1. INTRODUCTION ...3 1-1 About the Data Analysis Software...3 1-2 Symbols ...4 1-3 Monitoring Device Review...4 1-4 Software Package Components...5 1-5 System Requirements ...5 1-6 Installing the Software ...5 1-7 Safety...5 2. OPERATING PROCEDURE ...6 2-1 Getting Started ...6 2-2 Communication Between the Monitor and the Software ...6 2-2-1 Connecting the TM-2420/TM-2421 to the computer ...6 2-2-2 Connecting the TM-2430 series to the computer ...7 2-2-3 Connecting the UA-767PC to the computer ...8...
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2-7 Recorder Menu ... 31 2-7-1 Retrieving Data from the Monitor... 32 2-7-2 Clearing The Monitor’s Memory ... 33 2-7-3 Programming the Monitor’s Intervals and Conditions... 34 2-7-4 Blood Pressure Measurement (Available only with the UA-767PC) ... 40 2-8 Report Menu ... 41 2-8-1 Creating a New Report Template ...
1-1 About the Data Analysis Software Welcome to the Ambulatory Blood Pressure Monitor (ABPM) Data Analysis Software. This software is intended for use with the following devices. ABPM: For diagnosing high blood pressure 1) A&D TM-2430 Series Ambulatory Blood Pressure Monitor 2) A&D TM-2420/TM-2421 Ambulatory Blood Pressure Monitor...
1-2 Symbols The symbols printed on the device have the following meaning: CE marking Serial number 1-3 Monitoring Device Review The following section briefly reviews the devices and how they may be used with this software. A&D Ambulatory Blood Pressure Monitors are used to record an individual’s blood pressure over an extended period of time, normally 24-72 hours.
1-4 Software Package Components Items included in your complete software package are: ABPM 3.5-inch program disk Ambulatory Blood Pressure Monitor Data Analysis Software Instruction Manual For TM-2420/TM-2421 AX-KO600 (9 pin D-SUB, socket type), Communication cable for TM-2420/TM-2421 For TM-2430 series/UA-767PC...
2. OPERATING PROCEDURE 2-1 Getting Started Two initial actions may be executed when starting up the software: (1) Data may be retrieved from the monitor. (2) Stored data files may be opened and viewed for analysis. To retrieve data from the monitor, see: “2-2 Communication Between the Monitor and the Software”...
Step 1 Connect the monitor to the processor. Step 2 Connect the male end of the A&D-supplied RS-232C communication cable to the processor. Step 3 Connect the female end of the A&D-supplied RS-232C communication cable to the computer. Step 4 The display on the processor will show “0-----”. If the processor does not have a display, the LED should be green.
Step 3 The display on the monitor will show “----”. If “----” does not appear, see “3-2 Communication Errors”. Otherwise go to step 4. Note: If possible, keep the cable connected to the computer unless the port is needed for other functions. Step 4 Run the software.
2-3 Main Screen Description The main screen is comprised of six menus and two toolbar buttons located permanently along the top of the screen. These menus may be used to access the various features of the software. The toolbar buttons may be used to set Partial Analysis and Blood Pressure Mode parameters. Toolbar Buttons: (Only for TM-2420/TM-2421, TM-2430) Button Analysis Intervals...
2-4 Toolbar There are two toolbar buttons which appear underneath the main menu bar: Analysis Intervals BP Mode 2-4-1 Analysis Intervals The Analysis Intervals feature is used to define specific periods of time within an opened data file for custom data analysis. Two intervals, Full Analysis and Partial Analysis may be defined for each data file.
Histograms After Partial Analysis parameters are defined, the data specified within the parameters will appear in red overlaying the Full Analysis data. 2-4-2 BP Mode The BP Mode is used to select which blood pressure method will be used as the primary and secondary choices for displaying the blood pressure measurement data.
To specify the BP Mode while viewing an opened data file, complete these steps: Step 1 Select the BP Mode box on the toolbar. Step 2 Select the desired BP Mode used to view and analyze the opened data file. To set a default BP Mode for the software at startup, see “2-9-4 Default Settings”.
2-5-1 Open The File | Open function is used to access the blood pressure data within existing data files. To open a file, complete the following steps: Step 1 Select the File menu. Step 2 Select the Open sub-menu. Step 3 Select a file from the directory shown or move to a different directory. Step 4 Click the Open button.
2-5-4 Convert The File | Convert function is used to create a .CSV (comma delimited) format file from a .dat file that is compatible with most spreadsheet applications, including Microsoft Excel™. The .CSV file that is created includes DATE, TIME, SYS, DIA, MAP, PUL headings so that the data can be identified correctly when opened in a spreadsheet.
2-5-6 Print The File | Print function is used to print reports for one or more data files according to a user- selected format. This enables the user to generate multiple reports without having to open each file separately. To print a report for multiple data files, complete the following steps: Step 1 Select the File menu, then select the Print sub-menu.
2-6 View Menu The View menu may be used to view numerical, statistical and graphical data screens. The View menu is disabled unless a file is opened. For information on how to open a file, see “2-5-1 Open”. The View menu has the following sub-menus: Menu Summary Data “2-6-1 Summary Data”...
2-6-1 Summary Data The Summary Data screen includes statistics on the data of the opened file and may be viewed directly on the screen. These statistics are separated into four data tabs: Full Statistics based on all the data within the file. Partial Statistics based on the data specified in the Partial Analysis parameter.
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Each of the four Summary Data is titled with the name of the tab, file, patient and measurement method. For detailed information on Summary Data screen listings, see below: Summary Data Tab Time Interval Valid Readings Excluded Readings Min (Minimum) Mean Max (Maximum) SD (Standard Deviation)
2-6-2 BP Data List The BP Data List function displays individual blood pressure measurement within an open data file in tabular form. With the BP Data List, you may input measurement comments, exclude/include a measurement within the graphics and statistics or link a measurement to the beginning of the Trends Screen.
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2-6-2-1 Excluding/Including BP Measurements It is useful to exclude a measurement from the Blood Pressure Data List in cases where the measurement is clearly incorrect. The software provides a simple way to include or exclude measurements while viewing a list. When a measurement is excluded from the Blood Pressure Data List, it will not be included in any of the software’s statistical or graphical analysis functions.
2-6-2-3 Linking to Trends Screen A measurement may be linked to the Trend Graph by highlighting an individual measurement and then closing the Blood Pressure Data List. When opened, the Trends Screen will be aligned with the time of the highlighted measurement in the Blood Pressure Data List. This feature may be used to pinpoint the position of an individual measurement on the Trend Graph.
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Delimitation, Scroll Bar and Linking Partial Analysis: When the Partial Analysis feature is enabled, red bands will appear on all the Trend Graphs highlighting the period and data specified within the Partial Analysis parameters. Sleep: When the Sleep interval is identified, black bands will appear around all the Trend Graphs highlighting the specified Sleep interval.
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2-6-3-1 Viewing the Trends Step 1 Select the View menu. Step 2 Select the Trends sub-menu. Step 3 You may print the Trends Screen by selecting the Print menu on the Trends toolbar. Step 4 Click the Windows™ close button in the top right corner to close the Trends Screen. 2-6-3-2 Scaling the Screen The Trends Screen may be scaled to have some or all of the data fit on the screen.
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To customize the Trends Screen, complete these steps: Step 1 Select the Select menu on the top left hand corner of the Trends toolbar. Step 2 Highlight the Trend Page Template you want to view and click the OK button or double click the Trend Page Template.
Figure 13: Blood Pressure Trend Setup dialog box Step 8 Repeat steps 6-7 to set positions 2, 3, and 4. Step 9 To save your trend template, click the Save button Step 10 To cancel the operation, click the Cancel button . 2-6-4 Correlation Plots The Correlation screen offers a convenient way to view the relationship between the Blood Pressure parameters.
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measurements. Measurement statistics, Mean " m ", Standard Deviation " s’ " and Correlation Coefficient “ r ” values are shown on the bottom of the screen. Figure 14: Correlation Plots display...
2-6-5 Histograms The Histograms screen offers a convenient way to quickly review the overall magnitude and distribution of the systolic, diastolic, mean arterial blood pressures and pulse (heart rate) measurements. The following Histograms are available: Systolic Blood Pressure: Full Analysis in blue, Partial Analysis overlaid in red. Diastolic Blood Pressure: Full Analysis in blue, Partial Analysis overlaid in red.
2-6-6 Circadian Rhythm The Circadian Rhythm screen shows the circadian rhythm of the systolic and diastolic blood pressures, and pulse (heart rate); obtained using the 24-hour cosinor analysis. The analysis starting time coincides with the start time specified for the Full Analysis interval. The Circadian Rhythm screen also shows the amplitude and peak value of the cosine wave based on the 95% confidence interval.
2-6-7 HIB Analysis The HIB analysis screen shows two graphs arranged vertically. The upper graph shows the hyperbalic area (in red) exceeding the user-defined hyperbalic limits for the systolic and diastolic blood pressures, and the numerical data converted into a one-day period. The lower graph shows the hypobalic area (in red) not reaching the user-defined hypobalic limits for the systolic and diastolic blood pressures, and the numerical data converted into a one-day period.
2-6-8 Patient Information The Patient Information screen is used to store information on patients and their treatment. This is also the input screen for the patient’s Sleep interval. The Patient Information screen has the following data fields: Field Description Recorder ID Recorder ID refers to the monitor identification number.
Field Description Insurance Field for the patient’s insurance information. Up to 20 characters can be used. Medicare # Field for the patient’s Medicare or Medicaid number or other health care number. Up to 20 characters can be used. Medications Field for the patient’s medications. Up to 60 characters can be used. Field for the patient’s age.
2-7-1 Retrieving Data from the Monitor See below for the description of each field on the Recorder-Retrieved Data dialog box. Field Description Recorder ID Recorder ID is set in the monitor’s memory prior to the monitoring session. Start Date Date of first measurement in the monitor’s memory. Start Time Time of first measurement in the monitor’s memory.
Step 7 Click the OK button. Note: To view a retrieved file, you must open it. 2-7-2 Clearing The Monitor’s Memory The monitor’s memory should be cleared before each monitoring session. With the monitor and the processor connected to the computer, you may clear the measurement data stored in the monitor by completing the steps below: Step 1 Select the Recorder menu.
2-7-3 Programming the Monitor’s Intervals and Conditions 2-7-3-1 TM-2420/TM-2421 Setup With the monitor and the processor connected to the computer, you may setup or change the following monitor condition and interval settings: Item Recorder ID number Time Date Display On/Off Buzzer On/Off PERIOD START...
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Figure 21: TM-2420/TM-2421 Recorder Setup dialog box Step 3 Select the Recorder ID field. Input a Recorder ID number between 1 to 99. Step 4 Select the Display check box to set the display to On or Off. Step 5 Select the Buzzer check box to set the buzzer On or Off. Step 6 Select the Time field for Period One (1) and enter the time you want the monitoring session to begin.
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Step 13 Select the Interval drop-down menu for Period Three (3) and set the measurement Interval for Period Three (3) to: OFF, 1, 3, 5, 10, 15, 20 Step 14 If you want to program a fourth period, go to step 15. If you do not want to program a fourth period, go to step 17.
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2-7-3-3 Examples of Programming the Monitor Note: The procedure is the same for the TM-2420/TM-2421/TM-2430, except periods 5 and 6, which are available only with the TM-2430. (A) Example: Programming the Monitor for One (1) Period Suppose that the start time of the monitoring session is 09:00 and you would like the monitor to measure the patient's blood pressure every 30 minutes.
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(B) Example: Programming the Monitor for Three (3) Periods Suppose that the start time of the monitoring session is 09:00 and you would like the monitor to measure the patient's blood pressure every 30 minutes until 22:00, and from 22:00 to 07:00 once an hour, and from 07:00 you would like the blood pressure measured every 15 minutes.
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(C) Example: Programming the Monitor for Four (4) Periods Suppose that the start time of the monitoring session is 09:00 and you would like the monitor to measure the patient's blood pressure every 30 minutes until 22:00, and from 22:00 to 23:00 you want the monitor OFF so that the patient may sleep, and from 23:00 to 06:00 you would like the patient's blood pressure measured once an hour, and finally from 06:00 you want the blood pressure measured every 15 minutes.
2-7-3-4 UA-767PC Setup When the UA-767PC connected to a personal computer, times to generate a beeping sound can be set. To set the times, complete the following steps: Step 1 Select the Recorder menu. Step 2 Select the Setup sub-menu. The Recorder Setup dialog box appears. Figure 26: UA-767PC Recorder-Setup dialog box Step 3 Enter times to generate a beeping sound.
2-8 Report Menu Custom report formats may be saved for future use through the Report menu. The following functions are available in the Report dialog box: Create a new report template Edit an existing report template Delete an existing report template Save an existing template as the default report style Print a user defined report Print a “Mini”...
2-8-1 Creating a New Report Template Step 1 Click the New button on the Report dialog box. The Report Setup dialog box will appear. Step 2 Type the Report Name. Step 3 Edit the Report Heading. This heading will appear on the top of every page along with the file name and time the file is printed.
2-8-2 Editing an Existing Report Template Step 1 Highlight the report template you want to edit. Step 2 Click the Edit button. The Report Setup dialog box will appear. Step 3 Edit the Report Name. Step 4 Edit the Report Heading. The Report Heading will appear on the top of every page along with the file name and time the file printed.
2-9 Options Menu The Options menu may be used to access default and various formatting screens within the software. The following Options features are available: Menu Report Formats “2-8 Report Menu” Physicians List “2-9-2 Physician List” Trend Display “2-6-3-3 Trend Display: Positioning Trends”...
The following instructions outline the various Physician List features available. 2-9-2-1 Adding a New Physician to the List Step 1 Click the New button on the Physician List dialog box. The Physician Entry dialog box will appear. Step 2 Enter the appropriate data. Note: All fields must be completed.
2-9-4 Default Settings There are three default settings in this software: 1) Blood Pressure 2) Serial Port 3) Recorder Type 2-9-4-1 BP (Blood Pressure) Settings (Available only for TM-2420/TM-2421 and TM-2430 data) Edit the Default Blood Pressure Settings as follows: Step 1 Select the Measurement Method (BP Mode).
2-9-4-2 Serial Port The serial port is used to communicate between the monitor and the computer. The serial port setting and the port used for communication must be the same. Figure 32: Default Serial Port Selection dialog box 2-9-4-3 Recorder Type The default Recorder Type function is used to select the type of monitor the software will communicate with for all Recorder functions.
3. TROUBLESHOOTING 3-1 Measurement Errors The following tables list the error messages that may occur during a monitoring session and offer information on possible causes and corrections. Measurement errors may be shown on the blood pressure data list display and printed text data. If an error occurs (indicating by asterisks), corrective measures must be taken to use this software.
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ERROR CODE POSSIBLE CAUSE Manual stop Korotkoff undetectable. More than 256 Korotkoff sounds are measured. Pulse Error Pulse less than 35 beats or more than 200 beats per minute. Diastolic greater than 160 mmHg or less than 40 mmHg. Systolic greater than 280 mmHg or less than 60 mmHg.
3-1-2 TM-2430 Series Error Codes ERROR CODE POSSIBLE CAUSE Clock parameters have not been set. error without cuff inflation. Measurement is stopped due to a low battery. Inflation pressure does not reach the target pressure. Pressurization greater than 320 mmHg. Controlled stop using STOP key E08, E10 Pulse can not be detected.
3-2 Communication Errors When communicating between the monitor and the PC, the following dialog box may appear if the communication setup is not performed properly: If this error occurs, complete the steps below: Step 1 Click the OK button on the Error dialog box. Step 2 Check the monitor's battery.
3-3 Missing Files If you can not find your files in one of the File menu screens, and the files have not been deleted, check the following: The folder specified in the Recorder-Retrieved Data dialog box is the same folder as specified using the File | Open function.
Term/Abbreviation CORRELATION: r (Coefficient of Correlation) Sys – dia Sys – pul Reg. Line (Regression Line) Histogram 5-3 Terms Related to Biological Rhythm Term/Abbreviation Cosinor (Cosine Vector) MESOR (Midline Estimating Statistic of Rhythm) Amp. Amplitude Acrophase Description Indicates the degree of linear relationship between two variables.
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Term/Abbreviation c.i., Confidence Interval PR (Percent Rhythm) Variation Index Description Interval surrounded by the confidence limit of 95%. 95% confidence interval is expressed in numerical data with the cosinor analysis graph. Rhythm compatibility Squared multiple correlation coefficient (R) between the measured value and the cosine curve best fitted to the biological rhythm data.
5-4 Terms Related to the Risk Management of High Blood Pressure Term/Abbreviation Hyperbalic Index, HBI Hypobalic Index Hyperbalic Area Hypobalic Area HBI-sys HBI-dia Description High blood pressure index Low blood pressure index Time integral of the blood pressure values exceeding the limits. 24-hour blood pressure data is plotted on a trend bar graph and performed on the area exceeding the user-...
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