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T-ECG Doctor User Manual

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1. 9 3 3 SETTING THE DEVICE TYPE ves e Des n eeXTZPOEI OE AR vee DUO VERO ER UV TS 10 3 4 OPERATION ceres debe iere eive 11 4 PATIENT 12 4 1 PATIENT RECORD EI Rhet rie ve DO cae Bab EN ND Ue 12 4 2 ECG BROWSER 2 er I bt e Oeo pe e ye Es eee e Mes 13 4 3 ECG VIEWERzizcO vere eve vie rh ve RN se vs ree 14 AA ECG PDF REPORT ve ive ric EI da o re E OPER veld Te ON EVER EEMISUE 16 5 SEND AND RECEIVE ECGS BY MAIL ccccccccccccccccccccccccccccccccces 17 5AMSEND PDF 22 2 oet li EI e I DEVE wate eV esa ERR 17 D Z SEND XML TEILE ese ven e 18 5 3 XML FIEE ue eroi viec E pr eI Ei tU E e eUEEIV De e 18 6 T ECG AUDIO PLAY BACK SEYRyECN eua En RARO VERE Pa A 19 Chapter 1 Legal Notice 1 1 Legal Notice 1 4 Trademarks Information This document and the software it describes is provided with a license and can only be used or copied in the terms and conditions provided by the default End User Agreement License EULA published by the authorised sellers Android Market Apple App Store etc This document as well the software described in it may be modified without prior notice This document is property of Healthpath
2. 6 button 2 Tap on SendPDF Document see Figure 11 button 1 The mail composition screen will be open Compose the mail normally an send it the PDF file is already attached to the mail T ECG doctor ver 2 User Manual 17 Chapter 5 Send and receive ECGs by mail 5 2 Send XML file Th XML file contains all the patient and signal data It can be exported sent as an attachment in a mail or imported from a mail attachment by other device with T ECG Doctor installed Onthe Patient screen tap on the PDF button see Figure 6 button 2 Tap on SendXML Document see Figure 11 button 2 The mail composition screen will be open Compose the mail normally and send it the XML file is already attached to the mail This option allows to T ECG User users to send the ECG to be interpreted by a Doctor using T ECG Doctor or to exchange ECGs between doctors T ECG User version doesn t allow to generated PDF files it only can send XML files to T ECG Doctor users 5 3 Receiving a XML file The T ECG XML file arrives as an attachment in a mail From the mail inbox viewer program open the attachment view or save T ECG Doctor will be opened and after the import process will display the Patient screen automatically If there is other xml reader viewer app registered on the mobile you must choose T ECG Doctor as the app to complete the operation T ECG doctor ver 2 User Manual 18 Chapter 6 T ECG audio play back 6 T ECG au
3. screen with your finger or a appropriate pen 2 Clear button clears completely the drawing frame Finger button to sign using your finger 4 Pen button to sign with a pen Ww T ECG doctor ver 2 User Manual 9 Chapter 3 Introduction 3 3 Setting the device type The audio signal generated by the transtelephonic devices can be different from model to model lead duration center frequency deviation and markers Consult the technical data of your transtelephonic device about the audio format s it supports Tap on Record button from the Home screen see Fig 1 button 4 3 2 4 1 List of supported formats 2 Record button to start the recording T ECG doctor ver 2 User Manual 10 Chapter 3 Introduction 3 4 Operation After you acquire the ECG with the transtelephonic device 1 Launch T ECG Tap the Record button from the Home screen see Fig 1 button 4 Select the format if not already set as default compatible with the device you used to acquire the ECG see Fig 4 list 1 Tap the Record button see Fig 4 button 2 to start recording Start the audio signal play back on the transtelephonic device Wait for the end of recording see Fig 5 After the end of the recording process if successfully the Patient screen will be open automatically Ww N Fig 5 The recording process may abort if T ECG cannot identify all leads correctly Normally it display the probable
4. ECG acquisition must be done only by health care operators Language At the moment is only available in English 2 8 Version This manual applies for T ECG Doctor ver 1 2 for iOS T ECG doctor ver 2 User Manual Chapter 3 Introduction 3 Introduction Read this chapter to learn how to configure T ECG and set the type of device you will work with 3 1 Launch T ECG At launch T ECG the program displays the Home screen see Fig 1 Fig 1 Doctor button to set the Doctor data and signature About button to get program information and support Browse button to browse the list of archived ECGs Record button to record a new ECG from a transtelephonic device BUM T ECG doctor ver 2 User Manual 7 Chapter 3 Introduction 3 2 Configuration The first thing to do as a doctor if you want to identify and sign the charts is to set your professional data and signature You need to do this only once or when you data changes 3 2 1 Doctor identification Tap on Doctor button from the Home screen see Fig 1 button 1 2000900006 12 TENE Fig 2 Fill the Name Surname and ID fields on the Doctor screen T ECG doctor ver 2 User Manual 8 Chapter 3 Introduction 3 2 2 Signature registration You must register your signature if you want the exported documents pdf to be signed Fig 3 1 Signature drawing frame Draw your signature directly on the
5. HEALTHPATH e New Technology for Assessment T ECG doctor User Manual For iPhone and iPad Version Contents T EEGAE NOTICE TIME eaten Boe ee cesa 3 1 1 TRADEMARKS 3 1 2 SAFETY AND PRIVAGY SEE reete vue ns 3 2 INFORMATION 4 251 MANUAL zio Pr EE CEA Sedere en pucr Er ee Ed 4 2 2 APPEICATIONS sU Fb ree 4 2 3 MOBILE SYSTEM 5 4 2 4 TECHNICAL SPECIFICATIONS Ru eher erro eR dev rne epe re 5 2 5 TRANSTELEPHONIC DEVICES SUPPORTED cceccccccccccccccccececccecececscececscecess 6 2 6 LIMITATIONS AND PROPER USE cccceccccecccccccccccccccccccccececececececececscecs 6 2 4 EANGUAGE EEA tete ede Ld A az E 6 2 8 VERSIONS 205 5265 aie dsm ae Ew er OI D EIOPUE ONE EP EC oe page REA ETE E UA ors 6 3 INTRODUCTION uero coke rita e edi nee 7 EM EIU MEC EUM 7 3 2 CONFIGURATION se see DIE E ee P n res TP Ya 8 3 2 1 Doctor 1 8 3 2 2 Signature 5
6. Srl T ECG 6 is a registered trademark Apple and the Apple logo are trademarks of Apple Inc registered in the U S and other countries iPhone iPad and 105 are trademarks of Apple Inc Android is a trademark of Google Inc Use of this trademark is subject to Google Permissions Aerotel Heartview is a trademark of Aerotel Medical Systems Ltd Cardiette Microtel is a trademark of Caridoline Spa 1 2 Safety and Privacy Only health professionals should use T ECG Doctor The program doesn t use or need any personal private data to be functional The user is responsible for compliance with the privacy rules in force in each country T ECG doctor ver 2 User Manual 3 Chapter 2 Information notes 2 Information notes Read this chapter for information on system requirements limitations appropriate use and compatible devices 2 1 Manual This manual is intended for all users who want to learn how to use T ECG It explains how to achieve the desired objectives through detailed procedures 2 2 Application T ECG is an application created to support transtelephonic ECG devices with enriching features such as display of ECGs archive patients ECGs data exchange by email and report generation 2 3 Mobile system requirements T ECG runs on iPhone and iPad with iOS 4 3 5 and up Operating Systems T ECG doctor ver 2 User Manual 4 Chapter 2 Information notes 2 4 Technical specifications Type FM Center freq
7. dio play back T ECG can re modulate the ECG signal in the same audio format as it was recorded This function allows to transmit in acoustic mode the recorded ECGs to cardiologist receiving station as usually is done directly with the transtelephonic device Tap on Play button in Patient screen Once the audio file is generated Call the receiving station as usual Tap play button on T ECG screen e wait until the audio finish you will see a progress bar indicating the time remaining to play End the phone call with the receiving station Fig 12 T ECG doctor ver 2 User Manual 19
8. error incorrect lead duration incorrect number of leads etc Errors can be originated by a noisy bad quality recording of the transtelephonic device ambient noise when playing back incorrect device placement too far or too near from the mobile mic incorrect device format setting T ECG doctor ver 2 User Manual 11 Chapter 4 Patient ECG interface 4 4 Patient ECG interface 4 1 Patient Record After the recording operation is finished enter the patient data on this screen see Figure 6 Every time you save a new recording chart you have to enter the patient data even if you have done it before in a previous ECG T ECG is a ECG oriented database not Patient oriented The patient screen opens automatically after the successful recording of the ECG otherwise you can access it from the Browse button see Figure 7 Fig 6 1 View ECG button to open the ECG chart viewer 2 PDF button to view the PDF report 3 Play button to playback the audio signal T ECG doctor ver 2 User Manual 12 Chapter 4 Patient ECG interface 4 2 Browser It displays the list of ECG already recorded on the mobile You can change the order criteria from Name to Date ascending or descending with the buttons see Figure 7 buttons 2 3 Fig 7 ECG list list of recorded ECG Name button to order the list by patient surname successive taps change from ascending to descending order and vice versa 3 Date butt
9. on to order the list by date of recording default successive taps change from ascending to descending order and vice versa NA T ECG doctor ver 2 User Manual 13 Chaptero 4 Patient ECG interface 43 ECG viewer Tap on this button to see the 12 leads ECG chart in 3x4 Rhythm format see Figure 8 Fig 8 T ECG doctor ver 2 User Manual 14 Chaptero 4 Patient ECG interface Tapping on a lead sector will open a detailed view of the lead see Figure 9 Fig 9 The lead detail view can be scrolled if the lead time is longer than the time that fits in the screen T ECG doctor ver 2 User Manual 15 Chaptero 4 Patient ECG interface 44 ECG PDF report Tap on the PDF button on the Patient screen The PDF report will be generated and displayed see Figure 6 button 2 Fig 10 1 Signature T ECG doctor ver 2 User Manual 16 Chapter 5 Send and receive ECGs by mail 2 5 Sendandreceive ECGs by mail Tap on PDF button from the Patient Record see Fig 6 button 2 Fig 11 1 Button SendXML attach the XML file to the mail 2 Button SendPDF attach the PDF file to the mai You need to have a valid mail account set on your device and be connected to internet to send the mail with the attachment s 5 1 Send PDF You can send the PDF report when you finished the interpretation of the chart and and all the patient data is filled Onthe Patient screen tap on the PDF button see Figure
10. uency 1900 HZ Signal Modulation rate 100 HZ mV Demodulation Max deviation 250 HZ Lead separation 1 mV pulse of 0 1 s with front and back porch pence Lead duration 10 seconds for Rhythm and 2 5 4 10 s for the others Automatic detection of lost leads or incorrect duration time Reference signal pulse 1 mV 0 15 e Horizontal division 0 2 s Graphics e Vertical division 0 5 mV Horizontal scrolling view in detailed mode Zoom in out in PDF mode Patient record Name Surname Age Sex Notes and Diagnostic Doctor Data Name Surname and Prof ID graphic signature Report format PDF format 2 pages XML file data File format UTF 8 XML Patient data uncompressed UTF 8 e ECG signal data Format signed 16 bit PCM Compression lzip e Encode Base64 T ECG doctor ver 2 User Manual Chapter 2 Information notes 2 5 Transtelephonic devices supported T ECG decodes the following devices audio signals 2 6 Bem 2 7 Aerotel HeartView LIIx10 12x2 5 4 Cardiette Microtel 12x2 5 LII x10 Cardiette Microtel 12x10 Other devices with same audio signal play back as one of the above Limitations and proper use This software demodulates and digitalise the audio signal of 12 leads transtelephonic ECG devices The audio recording must be done in a noiseless environment Only cardiologist doctors can interpret or diagnose the chart The

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