New Element Medical Equipment Technology Development WRM-XE REMOTE & MOBILE ECG MONITORING SYSTEM User Manual

Shenzhen New Element Medical Equipment Technology Development Co., Ltd. REMOTE & MOBILE ECG MONITORING SYSTEM Users Manual

Users Manual

1Table of Contents 1 BASIC INFORMATION....................................................................................................... 1 1.1 MANUFACTURER ............................................................................................................. 1 1.2 PRODUCT ......................................................................................................................... 1 1.3 REVISION HISTORY.......................................................................................................... 1 1.4 PRODUCT CLASSIFICATION .............................................................................................. 2 1.5 APPLICATION STANDARDS............................................................................................... 2 2 OVERVIEW .......................................................................................................................... 3 2.1 COMPONENTS .................................................................................................................. 3 2.2 WORK FLOW.................................................................................................................... 4 2.3 APPLICATION ................................................................................................................... 4 3 CENTRAL SERVICE WEBSITE .........................................................................................5 3.1 COMMON OPERATIONS .................................................................................................... 5 3.1.1 Login and Logout.................................................................................................. 5 3.1.2 Language ............................................................................................................... 6 3.1.3 Personal Information............................................................................................. 6 3.1.4 Sorting and Searching ........................................................................................... 7 3.2 OPERATION GUIDE FOR ADMINISTRATORS ...................................................................... 8 3.2.1 Doctor Management..............................................................................................9 3.2.2 Patient Management............................................................................................ 11 3.2.3 About the ECG System ....................................................................................... 15 4 INTRODUCTION TO SILVERLIGHT .............................................................................. 16 4.1 INSTALLATION ............................................................................................................... 16 4.1.1 Installing Silverlight............................................................................................ 16 4.1.2 Installing Client on PC........................................................................................ 18 4.1.3 Registering COM Components ........................................................................... 19 5 ECG COLLECTOR FEATURES ........................................................................................ 21 5.1 PARAMETERS................................................................................................................. 21 5.2 NORMAL WORKING CONDITIONS .................................................................................. 21 5.3 DIMENSION & WEIGHT .................................................................................................. 21
 Remote & Mobile ECG Monitoring System 25.4 POWER........................................................................................................................... 21 5.5 BLUETOOTH................................................................................................................... 21 5.6 TRANSPORTATION & STORAGE CONDITIONS ................................................................. 22
11 Basic Information 1.1 Manufacturer  Company: Shenzhen New Element Medical Equipment Technology Development Co., Ltd. ADD: 4th Floor, Tongtai Building, Block 422, 4th Bagua Road, Futian District, Shenzhen Zip Code: 518029 Tel: +86 755 8244 5959 Fax: +86 755 8244 3286 Email: xys@szxys.cn 1.2 Product Name: Remote & Mobile ECG Monitoring System (hereinafter referred to as the system) Model: XYS.WRM-1E File Name: Product Description File Number: XYS-WRM-1E (E)-E-005 Version: C/1 Date: November 2010 Language: English 1.3 Revision History All rights reserved. Shenzhen New Element Medical Equipment Technology Development Co., Ltd. China (hereinafter referred to as the company). Reproduction in whole or in part without permission is prohibited. Table 1-1 shows the revision history. Table 1-1 Date Version  Description  Remarks
 Remote & Mobile ECG Monitoring System 2Date Version  Description  Remarks 04/2008 A/0  The first version. Software version 1.0 06/2010 A/1 Features are added or revised. Software version 1.1 07/2010  A/2  Problems in V1.1 are solved. Software version 1.2 08/2010  C/0  Problems in V1.2 are solved; new features are added. Software version 1.3 12/2010  C/1  New features are added. Software version 1.4.3  1.4 Product Classification ECG collectors are internal-powered general devices, type CF application instead of type AP or APG. 1.5 Application Standards GB/T 191-2000, GB 9706.1-2007, GB 9706.25-2005, GB 9969.1-2008, YY 1139-2000
32 Overview Remote & Mobile ECG Monitoring System, model XYS.WRM-1E (hereinafter referred to as the system), is developed and manufactured by Shenzhen New Element Medical Equipment Technology Development Co., Ltd. Integrating advanced medical and information technologies, the system can monitor ECG anytime and anywhere by employing world wide network resources. Doctors can monitor, analyze and process ECG signals remotely, enabling remote diagnosis, home treatment, centralized patient management. This is essential network and digital monitoring.   The system enables patients to obtain doctors' diagnosis and suggestions in time. Thus, doctors can get ECG monitoring conveniently. For malignant cardiovascular disease patients, their relatives and doctors can be alarmed immediately in the case of emergency. Then, patients can be rescued and treated timely.   2.1 Components The system consists of ECG collector, lead wires and software (health mobile phone and server). See Figure 2-1.  Figure 2-1 ECG Monitoring System
 Remote & Mobile ECG Monitoring System 42.2 Work Flow The system can collect ECG signals through ECG collectors and send the signals to health mobile phone via Bluetooth in real time for analysis. It will automatically send an alarm in case of abnormal ECG (or manual alarm by pressing the "Emergency" button), and upload ECG data to the remote server through GPRS/Internet. The server will send an alarm immediately after receiving abnormal ECG signals to the doctor for timely processing. 2.3 Application Applicable to abnormal ECG and HR signals monitoring.
53 Central Service Website Welcome to use Remote & Mobile Medical Monitoring System. You can type the server address (for example: http://121.33.253.77/Wrm20091201/Default.aspx) in the address bar of IE to access the homepage (as shown in Figure 3.1-1). 3.1 Common Operations 3.1.1 Login and Logout Access the system website. For a user who does not log in, the page will be redirected to http://domain name/WrmWeb/Default.aspx. See Figure 3.1-1.  Figure 3.1-1 Login interface Password change is required by the system after the first login. The interface is as follows:  Enter account and password to sign in
 Remote & Mobile ECG Monitoring System 6Figure 3.1-2 Password reset interface The homepage after login is shown in Figure 3.1-3.   Logout: to protect your privacy, click    on the upper right to quit the system.  Figure 3.1-3 Homepage 3.1.2 Language The monitoring system supports multi-language. Select a language by clicking   on the upper right to switch working modes in different languages. 3.1.3 Personal Information Click    on the upper right to view personal information (see Figure 3.1-4). The user can change password and set favorable page style on this page.
7 Figure 3.1-4 Personal information 3.1.4 Sorting and Searching Sorting and searching functions are available in the system. You can click the name of a column to re-sort it. For the following patient list, click Age to sort the column in ascending order (as shown in Figure 3.1-5).  Figure 3.1-5 Sorting page (ascending order) Click Age again, the column will be listed in descending order (as shown in Figure 3.1-6). Change password Change favorable  page style
 Remote & Mobile ECG Monitoring System 8 Figure 3.1-6 Sorting page (descending order) Enter relevant search criteria on top of the form to display matching information in the list (as shown in Figure 3.1-7)  Figure 3.1-7 Column search 3.2 Operation Guide for Administrators Enter correct administrator account and password on the login interface (as shown in Figure 3.1-1), and then click Sign in to access backstage management system homepage (see Figure 3.2-1).  The administrator can perform the following operations: doctor management and patient management.
9 Figure 3.2-1 Administrator interface 3.2.1 Doctor Management Click   to access the doctor management interface. The homepage displays doctor list (see Figure 3.2-2). The administrator can manage basic information of doctors, monitoring relations and create new doctors.  Figure 3.2-2 Doctor management 3.2.1.1 Creating a New Doctor Click    on the above figure, a text box is displayed under the doctor list. Fill in relevant information and click Save to create a new doctor (see Figure 3.2-3). Create a new doctor Manage patients Manage care relation
 Remote & Mobile ECG Monitoring System 10 Figure 3.2-3 Creating a new doctor 3.2.1.2 Managing Doctor Information Click   to view basic information of a doctor (as shown in Figure 3.2-4). The administrator can edit the information.  Figure 3.2-4 Doctor information
113.2.1.3 Managing Care Relation Click    in Figure 3.2-2 to view care relation (as shown in Figure 3.2-5). The administrator can set the care relation.   Select the distributed patient and click Save care relation to finish patient distribution.  Figure 3.2-5 Care relation management A patient can be distributed to several doctors at the same time. The guardianship of other doctors toward the patient can coexist. Please manage other doctors or patients to cancel the guardianship. 3.2.2 Patient Management Click   to access the patient management interface. The homepage displays patient list (see Figure 3.2-6). The administrator can manage basic information of patients, relative information, care relation and create new patients. (Log in as system administrator)
 Remote & Mobile ECG Monitoring System 12   Figure 3.2-6 Patient management 3.2.2.1 Creating a New Patient Click    on the above figure. Enter patient information under the patient list and click Save to create a new patient (see Figure 3.2-7).  Figure 3.2-7 Creating a new patient 3.2.2.2 Managing Patient Information Click   to view basic information of a patient (as shown in Figure 3.2-8). The administrator can edit the information. Fill in patient information
13 Figure 3.2-8 Patient information 3.2.2.3 Managing Care Relation Click    icon in Figure 3.2-6 to view care relation (as shown in Figure 3.2-9). The administrator can set the care relation.   Select the distributed doctor and click Save care relation to finish doctor distribution.
 Remote & Mobile ECG Monitoring System 14 Figure 3.2-9 Care relation management 3.2.2.4 Managing Patient's Relative Information Click   in Figure 3.2-6 to view patient's relatives (as shown in Figure 3.2-10). Click    to edit relatives' information, or click    to add relative information.  Figure 3.2-10 Patient's relative information
153.2.3 About the ECG System Click  . There is a brief introduction about the system, as shown in Figure3.3-1. Figure 3.3-1 About the ECG system
 Remote & Mobile ECG Monitoring System 164 Introduction to Silverlight   Silverlight is a browser-crossing and platform-crossing plug-in. It plays a role of analyzing ECG data in the remote & mobile ECG monitoring system. At the same time, Silverlight page can be installed to the desktop like a shortcut, making it more convenient for doctors when analyzing data. 4.1 Installation Select  Silverlight Dynamic Analysis in   on the main interface to access Silverlight page. Before using Silverlight function, some installations like Silverlight installation, client installation on PC and COM component installation are required. 4.1.1 Installing Silverlight   a) You need to install Silverlight components before using the software. Click Silverlight module, installation message is displayed as shown in Figure 4-1.  Figure 4-1 b) Click    in Figure 4-1, message box is displayed as shown in Figure 4-2.
17 Figure 4-2 c) Click Save to save the downloaded file, or click Cancel to exit the installation. Save the downloaded file, as shown in Figure 4-3.  Figure 4-3 d) Click Run to install the software, or click Cancel to exit the installation. A dialog box will be displayed when clicking Run, as shown in Figure 4-4.  Figure 4-4
 Remote & Mobile ECG Monitoring System 18e) Click  Install now, the installation progress is displayed until the installation is completed. Click   to view Silverlight license agreement, or click   to view Silverlight privacy statement. f)   Restart the browser after Silverlight is installed. 4.1.2   Installing Client on PC a) The doctor can access Silverlight page through the client. A dialog box is displayed when right clicking in the page, as shown in Figure 4-5.  Figure 4-5 Silverlight client installation reminding b) Select Install Remote & Mobile Real-Time Monitoring System to the Computer, or click Install to PC. A dialogue box shown in Figure 4-6 is displayed.
19 Figure 4-6 c) Click Install. The shortcut icon    is displayed on the desktop. Click the icon to display the login interface, as shown in Figure 4-7, and enter doctor account and password to quickly access Remote & Mobile ECG Monitoring System V1.4.3.  Figure 4-7 4.1.3 Registering COM Components a) Copy the XYSWRM folder to the home directory of Drive C. b)Double click Register.bat. A dialog box is displayed, as shown in Figure 4-8.
 Remote & Mobile ECG Monitoring System 20 Figure 4-8 c) Click OK. d)Double click EcgDataSync.exe. Components registration of Remote & Mobile ECG Monitoring System V1.4.3 is completed.     Caution:   1. Synchronization software needs to be installed before running Register.bat. 2. Make sure Drive D of the client computer is distributed to store data. 3. Edit the target of attribute of shortcut icon   before  performing synchronization on PC client.   Steps: right click the shortcut icon on desktop -> Attribute -> add space+debug after the target, as shown in the following figure:     Add Space+debug aftter the attribute
215 ECG Collector Features 5.1 Parameters ECG record channel: One channel (lead) A/D shift accuracy:   12 bits Sampling rate:     300 times/s Dynamic range:      5.0 mVp-p Amplitude-frequency:    Meeting requirement of(0.05~60 ) Hz 3.0dB-0.4dB+ Motion sensor:    3-axis Record resolution:    8 bits Record sampling rate:    75 times/s Bandwidth:          0.05-60 Hz Storage medium:           SD card (1 GB /2 GB) 5.2 Normal Working Conditions Temperature:    0℃-40℃ Relative humidity:   10%-95% (no condensation) Atmospheric pressure:      700 hPa to 1060 hPa 5.3 Dimension & Weight Size:          90 mm (L) x 40 mm (W) x 16 mm (H) Weight:     55 g (battery loaded) 5.4 Power Battery:     3.7 V lithium-ion rechargeable battery  Running:     24-hour continuous wireless transmission 5.5 Bluetooth Version:     Version 1.2 Classification:          Class 2 (max. transmission range: 10 m) Protocol:     SPP Protocol Running type: slave PTP
 Remote & Mobile ECG Monitoring System 22Antenna type:  Built-in  5.6 Transportation & Storage Conditions Temperature:     0℃-40℃ Relative humidity:   5%-85%, frostless 5.7 FCCNOTE:  This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions:(1)this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.  The manufacturer is not responsible for any radio or TV interference caused by unauthorized modifications to this equipment. Such modifications could void the user's authority to operate the equipment.

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