Norav Medical
Norav Users Guide For Models S- M - HR and Blue-ECG software versions 5.34
Users Guide
150 Pages

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Norav Users Guide Norav Users Guide For Models: S, M, HR, W and Blue-ECG software versions: 5.34 Copyright © Norav, February 11. All rights reserved. Document Number: NV-54/PCECG1200 No part of this publication may be reproduced in any material form (including photocopying or storing it in any medium by electronic means whether or not transiently or incidentally to some other use of this publication) without the prior written permission of the copyright owner, or under the terms of a license issued by the copyright owner. The information contained in this document is subject to change without notice. Norav is neither responsible for nor liable to anyone in connection with this document.
Manufactured by:
Norav Medical Ltd. 2 Hamada st., Yokneam, Israel Tel: +972-4-9893001, Fax: +972-4-9893004 Email:
Standards Compliance The interference generated by the device was tested according to the EMC 89/336/EEC and found compliant with the standard. The software complies with Standards for Analysis of Ventricular Late Potentials Using High Resolution or Signal Averaged Electrocardiography, published in 1991 by the Task Force Committee of the European Society of Cardiology, the American Heart Association, and the American College of Cardiology. The PC-ECG conforms to MDD 93/42 EEC Annex V, EC11 and EN 60601-1-2. MDD authorized representative in Europe is: Norav Medical GmbH Kreuzberger Ring 23, 65205 Wiesbaden, Germany Tel: +49-611-7788345, Fax: +49-611-7788330 Email: [email protected]
! Cau t io n
US Federal Law restricts this device to sale by, or on the order of, a physician
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The PC-ECG 1200 is tested and certified for the following standards: EN60601/1:
International
EN60601/2/25:
International
EN60601/2/27:
International
Protection type and class:
Model M – II BF, Model S – II CF
Defibrillation protection:
Built in for Models 1200M, 1200HR, 1200W, Blue-ECG and 1200S.
Disclaimer This system is intended as a decision support system for persons who have received appropriate medical training, and should not be used as a sole basis for making clinical decisions pertaining to patient diagnosis, care, or management. Any application of medical information from the program, other than the original design or intended use thereof, is not advised and considered a misuse of the software product. Norav Limited Warranty Norav products are warranted to be free from manufacturing and material defects for a period of one (1) year from the date of shipment from Norav or the dealer to the original purchaser. Excluded from this warranty are expendable supply items including, but not limited to, electrodes, lead wires, patient cables, and batteries. This warranty does not apply to any product that Norav determines that it has been modified or damaged by the customer. Except for the express warranties stated above, Norav disclaims all warranties including implied warranties of merchantability and fitness. The stated express warranties are in lieu of all obligations or liabilities on the part of Norav for damages, including but not limited to, special, indirect, or consequential, arising out of or in connection with the use or performance of Norav products. Any action for breach of warranty shall be commenced within one (1) year of said breach or be forever barred. Any repairs made to the product that are not covered by the warranty shall be billed to the customer. For service or technical support contact your local supplier or Norav Medical.
v Document History Version 060408 060708
Date 06/04/2008 06/07/08
100708 181110 241110 291210
10/07/2008 18/11/2010 24/11/2010 29/12/2010
Updates Norav Logo; Document history; RS232 controlled treadmill types; Stress – Add Dynamic ST function Updates Updates Updates
Changed by David David
David David David David
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Norav Users Guide
Table of Contents CHAPTER 1:
INTRODUCTION ... 1
MANUAL ORGANIZATION ... 1 DOCUMENT CONVENTIONS ... 1 Notes and Cautions ... 1 Abbreviations and Acronyms ... 2 Equipment Symbols... 2 CHAPTER 2:
OVERVIEW ... 3
PACKAGE CONTENTS ... 3 PROGRAMS ... 4 PC-ECG MODELS ... 4 INDICATIONS FOR USE OF THE PC-ECG 1200 ... 5 ECG Intended Use ... 5 Stress Testing Intended Use... 5 CONTRAINDICATIONS FOR USE AND ADVERSE EFFECTS ... 6 CHAPTER 3:
SOFTWARE INSTALLATION ... 7
SYSTEM REQUIREMENTS AND PREREQUISITES ... 7 Hardware ... 7 INSTALLING OR UPDATING THE PC SOFTWARE ... 8 To Install PC-ECG 1200 ... 9 To Uninstall PC-ECG 1200 ... 10 To Free Disk Space and Ensure Smooth Operation ... 11 BACKING UP AND RESTORING SETUPS AND PROTOCOLS ... 11 To Save Stress Test Setup ... 12 To Load Stress Test Setup ... 12 To Save Stress Protocols... 12 To Load Stress Protocols ... 13 To Set Preferences ... 13 CHAPTER 4:
HARDWARE INSTALLATION... 15
SAFETY ... 15 CLASSIFICATION OF THE EQUIPMENT ... 17 INSTALLING MODEL 1200S AND MODEL 1200M ... 18 To Connect Via USB ... 21 To Verify the Connections ... 21 To Perform Maintenance... 22 Calibration ... 22 INSTALLING MODEL 1200HR ... 23 To Connect Via USB ... 23 To Verify the Connections ... 24
vii To Connect to the Patient and the Computer ...24 To Verify the Connections ...24 To Perform Maintenance ...24 Calibration ...24 INSTALLING MODEL 1200W ...25 To Connect Via USB ...27 To Verify the Connections ...28 To Perform Maintenance ...28 Calibration ...28 INSTALLING MODEL BLUE ECG ...29 To install the Blue ECG device ...30 CONNECTING AN EXERCISE DEVICE ...31 To Connect an RS232 Controlled Treadmill/Ergometer ...31 To Connect an Analog Controlled Treadmill/Ergometer ...31 Cabling ...31 To Determine Treadmill Cabling ...31 CHAPTER 5:
ACCESSORIES INSTALLATION... 33
INSTALLATION OF THE TANGO AUTOMATIC BP UNIT ...33 CHAPTER 6:
PATIENT PREPARATION ... 37
CHAPTER 7:
RESTING ECG ... 39
QUICK START ...40 To Perform a New Test ...40 Operation with Function Keys...40 RESTING 12 LEAD ECG ...40 LEADS PLACEMENT ...40 To Define the Lead System...41 TOOLBAR OVERVIEW ...41 The Toolbar (Easy Toolbars Mode)...41 RESTING ECG SETUP ...42 TOOLBAR AND MENUS ...46 USING THE MATLAB FEATURE WITHIN PC-ECG 1200 ...51 Example of ECG Display with MATLAB ...51 CHAPTER 1:
STRESS ECG... 53
To Customize the Display ...53 To Lock Screen Window Borders ...53 QUICK START ...54 To Perform a New Test ...54 To Print an ECG ...54 To Print a Report ...54 LEADS PLACEMENT ...55 To Define the Lead System...55 OPERATION WITH FUNCTION KEYS ...55
viii Norav Users Guide TOOLBAR OVERVIEW ... 56 Main Toolbar (Easy Toolbars Mode) ... 56 Stress Test Commands ... 56 Views and Filters Toolbar ... 57 Average Viewer Toolbar... 57 Post Processing Options Toolbar ... 58 STRESS ECG SETUP ... 59 TOOLBAR AND MENUS: MAIN ... 64 TOOLBAR AND MENUS: STRESS TEST COMMANDS ... 66 TOOLBAR AND MENUS: AVERAGE VIEWER... 67 TOOLBAR AND MENUS: POST PROCESSING ... 67 To Start the Stress Recording Program ... 68 To Start a New Test ... 68 Play Back display ... 69 Recovery Phase... 70 VIEWING RESULTS ... 70 To View Study Results... 70 To Display the Review Screen Automatically... 70 To Display the Review Screen Manually ... 70 To Save Study Results ... 71 METABOLIC STRESS ESTIMATION (METS) ... 72 TRANSFER FILE “TRNSF.TXT” ... 72 To Transfer a File ... 72 EXPORT THE EXERCISE PROTOCOL REAL TIME VALUES. ... 72 To enable the exercise protocol export file feature ... 73 ADDITIONAL FEATURES ... 75 To Define Max. HR... 75 To Define Worst ST ... 75 A Dynamic ST function ... 75 RS232 CONTROLLED TREADMILL TYPES ... 76 RS232 CONTROLLED BICYCLE ERGOMETERS... 77 CHAPTER 2:
LATE POTENTIAL SIGNAL AVERAGING ...79
QUICK START ... 80 To Start a New Test ... 80 To Print ... 80 OPERATION WITH FUNCTION KEYS ... 81 LEADS ... 81 LP SIGNAL AVERAGING SETUP ... 82 TOOLBAR AND MENUS... 84 INTERPRETING RESULTS... 86 Numerical Results ... 87 CHAPTER 3:
MONITORING ...89
QUICK START ... 90
ix To Start a New Test ...90 To Print ...90 Print Study (print a selected time range and leads) ...90 MONITORING ECG SETUP ...90 TOOLBAR AND MENUS ...94 CHAPTER 4:
HEART RATE VARIABILITY (HRV) ... 97
QUICK START ...98 To Start a New Test ...98 To Print an HRV Report ...98 To Print an ECG ...99 HRV SETUP ...99 STARTING A STUDY ... 101 To Add or Subtract an Interval ... 101 To Edit Interval Names... 101 To Import or Save GDT/BDT Format ... 101 RESULTS DISPLAY ... 102 HRV INTERVAL MEASUREMENT ... 102 CHAPTER 5:
MEASUREMENTS/ INTERPRETATION (MEANS) ...103
QUICK START ... 104 To Start Measurements ... 104 To Print Reports ... 104 PERFORMING CHANGES IN CALCULATIONS ... 104 To Move the QRS Marker ... 104 To Add or Remove a Wave Marker... 104 To Move the Wave Marker ... 105 FEATURES ... 105 To View the Measurements on a QRS ... 105 To View the Measurements on a Channel ... 105 To View the Measurements on All Channels for QT... 105 TABULAR SCREEN ... 105 AVERAGES DISPLAY ... 106 QRS DISPLAY ... 107 TOOLBAR OF AVERAGES/QRS DISPLAYS ... 108 CALIPER DISPLAY ... 109 Toolbar of Caliper Display ... 109 TOOLBAR AND MENUS ... 110 CHAPTER 6:
NEMS APPLICATION ... 113
First Time Use ... 114 COMPARING REST TESTS... 115 To Compare Rest Tests ... 115 NEMS SETUP ... 116 TOOLBAR AND MENUS ... 116
x Norav Users Guide APPENDIX A: INTERFACING WITH INFORMATION SYSTEMS ... 119 DEMOGRAPHIC DATA ... 119 HL7 FORMAT FILE ... 121 GDT/BDT TYPE COMMUNICATION ... 123 DICOM COMMUNICATION... 124 SAVING THE STRESS TEST AS A RAW DATA (“NATIVE BINARY”) FORMAT FILE ... 126 SAVING THE MONITOR TEST AS A RAW DATA (“NATIVE BINARY”) FORMAT FILE ... 127 APPENDIX B: TECHNICAL SPECIFICATIONS ... 128 APPENDIX C: REPORT SAMPLES... 130 APPENDIX D: TROUBLESHOOTING... 135 USB DRIVER IS NOT INSTALLED PROPERLY ON WINDOWS XP DURING PC-ECG INSTALLATION ... 135 Problem ... 135 Solution ... 135 RECOVERING ECG DATA AFTER UNEXPECTED SHUTDOWN OF THE STRESS APPLICATION ... 136 Problem ... 136 Solution ... 136 WORKING IN AUTOSAVE MODE WITHOUT SAVING MODIFICATIONS ... 136 A THICK STRAIGHT LINE IS DISPLAYED FOR ALL LEADS... 137 Problem ... 137 Solution ... 137 NOISY ECG SIGNAL ON LEADS ... 137 Problem ... 137 Solution ... 137 MISSING DATA AFTER A THICK LINE ... 138 Problem ... 138 Solution ... 138
xi
List of Figures FIGURE 1: SAVING STRESS SETUP ... 12 FIGURE 2: PC-ECG 1200S / PCECG 1200M... 18 FIGURE 3: PATIENT CABLE ... 19 FIGURE 4: USB CABLE ... 20 FIGURE 5: PC-ECG 1200HR (WITH BUILT-IN USB CABLE) ... 23 FIGURE 6: PC-ECG 1200W ... 25 FIGURE 7: USB CABLE ... 26 FIGURE 8: 1200 WR RECEIVER ... 28 FIGURE 9: PC-ECG 1200 BLUE ECG ... 29 FIGURE 10: ELECTRODE PLACEMENT ... 37 FIGURE 11: RESTING ECG MAIN SCREEN... 39 FIGURE 12: RESTING ECG TOOLBAR ... 41 FIGURE 13: STRESS ECG RESULTS SCREEN ... 53 FIGURE 14: MAIN STRESS TOOLBAR ... 56 FIGURE 15: STRESS TEST COMMANDS TOOLBAR ... 56 FIGURE 16: STRESS ECG VIEWS AND FILTERS TOOLBAR ... 57 FIGURE 17: STRESS ECG POST PROCESSING DISPLAY TOOLBAR... 57 FIGURE 18: STRESS ECG PLAYBACK TOOLBAR ... 58 FIGURE 19: CHANGE TEST PROTOCOL ... 68 FIGURE 20: PATIENT DATA ENTRY ... 68 FIGURE 21: PLAY BACK WINDOW ... 69 FIGURE 22: CAREFUSION LAB5 CPET SETTINGS ... 74 FIGURE 23: LATE POTENTIAL SIGNAL AVERAGING SCREEN ... 79 FIGURE 24: LP SIGNAL AVERAGING REVIEW SCREEN ... 86 FIGURE 25: MONITORING SCREEN ... 89 FIGURE 26: HRV RESULTS ... 102 FIGURE 27: MEASUREMENTS-TABULAR SCREEN ... 103 FIGURE 28: MEASUREMENTS-AVERAGES DISPLAY ... 106 FIGURE 29: MEASUREMENTS-QRS DISPLAY ... 107 FIGURE 30: TOOLBAR OF AVERAGES/QRS ... 108 FIGURE 31: MEASUREMENTS-CALIPER ... 109 FIGURE 32: TOOLBAR OF CALIPER ... 109 FIGURE 33: DATABASE MAIN SCREEN ... 113 FIGURE 34: DATABASE PATIENT QUERY ... 114 FIGURE 35: DATABASE PROPERTIES OF SELECTED TEST ... 115 FIGURE 36: EXTERNAL PATIENT LIST ... 124 FIGURE 37: REST REPORT ... 130 FIGURE 38: STRESS APPLICATIONS - COMPREHENSIVE REPORT... 131 FIGURE 39: ECG MONITORING REPORT ... 132 FIGURE 40: HEART RATE VARIABILITY REPORT ... 133 FIGURE 41: LATE POTENTIAL REPORT ... 134
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Norav Users Guide
List of Tables TABLE 1: MINIMUM COMPUTER CONFIGURATION ... 7 TABLE 2: PRINTERS INSTALLATION REQUIREMENTS ... 8 TABLE 3: PROGRAM ICONS ... 9 TABLE 4: OPERATION WITH FUNCTION KEYS ... 40 TABLE 5: RESTING ECG SETUP OPTIONS ... 46 TABLE 6: RECORDING RESTING ECG ...50 TABLE 7: STRESS FUNCTION KEYS ... 55 TABLE 8: STRESS ECG SETUP OPTIONS ... 64 TABLE 9: MAIN STRESS TOOLBAR AND MENUS ... 65 TABLE 10: STRESS TEST COMMANDS ... 66 TABLE 11: AVERAGE VIEWER TOOLBAR ...67 TABLE 12: POST PROCESSING TOOLBAR AND MENUS ... 68 TABLE 13: TRANSFER FILE FORMAT... 72 TABLE 14: CONTROLLED TREADMILLS ... 76 TABLE 15: CONTROLLED ERGOMETERS...77 TABLE 16: LP SIGNAL AVERAGING FUNCTION KEYS ... 81 TABLE 17: LP SIGNAL AVERAGING LEADS PLACEMENT ... 81 TABLE 18: LP SIGNAL AVERAGING SETUP ... 83 TABLE 19: LP SIGNAL AVERAGING TOOLBAR AND MENUS ... 85 TABLE 20: LP SIGNAL AVERAGING NUMERICAL RESULTS... 87 TABLE 21: MONITORING SETUP OPTIONS ...93 TABLE 22: MONITORING TOOLBAR AND MENUS ... 95 TABLE 23: HRV SCREEN ... 98 TABLE 24: MEASUREMENTS TOOLBAR AND MENUS ... 112 TABLE 26: NEMS TOOLBAR AND MENUS ... 118 TABLE 27: STRESS RAW DATA FILE FORMAT... 126 TABLE 28: MONITOR RAW DATA FILE FORMAT ... 127
Introduction 1
CHAPTER 1:
INTRODUCTION
Manual Organization This manual explains in detail how to install and use the PC-ECG 1200. At the beginning of each application chapter, there is a Quick Start section, which is a brief explanation of how to carry out a study, including the keyboard short-cuts for the main functions. If you are familiar with ECG procedures, you can use this Quick Start section to get up and running quickly. The software must be installed before the hardware. See Software Installation, page 7 and Hardware Installation, page 15.
Document Conventions Notes and Cautions Pay particular attention at specific points in a procedure when one of the following messages appears:
Warnings call attention to possible hazards involving potential damage or injury to persons. W A RN ING
!
Cautions refer to practices necessary to protect against potential damage or loss to equipment. Pay careful attention to instructions.
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Notes provide pertinent information to help obtain optimum performance from the software or signify an important step or procedure that requires special attention.
NV-54/PCECG1200
Norav Users Guide
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Abbreviations and Acronyms Abbreviation
Meaning
BP
Blood pressure
ECG
Electrocardiogram
Database
Database application
HRV
Heart Rate Variability
ID
Identification
LP
Late Potential
LQTS
Long QT Syndrome
METS
Metabolic Stress Estimation
SN
Serial Number
USB
Universal Serial Bus
Equipment Symbols Symbol
Description Type BF equipment
Type CF equipment
Class II equipment Complies with the Medical Device Directive of the European Union Non-ionizing radiation.
Norav Medical
Overview
CHAPTER 2:
OVERVIEW
Package Contents The PC-ECG 1200 package contains the following elements: •
Acquisition box – one of the following device models: ◊
PC-ECG 1200S / 1200M (page 18)
◊
PC-ECG 1200HR (page 23)
◊
PC-ECG 1200W (page 25)
◊
Blue-ECG (page 29 )
•
Patient cable
•
Data USB cable or wireless RF adaptor (for 1200W) or Bluetooth USB transmitter (for Blue-ECG)
•
Software CD with the PC-ECG 1200 installation package, including:
•
◊
Rest
◊
Measurements and Interpretation (MEANS)
◊
Stress
◊
Monitor
◊
HRV
◊
LP
◊
Database
Software key (if optional software is included)
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Norav Users Guide
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Programs Each program has a specific purpose. The following is a brief description of when to use each one: Rest
Records and measures short ECG tests on patients in resting position (up to 10 seconds) Records and measures ECG tests on patients under stress conditions using a predefined test protocol. The stress test includes 3 basic stages: • Rest
Stress
• Stress • Recovery Each stage may be divided into more than one phase according to the testing protocol used.
Monitor
Works with an ECG device to record, monitor and save a prolonged ECG test in rest condition
HRV
Tests according to time how patient pulse and heart rate varies with load, medication, etc.
LP
Predicts tendency to ventricular tachycardia
Database
ECG Database Management System. Manages patients and ECG tests details.
PC-ECG Models 1200 S
Record ECG test during stress condition (stationed on table)
1200 M
Record ECG test at rest condition
1200 HR
Portable device to record ECG during stress condition (attached to patient’s body)
1200 W
Wireless RF ECG Recording test during stress and rest condition (attached to patient’s body)
Blue-ECG
Wireless Bluetooth ECG Recording test during rest condition (attached to patient’s body)
Norav Medical
Overview
5
Indications for Use of the PC-ECG 1200 ECG Intended Use ECG is intended to disclose either normal condition or patterns of arrhythmia, myocardial ischemia, rate abnormalities, or features of prognostic value in the following cases: ◊
Patients with suspected cardiac abnormalities
◊
Populations of patients at an age or period in which a routine baseline evaluation of ECG characteristics is desired.
QT Analysis is useful in the assessment of long QT syndrome (LQTS). In some instances, LQTS can be corrected by pharmacological therapy. QT analysis is also used to measure QT dispersion, the difference between maximal and minimal QT values. QT dispersion is a measure of the in homogeneity of ventricular repolarization. The PC ECG 1200 has been tested to measure Heart Rate Variability to within 1 millisecond tolerance. The clinical significance of Heart Rate Variability measures should be determined by a physician. The PC ECG 1200 has been tested to measure Late Potential to a tolerance of within 1 millisecond, and 1 microvolt. The clinical significance of Late Potential measures should be determined by a physician.
Stress Testing Intended Use Angina pectoris (chest pain) is a clinical syndrome resulting from myocardial ischemia, indicative of reduced blood supply to the cardiac muscle. The electrocardiogram may establish the diagnosis of ischemic heart disease if characteristic changes are present. Stress testing is the most widely used method to decide whether this chest pain is related to myocardial ischemia, and thus to coronary artery disease. In stress testing, the contractile capability of the heart muscle is monitored via ECG during patient exercise. Patients exercise by bicycle, treadmill, or other means, while the ECG is monitored continuously. Exercise loads are determined by predefined protocols. The ECG signals are recorded for the resting, exercise, and recovery phase portions of the exercise protocol. The changes in ECG waveforms are compared to the resting ECG records. Most of the commercial stress test systems control the bicycle or treadmill automatically according to the requirements of the chosen protocol, although this is not essential. ST segment monitoring is intended as an aid in the evaluation of myocardial ischemia in patients with known or suspected coronary artery disease. The ST segment algorithm has been tested for accuracy of the ST segment data, and a database is used as a tool for performance testing. The significance of the ST segment changes must be determined by a physician.
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Norav Users Guide
Contraindications for Use and Adverse Effects The device has no contraindications or adverse events.
Norav Medical
Software Installation
CHAPTER 3:
SOFTWARE INSTALLATION
System Requirements and Prerequisites Hardware Stress application with real-time printout is resource intensive. No te
No te
To optimize performance, we recommend that you disable “Start Up” programs to free system resources. For instructions, see Windows help.
The PC should not be set up to work under saving power conditions. Do not enable PC sleep mode (standby), hibernate, or turning off the hard disk while running an ECG test.
PC Minimum Configuration Application
CPU Speed (MHz)
RAM Memory (MB)
Disk Space (GB)
Number of Free RS232 or USB Ports
Rest
100
32
2
1
Monitoring Application
200
32
4
1
LP
450
128
2
1
HRV
450
128
2
1
Database
200
64
8
1
Stress
1000
128
20
2
Stress + R trigger
1300
128
20
2
Stress + Blood pressure monitor
1500
128
20
3
Table 1: Minimum Computer Configuration
NV-54/PCECG1200
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Norav Users Guide
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Installing Printers Application
Technology
RAM Memory (MB)
Driver
Rest
LASER/INK
2
Vendor / MS
Monitoring Application
LASER/INK
2
Vendor / MS
LP
LASER/INK
2
Vendor / MS
HRV
LASER/INK
2
Vendor / MS
Database
LASER/INK
2
Vendor / MS
Stress
Fast LASER
8
MS
Table 2: Printers Installation Requirements Installing the Thermal Printer Use a 4 inch or 8 inch thermal printer. The thermal printer driver is installed separately from the PC-ECG 1200 program. A thermal printer can be supplied by Norav (MP200, 8 inch). This printer requires the purchase of a dongle with P1 license permission. The MP200 driver is available on the PC-ECG 1200 CD at the following path: "<CD>:MP200OEMPRINT.inf".
Installing or Updating The PC Software Install the software before installing the hardware. If the device is connected to the PC, disconnect the device before installing the software. No te:
The software package works under Windows XP, VISTA, Windows 7 OS.
Norav Medical
Software Installation
To Install PC-ECG 1200 1.
Insert the CD in the drive. The installation program starts automatically.
Follow the instructions on-screen.0. After you have completed installation, a group icon called PC-ECG 1200 is added to the desktop. Double-click the group icon to display the following program icons: Icons are displayed only for those programs for which you have purchased the license No te: Icon
Explanation Heart Rate Variability
Late Potential Signal Averaging
Monitoring
Resting ECG
Stress Test
Database application
Table 3: Program Icons Resting ECG is the basic software package. It does not require a software key. The following are optional and require software keys: ◊
Measurement and interpretation functions for Resting ECG
NV-54/PCECG1200
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Norav Users Guide
10 ◊
ECG Database
◊
Heart Rate Variability
◊
Late Potential
◊
Monitoring
◊
Stress Test
You can activate optional packages that have no key by selecting Simulator in Setup (see Simulator ECG, Page 42). If you have purchased the S2 remote viewing, install the Remote View program from the Remote View directory on the CD. This program enables a remote viewer for an ECG study. The image is displayed in JPEG format.
No te
Only one HASP key/dongle per computer is possible. If you already have a HASP key/dongle with a Norav option and would like to add an additional option/s it will need to be added to your present key. When requesting an additional software option, kindly inform your local supplier that you already have a HASP key/dongle, its serial number and the option codes. To find this information go to Help-About and copy HASP ID Number and Permissions.
To Uninstall PC-ECG 1200 New Version Replacing Old Version There is no need to remove the previous installation. The existing setup will remain for the new version. If the new software version does not operate properly, remove the old installation (see Old Version Replacing New Version, below) and then remove the old existing setup as follows: Start Run Type regedit OK Choose HKEY_CURRENT_USER Software NORAV MEDICAL Edit Delete Old Version Replacing New Version Uninstall the existing version as follows: My Computer Control Panel Add/Remove Programs PC-ECG 1200 Add/Remove OK
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