Manuel d'utilisation / d'entretien du produit TM-2430-13 du fabricant A&D
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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.
66 MEMO.
67 MEMO.
68 MEMO.
Un point important après l'achat de l'appareil (ou même avant l'achat) est de lire le manuel d'utilisation. Nous devons le faire pour quelques raisons simples:
Si vous n'avez pas encore acheté A&D TM-2430-13 c'est un bon moment pour vous familiariser avec les données de base sur le produit. Consulter d'abord les pages initiales du manuel d'utilisation, que vous trouverez ci-dessus. Vous devriez y trouver les données techniques les plus importants du A&D TM-2430-13 - de cette manière, vous pouvez vérifier si l'équipement répond à vos besoins. Explorant les pages suivantes du manuel d'utilisation A&D TM-2430-13, vous apprendrez toutes les caractéristiques du produit et des informations sur son fonctionnement. Les informations sur le A&D TM-2430-13 va certainement vous aider à prendre une décision concernant l'achat.
Dans une situation où vous avez déjà le A&D TM-2430-13, mais vous avez pas encore lu le manuel d'utilisation, vous devez le faire pour les raisons décrites ci-dessus,. Vous saurez alors si vous avez correctement utilisé les fonctions disponibles, et si vous avez commis des erreurs qui peuvent réduire la durée de vie du A&D TM-2430-13.
Cependant, l'un des rôles les plus importants pour l'utilisateur joués par les manuels d'utilisateur est d'aider à résoudre les problèmes concernant le A&D TM-2430-13. Presque toujours, vous y trouverez Troubleshooting, soit les pannes et les défaillances les plus fréquentes de l'apparei A&D TM-2430-13 ainsi que les instructions sur la façon de les résoudre. Même si vous ne parvenez pas à résoudre le problème, le manuel d‘utilisation va vous montrer le chemin d'une nouvelle procédure – le contact avec le centre de service à la clientèle ou le service le plus proche.
