RTSoft Ultima
Contents
1. Nom du programme PROG TEST SIMUL PC PROGRAM 1 PROGRAM 2 Standard Select the desired patient and program then click User Manual RTSoft Ultima v1 1 UK 04 2012 Page 11 Programming table TABLEAU DE PROGRAMMATION ENom du programmer EM moire disponibles DEFAULT_PROGRAM 00 01 00 HTypes d v nement mAntem Posta mEvtsm HDur en HCrit res d analyser aTva 00 15 00 15 10 300 nESV 3 classes n 00 15 00 15 21 630 aTPSVn 00 15 00 15 10 300 nSeuiln lt RR 25 nESSV 3 classes n 00 15 00 15 21 630 mSeuila lt RR 25 nPauses Absoluesn 00 15 00 15 300 mDur en gt 2 nPauses Relativesn 00 15 00 15 120 nDur en gt 175 nTachycardiesa 00 15 00 15 180 ESeuilm gt 140 nBradycardiesa 00 15 00 15 240 nSeuiln lt 40 nD calages STE 00 25 00 15 240 OFAN 00 15 00 30 360 EVolontairesa 00 20 00 10 240 Description Hiypes d v nementt HAntex nPosta nEvism HDur en Re ds aTve 00 15 00 15 10 300 REC O Duration Total Duration allocated to class Duration in seconds maximum 3600 seconds not modifiable Criteria for The criteria to trigger the recording of the See Arrhythmia detection in the R Test 4 aneis event manual Activation of the corresponding key on the Indication of the memory state at the time of recorder for a class of event an activation of this button Red LED memory full for one of the events programmed Green LED no memory full User Manual RTSoft Ultima2. 123456789 ABC TPSV Triplet supraventriculeire 3 5g Compte rendu d examen Doublet supraventriculaire M decin prescripteur Dr Phy M decin analyseur Date de lecture o5 z N Date de pose 09 05 2011 06 40 d enregistreur G Indications Traitements E F indication 1 traitement 1 Tachycardie Bradycarde D calage ST Fibrillation auriculaire Supraventriculawe isol Dur e d enregistrement j hh mm ss Monitorage 10 16 00 Signal 10 14 00 s Ev nement utilisateur Signal analys ae Nombre total de QRS 36354 Fr quence cardiaque bpm Tachycardies o Bradycardies Volontaires o Pauses absolues Evts 7 Pauses relatives 10 4 3 FA cumul e Non renseign v 272 Dur e hh mm ss 01 30 00 15 FC bpm Min Moy Max 47 80 125 1 Total QRS 3002 FA 3 Crit ces d analyse Premature ESSU 25 Pause abscloe gt 2h Passe relative gt 579 FC beady lt qobpm FC tacky gt 140bpen D calage ST zamm Les valeurs en rouge italique dans les tableaux out ete modifies maraeliement Lrenement 208 programme Conclusion nm Procedure list 1 Initially allows access to a complete list of procedures that can be sorted or filtered once a procedure has been opened then just the current patient is displayed Events table 2 This table displays the number of events in the open procedure detected and recorded for each category It is possible to click on a line
3. An Access Key is required for the software to function without restrictions Any attempt to circumvent the Access Key could be considered an infringement of the copyright punishable under the protection of the copyright law of 11 March 1957 Guarantee NOVACOR SAS guarantees that RTSoft Ultima functions in a way that substantially conforms with the supplied documents on its computers that were used for testing NOVACOR SAS cannot guarantee good performance of the software on any specific computer NOVACOR SAS guarantees the supplied hardware and documentation for RTSoft Ultima for 90 days following delivery In particular NOVACOR SAS will during this period provide a replacement application CD or DVD if the one supplied appears illegible After this period a fixed price for the replacement will be charged The software and the manuals that accompany it are sold as is without guarantee concerning their quality their performance their accuracy or their ability to meet a specific need Consequently the clinical use of the results and any diagnosis established from them remain the responsibility of the expert user No loss or corruption of data nor direct or indirect damage resulting from the use of the software can be attributed to NOVACOR SAS or its distributors User Manual RTSoft Ultima v1 1 UK 04 2012 Page 5 Manual The information in this document is provided for information only and does not represent
4. Programming the recorder Connect the R Test USB cable to the PC then connect R Test 4 to the cable Communication Window To open the communication window there are three possibilities e From the RTEST menu choose Program Read R Test4 e By clicking on the icon SS e By activating the automatic communication choose Settings from the Settings menu and in the communication tab tick the option Automatic connection R Test 4 COMMUNICATION N NRT10000017 Etat m moire Autonomie estim e des piles Mode enregistrement Patient Test DEMO Date de pose 20 02 2012 16 53 Date de derni re lecture Non renseign Programme Nom du programme Standard Date de programmation 20 02 2012 16 52 The communication window describes the state of the recorder po Description Options S ee ae OMS recorder connected recorder s memory gt Memory usage monitoring available gt Endurance expressed in days freee date ora PS R Test rere E R Test Click on the button User Manual RTSoft Ultima v1 1 UK 04 2012 Page 10 R f rence libre DEMO AF DEMO AF Long DEMO Full DEMO Runs Pauses DEMO ST DEMO VT If the patient does not appear in the list you should create them by clicking on the new patient button Once you have entered the information click save Date de Naissance Non renseign Non renseign Non renseign Non renseign Non renseign Non renseign
5. v1 1 UK 04 2012 Page 12 Additional program options e Faulty electrode alarm Causes a beep when that the recorder becomes disconnected from the patient e g electrodes removed e Realtime key Activation of the QD button allowing the patient to trigger an audible tone modulated by the ECG in real time e Spike Detection Activation of the detection circuit for electrical impulses of pacemakers Spikes These spikes are taken into account when detecting and classifying QRS complexes This mode should be activated for patients with pacemakers Reading of the examination To open the communication window there are three possibilities e From the RTEST menu choose Program Read R Test4 e By clicking on the icon S amp S ae e By activating the automatic communication choose Settings from the Settings menu and in the communication tab tick the option Automatic connection R Test 4 Click on the Read button to read the procedure from the R Test recorder You can then select from the list of the patients which is displayed or create a new patient if the correct details do not exist The procedure will be opened automatically User Manual RTSoft Ultima v1 1 UK 04 2012 Page 13 Review and report the procedure MM NOVACOR Rapport ECG R Test Trace s Ev nementis enregistr e s d tect s DEMO Triplet ventriculaire FA Doublet ventriculaire 14 02 1954 Masculin Ventriculaire isol E ego
6. A 7 nn E A 7 Te purpose Or tas Mantas inn 7 If you have never used a computer ss 7 If you have never used your FecordeFS cccoocccnconocnnnonaconnnnononnnnncnnnonanonnonononnnonnrnnnonanrnnananonononanannnnos 7 Ha raWare renr Menta cias 7 Installation of the hardware siens 8 Pista AION or the SON ARG an a ed de et 8 Miniman CON SUEATIONE Sn E sance een mue ins ion 8 Recommended CONTIBUrAUIOMES caen sen den anal eds 8 Instala ion On A A 8 Pro o A e o o II 9 FI SEIS SOW Cr SO TWIST sur en 9 Entering the unlocking COCE cccccessccccssseccccesecccceeececausececseseceeeeuscceseusecessuneceesensecessusecetsegecetsenes 9 centime application Dre d pie be 9 Programimine the Feco rodea 10 Communication VV AO WY a ne da des nd Di a ae de 10 CRIS A 12 Additional program OPTIONS a nsc sde sans SUS Deda ad 13 doo A Pm e o a 13 Review and report the ProCeCure ccccccssssccccsssccccsseccccessccccesececcugececeesececsuecesseuecceseeeeeessenecessenes 14 A 14 Events table RC stts tks tts ttn 1ta 1t ak ak tk Akt Es AEAEE AKAAKA ESES E S Enen re rearen eent 14 Pages of the report 3 O E E CO DIR UR EAR RD E EE 14 Detailed Report 4 ccccccccsccscscscscscscscscssssssscscscscscscscssssssssssesescscscscscscscssevevevevevevesesscssseseseseesenes 14 User Manual RTSoft Ultima v1 1 UK 04 2012 Page 3 PAA OE TNE roO osoen RC A O RN 16 PEIN a E e a eas ni dise les oies 16 ProVIE Wen da o do Ath ala Ae eet a aa 17 EXDOR
7. actions used in the Microsoft Windows environment using the mouse and keyboard to work with menus and windows or to modify text on the screen This manual assumes that you know the basics of using applications under Windows If you are not accustomed to this kind of environment take the time to familiarise yourself with it using the guide provided with your computer If you have never used your recorders This manual assumes that you already know how to use your recorders if this is not the case you must refer to the relevant instruction manual Hardware requirements e APCtype computer with a minimum of Windows XP SP3 and a USB port e A DVD and DVD ROM drive for installation e An Access Key User Manual RTSoft Ultima v1 1 UK 04 2012 Page 7 Installation of the hardware MN Take care to connect the key only after the software has been installed RTSoft Ultima requires an access key which was delivered to you with the software to be installed on your computer Itis a special connector that has no effect on your PC other than to enable the use of RTSoft Ultima e e N To connect the access key simply plug it in to a free USB port Installation of the software Minimum Configuration e A PC with 2GHz dual core Micro Processor 1GB of RAM e DVD Drive e 17 inch monitor with a minimum resolution of 1280x1024 e Windows XP SP3 e Hard drive with 1GB available e Laser printer Recommended Configuration e APCwith a
8. to display the 1st page of corresponding ECG strips Displays the program used to conduct the procedure Allows modification of the number of visible strips for each type of event Pages of the report 3 Provides rapid access with each page of the report Detailed Report 4 Cover Page Report Header and Title The report header is directly modifiable on this page It is possible to modify the size font and colour of the characters and paste an image using copy amp paste if required The title of the report can be changed using the settings option from the settings menu Changes made to the report header and the title of the report will apply to all procedures User Manual RTSoft Ultima v1 1 UK 04 2012 Page 14 Patient amp Procedure Report Sections This area displays the details of the patient and procedure Where the user has modified the procedure data it will appear in red It is possible to restore the initial value by clicking on the button located on the right of field S Conclusion This area is provided for your comments they can either be typed or pasted Basic word processor functions are available Heart Rate amp Histograms Heart Rate Graph This section provides a graphical representation of the minimum mean and maximum heart rate HR curves for each measurement time interval see the R Test4 manual for more information on calculation of the HR It is possible to zoom in on part of the HR cu
9. 805 7 123 L Ben u lla RO mien Bley Outils Commentaire Rapport ECG R Test Date d impression Non renseign 31 03 2011 15 20 Crtires d anabyue Primaturith ESS 29 Pasa atackse gt 21 Pasa relative gt 179 FC beady lt 40bpm FC tachy gt 140bpm D calage ST mme Les valeurs em rouge tales dera lan table ort dob moda manuellement beererent non programm User Manual RTSoft Ultima v1 1 UK 04 2012 Page 18 Data Backup It is strongly recommended you regular backup your data The data processing system used by RTSoft Ultima makes it very simple to backup your databases To do this all that is required is to copy the whole of the data including the sub directories contained in the folder where the database is located The path to the database is displayed in bottom left corner of the main application window RTSoft Ultima Examen RTest Base Param trages Utilitaires Aide Liste des examens L m DEMO ST TV r z NovacoR A Rapport ECG R Test Examen en cours Q ee Ev nements Programme Param trage a Trace s Ev nement s enregistr e s d tect s TV Triplet ventriculaire Doublet ventriculaire Ventriculaire isol TPSV r Courbe de fr quence Triplet supraventriculaire Doublet supraventriculaire Cour
10. E PIDE rd dls 18 o RR RES RIR ANE RR a SR 19 User Manual RTSoft Ultima v1 1 UK 04 2012 Page 4 NOVACOR Licence Agreement RTSoft Ultima software is sold under licence and must only be copied or used in accordance with it By installing RTSoft Ultima software you agree to be bound by the terms and conditions of this licence agreement Please read this manual carefully before installing the software If you do not agree to its conditions you should not under any circumstances install the software You should return it with the accompanying documents accessories and packaging to the place of purchase for a full refund Using the software The software is licenced as is for use on a single central processing unit and one terminal at a time Using RTSoft Ultima on a multi user system is possible but is not allowed by this license to do so you must have a written contract with NOVACOR SAS In addition NOVACOR SAS does not authorise the installation and use of this software on a Terminal Server type platform e g Citrix or equivalent It is strictly prohibited to rent or loan the software except where agreed in writing with NOVACOR SAS You can sell or transfer the licence but it must be a permanent transfer and include the media CD or DVD and all other related hardware The transfer causes you to lose the rights of use and obliges the recipient to abide by the terms and conditions described in this licensing agreement Copyright
11. a commitment on the part of NOVACOR to provide any specific functionality The company NOVACOR SAS does not accept any liability with respect to errors or inaccuracies that may appear in any manual The examples values and figures shown in this manual are fictitious and provided for the sole purpose of illustrating the use of RTSoft Ultima software They have no value for medical or scientific reference and therefore can t be used for purposes other than those of this manual The software its features and any manuals can be modified without notice Legal jurisdiction In case of dispute French courts will have jurisdiction The applicable law is French law Rights RTSoft Ultima Manual 02011 NOVACOR SAS All rights reserved R Test RTSoft Ultima and their respective logos are registered trademarks of NOVACOR Windows is a registered trademark of Microsoft Corporation NOVACOR is an international brand of NOVACOR SAS User Manual RTSoft Ultima v1 1 UK 04 2012 Page 6 RTSoft Ultima 7 Intended Users R Test Evolution 4 and its software RTSoft Ultima is intended to be used by a State Registered Medical Doctor or someone acting under their direct supervision Introduction The purpose of this manual It is intended to guide the user of RTSoft Ultima through the procedures required to use the software If you have never used a computer The techniques required to use RTSoft Ultima are very simple They are standard
12. be de fr quence Supraventriculaire isol Pause absolue Erti damages Brian ELEY ash Paume act ome Pacem relata errai PE brady aqui PE Len cad am sauce ta qua dane me ban am da mb imo mance amam Ecras ane parties Pause relative Tachycardie Bradycardie D calage ST Ev nements o Elo ie o eo Ma enregistr s o 5 Fibrillation auriculaire Volontaire a Ev nement utilisateur r Ev nements enregistr s TV E Bases RTSoft4 Demo rtest accdb e 31 03 2011 14 47 22 This process can be automated by using any standard backup software including the backup software that is integrated in Windows The application data is by default stored in C ProgramData NOVACOR Rtest4 for Windows 7 it is recommended that also backup this directory CAUTION It would be damaging to your data to directly modify the files in the subfolders of the directory containing an RTSoft Ultima database The act of moving renaming or of deleting files or folder in this directory can seriously affect your database it could result in the loss of all your data and even prevent the software from functioning User Manual RTSoft Ultima v1 1 UK 04 2012 Page 19 0459 User Manual RTSoft Ultima v1 1 UK 04 2012 Page 20
13. multi core Micro Processor e g IntelO i5 or i7 amp 2GB of RAM e DVD Writer e 23 inch Monitor with a minimum resolution of 1920x1080 e Windows 7 e 7200rpm Hard drive with 1GB available e Fast Laser printer e Backup system Installation Procedure To install the software simply run the installation files from the supplied DVD If the DVD fails to auto run and load the user friendly graphical interface simply browse to D Install RTSoft_Ultima where D is the letter associated with you DVD drive and run setup exe User Manual RTSoft Ultima v1 1 UK 04 2012 Page 8 Procedure for use First use of the software Entering the unlocking code The first time you launch the software it is necessary to enter the unlocking code which was provided with the access key This code will unlock the application and may activate certain optional functions of the software A message confirms the successful activation Activation key To customize your software please enter the code supplied with the access key Please enter your code Setting application preferences From the Settings menu choose Settings and you will find a window allowing the application language to be changed and various other options to be configured including the report heading title and scales Display Selectlanguage Report Patient Communication Anytown University Hospital Cardiology Department User Manual RTSoft Ultima v1 1 UK 04 2012 Page 9
14. rve by using the wheel on your mouse to return to the whole graph simply right click and choose adjust the width of the page The display of the minimum maximum values can be modified by using a right click and changing the Mini Maxi option Histograms The histograms are synchronised with the Heart Rate graph and represent the number of occurrences for each type of event indicated in the left margin The abbreviation min indicates the histogram represents the number of minutes per hour that a given event was detected Hovering over the histograms with the mouse gives a tooltip that displays the number represented by the histogram Recorded Events All of the events recorded by the R Test subject to the limits set by the user in the visible events recorded in the procedure report will appear in this section Ventriculaire isol 09 05 2011 06 55 46 ERR ES PES CA ee CR SST E A E SS E 1 f 09 05 2011 07 05 24 Se O A E TA EE OON EE 09 05 2011 07 32 17 ES Soe ee ES Pa SOO RR PA OOS ESSE EO EW O OR EE S ES ee Be ew 09 05 2011 07 37 50 FA on RE EEE ff 09 05 2011 11 21 35 on a os il e lh E E E E ee E TREE E ES DS ERR E On the right of each strip there is a button that controls how the trace will be printed it in the report User Manual RTSoft Ultima v1 1 UK 04 2012 Page 15 o The strip will not be printed The strip will be printed in compressed mode onl
15. utomatically for the procedure The printing icon makes it possible to directly print a strip centred on the viewable section Printing the report Printing From the printing icon or starting from the Procedure menu click on the option Print User Manual RTSoft Ultima v1 1 UK 04 2012 Page 16 deb Visage eXPert PDF E Xerox Comm sur novacath tendue de pages Tout Nombre de copies S lection Page actuelle MN Copies assembl es C Pages Entrez un num ro ou une tendue de pages Par exemple 5 12 The Print Range area of dialog box provides control over which pages of the report are printed for example entering 5 8 will print only pages 5 to 8 of the report Preview It is possible preview the report before you print it by choosing the Preview option From this preview view it is possible to print the report by clicking on the printer icon Km NovacoR Rapport ECG R Test T 420 Dur e d enregistrement j hhcmmess Monnorage upa D csisge 10mm Dee imita Cas tos ST a 3 hdd alli did dos dll lll lll lll Taper le texte rechercher 4 v User Manual RTSoft Ultima v1 1 UK 04 2012 Page 17 Export PDF It is also possible to generate a PDF file by choosing the Export option All that is required is to choose a location and enter a filename mu 1
16. wll NovacoR RTSoft Ultima User Manual Procedure Ales Base Settings Utiktes Heip DEMO FA 4 Passage Lasers TSR MEN MEL Mimos CEDE 5 seu y iso Bas ane in ar eq e Procodure ongoing Em ea ECG R Test Report o Isolated ventricular sn ana S fo ry Pa ee ee ee ln D e waan paa sans CE CES EN CRU O ee ee UNS D Cr Cane 2 EEE lee SEE DEE e es mesm rsrs p _ A O RR ad wanna ar e A cd of E n aacr nns e q A _ va 4 um ur va 4h O ua e Ps a PR a Pa Oa VO a th A J s sd q em SS e mr PE PE donald hd ng tro dere s a a PE A AD EEE o x gt e aa A aa a a oe E Soa mm cana Ta is SEO e D e HAE Renee es tet stt AS A db da psrortisinis isbbbrri rono Y E a pente err lt _ Pd Der TO as a e pa SEE AAA EPE of YU A p uu AAA Al fa final fae al pa My if IN A pas EN UU Al RTSoft Ultima User Manual NOVACOR SAS 4 passage Saint Antoine 92508 Rueil Malmaison Cedex France RTSoft Ultima Manual NOVACOR SAS All rights reserved User Manual RTSoft Ultima v1 1 UK 04 2012 Page 2 Contents NOVACOR Licence Agreement cer eere erre ree eee erram ree area n een ea area aee acre acer a een ee acre nc re nana 5 Use neo NA oi as a E POE 5 COR a eee de de de 5 RS A LE eE EEE 5 MSA D E 6 E ICO nee RR OR Ce 6 RS nn A A DU ED 6
17. y Va The strip will be printed in compressed mode and at full size the strip also appears with a pink background For each strip it is possible to remove it from the report by clicking on the minus symbol located above the top right corner of strip All the numerical counts for this type of event are decreased of 1 All the events of a particular type can be removed including the hidden events by clicking on the minus symbol located to the right of the event title The numerical counts are changed to 0 indicating that the events were removed by the user and are not clinically significant It is possible to move between the pages of the report either via the labels in zone 3 the Page up Page down buttons or by using the button bar below Double clicking on an ECG strip opens a window to display that strip in more detail and allows the user to explore the context of the event 0 8 B TV 31 03 2011 14 47 22 Rythme 154bpm Dur e 24s QRS 7 ST TV 12 V 13 V 136 V 146 V 142 V 139 V W 93 17V 8 oe 25mm s 1mV cm A 31 03 2011 14 47 22 930 The context menu contained in the top banner of the ECG strip allows you to add remove or modify an event The context menu accessed through the top banner of the window allows modification of the Scale horizontally and vertically the type of grid displayed the QRS and RR interval annotations display the polarity of the ECG These choices will be applied a
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