XScribe 5

Medica 2011 Presentation

November 2011

XScribe 5 Key Features & Benefits

• Wireless ECG Acquisition with X12+ 12-lead transmitter provides freedom for the patient and the clinician– Traditional ECG acquisition with AM-12 patient cable is also an option

• Complete clinical data presentation on a widescreen display– ST segment display and other measurements at a glance– ECG display with paper-like pink grid

• Accurate diagnostic results with Mortara’s advanced VERITAS™ algorithms and patented Source Consistency Filter (SCF)

• Bidirectional interface for HL7 or DICOM® automatic orders, data export and billing• User roles and permissions ensure patient data security

– Appropriate tasks can be assigned to each user by the system administrator– Physicians can electronically sign reviewed reports– Audit trails provide regulatory requirements reporting (support HIPAA compliance)

• Scalable Solutions: Simple to complex system configurations– From standalone to a network of workstations that can schedule patients, conduct stress exams,

review, and generate results – all within a shared database

XScribe 5 Stress Exercise System

• Schedule– Schedule New Patients

• Find existing demographics• Filter criteria for search

– Review Orders• Hookup Patient

and start stress exam• Search Patient

– Find Patient Data– Edit Patient demographics

• Worklist– Edit, Review, Sign, Export– Finalize exams

• Find stored Stress exams– Search Database

• User Preferences• System Settings• Exit

New XScribe 5 Modality Manager

• Roles and User Permissions for– IT and Clinical Administrators– Clinical Coordinators– Clinicians / Technicians– Physicians

• Exam Groups– Separate stress exam types– Separate User access – Separate report formats and lists

• Search and Schedule– Patient demographics– Stress exams

• Archive/Restore – Individual exams only– Patient demographics only– All patient data with exams

• Audit Trails – Support for HIPAA compliance

The XScribe 5 exercise stress system is available• As a single workstation system that can support up to 4

networked client workstations that can– Perform stress exams– Schedule, Review and edit stress exams

• In a distributed configuration where the database resides on a redundant (RAID) storage server with at least one or more networked client workstations that can

– Perform Stress Exams– Schedule, Review and edit stress exams

First Impression - What’s New?

• New AM-12 Patient cable for stress testing– Replaces M12A and M12B options– Shorter lead wires with medi-clip end designed for stress testing

• Right leg, Right arm, & Left arm leads = 730 mm (29 inches)• Left leg = 400 mm (16 inches)• V1/C1 and V2/C2 = 680 mm (27 inches)• V3/C3 through V6/C6 = 550 mm (22 inches)

– Full set of 10-wires with ability to replace individual lead wires– Available with MMM module for TTL and analog output– Available as Quick (USB) Connect

• X12+ transmitter continues to be available for wireless stress

New Context View during Exam

• New Context View selection in Format/F7– Available in Pre-exercise, Exercise, and Recovery– Can be enabled/disabled on a per patient basis

and on or off as a default setting– Drop-down list allows ECG lead selection

• Ability to add missed events– Bookmark can be added as a quick

event while exam is in progress– Saves time during final report

preparation

New Context View navigation/editing

• Use the right scroll-bar to move back or forward in time (time shown in green)

• Click a captured blue event box and then the red X to delete a saved event

• Double-click anywhere in the context ECG to label and save a new event

• Bookmark event labels can be edited in post-test review

New Beat Consistency Filter (BCF)

Mortara’s answer to competitor’s Linked Median and Averaged 12-Lead ECGs– Averaged ECGs are used for ECG printouts– This printout option is available in XScribe 5

System Settings under the Profiles tab• ECG Print and Event Print are independently set

– Two Format choices• 3x4+1 BCF• 3x4+3 BCF

– The rhythm leads will print real-time ECG with abnormal beats

• Note that any abnormal (VE, SVE, etc.) beats are filtered out of the BCF 12-lead ECG

– Printed ECG leads will be labeled with ‘BCF’ when this print type is selected

• I BCF; II BCF; III BCF; aVR BCF; aVL BCF; aVF BCF• V1 BCF – V6 BCF

New VERITAS™ 7 Algorithms

• Mortara’s latest resting ECG interpretation version– Gender, Pediatric and Adult specific interpretation dependent on entered patient

demographics– Improved pacemaker, atrial flutter, and AV-block analysis– Improved infarction statements– New STEMI statements (****ACUTE MI****)

• Mortara’s latest arrhythmia analysis version– Improved detection of PVCs, Ventricular Couplets, Ventricular Runs, and Dominant Rhythm

Change• Mortara’s latest ST segment analysis version

– aVR is not used for maximum ST segment deviation– aVR is not used for ST/HR index calculation

Enhanced Post-Test Full Disclosure Review

User now has two methods to review and find events• Review Exam

– Same Playback navigation as in previous versions• New Page Review presents a list of events that are navigable

– New ability to add Events

New Post-Test Review: Page Review

Faster navigation to event ECG• Click on item in Event list• Click on trend • Use << to page back• Use >> to page forward

Select item in Event list to• Relabel the Event• Print the Event ECG• Delete the Event

Select EVENT/F5 to• Choose Event label• Add an Event ECG

Other XScribe 5 Enhancements

• Greater flexibility in report layout and content– Selection of specific stage printouts with ECG and median complexes– Customizable fields, demographics, and institution logo

• Maximum predicted HR is displayed along with Target and current HR• Print speed at 50mm/s is now available for 12-lead ECGs• Simpler Protocol creation with “copy and paste” mode• Independent height and weight units (kg and cm; or kg and in; etc.)• Larger clock improves readability at a distance• Ability to switch between Auto and Manual BP

– Systems equipped with TANGO can abandon the automatic mode• Abort/resume Z200+ and Windows printouts• Ability to customize Event drop-down list order of labels• Ability to change displayed leads using the Format/F7 menu• Automatic ECGs and BP measurements based on time instead of stage• Ergometer Target and Max Workload can be formula calculated or user entered

New Report Manager

– All summary values are editable in this display

– Check boxes allow the user to include/exclude sections in the final report output

– Conclusion entry with free-text or a choice of user defined templates and acronyms

– Customizable demographics and institution logo

– Option to add electronic signature: “Signed By [Physician Name]”

New Final Report Preparation