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TM-2430-13 (Doctor P ro) Ambulatory B lood P ressure M onitor Data A nalysis S oftw are INSTRUCTION M ANUAL WM:PD40 00019 C.
1 CONTENTS 1. INTRODUCTION ......................................................................................................... 3 1-1 About the Data Anal ysis Soft ware .............................................................................
2 2-7 Recorder Me nu .............................................................................................................. ............... 31 2-7-1 Retrie ving Data from the Monitor ............................................................
3 1. INTRODUCTION 1-1 About the Data A n a l ysis Soft w are Welcome to t he Ambulatory Blood Pr essure Monit or ( ABPM) Dat a Analys is Softw are. This software is intended for use with t he following devices.
4 1-2 Symbols The sy mbo ls print ed on the dev ice h ave the fo ll ow ing meanin g: CE mar king SN Se rial number 1-3 Monitoring De vice Re v iew The follow in g section briefly rev iews the dev ices a nd how they may be used with this so ftware.
5 1-4 Softw are Package Compone nts Items includ ed in y our complete so ftware package are: ♦ ABPM 3.5-inch progra m dis k ♦ Ambulatory Blood Press ure Monitor Data An alysis So ftw are I nst ruc.
6 2. OPERATING PROCEDU RE 2-1 Getting Star ted Two init ia l action s may be executed when st arting up th e softw are: (1) Data may be retr iev ed from the monitor.
7 Step 1 Connect the monitor to the proc essor. Step 2 Connect the male e nd of the A &D-suppl ied RS-232C co mmunicatio n cable t o the processor. Step 3 Connect t he female e nd of the A&D-sup plied RS-232 C communic ation cab le to the computer.
8 Step 3 The display on the monitor will show “----”. If “----” does not appear, see “ 3-2 Communication Errors ”. Otherwise go to step 4. Note : If possib le, keep the cab le conn ected to the com puter unles s the port is need ed for other functions.
9 2-3 Main Screen Descri ption The ma in screen is comprised o f six menus and two tool bar button s located permanent ly along the top of the scre en. These men us may be used to acce ss the variou s features of the software. The toolbar butt ons may be used to set Part i al Analy sis an d Blood Pres sure Mode par a meters.
10 2-4 Toolbar There are tw o t oolbar b uttons which ap pear under neat h t he main menu bar: (1) Analy sis Intervals (2) B P M ode 2-4-1 A nalysis Intervals The Analy sis Intervals feat ure is used to define specifi c periods of time withi n an opened data file for custom data a na lysis.
11 ♦ Histograms After Part ial Analys is parameters are d efined, the data speci fied with in the parameter s will appear in re d overlayin g the Full An a lysis dat a. 2-4-2 BP Mode The BP Mode is used to sele ct which blo od pressure method will b e used as the primary and secondary cho ices for displaying the blood pressur e measure ment data.
12 To specify t he BP Mo de while view ing an ope ned d ata file, co mplete thes e st eps: Step 1 Select the B P Mode box on the t oolbar. Step 2 Select the des ired BP Mode u sed to view and a nalyz e t he opened d ata file.
13 2-5-1 Open The File | Open funct ion is used t o acce ss the blood pr essure data with in existin g d ata files. Figure 6: Fil e Open dia log box To open a file, co mplete the fol low ing steps: Step 1 Select t he File men u . Step 2 Select t he Open sub- menu.
14 2-5-4 Convert The File | Conv ert funct ion is used t o create a .CSV (com ma delimited) for mat file from a .dat file that is compatib le with most s preadsheet applicatio ns, includi ng Microsoft Ex cel™.
15 2-5-6 Print The F ile | Pri nt function is us ed to print reports for one or more data file s according to a user- selected format. Th is enables t he user to gener ate multipl e reports with out having t o open each file separately .
16 2-6 View Menu The View menu may be use d to view numerica l, statistic al and graphi cal data screens. The View menu is dis ab led unless a fi le i s ope ned.
17 2-6-1 Summary Data The Summary Data screen inc ludes stati stics on the data of the op ened file and may be viewed directly on the screen. Thes e st at ist ics are separated into four data tab s: Full Statist i cs based on al l t he data with in t he file.
18 Each of the four Summary Data is titled with the name of the tab, file, patient and measur ement method. For deta iled informati on on Summary Dat a scree n listings, see b elow: Summary Data T ab Definition Time Interv al The analy sis period, start ti me/date – end time/date, for the activated Summary Data tab.
19 2-6-2 BP Data List The BP Dat a List functio n display s ind ividual b lood pressure mea sure ment w it hi n an op en data f ile in tabular form. W it h the BP Dat a List, you may input measure ment comments, exclude/in clude a measure ment within the graph ics and statistics or l ink a measur ement to the begin ning of the Trends Screen.
20 Figure 9: B lood Pressure D ata List disp lay 2-6-2-1 Excluding/ I n cluding BP Me as urements It is useful to exc lude a measurement from the Blood Pressure D ata List in cases w here the measure ment is cle arly inc orrect. The so ftware provides a simp le way t o include or excl ude measure ments wh ile viewin g a list.
21 2-6-2-3 Linking to Tre nds Screen A measure ment may be lin ked to the Trend Grap h by highlight ing an indiv idual measur ement and then cl osing the Blood Pr essure Data Li st. W hen opene d, the Trends Sc reen will be al igned with the time of the highlight ed measurem ent in the Blood Pressure D ata List.
22 Delimitatio n, Scroll B ar and Linking ♦ ♦ ♦ ♦ Partial Analysis : W hen the Pa rtial Anal ysis fea ture is e nabled, re d bands will appe ar on al l the Tr end Graphs high lighting the p eriod and d ata specified w ithin the Part ia l Analys is parameters.
23 2-6-3-1 Viewing the Tren ds Step 1 Select t he Vi ew menu. Step 2 Select t he Tr ends sub- menu. Step 3 You may print t he Trend s Screen by sele cting the Print menu on the Tren ds t oo lbar. Step 4 Click th e W in dows™ close b utton in the top ri ght corner to clos e the Trends Screen.
24 To customiz e the Trends S cree n, complet e t hes e steps: Step 1 Select t he S elect menu on t he t op l eft ha nd corner of the Tren ds toolbar. Step 2 Highli ght the Trend Pa ge Template y ou want to view and click the OK button or double c lic k the Trend Page Template.
25 Figure 13: B lood Pressur e Trend Setup dia log box Step 8 Repeat st eps 6- 7 to set posit ions 2, 3, and 4. Step 9 To save your t rend template, cli c k the Save button Step 10 To cance l the oper ation, click the Can cel button .
26 measurements. Measurement statist ics, Mean " m " , S t andard Devi ation " s’ " and Corr elation Coefficient “ r ” values are s hown on the bot t o m of the screen.
27 2-6-5 Histograms The Hist ograms screen offe rs a conven ient way t o quickly rev iew the overall mag nitude and distribution of the syst olic, diastol ic, mean arteria l blood pressures and pulse (he art rate) measure ments.
28 2-6-6 Circadia n R hy thm The Circad ian Rhyth m screen shows the circa dian rhyt hm of the systolic and dia stolic bloo d pressures, and p ulse (heart rate); obtained using t he 24-hour cosin or analysis. The analysis start ing time coi ncides with th e start time s pecified for th e Full An alysis interval .
29 2-6-7 HIB A naly sis The HIB an aly sis screen show s t wo graphs arra nge d vertically . The upper gra ph shows the hy perbalic area (i n red) exceedin g the user-defin ed hyperbalic limit s for the systolic a nd diastoli c blood pressure s, and the numeri ca l data conv ert ed int o a on e-day period.
30 2-6-8 Patient Information The Pat ient Infor mation sc reen is us ed to store in formation on pat ients a nd their treatment. Thi s is also the in put screen for the p at ient ’s Sleep int erv al.
31 Field Descriptio n Insurance Field for the pat ient ’s insura nce i nformation. U p t o 20 characters can be use d. Medicare # Field for the patient ’s Medicare or Med icaid number or other health care number. Up t o 20 ch aracters can be us ed.
32 2-7-1 Retrieving Data from the Monitor Figure 19: R ecorder-Retrie ve Data dialo g box See below for the de scription of each field on the Recor der-Retriev ed Data dia log box. Field Descriptio n Recorder ID Rec order ID is set in t he monitor’s me mory prior to the mo nitoring session.
33 Step 7 Clic k th e OK button. Note : To view a retr iev ed file, you m ust open it. 2-7-2 Clearing Th e Monitor’s Memory The mo nitor’s memory should be cleared be fore each monit oring session.
34 2-7-3 Programmin g the Monitor’s Interv als and Co ndi ti on s 2-7-3-1 TM-2420/T M-2421 S etu p With the monit or and the processor connected t o the computer, y ou may setup or ch ange the followin g monitor con dit i on and interv al s ettings: Item Definition Recorder I D number Monitor (or pat ient) ID number (01 thro ugh 99).
35 Figure 21: TM -2420/TM -2421 Recorder Setup dialog bo x Step 3 Select the R ecor der ID field. Input a R ecord er ID number betwee n 1 to 99. Step 4 Selec t the Displa y check box to s et the displa y to On or Off . Step 5 Select the B uzzer check box to set t he buz zer On or Off.
36 Step 13 Select the I nterval drop-down menu for Period Three (3) an d set the measurement Interval for Per iod Three (3) to: O FF, 1, 3, 5, 10, 15, 20 , 30, 60 or 120 minutes. Step 14 If you want t o program a fourth p eri od, go t o st ep 15. If you do not want to program a fourth per iod, go to step 17.
37 2-7-3-3 Examples of Pr ogrammin g the Monitor Note : The procedure is t he sam e for the TM-2420/TM-24 21/TM-2430, ex cept periods 5 and 6, whic h are ava ilable only with the TM-24 30.
38 (B) Example: Programming the Monitor for Three (3) P eriods Suppose that the start time of the monitoring se ssion is 09:00 a nd you would li ke the monitor to measure the patient's b lood pre.
39 (C) Example: Programming the Monitor for Four (4) P eriods Suppose that the start time of the monitoring se ssion is 09:00 a nd you would li ke the monitor to measure t he patient's blood pres.
40 2-7-3-4 UA-767PC Set up When the U A-767PC connected to a persona l computer, times to generate a beeping sou nd can be set. To se t the times , complete the fo llowing ste ps: Step 1 Select t he Recorder menu. Step 2 Select t he Setup sub- me nu. Th e Recorder Set u p dialog box a ppe ars.
41 2-8 Report Men u Custom report formats may be saved for future use throug h the Report menu. The following functions are av ailable in t he Report dia log b ox: ♦ Create a new report templat e .
42 2-8-1 Creating a Ne w Report Tem plate Step 1 Clic k the New b utton on the Rep ort dialog box. Th e Report Setu p dialog box will appear. Figure 28: R eport setup dialog box Step 2 Type the Re port Name.
43 2-8-2 E diting an E xisting Rep ort Template Step 1 Highli ght the report te mpla t e you want t o edit . Step 2 Clic k th e Edit butt on. T he Report Setup d ialog box will ap pear.
44 2-9 Options Me nu The Options menu may be us ed t o acce ss default and v arious for matting screens w ith in the softw are. The follow in g Options fe at ures are availa ble: Menu S ee Descrip tion Report For mats “ 2-8 Re por t Menu ” The Rep ort formats may be used t o create and save custo m report for mats.
45 The follow ing instruct ions outl in e t he various Phy sician List f eatures av ail able. 2-9-2-1 Addi ng a Ne w Physi ci an to th e List Figure 30: P hysician Entr y dialog bo x Step 1 Clic k th e New b ut ton on the Phy sician L ist di alog box.
46 2-9-4 Default Settings There are three de fault settin gs i n t his so ftware: 1) Blood Pressure 2) Serial Port 3) Recorder Type 2-9-4-1 BP (Blood Pre ssure) Sett i n gs (Av ai l abl e only for TM-2420/TM-24 21 a nd TM-243 0 d ata) Edit t he De fault Bloo d Pres sure Setting s as follows: Step 1 Select the Mea surement Method (B P Mode).
47 2-9-4-2 Serial Port The ser ial port is used t o communicate b etween t he monitor and the computer. The serial port setting and the port use d for communic ation must be the sa me.
48 3. TROUBLESHOOTING 3-1 Measurement Err ors The follow ing tables list the error messages that may occur d uring a monitori ng session and offer informat ion on possib le c auses and correct i ons. Measure ment errors may be sh own on the b lood pressure dat a list disp lay and pr inted text dat a.
49 ERRO R CO DE POSSI B LE CA USE CORR E CTIO N E07 Manual stop The measur ement was ma nually interrupted by depression of the red Start/Stop but t on. E08 Korotkoff sou nds are undetect able. Check that t he lower micro phone is affixed with the sens ing side (skin side) facing the pat i ent’s arm.
50 3-1-2 TM-2430 Series Error Co des ERRO R CO DE POSSI B LE CA USE CORR E CTIO N E00 Clock parameters hav e not been set. Enter clock parameters. E03 An error code is dis played without cu ff inflatio n. Exhaust t he air from the cuf f co mp let e ly.
51 3-2 Communication Errors When c ommunicat ing betwee n the monitor and the P C, the follow ing dialo g box may appear i f the communic at ion setup is not per formed prop erly: Figure 34: C ommunicatio ns Error dialo g box If thi s error occurs, com plete the ste ps below: Step 1 Clic k th e OK button on the Error d ialog b ox.
52 3-3 Missing Files If you can not find your files in o ne of the F ile menu screen s, and the f iles have not been delet ed, check the fo llowin g: ♦ The folder specified in the Recorder-R etrieved Dat a dialog box i s the same folder as specifie d using the F ile | Open fu nct ion.
53 4. PRINTOUT EXAMPLES Figure 36: P atient informat ion – Text d ata.
54 Figure 37: S ummary data (Fu ll and parti al) – Text data.
55 Figure 38: S ummary data (Awa ke and sle ep) – Text dat a.
56 Figure 39: B lood pressure data – Text d ata.
57 Figure 40: Tren d graph (Blood pressure an d double pr oduct) – Gra phical dat a.
58 Figure 41:Co rrelation pl ots (upper) and histogram p lots (lower ) – Graphi cal data.
59 Figure 42: C ircadian rh ythm plots (upp er) and HBI analysis plo ts (lower) – Gr aphical da ta.
60 Figure 43: “M ini” report -1.
61 Figure 44: “M ini” report -2.
62 5. TERMS/ABBREVIATIONS 5-1 Terms Relate d t o Bloo d Pressure Term/Abbreviation Descript ion Oscillometric Oscillometric met hod o f blood pressure measurement. Korotkoff Korotkoff method of blood pressure measurement. SYSTOLI C, SYS, SBP (Systolic Blood Pressure) Blood pre ssure that occurs when t he heart contracts.
63 Term/Abbreviation Descript ion CORRELAT IO N: r (Coefficient of Correlat ion) Indicates the degree of linear relationship between two v ariables. I t ran ges from +1 to -1. A correlation of +1 means that there is a perfect positive linear relat ionship between variables.
64 Term/Abbreviation Descript ion c.i., Confidence Interval Interval surrounded by the con f idence limit of 95%. 95% conf idence interval i s expressed in numerica l data with the c osinor analysis graph.
65 5-4 Ter ms Related to the Risk Man agemen t of High Blood Press ure Term/Abbreviation Descript ion Hyperbalic Index, HBI High blood pressure index Hypobalic Index Low blood pressure index Hyperbalic Ar ea Time integral of the blood p ressure values exceeding the limits.
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