XScribe 5
November 2011
Medica 2011 Presentation
XScribe 5 Key Features & Benefits
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Wireless ECG Acquisition with X12+ 12-lead transmitter provides freedom for the
patient and the clinician
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Complete clinical data presentation on a widescreen display
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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
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Traditional ECG acquisition with AM-12 patient cable is also an option
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
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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
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Schedule
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Schedule New Patients
• Find existing demographics
• Filter criteria for search
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Hookup Patient
and start stress exam
Search Patient
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User Preferences
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System Settings
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Exit
Find Patient Data
Edit Patient demographics
Worklist
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Review Orders
Edit, Review, Sign, Export
Finalize exams
Find stored Stress exams
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Search Database
New XScribe 5 Modality Manager
The XScribe 5 exercise stress system is available
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As a single workstation system that can support up to 4
networked client workstations that can
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Roles and User Permissions for
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Perform stress exams
Schedule, Review and edit stress exams
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Exam Groups
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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
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Perform Stress Exams
Schedule, Review and edit stress exams
Patient demographics
Stress exams
Archive/Restore
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Separate stress exam types
Separate User access
Separate report formats and lists
Search and Schedule
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IT and Clinical Administrators
Clinical Coordinators
Clinicians / Technicians
Physicians
Individual exams only
Patient demographics only
All patient data with exams
Audit Trails
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Support for HIPAA compliance
First Impression - What’s New?
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New AM-12 Patient cable for stress testing
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Replaces M12A and M12B options
Shorter lead wires with medi-clip end designed for stress testing
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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
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New Context View selection in Format/F7
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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
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Ability to add missed events
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Bookmark can be added as a quick
event while exam is in progress
Saves time during final report
preparation
New Context View navigation/editing
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Use the right scroll-bar to move back or forward in time
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(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
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Bookmark event
labels can be
edited in posttest review
New Beat Consistency Filter (BCF)
Mortara’s answer to competitor’s Linked Median
and Averaged 12-Lead ECGs
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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
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Two Format choices
• 3x4+1 BCF
• 3x4+3 BCF
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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
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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
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Mortara’s latest resting ECG interpretation version
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Mortara’s latest arrhythmia analysis version
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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****)
Improved detection of PVCs, Ventricular Couplets, Ventricular Runs, and Dominant Rhythm
Change
Mortara’s latest ST segment analysis version
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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
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Same Playback navigation as in previous versions
New Page Review presents a list of events that are navigable
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New ability to add Events
New Post-Test Review: Page Review
Faster navigation to event ECG
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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
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Greater flexibility in report layout and content
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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
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Selection of specific stage printouts with ECG and median complexes
Customizable fields, demographics, and institution logo
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 Final Report Preparation
New Report Manager
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All summary values are
editable in this display
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Check boxes allow the user
to include/exclude sections
in the final report output
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Conclusion entry with freetext or a choice of user
defined templates and
acronyms
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Customizable demographics
and institution logo
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Option to add electronic
signature: “Signed By
[Physician Name]”