IST Programme MobiHealth End User Manual
Contents
1. 28 3 1 GENERAL INFORMATION ci cicinccxoicieccsseesesoivurdepectdeadedSavescvidacaveaitadgvoexOhavsecaecoxtomdandadoesidoeanieleees 28 3 2 WORKING WITH PORTILAB2 THE PATIENT DATA MANAGER 2 0sceccececcecceceececcececceceececes 29 STATIONARY MEASUREMENTS 0 cccccccceccececcecceccccucneccccucaecuecaeuesseuecaueaeueceteuaeseetecaeseuaueaeesenersenenes 32 AMBULATORY MEASUREMENTS 2 2ccscececcecececcececcecececcececuccececauaucucauaucueaesecsuaececeuecensusesseaeeessrecaeeas 32 3 1 1 The stationary 32 3 1 2 The ambulatory measurement 34 3 1 3 The e mode 34 3 3 THE 38 4 GETTING YOUR MOBIHEALTH BAN STARTED 40 4 1 BEGIN SITUATION 02 cccccccceccececcecceccccuccececceccecuececcucuececusuececusueaecueuucaessusueaeceesecsesuuaseeseass 40 4 2 PREPARATION OF THE PATIENT 0cccccececcecccceccecceccceccccccceccececaucesecsecuesucauceesecseceuaueasseeaes 40 4 3 START THE BAN 0cccccccccececcececcccececcccecuccececaucecsecucecuuececauaeseesusesereeeecas 40 SSE Voices 44 MobiHealth BAN PortiLab Manual Page 2 USERMANUAL version 1 3 September 2003 1 GENERAL INFORMATION 1 1 Components desc2. 6 58 11 28 Figure 2 32 a and 6 RESP trial Language Actions Pupil reaction Pupil size Sma Fluid type Fluidtype2 Fluid amount m Figure 2 33 a b TRAUMA trial MobiHealth BAN PortiLab Manual Page 22 USERMANUAL version 1 3 September 2003 Language Actions Text this is a test TN A 8 Status MBU Activated 0813 01 Figure 2 34 c TRAUMA trial General manual input issues for text input either numerical or alohanumerical use the virtual keyboard see 2 3 1 to select an item from a list for example in the RA trial figure 2 27 click on the arrow the list with items is then shown The scroll buttons right next to the list enable you to see all items in the list Select the required item by clicking it The cursor is not always visible To check if the cursor is in the correct textbox start typing on the virtual keyboard If the cursor is in the correct textbox the typed in text will appear here now Send the manual inputted data After the manual data has been inputted it must be send to the MobiHealth server This is done by selecting the menu item Actions Send The manual input screen is then hidden and can be shown again by selection the menu item Manual Input again MobiHealth BAN PortiLab Manual Page 23 USERMANUAL version 1 3 September 2003 2 4 The SensorBox The
3. r Ce E Fani Hees cimeri re wm Figure 3 2 the patient list Using your mouse or the arrow keys you can step through the list and you can highlight the patient records Select a patients name by double click or choose open Back will bring you back to the start window To add a new patient name select add new patient the screen as is shown in figure 3 3 will be visible MobiHealth BAN PortiLab Manual Page 30 USERMANUAL version 1 3 September 2003 Patient Information FirstName Last Name Peuscher Date of Birth 21 71960 Address Holzikweh 50 Fostal Code City Enschede Country Netherlands Fhone 31 53 4789849 Comment Field for teste of the MC s af Jan OK Cancel Figure 3 3 the patient information This window is used to enter the most important items concerning the patient A number of fields have to be filled in otherwise the program will not continue After having filled in the items you return to the database by pressing OK When you do not select Add new patient but select an existing name you will enter the database of measurements that where performed on that patient the measurement list See figure 3 4 fan Pausch mc TMS Jen Peuscher ere T Peta _ m enin A 11 99110 parti 16095
4. 8 view Frome Damo GCS Sal Adr BEE AHE deed aara a jRGRREXXE m riqnad rz m HORE Figure 3 6 Signal view screen with connection table Immediately the signals are shown on the screen so you have an impression about the signal quality and the attachment procedure of the sensors during the setup process As soon as all the sensors are connected as is described in the connection table and the quality of the sensor signal is sufficient you can start the measurement Click on the Store button and the storage of data starts The dashboard will show up and the connection table will disappear from the screen The dashboard is used to stop the measurement 3 1 2 The ambulatory measurement This type of measurement will not be used within MobiHealth 3 1 3 The e mode measurement An e mode measurement is a stationary measurement where the measurement data is being send to the PC online and continuously This can be done either realtime the measurement data is shown in PortiLab at the same time while it is measured or non realtime the measurement data has been stored on the backend server and is being shown in PortiLab at a later time MobiHealth BAN PortiLab Manual Page 34 USERMANUAL version 1 3 September 2003 An e mode measurement is performed as follows First add the patient that is monitored to the database In the comment part of the patient data we i
5. m Steg Status meu Activated 80 15 35 Figure 2 25 LIGHTHOUSE trial Language Actions BP DIA Glucose Temp esto 881 status mau Activated Language Actions BP SYS mmHg BP DIA mmHg Text hd status meu activated i EE 811 16 Figure 2 26 CARDIO trial Language Actions this 15 a test ai 0 1157 MobiHealth BAN PortiLab Manual ai amp 11 59 Figure 2 27a and b NURSE trial Page 19 USERMANUAL version 1 3 September 2003 Language Actions mmi H g mmHg this is test 581212 Figure 2 28 OUTDOOR trial Language Actions Language Actions Text this is a test mmHg lt lt Previous wm weet ia EES 0 2 27 im 08 12 27 Figure 2 29 a and b PREGNACY trial MobiHealth BAN PortiLab Manual Page 20 USERMANUAL version 1 3 September 2003 Language Actions this is a test 8712 44 Figure 2 30 RA trial Language Actions Language Actions BP Sys 10 mmHg Text 4 c BPDIA 10 mmHg 1 i mol L 10 Tos En 51 6 58 12 18 Figure 2 31 a and b REMOTE trial MobiHealth BAN PortiLab Manual Page 21 USERMANUAL version 1 3 September 2003 Language Actions Language Actions Text this is a test PEF X 1 usec
6. To charge the PDA battery using the AC adapter directly without using the cradle follow these steps 1 Insert the DC adapter plug no 6 in the box into the bottom of the PDA figure 2 14 2 Insert the AC adapter power plug into the DC adapter plug figure 2 15 3 Insert the AC adapter into the AC outlet Put the plug into this slot Figure 2 14 Insert the DC adapter plug into the Figure 2 15 Insert the AC adapter into the DC bottom of the PDA adapter plug Alternative charge method Instead of inserting the DC adapter into the PDA it is also possible to charge both the GPRS jacket and the PDA by inserting the DC adapter directly into the top of the GPRS jacket The charging hole in the GPRS jacket showed with number 1 in figure 2 7 should be used to insert the DC adapter plug into Note use the ROUND connector of the DC adapter the same as is used in figure 2 11 when charging via the cradle to charge directly into the GPRS jacket This charging method should be used if the method described above inserting the DC adapter into the PDA does not recharge the PDA When this charge method is used both the GPRS jacket and the PDA should indicate the charging see next page MobiHealth BAN PortiLab Manual Page 13 USERMANUAL version 1 3 September 2003 Check if the battery is charging PDA When the PDA battery is charging the amber light figure 2 16 is blinking The amber light is solid non blinking du
7. Al vw ES Information Society Tu OB H FALT ENTE Ban European Commission IST Programme Project Number IST 2001 36006 Acronym MobiHealth A project funded by the European Community under the Information Society Technologies Programme 1998 2002 MobiHealth End User Manual Editor b Peet Yucat BV NL Richard Bults University of Twente NL Yucat B Peet University of Twente Preparation Date September 29 2003 r ors 18 months October 2003 Project co ordinator Herzog Ericsson GmbH USERMANUAL version 1 3 September 2003 TABLE OF CONTENT TABLE OF ee Rc Mr O 2 1 GENERAL INFORMATION erreur nenne nnne nuu h ena RR ERR DR RR SRRORESR SR RRSRORESR SR ROSE RO REN ROO 3 1 1 COMPONENTS DESCRIBED IN THIS RII nanana ennnen enen rire ra erre saca re raria ia 3 1 2 USERS ADDRESSED IN THIS MANUAL 2 2 0cccccccecceccececcecccceccecccuccececcececucaucaeceueucaeaucaeceeaes 3 1 3 TRIAL SPECIFIC INFORMATION 2 2 c2ccccccececcecececcececcccecuccccucuucucecauaucucauaesecausesseauaecetecsecseaeaecass 3 Pam zs NU PIE cee eee 4 2 1 DESCRIPTION OF THE ccccccceccececceccecccceccececceccecuccuccecueaecausueuecuseeaecuesecaeseeaueessseaeseeseees 4 2 2 THE HARDWARE 2cccccccecccceccecceccccecccccceccecuccucecuccuceusucec
8. Documents T Mr e 6 11 57 4 2 _ v Appearance Backup And Restore EI a 0 a 32 City Time Pim Conf File Editor Applications DateTime gt Games Launcher Mobiheakth Light amp Power ELM G Desktop Packages a Rotate A Recalibrate E Suspend Shutdown o Logout My System Info amp Emma User Manager Figure 4 3 Start Settings Network 6 Start the MobiHealth application Network Settings Connections Profiles w amp Disconnected 0 amp ppp m pppO 10 4 Unknown w Unknown usbf d Unknown tunld Loopback lo 127001 Information Configure Add Remove DEJ g AS Sebo 12159 Figure 4 4 Network settings 7 Press Start button in MobiHealth application screen Note Application is running if the Status MBU activated message appears on the bottom of the MobiHealth screen Note If the message Status MBU Unregistered appears EXIT the MobiHealth application and go to step 5 END TIME CRITICAL PHASE Note If you don t succeed in activating the MBU go to step 8 8 Stop the MobiHealth application by pressing the Stop button MobiHealth BAN PortiLab Manual Page 42 USERMANUAL version 1 3 September 2003 9 Shutdown the MBU by selecting the Shutdown icon in the Se
9. DC low frequency part of the signal It should be positioned in such a way that the top of the sensor points to the head of the subject patient Respiration This sensor measures respiration by detecting changes in the circumference of a belt around the thorax or abdominal region ECG ECG is measured by placing pre gelled AgCI surface electrodes single use at predefined places and connecting these electrodes to the Mobi amplifier with shielded electrode leads These leads have a snap connector so that they fit onto a large number of standard available ECG electrodes MobiHealth BAN PortiLab Manual Page 27 USERMANUAL version 1 3 September 2003 3 PORTILAB MANUAL 3 1 General information The PortiLab PC application is the part of the MobiHealth system that is being used to view the received medical data at the hospital PortiLab must be used by the medical persons who want to view the collected patient sensor data PortiLab should therefore be installed on a PC in the hospital which has access to the Internet to be able to receive the sensor data PortiLab uses the following components e Configuration This is the configuration file that is created by TMSi e Patient Each patient is created in PortiLab and has its own measurement e Measurement Each measurement creates an output for the viewer The figure below shows the overview of these components Sona Measurement 1 lt pre configured by TMSi gt Measurem
10. 1 Handwriting figure 2 18 2 Regular keyboard MultiKey figure 2 19 THIS IS THE RECOMMENDED INPUT METHOD 3 Pickboard Choosing between these methods 15 done by clicking on the arrow next to the keyboard icon see figure 2 17 2 4 5 arae 7 E y 1 BIET we Da s a Ela AT SERT IT rerum e v b gt nlm i iE 0 amp f 15 34 Figure 2 18 Handwriting input method Figure 2 19 Keyboard MultiKey input method RECCOMENDED MobiHealth BAN PortiLab Manual Page 15 USERMANUAL version 1 3 September 2003 2 3 2 MobiHealth software Start the MobiHealth software To start the MobiHealth software on the PDA take the following steps Select the MobiHealth tab figure 2 20 Click the MobiHealth icon figure 2 21 Wait until the screen as shown in figure 2 22 is shown Now activate the software by pressing the Start button see figure 2 22a and wait until the text MBU Activated is shown figure 2 22b sure to turn on the SensorBox see part 2 4 within 3 minutes after starting the MobiHealth BAN software so the MobiHealth software can connect to the SensorBox lf the MobiHealth software is connected to the SensorBox the icon in the left part of the screen shown in figure 2 23 should appear 16 38 Figure 2 20 The MobiHealth tab Figure 2 21 The MobiHealth
11. The PC application used in the MobiHealth trials to view the sensordata in the hospital MobiHealth BAN PortiLab Manual Page 44
12. for each use a fresh set of batteries is used 2 AA type cells are required either rechargeable NIMH 1 2V or non rechargeable Alkaline 1 5V Please note that rechargeable cells have a considerably shorter lifetime MobiHealth BAN PortiLab Manual Page 26 USERMANUAL version 1 3 September 2003 Open the battery cover by squeezing it slightly on the bottom side at the mark and sliding it backwards Please make sure that the polarity of the batteries is right This is indicated by the figure on the inside of the battery compartment Close the cover Make sure that it is tightly shut If the battery cover is not closed correctly the Mobi cannot be started Also note that when the Mobi is active while the battery cover is opened it shuts down immediately This is a safety precaution Battery tips When using the Mobi to measure continuously replace the batteries daily When the Mobi is not used for a long period remove the batteries 2 5 The sensors This paragraph gives a short description of the different type of sensor used in the MobiHealth trials Pulse oximeter Measures saturation value 5 2 plethysmographic waveform heart rate and sensor status The sensor is to be applied to the finger and measures the signal by means of red and infrared light Activity This sensor measures acceleration in 1 direction It can be used to detect activity high frequency part of the signal and 1D position standing up lying down
13. 1 edd rg usi geo EO 18 43 3003 14 1087 macie imi 12 X0 Y TES REI LL ud EEE REE price st 125 3083 1E 141 Ln ror n 1 L eri epee varies Era PREE fi piira am d emn pln wr HF uir SHARE Dr TEST LR bem eerie mil eiit eina l ly Fhe pine Tiva BE DP TUNI Tipi Ht on hi del alt seii abd Lon imp ul pedit Hb plc OHR HERG SP Frac et phaphack s E225 Mu m A 12 0 i rebar T0527 151 0117 PL ea 9m UERZRIMICUN GE iz siei ai i 15 558 peg died wu sit pacha H HOU TE Figure 3 4 Measurement list of patient Jan Peuscher The measurement list shows the most important details of all previous saved measurements MobiHealth BAN PortiLab Manual Page 31 USERMANUAL version 1 3 September 2003 Name Measurement Configuration Measurement Date Measurement Duration Type of Measurement Comments on this Measurement After you have entered the measurement list of the chosen patient two main choices are available Perform a new measurement Select
14. Icon MobiHealth BAN PortiLab Manual Page 16 USERMANUAL version 1 3 September 2003 Manual Input MEU 8 11 56 Figure 2 226 is activated g successful connection to the SensorBox Page 17 MobiHealth BAN PortiLab Manual USERMANUAL version 1 3 September 2003 MANUAL INPUT PART For each trial there is a separate part in the BAN MobiHealth software that enables manual input The function of this manual input is to input non sensor data into the MBA and send this together with the sensor data to the MoboHealth server The medical meaning of the manual input differs per trial examples are Patient temperature measured with a traditional thermometer Activity type Fluid type Pupil size Additional comments For each trial there is a different manual input section This section is started by selecting the menu item Manual Input figure 2 24 and then MBU select the name of your trial Manual Input Emm 4 11 56 Figure 2 24 Start the manual input Changing the language To change the program language select the menu time Language and then select the language of your choice MobiHealth BAN PortiLab Manual Page 18 USERMANUAL Input manual data version 1 3 September 2003 Because the data that is inputted manually is different per trial figure 2 25 to 2 34 show the manual input screen s for each trial Language Actions
15. SensorBox consists of a so called front end and a set of sensors All trials can be covered with two types of front ends a 4 channel front end Mobi4 and a 9 channel frontend Mobi9 The Mobi4 can be configured to have either 4 inputs for ECG or 3 inputs for ECG and 1 auxiliary input Further optional parts are a marker alarm button input and a pulse oximeter input The auxiliary input can be used to connect either a respiration sensor or a movement activity sensor The Mobi9 has 9 ECG inputs These signals can be converted into a standard 12 lead ECG setup Both types are fitted into the same type of enclosure Also both have the same type of communication Bluetooth serial port profile at 115200 bps For verification purposes it is possible to store the measured signals locally on a MultiMediaCard MMC Each mobi comes with a carrying bag for easy ambulatory use Figure 2 40 frontend also called MobiHealth BAN PortiLab Manual Page 24 USERMANUAL Figure 2 40 Top view Sensor connectors Figure 2 42 Front view Power button Upset BT DO GRO GS CIUDAD P Figure 2 44 Front view with open battery cover Sensors that can be connected to the Mobi version 1 3 September 2003 TO BE ADDED gt Figure 2 41 Bottom view SpO2 connector Figure 2 43 Back view anten Figure 2 45 Attached sensors ECG electrode leads for 2 lead 3 lead or 12 lead ECG respi
16. September 2003 After starting the Patient manager you will enter the patient database This database shows you a list of patients as shown in figure 3 2 This list contains the following fields First name Last name Date of Birth Patient ID Comment foem Eun beach bel ae l Tug dm ck ih nien om CC x E S dpa Fo rcl prc EE Torse POR C Con iol z ok ia rt paor Hen iuri ceis t jmi arp aruit ore Lan rer n ben Tuv and MESE arant brio linn dct aE TES rid doa ode r te j 2 n Fire EAD Mea di ini c odanceo ir s Kar Chu Ee DT RS Sk OF DOM TNCS Fui Bug or ar gam non Z prinl iC c urn b EH Larse aa ered a A eke ara rbn om i m aus ta ris vey n onines acra woe 4 5 ue L3 dias ere ri ruri L Ba wires Tir br ur roc s ano a wd 412 124 E ht reg ie mdr ad wre um ete LOT ede n vera eed oe ay TIS 4 ale org inm rends lta pa il E 1 4 Este l HIRIEK T TEZGI Ipe
17. also the Patient Ground lead GND The connection for the pulseometer is on the backside 4 pin metal connector Connect the pulseoximeter module first and then connect the finger sensor to the module Status light The light LED in the front panel indicates the status of the Mobi e During power up orange followed by solid green e Solid green powered and ready e Blinking green powered and recording on MultiMediaCard MMC e Blinking orange batteries are running low or after trying to start an ambulatory recording on the MMC recording error e Solid orange batteries are empty Mobi will finish all actions and shut down within a few seconds On off button The button on top of the Mobi has two functions power on off and recording on off When the Mobi is off it can be powered on by shortly pressing the on off button The status light gives an indication It can be shut down by again pressing the on off button shortly The status light will go out When the Mobi is powered an ambulatory recording on the MMC when present can be started by holding down the on off button for more than 4 seconds The status light will start blinking either green recording active or orange recording error Once a recording is ongoing it can be stopped by again pressing the on off button for over 4 seconds An ambulatory recording must first be stopped before the Mobi can be powered down Replacing the batteries It is recommended that
18. an existing measurement for review editing or report Performing a new measurement on a patient After having selected Add New Measurement a new measurement can be performed and the measured date can be added to the measurement list of the selected patient Several types of measurements are available e Stationary measurements e Ambulatory measurements e mode measurements Stationary measurements Stationary measurements are characterized by the fact that the measured data is send to the PC on line and continuously The measurement configuration is available on the PC where the data is processed and stored immediately Ambulatory measurements During ambulatory measurements the measurement configuration is stored on the flash disk inside the measurement system The measurement can be started on every moment chosen by the patient or pre programmed in the measurement configuration The measured data is stored on the internal flash disk and is copied to the PC after the measurement and processed further e Mode measurements Of course there are measurements that are neither stationary nor ambulatory When these measurements use Telephone or Internet technology to be performed the data can be transmitted continuously and on line but can be stored timely locally There are several combinations that you can think of but in this manual we just describe the on line and continuously measured type the e mode measurement 3 1 1 The sta
19. arged at regular intervals Charging of the batteries is discussed in 2 2 3 MobiHealth BAN PortiLab Manual Page 5 USERMANUAL version 1 3 September 2003 2 2 1 Whats in the PDA box Figure 2 4 shows all the items that are included in the PDA box Extra stylus IPAQ Pocket PC H3800 series Universal cradle tor both USB and serial connections with tether AC adapter DC adapter plug oo ood Figure 2 4 What s in the box MobiHealth BAN PortiLab Manual Page 6 USERMANUAL version 1 3 September 2003 2 2 2 Getting to know the PDA FRONT PANEL Figure 2 5 shows all the most important parts of the front panel of the PDA Stylus push to eject push to lock Power Indicator amber flash charging amber solid charged green alarm Power Button speaker Color Display Application Buttons 1 4 Navigation Button serall through list Application Button 5 Light sensor adjusts backlight stereo Headphone Jack Active Bluetooth Indicator flashes when Bluetooth radio is Microphone o e e e Figure 2 5 Front panel of the The display 5 The PDA has a color touch display which can be controlled using either the stylus 1 or your finger The pen stylus 1 The pen also called stylus is located at the right top of the PDA It can be removed by pressing it To make sure not to loose the pen always insert it into the PDA when not using it The butt
20. e BAN A short description of the BAN is given here to have an overview of the functions of each component As shown in figure 2 1 the BAN consists of the following components 1 The MBU The MBU also called PDA or is the device that receives data from the SensorBox stores them temporarily and sends them to the hospital The MBU hardware is described in 2 2 the software in 2 3 2 SensorBox The SensorBox also called Vincent or FrontEnd is connected by wire to all sensors and sends the sensor data via Bluetooth to the MBU The SensorBox is described in 2 4 Sensors The sensors are connected to the human body and collect the data The number and type of sensors used are different per trial The sensors are not described in this manual MBU SensorBox Sensors Figure 2 1 components of the BAN MobiHealth BAN PortiLab Manual Page 4 USERMANUAL version 1 3 September 2003 2 2 hardware This part of the manual describes the hardware part of the MBU The software part the applications running on the MBU is described in 2 3 The MBU hardware is divided into two parts PDA This is the actual device that is used for the manual data input and to store and the data GPRS Jacket The GPRS jacket is the part that does the actual sending of the data to the BackEnd system Figure 2 3 GPRS jacket Both the PDA and the GPRS jacket have their own battery which should be ch
21. elected Please enter the data source x http bdr mobihealth org porilab2 4G2ADW34N065 4G2ADW34NDES_9240300 BAN Identifier u E e B 3j 4 4l 0 h 5 Data File OBIHEALTH 4G2ADWS4NDES 824030005 start 10 28 26 3 2003 RealTime TOM Figure 3 10 MobiHealth info screen Realtime offline measurement When viewing the measurement data we can choose between a realtime and an offline measurement With realtime the data that is measurement is shown live in PortiLab With an offline measurement a file on the BackEnd server can be selected that was measured in the past When selecting RealTime the live data will be shown automatically When selecting Offline all measurement files that are present on the BackEnd server are shown see figure 3 11 MobiHealth BAN PortiLab Manual Page 36 USERMANUAL version 1 3 September 2003 EL 09290 3 83 zen H3 22103 j qE 4001 324030083 ximri 11 3 E C00 E a TS dr Di d 3240 500183 11 31 11 0 3 6 sien 7 06 20 2 007 Miss 1240300103 43 5 6 2003 AG2ADPACA DG 324130083 cien 1153 24 303 iln i a 1 e 88 5 4 4 a n Figure 3 11 MobiHealth offline selection screen An example of this measurement is shown in figure 3 12 PT DC Lorem Torr pop m vu XL Figure 3 12 measurement exa
22. ent 2 See Patient 1 mE Measurement 3 v Viewer Patient 2 Measurement 1 Patient 3 Measurement 2 7 9 Measurement 3 The steps to take order to view the sensor data for a patient Startup the PortiLab application Select the Patient Management option Select an existing patient or create a new patient Select an existing measurement or create a new measurement View the signals in the viewer MIS ey All steps are explained in detail in the following paragraphs MobiHealth BAN PortiLab Manual Page 28 USERMANUAL version 1 3 September 2003 3 2 Working with PortiLab2 The patient data manager After PortiLab2 is started you will have two main modules Patient management This part is used to perform standard routine measurements on patients This is the only part that is used within the MobiHealth trials Configuration management This part is used to develop the measurement configurations that are used in the Patient data measurement part This part should NOT be used during the MobiHealth trials PortiLab will be pre configured by TMSi PortiLab2 Welcome to PortiLab Flease select an option Fatient Management Configuration Management Figure 3 1 the starting screen of PortiLab2 MobiHealth BAN PortiLab Manual Page 29 USERMANUAL version 1 3
23. ient for monitoring i e attach the sensors connect the wires to the Mobi etc Note Don t start the Mobi yet 4 3 Start the MobiHealth BAN 1 Press the reset button on the bottom of the MBU i e iPAQ with the stylus for 1 second see figure 4 1 2 Wait until the startup screen ARM Bootloader screen appears and press the blue button on the GPRS sleeve until the LED on the sleeve turns off takes 7s and release the button see figure 4 2 MobiHealth BAN PortiLab Manual Page 40 USERMANUAL version 1 3 September 2003 Jd Figure 4 2 Startup screen ARM Bootloader screen START TIME CRITICAL PHASE 3 Login on the MBU The general login information is Username root Password rootme However for some iPAQs in particular the Swedish ones individual user accounts have been created Users will need to use their own username password combination to login to the iPAQ 4 Start the Mobi and check if the LED turns green MobiHealth BAN PortiLab Manual Page 41 USERMANUAL version 1 3 September 2003 5 Check the GPRS connection by selecting the Network icon in the Settings menu wrench icon on top of the screen and check if an Internet address appears in the Point to Point pppO line see figure 4 3 and figure 4 4 If yes close the Network Settings window and continue with step 6 If not close the Network Settings window wait for 2 minutes and repeat step 5
24. lowing functions are available in the review screen Function Control Forwards browsing double arrow in screen Backwards browsing double arrow in screen Walk trough signal arrow keys on keyboard Marker and mouse Arrow in screen forward backward Zoom in Zoom out The following properties can be set using right mouse button MobiHealth BAN PortiLab Manual Page 38 USERMANUAL version 1 3 September 2003 e Color Signal Background Marker Grid e Scaling en offset Timebase Grid e Signal Line Stars Blocks Filled Numeric indication Markers events and comments can be added to the signal Measuring variables on the screen using the mouse Amplitude Amplitude difference Time intervals Split screen same file or other file Pop ups Dashboard Event comment list Display 1 2 3 n Amplitude bar Numeric indicator Action on selected block Process Analyze Copy Report MobiHealth BAN PortiLab Manual Page 39 USERMANUAL version 1 3 September 2003 4 GETTING YOUR MobiHealth BAN started A STEP BY STEP APPROACH This chapter describes step by step how to get your MobiHealth BAN version 3 0 started using GPRS 41 Begin situation e MBU shutdown state battery fully charged e Mobi shutdown state batteries fully charged or new batteries inserted Note Mobi batteries will last for 12 hrs depends on capacity of batteries of monitoring time 4 2 Preparation of the patient Prepare the pat
25. mple screen MobiHealth BAN PortiLab Manual Page 37 USERMANUAL version 1 3 September 2003 3 3 The review To show the review of a measurement file double click the file Patient measurement and configuration information can be shown via the menu and the dashboard After the data file is selected in the MEASUREMENTLIST screen an overview screen is shown which presents all stored data Via the menu multiple windows can be shown next to each other and the dashboard can be switched on or off Multiple measurement files can be opened via the menu to compare data of multiple measurements Using split screen it is possible to open the same measurement file multiple times to compare the different intervals of one measurement Events and the eventlist can be shown using the dashboard Jumping trough the eventlist will automatically jump the marker to the correct position E n CUL d d d d M b c p Eee eee eee eee eee eee eee eee 1 i x mx LS Mud V A a P i i 3 i i k i i r i 1 A j F 1 d p E a ys CES a wap 0g i a gt y Fis i 1 E 1 h i 1 1 F i i 1 og y 1 ft h d D E ue i 1 i F 1 j gl L T Na 2 i i il E Bn _ ER a E n i p J k 1 j i i romh r k a 5 a i HEN Figure 3 13 The review display The fol
26. nput the BAN number that is used by the patient to connect to the back end server Example is show in figure 3 7 ATTENTION The format used here to enter the BAN number is MBUz xxxxxxxxxxxx where xxxxxxxxxx is the MBU name Mab Hame 125 1 ii Bete giri t gn i TH mri ipt inm i Pets Terien pirk Ply mei ganan n ahora Ed eiu Ferace E Terbo BG vom eee eed ra ata Lu HH mye rar bam VEL Tay ee torches veram dra ail i sieh codes Bd uiid inner pa mdr ra e om Pee lig m Peete 4 SE arih Ere pS ae Ra PS MR fe lp a ad fia r4 Spon eee ior near ad Ics ere eet mourn TP Rope 40 2001 Tain chap Panne end Pl EN do E ies wa Tun WERE Di juri Tigi djih poire phy inba _ en HAHH EE De asl 44 701 _ mn ac Lira nn La 1 ope Figure 3 7 Patient called Mobi Health wears BAN number 4G2ADW3406H Inthe patient database select add new measu
27. oft damp cloth moistened only with water Avoid exposing the PDA to direct sunlight or strong ultraviolet light for extended periods of time Also avoid scratching the surface of the screen and banging it against hard objects Only use the PDA stylus to prevent scratching the screen MobiHealth BAN PortiLab Manual Page 14 USERMANUAL version 1 3 September 2003 2 3 The MBU software During the trials two programs are being used on the PDA The MobiHealth software This is the main program on the PDA that has the following functions o Receives the sensordata from the SensorBox o Handle manually inputted data o Sends the data to the BackEnd system The data viewer This program can be used to view the data that is being measured directly on the PDA This program should be used for check purposes only These programs are explained in this part of the manual Both general issues as trial specific issues are handled here To be able to work correctly with the programs on the PDA we will first discuss some general issues Home screen of the PDA Using the keyboard to do text input 2 3 1 General software issues Using the keyboard To be able to input data on the PDA the build in virtual keyboard must be used To show this keyboard click on the keyboard icon in the left bottom of the screen see figure 2 17 111 16 Figure 2 17 Showing the virtual keyboard There are three input methods available
28. ons Power button 3 The power button must be pressed to switch the PDA on and off NOTE If pressing the power button does not have any affect when trying to switch the PDA off an alternative method is selecting suspend via the start menu Scroll button 7 Use the scroll button to scroll to lists MobiHealth BAN PortiLab Manual Page 7 USERMANUAL version 1 3 September 2003 Indicator lights Bluetooth indicator 9 The blue light at the left of the PDA is the Bluetooth indicator This light should always be blinking Power indicator 2 The amber power indicator indicates if the battery is being charged blinking or fully charged non blinking BOTTOM PANEL Figure 2 6 the bottom panel of the PDA Charcing Communications Port connect to universal cradle USB or serial cable Unit Reset Switeh reset with stylus Expansion Pack Connector connect to an optional Expansion Pack Figure 2 6 Bottom panel of the PDA MobiHealth BAN PortiLab Manual Page 8 USERMANUAL version 1 3 September 2003 2 2 3 Getting to know the GPRS Jacket The GPRS jacket is essential for the communication between the PDA and the hospital Figure 2 7 shows the top view of the GPRS jacket figure 2 8 shows the back view Component 4 DC Connector e Status LED SIM Tray e SIM Ejector Button MobiHealth BAN PortiLab Manual 2 Figure 2 7 Top view of GPRS jacket 3 29 Function Connects to a power Source P
29. ration sensor amp ctivity movement position sensor pulse oximeter gives saturation value plethysmographic waveform and heart rate marker alarm button MobiHealth BAN PortiLab Manual Page 25 USERMANUAL version 1 3 September 2003 By means of hardware variations and embedded software definitions the systems can be tailored to the needs of the different trials In this way 6 different variants are defined Type Base nr of ECG nr of AUX pulse marker Used in trails Lu alarm Selam mob Lighthouse cardio 3elas mo e Resp outdoor trauma discharge nurse mobi4 3 J1 no O a ee _ 4e j4 jn e mobs 9 0 no 1n On the front of the Mobi are the connectors for the ECG leads the respiration and activity sensor and the marker alarm button The front panel also has a status light LED The back of the Mobi has a connector for the pulseoximeter sensor On top of the Mobi is the on off button When the battery cover of the Mobi on the backside is removed you have access to the battery compartment and the slot for the MultiMediaCard for ambulatory measurements Connecting sensors All different sensors have their own type of connector on the front panel of the Mobi It is virtually impossible to make mistakes with this Please note that for ECG measurement you will always need to connect
30. rement The screen in figure 3 8 is shown Bab IR D vm ths Cat cen Dom Zar rami E deu ni I7 R T813 11777 ag 2 E 203 EE 9b dp 3 Leech HEL Facim Iz E IE XTE never bral 8 Ld AJ E Figure 3 8 Overview of all performed measurements The measurement configuration that is selected has been pre configured with the BAN type that is given in the user comments part To perform the measurement select the Measurement Configuration as shows in figure 3 9 MobiHealth BAN PortiLab Manual Page 35 USERMANUAL version 1 3 September 2003 x start time er Date ere Duration Description This is to test the data base measurement tor the manual pictures Configuration kTabi health1 Type File Data source HttpsSneoper lt Back Cancel Start Figure 3 9 Measurement info screen The MC will now contact the back end server via the Internet When contact has been established the screen as show in figure 3 10 will be shown The unique MBU number will automatically be selected and the measurement can be started by pressing OK in this screen From this point measurement signals will be received and displayed on the PortiLab screen To save the data the Store button must be s
31. ribed in this manual This manual describes the following parts of the MobiHealth system 1 The BAN Body Area Network The BAN is the part that is worn by the patient or used by the nurse to perform the actual measurements 2 The PortiLab PC application This is the application running on the PC at the hospital that enables the doctor to view the received medical data 1 2 Users addressed in this manual This manual should be used by both patients and medical persons doctors and nurses who are involved in the MobiHealth trials Depending on your role in the trial your focus should be on a different part of the manual Role Work Description Interested parts of this manual Doctor View medical data at the hospital Chapter 3 PortiLab manual using the ab viewer Nurse Use the BAN to visit patient and Chapter 2 BAN manual performs tests Wear use the BAN during the trial Chapter 2 BAN manual 1 3 Trial specific information In part 2 3 2 MobiHealth PDA software the trial specific Manual Input on the PDA is discussed MobiHealth BAN PortiLab Manual Page 3 USERMANUAL version 1 3 September 2003 2 BAN MANUAL This part of the manual deals with the BAN Body Area Network part of the MobiHealth system This is the part that is either worn by the patient or used by the nurse It collects all data using the sensors and transmits these to the hospital using the MBU Mobile Bas Unit 2 1 Description of th
32. ring charging when the battery is fully charged GPRS jacket During charging the LED on top of the jacket see figure 2 7 2 is red the LED turns green if the jacket is fully charged Figure 2 16 Battery status light 2 2 6 Resetting the PDA In case the PDA does not respond to user input anymore a reset is needed Resetting the PDA is done as follows e Insert the top of the stylus for 1 second into the small hole on the bottom of the PDA see figure 2 6 2 e Remove the stylus and wait until the regular screen has returned be patient this can take a few minutes After the PDA has been reset a username and password has to be given The default values here are Username root Password rootme However for some iPAQs in particular the Swedish ones individual user accounts have been created Users will need to use their own username password combination to login to the iPAQ Note Do NOT reset the PDA if you are not absolutely sure this will help A complete step by step approach on how to get your MobiHealth MBU started can be found in chapter 4 2 2 Routine care of the PDA To keep the PDA in good condition and working properly follow these guidelines Keep the PDA away from excessive moisture and temperatures extremes Do not expose your PDA to liquids Do not place anything on top of your PDA to prevent damage to the screen Clean the screen of the PDA by wiping the screen and the exterior with a s
33. rovides status information for GSM GPRS on your Wireless Pack The color and blink state of the light indicate the following Green Blinking slow On and in service No light Off or battery depleted Red Blinking slow Low battery voltage also shown in Wireless Pack display Red solid Charging Green solid Charged Green Blinking fast Indicates SMS or Voicemail message is waiting Red Blinking fast Shows unit is powered on but not registered on network Holds the SIM card Ejects the SIM tray Page 9 USERMANUAL version 1 3 September 2003 Figure 2 8 Back view of GPRS jacket Component Function Power Button Powers on your Wireless Pack and activates the signal Your Wireless Pack stays on until you remove it from your Pocket PC or press the power button to power It off MobiHealth BAN PortiLab Manual Page 10 USERMANUAL version 1 3 September 2003 2 2 4 Inserting the PDA into the GPRS jacket Since the GPRS jacket does the actual data sending to the hospital it is essential that the PDA should always be inserted into the jacket during the trial Figure 2 9 shows how to insert the PDA into the jacket the result is show in figure 2 10 um E Figure 2 9 Inserting the PDA into the jacket Figure 2 10 PDA inserted into the jacket 2 2 5 Charging the battery of the PDA amp GPRS jacket When using the PDA it is very important to charge the battery at regular intervals When the batte
34. ry of either the PDA or the jacket is running low the data cannot be send to the hospital meaning the trial cannot be performed correctly When the PDA is charged the jacket is automatically charged with it it is therefore sufficient if you charge only the PDA In order to keep the batteries full it is recommended to charge the PDA when you are not using it Detecting if the battery is running low The PDA will indicate if the battery is running low Try to recharge it as soon as possible when this happens If the GPRS jacket is running low on battery this will be indicating by the slow blinking red LED on the jacket if the LED does not turn on when the Jacket is turned on it should also be charged There are two methods for charging the PDA battery 1 use the cradle 2 use the AC adapter MobiHealth BAN PortiLab Manual Page 11 USERMANUAL version 1 3 September 2003 1 Using the cradle to charge the PDA battery To charge the PDA battery using the cradle follow these steps 1 Insert the AC power adapter no 5 in the box into the back of the cradle 4 in the box figure 2 11 2 Insert the AC power adapter into the AC outlet figure 2 12 3 Insert the PDA into the cradle figure 2 13 Figure 2 12 Insert the adapter into the AC outlet Figure 2 13 PDA inserted into the jacket MobiHealth BAN PortiLab Manual Page 12 USERMANUAL version 1 3 September 2003 2 Using the AC adapter to charge the PDA batter
35. seseceecuecucaesueaesausecaesecaeeaeeas 5 224 Whars ite PDA DOK ebat teet esu pese pad uus eyes bes ves 6 2 2 2 Getting to know the PDA 7 2 2 3 Getting to know the GPRS 9 2 2 4 Inserting the PDA into the GPRS 11 2 2 5 Charging the battery of the PDA amp GPRS 11 2 2 6 Resetting the 14 2 2 7 Routine care Of the 14 2 3 THE SOFTWARE ccccccececceccccecceccececcecccucceccccucascuececcecseaueecsuaeceusueaucecuecaecauaueaseseaes 15 2 3 1 General software ISSUCS 2 1cccccccccecoccececceccceccececescececescecsccecenseaecenseaenensecensuancenseausanseseseces 15 2 3 2 MobiHealth software arsenic band vo Da Fe eoa ra da veio a cuya yo gau Ree PRAE Re ewe ra dU 16 2 4 THE SENSORBOX 24 2 5 THE SENSORS cccccecceccececceccececceccccuccucuececcucuucacuussedeeuueuececuecueaecuecucaeseuauedessuseseuauuaeeeeseeaesass 27 3 PORTILAB MANUAL
36. tionary measurement Starting in the Measurement list of the database we just select the button Add new measurement The next screen will occur MobiHealth BAN PortiLab Manual Page 32 USERMANUAL version 1 3 September 2003 PortiLab2 Measurement Info E Stant time Date Duration Demo test Description Demo test measurement to investigate the correlation between the saturation signal activity signal and ECG during movements Configuration Demo ECG Saturation activity Demo ECG Saturation actyity ECG Movements saturation Mlabid EMG Movement mabid FECG 4ECG 2ZuEMUG mov ECG playback_test_resp_hrvar playback testRolea Hlawharck FCG HR WAR RESP Figure 3 5 Measurement info screen Start time duration and date are filled in automatically by the measurement process itself Select a Name for your measurement and describe the background information you think is necessary First of all we are going to perform a stationary measurement and as can be seen in figure 3 6 this will be a measurement concerning an ECG Saturation combined with an activity signal First of all you will see a display where information is given concerning the measurement system that is used the sensors that are going to be used and some comments concerning the attachment of the sensors or the type of sensors MobiHealth BAN PortiLab Manual Page 33 USERMANUAL version 1 3 September 2003
37. ttings menu wrench icon on top of the screen and place the MBU into the cradle see figure 4 5 Documents m a e Appearance Backup And Restore sc Fri Sep 25 4 32 6 4 City Time s Pim Conf File Editor Applications 4 Date Time E Games Launcher Mebihealkh Light amp Power G Desktop gt Packages a Rotate g Recalibrate Suspend o Logout My System Info E User Manager Figure 4 5 Shutdown the MBU 10 Detach sensors from Mobi and the Mobi will automatically switches off GO TO BEGIN SITUATION MobiHealth BAN PortiLab Manual Page 43 m USERMANUAL version 1 3 September 2003 Glossary BackEnd The MobiHealth server that collects all the received sensor data system BAN Body Area Network The complete set of MBU SensorBox and Sensors NENNEN Bluetooth Short range wireless radio technique used in the MobiHealth trials to communicate between the MBU and the SensorBox GPRS General Radio Packet Service Communication technique for wireless data transport IPAQ This is the type of PDA that is used within thwe MobiHealth trials The clipon device that is attached to the PDA used for the wireless GPRS communication MBU Mobile Base Unit PDA The MobiHealth name for the PDA Handheld Personal Digital Assistant The handheld device used within the MobiHealth trials type Compaq iPAQ PortiLab
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