Smart-V-Link Operating Manual Ver 4.1 for Windows

Table of Contents Chapter 1: Introduction ... 1 Profiles ... 1 System requirements ... 2 Contents of package ... 2 Technical data ... 2 Chapter 2: Getting started ... 3 Installing Smart-V-Link ... 3 Installing USB cable driver ... 3 Uninstalling Smart-V-Link ... 3 Windows 8.1 / 7 ... 3 Connections ... 3 Starting Smart-V-Link... 4 Chapter 3: Quick start ... 5 1.Starting Smart-V-Link... 5 2. Measuring blood velocity ... 7 3. Measuring blood pressure ... 10 4. Printing Report ... 12 5. Saving Data ... 12 Chapter 4: Menu & Testing screens ... 13 4-1. Menu ... 13 4-1-1. Save File ... 14 4-1-2. Search Files ... 14 4-1-3. New File ... 15 4-1-4. Site ... 16 4-1-5. Download ... 20 4-1-6. Patient information... 22 4-1-7. Symptoms / Diagnosis ... 22 4-1-8. Default data ... 22 4-1-9. Option Screen ... 23 4-2. Testing Screens ... 25 4-2-1. Ankle Brachial Index (ABI) ... 26 4-2-2. PPG Toe Pressures (TBI) ... 30 4-2-3. PV Arterial (Except EU member nations) ... 30 4-2-4. Lower Extremity segmental ... 31 4-2-5. Upper Extremity segmental ... 32 4-2-6. PPG Venous Reflex ... 32 4-2-7. Venous Doppler ... 34 4-2-8. Custom Screen ... 34 4-2-9. Individual Waveform ... 35 4-2-10. Foot Temperature (Except EU member nations) ... 37 Chapter 5: FFT Analysis ... 39 1. System requirements ... 39 2. Preparations ... 39 3. How to perform FFT analysis (Fast Fourier Transform) ... 39 4. Recommended settings ... 41

5. Numerical data table for FFT ... 41 Chapter 6: Supplemental information... 42 6-1. Data synchronization ... 42 6-2. Data file formats ... 43 Chapter 7: Troubleshooting ... 44

--- Notes --The contents of this document and the associated Smart-V-Link software are the property of Hadeco, Inc. and are protected by copyright. Any reproduction in whole or in part is strictly prohibited without the express written permission of Hadeco, Inc. The contents of this document are subject to change without notice and do not represent a commitment on the part of Hadeco, Inc. Hadeco is a registered trademark and Smart-V-Link is a trademark of Hadeco, Inc. Windows is registered trademarks of Microsoft Corporation. Celeron is a registered trademark of Intel Corporation. All other product names or trademarks are property of their respective owners.

Chapter 1: Introduction Thank you very much for purchasing a Computer Communication Software, Smart-V-Link™ for Windows. This manual explains the process for connecting Doppler to computer, installing software and using Smart-V-Link. For the operation of Doppler and PPG probe, please refer to the operating manuals that come with your Doppler and PPG probe. Please read this manual carefully for complete product satisfaction. To learn how to use Smart-V-Link quickly see "Chapter3: Quick Start". It introduces a few essential and typical uses of Smart-V-Link.

Profiles The Smart-V-Link allows you to implement easily the vascular studies using the bi-directional Doppler as well as the patient data filing.  Operations of Doppler are remote controlled by computer  Real-time vascular waveform display  Data storage for future reference Data can be stored in the internal hard disk drive as well as any storage devices on network computers. Exporting to PDF and DICOM®*1 files is available for universal use of medical images.  Standardized testing modules for easy operation and documentation ABI, TBI and arterial blood flow velocity PPG toe pressures & venous reflux Venous compression Lower and upper extremities Individual test *1 DICOM (Digital Imaging and Communications in Medicine): DICOM is the registered trademark of the National Electrical Manufacturers Association for its standards publications relating to digital communications of medical information.

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System requirements Doppler  Bidop ES-100V3  Smartdop 30EX  Smartdop 45  DVM-4500 Computer OS: Windows 10 / 8.1 / 7 CPU clock: Celeron 1 GHz or more Display: 800 x 600 dots or more, 256 colors or more Minimum memory requirements: RAM: 1 GBytes or more HDD: 40 Mbytes or more USB: USB2.0 or more

Contents of package Software USB flash memory Designated USB cable

Technical data Measurement range and accuracy: Blood flow velocity: Depends on Doppler connected. Heart rate : 30 - 300 BPM, ±5 % Manufacturing data: The first 2 digits and following 2 digits of the serial number represent the year and month of manufacturing, respectively. The serial number is located on the USB flash memory case and it consists of 4 to 8 digits and may start with “Serial number” or “SN”. Examples; 03020001: Feb/2003 0401: Jan/2004 Cautions of Connection to the computer: (1) Any connected computer is not allowed to be in the patient area according to IEC60601-1. (2) Use the computer confirming with IEC60601-1 to connect to the unit. (3) Connection of the connected computer to a network that includes other equipment such as network printer could result in previously unidentified risks to patients, or operators and the user of the unit should identify, analyze, and control such risks. (4) Subsequent changes to network could introduce new risks and require new analysis; and changes to network include: (a) Connection of additional items to network (b) Disconnecting items from network (c) Update of equipment connected to network (d) Upgrade of equipment connected to network 2

Chapter 2: Getting started Installing Smart-V-Link (1) Connect the Smart-V-Link USB flash memory to your computer. (2) Double-click Setup.exe in the USB drive in which Smart-V-Link is connected, to install Smart-V-Link software. Follow the instructions of the installer. (3) When installation process is completed, Smart-V-Link will start automatically with Default Data screen.

Installing USB cable driver (1) Connect the Smart-V-Link V4.1 USB flash memory to your computer. (2) If automatic installer Smart-V-Link Ver4.1 installation pops up, click on Cancel. (3) Connect the Doppler to your computer by using the USB cable enclosed. See the Doppler operating manual of your Doppler for more information. The following procedures depend on your Windows version: Windows 8.1 / 7 (4) A shortcut for "Windows 7 / 8 Driver Installation" will be created automatically on the desktop when Smart-V-Link installation is completed. Click it and follow the instructions. Windows 10 (4) USB Driver will be installed automatically.

Uninstalling Smart-V-Link (1) Before uninstalling Smart-V-Link, copy all the waveform data saved on the WaveData folder for future reference. The original WaveData is located in C: HadecoSVLink4.0. (Default) The following procedures depend on your Windows version: Windows 8.1 / 7 (2) Select HadecoSmart-V-Link Ver4.1Uninstall on Program menu to uninstall Smart-V-Link. Windows 10 (2) Select HadecoUninstall on All apps to uninstall Smart-V-Link.

Connections 3

(1) Make sure that the Doppler probe is connected to the Doppler. (2) Connect the USB cable to the Doppler. (3) Connect the other side of the cable to the computer. (4) Turn the Doppler on. Caution * Do not turn off the power both the computer and the Doppler while using the software. * Do not disconnect the cables while using the software. * Do not leave the Doppler probe near the computer.

Starting Smart-V-Link (1) Select HadecoSmart-V-Link Ver4.1Smart-V-Link Ver4.1 on All apps (for Windows10) or Program menu (for the other version) to start the Smart-V-Link and Patient Information screen will appear automatically. (2) Input patient information data and click Return to Main Screen to go to Main Screen. If you wish to do it later, simply click Return to Main Screen. If a Smart-V-Link data file is double-clicked directly, Patient Information screen and dialog box will not displayed and Smart-V-Link will start with Main Screen. (3) When you start the Smart-V-Link for the first time, click on Options button on the Main Screen and do the CommPort setting. (See the section “Option” for the details.)

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Chapter 3: Quick start 1. Starting Smart-V-Link (1) Connect the USB cable to the unit. (2) Connect the other side of the cable to USB port of the computer. (3) Turn the unit on. (4) Start the Smart-V-Link and Patient Information screen will appear.

(5) Type the patient information or you may do it later. (6) Click Save to save the information and Return to Main Screen. (7) Click Options in the menu to go to Option Screen.

Options

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Return to Main Screen Search Comm

(8) Click Search Comm in the CommPort Setting section to search for COM port Doppler device is connected. Smart-V-Link will show the COM port # and model # of connected Doppler. We recommend turning off other devices connected to COM port beforehand. The message dialog box shown right will appear. Click OK to proceed. (9) Click Return to Main Screen.

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2. Measuring blood velocity This is to show typical operation of measuring blood velocity on ABI screen. (1) Go to ABI screen and click the waveform window for Posterior Tibial to start monitoring the blood velocity waveform on posterior tibial artery taken with the Doppler.

Waveform windows

Monitoring Screen will appear and the real-time waveform and numerical data received from the Doppler will be shown on the Screen. a) Vessel diameter and blood flow available when Diameter/ Flow is being checked on Option Screen. b) Probe selection buttons c) Compound/ Separation buttons

a) Vessel diameter and blood flow: Check Diameter/ Flow check box on Option Screen and the vessel diameter & blood flow will be shown on Monitoring Screen. Change the diameter by clicking the up and down buttons next to diameter value. See “Chapter4. Option Screen” for more details. Change the diameter value by clicking up and down buttons .

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b) Probe selection buttons: Click either Probe1 or Probe2 to select the probe used for the measurement when Smartdop 45 or DVM4500 with dual probe is connected. Click either Probe PV, Probe1 or Probe2 to select the

c) C probe used for the measurement when Smartdop 30EX o with built-in PV is connected. m p ound / Separation buttons Click either Compound or Separation to set the waveform mode for combined bidirectional waveform or directionally separated dual-trace waveforms, respectively.

(2) Wait at least 5 seconds after the waveform becomes stable and freeze the waveform by any of the following procedures:  Press the probe button  Press the space bar on the key board  Click the white open area of waveform window on Monitoring screen as shown below. Click here to freeze waveform.

Note: When Auto-freeze check box is checked on Option Screen, Smart-V-Link will freeze the waveform automatically when it becomes stable. (3) Click Decision to save the data on patient data if the frozen waveform is satisfactory and it'll go back to ABI screen. Press the probe button or the space bar to go back to monitoring mode again if it's not satisfied. Click Return to go back to ABI screen without saving the data. Note: When Auto-decision check box is checked on Option Screen, Smart-V-Link will automatically save the waveform when it’s frozen. (4) Repeat step # (1) to # (3) for the next site.

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Enlarging waveform: Right-click one of the waveform windows to see the enlarged waveform and the numerical parameters on Individual Waveform screen. See Numerical data table on §4-2-9. Individual Waveform for details.

Right click on the waveform window.

<Enlarged waveform>

 Click Compound or Separation to change the waveform mode.  Click Print and follow the instructions to print out the report.  Click Return to go back to the previous screen.

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3. Measuring blood pressure If you’re using non Smartdop 30EX Doppler, blood pressure should be taken manually with Doppler and sphyg and typed on each pressure box on ABI screen. If you’re using Smartdop 30EX, go to Option Screen and check Pressure Menu check box and it will allow you to take blood pressure with Smartdop 30EX for each site as follows: (1) On ABI screen, click arm pressure icon and select Take Pressure on pull-down pressure menu to go to Pressure Monitor screen. Select Take pressure

Site name Guidance Select Probe1 or 2 as necessary.

(2) Set the cuff on the patient and connect the tubing to the unit, and place the probe on radial or brachial artery. (3) When velocity waveform becomes stable, the unit will automatically inflate the cuff approx. 30 mmHg above the sound cessation and then deflate it at 2 to 3 mmHg per second. Click DUMP to cancel the measurement and to dump the cuff. Note: For manual measurement due to arrhythmia, click INF button to inflate the cuff straightway and then click DEFLATE to start the deflation after the sound cessation.

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(4) When the measurement is completed, the blood pressure data and waveforms will be displayed as shown below.

Click Decision to save the data on patient data if the result is satisfactory and it’ll go back to previous screen and blood pressure value will be shown in the pressure box.

Press the probe button or the space bar, or click Cancel to go back to monitoring mode again if it’s not satisfied. (5) Repeat steps #1 to 4 for the next site. Note: Toe pressure should be measured with PPG probe. (6) ABI (PT/DP) and TBI will be automatically calculated when all pressures are taken.

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4. Printing Report (1) Click Print Report on Main Screen to show the Print Report screen.

Click the check boxes for printing report.

(2) Choose the printer and check all the check boxes for the reports you wish to print out. (3) Click either Print to print out report(s) or PDF to create PDF report file.

5. Saving Data (1) Click Save File on Main Screen to pop up SaveFile window for saving data to local or network disk drive.

(2) Click Save to save the data.

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Chapter 4: Menu & Testing screens

Menu bar

Launcher icons

4-1. Menu Save File:

To save data file.

Search Files:

To search data files to open.

New File:

To create new patient file.

Patient Information:

To input patient data.

Symptoms/ Diagnosis: To input symptoms and diagnosis for patient. Print Report:

To print report or export it to PDF file.

Download:

To download waveform memory data from Doppler to Smart-V-Link.

Site:

To input abbreviated site & test module to enhance mobility of specific Doppler model(s).

Default Data:

To input and/or revise Default Data: Facility data, Performing Studies and Requesting Physician.

Options:

To set optional settings for CommPort, Language, Data folder, DICOM, test mode and others.

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4-1-1. Save File

(1) Click Save File on Main Screen for saving the testing data and Save File window will pop up with a file name of Patient ID, or name if ID is not typed, along with extension "ST2". e.g. ID0001.ST2 Note: Default data folder can be changed on Option Screen if desired. (2) Change the file name if necessary and click Save to proceed. Note: If the check box of Export to DICOM on Option Screen is being checked, Smart-V-Link will automatically export all the report images of each test module to DICOM.

4-1-2. Search Files

Folder tree pane File list pane

(1) Click Search Files on Main Screen to open Search Files screen and it will show Smart-V-Link data files stored on the data folder specified on Option Screen. (Default: C:HadecoSVLink4.0WaveData) 14

(2) Select the file you wish to open and double-click on it or click Open to proceed. Folder selection: 1. Click other folder on folder tree where you wish to search files and the folder path and Smart-V-Link files found will be shown on “Search In" path box and file list pane, respectively. 2. Click the up arrow to go to upper folder. 3. Check Sub folder check box to include sub folders for searching. 4. Click History to show a list of folder paths you have searched before. Search options: 1. Select Search Type from pull-down menu, and type a search word in the Search For text box. Note: Search Type includes patient name, ID, file name, requesting physician, and test date. 2. Select a file you wish to delete and click Delete to proceed. Advanced operation: 1. Folder tree pane and file list pane can be resized by dragging the splitter bar between the 2 panes. Columns in file list pane can also be resized. 2. Click the column name to sort files alphabetically and click it the second time to sort anti-alphabetically. 3. Right-click on folder in folder tree to show a context menu of Rename, Delete folder and New folder and select the one you wish to proceed.

Click here

Right-click

4-1-3. New File Click on New File to create a new patient file and Patient Information screen will be shown. Type all the patient data and click Save to save the information. If previous data has not been saved when New File is clicked, a confirmation dialog box as shown below will appear. Click Yes to save the previous data, No to erase it or Cancel to cancel New File process.

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4-1-4. Site This function is available for the following Doppler models: *Smartdop 45 (serial# 14110001 or over) *Bidop ES-100V3 (serial#15020001 or over) To input abbreviated site & test name up to 15 letters for each waveform memory on any of the specific Doppler model(s) connected. < LCD of Smartdop 45>

Table pane

Input pane

1. Input Abbreviated site & test name Simple Input: (1) Select the Memory No. you wish to input the abbreviated site & test name for.

Click here for memory #1.

If any abbreviated data have been saved for the memory # selected, they will be shown on Input pane of Site Screen.

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(2) Click Simple Input button to show the Test Module list for setting the template data of site & test name as shown in below.

Select your test module from the list and click OK and the template data for each test module will be set on the Site Screen table automatically as shown below.

Note1: To change data of “Test Module” and “Site”, click button at the right end of each box on Input pane of the screen and select optimum one from each pull-down menu.

Note2: To edit each abbreviated site & test name, overtype the data on abbreviated site box directly and press Enter or button to proceed.

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2. Store input data to Doppler connected Click Store and then “Yes” to store all the data to the Doppler connected as shown below.

Each of stored abbreviated site & test names will be shown for each memory # on the Doppler as shown below. See the operating manual of Doppler for more details.

Memory menu on Smartdop 45

DATA display mode on Smartdop 45

3. Function of each button (d) (e) (f) (g) (c) (a) (b) (a) File To import or export text (.ini) files for all the input data on Site Screen. Click File and select either Import or Export and click OK to proceed.

Import: To import a site test (.ini) file already exported on your computer. Export: To export a site text (.ini) file on your computer for future import. Note: The site INI files will be stored on the Data Folder set on Option Screen. 18

(b) Clear All To clear all the data on the Table pane of Site Screen.

(c) Clear To clear the data shown on the Input pane of Site Screen.

(d) Store To store all the data on Site Screen to the Doppler connected. (e) Read To read the stored site & test data from the Doppler connected. Note: The stored data is automatically loaded and shown every time Site Screen is opened and Read will be likely clicked to reload it without changing the data. (f) Delete To delete all the site & test data stored on the Doppler connected. (g) Return to Main Screen To go back to Main Screen.

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4-1-5. Download Waveform memory data stored on any of the following Dopplers can be downloaded to the testing module(s) assigned on this screen: Note: Blood volume flow is not applicable for Download. 1. Download Screen without abbreviated site & test names

(1) Connect to Doppler and click Download to open Download Screen. Table of waveform memory will be displayed on Download screen. Click memory number with saying “Yes” in data stored line. (2) Select Test Module and Site from the pull-down menus where each data should be downloaded. Click Preview to preview the waveform before downloading.

After getting all the memory numbers assigned for test module and site, click Save As Default to set it as default for future usage. (3) Click Download to download all the data to Smart-V-Link after the test and site assignments are completed. Note: Before downloading, make sure all the check boxes for memory data are checked.

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2. Download Screen with abbreviated site & test names This function is available for the following Doppler models: *Smartdop 45 (serial# 14110001 or over) *Bidop ES-100V3 (serial#15020001 or over) Note: Go to the section “§4-1-4.Site” in advance to set the abbreviated site & test names for enhancing the Download capability.

(1) Connect to Doppler and click Download to open Download Screen. If the data information of Test Module, Site and Abbreviated site for any of memory #s has been stored on Site Screen, it will be shown on the table of Download screen automatically as shown in the picture above. (2) If you have waveform data for 2 patients or more on the Doppler connected, make sure to check only the check boxes for the patient you wish to download for. (3) Click Download to download all the data to Smart-V-Link. Note: If multiple patient data have been stored on Smartdop 45, type the memory # to preview each data and click “Yes” when the right patient data is found as shown below. 15

<Patient data downloaded on Patient Information>

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4-1-6. Patient information See the section “§1. Starting Smart-V-Link” in Chapter 3.Quick start.

4-1-7. Symptoms / Diagnosis

(1) Check the appropriate check boxes and type information in text boxes and then click Save to proceed. Note: Other 1 to 3 can be overtyped with your own word for Diagnosed Conditions if desired.

4-1-8. Default data Default data saved on this screen can be used in the pull-down menus on Patient Information Screen.

(1)Type each default data for Facility, Address, Telephone number, Performing Studies and Requesting Physician. Select the data and overtype other word and then click Change to revise. 22

Select the data and click Delete to delete it. Click Save to proceed when all data have been typed.

4-1-9. Option Screen

(a) (b) (c)

(d)

(a) CommPort Setting Turn on Doppler and connect it to computer. Go to Options and click Search Comm to search COM port connected to Doppler. Model# of Doppler will be shown next to Search Comm when it’s been found. (b) Language Select Select your language from the pull-down menu and restart Smart-V-Link to activate the new language. (c) Other Settings Gain Unification: Check it to unify all the amplitude scales of waveforms in each testing module. Note: This function is not available on FFT mode using with either ES-100V3 (serial #11090001 or over), Smartdop 45 (serial#14110001 or over) or DVM-4500. Pressure Menu: For Smartdop 30EX only, check it to activate the pressure menu to take pressures with Doppler and the icon will be shown on each testing screen available to control pressure measurements. Note: When the Pressure Menu check box is checked on Option Screen, Foot Temperature launcher icon will not be shown on the Main Screen.

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FFT: For ES-100V3 (serial# 11090001 or over), Smartdop 45 (serial# 14110001or over) and DVM-4500, check it to add FFT check box on each arterial Doppler screen if you wish to perform FFT analysis. Diameter/ Flow: Check it to show the blood volume flow (Max and Ave.) on the waveform screen. See the section “§2. Measuring blood velocity” in “Chapter 3.Quick Start” for details. Export to DICOM: Check it to export the report images to DICOM when data file is saved. Set the DICOM folder under the check box where DICOM files should be exported. Auto Freeze: Check it to freeze waveform automatically when waveform becomes stable. Auto Decision: Check it to load waveform data into the memory automatically when it’s frozen. Auto save: Check it to save the data file automatically every time any testing is completed after Save File has been implemented for the file. Note: Be careful to activate it since Auto save will overwrite the file straightway without showing any warning dialog box. (d) Data Folder Click the button "..." and select the folder where you wish to save Smart-V-Link files regularly and then click OK. The folder path will be shown in the path box and it will be used on Search Files and Save File as a default folder.

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4-2. Testing Screens Launcher icons Ankle Brachial Index (ABI)

PPG Toe Pressures (TBI)

Pulse Volume Arterial (PVR) *This function is available only for Smartdop 30EX

Lower Extremity Segmental

Upper Extremity Segmental

Venous Doppler

PPG Venous Reflux

Custom Screen

Individual Waveform

Foot Temperature *This function is available except EU member nations.

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4-2-1. Ankle Brachial Index (ABI) 4-2-1-1. Measuring Blood Velocities

(1) Posterior Tibial Click the waveform window to measure blood velocity on posterior tibial artery taken with the Doppler and Monitoring Screen will appear and the real-time waveform and numerical data received from the Doppler will be shown. Waveform window

The peak velocity is calculated based on the 3 beat average and will be displayed on the ABI Screen after freezing real-time waveform.

(2) Dorsalis Pedis Click waveform window to measure blood velocity of dorsalis pedis artery. Monitoring screen will appear and you can operate same way as posterior tibial. (3) Side change Repeat (1) to (2) on the other side. (4) Enlarging waveform After freezing waveform, right-click the waveform window to observe it in large window. Note: Gain unification: To unify all the amplitude scales of waveforms in waveform windows, go to Options and check the check box of Gain Unification in Other Settings.

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4-2-1-2. Measuring Blood Pressures and ABI / TBI For all the Doppler models to type in pressures:

Pressures Type each pressure for Arm, Posterior Tibal, Dorsalis Pedis and Great Toe, ABI (PT/DP) and TBI will be calculated automatically. Note 1: Once you input or change these pressure data, they are reflected simultaneously in pressure boxes on the other testing modules screens. See the section “§6-1.Data Synchronization” for details.

Definition of ABI & TBI  Ankle Brachial Index (ABI); (Systolic pressure at PT or DP) / (Brachial systolic pressure)  Toe Brachial Index (TBI); (Toe systolic pressure) / (Brachial systolic pressure) Note: The greater arm pressure on the right or left is used for calculation of ABI/TBI. The arm pressure box used for this calculation is colored in blue. Taking blood pressure with Smartdop 30EX: Go to Options and make sure check box for Pressure Menu is being checked. (1) Click Arm Pressure icon and select "Take Pressure", "Show Waveform", or "Delete" on Pressure Menu to take, show, or delete the pressure data taken with Smartdop 30EX, respectively. (2) Click on Pressure icon for Posterior Tibial/ Dorsalis Pedis to get ankle pressure in the same manner above and ABI will be automatically calculated. (3) Click on Great Toe Pressure icon to get toe pressure with PPG probe in the same manner above and TBI will be calculated automatically. (4) Repeat the steps #1 to #3 on the other side.

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4-2-1-3. Auto-testing with Smartdop 30EX (Except EU member nations) Auto-testing is available if you’re using Smartdop 30EX that allows you to simplify entire testing as automatically as possible for ABI screen as well as PV Arterial and Lower Extremity screens. Preparation; (1) Wrap cuff at each testing site and connect tubing to the right arm cuff. (2) Go to Option Screen and make sure Pressure Menu check box is being checked.

(3) Click Settings button on ABI screen and set the Auto-test settings as follows:

Settings button Auto Freeze / Decision: Check it to freeze and save waveforms automatically. Auto-testing order: Select a favorable order for Auto-testing.

Manual testing: Auto Waveform & Pressure: To take velocity waveform and blood pressure automatically for each site of manual testing. Individual: To take velocity waveform and blood pressure individually for each site of manual testing. List of Auto-testing order for ABI as follows:

Default setting: #1

NO.

Auto-testing Order

1

Arm(R/L) - Great Toe(R) - DP(R) - PT(R) - Great Toe(L) - DP(L) - PT(L)

2

Arm(R/L) - PT( R) - DP(R) - Great Toe(R) - PT( L) - DP(L) - Great Toe(L)

3

Arm(R/L) - Great Toe(R/L) - DP(R/L) - PT(R/L)

4

Arm(R/L) - PT(R/L) - DP(R/L) - Great Toe(R/L)

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Operation; (1) Click Auto Start on ABI screen to start Auto-testing and a dialog box will appear as shown right.

(2) Connect the tubing to the right arm cuff and click OK and Pressure Monitor screen will open for Right Arm. Note: At beginning of each testing, a red star mark appears to let you know which site the testing should be performed on.

(3) Follow the guidance with site name shown on upper left of monitoring screen to perform the testing. Guidance (4) When testing is completed and cuff connection and/ or probe placement has to be changed, a dialog box will appear as shown right. Disconnect the tubing from the cuff and connect it to the next cuff where the red star is indicating for and then click OK or press Space bar or Enter to proceed the next testing. Note: Auto-testing can be always restarted by re-clicking Auto Start from where any testing has been cancelled. (5) Repeat steps #2 to 4 for the next site. Note: Toe pressure should be measured with PPG probe. (6) When all testing is completed on ABI screen, the message as shown right will appear. Click OK to close it and ABI (PT/DP) and TBI will be calculated automatically. Error message: In case of test error message as shown right, click Yes to retry testing, Ignore to go to next testing or Cancel to cancel auto-testing. 29