Beam ECG User manual

Operating Manual
ECG Loop-/ Event Recorder
0044
ECG e-health Loop/Event
Analysis Unit:
Hypertension Management Software
Client-Server
(HMS CS) Version 4.6 and higher
Vendor:
EN

Copyright©Beam®Revision 4.6.1 01/2016 I.E.M. GmbH all rights reserved.
The content may not be duplicated or published without the prior written
consent of I.E.M. GmbH. Manufacturer:
I.E.M. Industrielle Entwicklung Medizintechnik und Vertriebsgesellschaft GmbH
Cockerillstraße 69
52222 Stolberg
Germany
Phone: [phone] - 9500 0
Fax: [phone] - 9500 11
E-Mail: [email protected]
Homepage: www.iem.de

3
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
Inhaltsverzeichnis
1. Introduction
1.1 Preamble .................................................................................. 7
1.2 About this Operating Manual.................................................... 7
1.3 Classification ............................................................................ 7
1.4 CE Sign .................................................................................... 7
1.5 Scope of Delivery .................................................................... 8
2. Directions for use
2.1 Intended Use............................................................................ 9
2.2 Not intended use ...................................................................... 9
2.5 Important Notes for the Physician............................................ 9
2.6 Important Notes for the Patient .............................................. 10
3. Product Description..............................................................
3.1 Introduction..............................................................................11
3.2 Unpacking ...............................................................................11
3.3 The Recorder ..........................................................................11
3.3.1 The Start Button ............................................................................... 12
3.3.3 Audible and visual signal.................................................................. 12
3.3.4 The electrode cable.......................................................................... 12
3.3.5 The Bluetooth-Interface.................................................................... 13
3.4 Recording process ................................................................. 13
3.4.1 Loop (with cable single-use electrodes)........................................... 13
3.4.2 Event (with case electrodes) ............................................................ 13
3.5 Recording Preparation ........................................................... 14
3.6 E-health Preparation .............................................................. 16
3.7 Technical Data........................................................................ 17
3.8 Symbols.................................................................................. 18
4. Hypertension-Management-Software Client-Server®
4.1 Working with HMS CS............................................................ 19
4.2 Install Software....................................................................... 20
4.2.1 System Requirements ...................................................................... 20
4.2.2 Installation for Windows®................................................................ 21
4.2.3 Installation for Macintosh®OS 10.4 and newer................................ 22
4.2.4 Installation for Linux ......................................................................... 23
4.3 Start and close HMS CS ........................................................ 23
4.4 Setup of User Interface HMS CS........................................... 24
4.4.1 Menu Bar.......................................................................................... 24
4.4.2 Taskbar............................................................................................. 26
4.4.3 Using the Mouse .............................................................................. 27
4.5 First steps with a sample patient............................................ 27
4.5.1 Show Sample Patient....................................................................... 27

4
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
Table of Contents 3
4.5.2 Display measured data of the sample patient.................................. 28
4.5.3 End HMS CS.................................................................................... 29
4.6 Edit Patient Information.......................................................... 30
4.6.1 Create new patient ........................................................................... 30
4.6.2 Select already created patients........................................................ 31
4.6.3 Edit or Change Patient Data ............................................................ 32
4.6.4 Change the personal patient number (patient ID)............................ 33
4.6.5 Delete Patient................................................................................... 33
4.6.6 Audit trail .......................................................................................... 33
4.7 Using the Loop-/Event Recorder Beam®........................ 34
4.8 Prepare ECG Recorder Beam®.............................................. 39
4.8.1 Specify Event recording times.......................................................... 40
4.8.2 Configure device clock ..................................................................... 40
4.8.3 Transfer Patient-ID ........................................................................... 40
4.8.4 Test measuring device .........................................................................
.......................................................................................................... 40
4.8.5 Delete old recordings ....................................................................... 41
4.8.6 Activate E-health online transmission .............................................. 41
4.8.7 Training............................................................................................. 41
4.8.8 Complete recorder preparation ........................................................ 42
4.8.8 Activate recording mode of ECG Recorder Beam®.......................... 42
4.9 Read out recordings from recorder ........................................ 42
4.9.5 Export ECG Recordings................................................................... 43
4.10 Analyse Recordings ............................................................... 45
4.10.1 Set filter and zoom ........................................................................... 45
4.10.2 Show and hide conductions ............................................................. 46
4.10.3 R-R Interval-Detection...................................................................... 46
4.10.4 Measuring the ECG using the mouse pointer.................................. 46
4.10.5 Add comments ................................................................................. 47
4.10.6 Print .................................................................................................. 49
4.11 e-health .................................................................................. 50
4.11.1 Activate e-health Service.................................................................. 50
4.11.2 Import patients from the e-health server .......................................... 51
4.11.3 Export patients to e-health server .................................................... 52
4.12 GDT-Interfaces ....................................................................... 54
4.12.1 Transfer result reports to the practice software ............................... 54
4.13 Configure Standard Values for the HMS CS.......................... 54
4.13.1 Database .......................................................................................... 55
4.13.2 Switch Language.............................................................................. 55
4.13.3 e-health Service ............................................................................... 56
4.13.4 Interfaces.......................................................................................... 56
4.13.5 Blood Pressure Thresholds (only for the ABDM Measuring device
Mobil-O-Graph)................................................................................. 58
4.13.6 Analysis (only for the ABDM Measuring device Mobil-O-Graph) ..... 59
4.13.7 Specify colours for curves and background for results .................... 59
4.13.8 Options ............................................................................................. 60
4.13.9 GDT Settings.................................................................................... 61
5. Service and Maintenance
6. Troubleshooting

5
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
3. Product Description
3
6.1 Main error sources ................................................................. 65
6.2 Battery voltage curve ............................................................. 65
6.3 Transmission errors................................................................ 65
6.4 Checklist................................................................................. 65
6.5 Error tables of ECG-Recorders Beam®................................. 66
6.6 Error tables of R-R Interval-Detection ................................... 67
7. Warranty and Repair Terms .................................................
8. Appendix
8.1 EMC Guidelines and Manufacturer Statement ...................... 71
8.2 Important Notes for the Patient .............................................. 74
8.3 Accessories Order list ECG Recorder Beam®....................... 75

7
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
1. Introduction
1.1 Preamble
With this ECG Loop-/Event Recorder, Beam®, you own a state of the art system.
The ECG Loop-/Event Recorder can be prepared for a new patient in a practice
within a few minutes and can therefore be integrated into the daily operation of
the practice quickly.
Additionally to the known Loop/Event recording the recorder also provides the
option to send recordings via the mobile network and to inform the physician
about incoming readings. The patient does not need to appear in the practice for
the analysis. Only after receipt of a qualitatively sufficient reading an appointment
is setup with the patient.
1.2 About this Operating Manual
This operating manual will make you quickly familiar with the use of the ECG Loop-/
Event Recorder and its accessories. After a little practicing you will learn how easily
the ECG Loop-/Event Recorder Beam®can be operated.
For the management of the ECG Loop-/Event Recorder Beam
®
, I.E.M GmbH offers
the following Software:
■Hypertension-Management-Software Client-Server Data Management
(HMS CS) Version 3.0 or higher.
■The Loop/Event Recorder Beam®cannot be used without the HMS CS.
References to specific version characteristics only apply to the the relevant parts
of the respective version.
Important: The operating manual describes the ECG Loop-/Event Recorder
Beam®and the accessories in the order in which you start to operate
the device and use it later on. The general explanation, the installation,
launch, and reading preparation, is followed by the setup of the patient
and analysis. The individual functions will only be explained when
they are needed. This way you will be introduced to the Loop/Event
Recorders Beam®step-by-step.
The operating manual must always be available to the user.
1.3 Classification
The ECG Loop/Event-Recorder Beam®is a medical device of the class IIa accord-
ing to Rule 10, Annex IX, Directive 93/42EEC.
1.4 CE Sign
The Beam®meets the requirements for the Medical Device Directive
93/42/EEC and carries the CE sign.
The Beam®meets the requirements of the R&TTE Directive 1999/5/EC
and carries the CE-sign.

8
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
Introduction 3
The conformity declaration for the product can be downloaded from the I.E.M.
Website www.iem.de
The device meets all requirements for the norms applicable according to the direc-
tives.
1.5 Scope of Delivery
Basis Set
1. Beam®3-channel ECG Loop-/
Event Recorder
2. Bag for the Beam® 3-channel
ECG Loop-/Event Recorder
3. 2 AAA alkaline batteries
4. Electrode Cables
5. HMS Client-Server on CD
6. Operating Manual

9
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
2. Directions for use
2.1 Intended Use
The intended use is the recording of ECG events for adults.
The indications for an examination with an ECG Loop-/Event Recorder are:
Infrequently (Not daily) occurring palpitations, mild dizziness, mild faintness, car-
diac presyncopes, cardiac syncopes with longer lasting aura.
These indications are the same as for the execution of a long term-ECG but the
diagnostic accuracy is significantly higher for symptoms not occurring everyday
due to the longer operating time of the ECG Loop-/Event Recorders. A two week
recording by a ECG Loop-/Event Recorder appears optimal for the clarification of
palpitations.
The ECG Loop-/Event Recorder Beam®may only be used after medical attention
and instruction. The ECG signal is exclusively displayed in a raw format and is not
analysed by the accompanying HMS CS software.
2.2 Not intended use
The ECG Loop-/Event Recorder Beam®may not be used for ECG recordings in
intensive care units and at surgeries.
The diagnosis may not be solely based on the ECG Data of the ECG Loop-/Event
Recorder Beam® .
The ECG Loop-/Event Recorder, Beam® is not appropriate for ECG-recordings of
syncopes without prodromes.
The ECG Loop-/Event Recorder, Beam® is not approved for children with a body
weight of less than 10 Kg.
2.5 Important Notes for the Physician
■The diagnosis may not be based solely on the ECG Loop-/Event Recorder,
Beam®ECG Data, because the position and the distance of the electrodes is
not standardised.
■The recording of pacemaker signals is not always possible because of the
sampling rate.
■Please inform the patient that the electrodes should be removed upon the
occurrence of skin rashes or itching in the area, where the electrodes touch the
skin, or if the electrodes no longer touch the skin.
■Please inform the patient about the importance of the correct positioning of the
electrodes.
■The device may not be operated in areas close to a MRI or other significant
magnetic fields.
■The use of components, which were not in the scope of the delivery, can lead
to faulty recordings. Only use original parts by I.E.M. GmbH.
■The ECG Loop-/Event Recorder Beam®was designed for battery-powered
operation and may not be operated by an external power source, e.g. a DC
adapter, or be in a direct connection with the power circuits.
■Please maintain hygiene according to maintenance plan.

10
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
Directions for use 2
■Pay attention to the maximum operating period of used single-use electrodes
and inform your patient about the period and the affixing of new electrodes.
■Only use single-use electrodes which are appropriate for the skin type of your
patient.
2.6 Important Notes for the Patient
■Please comply with the instructions of your physician.
■Stay calm during the reading until the process is finished.
■The ECG Recorder Beam® comes with a cable recognition. Wait for a short
audible signal on plugging in the cable, only then is the cable correctly
plugged in. For the correct positioning you can find a red dot on the plug
and on the case, which belong together. Handle the connection with care -
the plug should slide without too much pressure into the port.
■In the normal operating mode the ECG Recorder flashes green every 2
Seconds. If an error occurs the recorder will issue audible signals.
The following errors can be remedied by you, if this was discussed
previously with the physician:
• The Recorder flashes red every 2 seconds:
The battery is flat – replace the battery.
• The Recorder flashes red twice every 5 seconds:
One electrode has insufficient contact – check the positioning of the
electrode as shown by the physician.
The following errors can only be remedied with the assistance of the phy-
sician:
• The recorder flashes red three times every 6 seconds:
The recording memory is full – Contact your physician for further
instructions.
• The recorder flashes red without interruption:
Remove the device and contact your physician for further instructions.
Warnings:
■The ECG recorder Beam®should not come in contact with any fluids. Do
not wear the device when taking a shower or bath!
If water should penetrate the device it can not be used anymore. Please
remove the battery immediately.
■If skin irritations, rashes, or itching occurs in the area of the electrodes
please remove the electrodes and inform your physician.
■Inform your physician if the device does not flash green every 2 seconds.
Please find a template copy for the patient in the attachment!

11
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
3. Product Description
3.1 Introduction
The Recorder Beam® is a multi-use 3-channel Loop/Event ECG Recorder for the
mobile use. It comes with 4 recording electrodes on the back of the device for the
Event recording and an optional pluggable electrode cable with standard single-
use electrode holder for the Loop/Event-recording.
The System ECG Loop-/Event Recorder Beam®consists of two main components:
■the Beam®basis set with pluggable electrode cable and further accessories
■the Hypertension-Management-Software Client Server (HMS CS) for the
preparation of the device and the analysis of the recording results by the
physician.
The ECG Loop-/Event Recorder is prepared and read by the analysis unit HMS CS.
Using the HMS CS, saved recordings can be transferred to a PC and be displayed
on the monitor in different forms as graphics and can be printed. Telemetrically sent
data can be queried by the HMS CS.
3.2 Unpacking
All parts included in the scope of the delivery were packed appropriately and tested
on completeness and functionality before shipment. Should the item be incomplete
or damaged please inform the vendor immediately.
3.3 The Recorder
Components:
Figure 3.1: Recorder, view from above and below
1. START Button
2. LED Functionality
lamp
3. Port for electrode
cable
4. Electrode cable for
single-use elec-
trodes
5. Battery compart-
ment cover
6. Event electrodes
7. Bluetooth-Interface
3.3.1 The Start Button
The start button has the following three functions

12
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
3. Product Description 3
■Start pairing: Press and hold start button and insert battery
■Start a recording: Press start button shortly
■Start communication mode: Press start button for longer than
5 seconds
3.3.3 Audible and visual signal
Signal output is carried out via sound impulse sequences and LED flashing signals
in different colours.
The following signals are provided:
Operating Condition Signals
Standby
Beam®is ready
LED flashes green every
2 seconds
Bluetooth pairing is activated LED displays continuous green
light
2 short, 1 long audible signal
Communication mode LED displays continuous orange
light
ECG recording is activated LED flashes green twice every
5 seconds
Error message Priority 1
Fatal Error
LED continuously flashes red
every 2 minutes a 3-tone audible
signal
Error message Priority 2
Main battery discharged
LED flashes red every 2 seconds
every 2 minutes a 3-tone audible
signal
Error message Priority 3
Single-use electrodes in the Loop mode have
no contact
LED flashes red twice every
5 seconds
every 5 minutes 3-tone audible
signal
Error message Priority 3
Memory is full
LED flashes red 3 times every
6 seconds
every 2 minutes 3-tone audible
signal
3.3.4 The electrode cable
If possible the Loop-/Event-function of the Beam®should be used with the electrode
cable in order to record the ECG in the Loop mode immediately before pressing the
start button. The cable has 4 pushbuttons for the standard single-use electrodes for
the European system:
Code 1 (Europe)

13
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
3. Product Description
3
Description Electrode Colour Position
R red right arm
L yellow left arm
F green left leg
N black right leg (neutral)
Important: The cable must be plugged in as shown in figure 3.1 For the correct
positioning you can find a red dot on the plug and on the case,
which belong together.
3.3.5 The Bluetooth-Interface
The Bluetooth Interface of the device is used in connection with the HMS CS for the
management of the device in practices (configure settings and take readings), as
well as optionally for the telemetric transfer of the ECG after each reading.
3.4 Recording process
Two recording options are differentiated, the Loop recording and the Event record-
ing.
3.4.1 Loop (with cable single-use electrodes)
The recording runs continously in a loop, i.e. the memory is overwritten in a
loop-form. If the patient presses the start button the last few minutes before the
activation and some minutes after the activation are recorded for the physician,
which enables documenting of the heart rhythm before pressing the button. The
advantages of this method are, that a ECG documentation is not only possible from
activation onwards, but also beforehand improving ECG quality, which facilitates the
interpretation. A disadvantage is the use of single-use electrodes and the permanent
body contact.
Warning: After the start of operation or upon changing the electrode a waiting period
will occur, which is dependent on the configured loop interval. When pressing the
start button, only that period can be saved, when the recorder is ready. If no full loop
interval has been saved, the missing area will be filled with a "zero line".
3.4.2 Event (with case electrodes)
At this procedure the ECG Signal will be recorded from activation, by pressing the
start button together with the body contact of the case electrodes. The advantage of
this examination method is that it is not loading because no permanent electrodes
are used and the device does not have to be carried on the body permanently. The
disadvantage of this recording method is that the ECG recording only starts after
skin contact and activation, as a result the symptoms leading to this event cannot
be documented. Also the electrocardiogram quality can be strongly impaired by the
absence of permenent electrodes, so that a correct interpretation is made more
difficult.

14
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
3. Product Description 3
The ECG Recorder Beam recognises if a single-use electrode cable is connected
and activates then the Loop or Event recording automatically.
3.5 Recording Preparation
■Use the electrode cable with single-use electrodes if possible. The Beam®
detects the cable upon plugging it in and activates the loop recording
automatically.
■Connect the electrode cable with the Beam®Recorder ensuring matching of the
red position dots on the device and the plug.
■Important: First connect the single-use electrodes with the cable and then
position the electrodes on the patient. In the case of an incorrect sequence, the
contact gel might be squeezed out by the electrodes. If possible use a strain-
relief for the cable (adhesive tape made of same material as electrodes) in order
to avoid direct pressure on the electrodes.
■Prepare the skin for a better signal transmission by shaving the positions for
the single-use electrodes and removing the upper, fragile epithelial layer (e.g.
with fine sandpaper) and degreasing the skin on these spots (e.g. with medical
benzine).
■Position the single-use electrodes on the patient. The exact positioning of the
single-use electrodes is at the physician's discretion. In figure 3.2 a suggestion
for the positioning is shown.
Figure 3.2: Single-use electrode positioning
■Insert the battery ensuring the correct polarity (see figure 3.1). Upon insertion of
the battery an audible must be heard. You should use new, high-quality alkaline
batteries for each new reading.
■Connect the Beam®with the HMS CS (also see chapter 4.7). If the device is
used for the first time with the HMS CS, it has to be paired with the HMS CS

15
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
3. Product Description
3
(one-time coupling of both interfaces) by pressing and holding of the start
button and the insertion of the battery at the same time. When the device is
paired the start button has to be pressed for 5 seconds in order to access the
communication mode.
■Prepare the recorder using the desired settings via the HMS CS (see chapter
4.8).
■If you use single-use electrodes you can now put the electrode cable into the
port of the device. The recorder detects the cable and an audible signal will
sound.
■After the preparation of the patient the control recording is carried out (training).
The ECG recording can be transferred in real-time to the HMS CS via Bluetooth.
Patient and staff receive an immediate overview of the correct positioning of
the electrodes on the chest wall. When using the device electrodes, the correct
positioning and the correctly applied pressure can be determined and indicated
to the patient. Follow the description in chapter 4.8.7
■The device can be carried on the belt using the provided bag.
■Finally the patient should be informed about the carry-period, the replacement of
electrodes and batteries and the triggering of ECG recordings.
■In case you are using the case electrodes on the back of the device, please
consider the conduction displayed in the following figure. The device is posi-
tioned on the chest with the start button facing up.
Figure 3.2: Conductions of case delectrodes - Reverse of Beam®

16
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
3. Product Description 3
3.6 E-health Preparation
For the use of the e-health function portable radio equipment with Bluetooth interface
and special software (MIDLET) are required. The recordings are transmitted to the
radio equipment via Bluetooth and the sent to the e-health server via GPRS.
The portable radio equipment can be a smart phone or a special modem of the
I.E.M. GmbH company.
Figure 3.3 E-Health Data Transfer
The ECG Loop-/Event Recorder and the portable radio have to be connected once
via Bluetooth. If this has not been done by the vendor or by I.E.M. GmbH, the fol-
lowing steps have to be carried out:
■Activate the GPRS / online transmission of the Beam®, as described in
chapter 4.8.6, via the HMS CS.
■Bring your Beam®into the active pairing-mode by pressing and holding
the start button, inserting the battery, and keep holding the start button for
another 5 seconds until an audible signal confirms that pairing mode and the
LED is continuously green.
■Your Beam®now opens a Bluetooth interface of the initially located radio.
You should ensure that for pairing, only the desired cell phone or modem
has an active Bluetooth interface in the immediate environment.
■If you use a cell phone, the question whether the devices should be coupled/
connected will pop up on the phones display and a prompt for the Bluetooth-
Pin/Password will appear (Pin: 6624).
When using a GPRS-Modem, generally only an audible signal of the ECG
recorder for the confirmation of a successful pairing has to be waited for,
depending on the type.
■If all questions are answered, the Beam®responds with another audible
signal and starts flashing green every 2 seconds.
For further information and the activation of the e-health-service please refer to your
vendor or to I.E.M. GmbH.

17
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
3. Product Description
3
3.7 Technical Data
Conduction: 3-channel
Frequency Range: Event: 0.3 Hz - 75 Hz
Loop: 0.1 Hz - 75 Hz
Sampling Rate: 200 Hz
A/D Resolution: 12 Bit
Input Impedance: 9 MΩ
Sensitivity: 5 mV
Event Case Electrodes: 4 Ag/AgCl on the reverse of the Beam®
Loop/Event cable single-
use electrodes:
cable connector for 4 standard single-use electrodes
Ag/AgCl
Event Period: adjustable (15 sec to 3 min)
Loop Period: Time before activation: 15 sec to 3 min (in 15 sec inter-
vals)
Time after activation: 15 sec to 3 min (in 15 sec inter-
vals)
Recordable Events: dependent from the set event period
Event Transmission
(e-health):
Via Mobile (GPRS) after each reading
Memory Capacity 16Mbit
maximum of 28 minutes
Battery Capacity: Event-Mode: 40 days at BT-transmission
46 without, for 5 events at 15 seconds
each per day
Loop-Mode: 10 days for BT-transmissions
for 5 events at 15 seconds each per day
Streaming: 7 hours of permanent transmission
Operating Temperature: +10°C to +45°C
Operating Humidity: 10% to 95%
Storage Environment: -20°C to 50°C and 10% to 95% humidity
Dimensions: 91 x 67 x 25 mm
Weight: ca. 102g including batteries
Power: 1 Alkali 1,5 V Battery ( AAA, LR03, Micro)
Interfaces: Bluetooth (Class 2 / 30 m)
Writing Speed: mm/sek adjustable in the HMS CS
Summer/Winter time no automatic adjustment

18
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
3. Product Description 3
3.8 Symbols
Battery Symbol
Meaning: The symbol shows the type of power.
Disposal of used electric and electronic devices
Meaning: The symbol on the product or the packing indi-
cates that this product should not be treated as house-
hold garbage, but must be returned to a recycling facility
for electric and electronic devices. For further information
please refer to your community, the local waste manage-
ment or your vendor.
Defilibration Protected
Meaning: Defibrillation protected use part of Type B
Warning, please read accompanying documentation
Meaning: Warning, please read accompanying documenta-
tion.
Manufacturing Date
Meaning: Date of production
CE Sign
Meaning: The device meets the basic requirements of the
European Medical Devices Directive.
Bluetooth-Label
Meaning: Bluetooth-Interface integrated.

19
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
4. Hypertension-Management-Software Client-Server®
The ECG is recorded and saved upon pressing the button. After each recording the
ECG can, depending on the settings, be transmitted telemetrically to the physician
and/or be analyzed in the practice. The HMS CS (from Version 3.0) configures the
recorder, manages the patient data and displays the ECG recordings.
The patient file contains important data as:
■Personal patient number (patient ID, mandatory field)
■Name (mandatory field)
■Address, Phone
■Personal data (age, sex tec.)
■Medication, medical history, emergency contacts
The HMS CS program offers different options for the analysis of the ECG:
■you can display the ECG recordings on your screen.
■Set filter and zoom, see 4.10.1
■Show and hide conductions, see 4.10.2
■measuring of ECG using the mouse pointer, see 4.10.3
■Add comments, see 4.10.4
■Print ECG, see 4.10.5
In addition to the ECG Loop-/Event Recorder Beam®the HMS CS offers the option
to connect an e-health service (Telemedicine) also for further devices by I.E.M.,
offering a significantly higher security for the patient and an additional facility for
the physician at the same time.
In addition to other products, the following are available: Blood pressure monitoring
with the Ambulant Blood-Pressure Monitor-System, Mobil-O-Graph NG
®
, the upper
arm measuring device, Stabil-O-Graph mobil®and the weight monitoring with the
e-health scale Libr-O-Graph®.
You can set thresholds and define alarms and will only be alerted if one of the limits
set by you are exceeded (e.g. via fax) or upon incoming ECG events.
For all devices the data can be synchronised and managed online with the HMS
CS, in addition to an online database.
For further information please refer to your vendor or directly to I.E.M GmbH.
4.1 Working with HMS CS
For the operation of the HMS CS program we assume basic knowledge
and experience with the Windows OS®, Mac OS®or Linux®.
Using the HMS CS program you can manage your ECG recordings. These ECG
recordings will be assigned to the patient. For each patient any number of recor-
dings can be saved.
The following steps are processed in the HMS CS program:

20
Beam®, Operating Manual, Rev. 4.6.1 01/2016, GmbH
Hypertension-Management-Software Client-Server®4
■Before the recording: Prepare recording
1) Start HMS CS
2) Select Patient or create new
3) Connect recorder with HMS CS
4) Prepare recorder
5) End HMS CS.
■After receipt of the ECG recording:
1) Start HMS CS
2) Connect recorder with HMS CS
3) Read measured values from recorder
4) Analyse measured data
5) End HMS CS.
4.2 Install Software
The software can communicate with the measuring device via the Bluetooth-
interface.
Important: First install the Bluetooth-Adapter. Details can be found in this text.
Note: Please only plug the USB-Adapter into the computer after the software instal-
lation or when you are prompted to do so.
4.2.1 System Requirements
1) Computer
■1 GHz
■512 MB RAM
■100 MB Hard Disk Storage
■1024x768 Pixel
■Two spare USB Ports
2) Operating System
a) Windows 2000 SP4, XP, Vista
b) Mac OS X 10.4 or newer
c) Linux (with Intel-/AMD-Processor), GNU/Linux with BlueZ or Affix Bluetooth
Stack
3) Software
Java-Runtime-Environment (JRE is provided on the installation CD)
Warning: The HMS CS does not create backup copies of the patient data and
the recordings! For this a backup system is required, which backs
up the database. You will find the directory under: Settings/Database/
Data source.