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What is newCardiospy 5.03.04.05LABTECH LTD.Address4 Vág utca, Debrecen 4031 HungaryE-mailmedical@labtech.huPhone 36-52-500-128Fax 36-52-500-129We have developed the new generation (V6) of EC-2/3/12H Holter recorders.They come with exciting new features and improvements.Information related to these recorders is highlighted throughout this document.LABTECH LTD.MADE IN HUNGARY
1CARDIOSPY 5.03.04.05 IMPROVEMENTS . 6We have revised the protocols for these stress devices .6Improved translations .6We have added additional demographic information to „Summary III” .6We have added a button to return to the patient database more easily .6You can now hide “Very bad” exercise capacity .7Fixed bug with vector / raster setting for printing and PDF export .72CARDIOSPY 5.03.04.01 IMPROVEMENTS . 8Firmware update function for EC2/3/12H V6 Holters .8Improvements to speed up opening and saving Holter records.93CARDIOSPY 5.03.04 IMPROVEMENTS . 10Cardiospy now supports the new generation (V6) EC-2/3/12H V6 Holters (from SN:16xxxxxx) .10V4/C4 channel is now used for storing respiratory signal (only EC-12H, V6) .104CARDIOSPY 5.03.03.05 IMPROVEMENTS . 11Slopes for ECG averages .11Optional checkbox for showing ST slope values in Print view / ECG Averages .11In stress test Print view / ECG averages will show more pages.125CARDIOSPY 5.03.03.04 IMPROVEMENTS . 13Asian characters supported in Cortex MetaSoft Studio integration .13Manually inserting atrial fibrillation events remove automatically detectedsupraventricular (S) beats .136CARDIOSPY 5.03.03.03 IMPROVEMENTS . 14Complete French-language translation .14Improved responsiveness on the patient database screen .14More fluent scrolling of Holter ECG records .14Keyboard shortcuts and colour schemes available for the Template-Lorenz screen .147CARDIOSPY 5.03.03.02 NEW FEATURES . 15Real time TTL output .15LABTECH LTD.MADE IN HUNGARY
WHAT IS NEWSupport for Suntech Tango M2 blood pressure monitor in Stress ECG mode . 15Integration of Cortex ergospirometry . 158CARDIOSPY 5.03.03.01 NEW FEATURES . 16New firmware for USB-02 dongle and EC-12S recorder . 16Merging Rehabilitation and Main Cardiospy versions . 16New stress devices and protocols . 16Improvements in NetECG support. 179CARDIOSPY 5.03.03.00 NEW FEATURES . 18Commercial dongle integration. 18Template demixing by Lorenz Plots . 18DICOM report in Holter/ABP mode. 18New stress devices and protocols . 19Hiding the database screen in GDT mode . 20New languages . 20Long record analysing stops at Phase II 50% . 21Anonym export . 2110CARDIOSPY 5.03.02.00 . 23NetECG synchronization . 23Move database . 24Trends windows in enlarged mode . 25AVG view in resting systems . 261X12 channel view in printing . 27Recording starting without patient’s name . 28CARDIOSPY 5.03.01.00 . 29Font settings . 293D ST graph . 30Actual page and report printing . 31ECG measurement in microV . 32LABTECH LTD.3
WHAT IS NEWDICOM export in Rest ECG system .33AVG report page in Long ECG report .34Summary II Day – Night – Total tabs .35Holter’s, ABP’s firmware upgrade wizard .36Disable automatic read .37Select default tabs .38Step between interval type events .39Go to selected time .40CARDIOSPY 5.03.00. 41Computer minimum configuration requirements will be enforced at program startupand before Rest/Stress recording .41Support for Holter/ABP devices manufactured in or after April 2014 .42Automatic updates .43Import / export all settings.44Full screen mode .45QT elongation displayed as percentage of the normal .46Real-time push notification based connection to the NetECG system .47Support for UTF-8 encoded GDT messages .48MSI installer for easier installation in managed environments .49Signed and timestamped EXE and MSI installers for greater security .50Low battery warning before starting the stress test .51New style leadoff warning during the stress test .52Template-based reclassification of beats after the stress test .53User-customisable alarm sounds during the stress test .54Pediatric analysis mode for Holter ECGs.55New event types detected in Holter records .56Manual noise editor .57Customisable noise detector parameters .58CARDIOSPY 5.02.08. 594LABTECH LTD.
WHAT IS NEWRecycle bin function . 59Bug reporting system . 60USB-02 driver . 63AHA electrode placement . 64QRS modified by the user . 65Holter two-monitor mode . 66Cubios HRV integration . 67End of stage blood pressure measuring . 68Print of marked sample . 69Manual stress test controlling in the infobox . 70LABTECH LTD.5
WHAT IS NEW1 Cardiospy 5.03.04.05 ImprovementsWe have revised the protocols for these stress devicesWe have integrated the following stress devices and the protocols that controls them inour system: Ergoline Ergoselect 100/200 Ergosana 911Improved translationsWe have improved the Spanish and Hungarian translations of the software.We have added additional demographic information to „Summary III”You can find this information when printing a report.We have added a button to return to the patient database more easilyThis button was already available in the Stress / Continuous / Resting ECG test. Nowyou can also use it in the Holter analyzing window.6LABTECH LTD.
WHAT IS NEWYou can now hide “Very bad” exercise capacityYou can do this in System configuration menu – Misc tab.Fixed bug with vector / raster setting for printing and PDF exportWe have fixed the bug that caused all exported reports to be generated in the vectorformat regardless of the setting.LABTECH LTD.7
WHAT IS NEW2 Cardiospy 5.03.04.01 ImprovementsFirmware update function for EC2/3/12H V6 HoltersThe firmware update procedure for the previous generation Holters has notchanged.We have implemented the firmware update functionality for the V6 Holters inCardiospy. The firmware will automatically be updated when you connect the recorderto the PC. This process will only be done if the current version of Cardiospy contains afirmware, which has a different version from the one already installed on the recorder.The update process has to be done only once per recorder.This window will pop-up when you have to update the firmware:When you are updating the firmware, you have to remove the batteries from therecorder or the proccess cannot be done.When you see this message, you have to disconnect the device and a few seconds lateryou have to reconnect it, then click on the update button again.After the update is complete, you can close the pop-up window and you can start usingyour device with the new firmware.8LABTECH LTD.
WHAT IS NEWImprovements to speed up opening and saving Holter recordsYou can open Holter records from the patient database 40-80% faster than in theprevious versions of Cardiospy.Saving newly evaluated or modified records is also 15-20% faster.LABTECH LTD.9
WHAT IS NEW3 Cardiospy 5.03.04 ImprovementsCardiospy now supports the new generation (V6)EC-2/3/12H V6 Holters (from SN: 16xxxxxx)From this version, you are able to use both the olderand the new (V6) versions of Holter devices. Olderversions of Cardiospy do not support V6 Holters!V4/C4 channel is now used for storing respiratorysignal (only EC-12H, V6)This channel is now used for storing respiratorysignal, so the ECG on the V4 channel is calculatedmathematically from other channels. Because of this,you will not see lead-off warnings on this channel.V4/C4 channel is also shown as disabled at the Service tab.If there is lead-off on any channels (R, L, F, V3, V5) that is used for calculating theV4/C4 channel, there will be „lead-off” on that channel as well.Respiratory signal analysis for sleep apnea detection will be available soonwith these new devices.10LABTECH LTD.
WHAT IS NEW4 Cardiospy 5.03.03.05 ImprovementsSlopes for ECG averagesThere is now a new switch in the ECG view / ST menu - “Show ST slope”. If you turn iton, you can see the ST slope values in the main window, if you set the view to“Averages waveforms with ST” in the ECG view / ECG menu.You can see the valuesOptional checkbox for showing ST slope values in Print view / ECG AveragesIn Print view / Settings / General tab, if you enable the checkbox, you can see the STslope values as well.LABTECH LTD.11
WHAT IS NEWIn stress test Print view / ECG averages will show more pagesIf you have a long record, there will be more pages depending on the number ofmedians.12LABTECH LTD.
WHAT IS NEW5Cardiospy 5.03.03.04 ImprovementsAsian characters supported in Cortex MetaSoft Studio integrationAll UTF-8 characters, including Asian characters are correctly transferred fromCardiospy to Cortex MetaSoft Studio.Manually inserting atrial fibrillation events remove automatically detectedsupraventricular (S) beatsDue to a bug in the software since version 5.03.03.01, when an atrial fibrillation eventor another similar long-term event that precludes supraventricular (S) ectopic beats wasmanually inserted, automatically marked S beats were not renamed as N beats. This bughas been fixed in this version. It is still possible to manually add an S beats to a periodcontaining such an event.LABTECH LTD.13
WHAT IS NEW6 Cardiospy 5.03.03.03 ImprovementsComplete French-language translationA new French translation has been included, which covers all expressions in thesoftware.Improved responsiveness on the patient database screenThe patient database screen has been improved to provide a better experience whenchanging filters. Especially in case of larger patient databases, the user interface couldlag when a filter was applied or the user changed systems. In the current version suchoccurrences of “frozen” UI has been removed.More fluent scrolling of Holter ECG recordsFrom the present version ECG scrolling on all ECG screens in Holter ECG mode issmoother, especially lower performance computers.Keyboard shortcuts and colour schemes available for the Template-Lorenz screenThe Template-Lorenz screen has been improved to include keyboard shortcuts andcolour schemes similarly to the normal Templates screen.14LABTECH LTD.
WHAT IS NEW7 Cardiospy 5.03.03.02 New featuresReal time TTL outputWe have introduced a TTL output feature, which generates a square wave trigger signalwith a predictable delay (ca. 550 ms, less than 10 ms jitter) from the onset of the QRScomplex. This TTL output can only be used together with the CAB-00SYN-05 cablethat can be connected to the BNC input of any external system requiringsynchronisation with ECG.Support for Suntech Tango M2 blood pressure monitor in Stress ECG modeBased on the above-mentioned real time TTL output, we support the Suntech Tango M2blood pressure monitor as an addition to our Stress ECG system. Detailed interfacenotes are available from either Labtech or Suntech.Integration of Cortex ergospirometryThis new feature provides a seamless integration between the two systems bysynchronising the patient data, stress protocol, phase and stage information and alsosharing relevant parameters (e.g. HR, BP, SpO2) in real time.LABTECH LTD.15
WHAT IS NEW8 Cardiospy 5.03.03.01 New featuresNew firmware for USB-02 dongle and EC-12S recorderWe have improved the firmware of the USB-02 dongle and EC-12S recorder, whichresults in better, reliable and more stable connectivity. Improvements are especiallyexpected in the time required for the initial discovery of the recorder.After updating Cardiospy on the first start with connected dongle a window will pop upnotifying that and automatic update will be done. Click on the “Upgrade” button andwait until the progress bar finishes, then close the window.When you first pair your EC-12S recorder with the updated dongle a window willappear indicating the firmware of the EC-12S will be updated. Click on the “Upgrade”button and wait until the progress bar finishes, then close the window.Merging Rehabilitation and Main Cardiospy versionsWe have merged the Rehabilitation (Remote ECG) and Main branches in this newsoftware version, so there will be no special versions necessary for Remote ECGoperations.New stress devices and protocolsWe have integrated the following stress devices and the protocols that controls them inour system:16-Ergosana ERG 911 S-Ergoselect 1000-Konami AEROBIKE 75XL3LABTECH LTD.
WHAT IS NEWImprovements in NetECG supportWe have included two new panels in the Control Panel under NetECG tab. In the firstone there is a possibility to choose the time interval of synchronization from real time to30 minutes. Real time synchronization is only recommended for faster internetconnections.The other panel is for notification settings. Here you can add an e-mail address where tothe server sends messages about the modifications. It is synchronized all the time, so forexample a new record is uploaded to the server an e-mail will be sent to the givenaddress.LABTECH LTD.17
WHAT IS NEW9 Cardiospy 5.03.03.00 New featuresCommercial dongle integrationWe have integrated commercial dongles into the Rest/Continuous/Stress and Holtersystems. It means you can use our software with most of the Bluetooth dongles (that areavailable on the market ) and also with the built-in ones.Template demixing by Lorenz PlotsYou can demix misclassified beats on some S, V, N or other templates with LorenzPlots more easily.You can access this function by pressing Template-Lorenz button.DICOM report in Holter/ABP modeUploading reports to DICOM is now available in Holter and ABP mode.You can access this function from the Print menu when record is open.18LABTECH LTD.
WHAT IS NEWNew stress devices and protocolsWe have integrated the following stress devices and the protocols that controls them
LABTECH LTD. 7 You can now hide “Very bad” exercise capacity You can do this in System configuration menu – Misc tab. Fixed bug with vector / raster setting for printing and PDF export We have fixed t
