 |
 |
|
| |
;)
|
| ECG LEAD CONFIGURATION The above is the Lead Placement menu that displays various suggested electrode location for the 7 electrodes. The 300-3 Mini-Holter is 25% the size of the standard digital Holter recorder from DMS. The 7-lead, 3 channel recorder reads-in at 1024 samples per second and writes-to memory at 512 samples. This read-in sample will make a pacemaker spike significantly improved for difficult pacemaker patients. The recorder’s very high sample rate also allows for diagnostic quality SAECG Late Potentials and Vectorcardiography to be performed from any part of the 24-hour Holter ECG.
Anytime during the electrode placement process or the 24-hour recording the ECG can be viewed using either a DMS isolation cable into the PC or laptop or using a Blue Tooth interface into the PC or laptop
|
;)
|
| PATIENT “ENROLL” PROGRAM This enhanced “enroll” program allows you to enter the patient’s demographics prior to the patient being hooked up. When using the DMS 300-3 mini Holter recorder, simply plug the recorder into the download cable, enter the patient's information and all of the data will be written to the recorder's internal memory card. The data is stored directly to the 256MB memory that is in the DMS 300-3 mini Holter recorder. When the patient returns and the 24-hour data is downloaded, all the patient’s demographics download as well. This positively prevents any patient file mix-up.
The digital Holter recorders use 40, 48, or 64, 128 and 256 MB compact (mini) flash cards. Prior to the patient recording, the patient information is entered into the flash card. When the patient returns after the Holter recording is completed, the memory flash card is removed from the recorder, and inserted into the Holter playback system. The patient data is then automatically entered by the computer. The patient information data is displayed, so that the operator can validate the specific patient information. This capability provides security to the physician and patient, so that there will be no mix-up of memory flash cards and patient names
|
;)
|
| ST AND QT SET-UP Visual validation of proper sample points for ST and QT analysis are provided. These vertical colored markers can be moved to any location desired by the Holter operator. Any ECG baseline during the 24-hour recording can be selected for the ST/QT setup. ST, QT and Arrhythmia analysis are done on each channel individually.
The ST and QT beats are analyzed on a beat-to-beat basis for all beats except the ventricular and artifact beats.
|
;)
|
| PACEMAKER ANALYSIS The top of the screen shows a 60-second strip of all three channels. The green box is the cursor that indicates the enlarged 8-second strip shown below. To choose another 8-second strip from the minute, simple point and click on the area you desire and the cursor will move to that area and a new enlarged 8-second strip will be shown on the screen. The enlarged 8-second strip is the Pacemaker Setup Graph. Click on the first vertical line (marked S1) and drag it to a pacemaker spike. If dual spikes, place on atrial. If atrial or ventricular spikes, place on atrial. If ventricular spike only, place on ventricular. Click on the second vertical line (marked B) and drag it to the end of the QRS following the pacemaker spike. Click on the third vertical line (marked S2) and drag it to the spike immediately following the beat marked by the second line (B).
The Pacemaker setup screen allows you to enter the pacemaker type, firing type and upper and lower pacemaker limits.
|
;)
|
| DATA ACCESS MENU After the analysis is completed, the Data Access Choices menu is displayed. This menu allows immediate access to Edit, Page Scan, Mega Scan, ECG Strips, Hourly Totals, Report and Re-Analysis access.
This menu allows the Holter operator access to do many functions that do not exist
on most Holter ECG systems.
|
;)
|
| TEMPLATE EDITING The Template edit feature is the fastest and most efficient method in the Holter industry for insuring accurate counts of VE, SVE, and Aberrant arrhythmia beats. All abnormal beats can be instantly reviewed and edited for Pauses, fast HR 2:1 blocks, longest R-R intervals, ST Episodes, V-Runs, V-Pairs, V-Bigeminy, V-Trigeminy, VE's, SV-Runs, SV-Bigeminy, SV-Trigeminy, R on T, Min HR, and Max HR. This menu assures the Holter operator that the printed Holter ECG report will be accurate. This results from high quality screen displays that permit a review and, if needed, a quick change in any data that will end up in the final Holter ECG report.
With the new Histogram Edit feature you are now able to create a new category for arrhythmias, such as Ventricular Escape or Bundle Branch Block.
|
;)
|
| ABNORMAL ECG EVENTS All categories of Abnormal ECG events can be instantly displayed. For example, if there were 48 VE-Pair events, you can easily display 3-pages of these events. Within 10-seconds you can verify that all 48 VE-Pairs are accurate. If one or more of the displayed events is not a VE-Pair, then it can be immediately re-classified.
Any displayed ECG event can be immediately enlarged into a large 8-second ECG for detailed viewing. Any ECG beat can be immediately edited and/or re-classified.
|
;)
|
| ECG STRIP MENU Each time the patient presses the event button on the Holter recorder, a special signal is placed on the memory card in the digital Holter recorder. This ECG event is automatically displayed on this ECG Strip menu, and time is accurate within 1-second. The patient activity and symptom can be entered for each automatic ECG event, so that the patient activity and symptom is printed on the ECG strip. This menu also allows the Holter operator to select 1, 2, or 3 events from each Abnormal ECG category. Within 1-second, all of the Abnormal and Event Button ECG's are listed on the right side of this menu. Any listed ECG can be reviewed and, if desired, deleted. An ECG from any portion of the Holter recording can be added to this menu.
This menu also allows a 12-Lead ECG strip to be printed from any ECG listed on this menu.
|
;)
|
| 8-SECOND ECG DISPLAY This menu has many unique features that are very much appreciated by experienced Holter operators. The high resolution graphics gives a clear viewing of P-waves and Q-waves. The 1-minute ECG is shown at the top of the display. All arrhythmia beats are color coded in the 1-minute display. The PgUp and PgDn functions, with either the mouse or keyboard, slides the data instantly backward and forward in time. In less than 10-seconds the operator can see all the ECG data that is 5-minutes before and after the target ECG data. If needed, any ECG beat can be immediately edited. Simply move the mouse to an ECG beat and perform a right mouse click. Then a single command with either the mouse or keyboard will immediately re-classify the individual beat. A unique Ruler function allows the precise measurement of intervals and amplitudes. The measurement is printed on the ECG strip.
There is no longer any need for calipers. Simply click on the Ruler icon and perform any measurement using the ruler tool!
|
;)
|
| HOURLY TOTALS This menu is for Holter operators who choose to rely on Full Disclosure. Some users prefer to review each page of Full Disclosure, and then determine if any of the hourly counts estimated from viewing the Full Disclosure page need to be edited. |
;)
|
| PAGE SCAN Full Disclosure can also be viewed on the computer's screen display. The user can select a display of 10-minutes, 20-minutes, or 30-minutes. A rectangular box surrounds an 8-second ECG from any portion of the Page Scan display. The enlarged 8-second, 3-channel ECG is shown at the lower left corner. All beats are color-coded for VE, SVE, Pause, and Normal. The lower right section of the display shows the R-R interval graph for each beat of the minute in which the rectangular box is located. Each R-R interval is also color-coded. The mouse can also move the rectangular box to any location in the Page Scan. Also, arrow keys can be pointed at any single color-coded beat, and immediately edited.
At any time the user can instantly display the large 8-second ECG display for data shown in the rectangular box.
|
;)
|
| MEGA SCAN This menu correlates multi-analysis for any 1-minute of ECG data. The menu shows a 24-hour analysis on a minute-by-minute basis for the following types of ECG analysis:
The vertical marker can be instantly moved to any minute of the 24-hour trends. That 1-minute of ECG data is shown at the bottom of the display. On instant command the display can be converted to the large 8-second ECG display.
This menu allows the user to absorb instantly the inter-action and correlation of abnormal ECG events with several other ECG analysis functions.
|
;)
|
| REPORT MENU The user can select all or some of the report pages for the printed Holter ECG report. Each page of the report can be shown in the print preview mode. If Full Disclosure was not printed during the initial analysis mode, then full flexibility is provided for any selected Full Disclosure print-outs.
Physician Comments can be enhanced by the physician. A library of physician comments can be stored for quick insertion, whenever desired by the physician.
|
;)
|
| PRIOR PROGRAM This menu stores both the Holter Report for each patient, and the 100% ECG file for each Holter recording. Batch Printing of multiple Holter ECG reports is also accomplished with this menu. The Holter recording file is automatically stored into this program. If desired, the Holter ECG file can be deleted.
This menu also includes a Diagnosis search capability. For example, the physician or technician may label each completed Holter recording with various labels: such as; V-Tach, HRV, QT, ST, etc. At a later date the physician may want to do some research work on the QT patients. You would simply go to this Prior menu and type in QT and click on the search icon. All of the QT patient files, containing 100% of their Holter ECG recordings, would be retrieved.
|
;)
|
Requirements: Windows XP Operating system, 512MB RAM, 128MB graphics memory, CDR-W drive, 4 USB ports, 20Gig Hard Disk Drive Back to List |
©
Copyright 2005 dms-service LLC, All Rights Reserved
|