 hours you can choose to analyse either the first 24 hours or the remainder of the recording Each part of the recording must be analysed and reported separately After co
68. um E Iv Display hard disk capacity Cancel Right click in the Patient Details Display above the RECORDING LIST then click the CONFIGURATION button Choose which items you want to be visible The items will appear in the same order You may have to use a smaller CHARACTER SIZE to display all the information you have chosen Selecting DISPLAY HARD DISK CAPACITY will show the remaining space on the hard disk and provides a useful warning when space is low and archiving is required SORTING AND SEARCHING THE PATIENT LIST 1940 1 Abc 2 Def 1941 SORT BY NUMBER NAME OR DATE OF BIRTH Click on the appropriate button to re order the patient list by NUMBER NAME or DATE OF BIRTH If you sort by either number or name you can search by typing in full the required number or last name The highlight bar will move to the corresponding patient record 14 DEL MAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen FILTERING THE PATIENT LisT SET FILTER DEFINITION FOR THE PATIENT LIST No filter 5 Click on the Down arrow beside the Filter field then select FILTER No filter DEFINITION to define or setup a new filter for the Patient List Filter definition You set up a Filter to list only patient records matching defined criteria The filter can be very general or very specific you can use any field appearing in the
69. y entering the page numbers in the box You can also increase the number of copies that you want to print Set Up Report Formats Basics By selecting Set Up Report Formats from the File menu you can customise the appearance of printed reports You can modify an existing format and either save it under the same name if it was previously customised or under a new name You cannot save changes to the standard System Formats they are protected But you can create a new format based on a system format then use a new name when saving Setup Report Formats na Report Format MA ee e AUA Report Layout Page Frame 1 Frame 1 First page only Ad Page Frame 2 Frame 2 S Second page onward Section 1 Ful Patient Details Continue on this page Section 2 Comments Symptoms Continue on this page v o mE o MEENT Core Section 5 Ful RR Tachoam Continue on this page z coc EACT ere coc MOUNE correc Section 8 YO Create Report Format Delete Report Format Rename Report Format Cancel Help 58 DELMAR REYNOLDS MEDICAL Drawing No 047 0020 0 CN4502 Issue 2 Instruction Manual Lifescreen Procedure Begin by selecting the Report you want to modify by clicking the down arrow and highlighting the name in the list The Report column describes what you want to print The Layout column describes where you want to print it You can

Lifescreen Instruction Manual_18 0020_Iss 2.qxd

Contents

Download Pdf Manuals

Related Search

Related Contents