DS-5 Software Manual
Contents
1. Print Report Analyses Intervals f Full Study Time per Page Full Study C Display Interval ae File Print Select the options In the Views box the channels to be printed by clicking in the box a cross means that the signal will be printed In the Analyses box the analysis es to be printed In the Intervals box the time interval which will be displayed on each page Full study to print the full study Display Interval to print the interval displayed Time per Page use the scroll bar and highlight the interval to be printed on each page The Printer button accesses File Print Setup Print Setup The Print Setup dialogue box is supplied by the installed printer Print Setup kal Printer Mame HF DeskJet 970851 ka Properties Status Ready Type HP DeskJet 9700s Wher LPT Comment Paper Orientation Size Ad EE Portrait OUNCE Automatically Select 7 O Landscape Network Cancel File Print Setup 30 DS 5 saving Combining Importing and Exporting data Most of the File menu items become available when a recording is open or has been modified but are otherwise greyed out Open and Close Opening has been covered above To close the document click on the option File Close NOTE Close all the opened documents with Window Close All Close Workpad File The Workpad is a document which holds the analyses patient details eve2. _ _ ___m _ Q_ 0 DS 5 Joes File Communication Help 2 2 Sal DS 5 showing shortcut icon to Download the Pulsox 300i device Download a recording from a Pulsox 300 i oximeter See APPENDIX B KONICA MINOLTA PULSOX 3 SERIES OXIMETERS 3i 3iA 3Si 3LF to download a recording from the Pulsox 3i series e Click on Communication menu or click on the Download icon appropriate to the device in the Toolbar As the mouse passes over the icon the device name will appear in the yellow box DS 5 Download Pulsox 3001 Series Current setup information Date Time Body No Auto Power Off Time Memorized Channels Setup EXE ES Data File Operation GesMenso Dowrtosd Download Pulsox 300i dialogue box before the Pulsox 300i is connected or turned on The recorder is connected to the computer using the USB interface lt is necessary to set up this interface when first used for which see the device User Manual Download Pulsox 3001 Series Current setup information Date 0870972000 Time ceo Body Ho 42 Auto Power OFF Time 00h O Memonzed Channels Sp02 Pulse Rate m Setup Set Clock Set Body Ho Set Auto Power Off Time m Data File Operation Clear Memory Download Download Pulsox 300i dialogue box when the Pulsox 300i is connected and turned on The dialogue box with items in black shows that communication with a recorder Body No 42 ha
3. The first line is the list of data exported followed on the next lines by the data using a new line for each analysis e g Patent D Fienam e Name eet Sex Date of Birth Age Heght Weght BMI G DATA Pubox S Eep Apnoea Excel spreadsheet first few cells only The analysis is in Row 2 ASCII text file The first line is the list of data exported with inverted commas delineating each followed on the next lines by the data using a new line for each analysis e g Filename Name Patient ID Number Sex Date of Birth Age Height Weight BMI Neck Epworth Score Address1 Address2 City County Post Code ZIP Tel Home Tel Work Comments Health Authority Referring Physician GP GP Address1 GP Address2 GP City GP County GP Post Code ZIP GP Tel Body No Date of Study Start Time Duration Label 1 User data 1 Label 2 User data 2 Label 3 User data 3 Label 4 User data 4 Label 5 User data 5 Label 6 User data 6 Label 7 User data 7 Label 8 User data 8 Label 9 User data 9 Label 10 User data 10 Label 11 User data 11 Label 12 User data 12 SpO2 Marker Mode SpO2 Analysis Interval Total time analysed for SpO2 Total time analysed for apnoea index Events Rejected SpO2 cutoff for analysis SpO2 time below cutoff a b rise after drop c1 Minimum time to drop in seconds c2 Maximum time to drop in seconds d Maximum time to rise in seconds
4. File name Pulsos 3001 Sleep Apnoea dif Files of type Spreadsheet DIF file cif Home Cancel 34 DS 5 File Analyse and Dump patient info Select Analyse and Dump patient info to export into a spreadsheet DIF file or an ASCII text file the basic patient and medical details along with analyses performed The format is shown in Appendix A The first line is the list of data exported followed on the next lines by the data Combine Patient Information Files Select Combine Patient Information Files to join together the spreadsheet DIF files or the ASCII text files which are exported by Analyse and Dump Patient Information Combine Patient Information Files Harras a Diste a Smith Joh Mij 1234 An 0 1 Gaan Tiit Ce Gint by Hame M Shas Files Sort by l Humber Sort by Crate Look i E DATA 0 m Co Pulbbos A sep Apres Pose Sit Feige shiny Fade COP Sl Sleep Aprona Cy Puke de tk Test Save as tne E grsadehest DIF e ld x File Combine Patient Information Files Axi Harma It Date reia Jer Mir 123445 AVT AALE Directoy C Doume and Settings dl Users appbestion Daira AT Bho Combread File Home Duko IO Peprstosy Fa Cirit Cancel Home e Patient Information Files select the files you want to combine by clicking on the first file and then whilst holding the Ctrl or Shift key click on the other files e Directories shows the directory of files you wish to combine Th
5. 3 series Oximeters 3i 3iA 3Si 3Li Data Storage The KONICA MINOLTA Pulsox 3 series oximeters store trend data as a new File each time they are switched on The sampling rate for trend data is one sample every 5 seconds Memory capacity is either 12 or 24 hours Oximeter time and date These oximeters have internal clocks but these should be reset by the user from the computer if the battery power is removed for more than a short period If the time and date have not been set a default time and date 01 01 1997 will be set by the oximeter from when new batteries are inserted Clearing the oximeter memory should be routinely carried out after each recording is downloaded to the computer This may be performed with the Clear Memory facility If memory is not made available the earliest data is overwritten Note The Date Time and File Clear and Output buttons on the IF 3 interface are only for use with the thermal printer which is not required if DS 5 software is used Communicating with the oximeter Insert the oximeter in the Pulsox IF3 interface with nothing blocking the optical pathway between the oximeter and the sensor on the interface Connect the cable from the interface connector to the serial port of the computer connect the IF3 interface to the AA 5P AC adapter the adapter to mains power and slide the POWER switch to ON Switch on the oximeter and wait until it has completed its startup test If the time and date have b
6. 38 OCIA ONS ease tht cectehn getter Rath ts a taste atte alin Ma ase edt dues tea Noe aa dilate etaaees oa eines 38 Manta cis 10 0 as a ORT a e el a o el o e do 38 APPENDOSA ADIU e Sp tar id 39 APPENDIX B KONICA MINOLTA PULSOX 3 SERIES OXIMETERS 31 3IA BSI SLI aaan 40 DS 5 Software v2 2007 KONICA MINOLTA SENSING INC DS 5 For Your Safety and that of Your Patients Strictly follow the Instructions for Use Any use of the software requires full understanding and strict observation of these instructions The software is only to be used for the purposes specified here Maintenance The software installation must be carried out and serviced by trained service personnel Reinstallation and general maintenance may only be carried out by trained service personnel Accessories Only the devices listed in the Devices List may be used with this software Safe Connection with other electrical equipment Electrical connections to equipment which is not listed in these Instructions for Use should not be made Liability for proper function or damage The Warranty Software license agreement is included on the delivery CD KONICA MINOLTA SENSING INC does not warrant that the software will be uninterrupted or error free Information on safe use The software should only be used by trained users of Microsoft Windows DS 5 may only be used in the home or hospital DS 5 is intended for use with CE marked devices DS 5 is designed to v
7. Moving Average Time sec SpO2 Mean SpO2 Median SpO2 5th Percentile SpO2 95th Percentile Dip Level 1 No of Dips Dips Hour Mean Dip nadir Dip Level 2 No of Dips Dips Hour Mean Dip nadir Dip Level 3 No of Dips Dips Hour Mean Dip nadir Min SpO2 Time of Min SpO2 12Sec Delta Delta Index Delta Index Sample Rate User value Time spent below user value Percentage of Time spent below user value Time spent SpO2 lt 95 Percentage of Time spent SpO2 lt 95 Time spent SpO2 lt 90 Percentage of Time spent SpO2 lt 90 Time spent SpO2 lt 85 Percentage of Time spent SpO2 lt 85 Time spent SpO2 lt 80 Percentage of Time spent SpO2 lt 80 Time spent SpO2 lt 75 Percentage of Time spent SpO2 lt 75 Time spent SpO2 lt 70 Percentage of Time spent SpO2 lt 70 Time spent SpO2 lt 65 Percentage of Time spent SpO2 lt 65 Time spent SpO2 lt 60 Percentage of Time spent SpO2 lt 60 Pulse Marker Mode Pulse Analysis Interval Total time analysed for Pulse Rate Total time analysed for Pulse Rises Events Rejected Pulse cutoff for analysis Pulse time below cutoff Pulse Mean Pulse Median Pulse Mode Pulse SD Pulse Definition 1 Pulse Rise Rises Hour Pulse Definition 2 Pulse Rise Rises Hour Pulse Definition 3 Pulse Rise Rises Hour Max Pulse Peak Time of Max Pulse Peak C Documents and Settings All Users Application Data KonicaMinol
8. Respiratory Disturbances in Sleep Apnea Syndrome Chest 1996 109 395 99 Pepin JL Levy P Lepaulle B Brambilla C and Guilleminault C Does Oximetry Contribute to the detection of Apneic Events Mathematical Processing of the SaOQ2 Signal Chest 1991 99 1151 57 20 DS 5 Parameters for the Pulse Rate Analysis e Mode the most frequently found pulse rate e Standard Deviation the square root of the variance a variability index Parameters for Pulse Rises e Pulse Rises gt xx pulse rises above the background e Rises hr the average hourly pulse rise rate e Max Pulse Peak highest pulse rate level in a pulse rise The Analysis screen After running an analysis the first page of the report is visible From here all pages can be displayed by clicking the toolbar icon All Pages a or by the right hand mouse button The left mouse button can be used to select and zoom in on a particular mouse selected page and the right mouse button to return 3 DS 5 Joes File Edit View Analyse Window oe x Q A ay t H temata mere meri AA e Lepe 1 EIA ET Land Nish RATA Cau Th TWA IA CACY RA Example All Selected Pages of Report Ending the programme To exit the programme click File Exit This closes the opened documents A Save Changes box will appear for each changed unsaved document and the application will then be closed 21 DS 5 Advanced Features Patient Details Entering
9. Time Interval Displayed On Screen CompressionRate Elapsed Time Value Under Recording Date Real Time The Cursor At the Cursor File Open Sample selected The Chart screen consists of Title Bar shows the programme name patient name and filename Menu Bar has a series of functions grouped in menus Tool Bar has chosen items from the Menu Bar Ruler Marks between a pair of moveable cursors the interval shown in the Chart Data Window allowing you to see how it relates to the recording e Chart Window showing the channels of the recording SpO2 Pulse Rate etc with the values at the cursor time appearing at the right hand side of each channel At the top of the trace channel are shown the alarms and events generated by the device Placing the cursor pointer over the marking will reveal the alarm event type Status Bar showing the interval duration real date and time at the cursor elapsed time value at the point of the arrow cursor compression rate and montage if applied 13 DS 5 Saturation Change the appearance of the Chart Window Move the mouse over the graph you wish to modify and click the Right mouse button The menu functions e Amplitude change the vertical axis of the trace over which the mouse is placed using mouse selected movable cursors eg Saturation shown here After completing the axis modification action close the box with a click on the top left hand square Exclude excludes the t
10. comprehensive analysis select Analysis Report directly with the toolbar icon ral Analysis Report The Analysis Report consists of several pages chosen by ticking in the Analyse Analysis Setup Report Report Contents To create a Adobe Acrobat pdf version click on Analysis Report to pdf El Or Select one or more of the analysis options from the Analyse menu and its sub menus Analysis Setup to define the parameters used in the analysis see below Analysis Report is a full report as defined in the Analysis Setup Analysis Report to PDF s a full report in PDF format Analyse options produce individual analysis pages appropriate for sleep study day or walk test Analyse SpQ2 Sleep study Analyse SpO2 Sleep 80 dips Analyse SpO2 Daytime Analyse Pulse Walk Test Analysis Summary produces a summary page of saturation and pulse rate analysis Plot selected channels show graphically 1 hour per line 12 hours per page default Plot selected channels 12 or 24 hrs are 2 graph per page plots Auto print report analyses and prints a set of plots analyses and summary pages as defined in Analysis Setup Copy Analysis Summary to clipboard to paste the summary into Word etc e Display analysis using edited events to reanalyse after creating or modifying events Analysis Customisation Choose Analyse Analysis Setup or the Analysis Setup toolbar icon Report Setup You may select pages and options for the Analysis Report
11. maintenance of the software and the sole responsibility for any malfunction which arises from improper use faulty maintenance improper alteration or damage by anyone other than KONICA MINOLTA SENSING INC authorised service personnel In particular the manufacturers are not responsible for any malfunction caused by conflicting software Warnings and contra indications It is specifically required that the results be reviewed and interpreted by a clinician The accuracy of the recording and analyses may be affected by the position of the transducer and condition of the subject as well as the recording device Standards compliance KONICA MINOLTA SENSING INC DS 5 meets EN 60601 1 1 and EN 60601 1 4 It is in risk category Class according to Annex IX of the EC Council Directive 93 42 EEC of 14 June 1993 Symbols CE The CE mark on this product denotes conformity with the EC Council Directive 93 42 EEC concerning medical devices Specifications Measurement None inherent measurements are made by the monitor Range Saturation 0 100 Pulse Rate 0 250 bpm Other channels Accuracy as data provided Operating Conditions not applicable Storage Conditions not applicable Power not applicable Dimensions typically 20Mb Standards EN 60601 1 1 Manufacturer s Address KONICA MINOLTA SENSING INC 3 91 Daisennishimachi Sakai ku Sakai shi Osaka 590 8551 Japan 38 DS 5 Appendix A Dump data Spreadsheet DIF file
12. on the computer By default this is the program data directory To change where the file will be saved click the Browse button and select a folder or create a new folder 10 DS 5 File Name A unique File Name is automatically generated and the default location of the file is indicated A different filename may be entered and the location may be changed with the Browse button Surname ID Number You may enter the patient surname ID to be saved in the file If you leave the patient name field empty it will automatically be saved with a blank patient name which could lead to problems in locating the file in the future Details This gives access to a dialogue box to allow patient details to be entered See Patient Details section for the details Download Channels Choose the channels to be downloaded by marking the check boxes Auto print report after downloading You may select auto print report after downloading to download analyse and print the report in one operation Auto create PDF report after downloading You may select auto create PDF report after downloading to download analyse and create the PDF report in one operation Auto create patient information file after downloading You may select Auto create patient information file after downloading to download analyse and create the patient information file in one operation Report Setup Before downloading you may use the Analysis setup dialo
13. te seattle ns ng Silda este easton EA A 30 sn PP e nee ae nee 30 The Print Setup dialogue box is supplied by the installed printer oocooooccococinooncnononccnrononoss 30 SAVING COMBINING IMPORTING AND EXPORTING DATA cccssessssesssscsscsesecsesessecscsesaecassesaeessesaeseseesassesansaseneass 31 HA raon a RE A E A E TT 31 GOSE WOKDA T Onna e A A T ia bees 31 E E e A ha E ca E ta sala iets 31 SVEA oO PE E O II EOE AE OONN 31 EO aE EEEO TO ETTO EEEE E EE E A 31 DOI oram E E ee eer eerie rene reN emenn eT treet nner tes ovr omer 33 COMPICARO errar iii R 34 Analyse and Dump Export Patient infOrmation ccccccscssssssssssessssesssessssssscsssssssesssessssessacessassssesssessen 34 Combine Patient Information FUCS tas 35 Group Auto Operation dies 35 Delete a recording analysis and Delete Workpad ccsessssessssessssescssscsssssssssessasessssessssasesseeesatessanes 36 Properties Information about the recording sccccsessssssessssssessnscsssscsssesssssscssssesssesssseessseseseeesaseees 36 VITO OWI CIN rhs bea cee Ni title clit sik Sarat ncaa Sales A soe sstaeeeaee 36 WINDOW ONG Galatia ceca edad 37 STANDARDS lil eran E 38 ae an IN a 38 A A AN 38 USERS PONS rana cdi ados 38 Warnings and contra indiCati0NS cccoiocccncononncnnonoonconenconcanonon con concen conca non non nnn ron ren nen reno nnr corren 38 Standard S COMPIANCO station 38 DS 5 MDO eroa ene y EE ea Cert mE ae eee ee ee
14. 5 E New file s time Lookin Data E Ea e Show Tale New Name o Aminoltasi J i l C Show Files pulsox 300i Directory C Documents and Settings All Users Application Sort by Name Data KonicaMinolta DS 5 D ata C Sort by Date C Sort by Pulsox No Browse Combined Filename OK Cancel Home File Combine Data Files e Files select the files by clicking on the first file and then whilst holding the Ctrl or Shift key click on the other files you wish to combine e Directories shows the directory of files you wish to combine The box allows navigation e Files to combine Highlight and click the gt gt button to list files to be combined Highlight and click the lt lt button to remove files from the combined file list e New file s time shows start time date and duration Time between files is padded with zeros and the file duration increases accordingly e New Name enter the title for the new file e Combined Filename the filename for the new file is automatically generated by the program and is created using part of the filename of the first file selected A different filename may be entered Analyse and Dump Export Patient information Dump patient information Look in E DATA Cy Ed Pulsox 3i Sleep Apnoea y Pulsox 300i Respiratory Failure Pulsox 300i Sleep Apnoea a Pulsox 300i Walk Test 3 Pulsox 300i Respiratory Failure dif Ba AAq lt A AA
15. DS_PER_REC Nn A B C where the date is Dd mm yyyy the time is Hh mm ss 24 hour clock RECS_PER_SECOND means that the following number Nn represents the number of samples per second SECONDS_PER_REC means that the following number Nn represents the number of seconds between each sample A B C represents the single data stream as one column The data is picked up from the chosen file date time duration and sample rate and the entry boxes in the Import box allow the correction of the data entry for date and time The channel heading and units are entered e g Saturation and Pulse Rate Data may also be imported into a new file Import Jeg Current File Look in O Data m Eg Start Date 06 01 2005 Eminolta3i Start Time 03 06 12 IO pulsox 300i Duration 04 51 38 Import File Start Date Start Time File name Duration Sample Rate Files of type Text files Sp02 Channel R Pulse Channel a Home Available Channels New File Channel heading Channel Colour Channel units i Cancel File Import 33 DS 5 Combine Files Select File Combine Data files to combine two or more DS 5 recordings and save as another file Combine existing files Files to combine Files Start Time Start Date Duration Channels Pulsox No Files Start Time Start Date Duration o Minolta3i 20 10 00 19 04 1997 07 45 04 SpU2 Pulse e Sample 03 06 12 06 01 2005 04 51 38 Sp02 Pulse 1
16. Data Analysis Software DS 5 ver 2 10 KONICA MINOLTA Y DS 5 Sleep Apnoea Pulsox 3001 Sleep Apnoea dat 0 AS File Communication Edit View Event Marker Analyse Window Help sa al a dal dl el QI all 6 E ala 3 SS Y 22 00 23 00 0 00 Spo2 Saturation mre 1 1 O 1 ay lt 4 e 4 4 Y TO 21 25 21 30 Interval 00 20 00 2405 2005 21 32 07 ELA 00 34 25 500 793 Pack 1 354 KONICA MINOLTA SENSING INC INSTRUCTIONS FOR USE DS 5 may be used with KONICA MINOLTA Pulse Oximeters Pulsox 3i 3iA 3Si 3Li and Pulsox 3001 DS 5 Contents FOR YOUR SAFETY AND THAT OF YOUR PATIENTS coat llo 4 NONI OW SU lso dla 4 Operas A tae intentas 5 SETTING UP A PULSOX 3 SERIES OR PULSOX 300 DEVICE PRIOR TO amp MAKING A RECORDING occcconcncncinconoooo 5 TEA aaa a faves consti ta ntabenais A E A G 5 Download a recording from a Pulsox 300 i OXIMELEL cccccscssesctsescssesescsscssessssessssssscsssesssesssssaseesaseasenes 6 Setup Dte and Mt e REENE OEE EE CIO OGY NINO OL diri eae esc pst Pedicle cue eal denies id aiii 8 Set p D ration of the TO COMING so serscsecs id 8 Dala File Operation Clear Memory Vania 8 Make the Recording crsa on cate aos 9 On return after the recording has been Made ocoocococcccnoconocanocononcconononconnanonnono
17. Definitions Pulse cutoff for analysis Select the cutoff value the level below which the data will not be included in the analysis Rise definition Enter the amount in bpm by which pulse rate needs to increase to constitute a rise Three possible rises can be calculated To enable the calculation of definitions 2 and 3 tick the boxes left of Rise definition 2 and or Rise definition 3 The default Rise definition 1 is 6 bpm Plot Options Maximum time to plot Select the value used as the maximum value for the vertical axis of the pulse rate frequency graph Auto adjust frequency graph Set the vertical axis to automatically adjust to the maximum rather than using the Maximum time value o Plot Pulse mean DS 5 Plot on the chart screen the mean value the mean value calculation excludes values below the Pulse cutoff for analysis Analysis Setup Rise Definitions Pulse cutoff for analysis Rise definition 1 V Rise definition 2 I Rise definition 3 Analyse Analysis Setup Pulse Rate Results of applying new parameters Report Sp02 Pulse Rate Graph a n 7 rs Frequency Graph Maximum time to plot 02 00 00 V Auto adjust frequency graph Chart Screen V Plot Pulse Mean Results of applying new parameters Rises Rises Hr Mode Reload Apply Apply Test and display the analysis immediately these results are only visible not saved Reload For reinstat
18. Hesots Single hannel Maker ote Wes simae hanne Maker akow Makee Shot Arnott Marker Select Marker Markers to numerically enter new All Channel markers e g from a patient diary and existing ones to be edited and annotated Markers previously entered graphically can also be annotated and edited Start End Annotation New Marker Date Time start e4 05 2005 20 57 41 Cancel End 24 05 2005 20 57 41 FO Annotation bpm 150 140 Marker Markers New Marker Select Marker Goto Previous Next options when there are markers already inserted use the Marker Show Markers to show or hide markers with Marker Show annotations for annotations Select the right hand mouse button when in normal viewing mode no Marker insert selected to numerically edit or delete both All Channel and Single Channel markers OR 242052005 21 20 42 24052005 21 20 54 27 DS 5 Events On the Ruler after an analysis has been performed the events which have been detected can be seen A a AA LS E 7 40 2 01 Chart screen Ruler In the example above the desaturations are shown in red and the pulse rate rises which were analysed later in blue below the desaturations on the ruler om On the Chart screen select Event Insert Edit Events or the toolbar icon to mark or edit analysis events Events appear after analyses shown as horizontal bars below the appropriate channel and can b
19. Report Contents Select the pages to be included in the report Report Sub Heading Enter the hospital or clinic details telephone etc for printing on the Report Line 1 is printed in a larger font Tick Show extra patient details on report to show on the Patient Details the values entered alongside the defined labels in the Extra Patient Details sheet Report Options Plot graphs using channel colours Select by ticking un tick for black amp white printers Hours to plot per page Selected channels are those selected in Analysis Setup Graph Select Plot Channels window DS 5 Report Markers Select Full Study Within Markers or Outside Markers Within Markers and Outside Markers are effective only if user insert markers Analysis Setup Report Sp02 Pulse Rate Graph Report Contents Report Sub Heading Markers IV Analyse Sp02 Hospital name C Full Study e Sleep Study Daytime Department name ts C Within Markers Analyse SpD2 Sleep 80 dips Outside Markers iV Show extra patient details on report V Analyse pulse rate Walk Test V Summary Page le Sleep Study Daytime Patient Details IV Plot selected channels Plot selected channels 12 24 hours 12 hours 24 hours Report options I Plot graphs using channel colours Hours to plot per page selected channels 112 Reload Analyse Analysis Setup Report SpO2 Analysis Setup Dip Definition
20. a different format jeg Look in Daa vr O e Ed Channels to save E minolta3i Time Data 5 pulsox 3001 Channels Sampling l sec x Pulse 1 sec File name Default TXT Files of type las Cll text files txt e Markers and Continuity e Full Study Home Cancel File Export List Files of Type e ASCII or text format arranges the data in columns according to channel separated with a single space The first part of the file forms a header see below the first few lines depending on how many channels were saved contain information about each channel chan1 is the data in column one chan2 column two and so on Chan 1 Saturation Sampled at every xx seconds Chan 2 Pulse Sampled at every xx seconds 97 00 86 00 97 00 85 00 A 97 00 86 00 etc Following the header is the actual data the number of columns will vary depending on how many channels were saved Alarm mark is attached to each data Light improper data precision not guaranteed O o o sp Low perfusion data precision not guaranteed Artefact SpO2 range under data precision not guaranteed Pulse rate range under data precision not guaranteed Pulse rate range over data precision not guaranteed Pp Artefact C a e DIF Data Interchange Format commonly used in spreadsheet programs such as Microsoft Excel e European Data Format usually has a rec extension and was defined by Ke
21. ages defined M1 to M5 To apply a montage Click the montage icon M on the Tool Bar highlight and click the required montage Select Edit Edit Montages to edit a montage The Montage tab shows the montage 1 5 currently being edited The current definitions are retrieved and displayed in the dialogue box The right hand side values Heading etc are those of the highlighted channel Montage ax Montage 1 Montage 2 Montage 3 Montage 4 Montage 5 Montage title View selection and order Montage 1 ARTE Overlap channels Ex Pulse Interval Full Study hd iets Minimum Current l Edit Edit Montages e Clicking the Current button loads the settings from the currently opened screen into the selected montage e Clicking Save causes the montage to be validated and then saved Cancel abandons any changes and closes the dialogue box Note The Montage data is saved to Montage ini 26 DS 5 Markers Select Marker Insert All Channels Marker or its toolbar icon to mark with the mouse cursor click drag and drop periods for inclusion or exclusion from saving export and analysis Select Marker Insert Single Channel Markers or its toolbar icon to mark periods on a single channel Marker Analyse Window Help Markers re Inzert All Channels Marker ra Insert Single Channel Marker Ju y gt 7 a oto Previous AlEhannele Maker oto Het ranas Maker oto
22. and Editing To change the patient name stored with the current recording as displayed on the top of the Chart screen choose Edit Patient Details which gives a four tab dialogue box the first tab showing Patient Details Edit patient details Patient Details Walk Test Medical Details Extra Patient Details Surname Smith Firstname John Title Mr Date Of Birth 9 12 1967 Age 140 Height m 11 75 Weight Kg 50 00 Sex e Male Female Patient ID Number 112345 Neck Size 50 00 cm 11969 inches Epworth score fo Address1 Honeysuckle Cottage Address2 Main Road City Oxford County Oson Tel Home 01865 123456 Post Code ZIP 0x2 7TY Tel Work 01865 234567 Comment m Fixed Form Selection This is a frequently used comment Comment Frreform comment patient specific Input Number of times changed 5 Date last changed 21 07 2007 Cancel Edit Patient Details Patient Details Fixed Form Up to 40 characters are available for the Surname A predefined comment can be entered using Comment Selection Plain text may be entered in the Comment Input box whenever the dialogue box is opened Body Mass Index is calculated from the metric Height and Weight data A subset of this data appears in the Details yellow box in the Open box Click on the Fixed Form button to amend the ten available predefined fixed form comments Save using the Save button The surname is t
23. ation E Data Konical inolta D 5 54 04 74 rOWSE File Name la32305061 4451 dat Patent Information Download Channels Surname i Oxygen Saturation lf Pulse Rate ID Number PO Details Auto print report after downloading Report Setup Auto create PDF report after downloading Auto create patient information file after downloading Download Pulsox 300i Series dialogue box with several recordings on the recorder file 2 chosen and an automatically generated filename The Download Pulsox 300i series dialogue box will then show the recordings on the recorder To download recordings from the recorder into the computer e Highlight the file using the left mouse button e Click on the Download button Show All Files Hide Short Files Button Short recordings of less than 300 seconds duration may be hidden from view or shown with this button File Selection Highlight one or more recordings You can select two or more recordings by pressing the lt Shift gt or lt Ctrl gt key simultaneously with the left mouse button Note If you select two or more recordings DS 5 will automatically merge the recordings into one file with zero values added to fill the gaps between the recordings These files may be very large up to 14 days so if you do not want to merge recordings they should be downloaded one at a time Location of downloaded file Browse Location of downloaded file shows where the selected recording will be saved
24. aved by this action but it is not deleted from the recorder The number of times a file has been downloaded is shown After the data has been transferred the first few minutes will be shown on the Chart Screen After downloading the data or selecting Cancel the Pulsox 3 series device is switched off If the user wishes to carry out another task it must be switched back on Set Clock Clicking on the Set Clock button will start the oximeter clock setting firmware Upon successful connection a year starting with 97 by default will blink on the LCD screen of the oximeter and the set clock dialogue box will be displayed on the computer SET CLOCK FOR PULSOX 31 Set Clock Dialogue Box 42 DS 5 The text between the UP and DOWN buttons indicates the item of choice initially this is Year These date time items are in sequence Year Month Day Hour Minute Changing a date time item To increase or decrease an item click the UP or DOWN buttons The values will be shown on the oximeter LCD screen Where there is more than one date time item shown on the LCD eg month and day the value of the chosen item will be shown flashing Moving to the next date time item Click on the button labelled with the next available date time item to be moved to The new values become valid after the Finish button is clicked Previous time and dates set for existing stored recordings are not affected After clicking on Fini
25. d the default location of the file is indicated A different filename may be entered and the location may be changed with the Browse button Surname ID Number You may enter the patient surname ID to be saved in the file If you leave the patient name field empty it will automatically be saved with a blank patient name which could lead to problems in locating the file in the future Details This gives access to a dialogue box to allow patient details to be entered See Patient Details section for the details Download Channels Choose the channels to be downloaded by marking the check boxes Auto print report after downloading You may select auto print report after downloading to download analyse and print the report in one operation Auto create PDF report after downloading You may select auto create PDF report after downloading to download analyse and create the PDF report in one operation Auto create patient information file after downloading You may select Auto create patient information file after downloading to download analyse and create the patient information file in one operation Report Setup After downloading you may use the Analysis setup dialogue box to define the parameters used in the analysis See Analysis Run an Analysis and make a Report section for the details Downloaded When the OK button is clicked the highlighted recordings will be transferred to the computer The data is s
26. e added or modified by the user Select Event Display edit event definitions to view edit add event definitions Event Definitions Event Name Add Exclude from Event A Events analysis Colour Available Channels Dip E Rise irtefact Event mark Probe not connected Light improper data precision not guaranteed Light improper impossible to measure r Delete Low perfusion data precision not guaranteed Low perfusion impossible to measure High perfusion impossible to measure Spo2 range under data precision not guaranteed Pulse range under data precision not guaranteed Pulse range over data precision not guaranteed Print on Plots 8 gt o 2 o o o o o gt NT JN JN Cancel Event Display Edit Event Definitions To create a new event type enter an event name and click on the Add button This new event will appear in the Events box and it should then be highlighted and associated with one of the Available Channels by crossing the appropriate box The Event Colour may be chosen lt can be included or removed from the default set by clicking on the Delete button s O Pq A Y DS 5 Sample Pulsox 300i dat Ja o x 8 File Communication Edit view Event Marker Analyse Window Help Saa El alal els el QT alas 8 la 1 ene A ae ee ee ANA er SpO2 Spo2 100 Interval 00 20 00 06 01 2005 Events marked under the channel on the Chart scre
27. e box allows navigation e Patient Information Files to combine click gt gt button to list files to be combined Click lt lt button to remove files from combined file list e Combined Filename the filename for the new file is automatically generated by the program and is created using part of the filename of the first file selected A different filename may be entered Group Auto Operation It is possible to operate on one or more files at a time Group Auto Operation Pulsox 300i Walk Test C Sort by Name C Sort by ID Number Sort by Date Patient Name Patient ID Start Time Start Date Duration o Respiratory Failure 17 06 36 20 12 2006 Zone o Walk Test 12345 15 08 31 14 12 2006 00 13 50 o Sleep Apnoea 12345 20 57 41 24 05 2005 08 00 00 o Sleep Apnoea 12345 22 31 00 26 11 2001 07 35 15 Y Show details EE V Patient name first A i Pulsox 3i Sleep Apnoea 9 Show Titles Pulsox 300i Respiratory Failure f Show Files Pulsox 300i Sleep Apnoea Home Print Report Analyse amp Dump Info PDF Report Cancel File Group Auto Operation 35 DS 5 e Files select the files you want to operate on by clicking on the first file and then whilst holding the Ctrl or Shift key click on the other files e Print Report analyse one or more files and print reports e Analyse amp Dump Info analyse one or more files and send joint patient information to the spreadshe
28. een set these values will appear in the startup sequence followed by the F File number of the current recording Then A flashing C indicates that no probe is connected A flashing L or P indicates that the light or pulse signal is low If the low battery warning appears new batteries should be inserted before continuing The manual warns that replacement of the batteries must be completed within 5 minutes otherwise the measurement values and preset date time will be lost Downloading Data Pulsox 3i connected to The drop down list shows the available COM or serial ports Select the communication port to which the device is connected with the down arrow Choose Download Set Clock or Clear Memory See sections following Downloading Data for Set Clock and Clear Memory Download Pulsox 3i Pulsox 31 connected to COM Set Clock Clear Memory Make sure the Pulsos 31 and the interface have both been switched on and the Pulsox 31 has finished its startup test Cancel Download Pulsox 3i dialogue box 40 DS 5 On successful connection the LCD screen of the Pulsox 3i will display F out and the information about recordings made is sent to the computer Download Pulsox 31 File Date Start Time Length hh mm 05 05 05 2007 04 05 08 2007 03 05 05 2007 j 05082007 01 01 01 1397 Hide Short Files File Ho Save As Location of downloaded file C Documents and Setting
29. en 28 DS 5 om Click on the Insert Edit events icon to show the events as bars over the Chart which can be edited using the mouse E i pie List 1 dati mika haa 225 aae 2 File Communication Edit View Event Marker analyse Window Help LE ARS Spo2 Spo2 ll ni jji Dip bpm Pulse Rise Hope I tk 4 50 4 55 Interval 00 20 00 06 01 2005 a 49 31 ELA 01 43 18 700 111 1 Chart after the Insert Edit events icon has been clicked The event information yellow box appears when the mouse is positioned over the bottom bar of an event and held steady The events can be moved or their boundaries altered using the left mouse button dragging and dropping or deleted using the right mouse button on the main body of the event Insert Event Insert Event palette Dip highlighted for inserting into chart New events can be inserted in an area where there are no overlapping events by highlighting an event type on the Insert Event palette and marking them on the Chart with the left mouse button When events have been changed the data can be reanalysed with Analyse Display analysis using edited events 29 DS 5 Printing Print Window Select File Print Window to print the current page or Click on the Print Window icon in the toolbar The options in Print Setup are used and it is recommended that you check these first Print Select File Print to print the current active document
30. est and highest 5 of the data also drawn on the plots e Time spent SpO2 lt 95 etc the period time interval and of analysed time e Time spent SpO2 lt xx as defined in Analysis Setup Parameters for Sleep Apnoea Index e Dips dips calculated from a moving baseline the required to constitute a dip may be defined by the user see above e Dips Hr number of dips analysed period in hours e Mean nadir mean of the lowest saturation level in dips e Min Dip SpO02 lowest saturation level in a dip e Delta Index a measure of variability in the data see below Delta Index This is an index of variability in the oximetry trace In the references oxygen saturation values stored at 12 second intervals from oximeters were summed and the absolute sum divided by the total number of samples was calculated as the Delta Index The oximeters used by the authors store the lowest value in the preceeding 12 second period unless it is lower than 80 of the mean of the rest of the values Lowest value rule For other oximeters the data is mapped to a 12 second rate using digital interpolation with the lowest value rule applied To the data points a lead in time of 12 seconds is used A second oximeter specific delta index using the sampling rate of the oximeter e g 5 seconds is also calculated References Levy P Pepin JL Deshaux Blanc C Paramelle B and Brambilla C Accuracy of Oximetry for Detection of
31. et DIF file or the ASCII text file e PDF Report analyse one or more files and create PDF reports Delete a recording analysis and Delete Workpad Click on the option File Delete to delete an opened recording or analysis or the toolbar icon Delete Recordings are sent to the Recycle bin from whence they may be recovered but analyses which may be recalculated are deleted irrevocably Properties Information about the recording Select File Properties to show information about the recording includes the Title name of the patient start date and time of the recording duration source averaging time and sampling rate of the different signals Properties Sleep Apnoea C Documents and Settings 4ll Users4pplication DataE onicalinoltasD5 54 047 44 Pulsox 300i Sleep 4pnoeal Pulsox 300i Sleep Aprioeal dat Start 20 5741 24 05 2005 Duration 08 00 00 Source Pulzox 3001 Channels Saturation sample every 1 seconds Pulse sample every 1 seconds File Properties Window Menu e Select the Cascade option to arrange opened documents recordings or analyses so that their title bars containing names are visible e Select the Tile option to tile vertically opened documents recordings or analyses so that they are visible see below 36 DS 5 WDSS Jog File Edit View Analyse Window w x QQ Gar e Analysis Display Summary Sample Piko Aralsk Report SpO2 Aras b Patient Name Sample Ind
32. ex Number 12345 Date of Study 06012005 Start Time 3 06 12 Duration 04 51 33 Window Tile e Select the Arrange Icons option to place arrange the minimised documents as icons into rows at the bottom of the current screen e Select the Close All option to close the open documents a save dialogue box will appear for each unsaved one List of opened documents This section in the Windows menu displays the open documents in the order they were opened with the active document ticked Gnalyse ih vs an Cascade E Tile rrange Icons Close All 1 Respiratory Failure Pulsox 3001 Respiratory Failures dat 2 Sleep Apnoea Pulsox 3001 Sleep Apnoea dat 4 3 Walk Test Pulsox 300i Walk Test dat Window choices 37 DS 5 Standards Safety and effectiveness For use following consultation with a physician The accuracy of the software is dependent upon the conformance and correct operation of the device as detailed in the operating manual Indications for use DS 5 is a software programme which provides clinicians with the ability to collect edit and analyse trend data made by devices It retrieves data recordings and provides general functions that are not intended to diagnose any specific disease DS 5 may be used to retrieve the stored results of the measurement by the device during patient monitoring User Responsibility The user of the product has the responsibility for the correct installation and
33. g box appears before the memory is cleared DS 5 CLEAR MEMORY WARRING Do vou want to clear the Pulsox S00l s memory ALL data on it will be deleted Do wou wish to continue Cancel Clear Memory warning box e Clicking on Yes will delete all data from the recorder Make the Recording Normally at this point the recorder is removed and attached to the patient For this follow the instructions in the Device Manual On return after the recording has been made When the device is returned from the patient you are ready to copy or download the recorded data into the computer Restart the program Click on the Communication menu or click on the Download icon appropriate to the device in the Toolbar Connect the recorder using the USB interface The dialogue box with items in black shows that communication with a recorder has been established as shown in Download Pulsox 300i dialogue box when the Pulsox 300i is turned on Data File Operation Download To download the data first click on the Download button DS 5 Download Pulsox 3001 Series Pulsos Ho 7 File Selection File Date Start Time Length Downloaded Hide Short Files 06 08 09 2006 OOhS1 rl Os 05 05709 2006 DORA mi 3s 04 27 06 2006 OO0h2omrs3s 03 1040872006 OOhOOme25s D2 25 067 2006 OOhOOrn1 3s 01 2240672006 OOhOOm02s File Ho 2 Save As Location of downloaded file C Documents and Settings4ll Users 4pplic
34. gue box to define the parameters used in the analysis See Analysis Run an Analysis and make a Report section for the details Downloaded When the Download button is clicked the highlighted recordings will be transferred to the computer The data is saved by this action but it is not deleted from the recorder The number of times a file has been downloaded is shown After the data has been transferred the first few minutes will be shown on the Chart Screen 11 DS 5 Viewing previously downloaded data e Click on the file open icon e The Open dialogue box shows the recordings which are stored in the data directory TIP If it does not show the Data directory in the Current Open Directory use this drop down menu to navigate around the computer e Highlight the required recording the yellow box will show some identification data that has been entered about the subject and click on Open or double click on the patient name to open it to the Chart Screen Drives Fol Show amp Sort Recordings gt Patient Name Patient ID Start Time Start Date Duration Pulsox No o Sample 03 06 12 06 01 2005 04 51 38 1 o Minolta3i 20 10 00 19 04 1997 07 45 04 Available Recordings ers V Show details Data E V Patient name first X O minolta3i Show Titles 5 pulsox 300i C Show Files C Sort by Name C Sort by ID Number Sort by Date C Sort by Pulsox No Curren
35. he name displayed in the title bar It is updated in the Open dialogue box after being saved 22 DS 5 Walk Test Using the second tab enter the Borg Scale for dyspnoea and fatigue measured at the start and end of the Walk Test the supplemental oxygen used and distance walked Edit patient details Patient Details Walk Test Medical Details Extra Patient Details Borg Scale Baseline Dyspnea Fatique f1 Very slight y 2 Slight light y End of Test Dyspnea Fatigue f5 Severe Heavy l 7 Very severe y Supplemental oxygen flow during the test 1 0 L min Total walking distance 234 rm Edit Patient Details Walk Test Medical Details Using the third tab enter Medical Details ie Referring Physician Health Authority GP details 23 DS 5 Edit patient details Patient Details Walk Test Medical Details Extra Patient Details Referring Physician Dr Fred Evans Health Authority s DOxorl GP Name Simon Young GP Address1 The Surgery GP Address2 Bletchingdon Road GP City Oxford GP County Oxon GP Post Code ZIP 0x5 8TY GP Tel 101993 456789 Number of times changed 6 Date last changed 2007 04 20 Fixed Form Edit Patient Details Medical Details Extra Patient Details The fourth tab Extra Patient Details has 12 boxes with configurable text lines set in Edit Label details Here the configurable text are Adverse Effect
36. iew analyse report and print data recorded by these devices Inherent in its design is the capability to review or fully disclose the raw data obtained DS 5 can only deal with the stored results of the measurement by the device It does not influence the measurement it is reviewed after the fact and has no direct relevance to patient safety DS 5 OPERATION Windows 7 Windows 7 and Windows Vista has replaced C Documents and Settings All Users Application Data folder with C ProgramData If you are not able to see the C ProgramData folder go to folder properties and enable show hidden files and folders Setting up a Pulsox 3 series or Pulsox 300i device prior to amp making a recording Follow the instructions for use in the Device Manual In particular prior to making a recording set date and time recording requirements and delete any existing recordings as indicated below Starting the DS 5 Programme e Choose the DS 5 icon on the desktop or DS 5 from the Start Programs menu KONICA MINOLTA Download Pulzo 3001 seres Data Analysis Software 2010 ana KONICA MINOLTA SENSING INC This program is protected by international copyright laws Initial Splash screen as programme opens DS 5 Y DS 5 Joey K Download Pulsox 3i series Download from this device DS 5 showing shortcut icon to Download the Pulsox 3 series devices _ aaa _ _ _ _ _ _ _ _
37. ing the Pulse Rate analysis setup defaults Rises Number of pulse rises defined in Rise definition 1 Rises Hr Number of pulse rises divided by the time in hours Mode Full Study Within or Outside Markers 18 DS 5 Graph Graph contents Select the channels to be plotted and their lowest and highest values Analysis Setup Report Sp02 Pulse Rate Graph Select Plot Channels Set Y axis Scale Sp02 Pulse Rate Analyse Analysis Setup Graph Reload Cancel 19 DS 5 Analyses There are two plots shown on the analysis pages On the left is the Interval Frequency Histogram the vertical axis is set in Setup either as a fixed value e g 2 00 00 hh mm ss or as auto adjust On the right hand side is a Cumulative distribution graph The horizontal axis of the saturation graph and the horizontal axis of the Pulse Rate are set in the Analysis Setup Graph dialogue box Analysing data General parameters for saturation and pulse rate analysis e Mean the average of the analysed values e Median the value below which 50 of the points fall e Duration Duration of the Full study e Marker Mode either Full Study Within or Outside the Markers e Analysis Interval Duration of the full study within or outside markers e Total time analysed for the time interval which has been analysed for Parameters for SpO2 Analysis e 5th 95th percentile the low
38. mp et al 1992 A simple format for exchange of digitised polygraphic recordings E amp Clin Neurophysiol 82 1992 391 393 http www hsr nl edf edf_spec htm e Directories shows the directory where you will store the new file e The box allows navigation e Channels check one or more channels e Markers lf there are no markers Within markers and Outside markers will be greyed If markers are present select to save the data for the Full study Within markers or Outside markers If you select Within markers and there is more than one marker present the data between markers will be padded with zeros If you select Outside markers the data within the markers will be padded with zeros 32 DS 5 e Continuity normally each data record represents a discrete time interval and time can be calculated using a simple count of the records however if you export data from within markers or outside markers there will be gaps in the data Continuity deals with these gaps the Keep time option means that the gaps are filled with zeros and thus the time interval is kept the Lose time option means that the gaps are not filled and thus the time interval is lost Import IT IS RECOMMENDED THAT THE ORIGINAL DAT FILE BE BACKED UP BEFORE USING THIS OPTION Select Import to import data into DS 5 The data should either be a text file or a DS 5 file For text files the following format is required Dd mm yyyy Hh mm ss RECS_PER_SECOND or SECON
39. nnconenon non nonon con ronca cinonninoo 9 Data File Operation DI a 9 Viewing previously downloaded Aala scsscescessessesssssssssssscescessessssssssasssssaesssessesassassassassasensessassaseasess 12 vewng Me Chart Soreeh aea a a ees 13 NE 14 Showing the SpO2 dips and Pulse Rate riSES ococcooiociononcocononccanenonconcancnnononnonnonon ocn rononconcnnon conca 14 Changing the Compression Method c cccccccscessssecessssescsssssesssssscessssescsssesssaseesseessessaseesssasessaseaseesates 14 A ses aes Sarees A A dee neste meonea ie sesdine deoeeeeecem tee aooees 14 ANALYSIS RUN AN ANALYSIS AND MAKE A REPORT sssessssssesssseseecseeseesssensecessensesanseeaesaesenaesansenscsenseeasees 15 Analysis Customs alot torreta 15 A e EET O EA EA 15 POLARIS SOUD seirena E a ai a AE EN 16 PUSE RIE ANANVSIS SOU Da a Ne 17 A cn cee acts fp eet he cts A A gue cee T cote tease 19 A et ce endl neta redeemed A 20 PAV SUNN AA yeei ler rnin ss lle tet alana A hae uta eat igs eo hasta NE E T E ANS 20 TTS FAIA SIS Seras 21 1410 0G glee 9 OAN o mete ener ek eee are E ont ee eee eo eae 21 ADVANCED ERES iio 22 Patient Details Entering and Editing cti a A A A 22 Eding the Label aen iii 25 MONTAGE teases sti A O Lt he 26 AAA E n ed a ceent len tea aden lon dade a len dees sesh 27 EVE Ie ono o A E E seas needa ated E dh T E teal ea 28 A alec Nace ce T tbe set cep E de tic tase ose eee casa os eee eee 30 A A a rT oe eer ee 30 PIE
40. nts etc It is associated with a recording but is saved separately Workpad files have extensions wp0 wp1 etc Save To Save after a change has occurred click on File Save Save As Use Save As to save all part of a currently open file as another file SaveAs ax Title Sample Channel to save New File dat Look in Data y es Fe minolta3i O pulsox 300i Markers Full Study pa Home Cancel File Save As Title Enter a new patient name if required New File delete the asterisk before dat and insert the new filename If you select a filename of a file that already exists you will be prompted to overwrite the existing file with the current file Directories shows the directory where you will store the new file The box allows navigation Channels to save check one or more channels Markers If there are no markers Within markers and Outside markers will be greyed If markers are present select to save the data for the Full study Within markers or Outside markers If you select Within markers and there is more than one marker present the data between markers will be padded with zeros If you select Outside markers the data within the markers will be padded with zeros Export To export data or a subset of the data in a format that can be used in a spreadsheet or another analysis package 31 DS 5 Export data from the active Window to
41. race Exclusive shows the trace exclusively Parameter allows numerical manipulation Fit To Scale uses the raw data rather than the data as viewed in the current Method Navigation through the recording as Move through the recording page by page using the Page Right or Page Left icons ala in the Tool Bar or by clicking on the right to go forward or left to go back on the trace The Pan icons 7 through the trace at the page display duration set in menu item View Page Pan Rate step Display Mode The display mode can be changed by several means I e For a different Interval time scale click on the Interval icon in the Tool Bar e To see the whole recording click on the Full Study in the Tool Bar e For a different amplitude use the mouse right hand button highlight and choose Amplitude to change the vertical axis by moving the cursor s or choose Parameter to set the values numerically Amp is the value at the top of the axis Offset is that at the bottom The user may wish to take advantage of the ability to create Montages combinations of screen position amplitude range colours etc for favourite repeated use Choose M on the toolbar to use one of the 5 default montages These montages can be changed and saved using the menu item View Edit Montages To show a grid select View Show Grid change colour of lines with Edit Gridlines colour Showing the SpO2 dips and Pulse Rate rises Selec
42. s Sp02 cutoff for analysis Select the cutoff value the level below which the data will not be included in the analysis Dip definition 1 2 3 Enter the saturation dip in value greater than which the oxygen saturation needs to drop from the last peak value to constitute a dip To enable the calculation of definitions 2 and 3 tick the boxes left of Dip definition 2 and or Dip definition 3 Frequency Graph Maximum time to plot Select the value used as the maximum value for the vertical axis of the frequency histogram plot Auto adjust frequency graph Set the vertical axis to automatically adjust to the maximum rather than using the Maximum time value Chart Screen Plot SpO2 mean Tick this option to plot the mean value as a dotted horizontal line on the chart screen the mean value calculation excludes values below the Cutoff point Other e Time spent SpO2 lt xx Tick this option to calculate the time under a required value e Moving Average Time Set the period over which the SpO2 is averaged Moving average can be applied for Pulsox 300i only Moving average is not applied to calculating sleep apnoea index Select Display e ODI Displays ODI Oxygen Desaturation Index results on analysis plots e BMI Displays BMI Body Mass Index results on analysis plots 16 DS 5 e Delta Index Displays Delta Index on SpO2 analysis Sleep Study report Dip Counting Method Set the times used in the analy
43. s Sleep disruption etc Edit patient details Patient Details Walk Test Medical Details Extra Patient Details Custom Label 1 data 1 Custom Label 2 data 2 Custom Label 3 data 3 E dit Label Edit Patient Details Extra Patient Details DS 5 Editing the Labels In the Edit Patient Details Extra Patient Details Edit Label button enter your own labels The new labels may be applied to the current recording file and become the default if changes are saved on exit from the recording It is also accessible by Edit Label Details Label Details Fixed Labels Surname Address Linet Health Authority Comments Firstname Address Line2 Referring Physician Title City GP Name Date Of Birth County GP Address Line Age Post Code ZIP GP Address Line2 Height Tel Homework GP City Weight GP County Sex GP Post Code ZIP ID Number GP Telephone Necksize Epworth score Definable Labels New Label Field New Label Field Custom kabeli 0chi fbchars Custom Label 20 chars 20 chars CustomLabel3 20 chars lt 20 chars 20 chars 20 chars 20 chars 20 chars 20 chars 20 chars Apply To File Cancel Edit Label Details DS 5 Montages The Chart screen can be changed to have traces with different combinations of screen position amplitude range colours etc by choosing a Montage There can be five mont
44. s 4ll Users Application p DataskoncaMinoltas 0S 550A TA OWS e File Hame Patient Information c Download channels urname i Oxugen Saturation ID Number Details W Pulse Rate Auto print report after downloading Report Setup Auto create POF report after downloading Auto create patient information file after downloading Download with several recordings on the Pulsox 3i recorder Show All Files Hide Short Files Button Short recordings of less than 300 seconds duration may be hidden from view or shown with this button To download recordings from the recorder to the computer File Selection Highlight one or more recordings You can select two or more recordings by pressing lt Shift gt or lt Ctrl gt key simultaneously with the left mouse button Note If you select two or more recordings DS 5 will automatically merge the recordings into one file with zero values added to fill the gaps between the recordings These files may be very large up to 14 days so if you do not want to merge recordings they should be downloaded one at a time Location of downloaded file Browse Location of downloaded file shows where the selected recording will be saved on the computer By default this is the program data directory To change where the file will be saved click the Browse button and select a folder or create a new folder File Name 41 DS 5 A unique File Name is automatically generated an
45. s been established e Setup and Data File Operation allow setting of the recorder parameters and data etc Setup Date and Time e Click on the Set Clock button in the Download Pulsox 300i dialogue box e The Set clock information box shows the data and time obtained from the pc DS 5 Set Clock For Pulsox 300i Series Date amp Time Year Month Day Hour Minute Second 2005 11 23 10 38 58 Set Clock information box e Click on the Set button to send the information to the recorder Setup Body Number e Click on the Set Body No button in the Download Pulsox 300i dialogue box Set a Body No for a Pulsox 3001 Series Cancel 1 50 000 Set Body No dialogue box e After the device has been interrogated a dialogue box will show the Body No which can be changed and Set Setup Duration of the recording e Click on the Set Auto Power Off Time button in the Download Pulsox 300i dialogue box Set Auto Power Off Time for a Pulsox 3001 Series Auto Power OFF Time Hour Minute 0 0 00 30 40 00 Cancel Do not set auto power off Set Auto Power Off Time dialogue box You may choose the duration of the recording from switch on To disable this feature tick Do not set auto power off Data File Operation Clear Memory NOTE It is normal to start a new recording with the memory cleared deleted Click on the Clear Memory button in the Download Pulsox 300i dialogue box A warnin
46. sh the Pulsox 3 series device is switched off If the user wishes to carry out another task it must be switched back on Clear Memory Clicking on the Clear Memory button and selecting the YES button in the warning dialogue box that follows will delete the oximeter memory The oximeter LCD will display for a second before the power is switched off 43
47. sis Results of applying new parameters Dips the total number of desaturations defined in Dip definition 1 Dips hr total number of desaturations divided by the analysis period in hours Mean Nadir the mean of the lowest values found within each dip Mode Full Study Within or Outside Markers Apply Test and display the analysis immediately these results are only visible not saved Reload For reinstating theSpO2 analysis setup defaults Analysis Setup Report Sp02 Pulse Rate Graph Dip Definitions Frequency Graph Results of applying new parameters SpD2 Cutoff for analysis 24 Maximum time to plot 2 00 00 4 gt 3 gt 2 CE 4 Dip definition 1 Y Auto adjust frequency graph the 30 64 153 IV Dip definition 2 3 Dips Hr 125 267 638 V Dip definition 3 2 Chart Screen Mean nadi 89 47 9045 91 86 iV Plot Sp02 mean Time spent SpD2 lt a8 Moving Average Time Pulsox 3001 only not applied to calculating sleep apnoea index Mode Full Study Select Display fe 3 sec gt sec M 0D v BMI 7 Deltalndex 6 sec 24 sec Dip counting method Sp02 drop gt a a dip definition SpO02 rise gt b b rise after drop b a pazzi Appl Pply cl lt actual time for drop lt c2 cl Minimum time to drop in seconds 14 c2 Maximum time to drop in seconds 1120 actual time for rise lt d d Maximum time to rise in seconds 20 cos Analyse Analysis Setup SpO2 Pulse Rate Analysis Setup Rise
48. t Open Directory Home Search Surname Find ID Number Cancel N Search System The Open dialogue box There may be a cross a filled circle or a dash in front of the Patient names in the Files box o indicates that there is no saved analysis file for the recording Patient Name np indicates that an analysis of this recording or markers has ve e Pulsox 3 been made and saved as a Workpad file qp gt ample appears in front of a subject with a Workpad analysis es which e Samples WorkPad File 1 follows preceded by a o sample WorkPad File 2 Double clicking on a cross will display saved Analysis or Workpad files for this patient and the cross becomes a dash Then select the required analysis workpad NOTE Opening a workpad file will also open the corresponding recording 12 DS 5 Viewing the Chart screen When a recording is first opened whether after download or in Review the first interval will be shown on the screen Title Bar Patient Name DS 5 Sample Pulsox 300i dat D Eg Menu Bar a File Communication Edit View Event Marker Analyse Window Help Toolbar sam E JARA als 2 alate lel GUE eae PEE Ruler o Di 5 00 9 00 Spo2 Spo2 63 20 100 90 X 50 Display Area Chart Window de bpm Pulse 66 00 150 140 120 100 50 60 50 5 00 7 00 Status Bar e Interval 04 51 38 06 01 2005 5 30 54 ELA 02 32 42 0 63 5 Pack 24 303 Length of
49. t the Toolbar icon to show the dips and rises as previously defined see the Analysis section Changing the Compression Method It is not possible to display all the recorded data points if a long time interval is displayed on the screen One point on the screen called a pixel will represent a package or group of data The pack rate shown in the Status Bar indicates the number of data points represented by one pixel The different ways to represent this package on the screen are Sample displays the first value of each package Mean displays the average of all the values in the package Minimum displays the lowest value in the package Maximum displays the highest value in the package e MinMax displays the lowest and the highest values in the package e Envelope displays a line joining the lowest and the highest values in the package The Method can be changed for an individual channel with the right mouse menu item Parameter Revert Go back to the way the recording appeared originally by clicking on the Toolbar icon M and then O Original montage at last save DS 5 Analysis Run an Analysis and make a Report lf the recording is acceptable throughout the next task is to analyse the data and print a report However there may be periods that you wish to exclude for which see the Markers section below Analysis Analyses are selected in the Analyse menu or with certain icons eg to make a
50. ta DS 5 Data Pulsox 300i Sleep Apnoeat Pulsox 300i Sleep Apnoea1 dat Sleep Apnoea 12345 M 040 01 57 80 00 32 46 50 00 10 Address1 Address2 London UK 123 45 111 1111 222 2222 Comment 1 Comment Mr H Dr P Dr G Address1 Address2 New York USA 123 45 333 3333 0 2005 05 24 20 57 41 08 00 00 Label1 Detail1 Label2 Detail2 Label3 Label4 Label5 Label6 Label7 Labels Label9 Label10 Label11 Label12 Full Study 08 00 00 07 29 17 00 30 43 00 30 37 25 00 00 06 0 4 420 20 12 91 62 92 70 81 50 97 60 4 525 65 64 84 72 3 536 67 01 84 85 2 551 68 89 85 08 62 90 0 36 52 4 43 5 89 1 lt 88 01 33 11 20 74 05 03 33 67 56 02 23 39 31 97 00 44 49 9 98 00 17 45 3 95 00 07 19 1 63 00 01 40 0 37 00 00 00 0 00 00 00 00 i 0 00 Full Study 08 00 00 07 29 17 00 30 43 IHAA AA AmI IAEI AAR AA AAI WA A1 SWA AA Ai AA y WA IEA AAN 4 moma MM AM AAI IA AA 1 Comparison between the patient information file of DS 5 Ver 1 and DS 5 Ver 2 DS 5 Ver 1 DS 5 Ver 2 SpO2 Time Analysed Total time analysed for SpO2 SpO2 Total time missed Total time analysed for apnoea index Pulse Time Analysed Total time analysed for Pulse Rate Pulse Total time missed Total time analysed for Pulse Rises 39 DS 5 Appendix B KONICA MINOLTA Pulsox
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