Software User Guide - Haag-Streit Diagnostics€¦ · • 250Mb RAM • USB port • Keyboard and Mouse • Windows XP (SP 3), Windows Vista, Windows 7 or 8 • Screen resolution

Software User GuideSingle Patient Use

Digital Peak Flow MetereMW Soft - version 2.0

eMini-Wright

Contents

Patient:

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Warrantees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

PC Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Installing the Software . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Starting the Program . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Functions and Buttons . . . . . . . . . . . . . . . . . . . . . . . . . 10

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Doctor:

Appendix A - Table of Predicted Values . . . . . . . . . . . . . 22

Appendix A - Table of Predicted Norms (Imperial) . . . . . 23

Symbols Explained . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

IntroductionThank you for purchasing the new eMini-Wright with the eMW software - eMW Soft. It should help provide you with relief from your respiratory symptoms.The eMini-Wright with eMW Soft is a single patient peak flow meter and software, which has a facility to record the patient data to a Microsoft Windows PC.There are two versions of the eMini-Wright:

1. eMini-Wright with USB port and eMW Soft software – (part no: 3210001). When using eMW Soft the patient can monitor their condition on a PC.

2. eMini-Wright without USB port - a lower cost eMini-Wright. – (part no: 3210000).

Both the eMini-Wright with eMW Soft and the eMini-Wright can be used to manage conditions such as Asthma, COPD and other respiratory conditions by determining the medication levels you need, which will be set by your Physician.

Both versions can be used as a stand-alone device.

Please note: It is not possible to upgrade eMini-Wright to eMW Soft version.

Software features:1. Tables showing ‘good blow’ and ‘slow start’ results that can help your Physician set your medication levels and identify good/bad medication delivery technique. 2. Graph showing trends over time using a traffic light zone system. 3. Manages recordings over weeks, months and years. 4. Exports data to Microsoft Excel and other programs. 5. USB connection to PC allowing recorded results to be downloaded from the eMini-Wright. (Cable not supplied).

1

Warrantees

Note: International copyright laws and treaties protect the eMini-Wright hardware and software.

The Application Software: The software may be installed and used by one person only.

Reservation of Rights: CCI reserves all rights not expressly granted.

2

PC Requirements:

To install the eMini-Wright Download Software, your PC must meet the following Minimum Specifications:

• 250Mb RAM • USB port • Keyboard and Mouse • Windows XP (SP 3), Windows Vista, Windows 7 or 8 • Screen resolution of 1024 x 600 minimum • Minimum of 200Mb hard drive free space • .net framework 2.0 or greater

Other operating systems e.g. dos Windows 95/98, Apple Mac or Linux are not supported.

3

Installing the SoftwareThis section outlines the installation procedure for the eMW Soft software.

IMPORTANT! Please leave the eMini-Wright unplugged before installing. You must install the software before connecting the eMini-Wright to your PC to ensure the correct drivers are linked to the hardware.

You will need:1. 1 eMini-Wright Downloadable - order no. 3210001 - USB version.

2. 1 USB ‘A’ to mini ‘B’ cable (not supplied).

3. Access to the internet.

Please note: Before using the eMW Soft, please read and understand how the eMini-Wright works referring to the instructions supplied.

4

Installing the Software - continued

Installing the eMini-Wright software for the first time:• Download the eMW soft software from: www.clement-clarke.com

• This will install the software, initiate the database and generate a desktop icon.

• Occasionally the software can be updated. Go to: www.clement-clarke.com Download the updated software. The updated software will be ready to use and will use your existing data.

• You will need to un-install the previous software: To uninstall the software: Open Control Panel, • For XP - add/remove software • For Vista 7 and 8 - Programs and Features

Click eMW Soft1, click uninstall. • To delete the user data and settings: Open Windows Explorer. Click C drive : Users, (your user name) AppData, local, Clement Clarke International Ltd., and delete the folder \eMW Soft 1\.

Warning: This will delete all your data.

Connecting the eMini-Wright to your PC:1. Ensure that the eMini-Wright is off: to turn off press and hold the button for approximately 3 seconds until the screen goes blank.

2. Open the soft flap (USB port cover) at the base of the eMini-Wright, plug one end of the USB cable (standard USB ‘A’ to mini ‘B’ cable) into the eMini-Wright.

3. Plug the other end of the USB cable into your PC’s USB port.

5

Starting the Program Important: The user should not attempt to use the eMini-Wright for measurements while connected to a P.C.

1. Start the program by double clicking the eMW Soft 1 icon (Fig. 1) on your computer’s desktop.

Fig. 1

2. When opening the software for the first time, a window will open. Select your preferred language. See below:

Fig. 2

This window will appear once only when first installing the software. * See also ‘Settings’ on page 14.

eMW Soft 1

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Starting the Program - continued

3. As soon as the Software has loaded the ‘Main User Interface’ window will open (Fig. 3).

Fig. 3

Main User Interface

Please Note: It is most important to set the P.C. time/date correctly, as the eMW Soft uses the P.C. time/date to calculate the eMini-Wright measurements.

• If taking many measurements within 5 minutes, the results will be allocated the time of the first reading.

• The most recent reading will appear on the bottom of the results list.

• Only one eMini-Wright should be connected to the PC at any one time.

7

Patient Records

Fig. 4

Please Note: It is important that the patient’s details are entered correctly as this will affect the PEF (L/min) uploaded to the eMini-Wright and how the data is calculated within the eMini-Wright.

Last name: Enter patient’s last name

First name: Enter patient’s first name

Gender: Enter patient’s gender

Date of Birth (dd/mm/yyyy): Enter patient’s date of birth using the up/down arrows or the keyboard numbers.

Age: Age is calculated from the Date of Birth field and the PC clock (No direct user input).

Height: (cm) (ft in)Enter patient’s height. The measurement units are set in the settings window. See page 14 - ‘Settings’.

Weight: (Kg) (lbs)Enter patient’s weight. The measurement units are set in the settings window. See page 14 - ‘Settings’.

BMI: BMI is calculated from the Height and Weight fields (No direct user input).

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Patient Records - continued

Predicted Values and Ethnic group/country:Select ‘Predicted Value’ or ‘None’ from the pull-down list. Select patient’s ethnic group/country. If ‘None’ is selected, there will be no option to fill in ethnic group/country. The software will calculate from the age/height/weight with the choice made to the Predicted Value. If the selection is outside the range, a warning window will appear asking you to reselect.

The Predicted Values should be determined by your Doctor/Physician.

PEF (L/min):PEF value is calculated from the Age, Height, Weight and Predicted Value fields (No direct user input).

Comments:Add comments for reference. This will not affect calculations or results.

If your readings are outside the range for the Predicted Value set by your Physician a warning window will appear suggesting you refer to the user manual. Fig. 5.

Fig. 5

9

Functions and Buttons

Download:Choosing Download will download the eMini-Wright’s data (the eMini-Wright should be switched off during this operation) to your PC. The eMini-Wright will make a slight ‘beep-beep’ sound when downloading.

Fig. 6

Measurement Results: (Fig. 7).When data download is complete, a window will open, click OK. The saved data from the eMini-Wright can be seen in the measurement results window.

Fig. 7

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Functions and Buttons - continued

Reading the Measurements

Measurement Table: (Fig. 7).The measurement table displays recorded data contained within the eMini-Wright device.

Fig. 8

If the eMini-Wright is not switched off when downloading, or the USB lead is not plugged in properly, the following error will appear:-

Fig. 9

11


Erase Memory: Erases ALL measurements stored in the eMini-Wright’s memory.

Fig. 10

Please note: Choosing ‘Yes’ will erase ALL patient data readings on the eMini Wright.

Upload References: Allows the physician to set the reference values to be uploaded to the eMini-Wright. An ‘Upload Reference’ window will open. There are three options, ‘Read Existing’, ‘Upload Reference’ and ‘Return’.

Fig. 11

Read Existing: This reads the PEF value set in the eMini Wright instrument and displays this in the window ‘PEF (L/min)’.

Upload Reference: Overrides the existing PEF (L/min) value set in the eMini-Wright. This can also be achieved by double clicking the number after ‘Reference’ in the PEF Tables. See ‘Table of Predicted Values’ page 21.

Please note: This value should be determined by your Doctor/Physician.

Return: Makes no changes and returns to the main screen.See Appendix’A’, page 21.

12


Export for Advanced Users: Allows the user to save the results in a format that can be used by an external program. (i.e. Microsoft Excel)

It may be necessary to set the delimiters “,” or “;” (under settings) for the external program to import the data.

Fig. 12

13


Settings: This allows the user to set standard features for the software program:

Fig. 13

Language: Pull down menu to change to the preferred language.

Units: Select button for preferred measurement units.

14

Functions and Buttons - continued Delimiter: Select button for the delimiter in the Export function.

Printer: Pull-down menu to select a printer already installed on your PC.

User Data Path: User data and settings are stored in these specified locations (Not changeable).

Save: Saves all outstanding data not currently saved. When no data needs saving, the button will be ghosted.

Exit: This will exit the program. The program can also be closed by clicking the red ‘X’ in the top right-hand corner of the Window.

Measurement Results:

Zone: The limits between the bands (50% and 80%) are automatically calculated based on the PEF reference values already programmed in the eMini-Wright when the download occurs. If the Green, Yellow and Red zone faces are not activated, it means that the corresponding reference value has not been uploaded to the device.

Slow Start: Indicates that the patient has made a slow start. The patient can disregard the result, delete the result and/or retake the test if required.

15


Not Reproducible: Indicates that the user’s 2 best results in this section are not within 40 L/min. The user can delete this test, then re-take the test using the eMini-Wright.

To delete the data from the ‘Measurement Results’, highlight the field that you want to delete, press delete.

A window will open, click ‘Yes’ to delete these tests (Fig. 14).

Fig. 14

16


Graph: The results from the downloaded measurements are displayed on the graph. See Fig. 15 below.

The general principles of the zone monitoring system are as follows, and would normally be set by your Doctor/Physician:

ZONE CONDITION READING (% of best) Green Zone Go 80-100% of best readingMedication is working. Go ahead with normal activities

Yellow Zone Caution 50-80% of best reading Use caution in your activities. Refer to your treatment plan for actions to be taken.

Red Zone STOP Less than 50% of best Medical alert. Seek immediate medical attention.

Fig. 15

Set your prefered format: The graph can be set to display weekly, monthly, 6 monthly or yearly’.

If the Green, Yellow and Red zones are not displayed, the reference value has been set to ‘none’ and the eMini-Wright reference is set at zero.

17


Table: (Fig. 16) These calculations are taken from downloaded Patient data.

Fig. 16

Number of Tests: Number of tests saved.

Average: Total of PEF values divided by number of tests.

Average % Ref: The percentage of average value divided by the reference.

Standard Deviation: Standard deviation calculated for all PEF values in L/min.

Morning Average: Average of all PEF values taken in the morning in L/min.

Green zone %: Percentage of number of PEF readings in the Green zone to the total number of readings. Yellow zone %: Percentage of number of PEF readings in the Yellow zone to the total number of readings.

Red zone %: Percentage of number of PEF readings in the Red zone to the total number of readings.

Reference: The PEF value set in the eMini-Wright. This can be changed by double clicking the number in the dialogue window. See Fig.16 above.

18

double-click to alterreference number


A warning window will open, see Fig.17 below.

Fig. 17

Please Note: Reference Value should be set by your Physician. Incorrect settings could result in the incorrect medication being administered. If you choose ‘Yes’ a window will open that will allow the user to enter a value directly (0-990 L/min).

19

Troubleshooting

Problem Possible causes What to do

The program installed OK, Wrong version of Windows. Needs to be Windows XP, Vista, but will not run. OR 7 or newer. Update the computer using Windows not updated. Windows update. Some system files are Re-install files. damaged or have been deleted. Go to www.microsoft.com and install the .NET 2 framework. Make sure that you have the .NET 2 framework installed.

I get an error message The eMini-Wright is not Make sure that the eMini-Wright is when I click on the connected to the PC USB connected correctly to the PC USB port.‘Download button’: the or not fully plugged into‘Erase Memory’ button or the eMini-Wright USB. Replace the USB cable. the ‘Upload Reference’ button. The USB cable is damaged. Download the USB drivers. USB drivers are not installed correctly.

I cannot see my printer in Make sure printer is set up Contact you PC administrator. the printer list under correctly. Install the printer driver for your printer. “settings”

I click on the print button, Printer is not switched on or Switch the printer on. but nothing is printed. not plugged in. Plug printer into the mains supply and USB port on the PC. Make sure you can print the Windows test print. Follow the above, then restart the computer.

When I select the Selection is outside the Select the predicted value and ethnic Predicted value I get range of weight/height/age box for the appropriate weight, height an error message. for a particular predicted and age of the patient. value. Your Physician should set your predicted value.

Only part of the Program Program was installed in Un-install software, set screen resolution is visible. resolution below 1024 x 600. to minimum 1024 x 600. Re-install sorfware.

Fig. 18

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Appendix A Table of Predicted Values Predicted values are results from studies collected from around the world specifying details of effects of range, age, sex, ethnicity/country. These tables are reproduced from these studies for you to select the best study and to select your ethnicity/country.

Your Physician should select the best study for your condition.

The most suitable set will vary, depending upon the profile of the user/patient, including their age and ethnicity. Your Physician should tell you your predicted value. If this is not possible, you should set this to ‘none’. It is recommended that the most suitable predicted values are selected based upon these criteria.Please see the following predicted values (Fig. 19) to determine the most appropriate set of values to use for each patient.

Predicted Value Ethnic Group/Country Caucasian EthnicgroupmodificationKnudson (6-88yrs) 1983 Caucasian 100%Zapletal (6-17yrs) 1977 African 87%ERS (18-70yrs) 1993 Asian 90%Gore (18-78yrs) 1995 Rosenthal (4-19yrs) 1993

Predicted Value Ethnic Group/Country Multi-Ethnic Studies Ethnic groupPolgar (4-17yrs) 1983 Caucasian NHANES III 1977 African Morris (20-90yrs) 1993 Asian

In the tables above, the ethnic factor has no influence on the predicted values, as these are multi-ethnic studies.

Predicted Value Ethnic Group/Country NHANES III (Hankinson) Ethnic group(8-80yrs) 1999 Caucasian African-American Mexican-American

21

Appendix A continued

Table of Predicted Values

Predicted Value EthnicSpecificPadilla (40-90yrs) (6-88yrs) 2001 Latin America

Separ (6-70yrs) Spain

Pereria (20-86yrs) 2007 Brazil Ethnic Group/Country

Cruz (17-65yrs) 2004 Mexico Ethinic Specific

Hedenstrom (20-70yrs) 1986 Caucasian Sweden No Ethnic Modification

Viljanen (18-65yrs) 1981 Finland

Hibbert (8-19yrs) 1989 Caucasian

Australian

Thai (10-92yrs) 1999 Thailand

Golshan (5-82yrs) 2003 Persian Iran

Fig. 19

22

Appendix A - continued

Table of predicted norms with ranges (Metric)Name Year Ethnic Group/ Sex Age Height Weight Publi- Country (years) (cm) (kg) cation

NHANES III Caucasian Male

(Hankinson) 1999 African-American 8-80

120-200

Mexican-American Female 110-190 ERS/EGKS 1993 Caucasian Male 18-70 155-195 (Quanjer) Female 145-180 6-11 111-155

Knudson 1976 Caucasian

Male

6-85 12-24 139-193 25-85 157-196

Female

6-88 6-10 106-148

11-19 132-183 20-88 142-181Polgar 1979 Multi-Ethnic 4-17 109-170

SEPAR 6-19 100-200 15-80(Snachiz, Roca, 1986 Spanish 6-70Casan) 20-70 140-200

Rosenthal 1993 Caucasian Male

4-19 105-190

Female 110-185

Zapletal Caucasian Male

6-17 120-180

1977 Female 115-175

Pereira 2007 Brazil

Male 20-86

152-192

Female

137-182

Padilla Male

40-90 140-190

2006 Latein-amerikanisch Female

130-180

Cruz 2004 Mexican Male

17-65 149-183

Female 140-171

Hedenstrӧm 1986

Caucasian

Male

20-70

161-195 56-105

1985 Finland Female 20-70 150-183 50-94 Gore Kaukasisch / Male 19-78 158-195 (Crockett)

1995 Australisch Female 18-78 145-187

Caucasian/ Male 120-190 Hibbert

1989

Australian Female 8-19

120-176 Thai

1999

Thailand Male 10-87 125-185

(Dejsomritrutai) Female 10-92 121-184

Male 5-82 5-20 93-190

Golshan 2003 Persian / Iran 21-82 144-196

Female 5-80 5-20 93-174

21-80 139-194

Fig. 20

23

Appendix A - continued

Table of predicted norms with ranges (Imperial)

Name Year Ethnic Group/ Age Height Weight Publ. Country Range Range (ins) Range (lbs)

NHANES III 1999 Caucasian 8-80yrs M:47-79 (Hankinson) F:43-75 African-American 8-80yrs M:47-79 F:43-75 Mexican-American 8-80yrs M:47-79 F:43-75 ERS 1993 Caucasian (Quanjer) 18-70yrs M:61-77 (FR93 FCCS) F:57-70 Knudson 1976 Caucasian M:6-85yrs M:(6-11) 44-61 M:(12-24) 55-76 F:6-88yrs M:(25-85) 62-77 F:(6-10) 42-58 F:(11-19) 52-72 F:(20-88) 58-71 Polgar 1979 Multi-Ethnic 4-17yrs 43-67 SEPAR Spanish 6-70yrs M:(6-19) 39-79 M:(6-19) 33-176 (Snachiz, Roca, Casan) M:(20-70) 55-79 F:(6-19) 39-79 F:(6-19) 33-176 F:(20-70) 55-79 Rosenthal 1993 Caucasian 4-19yrs M:41-75 F:43-73 Zapletal 1983 Caucasian 6-17yrs M:47-71 F:45-69 Pereria 2007 Brazil 20-86yrs M:60-75 F:54-72 Padilla 2006 Latin America 40-90yrs M:60-75 F:54-72 Cruz 2004 Mexican (AJ Cruz) 17- 65yrs M:59-72 F:55-67 Hedenstrӧm 1986 Caucasian, Sweden M:20-70yrs M:63-77 M:123-230 1985 F: 20-70yrs F:99-207 F:110-207Viljanen 1981 Finland 18-65yrs 59-79 Gore 1995 Caucasian, Australian M:19-7yrs M:62-77 (Gore, Crockett) F:18-7yrs F:57-74 Hibbert 1989 Caucasian, Australian 8-19yrs M:47-75 F:47-69 Thai 1999 Thailand M:10-87yrs M:49-73 (Dejsomritrutai) F:10-92yrs F:48-72 Golshan 2003 Persian, Iran M:5-82yrs M:(5-20) 37-75 F:5-80yrs M:(21-82) 57-77 F:(5-20) 37-68 F:(21-80) 55-76

Fig. 21

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Symbols Explained

Consult ‘Instructions for Use’

Caution

Manufacturer

Class II Equipment

Type BF applied parts

This product complies with the essential requirements of the medical devices directive (93/42/EEC). Compliance has been verified by UK notified body per 0120 (SGS United Kingdom Ltd).

Do not dispose of with household refuse

25

Clement Clarke International Limited,Edinburgh Way,Harlow,Essex,CM20 2TT, UK.

Part no: 1903070 issue 2 7/14

Software User Guide - Haag-Streit Diagnostics€¦ · • 250Mb RAM • USB port • Keyboard and Mouse • Windows XP (SP 3), Windows Vista, Windows 7 or 8 • Screen resolution

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