Midmark IQmark Digital ECG PDA, IQmark Digital SpiroPDA Operation Manual

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OPERATION MANUAL

IQmark Diagnostic PDA

Diagnostic PDA Operation Manual

Diagnostic PDADiagnostic PDA

IQmark Digital ECG PDA

IQmark Digital SpiroPDA

IQmark Diagnostic PDA

Diagnostic PDA Operation Manual

Diagnostic PDADiagnostic PDA

Table Of Contents

I GENERAL INFORMATION ............................................................................................................2

AD BS

ESCRIPTION .................................................................................................................................... 2

YSTEM REQUIREMENTS................................................................................................................... 3

IQmark Digital ECG Module Requirements......................................................................................... 3

IQmark Digital Spirometer Handle Requirements................................................................................ 4

PC Requirements .................................................................................................................................. 5

Pocket PC Device Requirements........................................................................................................... 5

ETTING STARTED............................................................................................................................ 6

II SOFTWARE INSTALLATION ........................................................................................................ 7

REPARING FOR INSTALLATION ........................................................................................................ 7

NSTALLING THE SOFTWARE............................................................................................................. 8

III IQMARK PDA OPERATION.........................................................................................................12

AO BS CS DR

VERVIEW ...................................................................................................................................... 12

TARTING THE IQMARK PDA APPLICATION................................................................................... 13

ELECTING A PATIENT ................................................................................................................... 14

EGISTERING A NEW PATIENT ....................................................................................................... 16

Storing New Patients........................................................................................................................... 18

Patient Data Requirements For Spirometry ....................................................................................... 18

EV FE GP HT

IEWING PATIENT DATA ................................................................................................................ 19

NTERING VITAL SIGNS .................................................................................................................. 20

RINTING REPORTS FROM POCKET PC DEVICE .............................................................................. 21

RANSFERRING DATA TO THE IQMARK DIAGNOSTIC WORKSTATION DATABASE.......................... 23

Docking Bay Transfer......................................................................................................................... 23

Wireless Network Transfer.................................................................................................................. 23

IC JS

ONFIGURING THE IQMARK PDA APPLICATION ............................................................................ 24

UGGESTIONS FOR EASIER OPERATION .......................................................................................... 26

Registering New Patients In IQmark Diagnostic Workstation ........................................................... 26

Dealing With Large Databases........................................................................................................... 26

Using Transcriber And Patient Search Auto Update Together........................................................... 27

IV USING ECG ...................................................................................................................................... 28

OLLECTING ECG DATA................................................................................................................ 28

Preparing for ECG Acquisition .......................................................................................................... 29

Color ................................................................................................................................................... 31

Filters.................................................................................................................................................. 32

Gain .................................................................................................................................................... 33

ERFORMING A STAT ECG ........................................................................................................... 34

BP CR

EVIEWING ECG TEST.................................................................................................................... 35

V USING SPIROMETRY.................................................................................................................... 38

AC BC CP DP EP

OLLECTING SPIROMETRY DATA.................................................................................................... 38

ALIBRATING THE SPIROMETER...................................................................................................... 40

ERFORMING AN FVC TEST............................................................................................................ 41

ERFORMING A VC TEST ................................................................................................................ 47

ERFORMING AN MVV TEST .......................................................................................................... 49

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VI IQMARK SYNC APPLICATION OPERATION ......................................................................... 51

RINTING OPTIONS ......................................................................................................................... 54

ELECTING SYNCHRONIZATION METHODS ..................................................................................... 55

BS CC DU

HANGING THE DATABASE ............................................................................................................ 55

SING IQMARK SYNC WITH THE IQMARK DATA MANAGEMENT SYSTEM ..................................... 56

VII WIRELESS NETWORK OPERATION.................................................................................... 57

YSTEM REQUIREMENTS................................................................................................................. 58

BG CS DS EU

ETTING STARTED.......................................................................................................................... 58

ETTING UP IQMARK SYNC FOR NETWORK OPERATION ................................................................ 59

ETTING UP IQMARK PDA FOR A WIRELESS NETWORK ............................................................... 60

SING IQMARK PDA ON A WIRELESS NETWORK.......................................................................... 60

Dealing With Interruptions In The Network Connection.................................................................... 60

Recovering From Interruption Of Network Service............................................................................ 61

VIII SYSTEM MAINTENANCE........................................................................................................ 62

ROUBLESHOOTING GUIDE............................................................................................................. 62

IQmark Digital ECG/IQmark PDA Problems .................................................................................... 62

IQmark PDA Patient Search Screen Problems................................................................................... 65

IQmark SpiroPDA / IQmark PDA Problems ...................................................................................... 66

IQmark Sync/PC Problems ................................................................................................................. 68

USTOMER SERVICE AND CONTACT INFORMATION........................................................................ 71

Warranty ............................................................................................................................................. 71

Return Goods Authorization ............................................................................................................... 71

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A Word of Thanks

Thank you for purchasing the IQmark PDA. We trust our product will enable you to reduce the time your staff spends on performing and managing ECG and Spirometry reports. Both modalities are available from Midmark Diagnostics Group.

We believe you will be pleased with the user-friendly operation of our product and with your results. As your partner in health care, we look forward to working with you in the coming years as we develop even more sophisticated diagnostic technology for the medical field. Your thoughts, questions and comments about our product are welcomed.

Midmark Diagnostics Group: Phone (800) 624-8950 or (310) 530-5955

Notice

The information in this manual is subject to change without notice.

Midmark Diagnostics Group shall not be liable for technical or editorial omissions made herein, nor for incidental or consequential damages resulting from the furnishing, performance, or use of this guide.

This document may contain proprietary information protected by copyright. No part of this document may be photocopied or reproduced in any form without prior written consent from Brentwood Medical Technology Corp.

IQmark is a registered trademark of Midmark.

SpiroPDA is a registered trademark of Midmark.

Windows and Microsoft are registered trademarks of Microsoft Corporation.

Pocket PC is a registered trademark of Microsoft Corporation.

Pentium is a registered trademark of Intel Corporation.

iPAQ is a registered trademark of HP Computer Corp.

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I General Information

A Description

The IQmark Physician’s Diagnostic Assistant (PDA) allows clinical personnel to connect an IQmark Digital ECG PDA or IQmark Digital SpiroPDA module to a hand held device (Pocket PC device) running Microsoft Pocket PC. With the IQmark PDA, you can collect ECG data or Spirometry reports from patients in a mobile environment.

Once collected, the IQmark PDA analyzes the report(s) and allows you to print directly from the Pocket PC device to an infrared or Bluetooth enabled printer (as long as your Pocket PC device has that wireless capability). You can also use the IQmark PDA to acquire data and the transfer it to a computer via a docking station. The following figure illustrates one way this product can be used (non-wireless).

Docking Bay I/F

Pocket PC Device

RS-232

Patient Cable

Disconnect ECG or Spirometer module and insert Pocket PC into its docking bay.

Pocket PC Device

ECG and spirometry files are transferred to the Windows PC where they are automa tically analyzed and stored in the IQmark Diagnostic Workstation Database.

Windows PC

User carries the Pocket PC and the IQmark Digital ECG or Spirometer module from patient to patient collecting ECG or spirometry reports. Reports are stored as files in the memory of the Pocket PC.

IQmark PDA Operation Environment

The IQmark PDA is an application that runs on the Pocket PC device. A second software component called the IQmark Sync application runs on a Microsoft Windows personal computer (PC) platform. Both applications are included in the IQmark PDA package.

The IQmark Sync program transfers the ECG and Spirometry files you collected on your Pocket PC device and stores the reports in the database of the IQmark Diagnostic Workstation application on your personal computer (PC). It also transfers the patient list from the IQmark Diagnostic Workstation to the IQmark PDA.

After the reports are transferred, you can use the IQmark Diagnostic Workstation application to review, edit, print, email, and manage ECG and Spirometry reports. Please refer to the IQmark Diagnostic Workstation Operation manual for additional information.

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B System Requirements

The IQmark PDA application uses the IQmark Digital ECG module to acquire ECG data and the IQmark Digital Spirometer handle to acquire Spirometry tests. Once acquired, the IQmark PDA application analyzes the results.

IQmark Digital ECG Module Requirements

The IQmark PDA is compatible with IQmark Digital ECG modules with a serial number of 415000 or higher. This version of the IQmark Digital ECG module has a power switch as shown in the following figure and is often referred to at the IQmark Digital ECG PDA module.

Power switch

If your IQmark Digital ECG module does not have a serial number of 415000 or higher and does not have a power switch as shown above then it will not work with the IQmark PDA Pocket PC software application.

Please contact Midmark Diagnostics Group Customer Service if you do not have the correct version of the IQmark Digital ECG module.

Customer Service Telephone Numbers: 800-624-8950, ext 2 or 310-530-5955, ext 2

IQmark Digital ECG PDA Module

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IQmark Digital Spirometer Handle Requirements

The IQmark PDA is compatible with IQmark Digital Spirometer handles with a RS232, DB9 connector (COM Port connector) and model number of 51xxxx (where xxxx is the serial number).

Spirometer handles with the Brentwood by Midmark rectangular label are NOT compatible with the IQmark PDA. Your Spirometer handle must have the Midmark

Diagnostics Group rectangular label AND have a model number of 51xxxx to be compatible with the IQmark PDA.

Spirometer Midmark Diagnostics Group label Brentwood by Midmark label Handle Compatible (Model # 51xxxx) Not Compatible

If your IQmark Digital Spirometer handle does not have the model number 51xxxx, it will not work with the IQmark PDA Pocket PC software application. The IQmark PDA is NOT compatible with IQmark Digital Spirometer handles with a USB connector or model numbers 03xxx, 50xxxx or 52xxxx.

The new version of the IQmark Digital Spirometer has a power switch built into the handle. There is no external On/Off switch. The user turns the handle ON by inserting the mouthpiece into the handle. The LED will light and the Spirometer will be on when the mouthpiece is inserted into the handle correctly.

 NOTE: The power in the handle will always be on whenever the mouthpiece is in

place. Please remove the mouthpiece after testing or calibration to assure longer life for the batteries.

Please contact Midmark Diagnostics Group Customer Service for additional information about the correct version of the IQmark Digital Spirometer handle.

Customer Service Telephone Numbers: 800-624-8950, ext 2 or 310-530-5955, ext 2

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PC Requirements

The IQmark Sync application runs on the same personal computer as the IQmark Diagnostic Workstation software. The IQmark Diagnostic Workstation Operation Manual specifies the minimum hardware and software requirements for the PC.

Pocket PC Device Requirements

The IQmark PDA software runs on the Microsoft Pocket PC 2003 or Windows Mobile 2003 Second Edition operating systems or later. Midmark Diagnostic Group has tested and certified the operation of this software on the following Pocket PC devices:

HP/Compaq iPAQ Model 38xx series HP/Compaq iPAQ Model 39xx series HP/Compaq iPAQ Model 55xx series HP iPAQ Model 2215 HP iPAQ Model 41xx series HP iPAQ Model 54xx series Toshiba Model e800 Toshiba Model e805

If your Pocket PC device does not appear in the above list you should contact Midmark Diagnostic Group. New Pocket PC devices are frequently introduced and it may be that we have tested this software on that device. A serial cable designed specifically for the Pocket PC device must be available to connect to our devices.

The minimum requirements for the Pocket PC device are as follows.

Item Specification/Description

Operating System Microsoft Pocket PC 2003 or Windows Mobile 2003 Second

Edition (or later).

Serial Port Speed 115 Kbaud. Serial port may be built into the Pocket PC device or

available with an add-on PC Card serial adapter.

Serial Cable A serial cable must be available to connect the Pocket PC device to

the appropriate IQmark device (ECG or Spirometer). This cable should be available from the Pocket PC device manufacturer.

RAM Memory 32 MB or greater

CPU Intel StrongArm 206 MHz, an equivalent or newer

Software .NET Compact Framework

Storage Cards Optional. SD (Secure Digital) cards or CF (Compact Flash) cards.

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C Getting Started

Before using this product you must install the necessary software on your PC and your Pocket PC device.

The installation program will install the IQmark Sync application on your PC and then give you the option of installing the IQmark PDA application on your Pocket PC device. Section II describes the installation procedures.

After you have completed the installation you are ready to start using the IQmark PDA application to collect ECG or Spirometry files. Section III describes how to use the IQmark PDA application.

Unless you plan to use your Pocket PC device with a wireless local area network, the IQmark Sync application will automatically run on your PC when you insert the Pocket PC device into its docking bay. Upon completion of the file transfer, you can use the IQmark Diagnostic Workstation product to review, edit, print and manage ECG and Spirometry reports.

There are several optional configuration settings available in IQmark Sync that can be changed to customize its operation. See the section on IQmark Sync Application operation for addition information.

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II Software Installation

A Preparing For Installation

Before installing the IQmark PDA application it is important that you perform the tasks described in this section.

Microsoft ActiveSync must be installed in order to use this software. ActiveSync comes with your Pocket PC device. Please refer to the setup instructions provided with your Pocket PC device.

After ActiveSync is installed, your Pocket PC device must have a partnership with the computer. Please refer to the setup instructions provided with your Pocket PC device to establish this connection.

The ActiveSync status must display Connected, Synchronized before you install IQmark PDA. If the ActiveSync status is not ready, please refer to your ActiveSync Operation Manual.

This application requires that the IQmark Diagnostic Workstation Software version 7.0 (or later) be installed on the PC on which you intend to install this software. The installation program will not allow you to install the IQmark PDA software if the IQmark Diagnostic Workstation is not present.

If you wish to create ECG reports, you will need the IQmark Digital ECG PDA module. If you wish to create Spirometry reports, you will need the IQmark Digital SpiroPDA handle. If you do not have either of these modules, please contact your local Midmark Diagnostics Group representative.

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B Installing The Software

 NOTE: Close all Windows programs before running this software installation.

Once the installation program starts, it should not be interrupted until completion. The approximate installation time is two minutes.

1. Insert the IQmark PDA Installation CD into the CD-ROM drive. The CD automatically starts the installation program.

2. If the installation program does not start automatically, double-click My Computer on the desktop, and double-click the CD-ROM icon to start.

The installation program displays a message box indicating that it is preparing to install the software and then the following dialog box appears.

3. Click the Next button. The installation program will install the software on your computer and the following dialog will appear.

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4. Make sure your Pocket PC device is docked and synchronized. Click the Install button to start the installation. The program will start to install files to the computer and display the following screens.

If the Pocket PC device is not connected, it will display the following:

If it is connected, it will display the following:

Click Yes to select the default directory. Click No if you do not want to install the IQmark PDA software on your Pocket PC device at this time. You can install the software later by selecting IQmark PDA Setup from the Start menu.

Start Æ Programs Æ Midmark Diagnostics Æ IQmark PDA Setup.

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If you selected Yes, the IQmark PDA program will be installed on your Pocket PC device. Check to see if your Pocket PC device requires any additional steps.

5. Click the Finish button.

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IQmark Sync – Synchronization Screen

After the installation is complete, IQmark Sync will automatically launch. If it does not, turn off the power to the Pocket PC device (without removing from the docking station), wait five or six seconds, and then turn power back on again. This will cause the IQmark Sync application to transfer the patient data stored in the IQmark Diagnostic Workstation database to the Pocket PC device memory. After this is complete you are now ready to use the IQmark PDA application.

 NOTE: IQmark Sync cannot complete its synchronization tasks if you have not

established a synchronization partnership between your Pocket PC device and Microsoft ActiveSync.

If you have not established an ActiveSync partnership with your Pocket PC device, ActiveSync will prompt you to do so when you connect your Pocket PC device to your computer. Set up a partnership according to the instructions presented by the Microsoft ActiveSync program.

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III IQmark PDA Operation

A Overview

Using the IQmark PDA application on your Pocket PC device requires the following steps.

1. Start the IQmark PDA application (see Section B).

2. Select a patient from the database (see Section C). If you cannot find a patient then register a new patient (see Section D).

3. Perform an ECG test.

• Prepare the patient for an ECG. See the patient hookup diagram in “Preparing For

ECG Acquisition” in Section IV-A.

• Connect the Pocket PC device to the IQmark Digital ECG module. Turn the ECG

module on. Tap on the ECG button to start ECG acquisition.

• Save the ECG for the patient by tapping the Save button. The ECG file will be

stored in the memory of the Pocket PC device.

• Exit from ECG Screen by tapping the OK button. You can now perform ECGs for

other patients if you want to.

4. Perform a Spirometry test.

• Connect the IQmark Digital Spirometer handle to the Pocket PC device.

• Attach a new mouthpiece to the Spirometer handle. This will turn the unit on.

• Start the SpiroPDA program by tapping the Spiro button.

• Perform FVC, VC or MVV on the patient.

• Tap the OK button at the top of the screen. Then tap Yes to save the Spirometry

report.

5. After collecting one or more ECG files or Spirometry reports, place the Pocket PC device into its docking bay and transfer the report files to the database of the IQmark Diagnostic Workstation (See Section H).

6. Use the IQmark Diagnostic Workstation to over-read, print, email and manage ECG and Spirometry reports.

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B Starting the IQmark PDA Application

To start the IQmark PDA application on your Pocket PC device tap on the Start menu in the upper left-hand corner of the screen, then select IQmark PDA. (If it is not listed here, tap on the Start menu, select Settings, select Menus, and scroll down the list of programs until you see IQmark PDA. Tap next to it to place a check mark in the box next to it. Click the OK in the upper right hand corner to close.) The application will start and the Patient List Screen will appear.

You can also start the application by tapping Start Æ Programs Æ IQmark PDA.

Patient List Screen

The opening screen of the program is the Patient List Screen. The Room For: number depends on the amount of free memory in your Pocket PC device.

If you wish, you can set up the Pocket PC device so that you can start the IQmark PDA with one of the customizable buttons on your Pocket PC device. To do this, tap Start Æ Settings then tap the Buttons icon in the Settings screen. Select the button you wish to use from the button list. Then select IQmark PDA from the Button assignment combo box. Tap OK in the upper right-hand corner of the screen.

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C Selecting A Patient

The Patient List Screen shown is the opening screen of the application. From this screen you can select a patient and perform a new test for that patient. The first time you open the program and tap on Search, it will take a few seconds to load the patient database. Once the database is loaded, search times for other patients will be quicker. To display the entire patient list, tap on Search without entering any information.

To select a specific patient, enter the first few letters of the patient’s last name in the Name box at the top of the screen. The patient list should update as you enter characters in the edit box. If it does not, then tap the Search button with the pointing device.

Scroll the patient list up or down until you see the patient you want. Select the patient by tapping on that patient’s name in the Name column. Once you have selected a patient, you can perform the following actions.

• Start an ECG for that patient by tapping ECG.

• Start a Spirometry test for that patient by tapping Spiro.

• View the patient’s data by tapping View (If you are using the on-screen keyboard

as the input device, you will have to hide it in order to see the View button).

• Enter vital signs information by tapping Vitals.

Patient List Screen

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Patient List Screen Controls

Control Description

Name Text box for entering the last name of a person to search for.

There are two ways to use this field. If Patient Search Auto Update is enabled (see Configuring The IQmark PDA Application), then the software searches the patient database and updates the patient list each time you enter or delete a character. If Patient Search Auto Update is disabled you must tap the Search button after entering the patient’s last name (or the first few characters of the last name).

When you tap Search with the pointing device the software searches the database for patients whose last name matches the Name edit field. If the Name edit field is empty, Search returns the entire list of patients.

Note: Displaying the entire list of patients may take a long time if there are many patients in the database.

List Box Displays the last name, first name (plus middle initial) and patient ID

number of patients stored in the database.

ECG Starts ECG acquisition for the currently selected patient. See section on

Collecting ECG Data.

Spiro Starts Spirometry so you can test patients or perform sensor calibration.

See section on Using Spirometry.

New Patient Displays the Patient Data Dialog so you can enter the name, ID number

and other data for a new patient. See Registering A New Patient.

Vitals Displays Vital Signs Dialog so you can enter vital signs data (BP, pulse

and temperature and smoking history) for the selected patient.

View Displays the Patient Data Dialog for the currently selected patient. See

Viewing Patient Data. Delete Deletes tests stored on the PDA. Send Sends tests stored on the PDA. Not Sent Displays number of tests acquired on the PDA not sent to the Workstation

database. Stored Indicates the number of report files stored on your Pocket PC device. Room For Indicates the number of report files that can be stored on your Pocket PC

device. Typically between 100 and 300 report files can be stored,

depending on how much memory is available in your device.

Taskbar Controls

New Click on New to start a new ECG or Spirometry test, or to enter a new

patient, or to enter new vitals. STAT-ECG Starts a new ECG without selecting a patient. Settings Displays the Settings Dialog so you can configure the application. See

Configuring The IQmark PDA application.

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D Registering A New Patient

You can register a new patient in the event that the patient is not already in the database.

To register a new patient, tap the New Patient button in the Patient List Screen with the pointing device. The following screen will appear.

New Patient Data Screen

Enter the data for the new patient. The application will save the data when you tap one of the following buttons:

• ECG

• Spiro

• Vitals

• New Patient

• Settings

• Cancel

• OK

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New Patient Data Screen Controls

Control Description

Last, First, MI

Text boxes for entering the patient’s last name, first name and middle

initial (MI).

Used for identification. Providing complete information facilitates easier

retrieval of patient data at later dates. ID For entering the patient identification number. Letters and numbers may

be used.

Sex Select Male or Female.

Required for the ECG analysis logic. Required for Spirometry predicted

equations and interpretation. DOB For entering the patient’s date of birth. The patient’s age is calculated

from the date of birth. You must enter the DOB. The ECG analysis

program uses the age as input for its diagnostic logic. Required for

Spirometry predicted equations and interpretation.

To enter DOB, tap on the down arrow, then hold the stylus on the year.

This will display a box to enter the year. Now tap on the month and select

from the list. Finally, select the date and the calendar will close. Ht. For entering the patient’s height. Required for Spirometry predicted

equations and interpretation.

Wt. For entering the patient’s weight. Patient weight is optional.

Race Select the patient’s race from the drop down list. Required for Spirometry

predicted equations and interpretation.

ECG Starts ECG acquisition for the currently displayed patient. See Collecting

ECG Data. See Section IV-A.

Spiro Starts Spirometry so you can test patients or perform sensor calibration.

See the section on Using Spirometry.

Vitals Displays the Vital Signs Dialog so you can enter vital signs data (height,

weight, blood pressure, pulse and temperature for the currently displayed

patient. New Patient Saves the current patient data and clears the display fields so you can enter

data for a new patient. Settings Displays the Settings Dialog so you can configure the application. See

Configuring The IQmark PDA application. Cancel Returns to the Patient List Screen without saving. OK Returns to the Patient List Screen.

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Storing New Patients

When you enter a new patient, the software stores the data in the database in the Pocket PC device. The application will save new patient data until you dock the Pocket PC device to the PC (see Transferring Data To The IQmark Diagnostic Workstation). At that time, the new patient data will be sent to the IQmark Diagnostic Workstation database and cleared from the Pocket PC device memory.

If you did not perform an ECG or Spirometry test for a newly registered patient (on the Pocket PC device), that patient’s data will not be transferred to the IQmark Diagnostic Workstation database on your personal computer.

Patient Data Requirements For Spirometry

If you plan to perform Spirometry, the following patient data must be entered.

• Race

• Date of birth (Age)

• Sex

• Height

A simple way to remember this information required for a Spirometry test is to use an acronym:

RASH – Race, Age, Sex, Height

Entering Date of Birth

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E Viewing Patient Data

To view a patient’s data, select the patient from the Patient List Screen and tap View. The View Patient Data screen shown below will appear.

View Patient Data Screen

If the selected patient is from the IQmark Diagnostic Workstation database on your PC, then all of the data fields will be read only and you cannot change the patient’s data. If the selected patient is one that you registered with the IQmark PDA program on the Pocket PC device (i.e. a new patient), you can change or correct the patient data. The data will be saved when you tap OK at the top right of the screen.

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F Entering Vital Signs

You can enter various vital signs data such as blood pressure, pulse, temperature and smoking history (for Spirometry) for a patient. The IQmark PDA application will save this data for this patient. When you save a report file, the application stores the vital signs data that you entered with the report file. This data will be saved in the patient’s record when you transfer the report file to the IQmark Diagnostic Workstation database on your PC.

To enter vital signs data for a patient, tap the Vitals button in the Patient List Screen (select a patient first) or in the Patient Data Screen for a new patient. The following screen will appear.

Enter the vital signs information. If you do not have data for one or more of the fields then it’s OK to leave the field at zero. A value of zero indicates that the data is not set.

Tap the OK button in the upper right-hand portion of the screen to save your entries.

You can edit the vital signs data any time by selecting the patient from the Patient List Screen and tapping the Vitals button.

 NOTE: If you want to enter vital signs you must do so before saving an ECG or

Spirometry file for the patient.

Vital Signs Screen

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 NOTE: Vital signs are not transferred into the patient’s record in the IQmark

Diagnostic Workstation database if you do not save an ECG or Spirometry file for the patient on the Pocket PC device.

 NOTE: Vital signs stored in the Pocket PC device’s memory are cleared when you

transfer the ECG and Spirometry files to the Workstation database.

G Printing Reports From Pocket PC Device

You can review or print any report stored in the memory of the Pocket PC device using the IQmark PDA application. Please refer to Section IV Using ECG and Section V Using Spirometry on acquiring, reviewing and editing of appropriate tests.

You can view the report list for individual patient on the Patient Data screen. The report list indicates the type of test and the date and time performed. The Edit column indicates if the report is editable. Reports that are already transferred to the IQmark Diagnostic Workstation database are not editable but are available for review.

If you have a wireless connectivity on your Pocket PC device, e.g. infrared, Bluetooth, Wi-Fi, wireless network, etc, you may be able to print any report listed directly to a printer. Please refer to your owner’s manual for the Pocket PC device on how to enable the desired connection.

Patient Data Screen

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The printer must either have the similar connectivity, e.g. infrared, Bluetooth, Wi-Fi, or is connected to a network that has Wi-Fi or 802.11g wireless setup. Please refer to the owner’s manual for the printer or your network administrator.

From the Patient Data Screen, select the desired report and tap Print. The Printer Setup screen will appear. Select the correct printer and port. If you are using an infrared port, make sure you are pointing the infrared port of your Pocket PC device to the infrared port of the printer within the recommended distant.

Printer Setup Screen More Settings

Note: If you are printing to a black and white printer, make sure the Color/Mono is set to Monochrome (B&W).

Tap Start Printing to print or Cancel Printing to exit without printing.

To make additional adjustments to the printout, tap More Settings. This will display the screen shown above. You can adjust form feed settings, print density, serial port speed, etc to match your printer, PDA and computer needs.

 NOTE: Changes to Orientation and Margins will be ignored. The Spirometry

reports will always print in Portrait and the ECG reports will always print in Landscape.

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H Transferring Data To The IQmark Diagnostic Workstation

Database

Report data files (ECG or Spirometry) are transferred directly into the database of the IQmark Diagnostic Workstation product via a docking bay transfer or over a wireless Local Area Network (LAN) connection.

Docking Bay Transfer

After you have collected data files, exit the IQmark PDA application and insert the Pocket PC device into its docking bay that is connected to your PC. The IQmark Sync application will automatically run. IQmark Sync will perform the following tasks:

1. Transfer and store each report in each patient’s record in the IQmark Diagnostic Workstation database. You can then review and edit the stored reports.

2. Delete the report files from the memory of the Pocket PC device (if this option is selected on the IQmark Sync screen).

3. Synchronize the Pocket PC device database by transferring patient data from the IQmark Diagnostic Workstation database to the Pocket PC device. New patients that you registered and stored new test reports for in the IQmark PDA application will appear in the patient list the next time you search on the IQmark PDA.

When the IQmark Sync application completes the above tasks, it will disappear from the screen of your PC. You can then disconnect the Pocket PC device or turn it off.

Wireless Network Transfer

If you have a wireless LAN and have configured the IQmark PDA application to operate within the wireless network, there is no need to dock your Pocket PC device to the PC.

When connected to the IQmark Sync application over the wireless network, IQmark PDA transfers report files directly to the PC when you tap the Save button in the ECG screen or save a Spirometry report.

If you have configured the IQmark for network application but attempt to acquire report files while the network is down or while you are out of range, the IQmark PDA application will store the reports in the memory of the Pocket PC device. When the network is available again a Send button will appear in the lower right-hand corner of the Patient List Screen. Tap the Send button will send all of the stored files from the memory of the Pocket PC device to the IQmark Sync application.

If you are unable to establish communications via the wireless network, you can always dock the Pocket PC device to the PC via the docking bay to transfer the report files.

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See Section VII on wireless network operation.

I Configuring The IQmark PDA Application

The IQmark PDA application has several configuration settings that you can change to customize its operation. These settings are stored in the Windows registry of your Pocket PC device and will be applied the next time you run the IQmark PDA application.

Tap the Settings button of the Patient List Screen or the Patient Data Screen. The following Settings Screen will appear.

Settings Screen

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Settings Screen Controls

Control Description

Stand Alone If selected, report files will be stored in the memory of the Pocket PC

device and transferred to the Workstation database when the Pocket PC device is inserted into its docking bay.

Network If selected, the IQmark PDA application will send report files to the

IQmark Sync application running on the server specified by the Server text box.

Server If Network is selected, enter the IP address of the computer that is

running the IQmark Sync application.

Com Port Specifies the serial port on the Pocket PC device to connect the IQmark

Digital ECG module to. The default is COM 1. The choices are COM 1 through COM 8.

Lead Group Specifies the ECG lead group that will be displayed initially in the ECG

Screen. The choices are:

I, II, III (default) aVR, aVL, aVF V1, V2, V3 V4, V5, V6

Line Frequency

Select the AC line frequency of your region. The IQmark PDA will use this setting for the digital line frequency filter. Default is 60 Hz.

Units Sets the display to English or Metric units. This setting determines if the

height is displayed in inches or centimeters, weight in pounds or kilograms, and temperature in degrees Fahrenheit or centigrade. Default

is English units. Patient Search Auto Update

If checked, the software updates the patient list when you type each

character in the Name box of the Patient List Screen. If not checked you

must tap the Search button to search for patients.

If you have a large database then searching can be time consuming.

Midmark Diagnostics Group recommends that you disable this feature

for large databases. Disable ECG Interpretation

If checked, the IQmark ECG PDA software will not generate

interpretation statements for the ECG acquired. The General

Measurements will be available.

Taskbar Controls

More… Displays the More Settings Screen shown following this table.

About Displays an About Screen that shows the software version and

information on how to contact Midmark Diagnostics Group. Cancel Closes the screen without saving the changes.

OK Closes the screen and saves the settings (top right of screen).

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J Suggestions For Easier Operation

Registering New Patients In IQmark Diagnostic Workstation

It is much easier to enter new patient data from the keyboard of a PC than with the onscreen keyboard or Transcriber (handwriting recognition program) of the Pocket PC device.

If you know in advance that you will be performing tests on new patients it is better to enter the new patients into the IQmark Diagnostic Workstation database and then synchronize the database in the Pocket PC device memory by docking it to your PC. You can then simply search for the patient’s last name from the Patient List Screen and perform the test.

Dealing With Large Databases

As the number of patients in your database grows, performance may begin to decline due to longer download times from the PC to your Pocket PC device and long search times while searching for patients on your Pocket PC device. We have improved the efficiency of the searches by loading the entire list the first time you access IQmark PDA. This way, the first search takes longer, but subsequent searches are quicker. Each time you close and re-open IQmark PDA, it will re-load the patient list.

To minimize down loading (synchronizing time) you can perform the following actions.

1. Minimize the number of times during the day that you plug in your Pocket PC device into its docking bay.

2. If the database becomes very large, consider switching to a wireless network. This will eliminate the need to use the docking bay to transfer patient data to the Pocket PC device. Section VII describes how to use the IQmark PDA application in a wireless network.

To minimize the time required to search for patients you can perform the following actions.

1. Turn off the Patient Search Auto Update option in the Settings Screen.

2. Do not tap the Search button when the Name box in the Patient List Screen is empty.

3. Perform specific searches by entering as much of the patient’s last name as possible before tapping the Search button.

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Using Transcriber And Patient Search Auto Update Together

If you are using the handwriting recognition feature (Transcriber) and have the Patient Search Auto Update option enabled it is best to enter a single letter at a time and wait for the list in the Patient List Screen to finish updating before making additional entries or corrections. You will also want to disable the “Add space after” feature to avoid using backspace after each entry.

If the database becomes large the search times can become quite long. When this occurs, it is best to disable the Patient Search Auto Update option (located in Settings).

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IV Using ECG

A Collecting ECG Data

Perform the following steps to conduct an ECG test.

1. Connect the IQmark Digital ECG module to the Pocket PC device.

2. Apply the electrodes to the patient. See Preparing For ECG Acquisition.

3. Attach the ECG clips to the electrodes.

4. Select a patient or enter a new patient through the IQmark PDA.

5. Tap ECG and a blank ECG Screen appears.

6. Turn on the IQmark Digital ECG module by pressing the switch on the module. You should now see 3 leads of ECG tracing running across the screen.

7. Wait for the button labeled Wait to change to Save (about 12 seconds) and for all of the signal quality indicators to change to yellow or green.

8. Inspect the quality of the ECG signal. You can rotate through each of the lead groups by tapping on the up or down arrow buttons in the ECG Screen. When you are satisfied the ECG signal is good, tap Save. You can acquire as many ECG tests as needed by tapping on the Save button.

9. You can tap Review to review the ECG test. See Section IV-C.

10. Tap the OK button in the upper right-hand portion of the IQmark PDA screen. OK closes the current screen and returns to the previously displayed screen.

The ECG data is analyzed and saved in the memory of the Pocket PC device. You can review, edit and print the ECG report from the IQmark PDA. You can also review, edit and print the ECG report from the IQmark Diagnostic Workstation after you dock the Pocket PC device to the PC or transfer the file via a wireless network.

Optionally, you can configure the report to be printed automatically after the transfer.

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Preparing for ECG Acquisition

Note: Please refer to the Quick Reference User’s Guide – Performing a 12-lead Resting ECG Test for more detailed instructions.

Patient Position:

The patient should be placed comfortably in a supine position. Any variation should be noted on the ECG report.

Electrodes:

When using disposable electrodes, check to ensure the electrode is fresh and sticky. Always make sure your fingers are clean and free of lotion when handling electrodes.

Skin Prep:

Patients with excessive chest hair should be shaved at the electrode site. Abrade these areas with fine sandpaper or an abrasive pad, and then clean with an alcohol-saturated gauze. Allow the skin to air dry.

Limb Lead Placement:

RA (White) – Right Arm electrode is placed on a distal portion of the right lateral side of the upper arm below the shoulder.

LA (Black) – Left Arm electrode is placed on a distal portion of the left lateral side of the upper arm below the shoulder.

RL (Green) – Right Leg electrode is placed on a distal portion of the lower leg, above the ankle.

LL (Red) – Left Leg electrode is placed on a distal portion of the lower leg, above the ankle.

Precordial Lead Placement:

V1 (Red) – 4th intercostal place at the right margin of the sternum.

V2 (Yellow) – 4th intercostal place at the left margin of the sternum.

V3 (Green) – Midway between V2 and V4 (on top of the 5th rib).

V4 (Blue) – 5th intercostal place at the left mid-clavicular line.

V5 (Orange) – At the horizontal level of V4, at the left anterior line.

V6 (Purple) – At the horizontal level of V4, at the mid-axillary line.

 NOTE: Lead placement does affect the ECG waveform. When the limb leads are

placed on the torso, waveform changes might be seen in the QRS amplitude, axis shift occurs, Q waves can be seen, and T waves might appear flipped or flattened. These changes are clinically significant in that they are associated with cardiac ischemia. If a non-standard lead placement is used, note the variation in the ECG report.

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Review Button

ECG Screen

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ECG Screen Controls

Control or

Display

Lead Group Rotate Buttons

Signal Quality Indicators

Filter/Gain Button

Description

The up arrow shows the previous lead group and the down arrow shows the next lead group.

These button indicators display the ECG signal quality for each of the ten electrodes. You can tap each of these buttons to display its associated lead group.

Color Meaning

Red Electrode off. Re-attach the indicated electrode or lead wire.

Orange Poor signal quality. There is too much baseline drift or too

many artifacts to take an ECG. Check the electrode connections and reapply them if necessary.

Yellow Fair signal quality. There is some baseline drift or artifact.

Check electrode connection. Apply filters if necessary. You may store ECG if you are satisfied with the signal quality.

Green Good signal quality.

Displays a dialog that allows you to change filter and gain settings. The label of this button indicates “Filt. On” if any filter is on. See the section entitled “Filters” later in this section. The button label also indicates the current gain setting (1/2X, 1X or 2X).

Heart Rate

Displays the current heart rate in BPM.

Display

ECG Module Battery Indicator

Green indicates that the batteries in the IQmark Digital ECG module are OK. Yellow indicates that the batteries are low and should be replaced.

Save Button Tap this button to save the ECG.

Initially the label of this button displays “Wait”. After about 12 seconds it changes to “Save”. If you change a filter setting the label will change to “Wait” for 12 seconds then change back to “Save”.

The number in parenthesis indicates the number of ECG files that you have saved during this ECG session.

Review Tap this button to review the last ECG saved during this test session.

OK Closes the ECG Screen and returns to the Patient List Screen or the

Patient Data Screen.

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Filters

The IQmark PDA ECG software provides three digital filters. When you are unable to obtain an acceptable noise free signal, these filters can be used in any combination to reduce the amount of noise in the ECG signal.

Each time you start a new ECG session by tapping Start ECG these filters are in the default off state.

Muscle Filter

The muscle filter can reduce the level of artifact due to muscle tremor or other high frequency artifact.

This filter reduces the sharpness of the R waves and attenuates the amplitude measurements significantly. Use the muscle filter only when it is not possible to obtain an acceptable ECG tracing.

Drift Filter

If the baseline of the ECG is wandering or changing slowly, the drift filter can help stabilize the baseline.

If you see a lot of baseline wandering, first attempt to correct the problem by performing a better skin preparation (see Preparing For ECG Acquisition) or re-applying the electrodes.

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Line Frequency Filter

This filter reduces the amount of 60-cycle (or 50-cycle) noise introduced by the AC power within the facility. The default setting is 60-cycle.

Gain

The IQmark PDA ECG software provides three gain settings. The standard 1X gain is equivalent to 10mm/mv and it is the default. When the ECG tracings are too tall, you can reduce the Gain to 1/2X, which is 5mm/mv, so they are easier to view. Likewise, you can increase the Gain to 2X, which is 20mm/mv, if the ECG tracings are too small. Changing the Gain does not affect the interpretation or measurements.

Each time you start a new ECG session, the Gain is in the default 1X setting.

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B Performing A STAT ECG

You can perform a STAT ECG without the need to enter or search for patient data.

Follow these steps to perform a STAT ECG.

1. Prepare the patient as described in Preparing For ECG Acquisition.

2. Start the IQmark PDA application.

3. Tap the STAT-ECG button.

4. Turn on the IQmark Digital ECG module. The ECG acquisition screen will appear immediately.

You can monitor the patient’s ECG for as long as necessary. If you do not need to save an ECG file you exit the ECG Screen by tapping the OK button.

If you need to save an ECG file, tap Save, then tap OK. The software will display the New Patient Data Screen. Enter the patient data (name, ID, sex and date of birth) then tap OK. The ECG Screen will appear again. If no information is entered and OK is tapped, it will save the test under the patient firs and last name of Unknown, Unknown. When transferred to the Workstation database, it will be saved under this name.

 NOTE: If you have a patient selected in the Patient List Screen or are currently

viewing patient data in the Patient Data Screen, any ECG files that you save will be saved for the selected patient. If you wish to perform a STAT ECG for a different patient, tap the STAT ECG button.

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C Reviewing ECG test

ECG tests collected on the Pocket PC device can be reviewed and edited through the IQmark PDA software or using the IQmark Diagnostic Workstation on the PC. The IQmark Diagnostic Workstation provides more reviewing and editing functionalities but requires transferring the tests to the Workstation database. Refer to the section on Transferring Data To The IQmark Diagnostics Workstation Database. For reviewing and editing the ECG tests through IQmark Diagnostic Workstation, please refer to the section on Reviewing Patient Reports in the IQmark Digital ECG operation manual.

You can review and edit an ECG test saved on the Pocket PC device from many screens.

• From the patient list screen:

Select the patient, whose test you want to review, from the patient list screen and tap View. Then select the desired report from the list and tap Review.

• From the Patient Data screen:

Select the desired report from the list and tap Review.

• From the live ECG screen:

Tap Review.

An example of an ECG review screen is shown below.

You can view the entire length of the recording by sliding the horizontal scroll bar, and view other lead groups by tapping on specific lead group button. The 10mm/mv button

ECG Review Screen

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represents the current 1X gain setting. Tap it to increase the gain to 20mm/mv (2X) or reduce it to 5 mm/mv (1/2X).

On each ECG Review Screen, there are lead labels on the left and time markers on the top of the screen. If these labels or markers are interfering with the reading of the ECG tracings, you can tap on Hide Tags to turn them off. Same button will changed to Show Tags, so tap it again to view the lead labels and time markers.

Tap Diagnosis to review the interpretation statements of the ECG test. Here you can use any text editing tools, e.g. keyboard, transcriber, block recognizer, etc, to change the interpretation. You can also tap Clear to delete all diagnostic statements before you enter any statement.

Note: If this report has been transferred to the IQmark Diagnostic Workstation database, you can only review the interpretation. Editing or changing of the diagnostic statements is only permitted on the PC using the IQmark Diagnostic Workstation software.

Once you are satisfied with the interpretation, enter your name in the Reviewed by box, and tap OK.

Tap Measurements on the ECG Review Screen to view the general measurements for this test. These values are not editable.

ECG Interpretation Screen

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You can print an ECG report with the interpretation and measurements in a standard three by four format with one rhythm strip at 25mm/sec print scale, from the following two screens.

• From the Patient Data screen:

Select the desired report from the report list and tap Print.

• From the ECG Review screen:

Tap Print to print the test being review.

Please refer to the section on Printing Reports From Pocket PC Device for hardware requirements and procedure.

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V Using Spirometry

A Collecting Spirometry Data

In addition to acquiring ECG data, you can also acquire Spirometry test data on the Pocket PC device. This section describes the steps required to acquire Spirometry tests on the Pocket PC device. The test data will be saved in the memory of the Pocket PC device until you sync the device with your computer. You can then review, edit and print the results.

To perform a Spirometry test, start the IQmark PDA program, select a patient name and tap Spiro. The following screen will display.

Name

The patient’s name is displayed at the top of the screen.

Indication

Just below Name, Indication is listed. Tap the down arrow. The indications listed from the Workstation will be displayed. Select the reason for the test. If the indication for the test is not in the list, use your pointing device to highlight the Indication field and type in the reason for the test.

SpiroPDA Opening Screen

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The next field is BD (bronchodilator). Select the BD if this is a Post-BD test. Tap the down arrow to select from the list. If the BD administered is not on the list, use your pointing device to highlight the BD field and type in the bronchodilator.

Profile

The configuration profiles listed are from the Spirometer Settings in Workstation. You can select any profile listed but you cannot edit the individual profiles here.

Sensor Status

To the right of Profile is the Spirometer handle Sensor Status window. It will display Sensor Ready with a green background if the Spirometer handle is correctly connected to the device and the mouthpiece is in place.

If the handle is not turned on, the status will display Not Ready with a red background. If Not Ready is displaying, check the connection of the cable to the Pocket PC device, the connection of the Spirometer handle cable and the mouthpiece. If all are in place, check the LED on the back of the handle. If the LED is off, please check the batteries inside the Spirometer handle. If the LED is green, please reset your Pocket PC device and re-enter the IQmark PDA program. The sensor status should now display Sensor Ready.

Last Calibrated

This field displays the date the Spirometer handle was calibrated. It is also color-coded. If the calibration was performed within the set calibration expiration interval, the background color is green. If the calibration is not within this interval, the background color is yellow. The background will be red and display Not Calibrated if the Spirometer handle has never been calibrated (see Calibrating the Spirometer).

Start Spirometry

Tap on this field to open the Spirometry Acquisition screen. If the handle was not calibrated within the required expiration interval, a warning message appears. Tap Yes to calibrate the handle. Also, if a patient has not yet been selected, a warning message will ask you to select a patient. (See Performing a Spirometry Test for additional information).

Start Calibration

Tap on this field to open the Calibration screen. You can calibration the Spirometer handle on the Pocket PC device or on the computer where Workstation is loaded. The calibration data will “follow” the handle from computer to Pocket PC device and back.

Advanced Settings

Advanced Settings are not visible if you have the keyboard displayed. This feature is for testing with mechanical devices only, not for human testing. This feature disables the BTPS calculation required for human testing. DO NOT use this setting when testing a patient. It is for device verification only.

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B Calibrating the Spirometer

From the IQmark PDA Opening Screen, tap Spiro. The SpiroPDA Opening Screen will display. Place the mouthpiece into the handle and connect the mouthpiece to the syringe adapter BEFORE entering the calibration screen.

Tap Start Calibration. If the Spirometer handle has not yet been calibrated, enter the sensor serial number in the Sensor SN field and the syringe serial number in the Syringe SN field. Once this information is entered, tap Start to begin calibration.

Calibration Screen

If the Spirometer handle has been calibrated before, the program will automatically start the calibration.

Once calibration is initiated, the Start button will change to Stop and the instructions in the box to the right of Stop will change. Follow these instructions until the required number of pumps is accepted.

A complete calibration requires three valid calibration pumps and one valid verification pump. Please refer to the IQmark Digital Spirometer Operation Manual for additional information about calibration.

After a valid verification pump is performed, the Verification Acceptance screen will appear. Note the accuracy of the verification pump. If the verification pump is plus or minus 3% of 3.00 liters (2.91 to 3.09), tap Yes to accept the verification pump. This will return you to the SpiroPDA Opening Screen.

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If the verification pump is not plus or minus 3%, tap No. Re-Verify and perform another verification pump.

Verification Acceptance Screen

C Performing an FVC Test

Proper patient preparation and enthusiastic coaching will help to achieve a good FVC test. Demonstrate for the patient the proper way to perform the test.

Please refer to the Patient Preparation section of the IQmark Digital Spirometer Operation Manual for information about FVC test recommendations.

To perform an FVC test on the IQmark PDA, select the appropriate patient and tap Spiro. The SpiroPDA Opening Screen will display. Tap Start Spirometry to enter the Spirometry Acquisition screen.

The Spirometry Acquisition screen will appear when:

1. A patient is selected.

2. The patient’s required demographics are entered (Race, Age, Sex, and Height).

3. The Spirometer is calibrated.

4. The Spirometer handle is connected and the mouthpiece is inserted correctly.

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The patient’s Race, Age, Sex and Height (RASH) must be entered for predicted equations to be displayed. If they are not entered, when you tap Start Spirometry the Missing Data Screen will display a warning to the user that this information is required.

Tap No to enter the required information. Tap Yes to continue without the predicted Normal values. Tap Cancel to return to the SpiroPDA Opening Screen. Once the required information is entered, the Spirometry Acquisition screen will display.

Missing Data Screen

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Spirometry Acquisition Screen

Feature Description

Flow Volume Displays the flow volume graph, real time, as the test is performed. Best Test Selection

A check mark here indicates that the test currently displayed is the best

test of the session. Test Type Enables the user to select which test to perform: FVC, VC or MVV Start/Stop Button Pre-BD or

Starts the test. Once start is selected, the button changes to Stop to

allow the user to manually stop the test.

Enables the user to select Pre- or Post-BD test mode. Post-BD Accept/Reject Selection Next/Previous Buttons Review Test Results

The user can override the program to accept a rejected test, or reject an

accepted test.

Next (>>) displays the next saved test. Previous (<<) displays the test

saved before the one currently displayed.

Displays total number of tests performed, total number accepted and the

total number that match. Enables the user to save the tests performed. Sensor Status Displays the status of the sensor handle: Sensor Ready, Low Battery, etc Test Instructions

Displays the instructions for the test. Displays when the program is

zeroing the sensor, when to start, when to continue and when to inhale.

Once the test is accepted, this area changes to the test results. Percent Predicted

Displays the percent predicted of the FVC during the test as an

incentive. Once a test is accepted, this area displays the test results.

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The Spirometry Acquisition screen will always open in the FVC mode. To perform a different test, tap the down arrow in the Test Type Selection box. Tap FVC, VC, or MVV and the proper test screen will display.

To perform an FVC test, tap Start and wait for the Test Instructions area to display Start When Ready. Instruct the patient to perform the test. Tap Stop to end the test. The Test Acceptance screen will display the appropriate acceptability statement.

Test Acceptance Screen

If this is a good test, the software will automatically accept the test. If one of the ATS acceptability recommendations was not met, it will display the recommendation and reject the test. You can override the recommendation and tap the Accept button if you believe the current effort is the best the patient can perform.

If you are not sure, tap View Graph to display the flow volume graph and the first four parameters of the test. You can also Accept or Reject a test from the Spirometry Acquisition screen.

To perform another test from the Test Acceptance screen, tap Yes. The program will enter the Spirometry Acquisition screen, zero the sensor and the Test Instructions area will display Start When Ready.

When you have performed the number of tests required, tap No. The last test performed is displayed.

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To exit the FVC test session, tap OK in the upper right hand corner. The Save This Report screen will display.

Tap Yes to save these tests and return to the Patient List selection screen. Tap Cancel to return to the Spirometry Acquisition screen.

Save This Report Screen

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Interpretations cannot be changed on the Pocket PC device. This would confirm the report. This must be done on the Workstation so that the Reviewed By field can be entered on the confirmed report.

The Review button on the Spirometry Acquisition screen will display the number of tests attempted, accepted, and matched and the interpretation based on the accepted tests performed.

Review Screen

You can use the Review feature to see if you have the required number of accepted and matched tests. Tap OK to return to the Spirometry Acquisition screen. Tap OK to exit from this screen.

If you have performed and saved tests for a patient and have not yet synced the data to the Workstation, the program will warn you if you attempt to do additional tests on the same patient.

From the Previous Report screen, you can decide to continue in the Pre-BD mode, continue in the Post-BD mode, or start a new test session for this patient.

Tap Continue to use the current selection. Tap Cancel to return to the SpiroPDA Opening screen. Tap OK to use the current selection listed.

Chose the selection required and tap Continue.

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Previous Report Exists Screen

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D Performing a VC Test

Proper patient preparation and enthusiastic coaching will help to achieve a good VC test. Demonstrate for the patient the proper way to perform the test.

Please refer to the Patient Preparation section of the IQmark Digital Spirometer Operation Manual for information about VC test recommendations.

To perform a VC test on the IQmark PDA from within the Spirometry Acquisition screen, tap the arrow next to FVC (above Start) and select VC from the pull down list.

For a new patient, select the appropriate patient and tap Spiro. The SpiroPDA Opening Screen will display. Tap Start Spirometry to enter the Spirometry Acquisition screen. On the Spirometry Acquisition screen, tap the arrow next to FVC (above Start) and select VC from the list. The VC Acquisition screen will appear.

The Spirometry Acquisition screen will appear when:

1. A patient is selected.

2. The patient’s required demographics are entered (Race, Age, Sex, and Height).

3. The Spirometer is calibrated.

4. The Spirometer handle is connected and the mouthpiece is inserted correctly.

Tap Start to zero the sensor and start the test.

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Spirometry Acquisition Screen - VC Test

Tap Stop to end the test. The program will analyze the tests and display the results. You can Accept or Reject any test by selecting the appropriate button. Use the Next (>>) and Previous (<<) buttons to view other VC tests within the same session.

Tap Review to view the number of tests performed and accepted. Tap OK (upper right hand corner) to exit this screen.

Spirometry Acquisition Screen - VC Test Result

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E Performing an MVV Test

Proper patient preparation and enthusiastic coaching will help to achieve a good MVV test. Demonstrate for the patient the proper way to perform the test.

Please refer to the Patient Preparation section of the IQmark Digital Spirometer Operation Manual for information about MVV test recommendations.

To perform a MVV test on the IQmark PDA from the Spirometry Acquisition screen, tap the arrow next to FVC (above Start) and select MVV from the list.

For a new patient, select the appropriate patient and tap Spiro. The SpiroPDA Opening Screen will display. Tap Start Spirometry to enter the Spirometry Acquisition screen. Once on the Spirometry Acquisition screen, tap the arrow next to FVC (above Start). Select MVV from the list. The MVV Acquisition screen will display.

The Spirometry Acquisition screen will appear when:

1. A patient is selected.

2. The patient’s required demographics are entered (Race, Age, Sex, and Height).

3. The Spirometer is calibrated.

4. The Spirometer handle is connected and the mouthpiece is inserted correctly.

Tap Start to zero the sensor and start the test.

Spirometry Acquisition Screen - MVV Test

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Spirometry Acquisition Screen - MVV Test Result

Tap Review to view the number of tests performed and accepted. Tap OK (upper right hand corner) to exit this screen.

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VI IQmark Sync Application Operation

The IQmark Sync application runs on a PC running a Windows Operating System and transfers report files from your Pocket PC device, analyzes them and inserts them directly into the database of the IQmark Diagnostic Workstation. The process is completely automatic so there is no need to manually copy files from the Pocket PC device.

This application normally runs in the background and does not display a dialog box until you insert your Pocket PC device into its docking bay. When you insert the Pocket PC device into its docking bay the IQmark Sync application displays the following dialog box. When synchronization is complete the application hides the dialog box.

You can display the dialog box by clicking on the IQmark Sync icon on the desktop.

You can also click on the small icon in the notify area in the right-hand area of the Windows task bar at the bottom of your screen.

IQmark Sync – Synchronization Dialog Box

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IQmark Sync Application Controls

Control/Display Description

Pocket PC

LED and status message.

Docking Status

Indicates the current docking status. If the Pocket PC device is currently in the docking bay connected to the PC, the LED will be green and the status will indicate “Connected”. Otherwise the LED will be off and the status will indicate “Not Connected”.

Synchronization

Progress bar and status message.

Status

Indicates the current synchronization status when a Pocket PC device is connected to the PC via a docking bay.

The Status indicates “Idle” if not currently transferring report files from the Pocket PC device. While transferring files, Status indicates “Transferring” and the total number of files and the number of the file currently being transferred are displayed, and the progress bar is updated as each file is transferred.

After transferring the report files, the application synchronizes the Workstation database and clears the new patients and vital signs databases on the Pocket PC device. During this time, Status indicates

“Synchronizing patient data…” and the progress bar is updated. Printing Print Reports After Receive

If checked, the IQmark Sync application will automatically print the

report after it is received from the IQmark PDA either through the

docking cradle or wireless connection.

Printer Indicates the current printer selection. If blank, the application uses

the current default Windows printer if Print Reports After Receive is

checked. Change Displays a “Browse For Printer” dialog box that displays a list of

printers. Select the printer you wish ECG reports to be printed on

then click OK. Reports Delete Reports From PDA After

If checked, the IQmark Sync automatically deletes the reports from

the IQmark PDA memory after a successful transfer to the designated

IQmark Diagnostic Workstation database. Receive Synchronization Methods –

If checked, the application will transfer test reports from a Pocket PC

device when one is inserted into a docking bay connected to the PC. Docking Bay

The LED indicates the status of the connection to Microsoft

ActiveSync. Green indicates OK. Red indicates that ActiveSync is

not installed or not running.

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Synchronization Methods – Enable Patient Data Download

Synchronization Methods – Network

Network – Current Connections Network – IP Address

If checked, the application will transfer patient information (name,

ID, date of birth, etc…) from the IQmark Diagnostic Workstation

database to the memory of the Pocket PC device. This allows you to

search for and select patients in the IQmark PDA application running

on the Pocket PC device.

If this check box is not checked, then patient information will not be

transferred from the IQmark Diagnostic Workstation database to the

Pocket PC device. In this case, you must enter a patient’s

identification information prior to performing an ECG or Spirometry

test for that patient. This ID must be exactly the same as the one

entered in Workstation.

Normally this box should be checked.

If the number of patients in the IQmark Workstation database gets

very large, the time required to transfer data from the database to the

Pocket PC device can increase. For very large databases, it is better to

disable patient data downloading and use the IQmark PDA and

IQmark Sync applications in a wireless network configuration. Please

refer to the Wireless Network Operation (Section VII).

If checked, the application accepts report files from Pocket PC

devices over the wireless network. See Wireless Network Operation.

The LED indicates the network connection status. Green indicates

OK. Red indicates that the network is not available or that the PC is

not configured for network operation.

Indicates the number of Pocket PC devices currently connected to this

application over the network.

Indicates the IP address of the PC where the IQmark Sync is

installed. Displayed only if Network is checked. Enter this address

into the Settings dialog of the IQmark PDA application if you are

using a wireless network.

Database Indicates the current database selection. Shows either “Local

Database” or “Network Database” depending upon the setting in use

by the IQmark Diagnostic Workstation product. Help Displays on-line help for this application.

Synchronize Click this button to perform a manual synchronization if needed.

Close & Exit Closes the IQmark Sync application.

IQmark Sync will launch automatically whenever the Pocket PC

device is docked.

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Close & Exit (continued)

If there are currently Pocket PC devices connected to this application

via the network, the application displays a warning message. The

application will not allow you to shut it down if it is currently

transferring files from the Pocket PC device to the PC.

Minimize Hides the application dialog. You can show the dialog again by

clicking on the notify icon in the status area of the task bar.

A Printing Options

It is possible to automatically print each report after it has been transferred from the Pocket PC device to the database.

Check the Print Reports After Receive check box to automatically print test reports. If this check box is not checked, you can print reports later from the IQmark Diagnostic Workstation product.

You may select which printer to use by clicking the Change button. The application will pop up the printer selection dialog.

Select the printer from the list of printers available to your computer then click OK. The application displays the printer selection in the main dialog of the application.

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It is not necessary to select a printer. If you do not select a printer but have Print After Analysis checked the application will use the Windows default printer.

B Selecting Synchronization Methods

The IQmark Sync application is capable of two methods of transferring report files from a Pocket PC device to a PC. Docking bay synchronization occurs when you insert the Pocket PC device that is connected to a PC. Network synchronization may be used if you are using Pocket PC devices with a wireless LAN connection.

C Changing The Database

The IQmark Diagnostic Workstation has the option of using one of two databases. The local database resides your PC. The network database resides on a server computer located on your local area network. Only you can view patient reports stored in your local database. Other users can view reports stored in the network database.

The IQmark Sync application uses the same database as the IQmark Diagnostic Workstation. When IQmark Sync runs it checks to see which database you are using with the IQmark Diagnostic Workstation application so normally you don’t have to worry about changing this setting.

If the need should arise, you can change the database in use by both applications with the IQmark Configuration utility application. Click the following icon on the Windows desktop.

The configuration utility’s main dialog will appear. Click the Database Settings button. The Database Settings dialog will appear. Select Local or Network (you may need to select Enable Network Database in order to select Network), then click OK. Exit the IQmark Configuration utility. The new setting will apply to the IQmark Diagnostic Workstation and the IQmark Sync application.

 NOTE: If you change the database setting, the change will not affect the IQmark

Sync application until you run that application again. If IQmark Sync is running, display the application dialog box by clicking on the icon in the right-hand portion of the Windows taskbar. Then click OK. Re-run IQmark Sync by double clicking the IQmark Sync icon on the Windows desktop.

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D Using IQmark Sync With The IQmark Data Management System

If you are using the IQmark Data Management System (IQmark DMS) product and are currently connected to the network database, two additional options appear on the IQmark Sync dialog box.

The Location box allows you to select the Location of Care to assign new ECG and Spirometry reports to.

The Department box allows you to select which Department to assign new ECG and Spirometry reports to.

Please refer to the IQmark Data Management System Operation Manual for a detailed description of locations of care and departments.

IQmark Sync – Synchronization Dialog Box with IQmark DMS

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VII Wireless Network Operation

The IQmark PDA application and IQmark Sync application can be used in a pure wireless local area network or in a hybrid network as shown in the following figure.

Windows Notebook PC

Windows Server

RS-232

Windows PC Windows PC

Ethernet

Wireless Access Point

Pocket PC

RS-232

Patient C able

User carries the Pocket PC and the ECG or Spirometer module from room to room collecting ECG or spirometry reports.

Reports are automatically transferred to the Diagnostic Workstation, analyzed, stored in the database and optionally printed.

IQmark PDA - Wireless Network Environment

Printer

Pocket PC

RS-232

Patient Cable

In this configuration it is not necessary to dock the Pocket PC device in order to transfer files to the PC and transfer patient data from the IQmark Diagnostic Workstation database to the Pocket PC device’s memory.

When configured with wireless network cards, the Pocket PC devices can query the IQmark Diagnostic Workstation database and send report files to the IQmark Diagnostic Workstation database in real time.

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A System Requirements

You will need the following additional components in order to use the IQmark PDA application in a wireless network.

1. Expansion packs for the Pocket PC devices.

2. Wireless network cards and associated software for the Pocket PC devices.

3. Wireless access point(s).

4. Local area network hardware.

B Getting Started

Before setting up operation in a wireless network environment, you should set up the IQmark PDA and IQmark Sync applications on a single PC and verify that the system functions properly when using the Pocket PC device’s docking bay.

You must perform the following tasks before using the IQmark PDA application in a wireless network environment. The following tasks should be performed by IT personnel within your organization or by someone who is familiar with setting up local area and wireless networks.

1. Install the wireless network card in each Pocket PC device and install the associated software according to the manufacturer’s instructions.

2. Install and setup the wireless access point according to the manufacturer’s instructions.

3. Configure each Pocket PC device to communicate on the network and verify the communication.

4. Install the IQmark Sync application and the IQmark PDA software on at least one of the Windows PCs in your network according to the instructions in Section II.

5. Configure the IQmark Sync application according to the instructions in Subsection C below.

6. Install the IQmark PDA application software on each Pocket PC device as described in Section II.

7. Configure the IQmark PDA application on each Pocket PC device as described in Subsection D below.

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C Setting Up IQmark Sync For Network Operation

You can install the IQmark Sync application on each Windows PC in the network but only one PC should be set up to communicate with all of the Pocket PC devices in the network. The other PCs can be set up to synchronize using the docking bay if desired.

Follow these steps to set up IQmark Sync for network operation:

1. Open the IQmark Sync’s dialog box by clicking the icon in the notify area of the Windows task bar. If there is no icon in the notify area of the task bar then IQmark is not running, so double click on the IQmark Sync icon on the Windows desktop.

2. In the Synchronization Methods group box, click the Network check box so that it is checked.

3. The IP address of the computer will appear below the check box. Write this number down or remember it, you will need it later to configure the IQmark PDA application on each Pocket PC device.

4. Hide the IQmark Sync dialog by clicking the Hide button.

5. The IQmark Sync application must be running at all times so that Pocket PC devices on the network can connect to it. Add a shortcut to the Startup menu so that IQmark Sync starts when a user logs on. The executable file for IQmark Sync is the following file: C:\Brentwood\Programs\BrentwoodSyncApp.exe.

It is best to put the IQmark Sync shortcut in the “All Users” group so that it will start when anyone logs onto the PC. This directory is located in the following path:

\Documents And Settings\All Users\Start Menu\Programs\Startup

 NOTE: On the PC where IQmark Sync is setup to service network connections it

is best not to enable docking bay synchronization if you start IQmark Sync when Windows starts.

 NOTE: One PC running IQmark Sync configured for network operation can

handle several Pocket PC devices running the IQmark PDA application.

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D Setting Up IQmark PDA For A Wireless Network

The IQmark PDA application on each Pocket PC device must be configured to operate on a wireless network.

1. Start the IQmark PDA application.

2. Click the Settings button.

3. In the Settings Screen, select Network.

4. Enter the Server’s IP address (in dotted IP address format) in the Server edit box.

5. Click the OK button in the top right-hand portion of the screen.

6. Verify proper network operation by checking to see if the “connected” icon

( ) is displayed in the lower right-hand portion of the Patient List Screen.

E Using IQmark PDA On A Wireless Network

Operation of the IQmark PDA application over a wireless network is nearly identical to operation when using a docking bay.

When connected to the wireless network, IQmark PDA queries the IQmark Diagnostic Workstation database on the server computer for patient data when you search for a name in the Patient List Screen. There is no need to dock the Pocket PC device to synchronize with the IQmark Diagnostic Workstation database.

When you save an ECG file in the ECG Screen, IQmark PDA sends the ECG data directly to the IQmark Sync application via the wireless network. The ECG report is analyzed and (optionally) printed seconds after you tap the Save button.

When you save a Spirometry report, the IQmark PDA will ask you whether to send the report or to the server to save it in the memory of the Pocket PC device. If you have finished testing the patient (i.e. performed both Pre- and Post-bronchodilator tests, or only plan to perform pre-bronchodilator tests) then you can send the report immediately. If you plan to perform more tests on the patient later, then you can save the report in the memory of the Pocket PC device and send it after completing the tests.

Dealing With Interruptions In The Network Connection

You may not be able to connect to the IQmark Sync application via the wireless connection if you move out of range or if the computer running IQmark Sync goes off line.

IQmark Diagnostic PDA

If this occurs, the following message will appear on the Patient List Screen.

“IQmark PDA to server connection failed, switching to local database.”

The “not connected” icon ( ) will appear in the lower right-hand portion of the

Patient List Screen.

During the time that IQmark PDA cannot communicate with the server you will not be able to query the IQmark Diagnostic Workstation database directly or transfer report files.

You can continue to store report files for patients in the local database or for new patients (that you register using the IQmark PDA application) because the IQmark PDA application will store them locally until you re-establish contact with the IQmark Sync application.

Recovering From Interruption Of Network Service

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You can recover from an interruption in the network connection by closing and opening the IQmark PDA application. If the network connection is available, the connected icon

( ) will appear in the lower right-hand corner of the Patient List Screen.

If you saved report files the Patient List Screen will show the number of stored files. A button labeled Send will also be visible in the lower portion of the Patient List Screen. Tap on Send to transfer the ECG files via the wireless network.

If you are unable to establish contact over the network, you can dock the Pocket PC device to a PC that has the IQmark Sync application configured to synchronize via the docking bay (see Section VI).

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VIII System Maintenance

A Troubleshooting Guide

This Troubleshooting Guide provides a comprehensive list of solutions and recommendations for solving problems you may encounter with the IQmark Digital ECG, the IQmark Digital Spirometer, and the IQmark PDA or IQmark Sync applications. Before calling Midmark Diagnostics Group for Customer Service, please refer to the following tables for help.

IQmark Digital ECG/IQmark PDA Problems

ECG Screen

Error Message Or Problem Solution or Recommendation

ECG Module Not Responding This message indicates that the IQmark PDA is

not receiving digital signals from the IQmark Digital ECG module.

Verify the connection between the serial port connector of the Pocket PC device and the IQmark Digital ECG module.

Verify that the power of the IQmark Digital ECG module is turned on. The LED on the ECG module is green when power is on.

If the LED of the ECG module does not turn green when you press the On/Off button, try replacing the batteries in the module.

Verify that the correct type of ECG module is connected to the Pocket PC device. The ECG module must have an On/Off membrane switch on the front and the serial number must be greater than 415000. If your ECG module does not have a power switch you must obtain the correct type of module.

Verify that the serial port setting in the Settings Screen is correct. Normally the COM port should be set to COM 1 for HP/Compaq iPAQ users.

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Error: Incorrect Device Type Connected

Indicates that the IQmark PDA is receiving signals from the serial port but the format of the data is incorrect.

Verify that the ECG module is not a Valentine PC ECG module or an IQmark Digital Spirometer.

Remove any other devices that may be connected to the Pocket PC device serial port and connect the IQmark Digital ECG module.

Battery Indicator turns yellow If the battery indicator turns yellow the batteries

in the IQmark Digital ECG module are about to run out.

Replace the batteries in the IQmark Digital ECG module.

Signal Quality Indicators for a lead are yellow, orange or red.

Red indicates that the lead wire is disconnected. Reconnect the lead wire to the patient. Yellow indicates fair ECG quality. Orange indicates poor signal quality.

In order to have good ECG signal quality, it is essential that the patient is properly prepared, the lead placements are correct, the electrodes and lead wires are secured firmly. Follow the instruction in Preparing For ECG Acquisition closely for best performance.

• Verify electrodes are fresh and moist, not dry or hard. Check electrode expiration date on package.

• Verify patient lead wires and cables are not damaged or worn out.

• Inspect connections between the electrodes, clips, lead wires, lead cable and the ECG Module.

• The exam room should not be too cold because the patient may shiver during the test, causing a noisy signal.

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• Identify which leads are picking up noise problems by switching the ECG display to the lead group and wiggling each lead wire independently. Once identified, discard and replace the used electrode. Re-prep the problem site or try a new electrode site in close proximity to the original site. Note any site variance on test the report later.

• Try the filter settings on the ECG screen. Turn AC filter ON if you see 50/60Hz noise. Turn Muscle filter ON if patient produces muscle tremor. Turn Drift filter ON if the ECG baseline is drifting. While these digital filters can improve signal quality, they cannot correct hookup problems. Note: As with any ECG measuring device, turning on the Muscle filter may alter measurements, which in turn may affect the diagnostic statements.

• Verify patient’s bed is properly grounded.

• Verify patient or examination room is not

susceptible to interference such as electromagnetic fields from high power equipment like X-ray machines, power generators, compressors, etc.

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IQmark PDA Patient Search Screen Problems

IQmark Sync

Error Message Or Problem Solution or Recommendation

Error Message: “IQmark PDA to server connection failed, switching to local database.”

This error message will appear when you first run the IQmark PDA application, when you tap on Search or attempt to update the patient list.

Verify that one of the computers in the network is running the IQmark Sync application and that it is set up for network operation (Network is checked on the IQmark Sync screen).

Compare the IP Address on the IQmark Sync dialog with the IP address that you entered in the Settings Screen of the IQmark PDA application and make sure they are the same.

The “Not Connected” icon ( )

appears in the lower right-hand portion of the screen.

Verify that your Pocket PC device can communicate with the computer you are running IQmark Sync on by using the “Ping” utility supplied with the wireless network card for your Pocket PC device.

Close and restart the IQmark PDA application on the Pocket PC device after you resolve the network problem.

If you are unable to resolve the network problem you can use the IQmark PDA application and store ECG files in the memory of the Pocket PC device. You can then dock the Pocket PC device to a PC to transfer the files. You can continue to operate in this manner until the network problem is resolved.

If you do not intend to use the IQmark PDA application in a mobile wireless network environment you should un-check the Network option in the Settings Screen. This icon indicates that your Pocket PC device is not connected to the network or that the IQmark Sync application is not running on a network PC. See above for suggestions.

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IQmark SpiroPDA / IQmark PDA Problems

IQmark SpiroPDA

Error Message Or Problem Solution or Recommendation

Spirometer parameters (measurements)

The SpiroPDA displays the four parameters listed at the top of the measurements list for the

The parameters are not displayed,

selected Configuration Profile. missing or the parameters displayed are not the ones desired.

On the Workstation, open the Spirometry

Settings. For the selected Configuration

Profile, click on the Measurements tab. The

first four parameters listed will be displayed on

the FVC Acquisition screen. The same is true

for the VC and MVV measurements. Make

sure the desired parameters are listed in the

Configuration Profile selected.

Spirometry handle will not respond. The batteries are in and loaded in the right direction, the mouthpiece is in and the cable is connected to the PDA.

Make sure you have the correct model number

Spirometry handle. The first two digits of the

serial number must be 51. If they are not,

contact Customer Service.

Sensor status displays Not Ready. Make sure the Spirometry handle is ready.

1) Check both cable connections to assure they

are tight and secure.

2) Check the batteries to ensure they are loaded

correctly and are not drained.

3) Check the mouthpiece to ensure it is

mounted correctly.

Exit the IQmark PDA program and launch it

again. Tap Spiro to check sensor status.

The message: “Unable to perform automatic interpretation because: An acceptable pre-bronchodilator FVC test is not available.” displays on the review report screen.

Check the number of Attempted Pre-BD FVC

tests listed in the table. If this number is 0,

return to the FVC Test screen and perform a

FVC test. If this number is 1 or greater, check

the number of Accepted Pre-BD FVC tests. If

this number is zero, return to the acquisition

screen and either accept one of the previously

performed tests or have the patient perform an

acceptable FVC test.

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IQmark Sync/PC Problems

IQmark Sync

Error Message Or Problem Solution or Recommendation

Docking Bay LED is red. The IQmark Sync application cannot

communicate with Microsoft ActiveSync.

The most likely cause is that Microsoft

ActiveSync has not been properly installed on

the PC. Install Microsoft ActiveSync then

close and restart IQmark Sync.

If you do not intend to use this computer with a

docking bay. Then un-check Docking Bay and

check Network.

Network LED is red. The IQmark Sync application cannot

communicate with the Windows network

communication libraries.

The most likely cause of this error is that your

PC is not set up correctly for operation on a

network. Install the Windows components

required for networking and close and restart

IQmark Sync after you verify that the network

is operational.

If you do not intend to use a network to

communicate with your Pocket PC device, then

uncheck Network and check Docking Bay.

Error Message: “This program cannot run because the IQmark Diagnostic Workstation product is not installed. Please install IQmark Diagnostic Workstation and try again.”

Make sure that version 6.3 (or later) of the

IQmark Diagnostic Workstation is properly

installed. Install the IQmark Diagnostic

Workstation software if necessary and close

and restart IQmark Sync.

Error Message: “Synchronizing with the Pocket PC device. Cannot exit now.”

This error message appears if you click OK

while IQmark Sync is synchronizing with a

Pocket PC device. IQmark Sync will not let

you exit until synchronization with the Pocket

PC device is complete.

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If you absolutely must terminate

synchronization, you can remove the Pocket

PC device from the docking bay.

Removing the Pocket PC device from the

docking bay will result in one of the following

three error messages.

Status Message: “Error synchronizing the Workstation database.” Appears in the Status area of the dialog box.

Status Message: “IQmark Sync: Error synchronizing the New Patients database” Appears in the Status area of the dialog box. Status Message: “IQmark Sync: Error synchronizing the Vitals database.” Appears in the Status area of the dialog box. Status Message: “IQmark PDA not installed or Partnership not set up.” Appears in the Status area of the dialog box.

This error can occur if the Pocket PC device is

removed from the docking bay or turned off

while synchronizing.

You can complete database synchronization at

a later time by inserting the Pocket PC device

into the docking bay.

Same as above.

There are two possible causes for this error:

• The IQmark PDA application has not been installed on the Pocket PC device.

• You have not established an ActiveSync Partnership with the Pocket PC device.

If you wish to use the Pocket PC device to perform ECG procedures then install the IQmark PDA application on the device. Select

Start Æ Programs Æ Midmark Diagnostics Æ IQmark PDA Setup.

If an ActiveSync Partnership has not been set up yet, the Microsoft ActiveSync program will prompt you with instructions on how to set up the Partnership.

After you have corrected the problem, turn off the power to Pocket PC device, wait a few seconds, and then turn it on again. IQmark Sync should then synchronize correctly. If that does not fix the problem, perform a soft reset.

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Error Message: “There are still Pocket PC devices connected. If you exit, these devices will not be able to access the database. Are you sure you want to exit this application?”

This message will appear if you are using IQmark Sync to communicate with Pocket PC devices over a wireless network and you tap OK to exit IQmark Sync while there are Pocket PC devices connected to IQmark Sync.

It is best not to exit IQmark Sync while there are devices connected. However if you must exit, click the OK button in the message box. Click Cancel to leave IQmark Sync running.

ECG reports not printed. Make sure that the Print After Analysis check

box is checked.

If Print After Analysis is checked, verify that your printer is turned on and can print using another program.

If the printer selection is blank, IQmark Sync uses the default Windows printer. Verify that your PC has a default printer selected.

New patient data or vital signs data for new patients not transferred to the IQmark Diagnostic Workstation database.

You can select another printer by clicking the Change button.

If you did not perform an ECG for a new patient registered in the IQmark PDA application then that patient will not be registered in the IQmark Diagnostic Workstation database. This is by design. Only new patients that you saved an ECG file for will be registered automatically.

It is best to register new patients using the IQmark Diagnostic Workstation application. New patients will appear in the patient list of the IQmark PDA application after you synchronize the databases by docking your Pocket PC device to your PC.

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B Customer Service and Contact Information

For help in diagnosing problems with this product, refer to the online help for immediate assistance. You can also contact Midmark Diagnostics Group Customer Service at (310) 530-5955, ext 2. Inside the Continental United States, contact Customer Service at (800) 624-8950, ext 2. Office hours are 8:00 AM- 5:00 PM, Pacific Standard Time (PST).

Warranty

All Midmark Diagnostics Group Products are warranted free from manufacturing and material defects for 12 months from the date of purchase. Any misuse or abuse of the product voids all warranties.

Return Goods Authorization

To return any product for repair, an RMA (Return Materials Authorization) number must be obtained from Midmark Diagnostics Group Customer Service. This number should be referenced on the package(s) containing the items to be returned and in any correspondence regarding the return.

Shipping

Before shipping any unit to Midmark Diagnostics Group, be certain that an RMA (Return Materials Authorization) number has been issued and that all guidelines regarding this authorization are followed. We highly recommend that you follow all guidelines for the shipment of a medical product set forth by the shipping company of your choice. If a question should arise regarding an appropriate method of shipment, please feel free to ask when calling for your Return Goods Authorization Number. It is ultimately the responsibility of the customer when shipping a product to ensure that all packages and their contents get to Midmark Diagnostics Group safely.

Midmark Diagnostics Group will not assume any responsibility for damage due to improper packaging, shipment or use of a product. Such actions will result in all warranties being void. It is the customer’s responsibility to ensure proper packaging and shipment of the product. Packaging and shipping costs associated with the return of the product to Midmark Diagnostics Group are also the customer’s responsibility.

Midmark Diagnostics Group 3300 Fujita Street Torrance, California, USA 90505

PH 310-530-5955 PH 800-624-8950 FX 310-530-1421

Midmark IQmark Digital ECG PDA, IQmark Digital SpiroPDA Operation Manual

Specifications and Main Features

Frequently Asked Questions

User Manual