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DiasySoft manual

1. MV Table of hourly means M QKd analysis M Chronograms ke Ehronograms means lv Heart rate Iv Thresholds M Heart rate M Thresholds M GKd lv Shape M OKd M Histograms bars Iv Histograms percentiles M Sustole I Heat rate M Sustole M Heart rate Iv Diastole kW Ord kg Diastole lv kd M Comparisons means VK Comparisons percentiles M Pressure M Heart rate I Systole I Heart tate ke GKd ke Diastole Iv BEd Delete New Save Close User manual GB 03 03 page 66 DIASYSOFT WINDOWS MAC Prining reports Configuration of reports window This Configuration of reports window is accessed e by clicking the Reports line in the Settings Menu e by clicking the Configure icon in the Reports frame of the Report printing window cf 8 3 e by clicking the Configure icon in the Reports frame of the Chain printing window cf 8 4 It contains all the items which may be printed Fill in the input zones for the heading and report names and select the boxes required for the result items 8 2 1 Name of report The names appear in a pull down list in the top part of the window The model displayed when the window is opened corresponds to the report selected in the previous window or else the first in alphabetical order All the characters on the keyboard can be used to enter names To display one of the models pull down the list and click its name 8 2 2 Report heading
2. L3 fh Ge NT OO ae CH E AU 50 60 70 OU 90 1001101201301401 507601 701807 S020041 0220230440 2502602r0260mmH g e 40 50 60 ZU OU 90 7001707207307 407501601 70185019020041 UU UE UesUmmH g Systole MV Diastole ME M Heart rate PZ LG QKd m Complete Cumulated percentiles window These enable the overall distributions to be more clearly assessed here for example about 85 of the systolic values over the 24 hour period are found at 120 mmHg 7 The Comparisons window 7 7 1 General points Ip This window is opened by clicking the Comparisons icon in the tool bar li It is used to superimpose on the screen several procedures belonging to the same patient maximum 4 The ongoing procedure is always displayed it can be compared to up to 3 other procedures User manual GB 03 03 page 58 DIASYSOFT WINDOWS MAC Procedures on the screen Comparisons can be made e between the hourly means bar chart enabling the systole diastole and differential to be assessed simultaneously and or the heart rate and or the QKd e or between charts in cumulative percentiles using one or several of the following parameters systole diastole heart rate QKd 2 Display choices 7 2 1 _ Type of graph This icon compares the cumulative percentile charts This icon compares the hourly means for the entire procedure The time scale starts from the earliest time period The display is in chronological order This icon com
3. MAC Installing DiasySoft 2 1 About this manual The DiasySoft guide deals with everything you will need to know to use the software DiasySoft exists in versions for Microsoft Windows Version 4 5 onwards and for Macintosh Version 4 2 onwards The functions of these two versions are identical although the operations may sometimes vary slightly Differences between Windows and Macintosh are indicated in the margin of the manual by the Macintosh and Windows logos shown here 2 2 If you have never used a computer DiasySoft is user friendly and requires the same skills as for other Windows and Mac software such as using the mouse working with several windows at a time modifying text on the screen etc This manual assumes that you have a working knowledge of Macintosh or Windows programs If not you should take the time to familiarise yourself with them by going through the guidebooks which came with your computer 2 3 lf you have never used a Diasys unit This manual also assumes that you are familiar with the Diasys unit if not you should go through the Diasys user manual first 2 4 Diasys 200 and Diasys Integra DiasySoft version 4 5 gives access to all the functions of the Diasys Integra and the Diasys Integra Access If your Diasys belongs to the 200 series you will of course benefit from the increased possibilities of this software in as far as analysis of results is concerned but the Diasys 200 will func
4. 03705 1931 06 04 1915 2571071929 2670371340 17037 1940 12706 19320 15 30 30 60 HA HA Integra 1 3 Standard Integra Diasys 200 SOLANGE eer re TH BAUDETTE i H Summary BARBIER LILIANE Standard Integra Diasys 200 System dates 29 02 2000 15 25 46 Cancel Choice of a patient and a program window In this window indicate e the patient left hand zone either by choosing from the list of patients or by creating a new file by clicking the New icon see 4 1 e the program to be used for the procedure right hand zone either by choosing from the list of programs or by creating a new program by clicking the New icon see 5 3 Your computer s date and time which will update your Diasys internal clock are displayed at the bottom of the window if this is not correct it can be corrected by clicking the Update time icon User manual GB 03 03 page 38 DIASYSOFT WINDOWS MAC Communication with the Diasys This icon gives direct access to the Modem tab of the Communication Options window allowing configuration of the Diasys Integra with a view to transmission of a recording by modem It only appears if the connected Diasys Integra series has the Modem Communication option see Diasys User Manual 6 2 2 Transferring the program to the Diasys Click the Program icon in the Select Patient and Program window to transfer the required new program information t
5. Presentation tab Several choices of display are offered Graphs Set of thresholds V View comments D Easy View grid Whole Interface Tool bar v Information bar lv Tooltips Cancel Predefined Default preferences window e Simple sets of threshold values upon selection of the Simple mode DiasySoft uses a simplified set of threshold values less complete to calculate the statistics Also upon creation of a new set of threshold values in Simple mode the creation window will also be simplified cf 9 2 1 Caution all sets of threshold values are available If a complete set of threshold values is selected whilst in Simple mode the software will only display and use those values applicable e Simple Statistics selection of Simple mode displays a simplified statistics table less complete All statistical calculations are carried out even in Simple mode Re select Complete in the Statistics frame of this tab to display all the calculations Colours The colours of the graphs can be modified Click OK to validate the colours will be immediately changed Y Scale The scale of the vertical axis of pressure measurements in mmHg can either be adapted to the range of measurements carried out or keep its fixed limits page 78
6. The hourly means table summarises the complete table of measurements giving the means of the all the measurements in each hourly section It therefore contains the same parameter columns except the Status Incidents and Comments columns However a supplementary Number column indicates how many measurements have been used in order to establish the mean for each hourly section 7 5 The statistics table User manual GB 03 03 This table is opened with the Statistics Table icon in the tool bar It groups together the correct values of the ongoing procedure in hourly sections and displays any interesting results Statistics from three hourly periods are shown e Those of the whole procedure always shown symbolised by the 24 hr icon e Those of two other periods to be chosen page 54 DIASYSOFT WINDOWS MAC Procedures on the screen 7 9 1 Es Choice of hourly periods This is done by scrolling the periods in the Statistics Table g up ling down Periods dandi standing uplung dowry day night Period 1 Period 2 Periods 1 amp 2 Five periods can be displayed e Day night the table shows the statistical results of the day period and of the night period e periodi the table shows the statistical results of the first period defined by the user and those of the complementary period e period 2 the table shows the statistical results of the second period defined by the user and th
7. User manual GB 03 03 page 20 DIASYSOFT WINDOWS MAC Management of patient files 4 2 2 4 2 3 Utilities Window Help Chain prititing Impork Restore Export save Sauvegarde automatique User manual GB 03 03 Transferring Copying procedures These operations enable one or more procedures to be transferred from one file to another within the patient database When the Transfer operation is carried out the original procedure is deleted This enables a procedure to be transferred from one file to another therefore enabling any mistakes in file allocation made during the data transmission phase to be corrected When the Copy operation is carried out the original procedure is kept You can for example group together several typical recordings in the same file in order to publish them or to use them for demonstrations etc In the File window select one or more procedures and click the Transfer or the Copy icon A window will open enabling you to choose the file into which you would like transfer the procedures selected The destination file is selected in exactly the same way as a file see 4 1 2 1 Click the OK icon and the file will be transferred or copied The New icon enables you to create a new destination file if necessary Import Restore The import restore function enables recordings from other databases to be added to your database either in the DiasySo
8. list to choose from M Thresholds ii Genk pr d tinis 1120 80 150 100 SUN Deulle pr d finis 7 3 3 2 ZOOM The zoom function enables you to select part of the measurement chart and enlarge it to the width of the screen e hold down one of lt Ctrl gt keys e click the top left of the zone to be enlarged e hold the mouse icon down and drag it to the required place in order to define the part to be zoomed e release the mouse then release the lt Ctrl gt key The measurement table is not affected by this zoom on the chart it will continue to display all the measurements To return to the complete chart press lt Ctrl gt and click anywhere in the chart frame 7 3 4 Measurements table 7 3 4 1 Measurements displayed User manual GB 03 03 page 51 DIASYSOFT WINDOWS MAC Procedures on the screen It contains the values of all the parameters measured the time of the measurement plus complementary information concerning the categories specified in the Measurements bar Measurements 80 83 kd Corect Inconect Manually removed Outside specifications Measurements Frame Incorrect measurements The unit has not been able for one reason or another to take these measurements properly These incorrect measurements are always accompanied by an error message which appears in the ncidents column of the table Outside criteria measurements Although these measurements have been carried out
9. 03 page 29 DIASYSOFT WINDOWS MAC Programs This is only displayed for programs for the Diasys Integra which can should you wish carry out short bursts of additional measurements under certain adjustable conditions for example when a systole or diastole measurement exceeds a fixed limit 5 3 Creating a New Program 39 3 1 0 3 2 User manual GB 03 03 Name of the program Open the Programming Table see 5 2 1 and click the New icon The New program window is displayed Choose the type of program to be created Click on the OK icon to open a table ready for input of the new program Programming table Program name ze Cycles Options Additional measurements Time 7 8 9 101112131415 18 17 1819 20 3 2223 0 1 234 5 E D Intervals Duration E 24 sl br Theoretical number of measurements programmed 78 Delete New Save Initial table fora New program You can already type in the name of the new program as the cursor will automatically be in the name zone Then enter the other information either by clicking the zone or the corresponding area These settings can be changed at a later stage by selecting this program from the list and modifying it directly Measurement intervals As the interval in time separating two measurements can vary from one cycle to another the beginning and end of each cycle and the corresponding interval must be defined The timescale
10. 2 3 Te POE ee E E E 56 E E D E 57 TOA C E TOT a E E EA A A AEA 58 dade THE COMPARISONS WINDOW E 58 Vise SACHIN PO S a E ceteris E near apie ete E Reo E EA E AE EO ES 58 e L EE 59 eh EE Ee 59 Vel 2 D Te Se IG a E E E 59 Tild Proced res to De compared EE 59 fedas e 60 ZAA Comparison OF INE EE 60 7 7 4 1 Egeter 61 7 7 4 2 Resynchronisation of EE 61 7 8 THE OKDANALYSIS EI EE 63 L de NCCI OS e A E E E 63 Fae DP O O a T E A E AAOS 64 os EHS Eeer 65 8 1 ORGANISATION OF THE REPORTS sisdscsieinsacntocatadatminrenosqiadaantetanes otgiadanetonsbasadqiniasetocaidsaiminianadusabdantatenad aai 66 E E EE 66 Sda E 66 8 2 CONFIGURATION eebe 66 Cad NOO E 67 Bee EE 67 Dee AVCW TODO E E EE 67 Be COV ee a cantes ate ncaas a pietaeo neces ntee E a alice ae enema aunted tinea ceases AANE 67 oS ie am BIN Gi 0 APNE REE OS PTO TT RT eT MEE eT SET Ore eR ET OCT ESOT EME eT eater mE enor eT ETT Tee mee TT re errr wren rere are mre terre 68 ZO MOIS GS casera ca castucstecautaacunenaased caceinataa naman S 68 8 3 PERTINENT cocci ec A oceans cones tenesoecban dani cesesuaos sears 69 Gd THC TEVOT Prine WNAWN dads deacsbaoaneaseeewea nme cneeien 69 Mee E 69 8 4 CECR E Da 6 een ene rer eee nn ee ee ere 70 SAd LIS Of PVOCCUING E 70 Ore TO TE a OC PICO a T A N 70 IN erea cee ncaa nev ewea nes nvaduesevecdssavedseeaaeuewienasadeeveuteaceeensndesqscterctscsredesstescessutaescstee 72 9 1 REFERENCE EE 73 Dee DOMES E 73 P EME LOIS saeare
11. Table saving it if necessary e open a table for creating a new program e delete the program displayed from the list e set up control of the measurement intervals according to whether the patient is standing or lying down determined by the position sensor control icon 5 2 1 3 Measurement Intervals tab This consists of two horizontal lines e the first displays a 24 hour scale by hourly sections e the second displays the interval programmed between 2 measurements hourly section by hourly section The display of this 24 hour scale can be modified position the mouse on the line a double arrow pointer appears By keeping the left mouse click down and moving the pointer to the left or right the hour bar moves The tab also has a zone to adjust the recording length 5 2 1 4 Options tab This enables the following additional parameters to be set e display or non display of the measurements and or the time on the Diasys screen e activation of an audible alarm warning the patient that an oscillometric measurement is about to begin This alarm can be totally or partially inhibited at night for example e the approximate mean value of each deflation step in mmHg or in percentages of the momentary pressure e for the Diasys Integra the measurement mode to be used by the unit e for the Diasys Integra Access the maximum pressure of the cuff 5 2 1 5 Additional measurements tab User manual GB 03
12. by clicking elsewhere in the table A message will ask you if you want this new comment to be incorporated into the reference list If you type a comment into the input zone without using the pull down list it will apply to this measurement but will not be incorporated into the reference list page 53 DIASYSOFT WINDOWS MAC Procedures on the screen 7 3 4 6 Removing measurements If certain measurements do not seem to be of significance then they can be removed from the table of measurements They will only be displayed and included in the statistical analysis by ticking the Removed manually box in the Measurements frame Select the measurement s from the measurement table and click the Remove icon Measurements removed in this way are still saved in your patient database It is always possible to reinstate them at their initial place first select if this has not already been done the Removed manually box in the Measurements frame then select the measurement s to be reinstated Click the Remove icon to reinstate the measurements selected 7 4 Hourly means graph This is opened by the Hourly means graph icon in the tool bar This contains e Graph of all hourly means e Table of all hourly means And offers the same possibilities as the measurement graph concerning e Setting the screen cf 7 3 1 e Selecting a mean value cf 7 3 2 e Display parameters cf 7 3 3 1 e the zoom cf 7 3 3 2
13. cre caren ae wear eae eae a ea aa wae 73 De IVE TSC OO tenes ncn cass tana coeeaa ste muscanenteensadsuasaaina asco aa nda AE OS 73 Ee 74 oIa Usne E 74 9 2 STATISTICAL EE 74 Dias GT DOI a E A ES 74 ee AO WIN OW aea AEE Sc E e 76 9 2 4 Threshold values in the results Window 0 cccccccseccc veces eecenee ee eeeenee ee ence eee cece Gees E A EEE GEE E GE EEG EE EEG EEE E EEE E EEE E EES 76 E ae E AR N LUE eereen re mere rt wer Te er ee T A E E I E 11 9 4 CEELEN CI E 78 User manual GB 03 03 page 4 DIASYSOFT WINDOWS MAC NOVACOR licence agreement 1 NOVACOR licence agreement DiasySoft software is sold under licence and can only be copied or used in accordance with this By installing the DiasySoft software you agree to be bound by the terms and conditions of this licence agreement Please read this text carefully before installing the software If you do not agree to its conditions you should not under any circumstances install the software You may ask the retailer who sold it to you for a full refund You should return it with the accompanying documents items and packaging User manual GB 03 03 page 5 DIASYSOFT WINDOWS MAC NOVACOR licence agreement 1 1 Using the software floppy disks or CDROM The software is licensed as is for use on a single terminal connected to one single computer at a time The use of DiasySoft on a multi user system is not covered by this licence and is only allowed if a writte
14. does not exist Ze All the procedures the procedures for which the date of recording is after 29 08 1999 f echt most recent procedwes Import Restore Window IEY The imported or exported patient file is not copied if it already exists in the data base Itis only copied if it does not exist in the same base 4 2 4 Exportation Backup The Export Back up function enables one or more recordings to be extracted from your DiasySoft patient database and transferred to e Either to another software in which case the specific exchange del format should be chosen The exported recording s will then be regrouped in 4 files dsl exa mes pat in ASCII ready for use e Or to another DiasySoft database with the same mdb format User manual GB 03 03 page 22 DIASYSOFT WINDOWS MAC Management of patient files The export back up function is the inverse of the import restore function and works in the same way e Click Export back up in the Utilities menu to open the Export back up window e Click on one or more patient files then select the procedures to export or back up If you have selected only one patient file choose the procedures from the procedures list H you have selected several patient files choose between the following three possibilities For the patients selected export ot save e The patient file Ze All the procedures the procedures for which the date of recording is
15. e System 7 0 or above e MB RAM e Atleast 10 MB of free hard disk space e A QuickDraw or Postscript printer either laser or ink jet black and white or colour 2 6 Installing the equipment We recommend that connections are made before the computer is switched on 2 6 1 Connecting the access key To use the DiasySoft software you will need to install the access key supplied with it This is a special connector which functions solely with DiasySoft software If the software is installed without this access key it will only work as a demonstration version The access key is connected to the computer s parallel port unplug the printer insert the access key the arrows should be pointed towards the computer fix it in place with the 2 screws and plug the printer into the access key PC access key gt The access key is connected to the keyboard ADB port unplug the keyboard cable link connect the access key the arrow should be pointed towards the keyboard and plug the keyboard cable link into the access key If you are installing DiasySoft on an Mac or a Macintosh G4 without an ADB port connect a USB ADB adapter on the keyboard USB port install the driver provided with the adapter and connect the access key to the ADB port on the adapter MAC access key 2 6 2 Connecting the unit to a computer For Diasys Integra Series units use the cable supplied with DiasySoft For a 200 Series Diasys uni
16. eee e beeen ee et tke EG EEE EEE E GEESE GEEEE EEE E EEE E EEE E EEE ES 47 7 1 3 The medical conditions Of the Drocedure eee e eee e eect eee e tebe tA EEE EDA E AGEL EG EEEG EEE GEEEG GE EEG EEE EE EEE EEE ES 47 E EE E 48 Tes LAPAT Or IS pa a E 48 kedede LOONS TOF UCCCSSING E 48 7 2 2 Display Patient and Procedure files fecons eee cence eect eee e eee e eee G Gee e Gee EEG EEEG EEE GEE G GEE G EEE EEE GEES EES 49 e E ONS citer ae sti ccintisasc E aa ase dom sO sates E ao atten Wo eanbaeae asses Aecateaee saoeecse easement 49 lad MBASUREMENT e 49 kedede DEO CUSAN TAV EE ae E E AA A 50 E SCLCCUME a INCOSILCMCN caccccacaiasexiaxdasunreadaveoseadsaesaeatipexiaxsaauniadiaewtcadsaesieaiineiixsiainadiameadseeenineisiems 50 E T E E E E A A ert er et ree eT nT err ee a7 dowels Eed EE e EE 51 E EE 51 7 3 4 1 Measurcimenis displayed WEE 2 7 3 4 2 E Ul E a 52 7 3 4 3 Tne stae CO EE oa 7 3 4 4 The Tee EE 53 7 3 4 5 The Comments COMMA sisan areata deeatonstocatondbonatauseataestachaasesdsonssondSeanahavaeviadetees inensiboadbossbonsionss 53 7 3 4 6 Remoying EE E 54 Te HOURLY NEANG ORAP EE 54 Boa ESTAT d E 54 User manual GB 03 03 page 3 DIASYSOFT WINDOWS MAC Contents TD MEOW OUT CVO Sack cis ois pl cates T AE A sete vtec nae SS oan J E D Kai E Oe E KE 56 FOP CNTA DOU S aa E T ice taasaaeoaca sesso wees sates aan seo eets saased ts ia asa ena eoeaetaeetens ies 56 E EE 56 10 221 VSO CML eege deeg 56 1 0 2 2 RRE EE 56 7 6
17. four additional independent options are available anton The Position option enables a DIASYS INTEGRA series unit to detect whether the patient is standing up or lying down and to control the intervals accordingly and to trigger supplementary measurements if necessary according to his position QKd The QKd option gives access to mathematical and graphical interpretations regression curves of the QKd a true index in arterial distensibility Option Option Multicriteria The multicriteria Selection option enables you to work on just a part of the files in the patient database chosen according to criteria for which parameters can be set The Modem Communication option allows reception of recordings transmitted HI SES by a Diasys Integra or a Diasys Integra Access to your PC Your PC must be connected to a Modem dedicated to reception cf 6 4 Option Email The e mail communication option allows reception and manipulation of Diasys procedures sent via e mail using NovaDrive wary Z SES Tarn These options are indicated in this manual by their logo User manual GB 03 03 page 13 DIASYSOFT WINDOWS MAC Installing DiasySoft Your software may therefore be updated or replaced whilst retaining its existing database when new options are installed or the level is upgraded These new functions are added either with a supplementary disk used m the same way as the installation disk see above or by ca
18. in the programming table enables parameters to be easily set for the cycles and intervals page 30 DIASYSOFT WINDOWS MAC Programs 0 3 2 1 Programming measurement intervals To set the first cycle heures 8 9 10111213 i t e select the interval of the first hourly section by clicking on it Intervalles heures 7 8 3 10117213141 e Type the interval in minutes that you have chosen for the cycle Press lt Enter gt Intervalles 30 This box changes colour e To set the length of the cycle take for example a daytime cycle from 7am to 10pm position the cursor on the vertical bar marking the end of the cycle A double arrow shape appears Left click whilst sliding the mouse Drag the vertical bar to the 10pm mark and release the mouse Do the same with the vertical bar marking the beginning of the cycle and put it at 7am For the second cycle take for example a night time cycle from 10pm to 6am proceed as above e Select the interval for the 10pm hourly section by clicking on it e Type the interval in minutes that you have chosen for the cycle Press Enter This box changes colour To establish additional cycles a third cycle between 2pm and 4pm for example e Place the cursor as a vertical bar in the interval bar over the 2pm mark e Lett click on the mouse and drag the cursor e Anew cycle is created it appears in white Release the mouse once it reaches 4pm e Type the interval in minutes that you
19. results windows are open these icons can be activated to visualise one or other of the files without closing the results windows 7 2 3 Other icons Print icon Opens the Print Report window enabling you to choose the appropriate report model and to print it mmm These functions are explained in chap 8 Close icon Closes all procedure windows that are open 7 3 Measurement graphs Da e This window is opened by clicking the Measurement graphs icon This contains the complete or partial graph of measurements value by value the complete table of measurements In order to visualise the maximum amount of data this window like the results window can be enlarged to full screen size by clicking the box to the right of its title bar User manual GB 03 03 page 49 DIASYSOFT WINDOWS MAC Procedures on the screen 7 3 1 7 3 2 User manual GB 03 03 Size of charts and tables The space occupied by the charts and the table can be divided between them according to which one you wish to give the most space to Place the mouse pointer on the bar separating the charts from the table until it changes form Drag the separation bar towards the top or the bottom and release where the separation is required Double click anywhere within its frame for the chart or the table to take up the whole space it will then be enlarged to its maximum size and the other one will disappear Double click
20. successfully they go beyond the threshold limits fixed in the Measurement Validity tab in the Procedure file Manually removed measurements These measurements although they are neither incorrect nor out of specification have been taken out of the table by the user Bin icon Correct measurements Any measurements not entering into any of the above categories are deemed correct The table and the charts will be clearer if these are the only ones displayed However all the measurements can be reinstated if necessary because they are kept in the database 7 3 4 2 The time column This gives the time of the beginning of the measurement as well as Either the time period measurement taken during the daytime period measurement taken during the night time period Or the patient s position e Procedure carried out with position sensor measurement taken in sitting or standing position measurement taken in lying down position e Procedure carried out with orthostatism sensor measurement taken in standing position A measurement taken in sitting or lying down position 7 3 4 3 The status column Gives the measurement mode used K auscultatory measurement with ECG gating K auscultatory measurement without ECG gating User manual GB 03 03 page 52 DIASYSOFT WINDOWS MAC Procedures on the screen O oscillometric measurement 7 3 4 4 The Incidents column This column groups together the messages autom
21. the Diasys or transmitting the recorded data from the Diasys to DiasySoft Also with the Modem Communication option it 1s possible to receive via modem recorded data transmitted directly by a Diasys Communication with the Diasys page 35 DIASYSOFT WINDOWS MAC Communication with the Diasys 6 1 Diasys computer communication 6 1 1 Communication Options The Communication Options window is opened by selecting the Options line in the Communication menu EE e Choice of model of Diasys to accelerate the communication with the Diasys Model One or the other or both Diasys series can be selected M Diasys Integra Access IT Diasys 200 SC D e Choice of which serial port the Diasys cable is connected to COM1 or Automatic connection C OM2 7 On e Activation of the automatic connection Diasys Integra series only DiasySoft regularly checks the selected port and once a connection is detected the communication window is opened Modem tab Settings to be transmitted to the Diasys Integra series for the transmission of a recording by modem cf Diasys User Manual e Choice of the telephone number to which the receiving modem is connected Programing the number can be entered directly into the field or by selecting a name from aag AEE EN the Call name scrolling list the corresponding number is automatically Call number 0 30485029 d inserted Modem type 3COM e Choice of the type of mode
22. the enlarged zone again and the initial proportions will be re established Selecting a measurement Clicking on a measurement either in the table anywhere on its line or on the graph anywhere on the pulse pressure or its vertical line will select this measurement both in the table horizontal band and on the chart vertical cursor m i 74 T E 107 ok Ze Eh E aK Ei GP 49 81 185 Ete Manual measure The mouse can be used to drag the selection cursor on the chart the selection in the table will move at the same time whilst remaining on the first line as long as possible The selection can be deleted by clicking the chart frame on the left of the vertical axis page 50 DIASYSOFT WINDOWS MAC Procedures on the screen 7 3 3 Graph 7 3 3 1 Settings displayed The graph of all the measurements or hourly means always displays at least the systolic and diastolic pressure linked by a vertical bar showing the pulse pressure By ticking the appropriate box the following can also be displayed e the shapes of curves grouping together the systoles and the diastoles e the heart rate measured each time the blood pressure is taken e QkKd duration if this option is installed e the values of the statistical thresholds for the systole and the diastole The set of threshold values to be applied to the procedure can be chosen at this point clicking the thresholds box displays the set of thresholds as well as a roll down
23. to recover procedures received e Diasysoft software with e mail option for saving the procedures For more information on sending Diasys procedures via e mail see the NovaDrive user manual User manual GB 03 03 page 43 DIASYSOFT WINDOWS MAC Communication with the Diasys 6 5 1 Recovering a procedure from an e mail A procedure can be recovered from an e mail either automatically or manually This is always done by NovaMail 6 5 1 1 NovaMail Settings e d 1 To access the settings window right click on the NovaMail icon in the Windows task bar and select Settings from the menu 2 For automatic recovery Select a value of between 1 and 60 minutes in the connection interval field and click OK For manual recovery Select 0 in this field and click OK 6 5 1 2 Recovering a procedure In automatic mode the procedures received via e mail are automatically recovered by NovaMail and displayed in the procedures recied by Modem mail Diasysoft window This mode deletes e mails automatically after recovery In manual mode to recover a procedure 1 open the e mail in the in box 2 double click on the attchment to open it NovaMail then recovers the procedure This mode does not automatically delete e mails after recovery 6 5 2 Saving procedures recovered by NovaMail Treatment saving or deleting of procedures recovered by e mail is the same as for those received via modem For more information see para
24. without prior notice by NOVACOR S A 1 5 Copyrights User manual GB 03 03 This agreement is governed by French law and the only jurisdiction which applies in the event of a dispute is the exclusive jurisdiction of the French courts DiasySoft Manual 2000 NOVACOR S A All rights reserved Diasys and DiasySoft and their respective logos are registered trademarks of NOVACOR Macintosh is a registered trademark of Apple Computer International MS DOS and Windows are registered trademarks of Microsoft Corporation NOVACOR is an international trademark of NOVACOR S A page 7 DIASYSOFT WINDOWS MAC 2 Installing DiasySoft User manual GB 03 03 DiasySoft can be used with any Diasys unit 200 series and the Integra series Its main functions are the following complete patient file management programming of the Diasys for the recording then the retrieval and storage of clinical procedures consultation and optimisation of the test results presentation of the results in a printed report for which full parameters can be set statistical analysis of all or part of the patient database multicriteria selection exchanges with other software using import export functions as well as backup archival and restoration of procedures customisation of screens according to the user s needs colours size and presentation of the windows containing the results Installing DiasySoft page 8 DIASYSOFT WINDOWS
25. 0 These values can be left if you wish to use the same set of threshold values for each patient whatever his age If you wish different sets of threshold values depending on the age of the patient click in the Max column of the first age group and enter the age required for the end limit of this group After having entered a value press the lt Enter gt key to validate A second line is automatically created The hour groups can then be consulted Then click on the settings threshold values boxes and enter the values required It is not necessary to fill in all the cells the software will only use the settings which have been entered Click on Save when finished The software opens a window asking if you want to use these threshold values as the default values Click Yes if you want to use these values for every new procedure Click No if not Threshold values in the results window The default threshold values are always used for interpreting a new procedure Select which set of values is to be used in the Statistic thresholds window cf 9 2 1 and click on Close DiasySoft opens a confirmation window s2 Do you want to use this set of thresholds as the default set Click Yes and the set of threshold values selected will automatically become the default set of values Different threshold values for a particular procedure can be chosen and selected in one of the results windows cf chap 7 page 76 DIASYSOF
26. ATION WINGO sssrcsretsiimiesriosrie in ir enne er E EEE Ei ra a ar r a ie r arr ra aaa rE in E EE ni 36 O2 PROGRAMMING THE DIAS YS aninion T OT E eeted 38 6 2 1 Choice ofa Program and of CP AMCNT xc wssidcnusinansicetadees wearin audaiani awedinsiasiaanss dase cei aokdaad etuniansinetadws aeanuelas 38 6 2 2 Transferring the Program to the Diogeg eee ec eee eenee eee nee een ee ceca eee c aa eee cde e ceca EEE aa EEE G aa EE EEE EEE ES 39 e Oe ag DA h Gere eer re te een ee ee ee 40 EE 40 632 Allocating ihe Procedure 10 O E 40 6 3 3 Creating A Procedure wintdow eni ire rii sieka erir ra ei aa Er rE iiia a rtra n ini Ta E inii 4 6 4 RECEPTION OF PROCEDURES VIA MODEM UNONAMopDEM 42 EE 42 6 4 1 1 ORES i AGI Or CCRT ils nE ors po san ie aea EE EE eon A ean 42 6 4 1 2 Setting the modem on el 42 6 4 2 Saving procedures received VIA NOON Lo ccccscccc cece eee c eect eect eee e nese e eee eG ee GEA EE EGE EEGEEEG EEE EG EEE GEE EG MEAG EE EEEEEEE GEES 43 6 5 RECEPTION OF PROCEDURES VIA E MAIL ONONAMAm eeseeessessssesessesesresessesersesesseserseseeeesessesersesersesereesereess 43 6 5 1 Recovering A procedure from AN e mai Eee EGE EEGEEE GH E G EE E SEGA EEE ESSE EEEEE EES 44 6 5 1 1 Kov NM cal gC EE 44 6 5 1 2 R coyvering a EE 44 6 5 2 Saving procedures recovered by Mou 44 Ts WROCEDURES ON THE SCREEN eege 45 Tele THE PROCEDURE WINDOW ee eene 46 Pode Ee 46 7 1 2 The technical conditions of the procedure cece nec e nsec eee e
27. Ml NovacoR DiasySoft Manual ABPM recorder Software DIASYS 200 series WIASYS INTEGRA Ges DIASYS Tete CRA NSS Etage eg A 4 passage Sai 92508 Rueil Malmaison Ce be Koma DiasySoft Manual 2000 NOV ACOR S A All rights reserved CG User manual GB 03 03 page 1 DIASYSOFT WINDOWS MAC Contents CONTENTS L NOVACOR LICENCE AGREEMEN BD ees eege 5 1 1 USING THE SOFTWARE FLOPPY DISkSORCIDROM 6 1 2 LS EE 6 1 3 CINE ce tie ew eve ern can ot pe paw tra EE po a sivas oF pole paw cdr eae pean rnc oF pl E E nee sone 6 1 4 MANUA TE A EE EE AE EN pele EEEE va EE EAE AE A EE E E EA 7 1 5 CORRI EE 7 2 INS KH E EB EKOS 8 CN e sect seccecuieweaaue ces ecensucessueechcsecoasnesusesoseeseueusesoseecnecaccessccecsseseecanseeees 8 Del FO TEM EAI Ee 9 Didi F YOU HAVE NEVER USED A COMPUTER desen eege regele 9 2 3 IP YOU HAVE NEVER USED A DIASYS UNIT s ssssessesesseserseserseserseseseeseseesessesseseosesesseseoesseseosesesreseesesseseosesesseses 9 2 4 DIASYS 200 AND DIASYS INTECRA 9 2 5 SYSTEM EIERE 10 aad L E 10 2 5 2 WINDOWS EE 10 NAR Minim m EIERE geaennert 10 e PAA Recommended Configuration sis c51ersiasssacicescnchsenstecnegdsieticadenseenrdasadechduntnentissatieessinadechsonatash esusatsbigdaadieoaieadiees 10 E E MACINTOSH EE 10 Zoos Minimum COMI PSUTALION 121 022d lt 2scenesebstestenasiacedseetendbesedguscaesanaecneseeecqueotoabtns sdaxenecaneauedensuentneiteteactobedseenecacasererse 10 2 2
28. Recommended E ee EE 11 2 6 INSTALLING THF ECH 11 2 0 Connechho EE ege Il 20 2 GONNECHNG the unit toa E Il pg INSTALLING THE SOPTWARE ra aenn EEEE E E iS 12 2 8 STARTING UP THE DIASY SOFT APPLICATION EE 13 2 9 UPGRADES AND OPTIONS scccseccsecesccenccenceeecceccseccseceneceneceneceuceeeceseceeeceeeseeceneeenceeeceseceeeceeeceeceeeeeeeeeees 13 GN LR TSS WORD a acon stncnractetvacasettoavenencunieds E E O E E E ES 14 3 OPENING THE SOFTWARE ee 15 3 1 OIC O E 15 Co MANAGEMENT OF ATEN TIES 1C ON cosas recs tevarnentennesastdaaven ai tuannes tive vsaantoneanatdutnerae duane E S 15 3 3 COMMUNICATION ICON E 15 3 4 CHAIN PRINT UNG CON EE 15 4 MANAGEMENT OF PATIENT FILES wiccvsccssccssccces cece cceacsscscedescsessecsancsecseccsacteccesesacesesetesasssnsevecaanseevecsasedesevs 16 4 1 BTN atesiectsesse tects cerarecles A A AA A A 17 Pie COORG E a a a hana stacdenanteaadiaadeadonanhecseneuceetces 17 4 1 1 1 Tne hsi of OT 17 4 1 1 2 Creating a EE 18 4 1 1 3 Oaa a P a E E T re er er rer er 18 4 1 1 4 De inea Pe rE E ee eaeegeresgiecetiassaee iene vaeyeegrau se eateae er ereeeet eee years 18 ede LMCI WOW a EE 19 4 1 2 1 Se de E EEN 19 4 1 2 2 PGC COME EE 19 4 1 2 3 Moie AL EE 20 4 1 2 4 Fee Teal m gene EE 20 4 2 HE 1 OA AB AGE EECH 20 Ded Delene DI OCCU GS a crasca tacos A a aE A 20 B22 Trani orrn 7 CODVING DI OCCOAUICS a iiin costes EE EE 21 de LOr KE T e aasanae eatceaGlesy ne caae va ae Giana cana s
29. Start of procedure We date iz wrong itmust be 24702 2000 12 43 EE jie Call number 115 Program Diasys communication window IRE If DiasySoft cannot communicate with the Diasys a warning window indicating Display current program icon User manual GB 03 03 possible causes of the problem is opened instead of the Communication window If the Diasys displays Er 14 battery low at the same time replace the battery by a charged one and restart the communication as described above Please note that the Diasys Integra has a back up battery which allows the main battery to be removed temporarily without losing data stored in the unit Clicking on this icon will display the current program stored in the Diasys that is communicating with the software If this program is not already in the list of programs it can be saved page 37 DIASYSOFT WINDOWS MAC Communication with the Diasys 6 2 Programming the Diasys 6 2 1 Choice of a Program and of a Patient Click the Program command in the Communication window to open the programming window i Choose a patient and a program Programs BANNIER BARBARA BARBIER BARBIER MABIER BARBIER BARTHELEMY BARTHELEMY BASSON BASSON BATHELEMY BAUDET BAUDET MARIE LOUISE CHRISTIANE EMILIENNE JULIEN ME LILIANE SERGE EWELYNE BEATHE HENEE ANDREE ELEBER Marie 10 02 4913 1370471345 3170571342 02705 1914 057 1071955 eff 1071950 1071071938
30. T WINDOWS MAC Settings 9 3 Default Values The default values are those used for the interpretation of the first procedure for a new patient They concern certain procedure criteria e Getting up going to bed times e Measurement validity limits Settings Lblities window Click on Default values in the Settings menu to open the corresponding window Blees P Default values Measurement validity Programs Reports Statistical thresholds Getting up time 7000 l Bedtime 23 00 E Default values Preferences Printer Predefined The Predefined icon reinstates the original values fixed by the software Times State here the getting up and going to bed times used by the software to determine the daytime and night time intervals in the statistics table and in the graphs and charts Measurement Validity Define the ranges outside of which measurements will be rejected IEY For these criteria the values used for the most recent procedure are re used for the interpretation of a new procedure for the same patient User manual GB 03 03 page 77 DIASYSOFT WINDOWS MAC Settings 9 4 Preferences User manual GB 03 03 This menu allows modification of certain settings in the Diasysoft windows The modifications carried out in the Preferences window are carried through from one procedure to another and from one DiasySoft session to another The Preferences window has three tabs
31. The heading which has its own frame is the only item which is common to all the reports you can indicate your name and address which will be printed at the top of the cover page and on each of the report pages If the heading is modified in one of the models this modification will immediately be applied to all the other report models 8 2 3 New report Click the New icon to open a blank window Type the name under which you want to memorise then select the boxes of all the items you want to incorporate in this new model The items to be selected are described below and concern results of windows with the same name as described in chapter 7 Procedures on the Screen 8 2 4 Cover page This displays e atitle zone with the address of the establishment or the surgery heading e aframe containing the patient s details e aframe summarising the procedure including on one hand the technical and medical information and on the other hand a statistical table of the results as parameterised by the user in the Measurements Statistics window This table includes the three periods Whole procedure Daytime and Night time The night and day period are replaced by lying and not lying if the procedure was carried out using the position sensor User manual GB 03 03 page 67 DIASYSOFT WINDOWS MAC Prining reports If the user has defined additional statistical periods they will appear on the first page of the re
32. ally cf 6 3 Note that DiasySoft enables you to open up to four procedures at the same time These four procedures always concern the same patient All the views of the procedures are identified by the date of the procedure indicated in the title of the window Ela Procedure 04 08 1999 Procedure Indic Treat Conclusion Measurement validity Start of procedure 04 08 1999 22 35 Duration 23 54 Data transnission c 0670871993 10 19 Number of measur 82 Device DIASYS INTEGRA N 09001847 without sensor nterpreter S Stetho meas Fleeing ys Name Dr Peronnet SANN reemer 7 00 Phone 01 30 50 74 89 El Bedtime 0 00 A Procedure window The Procedure window is divided into 4 tabs e The Procedure tab with the technical conditions applied to the procedure e the Jndications Treatments tab with information concerning the medical nature of the procedure e the Conclusions tab e the Measurements validity tab giving access to the measurement validity criteria The patient s name is displayed permanently in the information bar at the bottom of the screen whenever the file is open Also once a procedure is opened the icons for the results windows are displayed in the tool bar Ce j liye Hin Ye Tool bar page 46 DIASYSOFT WINDOWS MAC Procedures on the screen 7 1 2 User manual GB 03 03 The technical conditions of the proc
33. anual GB 03 03 The report printing window Click the Print procedure icon in the tool bar or on the Print line of the Procedure Menu to open this window C Reports BAUDET Mane Se D estination Lexmark Optra Plus Daniel on Kees MEMAR K Configure Report printing window The name of the patient and the start of procedure date appear in the top centre frame This window enables e areport model to be chosen or a configuration of reports window to be opened in order to display an existing model or to create a new one e the printing configuration window to be accessed with standard settings consult your printer or system manual for more information e printing to be started Printing Click the Print icon having checked the data in the window in particular the report model Depending on the complexity of the report printing may only take a few seconds or may take several minutes Printing can be stopped during this preparatory period by clicking the Cancel icon in the temporary printing preparation window by using the keyboard command Apple Shift Full Stop page 69 DIASYSOFT WINDOWS MAC Prining reports 8 4 Chain printing 8 4 1 8 4 2 User manual GB 03 03 This command enables several reports to be printed in succession thus enabling the user to gain precious time Click the Chain printing icon on the tool bar or click the chain printing l
34. as a graph and a table E This window is explained in 7 4 Table of statistics icon Opens the Measurements statistics window displaying graphs of the measurements and tables of different statistics This window is explained in 7 5 Bar charts icon Opens the Bar charts window which displays all the measurements carried out in Wu bar charts or percentile curves This window is explained in 7 6 Comparison of procedures icon Opens the Comparisons window enabling the ongoing procedure to be nad simultaneously compared with up to three other procedures belonging to the same patient This window is explained in 7 7 OKd Analysis icon Opens the QKd Analysis window which displays the pulse wave transmission time Ea according to the other parameters measured This window is explained in 7 8 User manual GB 03 03 page 48 DIASYSOFT WINDOWS MAC Procedures on the screen The first click on each icon opens the window To go from one window to another click on the appropriate icon To close the window click on the cross in the right corner 1 2 2 Display Patient and Procedure files icons Show procedure file icon z The icon is only available when the procedure file is open It brings the procedure Aug file window to the fore ground Show patient file icon The icon is only available when the patient file is open It brings the patient file window to the fore ground Once the
35. atically added by the Diasys to certain measurements or particular interventions such as monitoring being stopped manually When the unit has not been able to carry out a measurement the cause is also indicated in this column error messages Of course these messages only concern measurements whose display has been requested cf 7 3 4 1 1f you have indicated that only correct measurements should be displayed then no error messages will appear Ur Test Measurements User manual GB 03 03 As the first two measurements are used by the Diasys Integra to help it choose its functioning mode see the Diasys Integra User Manual they are indicated as Test Measurement These two test measurements are not displayed on the charts nor used in the statistical analysis 7 3 4 5 The Comments column This last column enables you to add a personal comment relating to a measurement These comments can be specific to this measurement and this procedure or chosen from the Comments reference list cf 9 1 Clicking in the Comments column on the line of the measurement will select this measurement in the table and on the chart and an input zone will open nts Click the arrow to the right of the input zone then pull down the Comments Reference list If the comment is already listed click it and it will automatically be incorporated If the comment is not listed type it directly into the input zone then validate by lt Enter gt or
36. ay and night periods The calculation of the percentage of measurements exceeding the thresholds for the standing and lying periods uses values from the daytime thresholds and the night time thresholds respectively These limits for the systole and diastole are displayed on the measurement chart if the Thresholds box in the Charts frame is selected page 55 DIASYSOFT WINDOWS MAC Procedures on the screen Whilst interpreting a new procedure the default set of threshold values is used automatically cf 9 2 4 However another set of threshold values can be chosen from the Thresholds scroll down list M Thresholds ME Seuils pr d finis 150 100 SIE eee Seis pr d finis Ten If the set of threshold values is not suitable another one can be created in the Thresholds window of the Settings menu cf 9 2 7 6 The Bar Charts window 7 6 1 General points a This window is opened by clicking the Bar Charts icon in the tool bar It represents the distribution in percentages of the measurements for one or more of the following parameters e Systole e Dhiastole e Heart rate e QKd This can be displayed as bar charts or in cumulative percentile charts The windows always contains three charts e One with the whole procedure always displayed e Two others for those periods chosen from the scroll down Periods list 7 6 2 Display choices 7 6 2 1 Type of chart Click this icon to go from bar cha
37. before 29 08 1999 All procedures but the 4 most recent Ones Cancel Export back up window Then click Next e An options window opens Choose the format of the destination file Enter the file name Ifyou wish to archive the file i e delete it from the working data base tick the option in the Base source section of the window Exportation and save options Source database Delete exported procedures farchiving Delete the patient tle if it emt after archiving Destination database Name CNBDDIAS TDIAS 7 S17 MDB Browse Format E iasySott A vu mdb x Export and back up options window ILS The patient record of the exported backed up or archived files is always copied to the destination data base If the record already exists in this data base it will be replaced User manual GB 03 03 page 23 DIASYSOFT WINDOWS MAC Management of patient files 4 2 5 Multicriteria selection This enables part of the database to be extracted by sorting out most of the items constituting the files and the statistical results of the procedures Files It is then possible Mem SL either to work on a reduced database BRES or to make an export file entirely constituted of procedures with pre defined DEEE s o characteristics Multicriteria selection This function can only be accessed from the Files Menu on the menu bar Procedures received by modem Quit Click the Mul
38. cal conditions of the procedure Information of a medical nature relative to the ongoing procedure is noted in the Indications and Treatments frames and in the Conclusion tab The Indications and Treatments frames can be added to in the same way as for the Analysing Physicians and Referring Physicians zones as described above either directly or from the corresponding reference list cf 9 1 They contain up to 8 lines The Conclusion tab is a free text zone and should be filled in after the procedure results have been analysed The contents are included on the first page of the final report in the Conclusions frame page 47 DIASYSOFT WINDOWS MAC Procedures on the screen 7 1 4 Measurement Validity This tab enables modification of the minimum and maximum thresholds for measurements outside of which the measurements will be classed as out of criteria These measurements will not be taken into account for the statistics cf 7 5 7 2 Display of results The tool bar displays icons giving access to the different consultation and edition windows Access is also possible from the Procedure menu 7 2 1 Icons for accessing results Measurement graphs icon Opens the Measurements window which displays all the measurements taken as a graph and a table mmm This window is explained in 7 3 Hourly means icon Opens the Hourly means window displaying the hourly means of the measurements taken
39. ceiving modem Modem reception of procedures requires e Diasysoft software with modem option e NovaModem software 6 4 1 Receiving a recording 6 4 1 1 Configuration of equipment Any external modem connected to the computer s serial ports or an internal modem or even a PCMCIA drive for laptops can be used However if the modem is waiting to receive a Diasys procedure no other information can be received It is therefore not recommended using the same modem for different types of reception both fax and reception of Diasys procedures for example 6 4 1 2 Setting the modem on standby The DiasySoft software does not need to be open in order to receive a recording However the NovaModem reception module installed with the Modem Communication option must remain open and the modem must be awaiting reception This standby mode is driven by NovaModem Click on the NovaModem icon in the Windows task bar to display the main window NovaModem is always opened when starting up the computer Select the Settings menu to open the settings window Check that the selected serial port used by the modem is correct and click OK Alito Click on Auto me The traffic light changes to orange whilst attempting to go to standby and to green JS once successful The NovaModem window is automatically reduced and the modem is awaiting reception Caution when setting the modem in standby mode the DiasySoft Automatic Connection F
40. creen 7 7 4 2 1 Automatic shift on comments If the hourly sections we want to compare have been identified by an identical comment it is very easy to align them e First click the common comments in the list e Then click the Align Comments icon so that the hourly section of procedure s to be compared align themselves on the reference procedure with the same Align Comments icon comment selected The state of the 24 hour icon is not important it will automatically be activated by this operation if it is not already as procedures can only be moved chronologically on a 24 hour scale The example in 7 7 4 1 above would be transformed as follows 2 Procedure 11 01 1996 Comparisons hourly means ojx Procedures SS Current procedure we 0170271996 19 35 ea 12 06 1988 00 00 E Sa V Systole I Heart rate Note that the grid of the hourly section moved is noted above the grid of the reference procedure in the colour of procedure n 2 The shift can be cancelled in two ways By clicking the Synchronise the procedures icon which will enable the 24 hour scale to be retained au by clicking the hourly means icon which will reinstate the original scale as it was when Comparisons window was opened User manual GB 03 03 page 62 DIASYSOFT WINDOWS MAC Procedures on the screen 7 7 4 2 2 Manual shift A manual shift can only be carried out when using the 24 hour comparison graph horizonta
41. cycle and a night time cycle Over a 24 hour period between 1 and 24 cycles can be programmed Oe from the same interval between two measurements to an interval which changes every hour A cycle can start at any time on the hour Within a cycle e the interval between 2 measurements can vary from 02 to 99 minutes by steps of 1 minute e if the interval is programmed at 0 then no measurements will be taken during this cycle e each measurement is separated form the next by the interval pre defined in the cycle even if the next measurement corresponds to another cycle Each program is presented in a Programming Table grouping together all its characteristics 5 2 Programming Table 5 2 1 Opening a Programming Table To access the Programming Table either click on the Programs line of the Settings menu or the Settings icon on the Choose patient and program window cf 6 2 User manual GB 03 03 page 28 DIASYSOFT WINDOWS MAC Programs Programming table Intervals Duration ES sl hr Theoretical number of measurements programmed ZE Delete New Save Close Programming Table zones A programming Table 5 2 1 1 Name of Program zone This is a pull down list click its arrow to see the full list Display the program of your choice by clicking its name The input zones of the table will automatically be filled in 5 2 1 2 The Icons zone By clicking these icons you can e close the Programming
42. e method is always used 1 Click the place where the item is to be inserted a pull down input zone appears 2 Pull down the list by clicking its arrow ltem 3 If the item is not listed type it in using your keyboard It will automatically be inserted press lt Enter gt A message will ask you if you want to add the item to the reference list 3 Click the required item It will automatically be inserted and the list will be closed If you know in advance that the item to be inserted is not listed and you do IEY not want to add it type it in directly at stage 1 without using the pull down list and press lt Enter gt 9 2 Statistical Thresholds 9 2 1 General points This window enables sets of statistical thresholds to be created These can be used in the charts and in the statistical tables in the Measurements window In the Settings Menu click the Statistical thresholds line to open the window User manual GB 03 03 page 74 DIASYSOFT WINDOWS MAC Settings Settings Utilities window Reference lists Programs Reports Statistical thresholds Detault values Preferences The set of thresholds window is different if simple threshold sets or complete thresholds sets have been selected in the Presentation window of the Preferences menu cf 9 4 Statistical thresholds K Name 150 100 E T Print the name o set of thresholds on front page of the
43. e to a patient file To do this a Destination File window similar to the Selection of a File window see 4 1 1 1 opens The name of the patient entered in the Diasys when it was programmed will be selected from the list presented If not DiasySoft opens a window to tell you that the patient does not exist in the database Click OK to close this window p Destination file Patent selected 2 BAUDET Marie 12 06 1920 F First name BASSON 251071929 BATHELEMY 26 03 1940 BAUDET D H S TUE 4 GE gege Fe 24061920 F BAUDETTE 1771071512 BAUDRY 01 01 7986 BAULE 0320271943 EDT BEUZET DIAUIIUDO Destination File Window You can then e validate the choice of the patient selected by clicking OK or e choose another patient from the list having typed the first few letters of his name then click OK or e create a new patient file by clicking New iS Saving the procedure in the file may take a few seconds User manual GB 03 03 page 40 DIASYSOFT WINDOWS MAC Communication with the Diasys 6 3 3 Creating a Procedure window User manual GB 03 03 The data transmission phase is now over and DiasySoft will automatically open the file concerned and the window for the procedure which has just been added to your patient database Stumame BAUDET First name Marie Date of birth 1270671920 See M et Patient Procedures Medical history General information Start of procedure Duratio
44. easurements taken into account are the correct values of the procedure aT Click in the list of settings to select the one to be used for the regression calculation User manual GB 03 03 page 64 DIASYSOFT WINDOWS MAC Prining reports 8 Printing reports User manual GB 03 03 DiasySoft enables recordings to be visualised and analysed on the screen in a wide variety of ways Parameters can then be set for printing the reports so they can be fully adapted to your needs page 65 DIASYSOFT WINDOWS MAC Prining reports 8 1 Organisation of the reports 8 1 1 Report items Reports are made up of the following items e aheading which groups together the patient s identity details in a box at the top of each of the report pages e a cover page heading results conclusions e charts and graphs of the results 8 1 2 Configurations Full parameters can be set for the final report so that it can be adapted to the user s needs The size of the report may therefore vary from one to about ten pages Report models corresponding to your personal needs can be made and stored for future use 8 2 Configuration of reports The report is configured in a specific window Report configuration a Hopital du coeur kW Cover page Aue de l h pital 44444 YILLE M Table of measurements M Corect measurements M Outside specifications M Incomect measurements NM easuirements removed Y scale RK SE E
45. edure The first three lines cannot be modified they concern the start of procedure and data transmission dates the procedure length the number of measurements the serial number of the Diasys Integra used and the presence or absence of a position sensor The following three lines can be filled in by the user 1f appropriate concerning The referring and analysing physician references Their names can be extracted from the corresponding reference list cf 9 1 e pull down the list by clicking the arrow to the right of the input frame e then click the relevant name and it will be incorporated into the procedure window If the relevant name is not listed type it directly into the input frame then press lt Enter gt a message will ask you if you would like this name to be incorporated into the reference list Getting up and going to bed times When a new procedure is created the getting up times and bed times will use the times noted in the same patient s previous procedure For the first procedure in a file the times are those noted in the Default values of the Settings Menu cf 9 1 They can be modified for the ongoing procedure by directly typing the required times into the Procedure window The Stethoscopic Measurements The Stethoscopic Measurement frame enables up to 4 sets of reference measurements to be taken for example with a stethoscope just before the Diasys is connected to the patient The medi
46. el ESSA Stat 2411 1999 10 59 Wea ees a ee 24 71 1999 10 59 Sch See ESSAI Stat 24 11 1999 10 43 BOT Bat 18 11 1999 12 38 BOT Edt 18 11 1999 12 32 BOT Bat 17711719991247 DEMO Integra 1671171999 18 41 DEMO Integra 16 11 1999 17 47 ODILE 25 70 1999 16 08 ODILE 1241019991511 ODILE 12710 1999 12 09 ESSAI Bq 05 10 1999 17 45 H Ihe etH Te Ll The name of the report will appear automatically in the Report column indicating thus that these procedures are ready to be printed using this model Then select all the procedures to be printed using a second model if there are any and click the name of this model Allocate models to all the procedures to be printed If a model has been allocated by mistake select the procedure then click None Check the configuration of your printer and the reports that the printer has enough paper and click the Print icon to start the chain printing process page 71 DIASYSOFT WINDOWS MAC Settings 9 Settings This chapter explains the functions in the Settings menu User manual GB 03 03 page 72 DIASYSOFT WINDOWS MAC Settings 9 1 Reference lists 9 1 1 9 1 2 User manual GB 03 03 DiasySoft manages several types of lists interpreting physicians referring physicians treatments indications medical history and comments As this information is repetitive DiasySoft enables it to be listed permanently so that you only have to enter the data once Indicati
47. er NOVACOR S A guarantees the DiasySoft items and documentation for 90 days following delivery In particular NOVACOR S A promises to replace the program disk or CD Rom free of charge should it be found to be illegible After this period of time a set fee will be charged for a replacement The software and their accompanying manuals are sold as they are without any guarantee as to their quality their performance their accuracy or their ability to reply to a specific need In consequence the use of the results and the diagnosis established according to these results are the entire responsibility of the physician No loss or alteration of the data or any damages either direct or indirect caused by the use of the software may be attributed to NOVACOR S A or its distributors page 6 DIASYSOFT WINDOWS MAC NOVACOR licence agreement 1 4 Manual Information contained in this manual is given only as an indication and does not engage the responsibility of NOVACOR S A NOVACOR S A accepts no responsibility for any errors or inaccuracies which may be found in its manuals The examples measurements and charts shown in this manual are fictitious and shown only for the purpose of illustrating the use of the DiasySoft software They have no scientific or medical value and cannot be used for any purposes other than the teaching purposes of this manual The functions of the software and the manual which explains them may be changed
48. er or modify the patient s details name address phone number e consult his list of procedures e add to or consult his medical history e enter or modify general information e open delete transfer or copy one of the procedures Click on the tab required in the window to enter the information in that tab 4 1 2 1 Patient details Enter the patient details into the input zones The dimensions of these zones are restricted the software will not allow you to exceed these limits 4 1 2 2 Procedures The various procedures which have been carried out on this patient are classified in inverse chronological order according to the start of procedure dates date and time the Diasys was started up The length number of measurements and the serial number of the unit used for the procedure are also displayed Click on the procedure to select it User manual GB 03 03 page 19 DIASYSOFT WINDOWS MAC Management of patient files 4 1 2 3 Medical history You can enter one of the items from the Medical history reference list explained in 9 1 or add specific information not contained in the reference list by clicking an empty line You can add up to 8 items To delete or replace one of the items already noted in this zone just click it beforehand 4 1 2 4 General information This is a practically unlimited free text zone in which you can note anything of general interest concerning the patient Ur Caution the con
49. ft restore format or another format import Files can also be imported using the ds1 ASCII exchange Files with this format can be automatically generated with the Export function or manually constructed This operation can be used to incorporate files and procedures carried out with other units old or other models or using different software e g previous versions of DiasySoft software versions 1 9x or 2 xx under MS DOS for example Click the Jmport Restore line of the Utilities menu to open the Import or restore from window which will enable you to define the directory and the original format of the data to be imported or restored page 21 DIASYSOFT WINDOWS MAC Management of patient files Import or restore from Ea Es Nom de fichier Dossiers TERESA ii c bddias 1 diasys1_mdb diasys2 mdb test mdb Types de fichiers Lecteurs DiasySoft 4_xx mdb sl GC Import or restore from window After having selected the file from which the data is to be imported or restored click on OK to open the patient file selection window and the procedures to import or restore e Select one or more patient files e If you have selected only one patient file choose the procedures to be imported or restored from the procedures list e If you have selected several patient files choose between the following three possibilities For the patients selected impot or festa e Tbepatent Wellt it
50. graph 6 4 2 Saving procedures received via modem User manual GB 03 03 page 44 DIASYSOFT WINDOWS MAC 7 Procedures on the screen User manual GB 03 03 The Procedure groups together all the measurements carried out by the Diasys from when it is started to the end of the period programmed or up until a manual stop of the recording Measurements concern systolic and diastolic pressure the heart rate and sometimes the pulse wave transmission time QKd The Procedure also contains details concerning the patient and the conditions under which it was carried out DiasySoft offers a large range of possibilities for presenting the procedure results tables charts Statistical calculations depending on the user s needs Procedures on the screen page 45 DIASYSOFT WINDOWS MAC Procedures on the screen 7 1 The Procedure Window 7 1 1 User manual GB 03 03 General points The Procedure window enables the information concerning a procedure to be visualised the result windows to be accessed and the report to be printed To open a Procedure window e open the Patient window cf 3 1 2 then select the required procedure e click the Open Procedure icon or double click in the list on the selected procedure e Or click on the Open icon in the procedure menu When you have finished transferring the recordings from the Diasys to the computer the Procedure window is created and opened automatic
51. have chosen for the cycle Press lt Enter gt This box changes colour e Select the length of the cycle using the vertical bar as before 5 3 2 2 Position Option If installed this option allows e control of measurement intervals according to the activity of the patient enhanced patient comfort particularly during rest periods the longest interval programmed will automatically be applied if the patient lies down at no matter what time this occurs e trigger additional measurements upon changing position when getting up cf 5 3 4 Diasys Integra only To activate disable the Position option click the icon on the right User manual GB 03 03 page 31 DIASYSOFT WINDOWS MAC Programs Position option not active icon up default status e The position icon is light grey off e the background of the timescale is light grey and e the colours of the interval scale are light Tike 78 s100 1213 1418 16 17 18 19 2021 2223 BEER Intervals Position option active icon down e The position icon is white on e the background of the timescale is dark grey and e the colours of the interval scale are dark When the Position option is activated the different pre programmed intervals will be applied to the pre set times except for the longest interval but not 0 which will only be activated if the patient lies down If an interval is programmed at OO Le no measurement during the cycle this wil
52. he criteria display zone and a new pull down list Link is positioned to the left of the Field list Criteria Validation Criteria Definition of criteria Lirik Feld E aa User manual GB 03 03 page 25 DIASYSOFT WINDOWS MAC Management of patient files e You can carry out a search with this first criteria by clicking the Search icon the result appears in a new window whose presence on the screen will not impede other criteria from being established e To make a multicriteria search other criteria can now be added to the first Each supplementary criteria is introduced with and or or in the Link list on the left of the Definition of criteria frame These are then established and validated as for the first Criteria Ser ND and weight gt 75 SH Search Definition of criteria sss e e e A Link Field Operator Value 26 27 To go back to the beginning of a multicriteria selection press this icon and all the criteria already established will be cancelled Cancel Criteria icon e The result of the complete search can be displayed by clicking Search e Before this click the items in the Display table that you want to see in the results window If you want to retain your new request type its name in the upper zone before saving it By clicking this icon the list of criteria displayed and the result of the corresponding search will be copied into the clipboard enabling
53. iles in the patient database first of all select it in the List of files window which can be opened in any of the following ways e by using the List of Files icon on the Tool Bar e by selecting Open from the Files Menu e by DiasySoft automatically after transmission of a recording wm List of files Patient selected es A Jean Pierre 09 05 1967 M First name born Aaaa 12 72 1945 Aaaab 12 12 1955 A JeanPierre OSG TS6 Me AB oF 07 1953 AB 137101940 ABC ARBAGLII MOUHSIN 05 07 1964 Al UOUbDHU ALJOURD HUI Odile BANNIER MARIE LOUISE 1070271913 New Delete Cancel Open List of Files Window If your database contains more names than that there is no restriction to the number of names the first 200 names will appear You can get to the chosen patient by typing the first letter s of his name To select one of the files you can e either click it directly having scrolled the list if necessary using the scroll box on the right e or type the first letter s of the name the first name corresponding to the letters entered is selected in the list The name selected appears in the Selected patient zone If no name begins with the letter entered the list remains unchanged and the Selected Patient Zone is empty User manual GB 03 03 page 17 DIASYSOFT WINDOWS MAC Management of patient files 4 1 1 2 Creating a New File Click the New icon in the List of Files window to open
54. ine in the Utilities Menu to open the Chain printing window List of procedures When the window is opened DiasySoft displays the current date Click on Search to display the list of procedures from the last 24 hours w Chain printing Procedures transmitted rom 70172000 S sean Search to 0670172000 ei i Procedure Interpreter ot HiT cide 06 01 2000 150 ses ea SERGE 231295 04 01 2000 09 44 FF Beck and URE neous Configure m Print 4 Cancel Destination To select the procedures over a given period use the Procedures read search zone at the top of the window Use the Up Down arrows to define the period to be taken into account or type the day month year in place of the previous ones Press the Search icon This may take a few seconds depending on the size of your database Procedures to be printed First select all the procedures to be printed with the same report model You can make a multiple selection by clicking on each procedure whilst holding the Ctrl key down or by dragging the mouse over consecutive procedures or by combining the two methods Then click the name of the model to be used for the procedures selected page 70 DIASYSOFT WINDOWS MAC Prining reports User manual GB 03 03 E Chain printing i Procedures transmitted end 4099 1999 el ta 10 01 2000 El Procedure Interpreter Report EE BOT Bat 08 12 1999 16 02 z Lexmark Optra Plus Dani
55. l be respected even if the patient lies down during this cycle this program setting takes priority Of course if a Diasys Integra is programmed with the Position option activated but the position sensor is not connected it will function as usual according to the times set for each of the cycles 5 3 3 Additional settings Display of measurements EG ___ If you select this box the Diasys will display the measurements as soon as they F Measurements Time E ze have been carried out for 30 seconds Display of time Information If you select this box the time will be displayed on the Diasys screen E Measurements E Time ETETETT Oscillometric measurement beeps Oscillometric measurements Diasys Integra programmed in oscillometric mode or during a palliative measurement two minutes after a failed measurement or Diasys Integra Access require that the patient remains still So that the patient knows he is not to move three beeps can be emitted when the cuff starts to inflate Select the corresponding box to activate this alarm ME Oscillometic measurement beepe Inhibited from 22 00 to K User manual GB 03 03 page 32 DIASYSOFT WINDOWS MAC Programs These beeps are proposed by default in new programming tables for the Diasys Integra active between 7am and 10pm and inhibited between 10pm and 7am They are not activated in a new programming table for the Diasys Access the patient must be warned each
56. l scale limited to 24 hours The reference procedure always stays where it is and the procedure to be compared with it will be moved All opened procedures up to three to be compared can be moved one after the other Having decided which hourly period to superimpose click the hourly section of the compared procedure or its vertical line and hold the mouse icon down The grid of this first hourly section will now be displayed on its vertical line above the hour axis Itis for this first move identical to the fixed grid above the axe figure 1 select Move the cursor with the mouse towards the appropriate hourly section of the reference procedure the cursor and the grid above the horizontal axis will move simultaneously figure 2 move Si be a s 8 G 4 5 E I select 2 move and release When the cursor grid has reached the required position in the reference procedure release the mouse all of the compared procedure will now be moved over The grid moved by the mouse will stay displayed indicating that the procedures are no longer synchronised and by how much figure 3 release Several shifts can be carried out one after another if necessary The Synchronise the procedures icon becomes accessible if you click it all the procedures will go back to their original places 7 8 The QKd analysis window 7 8 1 General points The QKd transmission time of the pulse wave measures just bef
57. lling up an option in the software In the latter case use Add an option in the Utilities Menu and follow the instructions 2 10 Password You can protect the confidentiality of your data by entering a password which you will then be asked to type in each time that you want to use the software The window used for creating or changing passwords is accessed using the Password command in the Utilities Menu e If no password exists yet type the word chosen into each of the two zones at the bottom of the window and click OK e To change your password type it into the text zone at the top of the window then enter the new password twice in a row into the following zones to remove use of the password leave the two text zones at the bottom of the window empty Then click OK User manual GB 03 03 page 14 DIASYSOFT WINDOWS MAC Opening the software 3 Opening the software Upon opening the software has a menu bar and a tool bar at the top of the screen Some of the icons are active The procedure menu remains grey if no file is open At the bottom of the screen an information bar gives e The date and time of your computer all the time e If applicable information concerning current operations for example the patient s name date of birth current procedure date 3 1 Quit icon ENT Management of patient files function i e creating a new patient file changing or deleting a file which already exists cons
58. lying down during at least 3 30 ittonn fo i Delete New Save Close User manual GB 03 03 page 33 DIASYSOFT WINDOWS MAC Programs These additional measurements can be programmed under two precise circumstances e The predefined minimum or maximum systolic or diastolic thresholds are exceeded e The patient gets up during a rest period For each of these events one measurement or a burst of several consecutive measurements can be programmed Triggering based on arterial pressure This allows the adjustment of e The number of measurements in the burst of measurements e Triggering thresholds e The interval between measurements the first measurement will commence once the criteria are met e And a latent period to avoid two bursts of measurements based on the same criteria taking place too close together Ur The bursts of measurements are stopped if two consecutive measurements are on the right side of the arterial pressure threshold criteria Triggering due to getting up This allows the adjustment of e The number of measurements in the burst of measurements e The interval between measurements the first measurement will commence less than 11 seconds after the criteria are met e The minimum amount of time the patient must be lying down before taking into account his getting up ies When
59. m to be connected to the Diasys for the transmission A modem in the scroll down list must be chosen If you wish to use a different modem contact your retailer e Select the initialisation chain of the calling modem this is automatically updated upon selection of a modem from the scroll down list This cannot be altered directly The initialisation chain is transmitted to the Diasys in order to drive the modem 6 1 2 Communication window Connect your unit having switched it on if it belongs to the 200 series by plugging the connection cable already plugged into the computer into the corresponding Diasys connector Wait for the Diasys Integra to display COMM to confirm connection If the Automatic Connection is activated the Communication window opens automatically User manual GB 03 03 page 36 DIASYSOFT WINDOWS MAC Communication with the Diasys If not this can be opened by e Clicking the Communication icon on the Tool bar e Clicking the Program Read line in the Communication menu This window centralises communications between the computer and the Diasys It displays the status of the Diasys Data to be read Diasys ready enabling the Diasys to be programmed for a new procedure and enables either the data recorded during the procedure or the program contained in the unit to be read Communication DIASYS INTEGRA N 09002151 Status Data to be read Patents surname GA
60. mmHg ke Spstole Diastole Heart rate 7 1 4 Comparison of the hourly means This function enables you to fully assess the evolution of the heart rate over 24 hours for several procedures The presentation in hourly periods enables the following supplementary operations e display of the comments added to the table of measurements of the compared procedures e standard comparison by superimposing the same hourly periods over different procedures e comparison of procedures by synchronising them on a specific event a comment for example User manual GB 03 03 page 60 DIASYSOFT WINDOWS MAC Procedures on the screen The comments frame to the left of the window allows the selection of comments to be displayed for a resynchronisation of the procedures for example Once a comment has been selected the synchronisation by comment icon bottom left of the window is available cf chap 7 7 1 4 1 Comments Commentaires This frame displays all the comments noted in the measurement tables of the compared procedures You can select one or more Any comments selected in this frame will automatically appear on the chart in a band the same colour as the procedure with an arrow pointing to the centre of the corresponding hourly section GA Procedure 11 0171 936 Comparisons hourly means eg mmHg ms Procedures _ Current procedure E 0170271996 19 35 12 06 1938 00 00 Comments Dias
61. n Number of measurements Device _ 0408 1999 22 35 2x59 26 0ASYS INTEGRA N 09001847 1670471994 00 00 15413 DSS s re 200 W57 W Procedure 04 08 1999 Mi ES Procedure Indic Treat Conclusion Measurement validity Start of procedur 04 08 1999 22 35 Duration 23 53 Data transmission c 06708 1999 10 19 Number of measur 82 Device DIASYS INTEGRA N 09001847 without sensor Interpreter D Stetho meas i Referring physician Name Dr Peronnet D Getting up time Jemp Phone 01 30 50 74 89 H Bedtime 0 00 Opening a File and creating a Procedure window This Procedure window can be filled in immediately or later on in particular concerning the stethoscopic measurements taken before connecting the Diasys to the patient procedures clinical indications and the treatments followed by the patient during the procedure You can now e close the file or the procedure which has been saved in your patient database to go back to it later on e look at the results on the screen by clicking the relevant icons in the tool bar cf chap 7 e or print the report corresponding to this procedure cf chap 8 page 41 DIASYSOFT WINDOWS MAC Communication with the Diasys 6 4 Reception of procedures via modem NovaModem The DiasySoft software can directly receive recordings transmitted by a Diasys Integra given that the Diasys has been configured with the telephone number of the re
62. n contract with NOVACOR S A has been made Renting or lending of the software is strictly prohibited unless a prior written contract has been made with NOVACOR S A You may give up ownership of the disks but this must be permanent and they must be accompanied by all the original documents and packaging they were delivered with Once you have given up the software you lose all rights to its use and the new owner becomes bound by the terms and conditions of this licence agreement 1 2 Copies To use the software without any restrictions you will need an Access key It may however be installed without this Access key as a Demonstration Version In this instance a small database is available giving access to most functions although it is not possible to communicate with a recorder Copying an original software disk for demonstration purposes and for free distribution of these copies is therefore authorised as is making a backup copy Any copy made with any other aim in mind or any attempt to bypass the Access key could be considered as an offence punishable under the protection of royalties law 1 3 Guarantee User manual GB 03 03 NOVACOR S A guarantees that the software will perform substantially in accordance with the documentation provided with the DiasySoft package on the computers which were used for the tests NOVACOR S A cannot guarantee that the software will work properly on any specific comput
63. o the Diasys The Communication window will be displayed again indicating the new status of the unit Communication DIASYS INTEGRA N 09002151 Status Ready Patients surname BARBIER LILIANE Program PB Standard Integra Diasys 200 Programming date 29 027 2000 15 30 Eet Cal numb 01 3048 50 26 CS al Ries Pa Communication window after programming Check that the battery in the unit is properly charged and connect your patient to the unit see the Diasys User Manual IRs A program set with parameters for a Diasys Integra unit can also be used for a Diasys from the 200 series The unit will simply memorise the functions which are available to it and will ignore the others User manual GB 03 03 page 39 DIASYSOFT WINDOWS MAC Communication with the Diasys 6 3 Reading the Diasys 6 3 1 Read the Diasys icon in the Communication window 6 3 2 First of all connect the Diasys and initiate communication as described in chap 6 1 1 2 Check that the date displayed in the Communication window is correct If not correct it at this stage in order to have the correct date and times of the measurements Data Transmission Click the Read the Diasys icon in the Diasys Communication window to start transferring the data to the computer Allocating the Procedure to a Patient At the end of the transmission process DiasySoft will ask you to allocate the procedur
64. ons Arterial hypertension Diabete Hypotension A reference list These lists can be consulted or updated from the Reference lists line of the Settings menu or in windows where they are displayed by clicking their name All the lists can contain an unlimited number of items and are based on the following model The list itself This contains items which have already been entered and is organised in alphabetical order To select an item from the list simply click it Text zone Five of the reference lists contain a single text zone which e displays the item selected from the list or e enables you to use the cursor to add the name of a new item or to modify the one which has been selected in order to create a new one The list of Referring Physicians also enables you to add supplementary information address phone number to each item The Insert icon Inserts the contents of the text zone into the list by adding a line to it page 73 DIASYSOFT WINDOWS MAC Settings 9 1 4 The Delete icon Deletes the item selected from the list IEY Be careful DiasySoft does not ask you to confirm this command 9 1 5 Using reference lists in windows The Medical history reference list is used in the File windows The Comments reference list is used in the Measurements windows The Interpreting Physicians Referring Physicians Indications and Treatments reference lists are used in the Procedure windows The sam
65. ore the P diastole the duration in milliseconds separating the QRS of the corresponding Korotkoff sound captured by the microphone in the cuff The Qkd is a reference value enabling this parameter to be easily estimated It 1s established from the values measured and corresponds to the value of the Qkd for a systole of 100 mmHg and a heart rate of 60 min User manual GB 03 03 page 63 DIASYSOFT WINDOWS MAC Procedures on the screen SEH Click the QKd icon in the tool bar to open the QKd window or click the OKd line in the Procedure Menu EI Procedure 11 01 1996 QKd analysis Number of measurements 72 Theoretical QKd 100 60 222 ms QKd 0 927 Systole 322 Observed QKd 100 60 233 ms 104 952 QKd variation against systolic pressure This window displays the best fit line of the QKd value according to parameters measured or calculated as well as the following information e inthe upper left hand frame concerning the chart itself the number of points of the scatter plot number of measurements the equation of this best fit line e in the upper right hand frame concerning the QKd reference value theoretical value of the Qkd 100 60 calculated according to the formula QkKd 100 60 0 73 x height cm 91 value of the QKd 100 60 established according to the measurements taken ratio of values established theoretical values of the QKd 100 60 7 8 2 Display choices Parameters _ M
66. ose of the complementary period e period and 2 the table shows the statistical results of the first and the second period defined by the user e standing lying if the procedure was carried out with a position sensor the table can show the statistical results of the standing period and those of the lying period By clicking periods 1 or 2 they can be defined e either by zooming the relevant zone on the curve e or by typing the beginning and end times in the frame The periods are separated in the table by a double vertical bar The title line indicates either the symbol which represents them or the time limits and between brackets the number of measurements they contain Corresponding curve To display the measurement curve corresponding to one of the 3 periods presented click the box on the title of the appropriate period the segment is selected and the corresponding part of the chart is indicated on the graph and can be zoomed if required 7 5 2 Statistical thresholds User manual GB 03 03 These are the sets of threshold values corresponding to standards results of studies etc The sets are defined in the Thresholds window of the Settings menu cf 9 2 For each setting concerned the percentage of measurements which go beyond these thresholds is indicated on the last line of the table The calculation of the percentage of measurements exceeding the thresholds for the 24 hour period uses percentages from the d
67. pares the hourly means over 24 hours of the procedure The time scale is limited to 24 hours from the first time period of the reference procedure The chronological order of the procedures may be altered if necessary e Either the procedure to be compared to the reference procedure started earlier in which case the time periods from the beginning of the procedure to be compared are put towards the end e Or the procedure to be compared to the reference procedure started later in which case the time periods from the end of the procedure to be compared are put towards the beginning 1 1 2 2 Different settings Choose the setting s to be included in the comparisons from the bar at the bottom of the window The systole and diastole icons are joined together if comparisons are to be made with hourly means 7 1 2 3 Procedures to be compared The patient s procedures are selected from the scroll down list A colour is allocated to these procedures once it is selected for comparison The procedures are selected by clicking them User manual GB 03 03 page 59 DIASYSOFT WINDOWS MAC Procedures on the screen 7 1 3 Comparison in percentiles This function enables you to fully assess the evolution of a single setting during several procedures In the example below the difference in distribution of the systolic values of these procedures belonging to the same patient is evident k HI JJ 50 100 110 120 t30 140 150 160
68. port e Finally there is a frame reserved for conclusions in which the contents of the Conclusion frame in the Procedure window are copied Of course if this has not been filled in the physician can put his conclusions directly on the cover page either hand written or by typing them in 8 2 5 Y Scale The vertical scale of the pressure charts displayed on the screen can be graduated differently according to the user s needs It is not always appropriate to use the same scale for printed reports as for on screen observations Consequently the pull down list enables you to adapt the scale for the printed report without altering the scale on the screen scale AS on screen gt Automatic 0 300 mmHg User defined As on screen Click the line corresponding to the scale you require e Automatic the scale will frame the maximum and minimum pressures of the procedure e 0 300 mmHg fixed maximum scale e Customised uses the customised scale defined in the Adjust the current procedure window cf chap 9 even if it is not applied e As on the screen the scale applied for display 8 2 6 QKd Analysis If the corresponding box is selected the best fit line of the QKd according to the i SS systole diastole pulse pressure and the heart rate will automatically be printed User manual GB 03 03 page 68 DIASYSOFT WINDOWS MAC Prining reports 8 3 Printing reports 8 3 1 8 3 2 User m
69. report Simple threshold sets window Statistical thresholds cave Click on max column to edit age groups T Piint the name of set of thresholds on front page of the report Complete threshold sets window 9 2 2 Creation window Click the New icon to open a blank window Type the name of this new set of thresholds in the upper input zone where the cursor is placed when the window is opened Then fill in one or several tables Note that the limits of a given set of thresholds can be applied to different age groups to one or other sex and to all or part of the nyctohemeral period cf 9 4 Existing threshold sets can be modified by selecting it in the scroll list except the predefined one This is in fact a reference set of thresholds and can be neither modified nor deleted User manual GB 03 03 page 75 DIASYSOFT WINDOWS MAC Settings 9 2 3 9 2 4 User manual GB 03 03 Threshold limits table These thresholds represent a maximum limit for each of the settings If you have chosen to work with the complete sets of threshold values cf 9 4 The table contains one or several lines each corresponding to a different age group indicated in the first two columns The first two columns automatically filled in by the software indicate the age of the beginning of the group and the age of the end of the group respectively They are automatically filled in by the software with 0 and 13
70. rts to cumulative percentile charts Click this icon to go from cumulative percentile charts to bar charts 7 6 2 2 Different settings Choose the setting s whose charts you want to display from the bar at the bottom of the window The colour of the chart is shown next to its box 7 6 2 3 Time periods The time periods for which the charts will be calculated are chosen from a scroll down list similar to that for the statistics window cf 7 5 1 User manual GB 03 03 page 56 DIASYSOFT WINDOWS MAC Procedures on the screen The three charts displayed are updated according to the period selected in exactly the same way as the Statistics Table cf 7 5 1 7 6 3 Bar Charts FS Procedure 1170171996 Histograms bars NES i 201 301 407 501 601 FOT 801 3020021 02402 S040 2b02 O02 o0mmA 9 ESS yyy eb N ARRAN KSC Wei ki S EN PSS i 0 1001101201301 407 SOT BOT 7019013020021 022023024025026 r lAsmnmHg KE E Heart rate P SLL Complete Bar Chart window These enable the peaks to be easily assessed visually here for example the majority of the systoles about 35 over the 24 hour period are between 110 and 120 mmHg User manual GB 03 03 page 57 DIASYSOFT WINDOWS MAC Procedures on the screen 7 6 4 Cumulative percentiles a Procedure 11 01 1996 Histograms percentiles enma standing up lying down 2 A0 50 60 70 80 90100110120120140150160170180190200210220230240250260270280mmHg
71. t use the same cable you used with the previous software Different computers require different cables User manual GB 03 03 page 11 DIASYSOFT WINDOWS MAC Installing DiasySoft MAC Modem Port Es For PC computers an RS232 cable with a DB9 connector is required If your computer is equipped with a different connector contact your distributor who will be able to tell you which cable you need to use Plug the cable into the appropriate serial port usually COMI or COM2 To change the serial port use the Communication Menu Options window cf 6 1 1 1 For Macintosh computers connect the mini Din end of the cable to the computer s port modem This port is identified by a small telephone symbol The printer port can also be used if there is no modem port or it is busy If doing so do not forget to configure the application Communication Options window in the Communication Menu If you are installing DiasySoft on an IMac or a Macintosh G4 without a serial port connect an USB Serial adapter to one of the two USB ports install the driver provided with the adapter and connect the mini Din end of the cable to the modem port on the adapter The cable link is usually left connected to the computer so that it is always easy and quick to connect a Diasys to it for programming or transferring data 2 Installing the software User manual GB 03 03 The software is installed automatically with the ins
72. tallation disks or CD Rom supplied e Insert the installation disk n 1 into disk drive A or B or the installation CD Rom into the CD drive e Open the File Manager Windows 3 1 or the desk top Windows 95 or above Windows NT e Select disk drive e Type SETUP EXE to start installation e Follow the instructions on the screen Installing DiasySoft uses about 3 Mb of hard disk space Insert the installation disk n 1 into the disk drive or the installation CD Rom into the CD drive Double click on the Install DiasySoft icon the installation program will guide you page 12 DIASYSOFT WINDOWS MAC Installing DiasySoft 2 8 Starting up the DiasySoft application To start up the DiasySoft application open the Windows 3 1 program manager and double click the DiasySoft icon or select DiasySoft in the Start Program Novacor menu Windows 95 or above Windows NT gt Open the DiasySoft file installed in your hard disk Diasysoft by default and double click the DiasySoft application icon WY Ur WARNING Do not work directly in the files in the DiasySoft directory as this could damage your data Moving files in the DiasySoft directory renaming them or destroying them could seriously affect the data and could even destroy it permanently or prevent the software from functioning properly 2 9 Upgrades and Options Most of the DiasySoft functions are available as soon as the software 1s installed However
73. tents of this zone are only available on the screen and cannot be printed in the procedure report The File window to which this zone belongs to does not concern one specific procedure but is valid for the patient file in general 4 2 Patient Database operations Eies _ In general all the files in the patient database are available Total Data Base ticked in the File menu However it is possible to select a section of the database following certain criteria which can be adjusted cf 4 2 5 If you decide to carry SS out this selection the multicriteria selection menu will now be selected only those Mulkicrteria selection files corresponding to the selected criteria will be available Procedures teceived by modem Dut Opens ENG Delete Transfers of files or procedures can be carried out on files available in the database e the delete transfer and copying operations transfer procedures from one place to another within the database e the import export backup archival and restoration functions transfer files or procedures from one database to another These functions can be accessed from the Procedure when at least one procedure has been selected and from the Utilities Menus 4 2 1 Deleting procedures If a procedure has been selected or is already open it can be deleted by clicking the Delete line of the Procedure Menu Confirmation will be requested as deletion is irreversible
74. the New File window A window will appear with zones to be filled in name date of birth sex Fill in at least the Name of patient zone and click OK to create a new file The new file is created To complete the information zones open the file cf 4 1 1 3 4 1 1 3 Opening a File To open one of the files select it from the list and click the Open icon Files can also be opened by double clicking their name on the list 4 1 1 4 Deleting a File To delete a Patient File select the file on the list and click the Delete icon DiasySoft always asks for confirmation before destroying a file once a file has been deleted it cannot be retrieved As a Safety measure files containing procedures cannot be deleted immediately to delete the file you must first delete its procedures see 4 2 1 A specific message will warn you if the file you want to delete contains procedures User manual GB 03 03 page 18 DIASYSOFT WINDOWS MAC Management of patient files 4 1 2 The file window The File window contains your patient s details and can be accessed from the Files Menu Open or the Tool bar File SES Sumame DURAND First name Michel Date of bith 0970271950 Sex M CF Is et Fair Patient Procedures Medical history General informa Height lem 180 weight kal 80 Address fi rue R Poincar Postcode 74000 se A Home phone Se Die phone Po File window This window enables you to e ent
75. the number of additional measurements upon getting up is set at more User manual GB 03 03 than 0 a window is displayed asking which type of cable is to be used for the recording Tick one of the boxes and validate OK icon Start upon getting up Type of cables Ce Position cable C Orthostatism cable Tantal If a position cable is used the control of cycles according to position is automatically activated to allow the triggering of measurements upon getting up However if an orthostatism cable is used the control of cycles according to position is not necessary to trigger measurements upon getting up It will therefore not be activated The bursts of measurements are stopped if the upright position of the patient is not confirmed by two consecutive measurements Total number of additional measurements The total number of additional measurements can be limited maximum 99 page 34 DIASYSOFT WINDOWS MAC 6 Communication with the Diasys User manual GB 03 03 Your DiasySoft software enables you to program and to receive data from any Diasys 200 series or Integra series This requires carrying out the following operations in order e establishing communication between the recorder and the computer e choosing to program or to read a Diasys e choosing a patient from the Patient Database or creating his file if he is a new patient e transferring the patient details and the program to
76. ticriteria Selection line to open the window of the same name enabling you to choose a set of criteria which has already been memorised or to define a new set of criteria 4 2 5 1 The Multicriteria Selection window Multicntena selection uname and name Ges Age riterna see f et age gt 36 gt gt Definition of criteria Link Field E Value Multicriteria selection window This window enables you to construct and memorise an unlimited number of sets of multicriteria search If required the result can be displayed transferred to another software or applied to the contents of the DiasySoft patient database User manual GB 03 03 page 24 DIASYSOFT WINDOWS MAC Management of patient files 4 2 5 2 Making a multicriteria selection e Inthe Multicriteria selection window click New to open a blank window and use the lower frame Definition of criteria to set out your request by first pulling down the list of available fields Definition of criteria K perator Value Treatments Medical history Town e Click the appropriate field and pull down the list of operators Definition of criteria Se Field Operator Value E Sex e Click the appropriate operator then pull down the list of values Definition of criteria e Click the value required to complete the first criteria then validate this first criteria by clicking the Criteria Validation icon It is displayed on t
77. time a measurement is about to take place as he must always keep his arm immobile during the measurement Deflation steps in the oscillometric mode You can adjust the mean value of the deflation steps in the oscillometric mode at 8 or 12 mmHg Deflation steps in the auscultatory mode Diasys Integra only By clicking the pull down list you can adjust the mean value of the deflation steps in the auscultatory mode either a constant value in mmHg within a section between approximately 3 to 7 mmHg by steps of 1 mm or a relative value in of the cuff pressure within a section of approximately 3 to 7 by steps of 1 Measurement mode Diasys Integra only The measurement mode of the Diasys Integra can be chosen by clicking in the drop down menu auscultatory oscillometric or automatic cf Diasys Integra User Manual Automatic Auscultatory Oscilometic LEE Maximum Pressure Diasys Integra Access only The maximum pressure of the steps can be limited fixed at 295 mmHg by default 5 3 4 Additional Measurements Diasys Integra only Additional measurements Start on pressure Nuniber 1 a Sustole lt fo p mmHg Diastole s fo E mmHg Intervall 2 g mm Sustole gt ES g mmHg Diastole gt a50 E mmHg Mimmum time between two estra start ups torthesamecrnitena 0 15 hhmm Start upon getting up Maximum total number of extra Nuebel B nterval 2 Almin measurements patient stays
78. tion as usual User manual GB 03 03 page 9 DIASYSOFT WINDOWS MAC Installing DiasySoft 2 5 system requirements So that your software can work under the best possible conditions you should first check that you have the appropriate equipment and configuration ano E 2 0 2 Equipment One or more Diasys units A computer cable link An access key A PC compatible computer with Windows or a Macintosh with Mac OS system 7 complying with EN 60 950 standards WINDOWS Configuration 2 5 2 1 Minimum Configuration A 386DX computer with a mouse A DOS 4 0 system software or above and Windows 3 1 or above A VGA video card 4MB RAM At least 10 Mo of free hard disk space A PC Windows compatible printer with 1MB RAM 2 5 2 2 Recommended Configuration 2 0 3 A 486 DX 33 computer or above with mouse A DOS 6 x system software or above with Windows 3 1 or above An SVGA accelerator video card 800 x 600 8 MB of RAM At least 30 MB of free hard disk space A PC Windows compatible printer either laser or ink jet black and white or colour MACINTOSH Configuration 2 5 3 1 Minimum Configuration User manual GB 03 03 A 68030 computer System 7 0 or above 4 MB RAM At least 3 MB of free hard disk space A QuickDraw or Postscript printer page 10 DIASYSOFT WINDOWS MAC Installing DiasySoft 2 5 3 2 Recommended Configuration gt e lt A 68040 or Power PC computer
79. tole In the above example two procedures are compared The comments in one or both measurement tables are listed Those selected AAAA et BBBB appear twice on the chart in two colours which means that they are noted in both procedures If these had been noted in only one measurement table they would have appeared only once on the chart with the colour of the corresponding procedure The current procedure took place between 4pm and 4pm and the other between 7pm and 7pm so the horizontal time axis is graded from 4pm to 8pm so that the comparisons can be made over the same hourly sections which is often the aim even if the procedures are far apart in time 7 7 4 2 Resynchronisation of procedures It can sometimes be interesting to superimpose different hourly sections in order to compare circumstances which did not happen at the same time For example if we know that drugs have been taken at different times during the two monitoring periods and we want to compare the repercussions on the pressure in each case we can bring these two hourly sections into comparison with one another by dragging one of the procedures in relation to the other If the events have been indicated in the tables of measurement with an appropriate comment this shift operation can be carried out straightaway It can also be done by dragging one of the procedures with the mouse User manual GB 03 03 page 61 DIASYSOFT WINDOWS MAC Procedures on the s
80. uananaasonne wade aaade Geae ease ones eatebn ean etaGenteen eae 2l E MMT On BOTU ee COROT aE A AT T E AN OA E OA 22 4 23 Mullicriteria selecilOn siicriorcrriiseisciionciiienena e ini e eA E ENET E E TOE AEREE 24 4 2 5 1 Toe Wil Criteria Sclechon WO EENEG 24 4 2 5 2 Making a multicriteria selection EE 25 S PROGR IME E 27 5 1 THE CONTENTS OF A PROGRAM 28 User manual GB 03 03 page 2 DIASYSOFT WINDOWS MAC Contents ROG ING TADE EE 28 5 2 1 Opening ER 28 e GEN EE EE EEN 29 K N EAE Ee e EE ses eee O ves eeonceecascee ee aacena E EE 29 32 133 Measurement Interyals CAD ocesscnhcenedendcoaseeneccesccessetbsoasenanccpesepeceotyesdenas seainees bax exeoseesdeeedeestecectosdactaneesecuncarexeneeas 29 5 2 1 4 EIN AO tpt haw a ce ge nee E E R tee rane 29 K NN Additional HEIEREN 29 S CREATNGA EE 30 Ded NOED DFO 01 Serene ROTeU CTE NCE TRS Tre PEC ON ETON DOT TV CTE UE OET feet mr eT terrence Here ny een ter ver ire mr err E 30 E E EE 30 Oo VAR Programming measurement interval 2 c22 sscocctosasosasatasanseaieraaciuasghnnndansensdentosexadauetaaatedesormaasas edd 3l 5 322 TOT Or ODO A A E E E EEE A A EE EEE E eens eee E EE AA 31 ws is Ad EE 32 5 3 4 Additional Measurements Diasys Integra ouivl 33 6 COMMUNICATION WITH THE DIASY S icscsicseseseceseciseccsccssccccesscssesesesadesscnsssencceassnsscstesetsesnsdesearseseceissweaenss 35 Oly DIASYS COMPUTER COMMUNICATION EE 36 Odds Commun onar OPH ONS oser E S 36 6 1 2 COMMUNIC
81. ulting procedures carried out on a patient updating or deleting tests moving to other files or directories etc 3 3 Communication icon CS The communication icon has to be clicked prior to any operation performed by the computer on the Diasys i e checking the status of the unit programming or transferring data 3 4 Chain printing icon Chain report printing function This function enables several reports to be printed automatically in succession User manual GB 03 03 page 15 DIASYSOFT WINDOWS MAC 4 Management of Patient Files User manual GB 03 03 This enables you to e create or modify patient files e access the various procedures which have been carried out on these patients The Patient Database contains all the data and procedures managed by DiasySoft It is saved on your hard disk and kept updated by DiasySoft Each patient in the database has his own File containing his details and any procedures which have been carried out on him The only restriction to the size of the Patient Database is the space available on your hard disk Each new file and each new procedure take up space on the hard disk You should therefore check regularly that there is enough space left for future procedures Management of patient files page 16 DIASYSOFT WINDOWS MAC Management of patient files 4 1 Patient Files 4 1 1 Choosing a File 4 1 1 1 The list of files To access one of the f
82. unction cf 6 1 1 1 must be disabled User manual GB 03 03 page 42 DIASYSOFT WINDOWS MAC Communication with the Diasys 6 4 2 Saving procedures received via modem Upon receiving a procedure via NovaModem the module displays a notification window Click OK Whilst DiasySoft is open the Procedures received by modem mail window is displayed This window contains a list of the last procedures received by NovaModem or NovaMail that have not been treated S Procedures received by modem New procedures have arrived by modem Select procedures and click on Save to store then definitely i in your dalabase Glick on Delete if pou do not want to save them Patient Diasys n Data transmission date 231299 9002151 23 12 1999 14 47 ODILE 9002151 21 01 2000 18 51 Each of these procedures can be saved becoming a DiasySoft procedure so the data base is updated or deleted After treatment it will disappear from the list If you do not want to treat the procedures straight away the window can be closed and reopened later by clicking on the Procedures received by modem line in the DiasySoft Files menu The procedures remain in the DiasySoft reception box until they are treated 6 5 Reception of procedures via e mail NovaMail The DiasySoft software can receive Diasys procedures sent via e mail using NovaDrive Reception of procedures requires e Standard e mail reception software e NovaMail software
83. you to incorporate Copy Search icon it into any document You can also directly print the list of criteria displayed and the results of the An corresponding search Print Search User manual GB 03 03 page 26 DIASYSOFT WINDOWS MAC 5 Programs User manual GB 03 03 Different programs can be used depending on the aims of the procedure routine clinical protocols particular pathologies specific fields of application etc The multiple functions of the Diasys allow you to create many different programs DiasySoft enables you to create and memorise as many as necessary You can then consult the list and choose the appropriate program for the procedure to be carried out Programs page 27 DIASYSOFT WINDOWS MAC Programs 5 1 The contents of a Program A program defines the functioning mode to the unit It contains the following precisions e the duration of the procedure e the measurement intervals e display of measurements in real time e measurement method e oscillometric measurement alarms etc Programs are defined by 24 hour periods if a procedure exceeds this duration the program of the first 24 hour period will be repeated up to the end of the duration for the procedure 48 hours maximum The 24 hour period can be divided into one or several cycles a cycle being a period of time during which the interval between two measurements is the same Usually 2 cycles are used a daytime

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