IDEXX CardioPet* ECG Device Setup Instructions and User Guide
Proprietary Rights Notice Information in this document is subject to change without notice. Companies, names and data used in examples are fictitious unless otherwise noted. No part of this document may be reproduced or transmitted in any form or by any means, electronic, mechanical or otherwise, for any purpose, without the express written permission of IDEXX Laboratories. IDEXX Laboratories may have patents or pending 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. © 2015 IDEXX Laboratories, Inc. All rights Reserved. • 06-0003888-00 *CardioPet and VetMedStat are trademarks or registered trademarks of IDEXX Laboratories, Inc. or its affiliates in the United States and/or other countries. Android and Google Play are trademarks of Google Inc. DICOM is the registered trademark of the National Electrical Manufacturers Association for its standards publications relating to digital communication of medical information. Windows is a registered trademark of Microsoft Corporation in the United States and/or other countries.
Contents Setting Up the CardioPet* ECG Device .............................................................................................. 5 Connecting the Batteries and Cables ............................................................................................... 5 Installing the CardioPet Software ..................................................................................................... 5 Pairing the ECG Device with the CardioPet Software on a PC ......................................................... 5 Pairing the ECG Device with the CardioPet App on an Android* Device .......................................... 7 Preparing the Patient ........................................................................................................................... 8 Attaching the CardioPet Comfort Clips to the Patient ....................................................................... 8 Attaching the Clips to the Patient for a Chest Lead .......................................................................... 8 Recording and Submitting an ECG .................................................................................................... 9 Recording and Submitting from a Windows* PC .............................................................................. 9 Recording and Submitting from an Android* Device ....................................................................... 10 Completing the Case on the VetMedStat* Website ......................................................................... 11 Completing a New Case ................................................................................................................ 11 Completing a Repeat Case ............................................................................................................ 12 Using Advanced Software Features on a Windows* PC ................................................................. 14 Adjusting the ECG Display ............................................................................................................. 14 Changing the Recording Duration .................................................................................................. 14 Viewing or Deleting a Saved ECG.................................................................................................. 15 Exporting an ECG from the CardioPet Software............................................................................. 15 Importing an ECG into the CardioPet Software .............................................................................. 15 Managing Patient Records ............................................................................................................. 16 Updating VetMedStat Account Information..................................................................................... 16 Using Advanced Software Features on an Android* Device .......................................................... 17 Adjusting the ECG Display ............................................................................................................. 17 Changing the Recording Duration .................................................................................................. 17 Viewing a Saved ECG.................................................................................................................... 17 Managing Patient Records ............................................................................................................. 18 Updating VetMedStat Account Information..................................................................................... 19 Integrating the CardioPet Software with the IDEXX-PACS* Software ............................................ 19 Installing the DICOM® License and Integrating the Systems .......................................................... 19 Uploading an ECG into the IDEXX-PACS Software ....................................................................... 20 Importing an ECG into the IDEXX-PACS Software ........................................................................ 20 Viewing an ECG That Has Been Stored in the IDEXX-PACS Software .......................................... 21 Submitting a Telemedicine Case from the IDEXX-PACS Software................................................. 21
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ECG Quality Guidelines and Troubleshooting................................................................................. 22 Examples of Diagnostic ECGs ....................................................................................................... 22 Diagnostic ECG Checklist .............................................................................................................. 23 Troubleshooting ECGs ................................................................................................................... 23 Troubleshooting the Software and the ECG Device ....................................................................... 25 Maintenance and Specifications ....................................................................................................... 26 Replacing and Recycling Batteries ................................................................................................. 26 CardioPet ECG Device Specifications ............................................................................................ 26 Cleaning and Maintaining the ECG Device .................................................................................... 27 For Assistance ............................................................................................................................... 27
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Setting Up the CardioPet* ECG Device You can use the CardioPet* ECG Device with either a Windows* personal computer (PC) or an Android* mobile device. The CardioPet software must be used in the same room as the CardioPet ECG device. Minimum PC requirements: Device ports: USB 1.1 or later Operating system: Windows* XP, Windows* 7, or Windows* 8 (32- or 64-bit) RAM: 2 GB Hard drive: 100 GB IMPORTANT: If your computer is running the Windows XP operating system, contact IDEXX Telemedicine Consultants at 1-800-726-1212 before continuing. Minimum Android* mobile device requirements: Tablet or smart phone running the Android* operating system (version 4.3 recommended)
Connecting the Batteries and Cables To insert batteries and connect cables: 1. Insert two AA batteries (included) into the back of the device. WARNING: Never use rechargeable batteries because they may cause a fire hazard. Always use nonrechargeable alkaline batteries. 2. Attach a clip to each of the four cables. 3. Plug the single end of the cable into the ECG device, aligning the arrow with the white dot. Note: To disconnect the cable, pull the outer cylinder of the connector to release the lock.
Installing the CardioPet Software Download and install the CardioPet software from vetmedstat.com/cardiopet as instructed in the email from IDEXX. For assistance, contact IDEXX Telemedicine Consultants at 1-800-726-1212.
Pairing the ECG Device with the CardioPet Software on a PC IMPORTANT: If your computer is running the Windows XP operating system, contact IDEXX Telemedicine Consultants at 1-800-726-1212 for connection instructions. The device can connect to only one instance of the CardioPet software at a time. Close all other open CardioPet applications.
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To check for support for wireless communication: 1. Check the taskbar (usually in the lower right corner of the screen) for a wireless connectivity icon. Note: Click the up arrow to view all available icons. 2. If the icon is not present, follow instructions in the package you received from IDEXX to install the wireless drivers and dongle before continuing. IMPORTANT: If the dongle is needed, it must be connected to your computer whenever you use the ECG device. To enable the wireless connection: 1. Open the Start menu (Windows 7) or click the Search icon (Windows 8), and then type bluetooth in the Search box.
2. Click Change Bluetooth settings. 3. Select the Options tab, and then select the following two options:
Allow Bluetooth devices to find this computer Allow Bluetooth devices to connect to this computer 4. Click OK. To pair the ECG device with the CardioPet software: 1. Start the CardioPet software, and turn on the ECG device. Note: The device turns off after 5 minutes of inactivity. 2. Select Settings> ECG Options… .
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3. Enter the following: a. In the Bluetooth box, enter the device serial number, identified by SN on the back label of the device (for example, CP140900014). b. In the Username box, enter your IDEXX Telemedicine Consultants account name. Note: Your account name has 3 letters and 4 numbers (ABC-0123). If you need help, contact IDEXX Telemedicine Consultants at 1-800-726-1212. c. In the Password box enter your account password. 4. Click OK. Tip: To test the connection, in the CardioPet software click Monitor ECG . When no patient is connected, leads are displayed as straight or curved lines. Click the button again to stop the ECG stream.
Pairing the ECG Device with the CardioPet App on an Android* Device IMPORTANT: The ECG device can be paired with only one instance of the software at a time. Close all other open CardioPet applications. To pair the ECG device with the CardioPet app: 1. Turn on the Android device, and make sure you have a wireless connection (check the Settings option). 2. Download and install the CardioPet app
from Google Play*.
3. Turn on the ECG device. Note: The device turns off after 5 minutes of inactivity. 4. Tap
to start the CardioPet App.
and then Settings. † 5. Tap Note: Android option menus vary; additional steps may be required to access Settings and other options and commands. 6. Tap Device. The software detects the ECG device and displays the device name (starting with “CP”). 7. Tap the ECG device name. 8. When prompted to enter the device’s PIN, enter the “paircode” (located on the back of the ECG device in the upper right corner of the label), and then tap Done.
†
Android option menus vary; additional steps may be required to access Settings and other options and commands. IDEXX CardioPet* ECG Device Setup Instructions and User Guide
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9. Enter your IDEXX Telemedicine Consultants account name in the Username box, and tap OK. Note: Your account name has three letters and four numbers (ABC-0123). If you need help, contact IDEXX Telemedicine Consultants at 1-800-726-1212. 10. Enter your account password in the Password box, and tap OK. 11. Tap the back arrow to display the previous screen. and then tap Start. When no patient is connected, the leads are Tip: To test the system, tap displayed as straight or curved lines. Tap Stop to stop the ECG stream.
Preparing the Patient Attaching the CardioPet Comfort Clips to the Patient To attach clips: 1. Place the animal on a padded surface in right-lateral recumbency. Note: The patient can also stand upright or be in sternal position, but be sure to note these positions in the patient history when you submit the case. 2. Liberally apply alcohol to each limb, 1″–2″ below the elbows and knees. 3. Attach the CardioPet Comfort Clips, being sure to part the fur for good skin contact. Black: left front leg White: right front leg Red: left rear leg Green: right rear leg IMPORTANT: Make sure that the patient's limbs, the cables, and the clips do not touch each other or touch metal. 4. Insert the CardioPet cable into the top of the device (if not already inserted), and then press the On button on the front of the device. Note: The device turns off after 5 minutes of inactivity. You can now view and record the ECG stream. See “Recording and Submitting an ECG” for more information.
Attaching the Clips to the Patient for a Chest Lead A chest lead may be helpful if the P-waves are indistinct in lead II. Place all clips as described in the previous section, except the black clip. Place the black clip on the left side of the chest between the fourth and fifth ribs, wherever the heartbeat is strongest with touch or auscultation. Add “Chest lead included” in the patient history when submitting the case.
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Recording and Submitting an ECG Recording and Submitting from a Windows* PC IMPORTANT: • •
Only one instance of the software can be used at a time; close all other open CardioPet applications. Files are deleted after 30 days. Submit them to IDEXX Telemedicine Consultants before that time. To keep them longer, export ECGs to a location on your computer.
To record and submit the ECG: 1. Turn on the ECG device. Note: The device turns off after 5 minutes of inactivity. 2. Double-click the CardioPet 3. Click Select & Manage Patient
icon on your desktop to start the software. .
4. Click New, enter the patient information (patient first name and owner last name are required), and then click Save. Note: The External Patient ID is used to match ECGs with patient records in VetMedStat and IDEXX-PACS. Tip: To select an existing patient, select its name from the Patient drop-down list. 5. Click OK. 6. Make sure the patient is prepared and all clips are properly connected. 7. Click Monitor ECG
to see the live ECG stream.
The software displays the leads for the selected ECG mode.
8. When the ECG tracing is clear, click Record
.
The software records the ECG for 30 or 60 seconds (depending on your settings) and then saves the ECG file.
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9. Click Monitor ECG
again to stop the displayed ECG stream.
10. Click one of the following buttons: •
to upload the ECG and open the VetMedStat website so you Upload and Finish Now can complete the case immediately.
•
Upload and Finish Later to upload the ECG without opening the VetMedStat website. You must log on to VetMedStat later to complete the case.
•
Upload to IDEXX-PACS to upload a copy of the ECG to your IDEXX-PACS software, if the two applications are integrated (requires a DICOM license from IDEXX Telemedicine Consultants). See “Integrating the CardioPet Software with the IDEXX-PACS Software” for more information.
CardioPet PC Controls
The controls in the illustrations above can also be found on the File, ECG, and View menus. For more information, see “Using Advanced Software Features on a Windows* PC.”
Recording and Submitting from an Android* Device IMPORTANT: • •
Only one instance of the software can be used at a time; close all other open CardioPet applications. Files recorded on an Android device are deleted after 30 days.
To record and submit the ECG: 1. Turn on the ECG device. Note: The device turns off after 5 minutes of inactivity. 2. Tap 3. Tap
to start the CardioPet app. .
4. Tap New Patient, enter the patient information (patient name is required), and then tap OK; you may need to swipe up to see all the boxes. Note: The Patient ID is used to match ECGs with patient records in VetMedStat. 5. Make sure the patient is prepared and all clips are properly connected.
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6. Tap
, and then tap Start
to see the live ECG stream.
7. When the ECG tracing is clear, click Record
.
The software records the ECG for 30 or 60 seconds, depending on your settings, and then saves the recording. The software records six leads but displays only three. 8. Tap
, and then tap Stop
to stop the displayed ECG stream.
9. Tap one of the following: •
to upload the ECG and open the VetMedStat website so you Upload and Finish Now can complete the case immediately.
•
to upload the ECG without opening the VetMedStat website. Upload and Finish Later You must log on to VetMedStat later to complete the case. Note: You cannot upload files to IDEXX-PACS software from an Android device.
Completing the Case on the VetMedStat* Website Completing a New Case Note: If you clicked Upload and Finish Later after recording the ECG, you must log on to vetmedstat.com, find the case under Attention: Cases for You to Complete, and then click the Finish button before following the steps below. To complete the case in VetMedStat: 1. On the Patient page, edit the patient and owner information as needed, and then click Next. Note: You will not be able to edit patient information after you leave the Patient page. 2. On the Service pages: a. Choose Cardiology Services, and then select the specific service. b. Click Next. c. Choose a specific screen or consult type. d. Click Next. 3. On the History page: a. (Required) Murmur Grade: Select a grade or None. b. (Required) Pertinent Clinical History: Enter clinical history and medications. c. (Optional) Private Comments: Enter any private comments or questions. This information will not appear on the final report. d. (Required) Requesting Vet: Select (or add) the requesting veterinarian. e. (Optional) Case/Report Sharing: Enter a fax number to share the report by fax, or enter an email address in the Share case with box to share both the report and case files. f. Click Next. IDEXX CardioPet* ECG Device Setup Instructions and User Guide
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4. On the Attachments page: a. Under ECGs for this case will be sent via, select VetMedStat as the sending method. Tip: To set VetMedStat as the default method, click Edit Hospital Information in the upper right corner of the VetMedStat dashboard. Change ECG Transmission Type default to VetMedStat, and then click Save. b. To submit files in addition to the ECG you already uploaded, under Additional attachments, select Upload now and/or Attach Faxes. Follow instructions to attach the files or provide a fax number. Tip: If this is a comparison study, attach any relevant documents older than 1 year. c. Ensure all necessary ECG files, images, and documents are listed under Files Already Attached at the bottom of the page. 5. Click Next. 6. On the Summary page, review the case information (click Previous to make any needed changes), and then click Submit Case. The Home page is displayed, showing the submitted case under Cases Successfully Submitted. When the case report is ready, look for it under Completed Reports on the Home page. The veterinarian will also receive the report by email or fax, depending on the settings.
Completing a Repeat Case IMPORTANT: Do not include images, such as radiographs, with a repeat ECG. To submit a repeat ECG: 1. Record the repeat ECG, and then click Upload and Finish Now
.
2. Click the Back to Dashboard link above the New Patient section of the VetMedStat page. 3. Under Completed Reports, locate the original case, click the case number, and then select Repeat ECG (or Repeat Screen) from the menu. This option is available only if the case is eligible for a reduced-charge repeat service. 4. (Optional) On the Repeat ECG page, review the case information, change the case priority if needed, and then click Next. 5. Verify that the selected service is either Repeat w/in 24 hours or Repeat ECG (2-30 days). 6. Click Next. 7. On the History page, update the patient murmur grade as needed, and enter any new patient history; click Next. 8. On the Attachments page: a. In the drop-down list labeled ECGs for this case will be sent via, select VetMedStat. b. Near the bottom of the page, click the Copy Images link. 9. In the Unsubmitted and Cancelled Cases list, find the case containing the repeat ECG(s) you just uploaded, and then click select on the case row. A list of the uploaded ECGs appears.
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10. Select the check box for each ECG you want to include, and then click the Copy selected items to case link.
You have now copied the repeat ECG(s) to the original case. A message states the number of files copied. 11. Click OK to close the message. Tip: For help copying images, click Help/Resources at the top of the page, and then select Using the Copy Images Functionality on the left to view a video of the steps.
12. Click the red X in the upper right corner of the Copy Images box to close the box. 13. Verify that the images are listed under Files Already Attached. 14. Click Next. 15. On the Summary page, click Submit Case.
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Using Advanced Software Features on a Windows* PC Adjusting the ECG Display To change the displayed leads: From the ECG menu, select: • Single Lead to display lead II. • Einthoven to display leads I, II, and III. • Goldberger to display all six leads. The currently displayed lead is identified in the Mode area of the toolbar.
To adjust the ECG stream: Select…
To… Decrease or increase the gain (recommended: 10 mm/mV) Decrease or increase the paper feed (recommended: 50 mm/s) Listen to the patient’s heartbeat (requires speakers) Hide or display a grid
Changing the Recording Duration To change recording duration: 1. Select Settings> ECG Options… . 2. Under Device Communication, select either 30 sec or 1 min, and then click OK.
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Viewing or Deleting a Saved ECG To view a saved ECG file: 1. Click Open and Manage ECGs
.
A list of ECGs for the currently active patient is displayed.
2. (Optional) To find an ECG for a different patient, select Show All Patients in the lower right corner of the window. 3. To view an ECG, double-click the ECG row. 4. To delete an ECG, select it in the list, and then click Delete. Note: ECGs are available in the CardioPet software for 30 days. To keep ECGs longer, export them to a folder on your computer.
Exporting an ECG from the CardioPet Software The CardioPet software supports two ECG file types: • •
.ecg (the default) .dce (a DICOM® format). To export an ECG in the .dce format you must have a DICOM license from IDEXX Telemedicine Consultants. One license is required for each computer running the CardioPet software.
To export an ECG: 1. Open the ECG file in the CardioPet software. 2. Click Export ECG
.
3. In the Save As Type box, select the file format. 4. Navigate to the desired location, and then click Save.
Importing an ECG into the CardioPet Software To import an ECG: 1. In the CardioPet software, open the patient record. 2. Click Import ECG
.
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3. Select the file type in the box near the Open and Cancel buttons. (The .dce file type is available only if a DICOM license is installed.) 4. Navigate to the file location, select the file, and then click Open. 5. In the Import ECG box, verify the ECG recording date, and then click OK. The Select Patient dialog box opens with the active patient already selected. 6. Click OK to add the file to the patient record. Tip: You can select a different patient from the drop-down list or click New to create a new patient record.
Managing Patient Records To create new patient records: 1. Click Select & Manage Patient
.
2. Click New, and then enter patient and owner information. 3. To associate ECG files for this patient with records in the IDEXX-PACS software or a practice management system, enter the patient ID for the other system in the External Patient ID box. 4. Click Save. Note: A CardioPet ID number is appended to the patient name. This number does not need to match the patient ID in other systems. 5. Repeat steps 2–4 to enter other new patient records. 6. When finished, click OK. To update patient records: 1. Click Select & Manage Patient
.
2. Select the patient from the Patient drop-down list, and then update the patient ID and owner information, or click Delete. Note: Before deleting a patient record you must delete all associated ECGs. See “Viewing or Deleting a Saved ECG File” for more information. 3. Click Save. 4. To update or delete other patient records, repeat steps 2–3. 5. When finished, click OK. Note: The most recently modified patient becomes the active patient record on the CardioPet window.
Updating VetMedStat Account Information To enter or update your VetMedStat account information: 1. Go to Settings> ECG Options… . 2. Enter your VetMedStat account name and password. Note: Your account name has three letters and four numbers (ABC-0123). If you need help, contact IDEXX Telemedicine Consultants at 1-800-726-1212. 3. Click OK.
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Using Advanced Software Features on an Android* Device Adjusting the ECG Display To change the displayed leads: Select…
To… Decrease or increase gain (recommended: 10 mm/mV) Decrease or increase paper feed (recommended: 50 mm/s) Listen to heartbeat (requires speakers) Hide or display grid
Changing the Recording Duration To configure the recording duration: 1. Tap
, and then tap Settings . 2. Tap Recording Mode, and then tap either 30 sec or 60 sec. Your selection is saved automatically when you leave the Recording Mode screen.
Viewing a Saved ECG IMPORTANT: Files recorded on an Android device are deleted after 30 days. To view a saved ECG file: 1. Tap
, and then tap Files
.
The File Manager lists ECGs recorded within the last 30 days. If an ECG has been submitted for consultation, its VetMedStat Case ID is also included. 2. Tap an ECG row to view the ECG in the main screen.
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Managing Patient Records When the CardioPet app opens, the last active patient becomes the currently active patient. To create a new patient record: 1. Tap
, and then tap New Patient
.
The Create Patient screen opens.
2. (Required) In the Patient box, enter the patient’s name. 3. (Optional) Enter an external patient ID and the owner’s first and last names. The external patient ID is the ID for the same patient in another system, such as in the IDEXX-PACS software. 4. Tap OK. The newly created patient becomes the currently active patient. The patient name is displayed in the status line. To update a patient record: 1. Tap
, and then tap Files
.
The File Manager displays a list of ECGs recorded within the last 30 days. 2. Press and hold on any ECG row associated with the patient record you want to update. A popup menu opens.
3. Tap Edit Patient. 4. Update the information as needed, and then tap OK.
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Updating VetMedStat Account Information Prerequisite: Make sure your device has an active Wi-Fi connection. When you leave the Settings screen, the software verifies your credentials with the VetMedStat server. To update your VetMedStat account information: 1. Tap
, and then tap Settings . 2. Update your credentials in the User name and Password boxes. The user name is your VetMedStat account name. It has 3 letters and 4 numbers (ABC-0123). If you need help, contact IDEXX Telemedicine Consultants at 1-800-726-1212.
Integrating the CardioPet Software with the IDEXX-PACS* Software Storing copies of ECGs in IDEXX-PACS patient records lets you keep related ECGs and radiographs together. You can submit the radiographs and ECGs to VetMedStat in a single case. Integrating the two systems requires: • •
IDEXX-PACS imaging software version 4.0 or later. A DICOM license from IDEXX Telemedicine Consultants; one license is required for each computer you want to integrate with IDEXX-PACS software.
Installing the DICOM® License and Integrating the Systems Contact IDEXX Telemedicine Consultants at 1-800-726-1212 to purchase a DICOM license. A representative will help you install the license and set the required software options. After the systems are integrated, you can add an ECG to an IDEXX-PACS patient record two ways: • •
Upload the ECG to IDEXX-PACS from the CardioPet software. Import the ECG into the IDEXX-PACS software.
The ECG is stored in IDEXX-PACS software as a separate study, identified by a heart icon and named with the original ECG date and time. The ECG is a copy; the original ECG remains in the CardioPet software for 30 days.
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Uploading an ECG into the IDEXX-PACS Software To upload an ECG to an existing IDEXX-PACS patient record: 1. In the IDEXX-PACS software, find the patient record you want, and note the patient ID. 2. In the CardioPet software: a. b. c. d.
. Click Select & Manage Patient Select the patient from the Patient drop-down list (or create a new patient record). In the External Patient ID box, enter the IDEXX-PACS patient ID. Click OK.
3. Record the ECG, and then click Upload to IDEXX-PACS
.
The ECG is matched to a patient record in IDEXX-PACS, based on the external patient ID. To upload an ECG and create a new patient record in IDEXX-PACS: 1. Record the ECG in the CardioPet software. . IDEXX-PACS software creates a new patient record, 2. Click Upload to IDEXX-PACS assigning it the next available IDEXX-PACS patient ID.
Importing an ECG into the IDEXX-PACS Software To import an ECG: 1. Record the ECG in the CardioPet software. 2. Export the ECG as a DICOM file as follows: a. Select File> Export ECG… . b. Navigate to the location where you want to store the file. c. In the Save as type box, select CardioPet DICOM-ECG files (*.dce). (This file type is available only if you have installed a DICOM license.) d. Click Save. 3. Open the patient record in the IDEXX-PACS software. 4. On the IDEXX-PACS Home window, click Tools
, and then select Import DICOM.
5. In the Files of Type drop-down list, select All Files. 6. Find and select the .dce file, and then click Import. The ECG is added to the current IDEXX-PACS patient record.
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Viewing an ECG That Has Been Stored in the IDEXX-PACS Software You cannot view ECG tracings from within the IDEXX-PACS software, but you can see a list of the ECGs stored in IDEXX-PACS, and then select an ECG from the list to view it in the CardioPet software. To view a list of ECGs stored in the IDEXX-PACS software: 1. In the CardioPet software, click Open and Manage ECGs
.
2. Select Show PACS List in the lower right corner of the window, and then click Query PACS. A list of all ECGs on the PACS server is displayed. 3. Double-click an ECG row to view the ECG in CardioPet.
Submitting a Telemedicine Case from the IDEXX-PACS Software Refer to your IDEXX-PACS online help or Operator’s Guide for instructions on submitting cases to IDEXX Telemedicine Consultants from IDEXX-PACS software. You can include both radiographs and ECGs in a single submission. IMPORTANT: For cardiology services, send only cardiac-specific images. If you include images for other areas of study, you must also select an applicable Radiology or Dental service. You can select multiple services for the same case, but each report will incur a separate charge.
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ECG Quality Guidelines and Troubleshooting Examples of Diagnostic ECGs
Diagnostic canine ECG
Diagnostic feline ECG
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Diagnostic ECG Checklist • •
•
To ensure an ECG is 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. That the P-wave (if visible): o is positive (points upward) in leads I, II, and III. o is negative (points downward) in lead AVR. o may be either positive or negative in leads AVL and AVF. The ECG baseline is generally level. P-wave
Baseline
Troubleshooting ECGs Indistinct P-Waves and Movement Artifact P-waves may be “washed out” by artifacts caused by panting, shaking, and vocalizing.
Feline ECG with indistinct P-waves caused by purring
Canine ECG with respiratory (panting) artifact
To reduce movement artifact: • • • • •
Move clips below the knees and elbows. Distract the patient by tapping gently on the nose or holding a treat out to smell. Bear hug or apply gentle pressure to the chest and/or legs. Reposition the patient (if patient is standing, place in right-lateral position, or vice versa). Record a chest lead to distinguish P-waves from movement artifacts.
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Flat Lines or Indistinct Complexes Make sure clips have sufficient skin contact and alcohol saturation for conduction.
Flat lines and indistinct complexes
Blurry Lines Make sure clips are secure and have sufficient alcohol saturation for conduction.
Blurry lines
Small or Absent P-Waves Record a chest lead if P-waves are small, inconsistent, or absent.
Inverted P-Waves If the P-wave is not positive in leads I, II, and III, or negative in lead AVR, check that the clips are attached to the correct legs.
Vertical Red Bar in the ECG Tracing A vertical red bar in the ECG tracing indicates a data integrity error. For example, the patient may be out of the device’s transmission range. Try moving the device closer. Remove any obstacles between 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.
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Troubleshooting the Software and the ECG Device ECG Tracing Is Not Visible in the Software Windows PC: •
Check that the wireless communication light is illuminated on the ECG device. If it is not, try restarting the ECG device.
•
Make sure the correct serial number is in the CardioPet software (Settings> ECG Options).
•
Restart the computer.
•
If necessary, uninstall and reinstall the software.
Android device: •
Try enabling the connection to the device again; see “Enabling a Connection Between the ECG Device and the CardioPet App on an Android* Device” for instructions.
Case Is Not Visible in the VetMedStat Website If the case was uploaded from a Windows PC: •
In the CardioPet software, select Settings> ECG Options. Under VetMedStat Account, verify that the VetMedStat account number and password are correct.
•
Verify that your PC has an Internet connection.
If the case was uploaded from an Android device: •
. Verify that the VetMedStat account number and Tap , and then tap Settings password are correct and that the domain is api.vetmedstat.com.
•
Verify that the device is connected to a Wi-Fi network with Internet access.
CardioPet Device Does Not Turn On Check that batteries are correctly installed; replace batteries if needed. Do not use rechargeable batteries.
IDEXX CardioPet* ECG Device Setup Instructions and User Guide
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Maintenance and Specifications Replacing and Recycling Batteries To monitor battery status, note the battery indicator in the menu bar
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The CardioPet ECG Device uses two AA alkaline (nonrechargeable) batteries. This symbol is placed in accordance with the European Union Directive 2002/96 on the Waste Electrical and Electronic Equipment (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.
CardioPet ECG Device Specifications ECG 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 vectors Operating range: Approximately 100 m (clear range) Operating temperature: 8°C to 45°C (46°F to 113°F) Ambient relative humidity: 25% to 80% without condensation Atmospheric pressure: 700 hPa to 1070 hPa
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The frequency range refers to the ECG device. The resulting frequency range depends on the specific filters implemented in the software.
Batteries: Chemistry: Alkaline (zinc-carbon dry cell) Type: AA Rechargeable: No Weight: 23 g
IDEXX CardioPet* ECG Device Setup Instructions and User Guide
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Cleaning and Maintaining the ECG Device • •
Clean the exterior of the device using a paper towel moistened with isopropyl alcohol. Remove the batteries if the device will not be used for an extended period of time.
For Assistance If you need help installing or using the CardioPet software, CardioPet app, or ECG device, contact IDEXX Telemedicine Consultants at 1-800-726-1212. IDEXX Laboratories, Inc. One IDEXX Drive, Westbrook, Maine 04092 USA 1-207-556-0300 or 1-800-548-6733
IDEXX CardioPet* ECG Device Setup Instructions and User Guide
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