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touchecg
www.cardioline.it
General overview
Touchecg is a new concept 12-lead electrocardiograph based on tablet PC, touch screen and easy-to-use wireless patient cable. The user-friendly interface of Touchecg makes it an easy and quick electrocardiograph, comfortable both for the patient and the user, while ensuring high-quality waveforms. The excellent portability of Touchecg, also ensured by the carry case provided, makes it the ideal device for active professionals. In a clinical environment or in the doctor's office, the electrocardiograph can be mounted on a smart design cart with an accessory holder basket. Touchecg supports HD+ wireless acquisition module; equipped with new generation technology, HD+ acquires diagnostic 12-lead ECG waveforms meeting or exceeding the strictest standards for clinical and diagnostic applications (AAMI, ANSI, AHA, ACC). Moreover, by implementing Glasgow interpretation algorithm, Touchecg is a complete, highly technological device while keeping compact, user-friendly features. The powerful settings of Touchecg makes it the first electrocardiograph able to communicate directly
with a Cloud archive with no need to connect to a PC network, leaving record management problems behind. Several connection options and the variety of protocols supported allow for the integration of ECGs in any flow of clinical data, archives or local management systems, hospital PACS etc., through the DICOM standard. Touchecg can be connected to a convenient A4 wireless printer for printing waveforms in different formats. Touchecg: the way Cardioline makes mobile computing a useful tool for professional physicians.
Main features
A new generation, up-to-date electrocardiograph based on touch screen tablet PC.
Wireless acquisition for maximum patient comfort, safety and quick use.
Extremely high signal quality, very low noise. Exceeds the strictest international standards.
New, highly sophisticated technology for unrivalled pacemaker recognition.
It employs Professor Peter Macfarlane's Glasgow Program for automated ECG analysis, the only interpretive program developed in hospital, with real patients, instead of a University laboratory or an enterprise.
This algorithm widely employs age, gender and race specific criteria. It adapts to every patient age, from birth to adulthood and old age. It is
able to differentiate infant age in term of days and use precordial V4R if required.
This is the first program using gender and age specific criteria in STEMI diagnosis, dramatically increasing both the sensitivity and the specificity of the algorithm.
This is the first "Cloud enabled" electrocardiograph worldwide, allowing physicians to have their patients’ exams ready at hand, without the trouble of managing a local archive.
It can be perfectly integrated in DICOM patient data flow within the hospital site.
It also exports ECGs in SCP, PDF, GDT, Jpeg, Png format, making data compatible with any management system.
www.cardioline.it
Technical specifications
Operating systems .......................... Windows 7 pro, Windows 8 pro, 32/64 bit
Acquisition ...................................... 10 s automatic, manual, 10 s excerpts buffer
Display ............................................ 6 or 12 leads, user-selectable lead speed and lead width
Printing formats .............................. A4, with a variety of custom formats available.
Automatic ECG analysis .................. The University of Glasgow Interpretive Program
Waveform storage .......................... Local, web or Cloud
Export formats ................................ SCP, GDT, JPEG, PDF. DICOM (optional)
Worklist .......................................... Worklist management according to the DICOM standard
HD+ Acquisition Module
ECG leads ........................................ 12 leads (I, II, III, aVR-L-F, V1-6)
CMRR.............................................. 115 dB
Sampling rate.................................. 1000 samples/second/channel for analysis and storage
A/D conversion ............................... 24 bit
Data resolution ............................... 20 bit, < 1uV/LSB
Input range ..................................... +/-400mV @ < 1uV/LSB
Bandwidth ...................................... 0.05 – 300 Hz
Defibrillator protection ................... AAMI/IEC standards
Pacemaker detection ...................... Hardware detection coupled with convolution digital filtering
Lead fault detection ........................ Independent on every lead
Wireless system .............................. Bluetooth 2.0
Patient cable ................................... 10 wires, single connector
Power on ........................................ 1 programmable key
Batteries ......................................... 2 x standard AAA
Dimensions ..................................... 115 x 65 x 15 mm
Weight ............................................ < 90 g with batteries
Water resistance ............................ IP 40 / IP 42 with silicon cover
Shock protection............................. Fall from a height of 1 m on any side
Headquarters Via De Zinis, 6
38011 Cavareno (TN), Italy T. +39 0463 850125 F. +39 0463 850088
Operations
Via F.lli Bronzetti, 8 20129 Milano, Italy
T. +39 02 94750470 F. +39 02 94750471
HD+
www.cardioline.it
General overview
HD+ is a wireless ECG acquisition module, to be primarily used as common ECG front-end for PC/tablet (Windows/MAC OS/other) standard platforms (both for Resting ECG and Stress ECG applications). HD+ uses a standard Bluetooth data transmission technology to transmit 12-lead ECG data over a proximity range, providing perfect electrical insulation and freedom of movement for the patient. HD+ is light and compact, comfortable to wear, minimizing motion artifacts caused by traditional electrodes and patient cables. HD+ offers uncompromised, full diagnostic ECG acquisition – meeting or exceeding the most severe standards used in clinical and diagnostic applications (AAMI, ANSI, AHA, ACC). HD+ uses a LED indicator to comfortably monitor the link status (off when unit is powered down, blinking when unit is attempting to connect with the receiver, steady when unit is connected with the receiver). HD+ uses a programmable key to send macro commands to the receiving system (i.e. acquire and print an ECG).
Low-power technology allows continuous usage of the device for more than 10 hours (from full battery charge).
Main features
Confortable, lightweight, wireless full diagnostic 12 lead acquisition unit,
Extremely high signal quality, very low noise. Exceeds the most severe standards for ECG acquisition (AAMI, ANSI, AHA,ACC)
Highly sofistcated technology for optimal Pace Maker recognition
Extremely easy to use, 1 button, 1 led Water and dust protected and drop proof (1 mt) Low power consumption technology allows more
than 10 hours (or more than 500 ECGs) continuous usage
To be used with Cardioline Touch ECG and Cardioline HD+ stress
www.cardioline.it
Sede legale Via De Zinis, 6
38011 Cavareno (TN), Italy T. +39 0463 850125 F. +39 0463 850088
Sede commerciale
Via F.lli Bronzetti, 8 20129 Milano, Italy
T. +39 02 94750470 F. +39 02 94750471
Technical specifications
Operating systems compatible.............. Windows 7 pro, Windows 8 pro, 32/64 bit
ECG channels ........................................ 12-lead (I, II, III, aVR-L-F, V1-6)
CMRR.................................................... 115 dB
Sampling frequency .............................. up to 1000 samples/second/channel for analysis/storage
A/D conversion ..................................... 24 bit
Output data resolution ......................... 20 bit, < 1uV/LSB
Input range ........................................... +/-400mV @ < 1uV/LSB
Bandwidth ............................................ up to 0.05 – 300 Hz, according to sampling frequency
Defibrillator protected .......................... AAMI/IEC standards
Pacemaker detection ............................ hardware detection coupled with convolution digital filtering
Electrode fail detection ......................... independent on all electrodes
Wireless data transfer........................... Bluetooth 2.0+ with secure pairing
Electrode cables ................................... 10-wire, single connector, replaceable
Action key ............................................. 1 key, programmable by user/application
Battery .................................................. 2xAAA standard cells
Dimensions ........................................... 115 x 65 x 15 mm
Weight .................................................. < 90 g with batteries
Water resistance .................................. IP40 / IP42 with silicone shell
Shock .................................................... 1 m any edge, corner or surface
Certification CE0476
sp_hd+_cardiolinespa_01_eng.docx 24/07/2014
The Glasgow Program for ECG Interpretation
www.cardioline.it
General overview
The Glasgow program, available from Cardioline, is intended to provide an interpretation of the resting 12-lead ECG in all patient care situations, whether this be in a hospital or primary care setting. It is capable of diagnosing all commonly recognized ECG abnormalities such as myocardial infarction (MI), including acute MI, ventricular hypertrophy, ST-T abnormalities and common abnormalities of rhythm. Conduction defects and other abnormalities such as prolonged QT interval are also reported. The Glasgow 12-lead ECG Analysis Program, is the product of decades of research and continuous improvement by Professor Peter W. Macfarlane, D.Sc, FESC, and colleagues at the University of Glasgow. A database of ECGs from healthy neonates, infants and children was established in Glasgow many years ago. This led to the development of criteria for
interpretation of the ECG from individuals in that age range. The neonatal ECG is very different from that of the adult and different criteria are essential. With the use of the Glasgow normal database and ECGs from patients with known myocardial infarction, the Glasgow criteria were adapted to obtain maximum sensitivity and specificity in the diagnosis of acute ST elevation myocardial infarction (STEMI). The criteria are not only age/sex dependent but lead dependent. Indeed, they vary within one lead
for adult males and females Versions of the Glasgow ECG analysis program have been adopted commercially initially by Siemens Elema, based in Stockholm, Sweden (now Draeger Medical, Andover, Massachusetts, USA), by Burdick of Deerfield, Wisconsin, USA (now owned by Cardiac Science Corporation of Seattle, Washington, USA), and by Spacelabs Healthcare, of Issaquah, Washington, USA, by Phisio-Control, Redmond, USA, in the area of emergency, and lately by Cardioline (Italy).
Main features
Unique Program of its kind that has been developed within a hospital environment rather than a factory or University.
Makes widespread use of age and sex in clinical criteria. Has the ability to cope with patients of all ages from birth to old age. The age criteria for neonates is detailed at the level of days. Can utilize V4R for neonates and children. Makes use of race as well.
Leads the way in the use of age/sex based criteria for diagnosing STEMI
Uses clinical information if available Utilises drug therapy if known Critical Values statements highlights ECG findings
that may require immediate attention. Offers short diagnostic statements for the
hospital market or longer statements with reasons mainly for the primary care market
Meets all the IEC 60601-2-51 requirements. Is still under active development, meeting the ISO 9001 standards.
Thresholds for ST elevation in lead V3
The Glasgow Program for ECG Interpretation
www.cardioline.it
Bibliography
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www.cardioline.it
25.Macfarlane PW, Browne D, Devine B, Clark E, Miller E, Seyal J, Hampton D. Modification of ACC/ESC criteria for acute myocardial infarction. J Electrocardiol. 2004;37(suppl):98-103. 26.Macfarlane PW, Browne D, Devine B, Clark E, Miller E, Seyal J, Hampton D. Effect of age and gender on diagnostic accuracy of ECG diagnosis of acute myocardial infarction. In: A.Murray, ed. Computers in Cardiology. 2004;31:165-168. 27.Macfarlane PW, Hampton DR, Clark E, Devine B, Jayne CP. Computer and cardiologist diagnosis of ST-elevation myocardial infarction. J Electrocardiol. 2007;40(suppl 1):S32-S33. 28.Sgarbossa EB, Pinski SL, Barbagelata A, Underwood DA, Gates KB, Topal EJ, Califf RM, Wagner GS. Electrocardiographic diagnosis of evolving acute myocardial infarction in the presence of left bundle-branch block. N Engl J Med. 1996;334:481-487. 29.Tabas JA, Rodriguez RM, Seligman HK, Goldschlager NF. Electrocardiographic criteria for detecting acute myocardial infarction in patients with left bundle branch block: a meta-analysis. Ann Emerg Med. 2008;52:329-336. 30.Macfarlane PW, Devine B, Clark E. The University of Glasgow (Uni-G) ECG alalysis program. Computers in Cardiology. 2005;32:451-454. 31.The CSE Working Party (incl. Macfarlane PW). Recommendations for measurement standards in quantitative electrocardiography. Eur Heart J. 1985;6:815-825. 32.Bailey JJ, Berson AS, Garson A, Horan LG, Macfarlane PW, Mortara D, Zywietz C. Recommendations for standardization and specifications in automated electrocardiography: bandwidth and digital signal processing. Circulation. 1990;81:730-739. 33.Willems JL, Arnaud P, van Bemmel JH, et al, incl. Macfarlane PW. A reference database for multilead electrocardiographic computer measurement programs. J Am Coll Cardiol. 1987; 10:1313-1321. 34.Willems JL, Arnaud P, van Bemmel JH, Degani R, Macfarlane PW, Zywietz C, for the CSE Working Party. Common standards for quantitative electrocardiography: goals and main results. Methods Inf Med. 1990;29:263-271. 35.Wagner G, Lim T, Gettes L, Gorgels A, Josephson M, Wellens H, Anderson S, Childers R, Clemmensen P, Kligfield P, Macfarlane P, Pahlm O, Selvester R. Consideration of pitfalls in and omissions from the current ECG standards for diagnosis of myocardial ischemia/infarction in patients who have acute coronary syndromes. Cardiol Clin. 2006;24:331-342. 36.Kligfield P, et al, incl. Macfarlane PW. Guidelines for the standardization and interpretation of the electrocardiogram, part 1: the electrocardiogram and its technology. Circulation. 2007;115:1306-1324. 37.Thygesen K, Alpert JS, White HD; Joint ESC/ACCF/AHA/WHF Task Force for the Redefinition of Myocardial Infarction. Universal definition of myocardial infarction. Circulation. 2007;116:2634-2653. Also in: J Am Col Cardiol . 2007;50:2173-2195. Also in: Eur Heart J. 2007;28:2525-2538.
Sede legale Via De Zinis, 6
38011 Cavareno (TN), Italy T. +39 0463 850125 F. +39 0463 850088
Sede commerciale
Via F.lli Bronzetti, 8 20129 Milano, Italy
T. +39 02 94750470 F. +39 02 94750471
sp_Glasgow_cardiolinespa_01_eng.docx