Cardionics Belgium ECG presentation Medical PC system

General presentation 1

CARDIONICS S.A.E.C.G. Computer Systems

2009

General presentation 2

I. History

General presentation 3

CARDIONICS S.A.

1969

Founded in 1969 by “Union Minière”

Our goal : To commercialize a diagnosis help software of the ECG

This software has been developed by IBM and medically validated by the Mt Sinaï

hospital (New York)

Use of a computer (IBM 370).

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CARDIONICS S.A.

1969

The ECG are transferred by analog form, using classic telephone line, and are analyzed in Cardionics treatment

center (Brussels)

Software evolutions are made in collaboration with cardiologists and

university centers.

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CARDIONICS S.A.

1985

Development of software

on micro-computers

ECG signal is taken from

any kind of ECG machine

and converted into digital

using a conversion board

(A/D).

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CARDIONICS S.A.

1988

Creation of an acquisition

board, placed in any kind

of PC

Using the same

acquisition device allows

many cardio exams.

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II. Different Markets

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CARDIONICS S.A.

Belgian market

Brussels : more than 80% of hospitals

Wallonie : more than 75 % of hospitals

Flandre : 30 % of hospitals, strong

growing

Since 1969 almost all Belgian University

Hospitals use Cardionics systems.

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CARDIONICS S.A.

French market

Used in 80% Health Examination Center

(preventive medicine of the CNAM)

Active in Occupational Medicine

Several studies in collaboration with CHU

and research teams (INSERM).

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CARDIONICS S.A.

French market (3)

The ECG package includes:

ECG acquisition system

Internet transmission

Reviewing programme.

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CARDIONICS S.A.

Pharmacological Market

Clinical Research

Phase I – II:

10 centers of Phase I located near the

main University Centers of France

CIC: Collaboration with the CIC Saint-

Antoine Paris and Cardiology Hospital of

Lyon.

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CARDIONICS S.A.

Pharmacological Market

Clinical ResearchPhase III – IV:

Collaboration with several CRO:

More than 4500 CarTouch used in the world!

Provide CarTouch for investigators

Central Reception

Analysis and validation software used by

cardiologists.

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III. ECG acquisition devices

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Portable acquisition system,

autonom, numerical 12-Lead

Works with 4 AA batteries

ECG high resolution (16 bits,

sampling rate of 1000 Hz)

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Large LCD screen (240 x 320)

Possibility to store more than 50 Rest ECG in the Flash memory

Unique patient identification on a proximity card

No need for a specific data-processingreader.

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Direct printing of the ECG on a laser

printer (RS 232/ HPGL)

ECG file transmission by Modem or mobile

to a remote PC

Connection to a PC.

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External USB

device

Sampling rate

1000 Hz

16 Bits resolution

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Simultaneous 15-Lead acquisition

Possibility to realize Rest ECG, Stress tests and Late Potentials acquisition

Possibility to record the ECG in real time during several days (Ishne file)

Directly connected to the multiple PC functionalities.

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IV. Cardionics Software

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CARDIONICS S.A.

Cardionics Network

Tele-medicine

potentiality

Communication

between the GP and

the hospital, or

between the patient

and the GP.

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CARDIONICS S.A.

Rest ECG

Possibility to connect the

software to the hospital

database

Unique patient identifiers

for fully automated file

integration

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CARDIONICS S.A.

Rest ECG (2)

Visualization of 12-

Lead in real time

New automatic

analysis of Rest ECG

software CE marked,

tested using CSE

database.

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CARDIONICS S.A.

Rest ECG (3)

Visualisation and

selection of the data

prior to printing

Possibility to acquire

a long term ECG.

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CARDIONICS S.A.

Rest ECG (4)

Different print format

Examinations are stored on hard disk (or CD ROM, 20.000 ECG per CD), SCP format

Information Transfer in a Word document, or in a graphic file (JPEG, TIF, WMF, PDF)

Information Transfer to a central database.

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CARDIONICS S.A.

Rest ECG automatic analysis

Detection of the QRS complex and P waves on the 10 seconds recording

Beats classification

Based on this classification, compute the 12 averaged beats

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CARDIONICS S.A.

Rest ECG automatic analysis (2)

Onset and offset measurement markers of the P, QRS and T waves

Measurement of all the waves (P, Q, R, S, R’, S’…) on the averaged 12 leads

Automatic rhythm and morphology analysis.

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CARDIONICS S.A.

Validation of automatic analysis

ECG trace

visualization (format

3x4, 6x2 and 12x1).

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CARDIONICS S.A.

Validation of automatic analysis(2)

Presentation of

automatic analysis

and measurements

Possibility to review &

modify the diagnostic.

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CARDIONICS S.A.

Stress test

ECG trace visualization

(12-Lead) during the

entire Stress test

Compute the 12

averaged beats, with

ST segment

measurement.

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CARDIONICS S.A.

Stress test (2)

Automatic management

of the ergometer(bicycle or treadmill)

Print the final report

Or store the complete

stress test on the hard disk (Ishne file).

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CARDIONICS S.A.

Stress test tracing

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CARDIONICS S.A.

Late potentials

Acquisition of 3 bipolar

leads (or Frank leads)

Compute the following

measurements :

QRS,

RMS 40 &

LAS 40 durations

Store the complete

recording.

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CARDIONICS S.A.

QT analysis

Use the Rest ECG

recording

Presentation of the 12

averaged medians on

the same baseline

(overlapped median)

Possibility to modify the

marker position.

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CARDIONICS S.A.

QT analysis (2)

Presentation of the 12

averaged beats

Possibility to modify the

marker position or to

suppress the measurements

of one lead

Compute and print the

dispersion index.

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CARDIONICS S.A.

QT analysis (3)

Possibility to choose one

lead, and the localization

of the measurement

Measurement of the QT

interval using the

Tangent method.

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CARDIONICS S.A.

VectorCardioGram

Projection on 3

orthogonal plan of the

spatial ECG loop

Automatic analysis of

Rest VCG (diagnosis

help)

Print the loops and the

measurements.

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V. ECG Networking

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ECG networking

Identification software

Patient identification

data correlated to the

hospital database

Security of the data

Time saving

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ECG networking (2)

Centralization software

PC server

Database management

system

Centralization and

saving of the ECG on

HDD via the hospital

intranet

Archiving.

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ECG networking (3)

Tariff & export software

Possibility to export the

results in a medical file

(jpeg, pdf, xml, txt, ….)

Forward of the detailed

ECG’s ( INAMI code, date

and time, etc..) for invoicing.

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VI. Conclusion

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CARDIONICS S.A.

ECG Computer Systems

Cardionics is ISO 9001 – EN 46001

(Quality Insurance System) certified

CE marked products and Software

CarTouch has obtained the FDA

approbation.

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CARDIONICS S.A.

ECG Computer Systems

Skilled and trained staff:

• A dynamic team (15 people, 4 of whom are fully dedicated to the R&D) working closelywith cardiologists and university clinics

High level products:

• A comprehensive, tailor-made & high tech range of products.

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CARDIONICS

Ready to assist you in ECG

processing!