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ECG Quality and Troubleshooting

Diagnostic ECG checklist

It is important that tracings submitted to our cardiology team are diagnostic. This means that:

•

The P-waves are visible and distinct from motion artifact in lead II. The P-wave may be very small or

invisible on leads I and III, especially in feline ECGs.

•

The P-wave (if visible):

−

is positive (points upward) in leads I, II, and III.

−

is negative (points downward) in lead AVR.

−

may be either positive or negative in leads AVL and AVF.

•

The ECG baseline is generally level.

Baseline

P-wave

Содержание CardioPet ECG

Страница 1: ...Pet Software User Guides CardioPet ECG Device CardioPet Software for Windows PC CardioPet App for Android Mobile Device CardioPet App for Apple iPad Integrating an App with IDEXX Web PACS or IDEXX PACS ECG Quality and Troubleshooting ...

Страница 2: ... patent applications trademarks copyrights or other intellectual or industrial property rights covering this document or subject matter in this document The furnishing of this document does not give a license to these property rights except as expressly provided in any written license agreement from IDEXX Laboratories 2021 IDEXX Laboratories Inc All rights reserved 06 0003888 06 CardioPet IDEXX PA...

Страница 3: ...nection 23 Entering ECG viewer settings 25 Working with ECGs in the CardioPet app 26 CardioPet App for Apple iPad 28 Minimum requirements 30 Checking compatibility 31 Configuring general iPad settings 32 Installing the CardioPet app and configuring app settings 34 Configuring ECG viewer settings 35 Working with ECGs in the CardioPet app 36 Integrating the CardioPet App with IDEXX Web PACS or IDEXX...

Страница 4: ...CardioPet ECG Device User Guide ...

Страница 5: ...cable 6 Turning the device on off 6 CardioPet device lights and what they mean 7 Preparing the patient and attaching clips 8 Maintenance and specifications 9 Cleaning and maintaining the CardioPet device 9 Replacing and recycling batteries 9 Specifications 9 ...

Страница 6: ...o each of the four cables 3 Plug the single end of the cable into the CardioPet device aligning the arrow with the triangle on the back of the device as shown below Note To disconnect the cable pull the outer cylinder of the connector to release the lock Turning the device on off To turn on the CardioPet device press the power button The power light on the right side of the device will illuminate ...

Страница 7: ...t device lights and what they mean The Bluetooth light to the left of the power button will illuminate when the CardioPet device is streaming to a designated device in the CardioPet app or software ECG is streaming Power button is on ...

Страница 8: ...ht rear leg IMPORTANT Make sure that the patient s limbs the cables and the clips do not touch one other or touch metal For more information review or print this poster that explains how to prepare a patient for an electrocardiogram ECG To attach clips for a chest lead ECG A chest lead may be helpful if the P waves are indistinct in lead II 1 Place all clips as described in the previous section ex...

Страница 9: ...ent the WEEE Directive If disposed of within the European Union this product should be treated and recycled in accordance with the laws of your jurisdiction implementing the WEEE Directive For additional information visit idexx com weee Specifications CardioPet device Sampling rate 500 Hz each channel Signal frequency range 0 05 Hz to 100 Hz Filter type Digital Channels 2 according to 3 or 6 vecto...

Страница 10: ...CardioPet Software for Windows PC User Guide ...

Страница 11: ...ion 12 Minimum PC requirements 12 Installing the CardioPet software 12 Pairing the CardioPet device with the CardioPet software 13 Entering ECG viewer settings 15 Working with ECGs in the CardioPet app 16 Streaming and recording an ECG 16 Selecting the patient and saving the ECG 17 Submitting an ECG to VetMedStat 18 ...

Страница 12: ...AM 4 GB Hard drive 100 GB Internet connection Installing the CardioPet software 1 Download and install the CardioPet ECG Device software from idexx com telemedicineresources For assistance contact IDEXX Telemedicine Consultants at 1 800 726 1212 or email telemedicinesupport idexx com Note Some computers require administrative rights for downloading software If you receive an error when downloading...

Страница 13: ...pability on your computer 1 In the taskbar usually in the lower right corner of the monitor click the up arrow to display hidden icons and then look for the presence of the Bluetooth icon Alternatively check your computer s Device Manager for Bluetooth or Bluetooth Radios 2 If the icon or radios option is not present follow the instructions in the package you received from IDEXX to install the Blu...

Страница 14: ...hree letters followed by four numbers The password is case sensitive 4 Enter the VetMedStat URL https api vetmedstat com vmsintegrations vmstms asmx 5 Press the Power button on the front of the CardioPet device 6 Under CardioPet Settings in the top left corner click Bluetooth 7 If no device is listed in the Bluetooth section tap Refresh assuming Bluetooth technology is enabled 8 Select the device ...

Страница 15: ...gs screen click ECG Tools at the top left side of the CardioPet app These settings apply to how the ECG is viewed onscreen and do not impact the saved ECG file 2 Set the following items to your viewing preferences Display Type Select from Single Lead Einthoven 3 leads or Goldberger 6 leads Paper Speed Scroll to see all speed options and select the desired setting 50 mm sec is recommended Gain Sele...

Страница 16: ...ioPet app 3 Click New ECG in top left corner of screen 4 If prompted select the patient s species 5 Prepare the patient See Preparing the patient and attaching clips for additional details 6 When the ECG tracing is diagnostic tap Start Recording at the bottom right of the screen See Diagnostic ECG checklist for more information TIP On CardioPet device models 02 and newer you can also lightly depre...

Страница 17: ... may receive a Short ECG warning TIP To discard a recorded ECG click Delete in the top right corner of the screen Selecting the patient and saving the ECG 1 At the bottom right side of the CardioPet app click Select Patient Save The Local Patients window opens 2 Assign the ECG to an existing patient or to a new patient as follows Existing patient Tap the patient name in the Local Patients list and...

Страница 18: ...use Settings may need to be configured to display hidden IDs If your practice management system does not provide a patient ID you can add a letter a number or the patient s name to the client ID to create a unique patient ID Submitting an ECG to VetMedStat 1 To locate a previously recorded ECG tap Saved ECGs at the top left of the CardioPet app main screen 2 Tap the desired ECG in the Recent ECGs ...

Страница 19: ...er To upload the ECG without opening vetmedstat com You must log on to vetmedstat com later to complete the case Use this option if there is a case already started with other image files Cancel Closes the window TIP If there is no internet connection available when you tap an Upload option a No Network error message opens Tap OK to queue the request for automatic retry later ...

Страница 20: ...CardioPet App for Android Mobile Device User guide ...

Страница 21: ...g a Bluetooth connection 23 Preparing the tablet 23 Installing the app 23 Pairing the CardioPet ECG Device and configuring settings 23 Entering ECG viewer settings 25 Working with ECGs in the CardioPet app 26 Streaming and recording an ECG 26 Selecting the patient and saving the ECG 26 Submitting an ECG to VetMedStat 27 ...

Страница 22: ...e CardioPet App for Android Mobile Device should be compatible with Android based tablets we cannot guarantee compatibility with every Android device Please contact IDEXX Telemedicine Consultants to validate compatibility If this is a new Android device follow the instructions that came with the device to complete its initial setup before proceeding An internet connection is needed for installing ...

Страница 23: ...guring settings IMPORTANT Only one instance of the software or app can be used at a time close all other open CardioPet applications including the CardioPet software on a Windows PC To pair the CardioPet ECG Device with the CardioPet app 1 Turn on the Android tablet and tap to start the CardioPet App 2 Turn on the CardioPet device 3 Tap Settings at the top left side of the CardioPet app 4 Tap in e...

Страница 24: ...f prompted to enter the Bluetooth Pairing Request PIN enter 3001 General a Recording Time Select the recording duration you prefer 30 or 60 seconds b Weight Unit Select the weight units you prefer Kg or Lb c Quality Indicator Species Selection Select Always Ask Species unless all ECGs will be performed on just one of the listed species This feature will prompt a request for species before each ECG...

Страница 25: ...leads or Goldberger 6 leads Paper Speed Scroll to see all speed options and select the desired setting 50mm sec is recommended Gain Select from 2 5 mm mV 5 mm mV or 10 mm mV recommended Show Heartrate When this feature is turned on the CardioPet app shows a calculation of the patient s heart rate in the top left corner of the app Play Heartbeat When this feature is turned on the CardioPet app make...

Страница 26: ...device to start recording The livestream and recording stop automatically once the app records the ECG for 30 or 60 seconds depending on your setting 5 To turn off the CardioPet device press and hold the power button for about 5 seconds the device will also turn off automatically after 5 minutes of inactivity Note The ECG must be at least 20 seconds long If the Recording icon is tapped while recor...

Страница 27: ... an ECG to VetMedStat 1 To locate a previously recorded ECG tap ECGs at the top right of the CardioPet app main screen 2 Tap the desired ECG in the Recent ECGs list and then tap Close 3 When the desired ECG is visible on the screen tap Start a Telemedicine Case at the bottom right side of the app 4 In the Upload window select one of the following Finish Now To open vetmedstat com where you can com...

Страница 28: ...CardioPet App for Apple iPad User Guide ...

Страница 29: ...31 Configuring general iPad settings 32 Installing the CardioPet app and configuring app settings 34 Configuring ECG viewer settings 35 Working with ECGs in the CardioPet app 36 Streaming and recording an ECG 36 Selecting the patient and saving the ECG 36 Submitting an ECG to VetMedStat 37 ...

Страница 30: ...rom the CardioPet iOS App to vetmedstat com and submitting a case directly on vetmedstat com from the iOS device To download the CardioPet app from the App Store an Apple ID is required Your Apple iPad must have iOS 11 or later IMPORTANT Although the CardioPet App should be compatible with iPad devices we cannot guarantee compatibility with every iOS device Please contact IDEXX Telemedicine Consul...

Страница 31: ... should say Works on this iPad To view the Information box Open the App Store on the iPad and search for IDEXX CardioPet Tap on the app and scroll to Information to view compatibility Try to download the CardioPet app from the App Store If the iPad and iOS versions are not compatible with the app the app will not download successfully and you may see error messages like these ...

Страница 32: ...Fi setting verify that Wi Fi is enabled and connected to a strong internet signal An internet connection is needed for installing the CardioPet app uploading an ECG file from the CardioPet app to vetmedstat com and submitting a case to vetmedstat com directly from the iOS device 3 Connect Bluetooth technology to the CardioPet device as follows a Turn on the CardioPet device b In the iPad Settings ...

Страница 33: ...Pad not currently being used with the CardioPet device The CardioPet device can be used with only one Bluetooth enabled device at a time 4 Specify general settings a Software Update Check to see whether a software update is available if it is install it now Updates often include important defect corrections and enhancements Not having the most current iOS version may affect your CardioPet user exp...

Страница 34: ...d by four numbers The password is case sensitive For assistance email teledmedicinesupport idexx com or call 1 800 726 1212 VMS URL api vetmedstat com General Time Select the recording duration you prefer 30 or 60 seconds Weight Unit Select the weight units you prefer Kg or Lb Quality Indicator Species Selection Select Always Ask Species unless all ECGs will be performed on just one of the listed ...

Страница 35: ...d Scroll to see all speed options and select the desired setting 50mm sec is recommended Gain Select from 2 5 mm mV 5 mm mV or 10 mm mV recommended Heartrate When this feature is turned on the CardioPet app shows a calculation of the patient s heart rate in the top left corner of the app Heartbeat When this feature is turned on the CardioPet app makes an audible beep to the rhythm of the heart rat...

Страница 36: ...app records the ECG for 30 or 60 seconds depending on your setting 6 To turn off the CardioPet device press and hold the power button for about 5 seconds the device will also turn off automatically after 5 minutes of inactivity Note The ECG must be at least 20 seconds long If the Recording icon is tapped while recording is in progress you may receive a Short ECG warning TIP To discard a recorded E...

Страница 37: ...recorded ECG tap ECGs at the top right of the CardioPet app main screen Tap the desired ECG in the Recent ECGs list and then tap Close 2 When the desired ECG is visible on the screen tap Start a Telemedicine Case at the bottom right side of the app 3 In the Upload window select one of the following Finish Now To open vetmedstat com where you can complete the case immediately Finish Later To upload...

Страница 38: ...Integrating the CardioPet App with IDEXX Web PACS or IDEXX PACS User Guide ...

Страница 39: ...XX Telemedicine Consultants at 1 800 726 1212 for additional information and or to schedule a remote session with a representative who will help you set up the integration Sending ECGs to IDEXX Web PACS or IDEXX PACS software For instructions on sending ECGs to IDEXX Web PACS or IDEXX PACS software please refer to the document provided to you during your integration setup Submitting a case from wi...

Страница 40: ...ECG Quality and Troubleshooting User Guide ...

Страница 41: ... ECGs 46 Indistinct P waves and movement artifact 46 Flat lines or indistinct complexes 46 Blurry lines 47 Small or absent P waves 47 Inverted P waves 47 Vertical red bar in the ECG tracing 47 Crowded or overlapping complexes 47 ECG tracing is not visible in the software 47 Additional troubleshooting tips 48 Case is not visible in vetmedstat com 48 ...

Страница 42: ...ECG Quality and Troubleshooting 42 Examples of diagnostic ECGs Diagnostic canine ECG Diagnostic feline ECG ...

Страница 43: ...ack on ECG quality and lead placement The Quality Indicator changes the color of any potentially affected leads yellow and provides additional troubleshooting information If you have completed all troubleshooting steps and continue to receive the Quality Indicator error you may close the alert and continue recording For more troubleshooting information review the following ...

Страница 44: ...ECG Quality and Troubleshooting 44 ...

Страница 45: ...es are visible and distinct from motion artifact in lead II The P wave may be very small or invisible on leads I and III especially in feline ECGs The P wave if visible is positive points upward in leads I II and III is negative points downward in lead AVR may be either positive or negative in leads AVL and AVF The ECG baseline is generally level Baseline P wave ...

Страница 46: ...tifact Move clips below the knees and elbows Distract the patient by tapping gently on the nose or offering a treat out of a closed hand Apply gentle pressure to the chest and or legs Reposition the patient if patient is standing place in right lateral position or the reverse Record a chest lead to distinguish P waves from movement artifacts Flat lines or indistinct complexes Make sure clips have ...

Страница 47: ...ween the device and the software Crowded or overlapping complexes Gain may be too high or feed too slow Try a gain of 10 mm mV and a feed of 50 mm s See Adjusting the ECG display in the section for the computer or tablet you are using ECG tracing is not visible in the software Windows PC Check that the wireless communication light is illuminated on the CardioPet device If it is not try restarting ...

Страница 48: ...edStat Account verify that the VetMedStat user name and password are correct Verify that your PC has an Internet connection If the case was uploaded from an Android or an iOS device Hold down the Menu button and then tap Settings Verify that the VetMedStat account number and password are correct and that the domain is api vetmedstat com Verify that the device is connected to a Wi Fi network with i...

Страница 49: ...are CardioPet app or the CardioPet ECG Device Contact IDEXX Telemedicine Consultants at 1 800 726 1212 Visit idexx com telemedicineresources Email telemedicinesupport idexx com IDEXX Laboratories Inc One IDEXX Drive Westbrook Maine 04092 USA 1 207 556 0300 or 1 800 548 6733 ...

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