software manual - Hoffrichter GmbH

Transcription

Quality makes the Difference
SOFTWARE MANUAL
from version 1.1.14
Table of Contents
Table of contents
Important Notices........................................................................6
First Steps....................................................................................7
System Requirements ...................................................................7
Installing Software .........................................................................9
Connecting the Device with the Computer.....................................10
Starting TRENDset ......................................................................11
Elements of the User Interface...................................................12
Menu Bar ....................................................................................13
Symbol Bar..................................................................................13
Status Bar....................................................................................14
Function Bar................................................................................15
Working with Files......................................................................16
Opening Files...............................................................................16
Close File.....................................................................................16
Save Data ...................................................................................17
Quit TRENDset . ..........................................................................17
Print............................................................................................18
Pre-Settings...............................................................................19
Setting the Language for TRENDset .............................................19
Registration and Deregistration for Service Personnel ...................19
Setting Event Limits for Statistics..................................................20
Communication with the Device................................................21
2
Table of Contents
Search the Device Automatically...................................................21
Search Device Manually................................................................22
Troubleshooting...........................................................................23
Read Device Data.........................................................................24
Delete Device Data.......................................................................26
Use of the DATA box...................................................................28
Read SD-Card ............................................................................29
Format SD-Card . ........................................................................30
Save Data from SD-Cards . ..........................................................31
Open Data from SD-Cards ...........................................................31
Information about TRENDset........................................................32
Using Help ..................................................................................32
Patient Data . .............................................................................33
Entering, Changing and Managing Patient Data.............................34
Display current Therapeutic Pressure............................................35
Display Device Characteristics .....................................................36
Device Settings..........................................................................37
Set Therapeutic Pressure..............................................................38
Set Respiration Parameters..........................................................41
Set Softstart Ramp and Mask Test................................................43
Activate/Deactivate Mask Alarm . .................................................46
Setting Device Parameters...........................................................48
Working with the Parameter-Popup . ............................................52
3
Table of Contents
Therapy Calendar.......................................................................53
Therapy Memory..........................................................................54
Compliance Memory....................................................................54
Therapy Calendar Areas...............................................................56
Select Therapy Days for Statistics.................................................57
Open Protocol on Duration of Therapy . ........................................58
Data and Events.........................................................................59
Analysis of Data and Events .........................................................60
Select Therapy Days.....................................................................63
Zoom View...................................................................................63
Enlarge and Reduce Diagrams......................................................64
Monitor Course of Therapy in Real Time........................................65
Statistics....................................................................................67
Select Therapy Days.....................................................................68
Analyze Distribution of Pressure Over Time....................................70
Analyze Frequency of Events . ......................................................71
Effect of the Therapeutic Pressure.................................................72
Chronological Distribution of Events..............................................73
Statistical Analysis........................................................................74
Times and Counters...................................................................75
Run Times of the Device or Components.......................................76
Reset Filter Age............................................................................77
Set Date......................................................................................78
Set Time......................................................................................79
4
Table of Contents
De-Activate Alarm Clock Function ................................................80
Set Alarm Time.............................................................................81
System Messages......................................................................82
5
Important Notices
Important Notices
TRENDset is the analysis software for respiratory therapy decvises produced by the company HOFFRICHTER GmbH.
Its main functions are the analysis of therapeutic data and remote
adjustment of the device parameters.
This software is used in the sleep laboratory by medical personal and
by the service.
WARNING
Before you use TRENDset:
1. Read the User´s Manual for the device.
2. Read the Software Manual for TRENDset.
NOTE:
We recommend that you always
use the current version of
TRENDset . Keep up to date at
www.hoffrichter.de.
6
First Steps
First Steps
System Requirements
Hardware Requirements
•
•
•
•
•
•
•
•
•
AMD Athlon/Pentium Class (x86), Operating Frequency 700 MHz
min. 192 MB RAM for MS Windows® 98, NT4.0, ME
min. 400 MB RAM for MS Windows® 2000, XP, Server 2003, Vista
min. 150 MB free hard disc space (depending on the desired storage volume for patient data)
min. 280 MB free hard disc space for the Microsoft .NET Framework 2.0 Redistributable (x86)
2 MB Graphics card with at least High Color (16 Bit)
Mouse
One available COM-interface for each device
One available SD-interface (only when using the DATA box)
7
First Steps
Software Requirements
• Operating system:
–– MS-Windows® 98
–– MS-Windows® NT 4.0, Service Pack 6a
–– MS-Windows® ME
–– MS-Windows® 2000
–– MS-Windows® XP
–– MS-Windows® Server 2003
–– MS-Windows® Vista
• Installation of the newest Service Packs and critical updates for
the operating system used
• Windows Installer 3.0 (Windows 2000/NT and lower)
• Microsoft .NET 2.0 Frameworks
• Microsoft Internet Explorer 5.01 or later versions
Other requirements
• a serial cable (connectors: 9pin D-Sub plug and RJ11 plug)
8
First Steps
Installing Software
There are two options for installing TRENDset:
1. Installation from CD
2. Download from the HOFFRICHTER-Homepage www.hoffrichter.de
NOTE:
TRENDset can only be installed
with administrator rights.
Installating from CD
Insert the CD in your computer´s optical drive. The Setup will start up
automatically if the Autorun-Function is active. Follow the installation
instructions.
If the .NET-Framework is not installed on your computer, you will be
asked to install the .NET-Framework. Follow the installation instructions.
Installing the Download Version
Execute the TRENDset.zip.exe and unpack the files. The installation
will start automatically.
If the .NET-Framework is not installed on your computer, you will be
asked to install the .NET-Framework. Follow the installation instructions.
9
First Steps
Connecting the Device with the Computer
1. Connect the 9pin D-Sub plug1 of the serial cable to the COM interface
of your computer.
2. Connect the RJ11 plug (2) to the device.
3. Connect the device to a grounded contact outlet using the delivered
power cord.
1
2
1 The cable can be ordered from HOFFRICHTER under Article-No. 00005232.
10
First Steps
Starting TRENDset
1. When you start TRENDset, the “Intro Window” appears.
TRENDset searches automatically for connected devices. Intro Window with TRENDset version number
All founded devices are listed. Select the desired device by
mouse click. Afterwards starts the data import. This process
will take at most 50 seconds. TRENDset changes to the status
Online (see page 14). If no device has been detected under Found
devices no devices will be displayed and TRENDset remains in
the status Offline (see page 14). All programming and analysis functions remain deactivated.
You can also open an existing file. Just click on File. Furthermore you
can read-in data from the SD-card. Just click on Read SD-Card.
If TRENDset is connected
with a device, the status
message Online appears.
11
Elements of the User Interface
Symbol bar
Function bar
Menu bar
Status bar
Workspace
12
Menu Bar
The menu bar contains all menus and menu items needed to operate
TRENDset.
Symbol Bar
Using the symbol bar, you can call up all of the program’s most important functions.
Close file
Read SD-card
Open file
Parameter-Popup
Save file
Print data
Search for device automatically
13
Status Bar
In the status bar you will find information about the connection status,
the selected function area and the type of the connected device.
Connection status
Function area
Device type
14
Function Bar
TRENDset is subdivided into 6 function areas:
•
•
•
•
•
•
Patient Data
Device Settings
Therapy Calendar
Data and Events
Statistics
Times and Counters
After the program starts, the function area for Patient Data is always
opened.
If you select another function area, the display in the work area will
change.
NOTE:
The number of function areas and the display in the work area depend
on the type of device.
The active function area is highlighted in gray in the function bar.
15
Working with Files
Working with Files
Opening Files
Select File > Open or in the symbol bar.
The dialogue box Open will appear with the preset pathway Own Files
(Documents)/ TRENDset. The folder TRENDset will be generated the first
time the program is started and will be the standard folder for saving
all files belonging to TRENDset. It can only open files with the extension .csw or .csa.
Use Ctrl+O to open a file
quickly.
Before a new file is opened, TRENDset first checks whether or not all
open data have been saved.
As soon as a file has been opened, TRENDset switches into the status Offline.
Close File
Select File > Close or
in the symbol bar.
Closing causes all displayed data from the connected device or file to
be lost. If changes have not already been sent to the device, you will
be prompted to save the changes.
After closing, the status will change from Online to Offline.
16
Working with Files
Save Data
Save
Select File > Save or
in the symbol bar.
The files will be saved in the folder Own Files (Documents)/TRENDset
with the extension .csw.
Use Ctrl+S to save a file
quickly.
Save as
With command Save as you can save the open file under another name
or in another directory.
Quit TRENDset
Select File > Exit.
Before quitting, TRENDset checks whether all data have been saved.
If you have not already sent your changes to the device, you will be
prompted to save.
17
Print
Print
Select File > Print or
in the symbol bar.
1. Select the printer.
2. Set the number of copies to print.
3. Mark the documents you want to print by activating the check
box.
Use Ctrl+P for printing a file
quickly.
NOTE:
As long as TRENDset is open
the last printer settings used
are saved.
4. Confirm with OK.
18
Pre-Settings
Pre-Settings
Setting the Language for TRENDset
Select Settings > Language.
You can choose from several languages. If you need an additional language, contact our service. The selection of available languages can
be expanded at any time.
Registration and Deregistration for Service
Personnel
This menu items enables the access to the program’s service area. The
service area offers special actions and additional device data. The access
is password-protected so that only authorized personnel have access.
Registration
Select Settings > Service > Log in.
1. Enter your username.
2. Enter your password.
3. If the service area should be displayed each TRENDset is started,
activate the check box.
4. Confirm with OK.
Deregistration
Select Settings > Service > Log out.
19
Pre-Settings
Setting Event Limits for Statistics
Event limits establish if and after how much time the occurrence of
events should be displayed and recorded in the statistics.
Select Settings > Event Limits.
1. Activate an radio button.
The selection options are none, 5 s and 10 s.
2. Confirm with OK.
TREND II Auto/CPAP
VECTOR et Auto/CPAP
VECTOR ET Auto/CPAP
(i)CARAT et Auto
TREND 210
AutoTREND
VECTOR II FLEXLINE
VECTOR II Auto
For these types of devices
you can set the event limits.
20
Communication with the Device
Search the Device Automatically
Select Communication > Automatic Device Search or in the symbol bar.
All founded devices are listed. Select the desired device by mouse
click. Afterwards starts the data import. This process will take at most
50 seconds. TRENDset changes to the status Online (see page 14). If no
device has been detected under Found devices, no devices will be displayed. TRENDset remains in the status Offline (see page 14). All programming and analysis functions remain deactivated.
21
Search Device Manually
If multiple devices have been connected to your computer, apart of the
automatic device search function, you may have access to a particular
system by manual selecting of the respective COM-PORT. Select Communication > Manual Device Search.
1. Select the COM-Port to which the device is connected.
2. TRENDset searches for a connected device.
a. When a device is detected, the data import starts. This process will take at most 50 seconds.
b. If no device is detected, the message “No Connection to Therapy Device” appears. Confirm this with OK. Select another
COM-Port and confirm again with OK. Repeat this procedure
until TRENDset has found the device.
3. TRENDset changes to the status Online (see page 14).
If no device is detected, TRENDset remains in the status Offline (see
page 14). All programming and analysis functions remain deactivated.
22
Troubleshooting
While TRENDset searches for a device, the following system messages can appear:
System message
Cause
No Connection to Therapy
Device.
A wrong COM-Port was selected.
The COM Port “x” is invalid The COM-Port is either unavailable or blocked
or is used by another ap- by another application.
plication.
No connection to therapy • The device is not turned on.
device at the COM Port “x”. • The serial cable is not properly connected with the computer or the device.
• The device is connected with another
COM-Port.
• No device is connected.
23
Read Device Data
Select Communication > Read Device Data.
You will have the option of three sub-menus:
• Read Device Memory
• Read Device Parameters
• Read Patient Data (if supported)
Read Device Memory
Select Communication > Read Device Data > Read Device Memory.
The device memory consists, depending on device type, of a therapy
memory and a compliance memory. The therapy memory contains all
therapy data. In the compliance memory, only data on the use of the
device are saved. You find the therapy data in the function areas Therapy
Calendar, Data and Events as well as their statistical evaluation are found
in Statistics. The use of the device will displayed in the Therapy Calendar.
In these function areas you will
find the imported therapy data.
24
Reading the Device Parameters
Select Communication > Read Device Data > Read Device Paramaters.
The device parameters are displayed in the function areas Patient Data,
Device Settings as well as Times and Counters.
In these function areas you
will find the imported device
parameters.
Reading Patient Data
Select Communication > Read Device Data > Read Patient data.
Patient data are imported and displayed in the function area Patient data.
In this function area you will
find the imported patient data.
25
Delete Device Data
Select Communication > Delete Device Data.
You will have the option of four sub-menus:
•
•
•
•
Delete Patient Data
Delete Device Memory and Send Factory Settings
Delete Device Memory
Delete Factory Settings
Delete Patient Data
Select Communication > Delete Device Data > Delete Patient Data.
Delete Device Memory and Send Factory Settings
Select Communication > Delete Device Data > Delete Device Memory and
Send Factory Settings.
NOTE:
The menu item Delete
Device Data will only be displayed when a device is recognized and TRENDset is in
Online status.
WARNING!
The deletion process lasts
depending on device type
up to 60 sec. The device may
not be disconnected from the
computer or the power supply
during this time.
This function is to be used if you wish to restore the factory settings on
the device and delete the device’s memory.
26
Delete Device Memory
Select Communication > Delete Device Data > Delete Device Memory.
The entire therapy memory, with all pressure and flow values and the
related events, will be deleted along with the compliance memory with
the data on device use.
NOTE:
Before each action, you will be
asked if the command should
actually be executed.
Send Factory Settings
Select Communication > Delete Device Data > Send Factory Settings.
All parameters and properties of the device will be restored to their
factory-standard values. Additionally, all patient data will be deleted.
27
Use of the DATA box
The DATA box can store additional data such as oxygen partial pressure and pulse frequency. These data are shown as a curve diagram
in the function area Data and Events.
The data can be read from an SD-Card on your computer and evaluated. You will need a card reader device on your computer for this.
NOTE:
Before an SD-Card can be
used for the DATA box, it must
be formatted with TRENDset.
DATA box
28
Read SD-Card
Select DATAbox > Read SD-Card.
The dialogue box Read SD-Card will display the patient data that are
saved on the SD-Card.
Multiple patient data can
be saved on an SD-Card.
Activate a check box. Click on OK.
The patient data are imported and displayed in TRENDset.
TRENDset will switch to DATA box status. You can now change parameters in the function areas Device Settings or Patient Data and save on
the SD-Card via Send.
To load the files into the device, connect the DATA box to the device
and then plug the SD-Card into the DATA box.
29
Format SD-Card
Before an SD-Card can be used with a DATA box, it must be formatted
with TRENDset. It is irrelevant whether this is a new or used SD-Card.
Not only the data storage medium is formatted, but DATA box-compatible properties are written onto the card.
NOTE:
The SD-Card will not be
accepted by the DATA box
unless it is formatted with
TRENDset.
Select DATAbox > Format SD-Card.
The dialogue box Format SD-Card will open and will list all removable
disks for your computer. Select the data storage device by activating
the check box.
To prevent accidental erasures of files on the other removable disks, it
will check whether there are still files on the selected drive. If yes, you
will be prompted to deleted these files manually.
30
Save Data from SD-Cards
All of a patient’s data can be saved on the hard drive. Read the data
from the SD-Card (DATAbox > Read SD-Card). Then save the file (File >
Save/Save as).
Files from the SD-Card will
be stored with the extension
.csa.
Unlike other TRENDset-files (*.csw) files from an SD-Card have the
extension .csa. These file are saved in the sub-directory DATAboxArchive.
Open Data from SD-Cards
Select File > Open or
in the symbol bar.
Before a new file is opened TRENDset checks whether all open files
have been saved.
As soon as a file is opened, TRENDset switches to the DATA box archive
status. In this status you cannot store any patient data or change parameters on the SD-Card.
NOTE:
Files from the SD-Card (*.csa )
contain patient data that were
saved by a DATA box. These
files are often much larger than
files with the extension .csw.
31
Information about TRENDset
Select ? > About.
The version number of TRENDset will be displayed along with information about the manufacturer.
Using Help
Select ? > Help TRENDset.
Help opens immediately if you
press F1.
The Help file will open in PDF-Format.
NOTE:
Help opens with Acrobat
Reader. You can install the
program from the TRENDsetCD if needed.
32
Patient Data
Patient Data
You manage patient data in the function area Patient Data, turn the therapy on and off and get information about the most important characteristics of the devices.
The workspace is sub-divided into Patient Data, Display and Device
Characteristics.
Patient Data
Device
Characteristics
Display
33
Patient Data
Entering, Changing and Managing Patient Data
All text fields highlighted in white can be written, change and delete.
Changes will be highlighted in red.
To restore all entries to their original state, click on Reset.
Click on Send, in order to send changed files. Then the data are read
again and displayed in TRENDset. The sent and received data are compared with each other. This assures that the correct data was written
in the device.
Not all devices can save patient data. If there is a connection to devices
that cannot store any patient data, enter the patient data manually and
confirm the entries with Accept. Save the file (File > Save/Save as).
VECTOR et
(i)CARAT et
VECTOR ET
TREND II
point
TREND 210
AutoTREND
(from version 1.502)
VECTOR II FLEXLINE
VECTOR II Auto
(from version 1.502)
These device types can
save patient data.
34
Patient Data
Display current Therapeutic Pressure
In the Display area the current pressure is displayed along with the
device status.
Click on the control button On / Off and the therapy starts.
Pressure Display (graphic)
Turn Therapy on-/off
Device Status
Pressure Display (numeric)
35
Patient Data
Display Device Characteristics
In the area Device Characteristics you see the main features of the
devices. They are purely informative and cannot be changed.
36
Device Settings
Device Settings
In the function area Device Settings you set the device parameters.
The workspace, depending on the device connected, is subdivided
into Pressure, Respiration, Softstart Ramp/Mask Test, Mask Alarm, Device
and Intro Text.
Pressure
Respiration Parameters
Graphic Display of
the Selected Parameters
Intro Text for
the Device
Soft start Ramp/
Mask Test
Mask Alarm
Device Parameter
37
Device Settings
Set Therapeutic Pressure
Select Device Settings > Pressure.
You can change the therapeutic pressure in two ways:
a. using the check box
b. using the diagram
Hold the mouse down and drag it along the red points. The drag
direction is indicated by arrows. The settings in the check boxes
will change automatically.
You activate or deactivate the trigger using the On / Off button. The
active state is shown left of the button.
All changes will be highlighted in red.
To restore all entries to the initial condition, click on Reset.
Click on Send, to send the changed data to the device. Then the data
will be read again and displayed in TRENDset. The sent and received
data are compared with each other. This assures that the correct
data was written in the device.
38
Device Settings
Definition of Terms
Therapy Pressure
Level of therapy pressure
FLEX Level
The level of pressure increase or decrease is depending on
the flow of breath, the FLEX Levels set and the therapeutic
pressure setting. The three FLEX Levels (1- 3) are for individual adjustment to the patient.
Start Pressure
Starting pressure
Min. Pressure
Minimum pressure
Max. Pressure
Maximum pressure
Pressure Steepness The parameter Pressure Steepness increase determines
how quickly pressure increases in an event. The speed of the
pressure increase can be adjusted to the patient’s sensitivity.
Inspiration Pressure Inspiration pressure
Expiration Pressure
Expiration pressure
I-Slope
Inspiration slope
E-Slope
Expiration slope
Trigger
Activating or deactivating the inspiration trigger in T-Mode
I-Trigger
Sensitivity of the inspiration trigger
E-Trigger
Sensitivity of the expiration trigger
Trigger
Setting the trigger sensitivity
39
Device Settings
Available Parameters Depending on Device Type
Mode
Therapy Pressure
FLEX-Level
CPAP
FLEXLINE


AutoCPAP
Bilevel
S
Bilevel
ST
Bilevel
T
The devices have
different parameters.

Start Pressure

Min. Pressure

Max. Pressure

Pressure Steepness

Inspiration Pressure



Expiration Pressure



I-Slope



E-Slope



Trigger (T-Mode)

I-Trigger


E-Trigger


Trigger



 only for VECTOR et, VECTOR ET, (i)CARAT et, TREND II
40
Device Settings
Set Respiration Parameters
Select Device Settings > Respiration.
There are two ways to change the inspiration:
a. using the check box
To restore all entries to their original condition, click on Reset.
data are compared with each other. This assures that the correct data
was written in the device.
41
Device Settings
Definition of Terms
Frequency
Breaths per minute
Inspiration
Duration of inspiration over entire breath
Delay Time
Delay for switch between from S-Mode to T-Mode
I:E Ratio
I:E-Ratio from frequency and duration of inspiration
Mode
CPAP
FLEXLINE
AutoCPAP
Bilevel
S
Bilevel
ST
Bilevel
T
Frequency


Inspiration


Delay Time

The devices have
42
Device Settings
Set Softstart Ramp and Mask Test
Select Device Settings > Softstart Ramp/Mask Test.
There are two ways to change the parameters for the Softstart Ramp
and the Mask Test:
a. using the check boxes
43
Device Settings
Definition of Terms
Softstart Time
Time during which the pressure gradually increases
to therapeutic pressure, beginning at the starting
pressure for soft start or at minimum pressure.
Softstart Start Pressure Starting pressure for soft start
Mask Test
In a mask test the device is operated at maximum
therapeutic pressure for the time selected in order
to test the tightness of mask. The maximum therapeutic pressure results from the settings in the
function area Device Settings.
44
Device Settings
Available Parameter Depending on Device Type
Device
Softstart Time
Softstart
Start Pressure
Mask Test
VECTOR et



(i)CARAT et



VECTOR ET



TREND II



point



TREND 200

TREND 210



AutoTREND



TREND 300


TREND 400


TREND 500


TRENDlife


Calypso


VECTOR


VECTOR II


VECTOR II
FLEXLINE



VECTOR II Auto



VECTOR II Bilevel

The devices have


45
Device Settings
Activate/Deactivate Mask Alarm
Select Device Settings > Mask Alarm.
You activate or de-activate the mask alarm using the On / Off button.
The active state is displayed left of the button.
There are two ways to change the parameters for the Mask Alarm:
a. using the check boxes
46
Device Settings
Definition of Terms
Mask Alarm
The mask alarm is activated/deactivated using the
On / Off button.
Alarm Delay 1
This value defines the delay period after which the
alarm will sound.
Pressure Difference 1
This value defines the tolerated deviation from the
set pressure.
1
only when the Mask Alarm is activated
47
Device Settings
Setting Device Parameters
Select Device Setting > Device.
Use the check boxes to change the parameters.
data are compared with each other. This assures that the correct data
was written in the device.
48
Device Settings
Automatic Function
To set the automatic pressure adjustment, activate the check box Automatic function adjustable. This will activate the check box “Automatic”
with the following options.
OFF
no automatic pressure adjustment possible
Start/Stop
• Automatic Pressure Threshold On
• Automatic Pressure Threshold Off
• Automatic Delay
adjustable
Start
• Automatic Pressure Threshold On
adjustable
You can find additional information about the automatic function on page 50.
49
Device Settings
Definition of Terms
Mode
Device mode
Language
Device‘s menu language
Pressure Unit
Indicates in what units the pressure should be displayed
Brightness Display Brightness of the display
Pressure Ramp
Soft increase in pressure when pressure changes
Heating Step
Selection of the heating level of the humidifier
Menu Type
Menu, which displayed in the device
Activate PIN Code When you activate the check box, you can enter a four-digit PIN Code. Once you
have sent the PIN Code to the device, you can only change the device’s pressure
parameters and mode after entering the correct PIN Code.
Automatic
•
•
•
Automatic Threshold On
The first value indicates inspiration, the second value expiration.
These values must be exceeded for the therapy to start.
Automatic Threshold Off
The pressure must fall below this value for the therapy to stop.
Automatic Delay
Time after which the therapy is automatically stop when the pressure drops
below the threshold value.
Mask Type
Selection of the mask type in use
Intro Text
The intro text is shown when the device starts. It can be a maximum of 2 lines of 16
characters each. You can choose from several pre-defined texts or enter your own
text. Select the check box Other text.
Menu Scrolling
Here you can set whether scrolling is allowed in the menu or not.
50
Device Settings
Pressure Unit
Brightness
Display
Pressure Ramp
Heading Step
PIN Code
Automatic
Automatic
Pressure
Threshold On
Automatic
Pressure
Threshold Off
Automatic
Delay
Mask Type
Intro Text













(i)CARAT et













VECTOR ET












TREND II













point









TREND 200





Menu Scrolling
Language
VECTOR et
Menu Type
Device
Mode



TREND 210









AutoTREND















TREND 300
TREND 400







TREND 500







TRENDlife






Calypso






VECTOR







VECTOR II







VECTOR II FLEXLINE









VECTOR II Auto












VECTOR II Bilevel
 from version 1.501


 only for the respective Auto-Devices


51
Device Settings
Working with the Parameter-Popup
The Parameter-Popup is a small dialogue box which contains the essential functions from Device Settings.
Select Settings > Parameter-Popup or
in the symbol bar.
The user interface will close and the Parameter-Popup will open. The
advantage: You can use TRENDset and other applications on the screen
at the same time and continue to control the device.
You can only use the Parameter-Popup in the Status Online and DATA box.
If necessary you can change the position and size of the ParameterPopup. Hold down the mouse and drag the edges of the window.
To close the Parameter-Popup and return to the usual user interface
panel, click on the “x” on the upper right.
Save space on your screen
with the Parameter-Popup.
After closing the ParameterPopup, its position and size
will be saved.
52
Therapy Calendar
Therapy Calendar
The function area Therapy Calendar includes a graphic display of device
use. It shows the duration of therapy per day and in some devices the
pressures used. The Therapy Calendar gets this data from the therapy
memory and the compliance memory.
The therapy data are evaluated in the function area
Data and Events.
The Therapy Calendar,
shown here with display
of pressures used.
53
Therapy Calendar
Therapy Memory
Approximately 20 days of therapy are stored in the Therapy Memory.
Compliance Memory
When the Therapy Memory is full, the older data are transferred to the
Compliance Memory. The Compliance Memory stores data for approximately 1 year.
The data from the Compliance Memory are only displayed in the Therapy Calendar and in the protocol from the Therapy Calendar. There
is no display or evaluation of these data in the function area Data and
Events or Statistics.
54
Therapy Calendar
Available Memory Depending on Device Type
Device
VECTOR et CPAP and Auto
Therapy Memory
Compliance Memory


VECTOR et Bilevel and Bilevel ST 20
(i)CARAT et Auto


(i)CARAT et Bilevel and Bilevel ST 20
VECTOR ET CPAP and Auto


VECTOR ET Bilevel and Bilevel ST 20
TREND II CPAP and Auto


Not every therapy
device has a Therapy and/or Compliance Memory.



TREND II Bilevel and Bilevel ST 20

point

TREND 200

TREND 210


AutoTREND


TREND 300

TREND 400

TREND 500

TRENDlife
Calypso
VECTOR

VECTOR II

VECTOR II FLEXLINE


VECTOR II Auto


VECTOR II Bilevel

55
Therapy Calendar
Therapy Calendar Areas
Pressure, numerical in hPa
Color definition of the
specific pressures
Day Display
Date of the
therapy day
Evaluation and
Statistics (On/Off)
Therapy duration
with indication of
the pressures used
Total duration of therapy
on the therapy day in h
Duration of therapy
without indication of
the pressures used
A therapy day lasts from
12:00 noon to 12:00 noon.
When you move the mouse
across a curve or bar, a
Quick info is displayed in
overlay.
56
Therapy Calendar
Select Therapy Days for Statistics
To evaluate the therapy data in the function areas Data and Events as
well as in Statistics, mark the desired therapy days. Click on the symbol to the right of the date.
selected
(red symbol)
not selected
(gray symbol)
If you want to select all therapy days, activate the control box Select
all displayed Days.
Additionally, you can decide whether or not therapy-free days will be
displayed in the Therapy Calendar. Activate the check box Display Days
without Therapy in Addition.
After you have marked the therapy days, you can switch to the function area Data and Events or Statistics and evaluate the data for the
marked therapy days.
The Complete Using Time in h and the Average Using Time per Day in h
are seen in the lower part of the workspace.
57
Therapy Calendar
Open Protocol on Duration of Therapy
Click on Protocol.
The protocol will include, along with
data on the daily duration of therapy,
information on the recording time, on
the days used for therapy, on the total
duration of use, and on the average
duration of use per day.
To close the window, click on the “x”
on the upper right.
The protocol evaluates the Therapy and
Compliance Memory.
58
Data and Events
Data and Events
One analyzes the data in the function area Data and Events. Additionally, you can monitor the course of therapy in real time. The diagrams
enable you to evaluate the data minute-by-minute.
When you move the
mouse across a curve or
bar, a Quick info is displayed in overlay.
59
Data and Events
Analysis of Data and Events
Definition of Terms
Pressure
Pressure in patient’s mask
Respiratory Flow
Patient’s flow
Average System Flow
Flow which escapes from the exhalation valve. In a leakage,
i.e. if the mask slips out of face, the flow will increase.
Relative Respira- The relative volume of breath is calculated from the
tory Volume (%)
breath-flow.
Oxygen
Average oxygen saturation
Pulse
Patient’s current pulse
Central Sleep
Apnea
A central apnea is indicated if, in addition to a limitation of airflow, no or little change in breath-flow or a simultaneous airway
constriction is detected for more than 5 sec.
Obstructive Sleep An obstructive apnea is indicated if in addition to a limitation of
Apnea
airflow, little or no change in airflow is detected for at least 5 s
and at the same time, airway constriction lying over a threshold value is detected.
Mixed Sleep
Apnea
A mixed apnea is indicated if the apnea consists of a central
and an obstruction portion and there is no normal breathing
between the two portions.
Hypopnea
A hypopnea is indicated if an airflow limitation lasts for at least
5 sec.
Airway
Constriction
An airway constriction is indicated if the resistance of the upper
airway stays above a threshold value for at least 3 sec.
Snoring
A snoring phase is indicated if snoring noises stay above a
threshold value for at least 2 sec.
60
Data and Events
Device State
Adjustment
The adjustment phase includes the learning phase
at the beginning of a therapy
and the 30 s timeout after an
increased leakage, a mode
switch between APAP and
CPAP as well as after a pressure change during CPAP
therapy. During this period,
the APAP-Algorithm is turned
off.
Leakage
A leakage is indicated, if
the middle system flow
exceeds a threshold value
for a maximum of 2 l/s or a
shows a change of more than
300 ml/s.
Mouth Exhalation Displaying an expiration by
mouth
Hyperventilation Displaying a hyperventilation
General Artefact Displaying a general artefact
CPAP
Mode
Displaying an interrupted
FLEXLINE-Function
Display of Active Mode (APAP, CPAP,
FLEXLINE, Bilevel S, Bilevel ST, Bilevel T)
61
Data and Events
Displaying Data and Events Depending on Device Type
Device
VECTOR et/ET CPAP,
Trend II CPAP,
TREND 210,
VECTOR II FLEXLINE
Mode
CPAP
FLEXLINE
VECTOR et/ET Auto,
VECTOR et/ET Bilevel/ST20, point
TREND II Auto,
TREND II Bilevel/ST20,
(i)CARAT et Auto,
(i)CARAT et Bilevel/ST20
AutoTREND, VECTOR II Auto
CPAP/Auto
Central Sleep Apnea

Obstructive Sleep Apnea

Mixed Sleep Apnea

Hypopnea

Airway Constriction

Snoring

Mode


Adjustment

FLEXLINE
all Modes


CPAP

Leakage




Hyperventilation




Mouth Exhalation

General Artefact

CPAP


Pressure





Respiratory Flow





Average System Flow





Relative Respiratory Volume


Qxygen






Pulse






 Standard
 only when connected to a DATA box  only when connected to a DATA box with Oxygen-Kit
62
Data and Events
Select Therapy Days
Below the diagram are the control elements for selecting the day, which
you want analyze.
Back One Day
First Therapy Day
Last Therapy Day
Forward One Day
Direct Day Selection
Zoom View
Below the diagram are the control elements for setting the zoom
area – 1 min to 24 h is possible.
Direct Selection
of Zoom Area
Enlarge Zoom Area
You enlarge the Zoom Area
by double-clicking with the
left mouse button; by doubleclicking on the right mouse
button you reduce the Zoom
Area.
Reduce Zoom Area
Zoom Area 6 h
63
Data and Events
Enlarge and Reduce Diagrams
For a better display you can zoom the size of the diagrams.
To enlarge, click on
.
To reduce, click on
.
64
Data and Events
Monitor Course of Therapy in Real Time
Click on Run Real Time Monitoring.
The data will be updated every 500 ms. In contrast to the therapy data,
all data are shown, including events, which are very short and otherwise
are not recorded. The event limits have no influence here.
NOTE:
The device must be in operation for data to be displayed.
To end the connection, click on Stop Real Time Monitoring.
65
Data and Events
Real Time-Monitoring Depending on Device Type
Device
Mode
TREND II CPAP,
VECTOR et/ET CPAP,
(i)CARAT et CPAP,
TREND 210,
VECTOR II FLEXLINE
TREND II Auto,
VECTOR et/ET Auto,
(i)CARAT et Auto,
AutoTREND,
VECTOR II Auto
CPAP
FLEXLINE
CPAP
FLEXLINE
Auto-CPAP
Pressure





Respiratory Flow





Average System Flow





Relative Respiratory Volume


Airway Constriction


Snoring


Mode


Adjustment











Hyperventilation





Mouth Exhalation


General Artefact



all
other
devices

Leakage
CPAP
TREND II,
VECTOR et/ET,
(i)CARAT et Bilvel,
Bilevel ST20

66
Statistics
Statistics
In the function area Statistics, the therapy data are visualized with bar
diagrams. This allows you to precisely analyze therapy data. The diagrams support you in titrating an effective therapeutic pressure.
NOTE:
In Statistics, only the pure therapy time without Mask Test or
Softstart is evaluated. Therapy
in the FLEXLINE Mode is not
taken into account.
TREND II Auto
VECTOR et Auto
VECTOR ET Auto
(i)CARAT et Auto
AutoTREND
VECTOR II Auto
The statistics function is available for these device types.
When you move the
67
Statistics
Select Therapy Days
Select all activated days in the Therapy Calendar
In the selection box Therapy Day “See Therapy Calendar” is pre-selected.
This assures that all selected days in the Therapy Calendar are included
(see page 57).
The sum of events is shown in the diagrams.
The number of selected days can be seen under the check box. The
value in brackets shows the ratio of selected days to total therapy days
in percent.
Selection of all therapy
days that were activated
for the statistics function
Number of therapy days that were activated
in the Therapy Calendar for the statistics
function (see page 57)
First Therapy Day
Back One Day
60 % of all therapy days were activated
in the Therapy Calendar for the statistics
function
68
Statistics
Select Individual Therapy Days
Below the diagram are the control elements for selecting the day, which
you want evaluate.
You can select all days, regardless of whether they are activated in the
Therapy Calendar or not.
The number of selected days can be seen under the selection box.
The value in brackets shows the ratio of selected days to total therapy
days in percent.
Forward One Day
Last Therapy Day
First Therapy Day
Back One Day
Direct Date Selection
Number of therapy
days selected in the
selection box
Number of therapy
days selected using the
selection box in %
69
Statistics
Analyze Distribution of Pressure Over Time
With the help of the Temporary Pressure Distribution diagram, you analyze the percentage distribution of pressures over the selected therapy
period.
On bar width stands for
0.5 hPa.
When you move the
70
Statistics
Analyze Frequency of Events
With the help of the Frequency of Events diagram, you analyze the number of central, obstructive and mixed apneas, hypopneas and airway
constrictions depending on pressures. The snoring phases are in contrast given in minutes.
One bar width stands for
0.5 hPa.
The selection in the radio buttons remains in effect until the
next change.
When you move the
To select an event, click on one of the radio buttons. You can further
specify whether the total number or the average number per hour should
be displayed, and for snoring phases total minutes or minutes per hour.
71
Statistics
Effect of the Therapeutic Pressure
With the help of the Effect of Therapy Pressure diagram, you analyze the
percentage occurrence of events depending on the therapy pressure.
Snoring phases are not taken into account.
One bar width stands for
0.5 hPa.
When you move the
72
Statistics
Chronological Distribution of Events
With the help of the Distribution of Events based on Time diagrams, you
analyze the percentage occurrence of events depending on the time
of day. The snoring phases are not taken into account.
One bar width stands
for 1 h.
When you move the
73
Statistics
Statistical Analysis
Click on Statistical Analysis.
The overview includes along with the statistical data, data on the recording time, duration of therapy, number of days selected
for the statistics and the most important
device settings.
As an aid to decision-making for the physician, the lower window area shows what
therapeutic pressure was used 90 % of the
time and at what therapeutic pressure 90 %
of the events occurred.
To close the window, click on the “x” at the
upper right.
74
Times and Counters
Times and Counters
In the function area Times and Counters you will find information on the
device’s counters, set the date and time and control the alarm clock
function.
The workspace is sub-divided into Counter, Date and Time and Alarm
Clock.
Changed values that have
not yet been transferred to
the device are shown in red.
75
Times and Counters
Run Times of the Device or Components
In the Counter area, data on the device’s run times or those of the
device’s components are saved.
Filter Display
(->FILTER<-)
Interval for filter change
Blower Display
(->SERVICE<-)
Interval for service checkup, based on compressor
run time
Filter Age
Compressor run time since last filter change
Standby Time
Time in which the device was on
Blower Running
Time
Time in which the compressor was on, incl. mask tests
and soft start
Therapy Time
Time in which the compressor was on and the mask
was at therapeutic pressure
76
Times and Counters
Reset Filter Age
In the Counter > Filter Age area, press the Delete button. The command
will be sent to the device immediately and the counter will be reset to 0.
77
Times and Counters
Set Date
1. In the Date selection box, mark the day, month or year and enter
the desired value.
OR
Click on the arrow in the selection box. A calendar will open.
Select the date.
OR
To import the date from the computer, just click on
Set Computer Time.
If you want to remove you settings again, click on Reset.
2. Click on Send. The date will be sent to the device.
78
Times and Counters
Set Time
1. In the Time selection box, mark the hour, minutes or seconds and
enter the desired value. You have the option of using the arrows
to increase or decrease the marked values.
OR
To import the time from the computer, click on Set Computer Time.
2. Click on Send. The time will be sent to the device.
79
Times and Counters
De-Activate Alarm Clock Function
The Alarm Clock Function can be de-activated on some device types.
•
•
•
•
TREND II
VECTOR et
VECTOR ET
(i)CARAT et
Remove the check in the check box Alarm Clock function adjustable
and click on Send.
NOTE:
If you de-activate the Alarm Clock Function, it is no longer available in
the device until you re-activate it.
80
Times and Counters
Set Alarm Time
1. Activate the alarm clock.
2. In the Time field, mark the hour or the minute and enter the
desired value. If you wish, you can use the arrows to increase or
decrease the marked value.
3. Set the snooze time in the selection box Slumber. You can select
a time interval from 5 to 30 minutes. To de-activate the snooze
time, select Off.
The snooze time (Slumber)
defines the time interval which
passes after turning off the
alarm before the alarm sounds
again.
4. Click on Send. The alarm time will be sent to the device.
Alarm is on
81
System Messages
System Messages
If data are transferred incorrectly or incompletely over the serial interface, TRENDset will issue a system message.
If a system message from 1 to 255 is issued, the device has registered the fault and exported it. For values seen on the following table,
TRENDset has only registered the fault.
System Message Description
1020
COM-Port could not be opened
1030
Incorrect data received
1040
Transfer not started or interrupted
1050
Checksum test failed
1060
Value field violated
1070
Data not received back after sending
1080
Sent data do not match imported value
1090
Too little data received
2000
TRENDset does not support the connected device
82
HOFFRICHTER GmbH
Mettenheimer Straße 12 / 14
19061 Schwerin
GERMANY
Phone:+49 385 39925 - 0
Fax: +49 385 39925 - 25
[email protected]
www.hoffrichter.de
TRENDset-eng-0310-02

software manual - Hoffrichter GmbH

Transcription

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