ResMed ResScan User manual

Clinical guide
English

Important Notice
This manual, as well as the computer programs described herein, are supplied on the condition that they may only be used in accordance with
their stated purpose. The information in this manual is furnished for the purpose of instruction and guidance only, is subject to change without
notice, and should not be construed as an alternative to qualified medical advice. ResMed Limited assumes no responsibility or liability for any
errors or inaccuracies that may appear in this manual. Other than with the written permission of ResMed Limited, no part of this manual or the
computer programs described herein may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,
mechanical, recording, or otherwise.
ResScan uses the FastMM library, © Professional Software Development under the terms of the LGPL v2.1.
Copyright in the computer programs and their trademarks are owned by the following companies:
ResMed Limited: ResScan
Microsoft Corporation: Microsoft, Internet Explorer, Windows Explorer, Outlook, Windows XP, Windows Vista, Windows 7
Adobe Systems Incorporated: Adobe Reader
Intel: Pentium

Contents
Introduction............................................................................................................................. 1
Indications for use .............................................................................................................. 1
Compatible Therapy Devices .............................................................................................. 1
Installation............................................................................................................................... 2 
Recommended Computer Requirements........................................................................... 2
Installing ResScan Software ............................................................................................... 3
Data Card Reader Drivers ................................................................................................... 4
ResScan Data Card Reader................................................................................................................. 4
SmartMedia Card Reader ................................................................................................................... 4
SD Card Reader .................................................................................................................................. 4
Installing the Data Card Reader Drivers .............................................................................................. 4
USB Adapter Drivers........................................................................................................... 5
ResMed Ventilator Driver ................................................................................................... 5
Navigation............................................................................................................................... 6
Toolbar ................................................................................................................................ 6
Menus................................................................................................................................. 6
File Menu............................................................................................................................................ 6
View Menu ......................................................................................................................................... 6
Tools Menu......................................................................................................................................... 6
Download Menu ................................................................................................................................. 6
Help Menu .......................................................................................................................................... 7
Start Screen ............................................................................................................................ 8
Patient Most Recent Usage Bar ......................................................................................... 9
Follow-ups .......................................................................................................................... 9
Quick Start............................................................................................................................. 10
Select Data Type to Download ......................................................................................... 11
Patient Files........................................................................................................................... 12
Create a patient file........................................................................................................... 12
Open an existing patient file ............................................................................................. 12
Patient File Manager......................................................................................................... 13
Importing Data Files.......................................................................................................... 14
Exporting Data Files.......................................................................................................... 14
Download Data ..................................................................................................................... 15
Connecting a Card Reader or ResMed USB stick to the Computer ................................. 15
Download Procedure ........................................................................................................................ 15
Downloading data for multiple patients (Lumis™ Tx only)................................................................ 16
Connecting the therapy device to the computer .............................................................. 17
Compliance ........................................................................................................................... 18
Generating the 30 Day Compliance report ....................................................................... 18
Reviewing Compliance ..................................................................................................... 18
Compliance Reporting ...................................................................................................... 18

Profile Screen ....................................................................................................................... 19
General Details and Additional Details.............................................................................. 19
Clinical History.................................................................................................................. 20
Review Screen...................................................................................................................... 21
The Browser..................................................................................................................... 22
Closing and Opening the Browser ....................................................................................................22
Legends ............................................................................................................................................22
Selecting detailed data sessions .......................................................................................................23
Viewing Saved Reports .....................................................................................................................23
Settings Tab ..................................................................................................................... 23
Statistics Tab .................................................................................................................... 24
Values................................................................................................................................................24
Changing display order......................................................................................................................25
Summary Graphs and Detailed Graphs ............................................................................ 26
Parameters........................................................................................................................................26
The Summary Graphs Tab.................................................................................................................28
The Detailed Graphs Tab...................................................................................................................29
The Oximetry Statistics Tab ..............................................................................................................30
The Device Log Tab ..........................................................................................................................31
Notes Screen ........................................................................................................................ 32
Writing a Note .................................................................................................................. 32
Create a new note.............................................................................................................................33
Edit a note .........................................................................................................................................33
Delete a note.....................................................................................................................................33
Print a note........................................................................................................................................33
Viewing Notes .................................................................................................................. 34
Setting Follow-ups............................................................................................................ 34
Creating a Follow-Up.........................................................................................................................34
Viewing the Follow-up Message.......................................................................................................35
Reports Screen ..................................................................................................................... 36
Create a Report ................................................................................................................ 36
Customize or Create a New Report Template.................................................................. 36
Print a Report ................................................................................................................... 37
Email a Report .................................................................................................................. 38
Save a Report ................................................................................................................... 38
Settings ................................................................................................................................. 39
Open the Settings Dialog ................................................................................................. 39
Change Settings ............................................................................................................... 40
Implementing Changed Settings...................................................................................... 41
Customizing ResScan .......................................................................................................... 42
Options Dialog.................................................................................................................. 42
Preferences tab.................................................................................................................................42
Follow-ups tab...................................................................................................................................43
Reports tab........................................................................................................................................44
Download tab ....................................................................................................................................45
Troubleshooting................................................................................................................... 46
Installation ........................................................................................................................ 46
Downloading .................................................................................................................... 46

Reports ............................................................................................................................. 51
Settings............................................................................................................................. 51
Technical Data ...................................................................................................................... 53
Standards.......................................................................................................................... 53
Symbols ............................................................................................................................ 53

Introduction
English 1
Introduction
The ResScan™ patient management system consists of the ResScan software, ResScan Data
Card, ResLink™, and ResScan Serial and USB Adapters. This data collection system is devised
to capture data from the therapy device, in order to monitor and optimize patient therapy. The
system provides remote access to patient data, and two-way communication between the
clinician and the patient’s therapy device (compatible devices only).
Data is collected on a data card (SmartMedia™ Card, ResScan Data Card, Secure Digital (SD)
Card) or a ResMed USB stick that is inserted into a data collection device (the ResLink or
therapy device). Clinicians can then download the data from the data card, ResMed USB stick,
or directly from the therapy device, onto their computer to be viewed in ResScan.
The ResScan CD contains the ResScan software, card reader drivers, and a wide range of
documentation in PDF format. All other components of the ResScan patient management
system can be obtained from your ResMed distributor.
The scope of this manual relates to the ResScan software only.
This manual contains special terms and icons to draw your attention to specific and important
information.
Caution explains special measures for the safe and effective use of the device.
Note is an informative or helpful note.

Indications for use
ResScan is intended to augment the standard follow-up care of patients by providing transfer of
machine and therapeutic information. This includes the ability to remotely change settings in
non-life support devices only.
It is intended to be used by Clinicians in conjunction with ResMed compatible therapy devices,
using ResMed's proprietary communications protocol.
CAUTION (USA ONLY)
In the US, Federal law restricts this device to sale by or on the order of a physician.

Compatible Therapy Devices
For a full list of compatible devices for ResScan, see the Data Management/Device
Compatibility list on www.resmed.com on the Products page under Service & Support.
ResMed produces Data Management guides for the compatible therapy devices with specific
information on the data displayed in ResScan.
Note: Do not connect ResScan to the therapy device while delivering therapy.

Installation
2
Installation
Once you have installed ResScan on your computer, you can download data directly by cable
from the therapy device, or by reading data from a ResScan Data Card, SmartMedia card, SD
Card or a ResMed USB stick. Contact your ResMed representative for information on ordering
ResScan software and cables.

Recommended Computer Requirements
The following are the recommended and minimum computer requirements in order to configure
the system and to transfer and print the stored data. You need to ensure that you have
Administrator privileges for installation of software. Contact your computer administrator if you
do not have administrator privileges.
Note: If only the minimum configuration is used, performance cannot be guaranteed.
Windows XP SP2 or later, Windows Vista Business, Windows Vista Home Premium,
Windows 7 Home Premium 32 and 64 bit, or Windows 7 Professional 32 and 64 bit.
CD-ROM drive for installation from CD media.
Microsoft Internet Explorer 6.0 or above must be installed.
Pentium Processor, 2.4 GHz computer or above (compliant with IEC 60950 or EN 60601.1)
(minimum 1.7 GHz).
1.0 GB RAM (minimum 512 MB).
At least 250 MB of free hard disk space required for the ResScan application (not including
storage for patient files).
A serial port for RS232 connection, capable of reliable 56 kbaud (eg, 16550 UART).
A USB port for USB device connection.
Parallel, serial or USB printer port, or network connection for printing.
Monitor/graphic card (1024x768, 16-bit colors, 8 MB video RAM).
A PDF reader must be installed (eg, Adobe Reader®).
Optional: SmartMedia card reader.
Optional: ResScan Data Card reader.
Optional: SD Card reader.
Optional: Microsoft Outlook 2000 or later for emailing reports.


Installation
English 3
Installing ResScan Software
ResScan is available on CD, or can be downloaded from the dedicated URL. Your computer
should be running Windows XP SP2 or later, Windows Vista or Windows 7. If you are not using
one of these operating systems, you must install or upgrade to one of them before installing
ResScan. In addition, ResScan can be installed onto a Windows Server 2008 or Windows Server
2008 R2 for use in the terminal services environment.
Ensure that all other applications are closed before beginning ResScan installation.
1. Insert the ResScan CD into the CD drive of your computer. The installation process will start
automatically.
2. If installation does not start automatically, select Run from the Start menu and type in the
CD-ROM drive location (typically D:) and the name of the installation
program—D:\setup.exe—and click the OK button.
Note: If you upgraded ResScan your saved preferences, custom reports and patient files will
still be available after the upgrade.
3. The install program prompts you through the installation process. Follow the instructions on
the screen.
During installation, one of the dialogs asks you to choose a Complete or Custom installation.
Choose Custom if you want to change the installation directory from the default location;
otherwise, choose Complete.
During installation, a dialog will ask you whether you want to install the drivers for the
ResMed USB Adapter, ResScan Data Card Reader and the ResMed USB Direct Connection.
This is the preferred method of installing the drivers if they are not already installed on your
PC. Alternatively, these drivers can be installed through the Windows Start menu. To install,
go to Start > Programs > ResMed > ResScan > Drivers.
When the installation program has completed copying all the necessary files to your
computer, the Installation Completed dialog box is displayed.
4. Click the Finish button to close the Installation Completed dialog box.
5. Your computer may need to be restarted. If a dialog box advises you to restart, you must do
so in order to have access to the ResScan software.
You will be able to start ResScan using the ResScan icon on the desktop. If the icon is not
available, start ResScan using the Windows Start menu.
Notes:
If you changed the default Patient Group Location in an earlier installed version of ResScan,
after installing a newer version you will need to reset the location via the Patient Manager
window (see "Patient Group Location (see page 13)").
The Utilities menu takes you to the ResScan Help and the ResMed website.
Contact your ResMed representative for more information on how to obtain the software.
Uninstall
To uninstall ResScan:
1. Open the control panel, then:
-In Windows XP, go to Add/Remove Programs (at Start > Settings > Control Panel)
-In Windows Vista, Windows 7 or Windows Server 2008, go to Programs and Features (at
Start > Control Panel > Programs).
2. Select ResScan, uninstall and follow the instructions.


Installation
4
Data Card Reader Drivers
Note: Use only data card readers supplied by ResMed.
The drivers for all supported data card readers are available from the Windows Start menu (Start
> Programs > ResMed > ResScan > Drivers > Data Card Reader). Only the drivers available to
your operating system will be displayed.

ResScan Data Card Reader
If using the S8 series, S8 II series or VPAP Auto with ResScan Data Cards, you may need to
install a driver for the ResScan Data Card reader. You will need a ResScan Data Card
Reader—USB (Product code: 22207; or ACR 38U Smart Card Reader).

SmartMedia Card Reader
If you are also using a ResLink with the therapy device, you will need to install a SmartMedia
card reader driver. ResMed recommends that you use one of two possible SmartMedia card
readers—USB (Product code: 22212; or CR-20) or PCMCIA.
Contact your ResMed distributor to order the appropriate reader.

SD Card Reader
If you are using the S9 series, you may need an SD Card Reader - USB (Product code: 36931)

Installing the Data Card Reader Drivers
The instructions below are for the installation of the data card reader drivers. Please use the
installation instructions specific to your Windows operating system.
A USB hub may be required if only one USB port on your computer is available for ResMed
equipment. The Mini USB Hub (Product code: 22211) allows two data card readers to be
connected to a single USB port on your computer.
Note: The drivers for ResScan SmartMedia Card reader (CR-20), SD Card reader and Mini USB
Hub are already installed on Windows XP/Vista/7. You can also check the drivers from
manufacturers. If you are using these devices, you can now connect them to any available USB
port.
To install the driver for the ResScan Data Card Reader (ACR 38U Smart Card Reader):
1. Do not connect any data card reader to your computer.
2. If not already installed, install ResScan using the ResScan installation CD.
3. Select Data Card Reader in the Windows Start menu (Start > Programs > ResMed > ResScan
> Drivers > Data Card Reader).
4. In the Installation Wizard, select the Install option and follow the instructions.
Notes:
Your computer may need to be re-started. If a dialog box advises you to re-start, then you
will need to in order to access the card reader.
There is further information about the reader in the instructions in the reader package
obtained from ResMed.
When the SmartMedia card reader, SD card or ResMed USB stick is successfully
attached/inserted, it can be seen as a drive in Windows Explorer.


Installation
English 5
USB Adapter Drivers
If you are using a USB adapter with the therapy device, you will need to install the ResMed USB
Adapter driver. The driver is available from the Windows Start Menu (Start > Programs >
ResMed > ResScan > Drivers > ResMed USB Adapter (S8, S9)).

ResMed Ventilator Driver
If you are using a Stellar device, you will need to install the ResMed Ventilator driver. The driver
gives you a direct USB connection and is available from the Windows Start Menu (Start >
Programs > ResMed > ResScan > Drivers > ResMed USB Direct Connection (Stellar)).

Navigation
6
Navigation
Toolbar
ResScan has four main screens—Profile, Review, Notes, and Report. You can display these
screens by clicking the corresponding icon in the toolbar.

Menus
File Menu
The operations in the File menu apply to patient files. The menu items are:
New: Creates a new patient file.
Open: Opens an existing patient file.
Close: Closes the currently opened patient file.
Save: Saves the currently opened patient file.
Compliance Export: Generates a list of patients that have compliance data for the time period
selected. See "Compliance". (see page 18)
Import: Imports a patient file (ResScan 3.0 or above). See "Importing patient files (see page 14)".
Export: Exports patient files to a comma separated value (CSV) file. See "Exporting Data Files"
(see page 14).
Exit: Closes ResScan.

View Menu
The View menu gives you access to the Start, Profile, Review, Notes and Report screens, and
lets you display or hide the Browser. See "The Browser" (see page 21).

Tools Menu
The Tools menu provides access to customizing tools for formatting information, managing your
patient files, and to adjust settings on the therapy device.
Options: Set preferences for graphs and reports. See "Options (see page 42) Dialog".
Patient Manager: Organize patient files, eg, into groups. See "Patient File Manager". (see page 13)
Device Settings: Change the settings on the connected therapy device, or load the settings onto a
Data Card to change settings on a remote therapy device. See "Settings".

Download Menu
Select Download from the Download menu to download data from the connected therapy device
or data card.


Navigation
English 7
Help Menu
Help: Displays the online help file, which has Contents, Index, and Find tabs.
ResMed on the Web: If you have web access, takes you to the ResMed website, where you will
find information about all ResMed products and the latest research into sleep-disordered
breathing.
Contact Us: Send an email to ResMed.
About: Identifies the software and its version.

Start Screen
8
Start Screen
The Start screen guides you through the ResScan software and provides a summary of the
open patient file.
Note: The browser (shown on the far left side of the screen below) indicates the availability of
data. The length of the bars displayed in the browser provides a quick indicator of usage.
1 Browser
2 New patient button
3 Open patient button
4 Download data button
5 Review button
6 Report button
7 Workflow icons
8 Most recent usage as defined by the Compliance Threshold and Start
Screen Usage in Preferences (see page 42)
9 Access to follow-ups
10 Saved reports
11 Double click to open patient file
The workflow involved in managing patient data is indicated by the flow on the Start screen.
Return to the Start screen at any time to move to a different step within the workflow.


Start Screen
English 9
Patient Most Recent Usage Bar
Once a patient file is open, the Patient Most Recent Usage bar gives a summary of the patient's
compliance to treatment. The percentage value displayed in the bar is based on the number of
days the patient used the device above the nominated compliance threshold (eg, 4 hours per
day), over a specified most recent usage period (eg, 1 week, 1 month, etc). You can set the
compliance threshold and usage period in the Tools menu Options dialog. The Daily Usage
figure displayed is the median value.

Follow-ups
When you set a follow-up, it will be displayed in the Start screen if due today or overdue. You
can go straight from the Start screen to the Follow-up screen to see more details by selecting
the row and clicking on the Go to Follow-up button, or double-clicking the row in the Today’s
follow-ups table that corresponds to the Follow-up. Overdue follow-ups appear in red.
For further information about follow-ups, refer to "Setting Follow-ups".

Quick Start
10
Quick Start
The Quick Start feature allows you to instantly download patient data and create a report in one
step, without navigating through the full four-step workflow. A dialog will appear each time a
compatible therapy device is connected to your PC or a Data Card is inserted. You can
download data and create a report for either new or existing patients directly from this dialog.
The Quick Start feature is enabled by default, so that the dialog automatically appears whenever
you connect a therapy device or insert a Data Card. To disable the QuickStart feature, uncheck
"Show this dialog every time a device is attached" in Tools > Options > Download.
Notes:
Before opening the dialog box, ResScan displays an indexing message. This message is
generally brief; however, you can cancel indexing by pressing the Cancel button.
The Quick Start dialog does not appear when downloading data from Lumis Tx devices.


Quick Start
English 11
Select Data Type to Download
To change the type of data downloaded by ResScan, in the Quick Start dialog tick the Select
Data Type to Download checkbox.
1. Click Create Report or View Data. A dialog appears allowing you to change how much data
you want to download.
2. To download high rate data including flow, pressure and breath by breath data, select All
Summary data and... option. The dropdown below this will be enabled. Select the number
of sessions you require and tick the Include equivalent number of high rate data sessions
(if available) checkbox.
3. To save these settings, tick the Set these as my default options checkbox.
4. Click OK.

Patient Files
12
Patient Files
Create a patient file
To create a patient file, click the New Patient button and fill in the details.
You can also choose New from the File menu or toolbar icon.
If a patient with the same name already exists, a warning dialog appears. You may choose to
continue and create a patient file with a duplicate name.

Open an existing patient file
To open a patient file, click the Open Patient button.
Note: Before opening the dialog box, ResScan displays an indexing message. This message is
generally brief, however you can cancel indexing by pressing the Cancel button.
The Open box is displayed.
1 Patient group menu
2 Patient list
Select the patient name from the Patient List. If you have organized your patients into groups,
select the group you require and then select the patient file from the Patient List. The open
group will be the one used most recently. The Patient File Details shows the size and quantity
of individual patient files.
You can also choose Open from the File menu or toolbar icon.
To edit information in an existing patient file, use the Profile screen (see "Profile Screen" (see
page 19)).
Notes:
Patient files should only be accessed by one user at a time.
Any patient file stored on a network drive should not be accessed at the same time by more
than one ResScan user.

Patient Files
English 13

Patient File Manager
You can organize your patient files into groups all from within ResScan. You may wish to
organize them according to their treating clinician, days of the week, or another principle.
Note: Before opening the dialog box, ResScan displays an indexing message. This message is
generally brief, however you can cancel indexing by pressing the Cancel button.
To create a new group or to reorder your patient files, select Patient Manager from the Tools
menu.
1 Organize groups
2 Organize patients
Organize Groups
You can create a new group, delete a group or rename a group simply by clicking the button on
the right side. When you use the Delete Group button, you will delete the group and all the files
within the folder.
Organize Patients
You can move a patient file into a group, or delete the file. Patients with the same name can be
identified by their ID number or address.
Patient Group Location
The default Patient File Location depends on the operating system:
Windows XP - C:\Program Files\ResMed\ResScan3\Patients
Windows Vista and Windows 7 - C:\Users\Public\Public Documents\ResMed\ResScan3\Patients
You may select another location such as a network drive however, you should consider your
local IT policies and network performance before doing so.

Patient Files
14
To change the default Patient Group Location:
1. From the Patient Manager window, click the Browse button. The Patient File Location
window will appear.
2. Locate the desired Patient Group Location and click the OK button.
Note: In order to modify the Patient Group Location you must have administrative privileges
on your computer.

Importing Data Files
You can import existing ResScan 3.0 (or later) data files.
1. From the File menu, choose Import. The Import Patients dialog is displayed.
2. In the Import From field, choose the source of the files and select the files required.
3. In the Import To field, choose the destination of the files from the Patient groups displayed.
If you tick Automatically overwrite pre-existing patients box, imported files will overwrite files of the
same name that already exists in ResScan.

Exporting Data Files
You can export ResScan summary data from patient file to comma separated value (CSV) files
for use with other programs.
1. From the File menu, choose Export. The Export Patient file to CSV dialog is displayed.
Note: Before opening the dialog box, ResScan displays an indexing message. This message
is generally brief, however you can cancel indexing by pressing the Cancel button.
2. Select the patient group from the Patient Group drop down list.
3. Select the date range from which to generate the CSV files.
4. Select one or more patient files from the list of patients.
5. Click the Export Selected button.
A CSV file is generated for each of the selected patients. The name of the file is that of the
patient.
Alternatively, you can export all patient files in a patient group to a single CSV file by clicking the
Export All button. The name of the generated CSV file is that of the patient group.
After exporting your files, Windows Explorer automatically launches to the folder to which the
files have been saved, either My Documents\ResMed\ResScan\Exports (Windows XP) or
<Username>\Documents\ResMed\ResScan\Exports (Windows Vista and Windows 7).
Note: You cannot select the units for exported data. Eg, pressures are always exported as
cm H2O, even if you have selected hPa in the Options dialog box.

Download Data
English 15
Download Data
Note: Do not connect ResScan to the therapy device while delivering therapy.
Once you have installed ResScan software you can download data directly from a therapy
device or via a data card.
Data is defined either as ‘summary data’ or ‘detailed data’. Summary data can be viewed in the
Summary Graphs tab in the Review screen (see "The Summary Graphs Tab" (see page 28)).
Detailed data can be viewed in the Detailed Graphs tab in the Review screen (see "The Detailed
Graphs Tab" (see page 29)).
For a full list of compatible devices for ResScan, see www.resmed.com/resscan/compatibility. If
you do not have internet access, please contact your ResMed representative.
Information regarding data management (eg. download capabilities) can be found on
www.resmed.com. Within the Clinicians section, navigate to Service & Support, then Data
Management Guides and open the PDF for the appropriate device.

Connecting a Card Reader or ResMed USB stick to the Computer
ResScan Data Card Reader
Attach the ResScan Data Card reader to the computer as shown on the instructions included
with the reader. Insert the ResScan Data Card into the reader, with the gold contacts facing up.
SmartMedia Card reader
See "SmartMedia Card Reader" (see page 4) for details on attaching a SmartMedia card reader
to your computer. Detailed and summary data from a patient’s therapy device are stored on a
SmartMedia card by the ResLink. The data can then be downloaded and viewed in ResScan.
SD Card reader
Attach the SD Card reader to the computer as shown on the instructions included with the
reader. Insert the SD card securely into the SD card slot.
ResMed USB stick
Insert the ResMed USB stick into an available USB port. There is no separate reader required.

Download Procedure
1. Select Download from the Download menu, or click the Download Data button on the Start
screen. The Download Data dialog box is displayed.
Note: If a patient file is not open you will be prompted to open or create one, or proceed
without one. If you choose to proceed without a patient file, any downloaded data cannot be
saved.
ResScan automatically detects connected devices (therapy devices or data cards).
Note: It is recommended that only a single device or card is connected at a time to the PC.
2. If the details in the dialog box are correct, click Start Download. If you want to select the data
type, click the Select button next to the Data field.
To change the type of data downloaded, click the Select button next to the Data field and
specify the type and amount of data to download.
If more than one therapy device or data device is connected, click the Select button next to
the Device field and select the device to download.
The Typical Download Times field displays an estimate of the time it would typically take to
download data, according to the details in the Device and Data fields.