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1. cccceceeeeeeeeeceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeessaeeseaaaaaes 39 Setup Vet Clinic Information USA and Canada ccccccccscsssscssssesesssnsessseecsssseeeeeeeeeeeceeeeeeeeesesessseaeseaaanans 40 Setup Vet Clinic Information International ccccceeeeeeeeeeeeeeeeeeeeeeeeeaeeeeeeeeseeeeeeeeeeeceeseeeeeeeeeeeeeeeeeeeeeaeeeas 41 Using Your Clinic Logo on Printed Reports cri cecnciccnanssivavannnncnessavanactsscunciahsnsenamenveramenenscuancliGutenidboneskeloansuad 42 Chapter 2 Description of Monitors cece ceccceeceeeeeceeceeeeeeeeseeeeeeeseeeeseeesseees 46 BP AccuGard Blood Pressure Monitor ssieiessusnccicsetsssvisvatsansinisat tantbancaiasvannavbuiedinewadbbiddonteabasyesatncawsses 46 PC VetChek ECG Screening and Recovery Monitor cccccceececeeeeeeeeeeeeeeeeeeaeeeaeaeaeaeaeeeaaaeeaeeaees 49 PC VetGard Wireless Surgical MOMitor ccsssssccceeceeeceeeceeeeeeseeeeeeeseeeaneeaaueseaeaneaaaanaauaeseeeeeeeeess 52 Chapter 3 Operating INStructiONns cccccccccccceeceeeeeseeeceeeeeeeeseeeseeesseeeaeeeseees 55 SONWALE ee anne een eB a Nn NT Cr NEE Pie re e Teeny Ora ne Ser peers ae T rOR eer ey ener een oT ere es ee 55 NVI COMPS CO Besse ess ceencap cay eats aa eraann ienaa anana EE aaa ncaa ves E E a EAA says raea aAa akaa oad 56 Setup Patient Infomation esr a aaa a a E a ea a aA O ERE ER EES 59 SWeep and SCAlG x vecseucciuseatvensesyeouzadesiuneueusatacadunadauewareten sere ssussa
2. Customer agrees that aspects of the licensed materials including the specific design and structure of individual programs constitute trade secrets and or copyrighted material of Vmed Customer agrees not to disclose provide or otherwise make available such trade secrets or copyrighted material in any form to any third party without the prior written consent of Vmed Customer agrees to implement reasonable security measures to protect such trade secrets and copyrighted material Title to Software and documentation shall remain solely with Vmed LIMITED WARRANTY Vmed warrants that for a period of ninety 90 days from the date of shipment from Vmed or its distributor i the media on which the Software is furnished will be free of defects in materials and workmanship under normal use and ii the Software substantially conforms to its published specifications Except for the foregoing the Software is provided AS IS This limited warranty extends only to Customer as the original licensee Customer s exclusive remedy and the entire liability of Vmed and its suppliers under this limited warranty will be at Vmed or its service center s option repair replacement or refund of the Software if reported or upon request returned to the party supplying the Software to Customer In no event does Vmed warrant that the Software is error free or that Customer will be able to operate the Software without problems or interrupt
3. cccccccceccseeccsecceeeeseeeseeceeeeaseeseeees 84 Service and Support ehiasiccecenesiarauninsagucensasvendssbncasieancotanetdedaessnideandnebaaiensnanstonstssnusbibentBanssgaesasiautadekiceasensie 84 Troubleshooting PC Display ap css seas uta ete teint anaes neat a ein data ohn soeesasganctanrateutetnttn a onbaucertiiemeceaad 85 Appendix A Computer Requirements and Specifications ccccceceeeeeseeeeees AppendixB Software License Appendix C Discontinued Monitors Chapter1 Installation and Setup NOTE This printed manual covers Bluetooth installation on Windows 7 Vista and Windows XP with Service Pack 2 or 3 SP or SP3 computers only Refer to the manuals included on the Vmed Installation CD or to the included installation tutorial videos to setup Bluetooth with anything other than the Microsoft Windows Bluetooth drivers 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 e Vmed Installer This Computers OS Windows 7 Home Vmed Technology Service Pack 1 Advanced Instrumentation for Veterinarians the video link Play suggested installation tutorial video Open PC Display User s Guide For Printing Open PC VetGard User s Guide For Printing Open PC VetChek User s Guide For Printing Open BP AccuGard User s Guide For Printing Instal
4. Window Help 5 ley Arial 10 BU 226 s O amp A a mala he Duga 4 ugg GB v f A Species Breed Arachnid Tarantula Arachnid Unknown Arachnid Avian Amazon 5 Avian American Avian Berkshire Blackbird Brewer Blackbird Red winged Budgie CK American Giant Canary Chicken Cockatiel Cockatoo Conure Crane Sand hill Crow American M 4 gt mt Sheet1 Sheet2 Sheet3 4 Draw 3 AutoShapes N a O O 2 4l 2 g D a The spreadsheet can be edited to add species and breeds as desired The following restrictions apply Entry Al must remain Species and B1 Breed 7 The total number of characters per spreadsheet line Species and Breed must be less than 60 m There can be no more than 25 different kinds of species m There can be no more than 500 breeds per species 7 There can be no more than 2000 total entries in the spreadsheet m Do not enter data in any columns except A and B Save the edited spreadsheet 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 38 Interfacing With Practice Management Software PC Display now allows the user to interact with certain kinds of practice management software only AVImark at the present time for the purpose of automatically fetching p
5. BP AccuGard Specify COM Port Number GaBspesd Should NOT be checked in most situations The appropriate COM port number should be entered here only in situations where Bluetooth software other than the Microsoft Windows Bluetooth driver is used Please call Vmed for support if you are unsure whether you need this option FACTORY DEFAULT UNCHECKED Check For Updates amp W D If a checkmark is in the box next to Check for Updates then PC Display will periodically check to see ifa later version has been released Ifan update is available PC Display present you with the option to download it There is also an option under the He p menu that will allow you to manually perform this check NOTE Requires an active Internet connection to the computer where PC Display resides FACTORY DEFAULT CHECKED Species amp w Select the most common species of patient that is seen This will be the default for each new patient FACTORY DEFAULT CANINE Maximum ECG Waveforms rN a Choose the maximum number of continuous Lead II ECG waveforms that you 22 wish to appear on the screen from 1 4 How many waveforms actually appear is equal to this number minus the number of other waveforms SpO Respiration CO O that are also currently available and enabled FACTORY DEFAULT 4 Weight Unit ra ce Set the default unit of weight measurement to appear in the Patient Information screen The available options are
6. NOTE AVimark software must be open and logged in and its COM Object feature enabled for this function to work 36 Practice Management Software Auto Populate New Patient Information from A Imark Factory Defaults Cancel Customization of the Patient Information List Species and Breeds available in the dropdown menu of the Patient Information window are user customizable using the following procedure the use of Microsoft Excel is recommended for best results NOTE The following exercise should be performed from the computer s administrative user account 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 SpeciessBreeds 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 SpeciessBreeds 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 37 EJ Microsoft Excel Species amp Breeds xls SEE Insert Stock Quotes ge Help File Edit wiew Insert Format Tools Data
7. achieve the desired results Likewise Cntl denotes the Control key Keystroke Alt C Cnt Cntl N Cntl P Cntl G Cntl M Cntl T Alt S Alt G Cntl E Cn Cntl A 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 Enable Alarm Tones 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 sele
8. 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 Installing device driver software X Click here for status 11 3 Once Windows has finished establishing the Bluetooth drivers for this adaptor double click the Bluetooth Devices icon in the bottom right portion of your desktop or select Bluetooth Devices from the Control Panel through the Start menu or select Devices and Printers from the Start menu if you are using Windows 7 4 Turn on your Vmed wireless remote by depressing the red power button on the remote module s keypad or 5 In the resulting devices window click the button marked Add a device A Ea Devices and Printers Bluetc rr Add a device Add a printer 6 The devices window will display new devices as they are found Select your Vmed remote device in this example it is a PC VetGard with the ID VG20123 but the process is the same for all Vmed wireless devices Once selected click the Next button 12 Add a device Select a device to add to this computer Windows will continue to look for new devices and display them here Vmed VG20123 Bluetooth Other What if Windows doesn t find my device 7 On the following screen choose the middle option
9. OR REVERSE ASSEMBLE ALL OR ANY PORTION OF THE SOFTWARE OR RENT LEASE DISTRIBUTE SELL OR CREATE DERIVATIVE WORKS OF THE SOFTWARE Multiple Users License Grant Vmed Technology Vmed and its suppliers grant to Customer Customer a nonexclusive and nontransferable license to use the Vmed software Software in object code form for installation onto a hard disk or other storage device on i an unlimited number of computers in the Customer s facility or ii a single local area network in the Customer s facility for either of the following purposes a for use exclusively with Vmed wireless monitors or b use of the Software by consultants and contractors of the Customer for purposes of aiding the customer in the interpretation of clinical information in patient files transferred by the Customer to said consultants or contractors for the purpose of aiding in medical diagnosis Customer may only use the programs contained in the Software i in accordance with paragraph a above or in the case of an evaluation or demonstration copies those programs Customer is authorized to evaluate EXCEPT AS EXPRESSLY AUTHORIZED ABOVE CUSTOMER SHALL NOT COPY IN WHOLE OR IN PART SOFTWARE OR DOCUMENTATION MODIFY THE SOFTWARE REVERSE COMPILE OR REVERSE ASSEMBLE ALL OR ANY PORTION OF THE SOFTWARE OR RENT LEASE DISTRIBUTE SELL OR CREATE DERIVATIVE WORKS OF THE SOFTWARE
10. Ro wave maximum 0 9 mY Width tmaximum 0 04 sec maximum 0 05 sec in giant breeds Height maximum 0 4 my P R Interval Width 0 06 to 0 13 serc T Seqment QRS Complex Wo depression or elevation Width maximum 0 05 sec in small breeds T Wate maximum O 06 sec in large breeds Can be positive negative or diphasic Height of Ro wave maximum 3 0 mY in large breeds most often positive naxinmum 2 5 mV in small breeds Maximum amplitude 0 3 wy S T Segment Q T Interval No depression not more than O 2u Width O le to 0 18 sec at normal heart rate No elevation not more than 0 15 mY T Wave Can be positive negative or diphasic No greater than 4 amplitude of R wave QO T Interval Width 0 15 to 0 25 sec at normal heart rate Copy Normals to Diagnostic Motes Copy Normals to Diagnostic Motes 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 Figure 6 Table of Normal ECG measurements for canine patients from the Help menu Animal Practitioner Larry P Tilley DVM DACVIM Internal Medicine Naomi L Burtnick MT ASCP Made Easy Series Teton New Media 82 83 Chapter5 Support and Troubleshooting Service and Support If you purchased directly from Vmed Phone 800 926 9622 FAX 425 58570231 Email info vmedtech com WEB www vmedtech com If you purchased from DVM Solutions Phone 86
11. Save copy of episode Email episode Configure Reviewer Cut Copy Paste Print Shift ECG baseline up 5mm CO o r MD oe WW Fr 74 75 11 Shift ECG baseline down 5mm 12 Reset baseline Reviewer Configuration Menu Description 13 View R wave markers 14 Play ECG view a Patient Episode Directory Select the directory where patient files NOTE Video controls 14 19 allow you to scroll the entire recorded file to are stored as recorded in PC Display This location must be the same the segment of interest as that selected in PC Display MOTE Default location is My 15 Pause ECG view Documents 16 Skip to beginning of ECG trace 17 Skip ECG view backward a Saved Episode Directory Patient Episode files by default will be 18 Skip ECG view forward saved in this directory when the Save copy of episode option is 19 Skip to end of ECG trace chosen This can be very helpful if you prefer to frequently save 20 View vitals events only episode copies into the directory of a network computer 21 About Reviewer 22 Select waveforms to display a Default ECG Strip Grid Color You can change the color of the grid 23 Select chart speed on the Reviewer screen This also changes the color of the print 24 Select gain report grid 25 Episode time a Set Reviewer as the default episode viewer Allows PC Display to associate Vmed patient episode files with the Reviewer software Reviewer Configurati
12. in the PC Display Configuration window with Auto Save checked 71 1 Continuous Recording Waveforms Periodic Vial Signs typically used in surgery monitoring or in exams o Happens automatically upon wireless connection to the remote device o Records vital signs periodically or upon initiation of an event Print command Alarm activation or Marker event o Continuous recording of ECG and CO waveforms for the duration of the monitoring session 2 Periodic Vital Signs typically used in surgery monitoring or recovery o Happens automatically upon wireless connection to the remote device o Records vital signs periodically or upon initiation of an event Print command Alarm activation or marker event o No waveforms recorded 3 Manual Recording Typically used in exam room monitoring o Activated with the Record Episode button on the PC Display toolbar or on the remote keypad o Will record vital signs only on event as long as Periodic Vital Signs Only is selected in the PC Display default configuration o Will record vital signs and ECG sweep as well as CO waveform if enabled if Continuous Recording is selected in the PC Display default configuration Using the Reviewer Program 1 Double click the Reviewer icon on the desktop and the Reviewer window will open 2 Click File then Open Patient Episode on the upper toolbar and the window below will open 72 med Reviewer Pa
13. is no check mark next to the Configuration icon on the upper toolbar only if the remote is connected to your Connect Wireless Remote option MOTE This allows access to the computer Tools menu NOTE The Edit Default Configuration will set the defaults for each time a 4 Click Tools followed by Edit Default Configuration and the following wireless monitor is connected to PC Display If you wish to quickly make changes for the currently connected session only you can click on the Edit Current Configuration toolbar button on the Windows display Icon looks like a gear However whatever changes you make using the Current dialog box will open General ECG Temperature Sp02 Respiration Blood Pressure Apnea c02 02 N20 Halothane Enflurane Isoflurane Sevotlu4 gt e Specify Com Port Number Configuration will only be effective for the current connection and not change i le aia e 39 yv Check for Updates Weight Unit Alarm settings th e Defaul t Si et ting Se Species Maximum ECG Waveforms Alarm and Beat Tones ibs MV Sound Alarm Tones Canine 7 3 7 V Display Alarms Profile 0 Print R t gt Fa zE gt a D SS a ECG Sweep Rate RR CO2 02 Sweep Rate ny om l 2Page Alarm Tone Snooze Of zl agi J Ln pa A pang 4 amp a all lp im ae pll K 4 lt gt EN 35 mm sec i25mm sec gt mnie F NOTE Alarms must also be enabled in the Episode Reviewer conf
14. kgs lbs g and oz FACTORY DEFAULT LBS Print Report amp w Choose the desired number of pages for the print report Select two pages to display both waveforms FACTORY DEFAULT 1 PAGE Alarm Settings Sound Alarm Tones Ac If checked this will allow the alarm tone to sound whenever an alarm is tripped FACTORY DEFAULT CHECKED Display Alarms amp w If checked all the designated alarm limits will be evaluated for an alarm event and the alarm tone if enabled Ifleft unchecked no alarm events or alarm tones will sound FACTORY DEFAULT CHECKED Tone and Background Color Profile gt W If you are connecting to multiple wireless remotes on the same computer then you can choose individual profiles for the Alarm Beats and Tones to more easily differentiate the sounds and monitoring screens from each remote Each of the four profiles has a unique sound for each of the following heart beat from ECG heart beat from SpO and breath tone This setting will be the default each time PC Display is started Additionally each profile also as a background color for the waveform areas associated with it as well Profiles 0 3 use the following background colors respectively black navy forest green and plum To select a different profile for each remote simply open the Current Configuration window on the PC Display upper tool bar after this remote has connected to PC Display FACTORY D
15. license agreement choose I Agree and then Next Which desktop icons would you prefer to be installed 4 Choose Everyone and then Next 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 C Program Files V med Technology PC Display l 5 Then click Next to begin the installation of files f H PC Display The installer is ready to install PC Display on your computer Click Next to start the installation 6 The files will be installed and then you may click Close to finish 6 f 4H PC Display o x PC Display has been successfully installed Click Close to exit Continue installing any other programs such as the ECG Interpreter and then remove the installation CD NOTE Shortcuts to the PC Display and or PC Display DEMO programs will be placed on the Windows desktop and in the Programs folder of the Start menu It is now recommended that you use PC Display to connect to all Vmed wireless remotes Computer Video Resolution PC Display works best when the video resolution on your computer display is set to at least 1024 x 768 so that the entire PC Display screen is easily viewable Select Start gt Settings gt Control Panel gt Display gt Settings for Windows XP computers
16. oun o is ready to use The code is either displayed on your device or in the information that To verify pje device finished installing properly look for itin Devices and Printers came with the device Vmed VG20123 Vmed VG20123 10 You may also see a notification bubble verifying that the pairing process is complete 14 Your device is ready to use P Device driver software installed successfully Bluetooth Installation and Discovery Windows 8 1 If your computer doesn t have built in or internal Bluetooth then plug the Bluetooth USB Adaptor dongle into an available USB port of your computer Otherwise skip to step 3 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 Turn on your Vmed wireless remote at this time by depressing the red power button on the remote module s keypad The Status Connection Status or Connection light depending upon your remote type will initially turn red and then change to an amber color Double click the Bluetooth Devices icon in the System Tray at the bottom right portion of your desktop The Windows 8 Settings app should open to the Manage Bluetooth devices screen It will automatically begin searching for available Bluetooth devices Wait until your wireless re
17. pho do 75 ima lt T Ba is ide doe a a T i a 26 5 Owner Smith is 21 2008 28225 5a oo0 d cod ime lt i age di aif 3 ia 5a radia iia aot gi aut 5 oat Species Feline P wave represents depolarization of the atria and its duration indicates the time required for an ilo E aan ae i Aa ie zoe lee impulse to pass from the sinoatrial SA node to the atrioventricular AV node Osa 2odd ides Gay ony Diy a3 Breed Siamese z g F aT An 5 C OJA e The normal P wave on lead Il is small positive and rounded ee ee ee oo eee pee EN ay Age 3 e It is measured from the upper edge of the baseline to the top of the P wave isil iida i ides g di Dir p D r dasairaod 4 ioe aoe i unis i ae Sex M e The width of the P wave is measured at its inside from the start to the end of the ii zidd i ite AD ony g mAr 43 2 Weight 3 deflection from the baseline giii iga i ide doy at ous D a 42 2 za ii tiii i os guy di aiy AL jee eee A Miyiirsode i L ss oy di ony 9 Dg d i z iiis shod i lie doe di anf a 0 0 d i miele lse es EE D e Mei 4 i s Aue gi ap E i gy TEBE P R interval reflects activation of the Av junction Dlasnogtle Botes Coommenta py tt yt t e It is measured from the beginning of the P wave to the beginning of the Q wave R t Sah ne a a oe eh iim i i wave if no Q wave is present PC Veboerd Captiired 04 21 2008 Laries17 ed i ee a i QRS complex
18. 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 ofthe R wave e The depth ofthe Q or S wave is measured from the bottom edge of the baseline to PA DEERIAE Elapsed 1 the lowest part of the Q or S respectively 03 25 2005 17 43 28 00 00 00 or diphasic normal heart rate sec 119 bpm QRS Complex 0 434 sec 0 53 nV Ready paa ee Instructions for measuring ECG complexes from the Help menu Simed Technology Ina med Reslaerer 220 0 Figure 5 Default Event Summary Report includes vital signs measurements and clinical comments 80 81 e Display Canine ECG Normal Measurements e Display Feline ECG Normal Measurements Canine Normal Ecg Yalues 7 x x Feline Normal Ecg Yalues f X CANINE ECG NORMAL VALUES FELINE ECG NORMAL VALUES Rate Rate 70 to 1l60 bpm for adult dogs 120 to 240 bpm 60 to 140 bpm for giant breeds Rhythm Up to 180 bpm for toy breeds Normal sinus rhythm Up to 220 bpm for puppies Sinus tachycardia Rhythm physiologic reaction to excitement Normal sinus rhythm Sinus arrhythmia P Wave Wandering sinus pacemaker Width maximum 0 04 sec P Waye Height maximum 0 2 mY P R Interval Width 0 05 to 0 09 sec ORS Complex Width maximum 0 04 sec Height of
19. the Patient Name field and then click the OK button P Display 3 Turn on the remote by briefly depressing and releasing the red power key on PatientName D EEEEREEE the keypad Do not hold the power key down The CONNECTION or COMPUTER light will turn red and then amber ii Canine x Sex Unknown v e a ox o 4 Select the remote to be used from the list in the Connection drop down menu and then click the Connect button on the menu Alternately if you wish to enter patient information for a patient for whom you have entered this information recently then you may select it from the Recent Data Entries combo box at the top of this window and this will automatically populate all associated fields Once you have done this then you may click the OK button to begin the connection process 56 57 Green Good ECG signal Racent Data Entries Magenta ECG Leads Off or poor ECG signal quality Spots Jim Smith Canine Dalmatian Male NeuteredJ06 19 2010 53ilbs White DIGITS ONLY Temp erature Ralphie Amanda Burnhardt Feline Calico Female Spayed 03 21 2008 20 lbs 7 Puma John Norsworthy Feline American Short Hair Male Neutered 08 22 1994 17 lbs Yellow Re spiration from ECG Sandy Denise Biggins Canine Schnauzer Miniature Female Spayed 04 04 2010 16 lbs Muff fred Dole Cermne shecherd English Female Spayed 08 19 2006 16 Fs er carer eircom a F ortoate uyan gt
20. x2 0 x3 0 and x4 0 The current ECG gain setting will be denoted in perenthesis at the bottom of the ECG digital readout box The R wave Enable button is a toggle button that if enabled will place a white inverted triangle R wave marker above each recognized beat in the ECG waveform area This can be useful for determining whether the monitor is double counting beats The ECG Tone Enable button is a toggle button that will produce a tone whenever a heart beat is encountered during the monitoring session from either ECG or SpO2 depending upon which it is set to It will usually default to the ECG but if no Leads On ECG signal exists then it will revert to SpO for both the heart rate and beat tone The Waveform Selection button will bring up another window that gives the user the choice of which waveforms to display in the main monitoring screen at that time For all available remotes it will always include the ECG waveform but may also give the option for the SpO CO and O waveforms depending upon what is available with the current remote The Current Configuration button allows quick access to the configuration of the current session Any values that are modified here will return to the default values upon exiting PC Display More information about all of the configuration options is provided in Chapter 1 The Silence Alarms button is a toggle button whose factory default is to be enabled meaning that any tripped a
21. 2 Alarm Limits 02 Units Canine S eel tees This menu allows you to set default inspired I and expired E alarm O2 I High 999 V Enable O2 EJHigh 933 Enable Volume Percent ok 3 limits for the anesthesia agents that your PC VetGard is equipped 21 0 18 0 02 I Low IV Enable 02 E Low IV Enable NOTE Enter 02 limits in currently selected Units with Select the tab that applies to your agent sensor These values Feline 02 High 999 M Enable 02 High 239 F Enable apply to the following gas types N2O Halothane Enflurane O2 low 210 FF Enable 02E Low 180 F amp F Enable Equine NOTE Agent units display in mm HG or per cent volume Be i 9 v Enable i 9 Enable 1 e 39 aani EI Minie Dag ETM inaa sure to check Enable Display where it applies Isoflurane Sevoflurane pictured below and Desflurane O2 Low 21 0 R Enable O2 E Low 18 0 FF Enable Other O2 I High 99 9 MV Enable 2 E High 99 9 MV Enable ECG Temperature Sp02 Respiration Blood Pressure Apnea c02 02 N20 Halothane Enflurane Isoflurane O2 Low 21 0 V Enable O2 E Low 18 0 MV Enable Inspired and Expired Sevoflurane Alarm Limits Sevoflurane Units Inspired Expired Canine mmHg Partial Pressure Sevoflurane I 8 0 V Enable Sevoflurane E 8 0 V Enable Sevoflurane l 1 0 V Enable Sevoflurane E 1 0 MV Enable Volume Percent Factory Defaults Cancel NOTE Enter Sevof
22. 6 373 9627 FAX 830 438 7041 WEB www dvmsolutions com Software Updates PC Display can prompt users to check online for software updates if that feature is enabled in the Default Configuration Access to the Vmed software download site is also available through the help menu on the upper toolbar Users may also update all software programs by accessing www vmedtech com and navigating to Downloads Support There is no charge for software updates unless an install CD is required where there is a 15 charge 84 Troubleshooting PC Display SITUATION POSSIBLE CAUSE CORRECTIVE ACTION Cannot make Bluetooth connection Weak batteries in wireless device with computer Improper Bluetooth discovery Bluetooth USB adapter not inserted into computer s USB port Bluetooth connection has range Low Batteries lt 50ft Signal must pass through high attenuation barrier such as concrete floor walls or heavy metal objects Using built n Bluetooth adapter with only 10 meter range Lost wireless connection with e Wireless device out of range of computer computer or behind signal attenuator Wireless device lost power Bluetooth device loose in USB port Computer turned off or PC Display e Check battery status on remote e Re initiate discovery procedure e Verify that USB Bluetooth adapter is plugged into computer Determine if the Windows XP Service Pack 2 method of Bluetooth should be used over Bluetooth drivers that
23. 8 1 CPU 1 GHz PC desktop laptop or tablet computer MEMORY 1 5 GB for 1 2 concurrent monitoring sessions VIDEO 128 MB graphics memory VIDEO RESOLUTION 1024 x 768 Spare USB 1 1 port for Bluetooth USB adapter unless computer has built in Bluetooth CD Rom Drive or Internet Access 60 MB available hard disk space for program plus approximately 100 Kbytes per file stored MAPI compliant E Mail system such as Windows Live Mail Microsoft Outlook or Outlook Express for direct email feature of ECG Reviewer Interpreter software NET Framework 2 0 Both 32 bit and 64 bit versions of Windows Vista Windows 7 and Windows 8 1 are acceptable 86 Appendix B Appendix B Software License SOFTWARE LICENSE AGREEMENT PLEASE READ THIS SOFTWARE LICENSE AGREEMENT CAREFULLY BEFORE DOWNLOADING OR USING THE SOFTWARE BY CLICKING ON THE I AGREE AND THEN NEXT gt BUTTONS OPENING THE PACKAGE INSTALLING THE PRODUCT OR USING THE EQUIPMENT THAT CONTAINS THIS PRODUCT YOU ARE CONSENTING TO BE BOUND BY THIS AGREEMENT IF YOU DO NOT AGREE TO ALL OF THE TERMS OF THIS AGREEMENT CLICK THE DO NOT AGREE AND CANCEL BUTTONS AND THE INSTALLATION PROCESS WILL NOT CONTINUE RETURN THE PRODUCT TO THE PLACE OF PURCHASE FOR A FULL REFUND OR DO NOT INSTALL THE PRODUCT T EXCEPT AS EXPRESSLY AUTHORIZED ABOVE CUSTOMER SHALL NOT COPY IN WHOLE OR IN PART SOFTWARE OR DOCUMENTATION MODIFY THE SOFTWARE REVERSE COMPILE
24. 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 appear Reposition ECG sensor and check for adequate moisture at contact Recent Data Entries Spots Jim Smith Canine Dalmatian Male Neutered 06 19 2010 53 lbs Setup Patient Information i Last NOTE You may elect to enter patient information after completing the sgg monitoring procedure if desired This information may also be edited in the ao Ee Reviewer Program Vmed recommends at least entering a patient s name or M BrthDate 6 19 2010 Tag 2 4 ID in the Patient Name box prior to monitoring in order to make it easier to locate later on __ cancel 1 Select the Tools on the upper tool bar and then Edit Patient Information The following window will appear 6 Wait for the CONNECTION or COMPUTER light on the remote to turn a from amber to flashing green The process may take as long as 30 seconds to Recent Data Entries id complete the first time after initial discovery a TE 7 When the remote status light begins blinking green the notation in the E Ghent Nome STATUS box on the screen will change to CONNECTED and the notation jes Canine z Breed Unknown Canine at the lower right corner of the screen will change to Remote Connected on oe T B
25. EFAULT 0 23 Alarm Tone Snooze amp B Ac Set an automatic snooze on the alarm tone whenever it is silenced so that it will re enable itself once the preset time has elapsed The time options are 10 seconds 30 seconds 1 minute 5 minutes 10 minutes and 30 minutes To turn off the alarm tones simply click the alarm tone toolbar button once more FACTORY DEFAULT OFF ECG Sweep Rate amp w Select the desired sweep rate Chart speed as desired Use a sweep speed of 50 mm sec for diagnostics and 25 mm sec for surgery This applies only to ECG and SpO waveforms FACTORY DEFAULT 25 MM SEC VG RR CO O Sweep Rate amp i 9 Select the desired sweep rate for the respiration CO and O waveform areas FACTORY DEFAULT 12 5 MM SEC Episode Reviewer E 7 Select which Vmed software will open recorded episodes directly from the PC Display toolbar ECG Reviewer or ECG Interpreter This depends upon which is installed If neither is installed then this option is grayed out or invisible FACTORY DEFAULT ECG REVIEWER Automatic Trend Graph Display amp w Choose the time interval of how often the trend graph will display automatically and momentarily throughout the procedure FACTORY DEFAULT OFF ECG Features R Wave Markers ed w Checking this will display the white inverted triangles that appear above each beat in the ECG waveform area Markers are helpful in detecting double counting of beats
26. Enter the device s pairing code fa l Enter the device s pairing code Vmed VG20123 i The device comes with a pairing code Check for one on the device or in the device manual Pair without using a code This type of device such as a mouse does not require a secure connection How can I tell if my device has a pairing code g Add a device Select a pairing option gt Create a pairing code for me sal The device has a keypad 13 8 Then enter the following pairing code default Click Next to proceed r ig Add a device Enter the pairing code for the device This will verify that you are connecting to the correct device of default The code is either displayed on your device or in the information that came with the device Vmed VG20123 What if I can t find the device pairing code 9 This will begin the pairing of your Bluetooth device Once the pairing process is complete then you will see a Close button At this point you may press this button to finish the pairing process w Add a device W Add a device Enter the pairing code for the device This device has been successfully added to this computer This will verify that you are connecting to the correct device Windows is now checking for drivers and will install them if necessary You may need to wait for this to finish before your device
27. FACTORY DEFAULT CHECKED 5mm Reference Grid A W Ac Checking this will display a reference grid behind the ECG and respiration CO2 O2 waveform areas The vertical scale of each rectangle in this grid is determined by the gain marker to the left of each waveform window while the horizontal scale of each rectangle is 24 always 5mm FACTORY DEFAULT UNCHECKED QRS Tone amp Checking this will enable a specific tone to sound with each beat The tone will be different depending upon whether the heart rate is retrieved from ECG or from SpO2 Each of these tones will be different within each Beat Tone Profile FACTORY DEFAULT CHECKED Heart Rates gt 400 BPM vg PC Display has the ability to calculate heart rates greater than 400 BPM for exotic animals For veterinary use on canine feline patients leave the Heart Rates gt 400 BPM box unchecked FACTORY DEFAULT UNCHECKED Waveforms sd W Select which of the three waveforms other than ECG you would prefer to have automatically displayed upon startup The BP AccuGard makes use of the RR and O2 waveforms by default FACTORY DEFAULT SPO2 RR CHECKED O2 UNCHECKED ECG Notch Fite amp The default ECG notch filter is used to filter AC line interference For Domestic use North America choose 60 Hz For international use choose 50 Hz FACTORY DEFAULT 60 HZ ECG Low Pass Filter ran w Some instances of noise on the ECG signal can be reduced by selecting
28. P C Display Wireless Monitoring Software f ay j mo o For all Vmed Wireless Monitors Installation Setup and User Instructions Version 2 5 Table of Contents Table Ol 0 9 1 ee alee ear eh ee mee ee kan ene Seca ee eee eer ee eon ee 1 Chapter 1 Installation ANd Setup ccc cec cc ececeeeceeeceeeeeeeeeeeesseeseeeeseeeeseeeees 3 Installing the PC Display Application software 0 cceeeeeeeeceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeesaaeaaaaaaaaaeeeeeeeees 3 Computer Video SSO OS siivsa cetectaceertteie eet a cin sein Saxe ctiesa ania dvsawhetateciateetbtnsdaatiataledusiadet unease cownetasuwtacee dear 7 stalling Bluetoot a E E E AEE EE E 7 Bluetooth Installation and Discovery Windows XP Service Pack 2 OF 3 cccccccceeeeceeeeeeeeeaeeeseeeceeeessaeaeeeeeeneaas 8 Bluetooth Installation and Discovery Windows 7 and Vista SP2 ccccccseccsseeeeeeeeeeeeeeeeeeeeeseeeeeeees 11 Bluetooth Installation and Discovery Windows 8 1 ccccccccecssesseceeeceesaeeeeeceeeeeseeseeeeeeeeeeeeessesaaaeeeeees 15 Configuring PC Display for Internal Bluetooth 2000 0 cee eee e eee eeeeeeeeeeeeeeeeeeeeeeeeseeeeeeeeeeeeeeeeeeeeeees 17 Setting PC Display BL 2 0 Eee ee ee oe reer eee ee eee ee eee mteT en en er rere eet 20 Customization of the Patient Information LiSt cccccccccceeccceece eee eeeeeeeeeeeeeeseseeeeseeeeeeeeseeeeeeeeeeeeees 37 Interfacing With Practice Management Software
29. Refer to software help menu for Windows 7 and Vista operating systems Installing Bluetooth REFER TO THE APPROPRIATE SECTION BELOW FOR THE BLUETOOTH INSTRUCTIONS THAT APPLY TO YOUR OPERATING SYSTEM IF YOUR COMPUTER HAS A PRE INSTALLED OR INTERNAL BLUETOOTH DEVICE CONTACT YOUR VMED VENDOR FOR TECHNICAL ASSISTANCE IF YOU HAVE PREVIOUSLY INSTALLED ANY BLUETOOTH SOFTWARE CALL THE VENDOR FROM WHOM YOU BOUGHT THIS PRODUCT FOR TECHNICAL ASSISTANCE Bluetooth Installation and Discovery Windows XP Service Pack 2 or 3 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 Generic Bluetooth Adaptor Q Z 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 Ports Hardware 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 so that your computer can find it Turn i
30. Veterinary information changed by using the Tools Edit Vet Information menu 45 Chapter 2 Description of Monitors BP AccuGard Blood Pressure Monitor eMM ME 9 e 3 The BP AccuGard is a digital oscillometric blood pressure monitor optimized for small animals Oscillometric devices measure the oscillation of the vessel wall as the cuff is deflated The BP AccuGard uses sophisticated algorithms to calculate the blood pressure measurements from these oscillations based on the pressure in the cuff While all oscillometric devices have limitations especially with patient movement and the relatively small size of arteries in small animals the BP AccuGard software is successful in significantly reducing motion artifacts resulting in fast accurate measurements Accurate measurements have been obtained on patients as small as 1 5 kg under anesthesia The BP AccuGard includes manual and automatic modes for diagnostic and surgical applications In manual mode the measurement cycle is started each time a measurement is desired Automatic mode allows repeat measurements taken at user defined intervals Use as a stand alone blood pressure monitor or use the PC Display software to display measurements real time blood pressure waveforms and a trend graph on your computer screen 46 BP AccuGard Computer Screen The BP AccuGard when linked to a computer displays real time waveforms for the cuff
31. al Pressure or Volume Percent If you enter numbers in one unit and then select the other then they will be automatically converted for you FACTORY DEFAULT Volume 35 Agent Alarm Limits The High and Low limits show the default values at which the alarm will be triggered for each agent inspired and expired values on each species type Each limit can be enabled or disabled individually The below table shows the FACTORY DEFAULTS for these values Agent Insp High Insp Low Exp High Exp Low N2O 99 9 1 0 6999 1 0 Halothane 5 0 1 0 1 0 Enflurane 5 0 1 0 1 0 Isoflurane 5 0 1 0 1 0 Sevoflurane 8 0 1 0 80 1 0 Desflurane 18 0 1 0 1 0 Units here are volume percent These default values are set the same for all listed species types Please use professional judgment to determine if these values correspond with current veterinary practice standards for each species type Practice Mgmt Software Tab amp W Select the Practice Mgmt Software tab to set PC Display to interact with certain practice management software MOTE Currently PC Display only interacts with A VImark practice management software Additional programs may be added in the future Put a checkmark in the box next to Auto Populate New Patient Information from AVImark in order to enable the automatic population of the PC Display patient information fields each time a new patient is selected within PC Display
32. as any connected wireless remote This button may only be necessary when speaking to a support representative The Gas Selection icon allows the user to select the Primary and Secondary agents to monitor if the associated gas sensor is connected to the PC VetGard It is important to note that some of these Toolbar icons with toggle functionality have either a green check mark or a red x at the base of the icon as shown This is to denote whether the function this icon represents is currently enabled or disabled respectively Additionally the buttons that show they are enabled will usually also have a recessed look to make this concept clearer Alarms and Sounds PC Display has several sounds that are useful for monitoring a patient when not always looking at the screen There are primarily 3 different kinds of sounds within PC Display that help to serve this purpose Alarm Tone The alarm tone is a continuous sound of two rapidly alternating tones for as long as its function is active The alarm tone can only be active if the following conditions are met a The Monitor Alarms button is enabled b The Silence Alarms button is enabled disabled would mean that the alarm is silenced C An alarm is tripped one of the parameters with an alarm limit has exceeded that limit 63 If a parameter s alarm limit has been exceeded while the alarms are enabled then for as long as this parameter is out of i
33. atient information for use in saving patient episodes The following shows how to accomplish this AVIMARK Make sure that AVImark version 2008 2 or higher is running and logged in on the same computer that you are using with PC Display and that the desired patient is shown in the AVImark CID The Auto Populate New Patient Information from AVImark setting must be selected within the Practice Mgmt Software tab of the Default Configuration screen see previous section Each time the New Patient option is chosen within PC Display the available patient information will automatically be fetched and then filled in to the fields of the Patient Information screen This also happens when first connecting to a remote x First Last Client Name Jim Smith Breed Dalmatian y Years Months IV Birth Date 6 19 2010 I Age 2 je ox oe 39 Setup Vet Clinic Information USA and Canada 1 Click the Tools menu on the upper tool bar of the PC Display and then Edit Vet Information and the following window will appear Please enter Vet Information that will be used for the ECG print report header Clinic Hame Line 1 Clinic Address Line 2 m City State Zip Code Fhone Contact Info E mail Cancel 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 pr
34. cale deflection increases by a multiple of the gain and the IlmV reference mark also increases proportionately CAUTION Grid spacing does not change with change in gain setting Use amplitude reference marker ImV to estimate amplitude of ECG signals on the screen Horizontal Scale Time is measured on the horizontal scale with hash marks on the display and print report every second Toolbar Buttons and Functions The PC Display Toolbar provides quick easy access to several common functions within the PC Display software The following table will describe each button and its associated function within PC Display 60 The Grid Enable button is a toggle button that will overlay a wire frame grid over both the ECG and CO waveforms when connected to a BP AccuGard this will put a grid over both the cuff and oscillometric waveforms The height of each rectangle within the grid is directly associated with the vertical scale marker at the bottom left of each waveform window The Sweep Rate cycle button will allow the user to change the sweep rate of the ECG and SpO waveforms by cycling through each of the available rates 25 mm sec 50 mm sec 100 mm sec or 200 mm sec The current sweep rate will be denoted at the bottom of the ECG digital readout box The ECG Gain cycle button will allow the user to change the gain vertical scale factor of the ECG waveform by cycling through each of the available gain settings x0 5 x1 0
35. came with Bluetooth adapter See Chapter 1 Update PC Display software Check battery status on remote Clear signal path Disable computer s built in Bluetooth and use the Bluetooth device provided with wireless product Update PC Display software Move toward computer or clear attenuating obstacle Cycle wireless device power switch Recharge Replace Batteries Check Bluetooth device USB User is pressing and holding power button back on closed connection e Restart PC Display program e Update PC Display software Cannot turn wireless device unit e Batteries are totally discharged e Replace recharge batteries Press and immediately release the power button to turn on 85 Appendix A Appendix A Computer Requirements and Specifications Computer Minimum Requirements Windows XP Service Pack 2 or 3 CPU 1 GHz PC desktop laptop or tablet computer MEMORY 1 GB RAM for 1 2 concurrent monitoring sessions VIDEO Minimum 64 MB Graphics Memory VIDEO RESOLUTION 1024 x 768 Spare USB 1 1 port for Bluetooth USB adapter unless computer has built in Bluetooth CD Rom Drive or Internet Access 60 MB available hard disk space for program plus approximately 100 Kbytes per file stored MAPI compliant E Mail system such as Windows Live Mail Microsoft Outlook or Outlook Express for direct email feature of ECG Reviewer Interpreter software NET Framework 2 0 Windows Vista Windows 7 or Windows
36. cnekensorsesadvebanabpausauteawnseesieeeansbapeeetaureneaeenes 60 Toolbar Buttons and FUNCHONS saiacassessanneintsacanseecieanspnntonadanciaivanaesaeeenatiade immunised Mabariastrradeoaanusinieneieemiane 60 Alarms and SoundS 5 sicscsacnsnsnedpeniccencesnosascnebieanvbenndsedashdendnaneindancnate enentnebhanisauenseaabeessaceseunvaadaeisideenidunsnnee 63 Recording Monitoring Information sis cschasicndicsainsth ccraceeasiasinardeidaxiartialactacsasmedsiaansAaiendidantardiesioidesadanenrdd 65 LATE E AE sevevarsimaeaveaeiatederan sess ereaned teas sqasequncesen cvs yerereesanserennven E 66 PC Displ y Keyboard SS NOMIC IS ayaa cca reatee pe setsee th aia a aaar E Ea EEEE EERE AREER 69 Chapter 4 Reviewer Program ccscccccseeeeeeeeeeeeeeeeeeeeeeeeeeeeeseeeeeseeessaeeeseeessneeees T1 PSSM UN eee E E e E E ens 71 Modes of Monitor Rec rdiNg essisscconusesescausduteusevsctovezeteriaqesaesdauvevaetentuscdestuseys deutuhetucentveusteboebeastounverueuenss 71 Using the Reviewer Program os ssissxciacoxsivacorastannnsiivvenctinsosedoa nig ne ton ieimsiereanona Remmmnresdorn 1Gnrnmenteraononcenes 72 Reviewer Toolbar srcinmnerincienraeararatentarueateiyancamaueeccirscergesevevneheuenatererseexiweroumn SEEE EENE 75 Reviewer Configuration ass asteasd scarntatannena core atancnded tere sacderetaataniaa se taateihnetandniahelasd weeia eenietiniaetednaaes 76 la aTe EEE ENEA OENE EN 78 Help Men cassin E E R Eee Eaa E e E E 81 Chapter 5 Support and TroubleShooting
37. con on the upper tool bar of PC Display Patient ID 20100308 Trend information Displayed trend plot ends at 0 00 00 01 after connection of Wireless minutes rae i minutes 100 0 TEMP CF 80 0 minutes 51 PC VetGard Wireless Surgical Monitor 20100308 Wireless Monitor USB Adapter 100 Meter peripheral The PC VetGard is a multiparameter surgical monitor capable of monitoring and displaying ECG heart rate SpO respiration from ECG or mainstream gas sensors temperature non invasive blood pressure systolic diastolic and MAP CO O and five anesthesia agents The PC VetGard is modular meaning that after the basic unit including ECG temperature and SpO is purchased NIBP and gas sensors may be added without making the basic unit obsolete Digital information real time waveforms and trending are displayed through a wireless link on a Windows based computer monitor Computer Screen The screen below represents the display of the most complete PC VetGard including and anesthesia agent information Several upper toolbar icons are duplicated on the PC VetGard remote unit making them accessible from the patients side 52 Patient ID 20100308 Wireless Monitor File View Tools Help CEAMSE TF Yy Sd a t On r seconds 3 t Ona seconds 03 08 2010 13 38 07 Sh 20100308_20100308_133709 pve 53 Trend Graph A trend graph may periodically and momentar
38. ct 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 exceeded This can essentially act as a silence alarm feature 69 Keystroke AlttA AlttR Cntl R Alt P Alt M Cntl H Action Enable Alarms Review Stored Episode Record Patient Data Play Halt Mark Event About PC Display and Remote View Manual Description Toggles 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 Toggles on or off the recording of patient data to a stored episode Toggles on or off the progression of waveforms on the screen similar to freezing or unfreezing the current display 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 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 Opens an online version of the user
39. d Technology 800 926 9622 Vmed Remote PC YetGard HR from ECG 134 bpm BP Sys Dia MAP 120 82 100 mmHg Spo2 98 Respiration Rate 32 bpm C02 Ins Exp 0 9 4 6 O2 Ins Exp 71 9 58 3 Temperature 98 8 F Isoflurane Ins Exp 3 6 3 4 16149 Redmond Way 108 Redmond WA 98052 info vmedtech com To customize a logo specific to your clinic NOTE Make sure that you perform this from the computer s administrative user account 1 Click on the desktop My Computer icon and navigate to the installation directory for PC Display For most users this will be Files Vmed Technology PC Display will appear amp C Program FilesWmed Technology PC Display File Edit View Favorites Tools Help A screen similar to the one below DER r 3 5 Q Back i p Search E Folders Address C Program Files vmed Technology PC Display Y Go a fogo bmi File and Folder Tasks 4 a 1024 x Si 2 jitma 3i I Make a new folder A Publish this folder to pyDisp exe the Web PC Display for med Wireless fea Share this folder ymed Technology Inc 3 Uninst isu ISU File Other Places 4KB Ymed Technology 3 My Documents gt Shared Documents d My Computer My Network Places a pvbluexp dll 1 0 0 4 pybluexp pyDispDemo exe pvDispDemo MFC Application 42 4 My Computer C Program NOTE You may need to turn o
40. e 120 6 Other 120 6 Blood Pressure Alarm Limits Canine Cuff Size Systolic High 1190 IV Enable 3 v Systolic Low 110 V Enable Feline Cuff Size Systolic High 170 V Enable 3 X Systolic Low 1120 MV Enable Equine Cuff Size Systolic High 1160 V Enable E 3 v Systolic Low 110 V Enable Other Cuff Size Systolic High 160 V Enable E 3 v Systolic Low 80 MV Enable Measurement time interval Initial Cuff Inflation Pressure 5 Minutes v fi 60 Diastolic High 1110 Diastolic Low 55 Diastolic High 120 Diastolic Low 70 Diastolic High 100 Diastolic Low 50 Diastolic High 100 Diastolic Low 50 MV Measurement Complete Tone MV Enable V Enable V Enable V Enable V Enable V Enable V Enable V Enable Blood Pressure Alarm Limits The High and Low limits here show the default values at which the alarm will be triggered for the blood pressure values on each species type Each limit can be enabled or disabled individually The below table shows the FACTORY DEFAULTS for these values Species Cuff Sys High Size Dia High 100 Mean Arterial High 1120 Mean Arterial Low 90 Mean Arterial High 120 Mean Arterial Low 90 Mean Arterial High 120 Mean Arterial Low 60 Mean Arterial High 120 Mean Arterial Low 60 e Apnea c02 02 N20 Halothane Enflurane Isoflurane Sevoflu4 gt V Enable V Enable V Enable MV Enab
41. e of the Print dialog box and a sample waveform print report follow Printer Name hp deskjet 990c series v Status Ready Print to file Type hp deskjet 990c series Print Range Preview All Current view Pages Subset Page Handling Copies 1 2 Page Scaling Shrink large pages Auto Rotate and Center C Choose Paper Source by PDF page size Print What D t cota Units Inches Zoom 94 67 Vimed Engineering Vorariners 944 164th St SE 474 fae are Mill Creek WA 98042 Vimed Remote HR from EGG BP Sys Dia MAP Spo COZ Ins Exp OF Dns Exp Temperature 600 926 9622 infog ivmedtech com Pit VetGard 61 bpm 111 180 94 mmHg 93 23 bpm 3 8 28 1 immHg 70 8 56 5 96 6 F Isoflurane i Exp 3 4 2 5 Evmad Tochnofogy ioc PC Dispiay v2 2 8 Sample print report Note signal amplitude 1 mV reference scale and time reference points on horizontal axis 68 aaa 16 45 54 Bubbles Charnes Schotkey Canine Miz ariy eS Male 5 Ibs x10 10mm 2 Low Hz PC Display Keyboard Shortcuts PC Display has several keystroke combinations that can be used 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
42. ectory Patient ID Episodes 7 found Jan 28 2008 16 42 05 00 00 11 Jan 28 2008 16 42 16 00 01 22 Jan 28 2008 16 50 37 00 01 45 Jan 28 2008 16 52 42 00 00 01 Jan 28 2008 16 52 43 00 00 31 Veferanary Aamiin Report Animal Hospital 1234 Main Street Metropolis NY 38765 123 456 790 Jan 28 2008 17 06 34 00 00 04 Jan 28 2008 17 06 37 00 00 15 ECG 4008 13 25 17 00 00 00 50 msec Bantield_Test Biolog_20080320_110251 Gait eT 0 Trini ECG Filter Motch Low G0Hz Epesode Date Time 04 11 2008 13 25 17 Epesode Duration 00 05 04 MetrowestT est lt Delete Delete Patient Episodes The Manage Patient Episodes screen allows you to remove unwanted patients and episode files To delete a patient highlight the patient and press the Delete Patient button To delete an episode highlight that episode and press the Delete Episode button MOTE To delete episodes you must first highlight a patient and then highlight the episodes to be deleted Printing In order to print an episode either select Print from the File menu or click the printer button on the toolbar An ECG waveform will print to a single page The length of ECG waveform depends on the selected sweep speed i e 24 seconds of data at 25 mm sec 12 seconds of data at 50 mm sec etc The following window will open when the print command is initiated allowing you to make your selecti
43. ed 43 gt The file must be named customlogo bmp gt Any size image can be used but it will be stretched or compressed to 1024 by 512 pixels in the printout gt Best results are achieved when image file is 1024 by 512 NOTE The image must be in bmp format 24 bit color gt Any photo editor can be used to create a custom logo Most computers will at least have Windows Paint If you have a logo as part of the header in a Word document it can be cut and then pasted into Windows 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 pt Ao 16201 San Pedro Ave San Antonio TX 78232 210 404 CATS 2287 afhe s wbell net med Remote PC VetGard PR from SpO2 64 bpm BP Sys Dia MAP 119 87 99 mmHg SpO2 97 Respiration Rate 31 bpm CO2 Ins Exp 0 5 4 5 O2 Ins Exp 70 6 58 0 Temperature 96 4 F Isoflurane Ins Exp 3 4 3 3 44 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 3 Sample print reports with customized clinic logo NOTE
44. ethod To obtain a complete print report the report must be printed from the Reviewer Interpreter program See Chapter 4 for instructions to print from these programs TO PRINT A WAVEFORM REPORT 1 From the remote keypad Press the Print key or 2 From the PC Display upper tool bar Click the print button or 3 From File choose print 4 Select Scale to fit or shrink to fit on the printer setup dialog box NOTE Printing from the screen requires wireless connection between the remote and the computer Printing from saved and recalled files in Reviewer or Interpreter does not require a wireless connection A color printer is required to reproduce the colored grid Files may also be printed to PDF using Adobe or PrimoPDF PC Display offers 2 choices for printing 1 page or 2 pages Each page includes 600 millimeters 200 per line of ECG waveform data This means that when the user chooses the Print option then the printed page will include a waveform from the time the Print option was chosen backward Each page will have the number of seconds of waveform according to the current ECG sweep rate at the time of printing The following table will describe this further 66 Sweep Rate Waveform Seconds Per Page 25 mm sec 50 mm sec 100 mm sec 6 200 mm sec 3 Additionally if using the PC VetGard with CO then the printout will also include the CO waveform just below the ECG waveform Exampl
45. eypad however data that must be entered with a keyboard such as clinic and patient information cannot be entered from the remote key pad The PC VetChek can track ECG heart rates to 800 BPM Power is supplied by two AA batteries Batteries will last for about 42 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 PC VetChek user s manual for a complete description and use of the PC Display software and PC VetChek hardware 49 PC VetChek Computer Screen The computer screen displays digital heart rate respiration rate from ECG and temperature Note R wave markers and respiration waveform Temperature is available from the temperature probe included or from optional ECG and temperature esophageal probes available in three sizes Several upper toolbar icons are duplicated on the PC VetChek remote control from the patients side 2 Patient ID 20100308 Wireless Monitor File view Tools Help Yy y 03 08 2010 13 04 17 E seconds 20100308_20100308_130313 pve 50 Trend Graph A trend graph may periodically and momentarily appear over the display to plot heart rate temperature and respiration trends if this option is enabled in the PC Display configuration screen The trend graph can also be viewed at any time by pressing the trend graph i
46. for the BP AccuGard The Periodic Vital Signs mode will record vital signs at the interval selected as well as vital signs when an alarm is tripped or a marker or print command are initiated Unless Auto Save is checked on the Default Configuration screen manually pressing the Record Episode button on the Tools selection on the PC Display toolbar will initiate the recording command Clicking once on this button will place a checkmark in the bottom right corner of the button itself to show that it is enabled Clicking it again will disable this recording mode and close the episode file Toggle Continuous ECG Button Disabled and Enabled that was just recorded If Auto Save is checked recording will begin automatically upon connection to the computer and a check mark will appear within the Record Episode button on the upper tool bar 65 NOTE The Record Episode button should not be disabled until the monitoring episode is complete The Reviewer Interpreter icon is activated after the file is saved upon disabling the Record Episode button which disables the recording function The saved file can be opened by clicking the yellow icon on the device control panel or the PC Display toolbar and selecting the desired episode Printing Printing a waveform report can be done from the PC Display toolbar or the remote keypad if connected to the computer however only the waveform report will be printed by this m
47. iguration screen for each parameter Figure 1 Edit Current Configuration Icon on PC Display upper toolbar To set PC Display Defaults 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 VG201 23 on COM23 v Cancel 20 ECG Features V ECG Reviewer Automatic Trend Graph Display IV R wave Markers V 5mm Reference Grid ECG Interpreter Off V QRS Tone l Heart Rates gt 400 BPM Waveforms V Show SpO02 Waveform MV Show RR Waveform Show 02 Waveform ECG Notch Filter ECG Low Pass Filter 50Hz M 60Hz M Low High Patient Episode Recording Mode MV Continuous Recording Waveforms Periodic Vital Signs repos Vital Signs Logging Interval Single Instance Periodic Vital Signs Only MV Save All BP Measurements CO2 Save 5 Minutes Se Patient Episode Directory location for Recorded waveform and Event storage Current Patient Episode Directory Select Directory C Users John Documents med_Patient_E pisodes Factory Defaults Cancel Figure 2 Edit Default Configuration menu Some selections in the Default Configuration menu apply only to certain wireless remote types Each selection listing below will show which type of wireless remote can use it by including any of the following images next to it 21 General Tab PC VetGard PC VetGard PC VetChek
48. ily appear over the display to plot heart rate Mean Arterial Pressure MAP SpO expired CO respiration temperature and expired O if available if this option is enabled in the PC Display configuration screen The trend graph can also be viewed at any time by pressing the trend graph icon on the upper tool bar of PC Display Patient ID 20100308 Trend information Displayed trend plot ends at 0 00 00 00 after connection of Wireless tiinutes tiinutes minutes tiinutes tiinutes 54 Chapter 3 Operating Instructions Software There are three software programs available for Vmed wireless monitors PC Display and Reviewer software are provided with each monitor purchased at no additional charge The Vmed Interpreter software is for automatic interpretation of ECG files and is available as an option for PC VetGard and PC VetCheck monitors at an additional charge 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 MOTE A large flat panel display may be connected to your computer for greater visibility Reviewer Software The Vmed Reviewer program is used t
49. inflation cycle and oscillometric pressure waveform Refer to the BP AccuGard user s manual for a complete description of the PC Display application screen Digital information displayed includes heart rate systolic diastolic and mean arterial pressures NOTE Non applicable toolbar icons are grayed out File wiew Tools Help TRAMESA MOC LIto 02 22 2010 17 01 11 0 2 mmHg m f A ANA f N l VANL JM J 47 Trend Graph A trend graph may periodically and momentarily appear over the display to plot Mean Arterial Pressure MAP and Pulse Rate trends if this option is enabled in the PC Display configuration screen The trend graph can also be viewed at any time by pressing the trend graph icon on the upper toolbar of PC Display Patient ID 20100308 Trend information Displayed trend plot ends at 0 00 00 07 after connection of Wireless 48 PC VetChek ECG Screening and Recovery Monitor The PC VetChek includes ECG leg clips ECG chest sensor and a temperature probe Commands can be activated from the remote keypad or the PC Display upper toolbar on the computer PC Display toolbar icons and selector buttons on the PC VetChek are active only if a wireless connection between the PC VetChek and the computer is established The PC VetChek is designed to control some computer and ECG functions from the remote Some commands including the print command can be activated from the remote k
50. int Patient Episode Directory sds i Command This is the location where your patient data recorded files referred to as patient episodes are stored from this computer Click the Select Directory button if you wish to change this location FACTORY DEFAULT lt LOCAL USER DIRECTORYO MY DOCUMENTS VMED_PATIENT EPISODES ECG Temperature Tab amp we NO General ECG Temperature Sp02 Respiration Blood Pressure Apnea c02 02 N20 Halothane Enflurane Isoflurane Sevoflu_4 r C Celsius Canine m Heart Rate and Temperature Alarm Limits Temperature Units Fahrenheit HR High 140 gt Enable Temp High 1030 Z Enable ECG Gain NOTE Enter Temperature High Low HR Low feo IV Enable x 1 0 10nmm 1 mv TempLow 95 0 Enable in currently selected Units Feline MAX HR Alarm Limit 800 HR High o M Enable Temp High 103 0 IV Enable MIN HR Alarm Limit 0 ECE Gene MAX Temp Alarm Limit 110 F p ad ve ac HR Low 100 MV Enable x 1 0 10mm mv TempLow 95 0 IV Enable MIN Temp Alarm Limit 70 F Single Instance r Equine Checking this will make it possible for only one instance of PC HR High J60 W Enable ga Temp High 103 0 I Enable ain Display to be open at a time on this computer Selecting Multiple HR Low M0 Enable x1 0 1Omm imv v TempLow 350 Enable Instances allow
51. inted on all Reviewer generated reports 3 Press OK NOTE Refer to the instructions later if you wish to add your clinic logo to the report heading 40 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 Please enter Vet Information that will be used for the ECG print report header Clinic Name Buckingham Veterinary Line 1 Clinic Address co Her Majesty The Queen Line 2 Buckingham Palace City State Zip Code London i EWA JAA Phone E mail vet royal gsx gov uk Cancel 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 41 Using Your Clinic Logo on Printed Reports The default logo provided in the ECG report printout is shown below Vme
52. ions 87 This warranty does not apply if the software a has been altered except by Vmed b has not been installed operated repaired or maintained in accordance with instructions supplied by Vmed c has been subjected to abnormal physical or electrical stress misuse negligence or accident or d is used in hazardous activities DISCLAIMER EXCEPT AS SPECIFIED IN THIS WARRANTY ALL EXPRESS OR IMPLIED CONDITIONS REPRESENTATIONS AND WARRANTIES INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTY OF MERCHANTABILITY FITNESS FOR A PARTICULAR PURPOSE NONINFRINGEMENT OR ARISING FROM A COURSE OF DEALING USAGE OR TRADE PRACTICE ARE HEREBY EXCLUDED TO THE EXTENT ALLOWED BY APPLICABLE LAW IN NO EVENT WILL VMED OR ITS SUPPLIERS BE LIABLE FOR ANY LOST REVENUE PROFIT OR DATA OR FOR SPECIAL INDIRECT CONSEQUENTIAL INCIDENTAL OR PUNITIVE DAMAGES HOWEVER CAUSED AND REGARDLESS OF THE THEORY OF LIABILITY ARISING OUT OF THE USE OF OR INABILITY TO USE THE SOFTWARE EVEN IF VMED OR ITS SUPPLIERS HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES In no event shall Vmed s or its suppliers liability to Customer whether in contract tort including negligence or otherwise exceed the price paid by Customer of the Software or wireless monitors The foregoing limitations shall apply even if the above stated warranty fails of its esse
53. ividually The below table shows the FACTORY DEFAULTS for these values 31 Species Apnea Time Enabled Species Insp High Insp Low Exp High Exp Low Cani 7 6 2 3 40 3 28 9 Canine 20 seconds e Feline 20 seconds Equine i Other 7 6 2 3 40 3 28 9 20 seconds Units here are mmHg 20 seconds CO Units The units shown in the alarm limit boxes are determined by which option is selected either mmHg Partial Pressure or Volume Percent If you enter numbers in one unit and then select the other then they will be automatically converted for you FACTORY DEFAULT mmHg General ECG Temperature Sp02 Respiration Blood Pressure Apnea CH 02 N20 Halothane Enflurane Isoflurane Sevoflu4 gt Inspired and Expired CO2 Alarm Limits CO2 Units Enable Breath Tones Canine mmHg Partial Pressure If checked this option will sound a particular tone each time a patient s breath is COZ High 76 M Enable CO2 E High 103 Z Enable C X Wolume Percent detected by the CO sensor This tone will be different according to which sound CO2 l Low 23 I Enable CO2E Low 296 Enable profile is selected from the General tab FACTORY DEFAULT CHECKED NOTE Enter CO2 limits in currently selected Units Feline C02 I High 7 6 V Enable CO2 E High 403 V Enable VG Ma a wicn Aan fa CO Waveform Full Seale W The Full Scale setting will determine the highest values that can be dis
54. l PC Display Install ECG Reviewer Install ECG Interpreter UPDATE ONLY Install ECG Interpreter DEMO Tutorial Videos Other Software NOTE You may at first wish to click the Play suggested installation 3 tutorial video text in order to view a tutorial video of how to install Bluetooth and discover your Vmed wireless device on your computer Please take a moment to read the license agreement now If you accept the terms below click I Agree then Next Otherwise click Cancel 1 Click Install PC Display When the following screen appears click Next SOFTWARE LICENSE AGREEMENT E PLEASE READ THIS SOFTWARE LICENSE AGREEMENT CAREFULLY BEFORE DOWNLOADING OR USING THE SOFTWARE BY CLICKING ON THE I AGREE AND THEN NEXT gt BUTTONS OPENING THE PACKAGE INSTALLING THE PRODUCT OR USING THE EQUIPMENT THAT CONTAINS THIS PRODUCT YOU ARE CONSENTING TO BE BOUND BY THIS AGREEMENT IF YOU DO NOT AGREE TO ALL OF THE TERMS OF THIS AGREEMENT CLICK THE e PC Display The installer will guide you through the steps required to install PC Display 2 05 00 on your computer I Do Not Agree This software is protected under U S and international copyright laws Please read the license agreement 3 Select which icon s you wish to be installed on your desktop both icons will still appear in the Start Menu regardless of your selection here Then click Next 2 Read the
55. larm will sound the alarm tone When disabled the alarm sound will cease regardless of how many parameters are out of range 61 The Monitor Alarms button is also a toggle button that is enabled by factory default When enabled this will show the alarm limits beside each digital value and provide a recorded alarm event and the audible alarm tone if those options are enabled as well However even if those options are still enabled they will not happen if this button is disabled The Trend Graph button when clicked will open the Trend Graph window to show the values that are monitored for trends Each different remote type will show trend information for different parameters based upon that particular remote type See the Chapter 2 for more information about the Trend Graph window The Record Episode button is a toggle button that is by factory default enabled When enabled this button will record a patient episode file When disabled then no parameters will be recorded unless the Print function is taken See a later section of this chapter for more details The Patient Information button will allow the user to change the patient information for the current recording session by opening the Patient Information window This is the same window that appears when connecting to the wireless remote The Print button will allow the user to print either 1 or 2 pages of ECG waveform information along with any patient information that ha
56. le V Enable V Enable V Enable MV Enable NOTE All pressure units in mmHg MAX Alarm Limit 300 mmHg MIN Alarm Limit O mmHg Factory Defaults Cancel Canine NEONATE 3 190 Feline NEONATE 3 160 100 100 Equine NEONATE 3 160 Other NEONATE 3 160 30 100 Measurement Time Interval D Determines how often blood pressure measurements will be taken automatically Intervals of 1 2 3 5 10 15 30 and 60 minutes are available FACTORY DEFAULT 5 MINUTES Initial Cuff Inflation Pressure z This value is the initial cuff pressure peak of the cuff inflation cycle given in mmHg This pressure should be 30 mm Hg over the expected systolic pressure FACTORY DEFAULT 160 Measurement Complete Tone This tone is intended to sound at the completion of each blood pressure measurement It is currently not functional FACTORY DEFAULT CHECKED Apnea Tab Apnea Alarm Limits Canine Apnea Time 20 60 seconds 20 IV Enable Feline Apnea Time 20 60 seconds 20 MV Enable Equine Apnea Time 20 60 seconds 20 MV Enable Other Apnea Time 20 60 seconds 20 IV Enable Factory Defaults Cancel The High and Low apnea limits show are the default values at which the alarm will be triggered for when breathing stops for the time in seconds on each species type The range for this time is 20 to 60 seconds Each limit can be enabled or disabled ind
57. lurane limits in currently selected Units Feline Sevoflurane I 8 0 MV Enable Sevoflurane E e o V Enable VG O Units va Sevoflurane I 1 0 IV Enable Sevoflurane E 1 0 V Enable The units shown in the alarm limit boxes are determined by which option is Equine Sevoflurane I 8 0 M Enable Sevoflurane E s o MV Enable enter numbers in one unit and then select the other then they will be Sevoflurane 0 7 Enable Sevoflurane E 1 0 Enable automatically converted for you FACTORY DEFAULT Volume E MAX Alarm Limit 8 0 MIN Alarm Limit 0 0 selected either mmHg Partial Pressure or Volume Percent If you O Alarm Limits The High and Low limits show the default values at which the alarm will be triggered for O inspired and expired values on each species type Each limit can be enabled or disabled individually The below table shows the FACTORY DEFAULTS for these values Units here are volume percent 34 Sevoflurane I 2 0 V Enable Sevoflurane l 1 0 V Enable Inspired Sevoflurane E 2 0 IV Enable Sevoflurane E 1 0 V Enable Expired Factory Defaults Cancel Species Insp High Insp Low Exp High Exp Low Canine 99 9 21 0 18 0 Feline 99 9 21 0 18 0 Equine 99 9 21 0 18 0 Agent Units 2 o Other 99 9 21 0 99 9 18 0 The units shown in the alarm limit boxes are determined by which option is selected either mmHg Parti
58. mote appears in this list its name will start with Vmed 15 OLLE vies Manage Bluetooth devices Bluetooth On oo Your PC is searching for and can be discovered by Bluetooth devices BKC800 onnected Cr Unknown a Vmed VG20123 Ready to pair Manage Bluetooth devices Bluetooth On E Your PC is searching for and can be discovered by Bluetooth devices g BKC800 Connected mra Unknown mra Vmed VG20123 i Ready to pair 7 When asked for a passcode enter the word default this is case sensitive Enter the passcode for your device You might need to enter the same passcode into the device LC or Cancel 8 Once you have done this then the pairing process is essentially complete Configuring PC Display for Internal Bluetooth If your computer has internal Bluetooth then you may need to configure PC Display for the specific COM ports that were added when you paired your remote Proceed with these instructions if you are using Windows 7 or Windows 8 1 1 Right click the Bluetooth Devices icon in your System Tray at the bottom right of the screen and then choose Open Settings Add a Bluetooth Device Allow a Device to Connect Show Bluetooth Devices Send a File Receive a File Join a Personal Area Network Open i Remove Icon T 11 13 AM a 3 40 at 2 12 2015 Click the COM Ports tab of the Blueto
59. n full force and effect This License constitutes the entire License between the parties with respect to the use of the Software 88 Appendix C Appendix C Discontinued Monitors Vmed has discontinued two monitors but still supports both The PC Vet ECG monitor and the PC VetGard I ECG SpO monitor are no longer manufactured Later versions of the PC Vet ECG monitor are compatible with PC Display however earlier versions may require the original application software called PC Vet which has fewer capabilities Owners of the PC Vet can return the device to Vmed to be updated and made compatible with PC Display The original PC Vet software can be downloaded from www vmedtech com you may need to contact customer support for assistance The original VetGard is fully compatible with PC Display For questions regarding compatibility telephone Vmed customer support at 800 296 7763 PC Vet PC VetGard I 89 Vmed Technology 914 164 Street SE Mill Creek WA 98012 Phone 800 926 9622 Fax 425 585 0231 info vmedtech com www vmedtech com Installation Setup and User Instructions PC Display Version 2 0
60. n 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 R General View File Types Offline Files Folder views fou 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 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 C Display the contents of system folders Display the full path in the address bar C Display the full path in the title bar C Do not cache thumbnails i 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 select 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 observ
61. ntial purpose SOME STATES DO NOT ALLOW LIMITATION OR EXCLUSION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES The above warranty DOES NOT apply to any beta software any software made available for testing or demonstration purposes or any temporary software modules All such software products are provided AS IS without any warranty whatsoever This License is effective until terminated Customer may terminate this License at any time by destroying all copies of Software including any documentation This License will terminate immediately without notice from Vmed if Customer fails to comply with any provision of this License Upon termination Customer must destroy all copies of Software Software including technical data is subject to U S export control laws including the U S Export Administration Act and its associated regulations and may be subject to export or import regulations in other countries Customer agrees to comply strictly with all such regulations and acknowledges that it has the responsibility to obtain licenses to export re export or import Software This License shall be governed by and construed in accordance with the laws of the State of Washington United States of America as if performed wholly within the state and without giving effect to the principles of conflict of law If any portion hereof is found to be void or unenforceable the remaining provisions of this License shall remain i
62. o open and review patient files saved from PC Display The Reviewer program is compatible with PC VetChek and PC VetGard patient monitors Refer to Chapter 4 for a complete description of this program Interpreter Software The Vmed ECG Interpreter is an optional ECG interpretation program that performs all the functions of the Reviewer program in addition to computer analysis of ECG complexes Software Updates Ensure that you are always using the latest PC Display software version Doing this will increase performance and may fix some of the problems or issues that may occur 55 PC Display software will prompt you to check for updates periodically You may also check for updates from the Help menu or by accessing www vmedtech com The latest software install CDs are also available at a 15 charge by phoning 800 926 9622 Select the wireless remote device to connect Wireless Connection PROCEED ONLY AFTER YOU HAVE SUCCESSFULLY INSTALLED THE SOFTWARE AND HAVE COMPLETED THE BLUETOOTH DISCOVERY PROCESS CHAPTER 1 Select Wireless Remote VmedG om 23 on COM23 Vmed G 20123 on COM23 1 Prepare the monitor wireless remote being used Vmed AG 10084 on COM zg 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 a ao window 5 Input patient information Vmed recommends at least entering information into y
63. on med Reviewer Select Print Report i l x Select Report s To Print IY ECG Waveform Report Emed Teshnology Ino med Reviewer v220 0 M Event Summary Report Figure 4 Default ECG Waveform Report includes hospital and patient information followed by Cancel twelve seconds of ECG waveform Below is a sample printout where the first page is the ECG Waveform Report and the second page is the Event Summary Report 78 79 Help Menu The following selections are available under the Help menu Animal Hospital Veterinary 1234 Main Street JWemtoring Metropolis NY 38765 neers 123 456 7890 aa skecsigcrammalbiospatal xin e Internet Support Website Hyperlinks to the Vmed service website e Background on ECG Waveform Measurements shown below Episode Date Time 4 11 2008 13 25 17 Patient NamevID Spot Eprsode Duration 00 05 04 Sunk Smah CHES mE f Se med Reviewer Scruffy Smith Mar 25 2005 17 43 28 SET ES ergs aoe Fa File Edit view Tools a Help le x Sey Male Metered i eel amp E 50 mm sec y 1 0 gt 17 43 28 00 00 00 gt 1 M M Pi mm amp EPISODE INFORMATION taragiinrireireac rtd te Weight 56 Ibs Episode Date Mar 25 2005 LU enaaschoet ann i x Measuring the P QRS T Brent Cate Time lapaad PE Hya ie Map Spc 602 Ina Erp Teo Episode Duration 00 00 30 reper lee WPR ing Patient Name ID Scruffy Smith i ii 200d Lt 5rd
64. on instead of the Interpreter software only necessary if the Interpreter To configure different options within the Reviewer software click on the Configure software is installed and Reviewer is preferred Reviewer toolbar button or select Configure Vmed Reviewer from the Tools menu The following window will appear a Default Veterinarian Information Used for printing the vet clinic information entered here instead of what was recorded with the ECG Reviewer Configuration original episode Select Edit Default Veterinarian Information to Patient Episode Directory change Patient Episode Directory C Documents and Settings Paul My Documents med_Patient_Episodes Saved pode Die a Default CO Waveform Scale Used for PC VetGard only Use 2 ete where capnograph amplitude is large NOTE Default setting is 14 Saved Episodes Directory C Documents and Settings Paul My Documents med_Patient_Episodes Saved_Episodes Default ECG Strip Grid Color A Set Reviewer as the default episode viewer Red Grid Green Grid Blue Grid Default Veterinarian Information Manag e Patient Epis O de S D ir ect ory F Use default Veterinarian Information for print report headers Edit Default Veterinarian Information S e e c t ing t hi S O p t i 0 n 0 p e n S t h e S cr e e n b e Ow Default C02 Waveform Scale 1 8mmHg per div 2 16mmHg per div OK 76 77 Vmed Reviewer Manage Patient Episode Dir
65. one of these filter types FACTORY DEFAULT LOW Patient Episode Recording Mode AutoSave 2 wy Auto Save is the default setting A check mark in the Auto Save box enables automatic saving of all patient data upon connection to a remote device without manually pressing the green record button on the PC Display upper tool bar Selecting Auto Save enables the default recording mode selection 25 either Continuous Waveforms Periodic Vital Signs or Periodic Vital Signs Only Continuous Recording mode will save both ECG D and or CO waveforms and vital signs Selecting Periodic Vital Signs Save All BP Measurements Only will record vital signs and monitoring events without any Checking this will cause PC Display to save the vital signs each time waveform data FACTORY DEFAULT CHECKED CONTINUOUS a blood pressure measurement is complete This will show up as a RECORDING mode vitals event FACTORY DEFAULT CHECKED NOTE The BP AccuGard cannot record any waveform data no ET matter which option is selected Vital Signs Logging Interval amp sc 2 This selection determines how often vital signs are automatically recorded to provide a record of the surgery Intervals of 1 3 5 10 and 15 minutes are possible as long as patient recording is enabled The following table shows how to manage what is recorded A time reference stamp is also recorded FACTORY DEFAULT 5 MINUTES Operation Actions Pr
66. onfigure button 18 Currently there are no Ymed remotes configured for PC Display Please click the Configure button to add them once you have gone through the bluetooth discovery procedure No Remotes Configured v 7 In the Configure Vmed Remotes window first select the remote type at the top left that corresponds to your Vmed wireless remote Then enter a name that will help you to later identify this remote such as its ID number Finally in the box at the right enter the COM port number that you noted in step 2 Remote Type COM Port e 8 Click the OK button followed by Yes to save these values 9 You are now ready to click Connect to start the connection process with your wireless remote Select the Ymed wireless remote from the list below and click Connect or click Configure to make changes to the list of remotes VetGard VG20123 v come vee cme Repeat steps 1 2 and 6 9 for any additional Vmed wireless remotes that you have paired with this computer 19 Setting PC Display Defaults 2 Click the Cancel button on the Select Wireless Remote Connection This section describes the procedure to change the default settings that will apply window each time the PC Display program is opened Default settings such as TONE ALARM ON OFF GRID etc may be overridden by clicking the Edit Current 3 Click the File menu and confirm that there
67. oth Settings window and locate the line that lists your Vmed wireless remote under the Name column and the word Outgoing under the Direction column Note the number shown on this line next to COM under the Port column In this example it is COM3 Options COM Ports Hardware This PC is using the COM serial ports listed below To determine whether you need a COM port read the documentation that came with your Bluetooth device Port Direction Name COM3 Outgoing Vmed VG20123 COMO COM4 ko Incoming Vmed VG20123 Remove 17 3 Double click the PC Display icon from the Desktop to open PC Display It should show the following error message Click Cancel ERROR Wireless Remote was not found Wireless Remote s may already be connected If a Wireless Remote has not been discovered double click the Bluetooth Devices icon on the Desktop to add a wireless remote device Edit Patient Information Set ECG Sweep Speed Set ECG Gain 5 In the upper left corner of the Product Configuration window put a check mark in the box next to Specify Com Port Number Then in the text box to the right of Wireless Remote Com enter a positive number I Specify Com Port Number Wireless Remote Com fil Then click the OK button and close PC Display 6 Now open PC Display once more and when you see the Vmed Remote Switcher window click the C
68. piration Alarm Limits Canine Sp02 High Sp02 Low Feline Sp02 High Sp02 Low Equine Sp02 High Sp02 Low Sp02 High Sp02 Low Enable 92 V Enable 7 Enable 32 MV Enable Enable 32 MV Enable Enable MV Enable Volume percent RR Hig 40 Enable RR Low 10 FZ Enable RR High 40 MV Enable RR Low 10 MV Enable RR High 40 V Enable FR Low MV Enable BR High V Enable RR Low MV Enable Breaths per minute ee VG SpO Alarm Limits ge The High and Low limits here show the default values at which the alarm will be triggered for SpO on each species type Each limit can be enabled or disabled individually these values MAX BR Alarm Limit 120 MIN RR Alarm Limit 0 MAX Sp02 Alarm Limit 100 MIN Sp02 Alarm Limit 70 OOOO Oll et Factory Defaults Cancel The below table shows the FACTORY DEFAULTS for Species SpO2 SpO2 Low High Canine 100 92 Feline 100 92 Equine 100 92 Other 100 92 ae _ VG Respiration Alarm Limits 2 we w The High and Low limits here show the default values at which the alarm will be triggered for RR respiration on each species type Additionally each limit can be enabled or disabled individually FACTORY DEFAULTS for these values 29 The below table shows the Blood Pressure Tab 3 Species RR High RR Low Canine 120 6 Feline 120 6 Equin
69. played on the CO waveform graph capnograph For expected expired CO values above C02 Waveform Full Scale 40 mmHg 5 the 100 mmHg 12 setting should be chosen FACTORY CO2 l Low 23 Enable C02 E Low 236 amp Enable 12 5 or 100 mmHg DEFAULT 12 5 or 100 mmHg Equine V Enable Breath Tones C02 I High 7 6 V Enable CO2 E High 403 V Enable Other Expected 02 Environment C02 I High 76 V Enable CO2 E High 40 3 M Enable 70 100 v i va CO2 Low 23 J Enable CO2 E Low 298 Enable E a sat Expected O Environment This setting should only be needed with gas probes that do not measure O directly This will set the expected O for the environment so that the gas probe can calculate its measured gas concentrations appropriately FACTORY Inspired Expired Factory Defaults Cancel DEFA UL I 70 100 VG O Tab Ee i VG CO Alarm Limits a The High and Low limits show the default values at which the alarm will This menu allows you to set default inspired I and expired E alarm limits for be triggered for CO inspired FiCO and expired ETCO values on each oxygen as measured with a mainstream gas sensor that is equipped with an O plug species type Each limit can be enabled or disabled individually The below sensor table shows the FACTORY DEFAULTS for these values 32 33 Agent Tabs General ECG Temperature Sp02 Respiration Blood Pressure Apnea o2 Inspired and Expired 0
70. ple the heart rate was coming from ECG and then suddenly switched to SpO The user would take note that the most probable reason is that the ECG is now Leads Off which would prompt the user to investigate and correct this sooner rather than had no audible cue alerted them to this 64 Breath Tone For the PC VetGard with a gas probe connected PC Display also provides a breath tone each time the patient takes a breath This tone is altogether different from the heart rate or alarm tones in order to give the user yet another audible cue to one of the patient s vital signs in this case the respiration rate This tone will sound only if enabled in the Configuration window under the CO tab In addition PC Display now makes 4 sets of tones available for each monitoring session Each set is referred to as a profile Each profile includes two heart rate tones ECG and SpO and a breath tone These profiles exist for the purpose of differentiating which remote and patient each sound is coming from if more than one remote is being used in the same location Recording Monitoring Information The default setting for recording save to file information through PC Display varies with each monitor In general Continuous Recording waveforms Periodic Vital Signs is the default setting for PC VetChek and PC Vet and the PC VetGard Waveforms and vital signs are recorded in this mode Periodic Vital Signs is the default setting
71. r Dog Spanish 5 T Segment a o the mouse button The one step measurement will result in an interval and ex emale spaye 1 Interval n Cop to ist Notes amplitude calculation if appropriate for that complex NOTE For best accuracy increase the gain of the signal before beginning the measurement procedure 3 Repeat the procedure in step 2 for each type of measurement 4 Click the Copy to Diagnostic Notes button to drop your measurements into Event Date Time Elapsed Event HR bpm RR bpm Sys Dia Map mmHg Sp02 PR C02 Ins Diagnostic Notes Comments the diagnostics notes section of the report 01 17 2008 15 12 15 000 00 02 HR lt 60 59 31 119 80 99 98 99 Ly pan Mantures OL AYKAN0G teeters a Reviewer Toolbar Read 2 4 6 8 10 12 14 16 18 20 NOTE This screen summarizes the patient file for the episode selected along with cursor measurement of the QRS complex The measurements a selected have been dropped into the diagnostics notes and comments box gt in O B i Ft T oh gt TKK D D Vx P Note the red rubber band vector and the measurement crosshairs above 2E ee Using the electronic cursor measurement feature 22 23 24 25 1 First click on the complex you wish to measure in the Measurements box at the top of the screen Note For a description of each complex click on the Help menu in the upper toolbar Icon Descriptions Open episode Save episode
72. rthDate iam gt a green background NOTE To preserve battery life the remote will shut off automatically if connection to the computer is not established within 3 minutes of ox oa powering on the remote 2 Type in desired information and press OK When connection is complete the ECG 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 ECG signal the waveform will appear and the trace will change to a color corresponding to the sensor NOTE This window will automatically appear when connecting to a wireless remote or after selecting New Patient from the File menu 58 59 Sweep and Scale Sweep Sweep moves across the display from left to right at the selected sweep speed chart speed Default sweep speed is 25 mm sec which is preferred for surgical monitoring A sweep speed of 50 mm sec should be used for diagnostic ECGs 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 vertical scale of the display and the print report measures signal amplitude When gain is set at 1 the signal amplitude of ImV has a vertical scale deflection of 10 mm by convention A lmV reference mark appears on the display and print report Vertical s
73. s already been input so far in this monitoring session Each time this button is pressed it will include one page s worth of ECG waveform prior to the point in time when the button was pressed See a later section of this chapter for more details This option is not available for the BP AccuGard The Review Episode button allows the user to open any of the recorded patient episode files that have been recorded in the current session directly into the Vmed reviewing software selected within the configuration window See a later section of this chapter for more details The Stop Start button is a toggle button that by default is disabled play When it is clicked enabled it will freeze the waveforms on the screen pause for easier viewing To disable it again simply click it once more Clicking on this button will not pause any recorded measurements that are in progress only what is viewed on the screen The BP Measurement button is also a toggle button that is disabled by default Once clicked to enable it will initiate the automatic measurement process once a cuff size has been selected from the resulting window This option is only available for remotes with blood pressure capability PC VetGard and BP AccuGard 62 The Marker button allows one to quickly record a vital signs event marker event if an episode is being recorded The Info button allows quick access to version information for PC Display as well
74. s manual in a web browser 70 Chapter 4 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 while not connected to a wireless remote from the PC Display default configuration option under the Tools menu 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 Provides for the electronic measurement of ECG complexes Allows real time playback of previously recorded ECG sweep data 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 signs and diagnostic notes Provides and easy way of sending email transmission of stored reports Displays the automatically recorded vital signs measurements Modes of Monitor Recording ECG and related data are stored automatically in one of three available modes Record modes are selected
75. s multiple wireless remotes to be connected to this Other igh T High computer simultaneously FACTORY DEFAULT UNCHECKED haii po MEn a ER ee HR Low 40 IV Enable x 1 0 10mm mv TempLow 95 0 Enable CO Save Beats per minute Degrees Checking this will allow the CO waveform or capnograph to be saved in addition to the ECG waveform whenever Continuous _Factoy Defaults Cancel _ Recording is selected FACTORY DEFAULT CHECKED 26 27 Heart Rate and Temperature Alarm Limits ran W High and Low limits show the default values at which the alarm will be triggered for both heart rate and temperature Additionally each limit can be enabled or disabled individually The below table shows the FACTORY DEFAULTS for these values Species HR High HR Low Temp High Temp Low Canine 140 95 0 Feline 200 103 0 95 0 Equine 160 40 95 0 Other 240 95 0 Temperature values here are shown in Fahrenheit ECG Gain a The default ECG gain can now be set per species type so that this gain value will automatically be active when a patient of that species is selected for monitoring FACTORY DEFAULT x1 0 10mm 1lmV for each species Temperature Units amp vg The default temperature units can be selected here between Fahrenheit and Celsius Alarm limits will automatically adjust to the temperature scale FACTORY DEFAULT FAHRENHEIT 28 SpO2 Respiration Tab amp a SP02 and Res
76. t on Make it discoverable visible Give it a name optional Press the button on the bottom of the device keyboards and mice only D Add only Bluetooth devices that you trust C 6 Turn on your Vmed wireless remote by depressing the red button on the module s keypad 7 Wait for the Status Connection or Computer light on the wireless remote 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 wireless remote When the remote device has been discovered a window similar to the one below will appear The ID number following Vmed will be the same as the ID number that is printed on the back label of the wireless remote the below example uses a PC VetGard with ID VG20149 but the method is the same for all Vmed wireless remotes Add Bluetooth Device Wizard Select the Bluetooth device that you want to add CH med G 20149 New device ip 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 Soarch Soe 9 Highlight the identified Vmed wireless remote and click Next which will open the following window Add Bluetooth Device Wizard Do you need a passkey to add your device To ans
77. tient Episode Directory Patient ID Episodes 2 found 20061016 Jul 28 2006 17 11 04 00 00 11 ECG 20061108 Jul 28 2006 17 11 16 00 00 10 ECG 20061109 20061112 20061117 234567 345678 Adam Art bill Candy Mandy Martha Mitch Muffy Jones Pork chop NOTE If a patient is not pre identified patient files are stored numerically by year month and day Patient data can be entered prior to during or after the monitoring procedure and edited within the Reviewer Episodes are identified by date and time of the event When ECG follows the episode ID this indicates that an ECG CO waveform is present rather than just vital signs 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 73 Fie Edt View Tools Window Help 3X Woes oc es FLEET DMMK AM 2 Left click the mouse at the beginning point of your measurement then drag SS E the mouse to the right and up if amplitude is to be included you can measure xl zlo z e er are EE both time and amplitude by measuring at a diagonal Note the red line Episode Duration 00 00 20 RR Interval A 7 z A 7 Pant Nane D Snel Pwr stretching from the blue crosshairs in the above illustration Place the blue Owner Walkersonsky P A Interval N Species Carine USER 01169 sec 1 11 n crosshair at the end of the interval and the top of the amplitude and release Breed Wate
78. ts normal range the alarm tone will be active it will continuously play However if the user disables the Silence Alarm button and then re enables that button then the alarm tone will no longer be active until that parameter changes to another value that is out of range Additionally if a parameter is out of range then the same alarm tone will sound no matter which parameter is out of range To give the user a visual cue as to which parameter has gone out of range the numbered alarm limit next to each vital signs parameter will change to black digits on a red background Alarm upper limit exceeded Heart Rate Tone For each remote type that produces a heart rate or pulse rate from ECG or SpO PC Display will provide a heart rate tone consistent with the current heart rate or pulse rate shown Ifthe remote in use has a Leads On ECG signal green tracing then the heart rate and its associated tone will come from the ECG measurement However in the PC VetGard J and PC VetGard remotes where SpO can be used the pulse rate will default to what is measured from SpO and the tone will change accordingly The heart rate tone can easily be enabled or disabled from the ECG Tone Enable button of the toolbar There are two kinds of heart rate tones from ECG and from SpO These tones are different in order to provide the user an audible cue that the heart rate is coming from one source over another This can be helpful if for exam
79. wer this question refer to the Bluetooth section of the documentation that came with your device If the documentation specifies a passkey use that one Choose a passkey for me O Use the passkey found in the documentation Let me choose my own passkey gt default Don t use a passkey D You should always use a passkey unless your device does not support one We recommend using a passkey that is 8 to 16 digits long The longer the passkey the more secure it will be m METETA E EET 10 Select the Let me choose my own passkey option and then enter default into the text entry box beside this Then click Next When the window below opens click Finish 10 Add Bluetooth Device Wizard Completing the Add Bluetooth Device Wizard The Bluetooth device was successfully connected to your computer Your computer and the device can communicate whenever they are near each other These are the COM serial ports assigned to your device Outgoing COM port COMS Incoming COM port COM To close this wizard click Finish NOTE There should be two COM Communications ports listed on this window They may be different for different discoveries and you should not have to remember them but you should verify that there are two listed Bluetooth Installation and Discovery Windows 7 and Vista SP2 1 Plug the Bluetooth USB Adaptor dongle into an available USB port of your computer 2

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