PC-VET - Vmed Technology, Inc.
Contents
1. top of the screen Note For a description of each complex click on the Help menu in the upper toolbar 43 2 Next left click the mouse at the beginning point of your measurement then drag 3 Repeat the procedure in step 2 for each type of measurement the mouse to the right and up if amplitude is to be included you can measure both time and amplitude by measuring at a diagonal Note the red rubber band in the above illustration Place the blue crosshair at the end of the interval and the top of the amplitude and release the mouse button The one step measurement will result in an interval and amplitude calculation if appropriate for that complex NOTE For best accuracy inctease the gain of the signal before beginning the measurement procedure 4 Click the Copy to Diagnostic Notes button to drop your measurements into the Reviewer Upper Tool Bar La iv A 50 mm sec T T 15 1213 0000 00 22 23 Icon Descriptions oe ee ee e me e D BW NrO Open episode Save episode Save copy of episode Email episode Configure Reviewer Cut Copy Paste Print Shift ECG baseline up 5mm Shift ECG baseline down 5mm Reset baseline View R wave markers diagnostics notes section of the report Ka 44 heb lb le ble les 13 21 14 Play ECG view 15 Pause ECG view 16 Skip to beginning of ECG trace 17 Skip ECG view backward 18 Skip ECG view forward 19 Skip to end of ECG tra2. G2 Ins Exp fU 6 56 0 ki Temperature 464 FI Isoflurane Ins Exp 3 4 3 3 0 Buckingham Veterinary c o Her Majesty The Queen Buckingham Palace London SW1A 1AA 44 0 20 7930 4832 vet royal gsx gov uk Vmed Remote PC VetGard Figure 4 Sample print reports with customized clinic logo NOTE Veterinary information changed by using the Tools gt Edit Vet Information menu Setup Patient Information NOTE You may elect to enter patient information after completing the monitoring procedure if desited This information may also be edited in the Reviewer Program Vmed recommends at least entering a patient s name or ID in the Patient Name box ptior to monitoring in order to make it easier to locate later on 1 Select the Tools on the upper tool bar and then Edit Patient Information The following window will appear Patient Information Patient Mame POOsOS28 Clienk Name Species Canines sl Breed Unknown Canine Birth Date 1 1 2007 T Age E E Weight Ibs ll e Years Months 2 Type in desired information and press OK NOTE This window will automatically appear when connecting to a witeless remote or after selecting New Patient from the File menu 21 Customization of the Patient Information List Species and Breeds available in the dropdown menu above are user customizable using the following procedure the use of Microsoft Excel is recomme
3. POCO VET wirevess ECG AND TEMPERATURE MONITOR With PC Display Software Installation Setup and Operating Instructions Version 1 48 ACCESSORIES AND COMPONENTS Check packaging and ensure the following standard items are included e PC Vet wireless monitor e ECG chest probe for small animals e Three lead skin clips e Spray bottle with electrolyte e Bluetooth adaptor e PC Display install CD e Vinyl storage pouch The following optional items are available e ECG interpretation software install CD e Yoke cable for long term monitoring leads e Three long term monitoring leads with clips e PET4 esophageal ECG and temperature probe for kittens small puppies and exotics e PET 6 esophageal ECG and temperature probe for cats and small dogs e PET8 esophageal ECG and temperature probe for larger breads e ECG chest probe for horses and other large animals PRECAUTIONS DO NOT PLUG PC VET SENSORS INTO ANY OTHER EQUIPMENT OR INTO AC LINE RECEPTICALES PC VET IS NOT REGISTERED WITH THE FDA FOR HUMAN USE Do not use in the presence of flammable anesthetics Do not immerse the PC Vet sensors or cables in water or other fluids Avoid spilling any fluids on the PC Vet or accessories Review Service and Maintenance Chapter for proper cleaning procedures Do not gas sterilize or autoclave the PC Vet or sensots Do not disassemble The PC Vet contains no operator serviceable components Electrical Interference Strong electromagne
4. ACTIVATED WIRELESS Bluetooth Class I radio 100 meters line of sight range RANGE 50 100 ft in practice 100 meters line of sight FREQUENCY 2 4 2 4835 GHz OUTPUT POWER 4 to 20 dBm PHYSICAL INTERFERANCE USB UHCI OHCI 1 1 compliant MANUFACTURER As selected by Vmed PC SYSTEM REQUIREMENTS CPU Windows compatible computer 500MHz or gt Memory Min 256 MB 512 MB recommended USB port One available USB 1 1 standard Operating Systems 2000 XP or Vista Audio Any Windows audio hardware and speakers Video 32 MB video RAM 64 MB recommended Resolution 1024 x 768 Software Color Profiling Disabled 57 Appendix B Appendix B Warranty Vmed Technology warrants that the PC Vet ECG monitor to be free of defects in material and workmanship for a period of TWO YEARS from the date of purchase by the original end user customer ECG sensors including cables lead wires and connectors sold with the PC Vet or purchased as an optional accessory ate warranted for a period of SIX MONTHS from the date of original purchase If in the judgment of Vmed Technology the PC Vet or accessories are proven to be defective during the warranty period they will be repaired or replaced with no charge for parts or labor This warranty does not cover consumable supplies or products damaged by accident abuse or misuse or products altered or repaired by anyone other than Vmed Technology or its designated repair agents OPENING THE PC VET HOUSING WILL VOID TH
5. Feee hizt Cantiizeds Dar iL SUDU LILT Enmed Technology Ino Ymed Revdawer v220 0 Page 2of2 Figure 13 Default Event Summary Report includes vital signs measurements and clinical comments 49 Help Menu The following selections are available under the Help menu e Internet Support Website Hyperlinks to the Vmed service website e Background on ECG Waveform Measurements shown below oie med Reviewer Scruffy Smith Mar 25 2005 17 43 28 File Edit view Tools Window Help b Ged amp ES 50 mm sec sl MAS 17 43 28 00 00 00 p Uu KA M bi AS EPISODE INFORMATION LIP AMIIRAPLIPLITPTA C wh tte te Eneda Date Mar 25 2005 E How To Measure P QRS T ECG Waveform Episode Duration 00 00 30 Patient Name ID Scruffy Smith Measu ring the P QRS T Owner Smith Species Feline P wave represents depolarization of the atria and its duration indicates the time required for an impulse to pass from the sinoatrial SA node to the atrioventricular AV node e The normal P wave on lead Il is small positive and rounded 3 e tis measured from the upper edge of the baseline to the top of the P wave M e The width of the P wave is measured at its inside from the start to the end of the deflection from the baseline Weight LA es Breed Siamese P R interval reflects activation of the AY junction e It is measured from the beginning of the P wave to the beginning of the Q wave R wave if no Q wave is pre
6. difference for recording It 1s there simply to freeze the real time display in order for the user to have a better view of it Using Leg Clips The three lead clips are color coded according to American Heart Association AHA standards The following table provides the list of AHA color codes for Lead II connections modified to identify animal legs BIPOLAR LEAD amp REFERENCE COLOR RF Right Front Negative Electrode Note For an accurate Lead I reading each pair of legs must be parallel to one another but not touching Use standing or right lateral recumbency Plug each clip lead wire into the appropriate receptacle of the matching color on the connecting cable yoke 1 Plug the connecting cable into the PC Vet receptacle 2 Place animal in the right lateral recumbent or standing position 34 3 Saturate the area where clips attach with alcohol or electrolyte 4 Connect leg clips according to the color coded designation stamped on the connecting cable Connect two clips to the hind legs Red to left hind and Green to right hind on the posterior aspect of the leg just proximal to or distal to the point of the stifle Connect the remaining clip White to the right front leg on the anterior aspect of the leg just proximal to or distal to the elbow Using Esophageal Probe Choose the correct probe for the appropriate size of animal If the baseline tends to wander or deviate from a straight line the electrode spacing is
7. on the bottom of the device keyboards and mice only My device is set up and ready to be found LO Add only Bluetooth devices that you trust 6 Turn on your PC Vet by depressing the red button at the top left of the PC Vet module s keypad 7 Wait for the STATUS light on the PC Vet to turn amber and then put a check mark next to My device is set up and ready to be found on the Add Bluetooth Device Wizard window 8 Click Next and your computer will search for the PC Vet When the PC Vet is discovered a window like the one below will appear The serial number following Vmed ET will be the same as the serial number that is printed on the back label of the PC Vet Add Bluetooth Device Wizard Select the Bluetooth device that you want to add Ve n E New device A IF You don t see the device that you want to add make sure that it is turned on Follow the setup instructions that came with the device and then click Search Again search Again 9 Highlight the identified PC Vet and click Next which will open the following window Add Bluetooth Device Wizard Do you need a passkey to add your device To answer this question refer to the Bluetooth section of the documentation that came with your device f the documentation specifies a passkey use that one Choose a passkey for me Use the passkey found in the documentation Let me choose my
8. own passkey Don t use a passkey 2 You should always use a passkey unless your device does not support one We recommend using 4 passkey that ie 8 to 16 digits long The longer the passkey the more secure it will be 10 Select the Don t use a passkey button and click Next When the window below opens click Finish NOTE There should be two COM Communications ports listed on this window They may be different tor different discoveries and you should not have to remember them but you should verity that there ate two listed Add Bluetooth Device Wizard Completing the Add Bluetooth Device Wizard The Bluetooth device was successtully connected to your computer Tout computer and the device can communicate whenever they are near each other These are the COM serial ports assigned to your device Outgoing COM por COME Incoming LOM port COM To close this wizard click Finish Finish Using the PC Vet with Windows Vista or XP Service Pack 2 or 3 1 Power on the previously discovered PC Vet The STATUS light on the PC Vet will turn red and then yellow NOTE Every device has to be discovered once for each PC If you have never been through the discovery procedure with this particular device on this PC do so before proceeding See the previous section for insttuctions 2 Double click the PC Display icon on the desktop to open the window below Select Wireless Remot
9. setup dialog box NOTE Printing from the screen requites wireless connection between the PC Vet and your computer In other words you can only print ftom the screen when there is an active connection between the PC Vet and your computet Printing ftom saved and recalled files does not require a witeless connection A color printer is required to reproduce the colored grid 4 Save reports to a PDF file by selecting Primo PDF in the Print to drop down box in the print dialog window this first requires the installation of the Primo PDF software 38 Printer Warme hp deskjet 990c series Status Ready _ Print to file Type bp deskjet 990c series Print Range Preview All Current view Curent page Pages from 1 tor Subset All pages in range Reverse pages Page Handling Lopes Collate Page Scaling Shrink large pages Ww Auto Rotate and Center Choose Paper Source by POF page size Print what Units Inches oom G4 Figure 10 Computer s print dialog box 39 KHeiermack Reparti HR fom ECG 56 bom Temperature P Figure 11 PC Vet print report Note signal amplitude 1 mV reference scale and time reference points on Date Tire Spedes Binh Date Sex Sweep Rate Gan 0 15 2008 13 05 07 Bubbles Charles Shothy Canine Mix 65 Ibs Ge Din 10mmimV ECG Filter Noten Low 00Hz Leads horizontal axis Temperature readout
10. too large and a probe with a shorter spacing should be used If the ECG signal is intermittent usually with respiration the electrode diameter is too small for the animal and a probe with larger diameter electrodes should be used NOTE Do not try to evaluate ECG traces using the esophageal probe The sweep is accurate for rate and rhythm information only Use the ECG clips for a Lead H ECG 1 Lay the probe on the animal simulating its position in the esophagus 2 Place the end of the probe one finger width from the last rib Figure 9 Position of optional esophageal probe 3 Note the distance marked on the probe in centimeters at the nose 4 Slide the probe into the esophagus until the distance marked at the animal s nose is at the mouth 5 Move probe cranial and caudal until the best heart signal is obtained 35 Using Long Term Monitoring Electrodes The clip leads provided with this optional sensor connect to the metal tabs on disposable infant pre gelled electrodes Disposable chest electrodes are best for long term critical cate situations when the animal is under or recovering from anesthesia It may be necessary to shave excess hair 1 Plug the three clip leads into the corresponding colored receptacle on the yoke cable Connect clips to each of three electrodes 2 3 4 Prepare the electrode site by clipping excess hair Wet area with alcohol and wipe dry Remove electrode from the liner and pla
11. will apply each time the PC Display program is opened Feature default settings such as TONE ALARM ON OFF GRID etc may be overridden by clicking the applicable icon on the upper toolbar only if the PC Vet is connected to your computer NOTE The Edit Default Configuration will set the defaults for each time a witeless monitor is connected to PC Display If you wish to quickly make changes for the cuttently connected session only you can click on the Edit Current Configuration toolbar button on the Windows display Icon looks like a geat However whatever changes you make using the Curtent Configuration will only be effective for the cuttent connection and not change the Edit Default settings kam Zait ter wail Den wm Si rT H CC TEUER Figure 1 Edit Current Configuration Icon on PC Display upper toolbar 11 1 Double click the PC Display icon on your desktop The following window will open Select the wireless remote device to connect Select Wireless Remote Vmed E T0023 on COM15 SS Ymed E T0023 on COM15 Y med V G20002 on COM16 coca 2 Click the Cancel button on the Select Wireless Remote Connection window 3 Click the File menu and confirm that there is no check mark next to the Connect Wireless Remote option NOTE This allows access to the Tools menu 4 Click Tools gt Edit Default Configuration and the following dialog b
12. E WARRANTY This warranty is exclusive and is in lieu of all other warranties whether expressed or implied including warranties of merchantability and fitness for a particular purpose The obligations under this warranty are limited to repair or replacement A return authorization number is required before returning any product for warranty or non warranty repair Products or parts shipped to Vmed for warranty service must be shipped prepaid and insured via a carrier that provides package tracking such as UPS or FedEx Vmed will pay the return freight on products repaired under warranty BLANK PC Vet Wireless ECG amp Temperature Monitor with PC Display Software Vmed Technology 914 164 Street SE Mill Creek WA 98012 Phone 800 926 9622 Fax 425 585 0231 www vmedtech com Installation Setup and Operating Instructions PC Display Version 1 48
13. See Chapter 1 Replace both batteries Clear signal path Disable computer s built in Bluetooth and use the Bluetooth device provided with wireless product Re apply electrolyte Re position electrodes and clip excessive hair Replace electrodes Replace lead wire or cable Remove and re insert all plugs Change filter from Low to High in the Tools drop down menu Re apply electrolyte and re position electrodes Reduce patient motion Set GAIN to 1 Shut off electrical devices near PC Vet Move toward computer or clear attenuating obstacle Recycle wireless device power switch Check Replace Batteries Check Bluetooth device USB connection Re start PC Display program Replace batteries Press and cmmediately release the power button to turn on Appendix A Appendix A Computer Requirements and Specifications Computer Requirements gt 200 MHz PC desktop laptop or tablet computer Windows Vista XP or 2000 operating system XP or Vista recommended 32 MB RAM SVGA display 256 colors resolution set to 1024 X 768 Spare USB 1 1 or later port CD Rom Drive 30 MB available hard disk space for PC Vet program plus approximately 10 Kbytes per patient stored Windows supported printer MAPI compliant E Mail system such as Microsoft Outlook or Outlook Express Physical Specifications TYPE Three lead ECG with integrated Bluetooth wireless module CONSTRUCTION High impact ABS plas
14. able Alarm Tones Enable Alarms Review Stored Episode Description Toggles between PC Display trying to connect to a remote or not NOTE When PC Display is not trying to connect the Edit Default Configuration option is enabled beneath the Tools menu Opens the window allowing the user to edit the current patient s name or ID client name species breed age sex and weight If the session is being recorded then this recorded episode will reflect any changed values Opens the window allowing the user to input the next patient s name or ID client name species breed age sex and weight This will begin a new episode if the current session is already recording Opens the print dialog window allowing the user to print the last 30 seconds of the current ECG strip this same strip will be recorded into an episode as well Toggles the grid behind the ECG waveforms on or off Toggles the triangular R Wave markers that appear above each detected R Wave of the ECG waveform on and off Opens the Trend Graph window Allows the user to select which sweep speed to use for the ECG waveform Allows the user to select which gain to use for the ECG waveform Opens the configuration window allowing the user to edit many of the parameters of PC Display s current session without disconnecting the remote Toggles on or off the tone made for each heart beat Toggles on or off the tones made when an alarm limit has been e
15. an be ignored 5 SPECIFY COM PORT NUMBER Will not be checked for Vista or XP Service Pack 2 or 3 computers The appropriate COM port number should be entered here for non Vista XP SP2 or SP3 computers only Refer to Setup of the Bluetooth Adaptor in the non Vista XP SP2 or SP3 section of the manual on the CD 6 SPECIES Select most common patient seen 7 ECG SWEEP RATE Chart speed Use a sweep speed of 50 mm sec for diagnostics and 25 mm sec for surgery 8 RR CO2 02 SWEEP RATE Applies to PC VetGard patient monitor only 13 9 ECG FEATURES Select the ECG features you wish to display R Wave Marker Places a triangle mark over the R wave on display QRS TONE Provides an audio beep tone with each beat 5 mm REFERENCE GRID Displays a grid under ECG trace for visual reference of QRS amplitude HR gt 400 BPM Choose this selection to accurately record heart rates up to 800 BPM leave this unchecked for lower heart rates ECG NOTCH FILTER Use filter AC line interference For North America and Canada use 60 Hz For most other countries choose 50 Hz ECG LOW PASS FILTER The default setting is LOW Select HIGH filter if noise is excessive PATIENT EPISODE RECORDING MODE This selection applies to automatic recording of information when certain events occur such as alarm or print If Continuous Event Only is selected only vital signs are automatically recorded and this is t
16. aveforms The default setting for recording information through PC Display is the Continuous Event setting This means that only alarm events printing events marker events or the periodic vital signs events will be recorded without any ECG waveform information In order to record ECG waveforms in addition to these events you would need to click the Toggle Continuous ECG button from the PC Display toolbar Figure 7 Toggle Continuous ECG Button Disabled and Enabled Clicking once on this button will enable this recording mode and will put a checkmark in the bottom right corner of the button itself to show that it is enabled Clicking it again will disabled this recording mode and close the episode file that was just recorded to Additionally if the Auto Save feature in the Default Configuration screen is selected then the Continuous ECG recording mode will be enabled from the point of connection to the PC Vet In other words all information including ECG waveform will be recorded automatically as soon as the PC Vet is connected until the Continuous ECG mode is disabled or the PC Vet is disconnected Using Chest Probe 1 Place the patient in the right lateral recumbent position and pull the front legs cranial 2 Liberally apply alcohol or electrolyte solution to the left lateral chest wall where the electrodes will make contact Position the chest probe over the heart and press firmly enough that all three electrodes
17. ce 20 View vitals events only 21 About Reviewer 22 Select chart speed 23 Select gain Reviewer Configuration To configure different options within the Reviewer software click on the Configure Reviewer toolbar button or select Configure Vmed Reviewer from the Tools menu The following window will appear ECG Reviewer Configuration Patient Episode Directory Select Directory Patient Episode Director C Documents and Settings PaulkMy Documents Ymned_Patient_E pisodes Saved Episodes Directory Select Directory Saved Episodes Directon C Documents and Settings Paue Documents med Patent Episodes Saved_ Episodes Default ECG Strip Grid Color Set Reviewer az the default episode viewer f Red Grid C Green Grid f Blue Grid Default Veterinarian Information Use default Veterinarian Information for print report headers Edit Default Veternnaran Information Default CO Wavetornm Scale e 1 mmHg per div 7 2 16rmmHg per div OF Cancel a Patient Episode Directory Allows you to select the directory where patient files are stored as recorded in PC Display This location must be the same as that selected in PC Display 45 LI Saved Episode Directory Patient Episode files by default will be saved in this directory when the Save copy of episode option is chosen This can be very helpful if you prefer to frequently save episode copies into the directory of a network com
18. ce on the leg indicated by the color code on the cable preferably above the hock and elbow Electrodes may also be placed on the chest over the heart and oriented to the Lead II axis White on right chest toward right front leg Red in the middle and Green on left chest toward the left back leg NOTE Izis suggested that a protective bandage be applied over the electrodes to prevent the animal from dislodging or chewing off the electrode or lead Accurate Lead I information is only available if electrodes or clips are attached to the patients legs Smooth down the electrodes with a circular motion Avoid pressing on center of electrode 36 PC Display Keyboard Shortcuts PC Display has several keystroke combinations that you can use to quickly access certain functions using the computer s keyboard Most of these keystrokes involve a combination of keys being pressed at the same time For instance Alt H denotes that the Alt key and the H key should be pressed at the same time to achieve the desired results Likewise Cntl denotes the Control key Keystroke Alt C Cntl I Cntl N Cntl P Cntl G Cntl M Cotl T Alt S Alt G Cntl E Cnt Q Cntl A Alt A Alt R Action Connect Wireless Remote Edit Patient Information New Patient Print Show Grid Show R Wave Marker Show Trend Graph Set ECG Sweep Speed Set ECG Gain Edit Current Configuration Enable QRS Tone En
19. deos Other Software Exit NOTE You may at first wish to click the Play suggested installation tutotial video text n order to view a tutorial video of how to install Bluetooth and discover your Vmed witeless device on your computer NOTE If you wish to save printed reports with ECG sweep information to a PDF Acrobat file then you should choose to install Primo PDF from the Other Software link of the main installer screen You should also install the ECG Reviewer ftom this main screen if you already do not have the ECG Interpreter installed 2 Click Install PC Display The following screen will appear i PC Display See Welcome to the PC Display Setup Wizard vy PC Display software Vmed Tech nology The installer will guide you through the steps required to install PC Display on your computer This software may be used on any PC with no restrictions Cancel 3 Click Next i PC Display Sic Select Installation Folder Ly PC Display software Vmed Technology The installer will install PC Display to the following folder To install in this folder click Next To install to a different folder enter it below or click Browse Folder EA Program Files med Technology PC Display Browse Disk Cost Install PC Display for yourself or for anyone who uses this computer e Everone Just me Cancel Back 4 Click Yes and the following window should app
20. don SWIA 1 44 Phone E mal Contact Info 44 020 7930 4832 vet royal gsx gov uk ren 2 Type in your vet clinic information as above NOTE Your entries will be remembered each time the program is started and contains text that will be printed on the ECG print report and all Reviewer generated reports 3 Press OK NOTE Refer to the instructions below if you wish to add your clinic logo to the report heading 17 Using Your Clinic Logo on Printed Reports The default logo provided in the ECG report printout is shown below Vimed Technology 16149 Redmond Way 108 Redmond WA 98052 800 926 9622 Infodvme dtech com meg Remote PC Vetard HR from ECG 134 bam BP TG Dia MAP 120 82 100 mma DU Ai 95 w Respiration Rate 32 bpm Cle Ins Exp 0 9 460 QO Ins Expl P19 56 35 5 Temperature 96 0 F J lsoflurane Ins Exp 3 6 3 40 To customize a logo specific to your clinic follow the procedure below 1 Click on the desktop My Computer icon and navigate to the installation directory for PC Display For most users this will be c Program Files Vmed Technology PC Display The screen below will appear C Program FilesWmed Technology PC Display Bis E File Edit View Favorites Tools Help ae d n BN A3 r 3 O Back gt Ka AE Search ey Folders Address CH Program Files vmed TechnologyiPC Display e Lat w D bluesp d Ka 1 0 0 4 i pybluexp CI Make a ne
21. ds of ECG waveform 48 Animal Hospital KHeiecmark 4744 Main Street Momtaring Metropolis NY 98765 Report 1234567690 doumanmalhospital com Episode Date Tame DA 1 2008 13 25 17 Patent Name ID Spot Eprsoce Duration 00 05 04 Cher James Sermth Species Canine Ereed Retriever Labrador Bart Date 0915 2003 Sex Miale Neutered Weight 56 Ibs Dment Cate 5 Time Elana Event HE PE sya Ose Mae Se COs inay kip T Tis Leni Eph LES ar PE fore i ae ii 2008 St Sb A0 D U 00 25 foe fms 2 3 Ti L Logs Age oi oo T3 0 87 28 5 O4f 2192008 25325 58 O80 00 241 cod ime Fe i LE Loe Ag OI oa Dal D O 27 8 O4f217F 2000 23325 5 9 Dp0 o0c4z Print d L ide ir di oof Ta 0 a 27 8 O42 152000 22227 rs D 0n 0tc4A5 HE c j5 ER La Loa gar ot oof A0 D a 42 0 Olaf 2008 i 7 70 fb0002 11 AR t i5 tal E LO6 D i Oi 90 J Hof 40 7 O49 2000 33 38 42 Opn0 G3czh Print CT LS igg BF di IAr 9 H Da Ab i iiig 14 20 57 o60 03 40 AA c j5 Ki Lal AU fa HE Milt en H 0 43 0 O42 2000 13 39 01 g00 05 40 CO Ces fea E ta idee aa ai OH EI D A3 3 iL 2008 igith O00105 52 ane fen e FER 70 LS Lots Gay HE oo en 1 a 42 2 gi iir 2008 23 29 26 D U ab AR lt 15 ra ia Loe aor di Jar Ap D G 47 5 M21 2008 3 29 A3 D 0 D4 2bh AR 15 ER La ides aay dt Uy En D O 42 2 i liliit iti GbOse sT Pelit z ta L ge gar oi Jir S D 2 2 jiii 25 50 49 obo305 00 VWltalse SCH LE Lda ir ai au E H 0 44 5 Clagnagtle Motas 7 Commeanta
22. e Connection Select the wireless remote device to connect Select Wireless Remote Wmed E T0342 on COM MM Cancel 3 Select the device you wish to use in the drop down window and click Connect NOTE If you have discovered multiple wireless monitors the device last discovered or connected to your computer will appear in the text box in the above window Press the down atrow to view the other discovered devices and highlight the one you want to use befote connecting As many as eight witeless devices can be connected to a computer at one time The practical limitation however is the size of the display and the computing power of your computer To use multiple devices go to step 1 and repeat the discovery process for each The Vmed software automatically selects the COM Port if Windows XP SP2 or SP3 is installed 10 4 Once the wireless monitor has been selected from the list and you press the Connect button then PC Display should automatically connect to the device It might take a few seconds for PC Display to initially discover the different sensors that are attached to your wireless monitor Once it has done so it will repaint the screen with the appropriate measurements displayed See Setup PC Display Defaults of chapter 1 and all of chapters 2 and 3 for more information about the use of PC Display Setup PC Display Defaults This section describes the procedure to change the default settings that
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24. ealer Phone 866 373 9627 FAX 830 438 7041 WEB www dvmsolutions com Cleaning Clean the PC Vet sensors and cables by wiping surfaces with any of the following solutions e Soap and water e Alcohol or alcohol disinfectant mixture e Peroxide solution Precautions e Do not immerse or soak the PC Vet or cables and sensors in any liquid e Do not use petroleum based solvents e Do not steam autoclave e Do not gas sterilize the PC Vet or sensors 53 Maintenance There are no field serviceable components inside the PC Vet Opening the housing exluding the battery compartment voids the warranty Store the PC Vet in the storage pouch when not in use Changing Batteries To change the two AA batteries press and slide open the battery compartment lid on the back of the PC Vet housing Batteries are easiest removed by slapping the bottom of the PC Vet against the palm of the hand until the batteries are dislodged and fall into your hand as shown below Note polarity when replacing batteries Insure that each new battery makes proper spring contact and is pushed all the way into the bottom of the battery compartment Cable Connectors Sensor plugs should be inserted into the receptacle by pushing straight into the opening while grasping the plug Do not remove by pulling on wire MOTE the Vmed logo is on the top and the plug key is on the bottom Troubleshooting Refer to the table on the next page to trace common problem a
25. ear i PC Display License Agreement PC Display software Vmed Technology Please take a moment to read the license agreement now IF you accept the terms below click I Agree then Nest Othenwse click Cancel This software may be used on any PC with no restrictions e Do Not Agree 5 Choose I Agree and click Next i PC Display Installing PC Display ly Pc Dispiaysotware Vmed Technology PC Dieplay ts being installed Please wait E PC Display Installation Complete Di PC Display software Vmed Tech nolog y PC Display has been successfully installed Click Chose to exit 6 Click Close to complete 7 Continue installing successive programs then remove the installation CD NOTE Shortcuts to the PC Display and PC Display DEMO programs will be placed on the Windows desktop and in the Programs folder of the Start menu Icons for other witeless monitors if installed will also be placed on the desktop It 1s now recommended that you use PC Display to connect to all Vmed wireless remotes Installing Bluetooth IF YOUR COMPUTER HAS A PRE INSTALLED OR INTERNAL BLUETOOTH DEVICE DO NOT INSTALL THE BLUETOOTH ADAPTOR SOFTWARE OR THE INCLUDED BLUETOOTH ADAPTER CONTACT YOUR VMED VENDOR FOR TECHNICAL ASSISTANCE IF YOUR COMPUTER USES THE WINDOWS VISTA OR XP OPERATING SYSTEM WITH SP2 OR SP3 INSTALLLED DO NOT INSTALL THE BLUETOOTH ADAPTOR SOFTWARE NOTE Vmed recommends u
26. ess for each function NOTE These functions may also be selected from the PC Display toolbar or menus 4 Highlight EXTT and press the SELECT button to close the window after all choices are made Default Function Settings NOTE Refer to Chapter 1 to change default values for each function and for input of vet clinic and patient information SELECT OPTIONS DEFAULT Silence Alarms Press to silence audio Keypad amp Toolbar alarm Species Canine Gain 1 Feline Gain 1 Equine Gain 1 Other Gain 1 Sweep Rate 25 mm sec 50 mm sec 50 mm sec 100 mm sec Gain 0 5 55 mm mV 1 0 10 mm mV 1 0 10 mm mV 2 0 20 mm mV 3 0 30 mm mV 4 0 40 mm mV R Wave ON Marker OFF OFF Grid ON OFF OFF Beat Tone ON OFF OFF Record ECG Press for continuous Keypad amp Toolbar Reviewer recording Alarms ON OFF OFF Table 1 Select key options and factory default values 30 Chapter 3 Operating Instructions Preparation PROCEED ONLY AFTER YOU HAVE SUCCESSFULLY INSTALLED THE SOFTWARE AND HAVE COMPLETED THE BLUETOOTH DISCOVERY PROCESS 1 Plug the sensor of choice into the appropriate PC Vet receptacle 2 Double click the PC Display icon on your desktop to start the program This will open the PC Display application and present you with the Connection window 3 Turn on the PC Vet by briefly depressing and releasing the red ON OFF power switch on the keypad Do not hold the power switch down The STATUS light will turn red and t
27. ete Patient button To delete an episode highlight that episode and press the Delete Episode button NOTE to delete episodes you must first highlight a patient and then highlight the episodes to be deleted 46 Printing In order to print an episode either select Print from the File menu or click the printer button on the toolbar If printing the ECG waveform then one page worth of ECG waveform will be printed the number of seconds depends upon the sweep speed selected The following window will open when the print command 1s initiated allowing you to make yout selection med Reviewer Select Print Report X Select Report s To Print M ECG Waveform Report M Event Summary Report Cancel Below is a sample printout where the first page is the ECG Waveform Report and the second page is the Event Summary Report 47 Veterinary 234 Main Street Mentoring Metropolis NY 98765 Report 123 456 7890 Date Time O47 12008 13 25 17 Patient NamelD Spot Elapsed Time 00 00 00 Lrarer James Servth Sweep RME 50 rm ser ees Canine La ei Ok Zimmer Breed Renever Labrador ECG Filter Notch Low Gris Beth Date 0a 8 2003 Sex Male Neutered Epesode Date Teme 04 71 2008 13 2517 Weight 56 Ibs Epesode Duration 00 05 04 fa L I foe Tis TE Emed Technology Ing med Redewer v220 0 Page 1 ofz Figure 12 Default ECG Waveform Report includes hospital and patient information followed by twelve secon
28. figuration window 1 Continuous event recording typically used in surgery monitoring o Records vital signs only on event Print command alarm activation or change of record mode o Does not record ECG sweep o Records Vital signs periodically as selected in the PC Display configuration window NOTE This is default mode for PC Vet 41 2 Event Initiated ECG Sweep Recording Typically used in ECG exams o Vital signs and 30 second ECG sweep are recorded on event Print command alarm activation vitals recording or marker 3 Continuous ECG Sweep Recording Typically used in long term monitoring o Continuous recording of ECG sweep and event initiated vital signs for the life of the batteries about 50 hours o Activated with the Toggle Continuous ECG button on the PC Display toolbar NOTE This mode selection overrides and supersedes any previously selected mode Using the Reviewer Program 1 Double click the Reviewer icon on the desktop and the Reviewer window will open 2 Click File then Patient episode on the upper toolbar and the window below will open 20061016 20061108 20061109 20061112 20061117 234567 345675 Adam Art bill Candy Mandy Martha Mitch Muffy Jones Porkichop NOTE If a patient is not pre identified patient files are stored numerically by yeat month and day Patient data can be entered prior to during or after the monitoring procedure and edited within the Reviewer Ep
29. he preferred selection for patient monitoring The other selection allows the automatic capture of the ECG waveform with each event which is the preferred selection for diagnostic ECG NOTE Whenever recordings ate manually initiated from the Toggle Continuous ECG icon on the toolbat ECG sweep will always be recorded even if the default selection 1s Continuous Event Only AUTO SAVE This will automatically cause the recording of ECG waveforms and any other events once the PC Vet is connected to PC Display PATIENT EPISODE DIRECTORY The default file storage directory is named Vmed_Patient_Episodes within the users My Documents folder Choose Select Directory to change the stored files location PRINT REPORT Choose the desired number of pages for the print report Select two pages to display both ECG trace and table of vital signs EPISODE REVIEWER this allows you to select the program to display and review stored files If Interpreter is installed choose this setting since Interpreter also includes all the features present in Reviewer WAVEFORMS This selection applies to PC VetGard only 14 e ALARM SETTINGS Selects how alarms are presented either with audio alarm visual display or both Alarms can be silenced from the active PC Display screen e AUTOMATIC TREND GRAPH Choose the time interval that you prefer the trend graph to be automatically displayed throughout the procedure When OFF the
30. hen amber 4 Select your PC Vet from the list in the Connection window and then click the Connect button 5 Input patient information Vmed recommends at least entering information into the Patient Name box and then click the OK button 6 Wait for the STATUS light to turn from yellow to green The process may take as long as 30 seconds to complete the first time after initial discovery 7 When the PC Vet status light turns green the notation in the STATUS box on the screen will change to Connected and the notation at the lower right corner of the screen will change to PC Vet Remote Connected on a green background NOTE To preserve battery life the PC Vet will shut off automatically if connection to your computer is not established within 3 minutes of powering on the temote 31 When connection is complete the sweep appears on the display as a flat magenta colored line moving left to right at the selected sweep speed Upon acquisition of a satisfactory signal the waveform will appear and the trace will change to a color corresponding to the sensor Green Good ECG signal Magenta ECG Leads Off or poor signal quality White DIGITS ONLY TEMPERATURE NOTE A magenta ECG sweep represents a Leads Off condition and may occur even if a waveform is present however the computer will not recognize a valid ECG and the digital heart rate display will not appeat You should in this case reposition the se
31. hut off automatically if a computer wireless connection is not established within three minutes UP DOWN ARROWS Scroll through the various menus available with the SELECT switch Press the SELECT again after scrolling to the desired selection SELECT SWITCH Connects to most icons on the display tool bar and allows the remote selection of options such ER as SPECIES SWEEP SPEED ALARMS TONE SELECT WE SCALE GRID etc EVENT MARK SWITCH Places an orange reference mark on the display and print copy to mark an event or point of interest STOP START SWITCH Freezes and re starts the ECG sweep on Pt Vet the display I zs button has nothing to do with ECG recording WirelessECG Monitor EE PRINT Sends information on the screen to the printer that is Fined Technology connected to the computer Print from moving trace or traces frozen with the STOP START switch PC Display Software The Windows application program installed on your computer for the software processing and display of real time ECG and temperature when an esophageal probe is used information This software can be installed on multiple computers without limit and simultaneous instances of the program can be run on a single computer subject to computer capability and the type of display used NOTE A large flat panel display can be plugged into your computer for greater visibility Reviewer Software The Vmed Reviewer program is used to open and review patient file
32. isodes are identified by date and time of the event When ECG follows the episode ID this indicates that an ECG sweep is present rather than just vital signs 42 3 Highlight the patient of interest and then the episode of interest for that patient as shown above and press OK The next screen will appear J File Edit view Tools Window Help Wren FLEE MK RW feces fS0mm sec sun z 151213 000000 EPISODE INFORMATION MEASUREMENTS click label to select measurement Episode Date Jan 17 2008 15 12 13 Elapsed Time Episode Duration 00 00 20 R A Interval Patient Name ID Smelly P Wave Owner Walkersonsky P A Interval Species Canine DBffeggkee 0 169 sec 1 11 mV Breed Water Dog Spanish 5 T Segment 125 months T Wave Female Spayed Q T Interval 2 Copy to Diagnostic Notes Event Date Time Elapsed Event HR bpm RR bpm Sys Dia Map mmHg p02 PR C02 Ins Diagnostic Notes Comments 01 17 2008 15 12 15 000 00 02 HR lt en 59 31 119 80 99 98 99 Lu pPo VetGerds Captured 01 17 2008 15 12 13 NOTE This screen summatizes the patient file for the episode selected along with cursor measurement of the QRS complex The measurements selected have been dropped into the diagnostics notes and comments box Note the ted rubber band vector and the measurement ctosshaits above Using the electronic cursor measurement feature 1 First click on the complex you wish to measure in the Measurements box at the
33. ix A Computer Requirements and Gpecifcatons 56 Bei al eege Men EE 56 PAVYSICALSPECINCA eu system Specifications Appendix B Warranty Chapter 1 Installation and Setup DO NOT INSTALL THE BLUETOOTH SOFTWARE FOLLOW THE BLUETOOTH INSTRUCTIONS IN THIS MANUAL NOTE This printed manual covers Bluetooth installation on Windows Vista and Windows XP with Service Pack 2 or 3 SP2 or SP3 computers only Reter to the manuals included on the Vmed Installation CD or to the included installation tutorial videos to setup Bluetooth on computers using earlier operating systems Installing the PC Display Application software 1 Put the Vmed Software Installation CD into the computer s CD ROM drive The installation program should automatically start and the window below will appear S Vmed Installer This Computer s OS Windows XP SP2 Vimed if echnology It appears that bluetooth may already be setup S X St on this computer Do NOT install on this Advanced Instrumentation for Veterinarians computer the bluetooth software CD that came with the USB bluetooth adapter If you wish to review the steps involved in discovering your med remote with this computer then you can view the tutorial video for Windows xP Service Pack 2 by clicking on the link directly below Play suggested installation tutorial video Install PC Display Install ECG Reviewer Install ECG Interpreter UPDATE ONLY Install ECG Interpreter DEMO Tutorial Vi
34. make good contact with the body wall Pota 4 ipsa 8 a 2 H Ca CLP SAE See Ces Late GO Te Cette SE Figure 8 Position of the ECG chest ptob for thythm strip 33 3 Rotate the probe until the R amplitude is at its highest and a good tracing appears on the screen If a good tracing is not obtained re saturate the chest wall with more electrolyte and reposition the chest probe In some cases excess hair should be clipped NOTE To obtain a printable waveform the trace must be green not magenta Magenta signifies a Leads Off situation even if a waveform s present 4 Record the ECG until three good lines of tracing appear on the screen NOTE The four panels stacked vertically on the display represent a continuous trace with the eathest information being replaced by the cuttent sweep At the default chart speed of 50 mm sec the fout panels represent 16 seconds of data 5 Depress the Start Stop button on the chest probe or on the PC Vet keypad to stop the trace Depress the Print button on the keypad to print this display and to automatically save it to the Reviewer program You may also print directly from the moving trace by pressing the PRINT switch on the keypad NOTE Any time the Print function is called within PC Display there will be a 30 second recording of the ECG wavetotm automatically saved unless the current recording mode is already Continuous ECG The Start Stop button is not required for printing and will make no
35. nded for best results 1 2 Verify that your computer has Microsoft Excel installed properly Click on the desktop My Computer icon and navigate to the installation directory for PC Display For most users this will be C Program Files Vmed Technology PC Display Select the file Species amp Breeds xls and then right click the mouse and select Copy then right click again in the white space of the window and select Paste A file called Copy of Species amp Breeds xls will be created Right click on this new file and choose Rename then rename the file to CustomSpecies amp Breeds xls Double click on CustomSpecies amp Breeds xls Excel should open it as shown below EA Microsoft Excel Species Breeds xls Seles aa Insert Stock Quotes File Edit View Insert Format Tools Data Window Arial e ID e Ob De Hoen G24 d Ba GEET G The A species Greed Arachnid Tarantula Arachnid Unknown Arachnid Avian Amazon Avian American Awan Berkshire Blackbird Brewer Blackbird Red winged 4 Budgie 10 Aan CK American Giant 11 Canary 12 AM Chicken 13 Awi Cockatiel IA Awi Cockatoo 15 Avl Conure 16 Awi Crane Sand hill UR Crow American 4 4 w Sheet1 Sheet Sheets f a 2 E 4 5 S d H 6 The spreadsheet can be edited to add species and breeds as desired The following restrictions apply Entry A1 must remain Species and B1 Breed The total numbe
36. nsor or clip leads until a green sweep appeats Taking the ECG Important comments on ECG The PC Vet obtains two types of clinical ECG information 1 rate and rhythm and 2 QRSP and T characteristics For surgical and long term monitoring rate and rhythm only is needed to monitor patient status since changes in heart rate or significant variation of the periodic interval of the beating heart may be indications of patient compromise Accurate Rate and rhythm can be obtained by any of the available sensors provided with the PC Vet leg clips and the internal positioned esophageal probes being the most often used in surgery For long term patient monitoring leg clips or disposable chest electrodes may be used with the optional clip leads Accurate diagnostic lead II ECG on the other hand requires information on both the rate and rhythm of the heart and evaluation of the ECG complexes themselves Conductive abnormalities for example are manifested by higher than normal R and S amplitude For routine ECG and pre surgical screening the chest sensor is most convenient and is recommended for this application however the method may produce inaccuracies in amplitude if the chest probe is not positioned at the correct angle to the heart For this reason whenever a beat characteristic or signal amplitude seems abnormal when using the chest sensor a follow up trace should be taken using the leg clips to confirm the reading 32 Recording ECG W
37. of the patient as described provide Lead I information Note Since it is not always possible to obtain an adequate signal using the chest probe clip leads may be required when monitoring some patients Clip leads can also be used to continuously monitor the ECG signal during surgety or for short term critical cate monitoring A set of three optional internal esophageal probes are available These probes offer a convenient and superior method of monitoring heart rate heart rhythm and core temperature of the anesthetized patient Use of an esophageal probe will reduce or eliminate noise generated by dental scaling devices Three electrodes are affixed to a flexible plastic tube that is inserted into the esophagus and positioned over the heart with the distal electrode positioned behind the left ventricle and the second electrode behind the left atrium The third electrode is ground An optional three lead yoke cable and set of 3 leads with disposable electrode clips This sensor is used for long term monitoring 24 The PC Vet is equipped with an integral wireless Bluetooth radio transmitter Bluetooth enables the wireless transmission of information including real time ECG signals between the PC Vet and a Bluetooth enabled Windows based computer The PC Vet is designed to control computer and ECG functions without leaving the patient Commands including the print command can be activated from the PC Vet keypad however data that must be en
38. ox will open 12 Product Configuration General ECG Temperature Sp02 Respiration Blood Pressure Apnea Lo Ue NA Halothane Enflurane Isoflurane Sevoflu_4 A Specify Com Port Number Species Print Report Alarm settings Canine W 1 Page Sound Alarm Tones Display Alarms 2 Page SC ECG Sweep Hate HDH ZU ZZ Sweep Hate NOTE Individual alarms must also have the Episode Reviewer Enable box nest to them checked 25 mm sec 12 5 mpmdeer to operate iW ECG Reviewer Automatic Trend Graph Displ ECG Features ECG Interpreter Se Ot iw A Wave Markers Smm Reference Grid Aude aera OAS Tone Heart Rates gt 400 BPM w Show Sp0 Waveform ECG Notch Filter ECG Low Pass Filter W Show AR Waveform C 50Hz I 60Hz M Low I High Show DZ Waveform Patient Episode Recording Mode l j Ato 5 geg w Continuous Event Only event recording without continuous waveform RE Event logging interval Single Instance Event Initiated 30 second waveform and event recording wl Cote E Minutes bi Patient Episode Directory location for Recorded waveform and Event storage Current Patient Episode Directory Select Directory CADocuments and Settings Johashy Documents med Patient Episodes 1 Factory Defaults Cancel Figure 2 PC Vet Edit Default Configuration menu NOTE Some selections in the Detault Configuration menu apply only to the PC VetGard surgical monitor and c
39. pper tool bar of the PC Display and then Edit Vet Information and the following window will appear Edit Vet Information Please enter Yet Information that will be used for the ECG print report header Clinic Name Line 1 Clinic Address Line 2 City State Zip Code Phone E mal Contact Info coe 2 Type in your vet clinic information as above NOTE Your enttites will be remembered each time the program is statted and contains text that will be printed on the ECG print report and all Reviewer generated repotts 3 Press OK NOTE Refer to the instructions below if you wish to add your clinic logo to the report heading 16 Setup Vet Clinic Information International The Edit Vet Information box as shown below has a pull down menu selection for state All U S and Canadian States and Territories should be listed If your clinic is not within one of these state selections then select the entry which shows a blank Use the other available entry boxes to fill in the specifics of your address 1 Click the Tools menu on the upper tool bar of the Windows display and then Edit Vet Information and the following window will appear Edit Vet Information Please enter Yet Information that will be used for the ECG print report header Clinic Name E uckingham Veterinary Line 1 Clinic Address co Her Majesty The Queen Line 2 Buckingham Palace City State Zip Code Lon
40. puter Default ECG Strip Grid Color You can change the color of the grid on the Reviewer screen This also changes the color of the print report grid Set Reviewer as the default episode viewer This will cause PC Display to associate Vmed patient episode files with the Reviewer software instead of the Interpreter software only necessary if the Interpreter software is installed and Reviewer is preferred Default Veterinarian Information Uses for printing the vet clinic information entered here instead of what was recorded with the original episode Select Edit Default Veterinarian Information to change Default CO2 Waveform Scale Used for PC VetGard only Manage Patient Episodes Directory Selecting this choice opens the screen below Vmed Reviewer Manage Patient Episode Directory Patient ID Episodes 7 found i 200801 28 Jan 28 2008 16 42 05 00 00 11 40080225 Jan 28 2008 16 42 16 00 01 22 20080226 Jan 28 2008 16 50 37 00 01 45 20080312 Jan 28 2008 16 52 42 00 00 01 J 20080320 Jan 28 2008 16 52 43 00 00 31 20080328 Jan 28 2008 17 06 34 00 00 04 J 20080403 Jan 28 2008 17 06 37 00 00 15 ECG 20080404 20080407 20080408 Bantield_T est Biolog_20080320_ 110251 bp test Best Demo DA MetrowestT est Delete Delete Patient Episodes The Manage Patient Episodes screen allows you to remove unwanted patients and episodes To delete a patient highlight the patient and press the Del
41. r diphagszic No greater than amplitude of E wave OT Interval Width 0 15 to Copr Normals to Diagnostic Motes Figure 15 Table of Normal ECG measurements for canine patients from the Help menu 25 gec at normal heart rate 51 e Display Feline ECG Normal Measurements Feline Normal Ecg Yalues x FELINE ECG NORMAL VALUES Fate LZ to 240 bpm Hoer Fum Normal sinus rhythm winds tachycardia physiologic reaction to excitement F Wave Width Waximum U 04 sec Height maximum O 2 mu F E Interval Width 0 05 to 0 09 gec QRS Complex Width maximum 0 04 sec Height of E wave maximum 0 9 ny T SeQMernt No depression or elevation T Wave Can be positive negative ar diphasic most often positive Maximum amplitude 0 3 mY Q T Interval Width OU le to 0 16 sec at normal heart rate Copy Normals to Diagnostic Notes Figure 16 Table of Normal ECG measurements for feline patients from the Help menu Information in Figures 13 14 and 15 are from Electrocardiography for the Small Animal Practitioner Latry P Tilley DVM DACVIM Internal Medicine Naomi L Burtnick MT ASCP Made Easy Series Teton New Media Chapter5 Service and Maintenance Service and Support If you purchased directly from Vmed Phone 800 926 9622 FAX 424 585 0231 Email info vmedtech com WEB www vmedtech com customers current manuals and software updates If you purchased from DVM Solutions or your d
42. r of characters per spreadsheet line Species and Breed must be less than 60 There can be no more than 25 different kinds of species There can be no more than 500 breeds per species There can be no more than 2000 total entries in the spreadsheet Do not enter data in any columns except A and B 7 Save the edited spreadsheet 8 Use Excel s Save As feature to save the spreadsheet as tab delimited text The saved filename should be CustomSpecies amp Breeds txt This file is read by PC Display to generate the species and breeds dropdown menus in the patient information dialog Computer Video Resolution PC Display works best when the video resolution on your computer display is set to 1024 x 768 so that the entire PC Display display is viewable Select Start gt Settings gt Control Panel gt Display gt Settings 23 Chapter 2 Monitor Description Hardware The PC Vet is a battery operated Bluetooth enabled wireless ECG monitor equipped to provide Lead II information for the detection of rhythm and conduction abnormalities of the animal heart ECG signals are detected using four types of sensors Clip leads and disposable chest electrodes plug into the PC Vet cable receptacle 1 A chest probe with three built in metallic electrodes placed so that when positioned over the heart as described accurate rate and rhythm information is derived A set of three clip electrodes that when attached to the legs
43. reas 54 Troubleshooting SITUATION POSSIBLE CAUSE CORRECTIVE ACTION Cannot make Bluetooth connection e Weak batteries in wireless device e Replace with two new AA batteries with computer e Re initiate discovery procedure e Verify that USB Bluetooth adapter is e Improper Bluetooth discovery e Bluetooth device not inserted into USB Bluetooth connection has range lt 50ft Cannot acquire satisfactory ECG sional Excessive noise in the ECG signal Lost wireless connection with computer Cannot turn wireless device unit back on port Low Batteries Signal must pass through high attenuation barrier such as concrete floor walls or heavy metal objects Using built n Bluetooth with 10 meter range Not enough electrolyte fluid used Not making adequate skin contact Corroded electrodes Broken or corroded lead wire cable or plug Bad cable connection Inappropriate filter selected Poor electrode skin contact Excessive motion GAIN set too high RFI or electromagnetic interference Wireless device out of range of computer ot behind signal attenuator Wireless device lost power Bluetooth device loose in USB pott Computer turned off or PC Display closed Batteries are totally discharged User is pressing and holding power button plugged in to computer Determine if the Windows XP Service Pack 2 method of Bluetooth should be used over Bluetooth drivers that came with Bluetooth adapter
44. requires use of esophageal probe 40 Page f off Chapter4 Reviewer Program Description NOTE Files may also be opened with the optional Vmed Interpreter program if installed Select the program you wish to open files with in the PC Display configuration menu under Tools The Vmed Reviewer program is included with each Vmed wireless monitoring product and is also available free to any interested person in order to facilitate ECG interpretation by third party consultants The Reviewer program performs the following functions o Displays the recorded patient files where information recorded from Vmed wireless monitoring products may be stored automatically o Allows archived ECG sweep patient and episode data to be recalled for review editing measurement and printing o Provides for the electronic measurement of ECG complexes o Allows real time playback of previously recorded ECG sweep data o Makes available through the Help menu a table of normal ECG measurements for cats and dogs and guidelines for measuring ECG complexes o Provides an easy method of summarizing and storing ECG measurements vital sions and diagnostic notes o Provides and easy way of sending email transmission of stored repotts o Displays the automatically recorded periodic vital signs measurements Modes of Monitor Recording ECG and related data are stored automatically in one of three available modes Record modes are selected in the PC Display Con
45. rtical scale of the display and the print report measures signal amplitude When gain is set at 1 the signal amplitude of 1mV has a vertical scale deflection of 10 mm by convention A 1mV reference mark appears on the display and print report Vertical scale deflection increases by a multiple of the gain and the 1mV reference mark also increases proportionately CAUTION Grid spacing does not change with change in gain setting Use amplitude reference matker ImV to estimate amplitude of ECG signals on the screen Horizontal Scale Time is measured on the horizontal scale and marked on the display and print report every second Display Toolbar SWEEP MARK SELECT SILENCE DISPLAY ENTER OPENS ECG REVIEWER ABOUT RATE R WAVES TRACE ALARM TREND PATIENT OR INTERPRETER SOFTWARE iti a A A H Gi E Mk SELECT ECG R WAVE CHANGE DISPLAY RECORD PRINT START STOP REFERENCE GRID GAIN AUDIO SETTINGS ALARM ECG REPORT TRACE MARK Figure 6 PC Display toolbar Function Options 1 Turn on the PC Vet and establish connection to the computer 2 Press the SELECT switch on the PC Vet keypad and the following menu appears REMOTEMENU SPECIES NEW PATIENT GRID SWEEP RATE ECG GAIN R WAVE MARKER R WAVE TONE SPO2 WAVEFORM RR WAVEFORM ALARMS ALARM TONE RECORD ECG EXIT 3 Use the UP DOWN switches on the PC Vet keypad to select the function and then the press the SELECT switch to choose the option Repeat the proc
46. s saved from PC Display The Reviewer program is compatible with PC Vet and PC VetGard patient monitors Refer to Chapter 4 for a complete description of this program Interpreter Software The Vmed Interpreter is an optional ECG interpretation program that performs all the functions of the Reviewer program in addition to computer interpretation of ECG complexes Windows Display NOTE To ensure that the entire screen is displayed set the computer screen resolution to 1024 x 768 You can do this by selecting the CONTROL PANEL gt DISPLAY gt SETTINGS tab Bt DEMO PC et Patient ID 20061210 med Wireless Monitor 7 E x Fie view Tools Help Wa O 2 Bi Gate a i i HR opr from ECG 134 25mmfsec x1 0 TEMP F 100 4 12 10 2006 15 22 25 Species Canine Connected Continuous Event 0 00 00 20 20061210 152205 pve Ready Wireless Remote Connected NUM Figure 5 PC Display showing PC Vet information NOTE Temperature is only displayed when an esophageal probe ts being used Sweep and Scale Sweep Sweep moves across the display from left to right at the selected sweep speed Default sweep speed is 25 mm sec which is preferred for monitoring The sweep color is magenta if leads off or with poor electrode patient contact and green with good electrode patient contact If the sweep is magenta an ECG waveform may appear however a heart rate will not be displayed Vertical Scale The ve
47. sent QRS complex represents depolarization of the ventricles e The width of QRS complex is measured from the beginning of the first deflection to the end of the final deflection of the complex The height of the R wave is measured from the top edge of the baseline to the peak of the R wave The depth of the Q or S wave is measured from the bottom edge of the baseline to eege Evert Date Time the lowest part of the Q or S respectively tes Comments 03 25 2005 17 43 28 00 00 00 R or diphasic S Close normal heart rate verve srovei sec 119 bpm QRS Complex 0 434 sec 0 53 nV Figure 14 Instructions for measuring ECG complexes from the Help menu e Display Canine ECG Normal Measurements Canine Normal Ecg Yalues CANINE ECG NORMAL VALUES Rate YO to Le bpm for DU to 140 bpm for Up to 180 bpm for Up to 220 bpm for Hoer bm adult dogs giant breeds toy breeds puppies Normal sinus rhythn sinus arrhythmia Wandering sirus pacemaker D Wave Width maximum U 04 sec maximum U U5 sec in giant breeds Height maxinum F E Interval Width 0 06 to QRS Complex Width maximum Wax LWW Height of H wave 5 T Degment 0 4 nV l sec 0 05 sec in small breeds U 06 sec in large breeds naxi 3 0 mY in large breeds Maximum 5 DV in small breeds No depression not more than mu No elevation not more than 0 15 my T Wave Can be positive negative o
48. sing a Windows Vista or XP SP2 or SP3 computer since it is much easier to set up and use Bluetooth and to display multiple patients on one computer if the Windows Bluetooth drivers are used IF YOU HAVE PREVIOUSLY INSTALLED THE BLUETOOTH SOFTWARE UNINSTALL IT RE BOOT YOUR COMPUTERAND CALL THE VENDOR FROM WHOM YOU BOUGHT THE PC VET FOR TECHNICAL ASSISTANCE Bluetooth Installation and Discovery Windows XP Service Pack 2 1 Plug the Bluetooth USB adaptor Dongle into a USB port on your computer 2 Windows should automatically detect the device and respond with an audio prompt A note confirming detection of the device should appear in the lower right hand corner of the display i Found New Hardware Genenc Bluetooth Adaptor R j 11 51 AM 3 Double click the Bluetooth Devices icon on your desktop or select Bluetooth Devices from the Control Panel or from the Start menu 4 After the following Bluetooth Devices window appears click on the button marked Add Bluetooth Devices Devices Options COM Porte Hardware remove 5 The following window should appear Add Bluetooth Device Wizard Welcome to the Add Bluetooth Device Wizard Before proceeding refer to the Bluetooth section of the device documentation Then set up your device to that your computer can find it Turm it on Make it discoverable visible Give it a name optional Press the button
49. t Copy then right click again and select Paste 3 A file called Copy of logo bmp will be created Right click on this new file and choose Rename then rename the file to customlogo bmp 4 The image in this file will now appear on the printouts from PC Display Edit the file to create your own custom logo The following constraints must be observed The file must be named customlogo bmp Any size image can be used but it will be stretched or compressed to 1024 by 512 pixels in the printout Best results are achieved when image file is 1024 by 512 The image must be in bmp format 24 bit color Any photo editor can be used to create a custom logo Most computers will at least have PC Paint If you have a logo as part of the header in a YYY VY 19 Word document it can be cut and then pasted into PC Paint resized and then saved gt Vmed software upgrades will overwrite the original logo bmp file but will leave the customlogo bmp file untouched Software upgrades should not affect the new logo NOTE The Print Preview function in PC Display can be used to see how the new logo will look on the printout An example is shown below 16201 San Pedro Ave San Antonio TX 78232 210 404 CATS 2287 afhc s wbell net med Remote H weitGard 3 PR from spO o4 bom BP Toys Dia MAP 119 87 99 mmHg spl 24 ai Respiration Hate 31 bpm CO Ins Expl 0 5 4 5 5
50. tered with a keyboard such as clinic and patient information cannot be entered from the key pad Commands can be activated from the PC Vet keypad or the PC Display upper toolbar on the computer PC Display toolbar icons are active only if a wireless connection between the PC Vet and the computer is established Bluetooth operates at approximately 2 4 GHz and steps up and down frequency constantly making the PC Vet free of interference including the radio frequency interference found in hospital and clinic settings Bluetooth transmissions are omni directional operate at low power and travel through walls and around corners to a radius of 50 100 ft within the clinic It is not necessary to aim the PC Vet at the computer or printer to initiate the print function The computer and or printer can be in another room if desired Any printer connected to your computer may be used however the color ECG grid will print in black unless a color printer is used Power is supplied by two AA alkaline batteries Batteries will last for about 50 hours of continuous use Battery life increases markedly by substituting long life type AA batteries Rechargeable AA batteries may also be used however a charger is not available through Vmed Refer to the maintenance instructions at back of this manual for battery changing instructions PC Vet Keypad Controls ON OFF SWITCH Press and immediately release to turn ON press and hold down to turn OFF The PC Vet will s
51. tic or radio frequency interference RFI may affect the performance of all ECG equipment including the PC Vet RFI may result in distorted ECG signals Do not operate near electro cautery or diathermy equipment Radio frequency cautery equipment does not interfere with the ECG signal Dental scaling devices will interfere with the ECG signal particularly on smaller patients Use of esophageal probes minimizes scaler interference Conductive parts such as electrodes and associated connectors and clip leads including the neutral electrode should not contact other conductive parts including ground when using the PC Vet Ensure that electrodes are connected only to the patient and do not touch any other conductive part or equipment to prevent possible shock to patient from leakage current Avoid cable and connector damage by taking care when connecting and disconnecting sensors and leads from the PC Vet Grasp plug not the cable and pull straight out and push straight in Do not pull clip leads from the patient without opening clip Table of Contents Chapter 1 Installation ANd Setup cee cec ccc eeceeeec eee eeeeeeeeeeseeeceeaeeeesneeeeeeaeeaes 3 Installing the PC Display Application scfhwame 3 Julie EE e e EE 6 Bluetooth Installation and Discovery Windows XP Service Pack 2 T Using the PC Vet with Windows Vista or XP Service Pack 2Zor 10 Sep C DISDIAY DEIAUNS sxessceascavaceatareodeataapneanesandernenandeananaads taaande aaaant
52. tic with over molded sides DIMENSIONS OVERALL LENGTH 6 0 WIDTH Io THICKNESS EI WEIGHT WITH BATTERIES 7 4 oz CONTROLS FLAT PANEL KEYPAD SWITCHES TACTILE PUSH TYPE ON OFF SELECT UP DOWN ARROWS STOP START EVENT MARK PRINT INDICATORS STATUS LED REPLACE BATTERIES LED CABLE CONNECTION Circular mini DIN 6 pin BATTERIES TYPE AA Alkaline Long life or rechargeable QUANTITY 2 BATTERY LIFE gt 50 hours continuous operation PATIENT CABLE AND LEADS 36 or 80 ZIP cable with three clips attached Three electrode chest probe with 32 cable and connector Optional three electrode large animal chest probe Optional 3 receptacle yoke cable for patch on electrodes Opional esophageal probes with 36 cable System Specifications ECG GAIN SENSITIVITY 5 10 20 30 mm mV COMMON MODE REJECION 70dBV CMRL SAFETY STANDARDS IEC 601 AAMI EC 11 INPUT IMPEDANCE 1M Ohm INPUT DYNAMIC RANGE 15 mV DC OFFSET CORRECTION 0 5 Hz A D SAMPLING RATE 500 Hz SAMPLE RESOLUTION 12 bit ECG SWEEP SPEED SELECTABLE 25 50 100 mm sec Default 50 mm sec QRS DETECTION RANGE gt 0 2 mV FILTERS PERMANENT Pass Band High pass 70 Hz Low pass 40 Hz USER SELECTABLE Notch AC line noise rejection 50 60 Hz ALARMS HEART RATE High Low selectable limits TEMPERATURE Low limit selectable with auto step down FEATURES ALARMS ON OFF TONE ON OFF GRID ON OFF ALARMS ON OFF R WAVE DETECTOR ON OFF EVENT MARK USER
53. trend graph can only be displayed when selected on the upper tool bar 10 Select the ECG Temperature tab to change default heart rate and temperature alarm settings for each species You may also choose whether the temperature will be displayed as Celsius or Fahrenheit NOTE The temperature portion of the menu only applies ifan esophageal probe is used Product Configuration General ECG Temperature Got Respiration Blood Pressure Apnea Co Oe NA Halothane Enflurene Isoflurene Gevchlu A Heart Hate and Temperature Alarm Limits Temperature Units Celsius Canine e Fahrenheit HH High co DJ m Enable Temp High NOTE Enter Temperature High Low In curently selected Unita Ze on CH HRA Low T Enable Temp Low Feline HH High IK Es CH Enable Temp High Enable Mase HA Alarm Limit 400 MIN HA Alarm Limit 0 HA Low i cy Enable Temp Low Enable M s Temp Alarm mot 110 F E quine MIH Temp Alarm Lirit 70 F HH High T Cc Enable Temp High Enable 103 0 35 0 103 0 e om CH HR Low s Enable Temp Low Enable Other HH High Enable Temp High Enable ect CH DJ cc mo om CH Es IK CH Es CH HA Low Enable Temp Low Enable Beats per minute Factory Defaults Figure 3 ECG Temperature selection menu 15 Setup Vet Clinic Information USA and Canada 1 Click the Tools menu on the u
54. w Folder Publish this Folder to pyDisp exe a the Web PC Display for ymed wireless pyDispDemo exe ew el techna I pyDispDemo MFC Application Share this Folder MES TEC Ney eles L File and Folder Tasks x Uninst isu ral ru File Other Places 4 KB CO med Technology My Documents CH Shared Documents d My Computer J My Network Places P My Computer 18 NOTE You may need to turn on the file extensions first by clicking on the Tools menu of this Explorer window and then selecting Folder Options Choose the View tab from the Folder Options window and then remove the checkmark next to Hide extensions for known file types within the Advanced settings box Folder Options General View File Types Offline Files Folder views SS ou can apply the view such as Details or Tiles that you are using for this folder to all folders Apply to All Folders Reset All Folders Advanced settings LC Files and Folders Automatically search for network folders and printers Display file size information in folder tips Display simple folder view in Explorer s Folders list Display the contents of system folders Display the full path in the address bar Display the full path in the title bar C Do not cache thumbnails 9 Hidden files and folders Do not show hidden files and folders Restore Defaults 2 Select the file logo bmp and then right click the mouse and selec
55. xceeded This can essentially act as a silence alarm feature Togeles on or off the alarm limits for all values If a complete episode has been recorded in the current session then this will open the Wireless Remote Review Episode window 37 Keystroke Action Description Cotl R Record Patient Data Toggles on or off the recording of patient data to a stored episode Alt P Play Halt Toggles on or off the progression of waveforms on the screen similar to freezing or unfreezing the current display AlttM Mark Event Places an orange triangular mark at that moment on the ECG waveform for later reference Additionally if an episode is not already being recorded this will record a brief episode with the mark listed as an event Cotl H About PC Display and Remote Opens the About window for PC Display If a remote is connected at the time then this window will also display the built in parameters of this remote View Manual Opens an online version of the user s manual in a web browser Printing Records Once you have recorded a satisfactory ECG trace you may print the information directly from the PC Vet keypad or later from the Reviewer or Interpreter programs provided the file was saved first TO PRINT REPORT 1 From the PC Vet keypad Press Print or 2 from the display upper tool bar Click the print icon or 3 From File choose print 4 Select Scale to fit or shrink to fit on the printer
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