NASAN Reveala3 XT User manual

Title: Reveala 3
XT
Instructions For
Use
Document No:
NASAN-D&D-D-
012
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Rev. 37, Date: 2 May-2022
Reveala3 XT
3 channel digital Holter
Software Version 6.5
User Manual
Nasan Medical Electronics Pvt. Ltd.
© All Rights Reserved
Hope you don’t require service at all.
But incase you require,
Please contact: 09371039255
For any working days 9.30a.m to 6 p.m

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Dear customer,
We take this opportunity to thank you once again for your
patronage. We reiterate our commitment to live up to the
confidence you have shown in us. Our continued endeavor
is to exceed your expectation by offering you products that
have optimum features and reliable, high-quality
performance, backed by prompt technical support.
It is our pleasure to give you this user manual. Please study
the same thoroughly before using the system.
Contact details:
Nasan Medical Electronics Pvt. Ltd.
‘C’ wing, Shubham heights,
Off Mumbai Bangalore highway,
Service road,
Warje,
Pune 411058
Website: www.nasanmedical.com

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Table of contents
1. Introduction.
2. Safety and warning information
3. Cleaning Instruction
4. System requirements.
5. Configuring the software system.
a. At the time of installation.
b. Through configure menu.
6. Downloading the test.
7. Reviewing the test.
8. Menu Option.
9. Unit initialization/Installation.
10. Appendix A -
 Patient preparation.
 Electrodes placement.
11. Appendix B -
 Defragmentation.
 Software Installation.
 Driver Installation
 Troubleshooting.
12. Appendix C –
 Consumable List
 Installation Report

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Not only ‘Make in India’ but ‘Made in India’
User manual for
Reveala 3 XT
The complete Windows based 3 channel digital Holter.
1. Introduction
Nasan Medicals has pioneered PC based medical
equipments in India. We thank you for purchasing Reveala
3XT, a 3 channel digital Holter system.
The system records and enables the classification, analysis,
review and reports of electro-cardiogram, arrhythmic
disorders.
The system consists of the following modules,
 Reveala recorder.
 PC based software for download of 24-hour ECG
data of 3 channel,
 classification & analysis, review and report
generation.
System features-
The system consists of these vital features -
 Store three channels ECG data of 24 hours.
 View disclosures of 1, 10, 20, 30 and 60 minutes.
 Selection of normal beat automatically or manually.
 Mark noise before classification.
 Reversing selected channel polarity.

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 View the ECG data of all channels of all beats in selected
template.
 Edit multiple templates at a time.
 Edit label of individual beat or multiple beats at a time.
 View trends of HR, detected arrhythmias, ST level of all
channels.
 Mark RR Interval for the recalculation of heart rate and
display of RR interval in milliseconds while marking the
interval.
 View pages of max HR, min HR, longest pause, longest V-
Tach, longest SV Tach, longest ST episode, maximum delta
ST as standard event pages.
 Edit Arrhythmia summary.
 Facility to print following reports:
 Summary
 Arrhythmia summary
 Template summary
 ST analysis
 Arrhythmia disclosure
 One minute disclosure of any channel
 Full disclosure of 10, 20, 30 and 60 min of any
channel
 R-R variability
 Operator Selected Strip Report
 View medians in entire test and edit the fiducial points.
 View ECG data of selected event.
 Edit multiple or all arrhythmias in a group at a time
 Reanalyze test.
 Review previously analyzed patient.

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2. Safety and Warning
Information
Note: This product should be used by trained
person ONLY.
1. Do not leave the battery in the recorder when it is not in
use. Damage from corrosion could result.
2. Use of rechargeable batteries is not recommended.
3. Use new battery (Duracell MN1500 or equivalent, Alkaline
batteries of AA size) for every new test.
4. It is recommended that trained medical personnel handle
the application of electrodes.
5. Ask patient if he is allergic to any tape or other adhesives
while application of electrodes
6. The patient should be instructed not to wear the recorder
in the shower or bath.
7. The patient should be instructed to avoid proximity to
heavy electrical equipment or other sources of
electromagnetic interference such as electric blankets,
heating pads.
8. Make sure that you do not use the device in a complete
oxygen saturated environment.
9. Dispose of in accordance with the requirements of your
country. which must be recycled or disposed of in
accordance with local, state, laws.

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3. Cleaning Instructions
To clean the recorder:
1. Remove the battery from the recorder.
2. Dampen a soft cloth with a mild detergent and water
mixture.
3. Clean the recorder, lead wires, and belt clip.
4. Remove any adhesives from the patient lead wires with an
adhesive tape remover solution or swab with mild detergent.
Caution: Do not use alcohol or acetone to clean the
lead wires as this can cause the wires to stiffen and
the insulating plastic to crack. Do not immerse the
recorder in water while bathing. Use of non-
recommended solution for cleaning of the device may
wipe off the information.

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4. System requirements
Minimum Requirement of PC for Reveala
system:
1. Operating system : Windows 10 professional
64bit
2. Motherboard : Intel corei3
3. RAM : 4 GB
4. USB port : working USB port for
holter unit connection.
5. Monitor : Color monitor.
6. Hard disk : minimum 500 GB.
7. Display Settings : Resolution - 800 X600.
8. Keyboard : with 101 keys.
9. Mouse
10. 1 KVA stabilizer.
11. Independent earthing connection.

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5. Configuring the System
5.a At the time of installation.
When the application is started for the first time, a dialog box
as shown in Fig. 4.1 is displayed, which asks you to configure
the system as per the requirement. It is necessary to configure
the system before conducting a test. Configure your PC as per
instruction given in the dialog box for the best results.
Fig: 4.1 - Installation dialog box.
 For setting monitor resolution to 800 x 600 use the
procedure given below:
1. Go to the Windows "Start" menu.
2. Then select "setting" folder.
3. Select "Display" option.
4. Select the required Display resolution from dropdown.

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 Use following procedure to set the printer
1. Control Panel\Hardware and Sound\Devices and Printers
2. Set following properties for the printer
- Portrait
- Print quality to ‘BEST’
- Page size to ‘A4’.
 Restart the PC and check that required setting are set.
 To configure the system, press “Configure System”
button.
1. Configure menu is displayed as shown in the fig 4.2.
Note: Refer the description of the same for
functionality.
5.b Through configure menu.
For configuring the Reveala software, go to ‘Configure’ menu
or press ‘Configure System’ button on ‘Welcome to
Reveala system’ dialog box, Property Page named
‘Configure’ will be displayed with the following tabs as in
fig.4.2

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Fig: 4.2 Hospital details
5.b.1. Configure Hospital details.
This option from the ‘Configure’ menu provides facility of
storing the list of doctors and the consultant doctors attached
to your hospital. This list gets popped up in the Patient details
entry dialog box, from where you can select the concerned
doctor for the patient.
For entering the details, follow the following steps.
1. Select the ‘Hospital Configuration' tab from the
‘Configure’ Menu.
2. A window will appear on the screen as shown in fig. 4.2
3. Enter hospital name in the upper edit box.
4. Enter address of the hospital.

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5. Enter the name and designation of a doctor you want to
add to your list and click the 'Add' button.
6. To delete any doctor from the list, select the
corresponding Sr.No and click the ‘Delete’ button. The
selected doctor will be deleted.
7. To change or modify any doctor’s details double-click on
Sr.No & click the ‘Modify’ button.
8. After entering the entire information click on “Apply”
button to save the contents in the list.
9. Press “Cancel”, the information will not get saved.
5.b.2. Configure printing details.
To have the printouts of the required report with the pre-
configured font, titles etc, click on ‘Printing details’ tab of
‘Configure’ menu. You can set following details as shown in
Fig.4.3-
- Report title alignment (either center right or left of the
page).
- Fonts for report title, hospital name, Patient details and
Summary report.
- Grid type.
- Color or black and white printing.
- Administrative details with grey background.
- Print arrhythmia in different colour.
- Print bradycardia and tachycardia in different colour.

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Fig: 4.3- Printing details
5.b.3. SVE maturity.
To configure % Prematurity of SVE, click on ‘Prematurity of
SVE’ tab of ‘Configure’ menu. The following dialog box as in
Fig.4.4 will be shown.

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Fig: 4.4- Prematurity of SVE
Enter the required percentage and press “OK” or “Apply”
button to save the changes and “Cancel” to exit without
saving.
5.b.4. Edit labels list
To add new labels for arrhythmias, click on ‘Edit Labels’ tab of
‘Configure’ menu.

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Fig: 4.5 Label Editor
User can add a new label as well as modify or delete added
labels. To add, delete or modify, click on the respective
buttons. Some standard labels are present in the Label list,
which cannot be modified. The standard labels are “Pause”,
“Trigeminy”, “VE Pair”, “ROnT”, “SVEPair”, “Bradycardia”,
“Bigeminy”, “Isolated VE”, “VTach”, “SVE”, “SVETach” and
“Tachycardia”. Press “OK” or “Apply” button to save the
changes and “Cancel” to exit without saving.

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5.b.5. Standard comments list
To configure standard comments to print in the reports, click
on ‘Standard comment list’ tab of ‘Configure’ menu. Refer
Fig 4.6
To enter the comments, type the comment title in “Comments
title” edit box, comments in the “Comments” edit box. Click
“Add” to add the comment. To delete or modify the
comments, select the required comment from the “Comments
title” combo box, and click respective button on the
“Standard comments” dialog box. Press “OK” or “Apply”
button to save the changes and “Cancel” to exit without
saving.
Fig: 4.6 Standard comments list.

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5.b.6. Referring Doctor Details
This option from the ‘Configure’ menu provides facility of
storing the list of referring doctors. This list gets popped up in
the Patient details dialog box, from where you can select the
concerned referring doctor for the patient.
For entering the details, follow the steps.
1. Select the ‘Referring doctor details ' tab from the
‘Configure’ Menu.
2. A window will appear on the screen as shown in fig. 4.7
3. Enter the reference doctor’s name and designation you
want to add to your list and click the 'Add' button.
4. To delete any doctor from the list, select the
corresponding Sr. No and click the ‘Delete’ button. The
selected doctor will be deleted.
5. To change or modify any doctor’s details double-click on
Sr. No & click the ‘Modify’ button.
6. After entering the entire information click on “Apply”
button to save the contents in the list.
7. Press “Cancel”, the information will not get saved.

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Fig: 4.7 Referring Doctor List.
5.b.7. Pause Time
To configure pause Time, click on ‘Pause Time’ tab of
‘Configure’ menu. The following dialog box as in Fig.4.8 will
be shown.

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Fig: 4.8 Pause Time
Check the list shows time settings as, 1 sec, 2 sec, 2.5 sec, 3
sec, 4 sec & 5 sec. Default setting is 2.0 sec.
Select the required Pause time from the available list and click
‘OK’ or ‘Apply’ button to save the time.
Click 'cancel’ to exit without saving.