BTL Cardiopoint: Service Manual
BTL Cardiopoint: Service Manual
SERVICE MANUAL
About Document
2016-11-28 2016-11-28
100 Initial version N/A
Petra Henychová Viktor Pokorný
i
Versions of Software Covered by the Document
This “Service Manual” covers below stated version of BTL CardioPoint:
2.27.xxxx 3. 6. 2016
The version of BTL CardioPoint can be found in the menu (“Help > About”).
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About Document
All service tasks stated in the service documentation can be only performed by
properly trained service personnel.
For detail or specific information from user point of view please refer to the
“Operator’s Manual”.
iii
Service Documentation Structure
Service Manual is divided into two color parts - Green and Yellow where each part is
represented by a color strip placed in the header of the document:
Green Part contains information about safety, Maintenance and basic service tasks. This
part is further divided into two subparts:
Green part describes procedures which require basic servicing skills and knowledge
every service technician should be familiar with.
Yellow Part represents the core of the document and contains common service tasks
performed on BTL CardioPoint and troubleshooting of the most frequent issues.
Service Manual Appendix contains the latest known service information and know-how
that is available to service technicians. The information is put into this section in its
original layout (e.g. “Service Bulletin”).
NOTE: Before starting using the document it is strongly recommended to make sure,
that you are using the latest available revision of the “Service Manual Appendix”.
When looking for any advice regarding to service repair please check the Appendix
chapter first as it can contain the most up-to-date information for the required repair.
Then continue with searching in the chapter Troubleshooting Guide of the “Service
Manual”.
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About Document
In case any of the respective documents (“Service Manual”, “General Instructions and
Common Service Tasks”, “Service Manual Appendix”) do not contain the required
information, or when further assistance is needed, please refer to chapter
Technical Support Contact.
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BTL CARDIOPOINT
TABLE OF CONTENTS
vii
1 Structure of BTL CardioPoint ................................................................................................... 1-1
4 Licensing....................................................................................................................................... 4-1
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6.2 Troubleshooting ................................................................................................................. 6-4
ix
x
BTL CARDIOPOINT
1 STRUCTURE OF BTL
CARDIOPOINT
1-1
1.1 Introduction
BTL CardioPoint is software used for processing of cardiology and spirometry
examinations. BTL CardioPoint is designed to record, evaluate, store and archive the
examination data and also works as a patient database.
1.2 Modules
The BTL CardioPoint system includes five separate modules: BTL CardioPoint – Holter
(further referred as Holter module), BTL CardioPoint – ECG (further referred as
ECG module), BTL CardioPoint – Ergo (further referred as Ergo module),
BTL CardioPoint – Spiro (further referred as Spiro module) and BTL CardioPoint – ABPM
(further referred as ABPM module).
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Structure of BTL CardioPoint
2.27.24476.0
Each version of BTL CardioPoint is able to be directly updated to the current version.
Downgrade to older version is not supported and not recommended.
1.3.1 Predecessors
The first software designed for recording and evaluation of cardiology examinations was
BTL-08 WIN. Update of BTL-08 WIN to BTL CardioPoint is not supported. Only
10 seconds long ECG records are transferable to BTL CardioPoint.
BTL-08 MEW is a direct predecessor of BTL CardioPoint. BTL-08 MEW was replaced by
BTL CardioPoint in version 2.19.xxxx. Direct update of BTL-08 MEW to BTL CardioPoint is
supported without any limitations.
1-3
1.4 Data Storage
Recorded examination data, patient details and other information are organized in three
storages.
Central data storage (further referred as CDS) is a shared storage. The examination data
in the CDS are compressed and stored in a MEWZIP files. CDS is present in local PC (in
case of Local installation) or in shared storage in Main PC (in case of Network
installation).
Database contains records about patients, examinations and other system information.
BTL CardioPoint uses two different database systems depending on the type of the
installation – SQLite (for Local installation) and MySQL (for Network installation).
The examination data are transferred between the User edited folder and the CDS.
Information about current location of the data is saved in the Database.
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Structure of BTL CardioPoint
HOLTER MODULE
• BTL-08 Holter
ECG MODULE
• BTL-08 ECG Sx/Mx/Lx except of SD1, S1 and ECGs made
before year 2000
• BTL-08 ECG Sx does not send information about detected
pacemaker to BTL CardioPoint
ERGO MODULE
• BTL-08 ECG Sx/Mx/Lx except of SD1, S1 and ECGs made before year 2000
• Treadmills and ergometers from list of compatible stress-test devices (find the list
on the BTL service server)
• Non-invasive blood pressure monitors (NIBPM) Suntech Tango+ and Suntech
Tango M2
SPIRO MODULE
• BTL-08 Spiro Pro pneumotachograph
ABPM MODULE
• BTL-08 ABPM Holter
1-5
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BTL CARDIOPOINT
2 INSTALLATION
2-1
2.1 System Requirements
Minimum Recommended
CPU Intel Core i3 2.6 GHz dual-core Intel Core i3 2.6 GHz dual-core
RAM 1 GB 3 GB
Graphics card Any Intel HD Graphics 4000
Display 8” and 1600x900 px 22” and 1920x1080 px
Free space on HDD 6 GB 20 GB or more
DVD-ROM Drive NO YES
As Holter module processes and analyses sizeable record, its hardware requirements are
higher compared to other modules.
• Holter 2
• ECG 1
• Ergo 3 (5 in case of additional Devices, e.g. NIBPM)
• Spiro 1
• ABPM 1
In case PC does not cover required number of USB ports, it is recommended to use
a powered USB hub.
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Installation
For proper operation of BTL CardioPoint it is necessary to have the .NET Framework 4.0
installed. When installing BTL CardioPoint on PC with Windows 7, .NET Framework 4.0
may be required to be installed. In Windows 8, 8.1 and 10 the .NET Framework 4.0 is
present by default.
In case the installation of .NET Framework 4.0 is needed, instructions appearing during
the BTL CardioPoint installation should be followed. The PC will be restarted after
confirmation as soon as the installation of the .NET Framework is finished. After the
restart, installation of BTL CardioPoint continues automatically.
2-3
2.2 BTL CardioPoint Installation
There are two types of the BTL CardioPoint installation – Local or Network – depending
on intended use of BTL CardioPoint and need of data sharing.
Local installation is used for a medical facility with one PC where data are not needed to
be shared. Recording, evaluating and storing of data is performed on one PC. All data
storages - User edited folder, CDS and Database are present there. Local installation uses
SQLite Database.
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Installation
Network installation involves multiple PCs in a medical facility where the data are
shared among the PCs. In Network installation, there are two types of the stations –
Main PC and Next PC.
Main PC acts as a server in the BTL CardioPoint network and therefore has to be
accessible for all PCs in the BTL CardioPoint network at all times. Main PC contains all
data storages – User edited folder, CDS and Database. CDS may be located in Main PC or
in the dedicated server which is archived regularly and has larger data capacity. Main PC
can be used for recording and common work with the examination as well.
Next PC contains only User edited folder and accesses Database and CDS on Main PC.
Next PC is therefore used only for recording and evaluating of the data.
Main PC
Next PCs
Network installation uses MySQL Database. In case the installation type should be
changed from Local to Network, the Database must be migrated from SQLite to MySQL
(see subsection 2.4.3 Advanced Options).
2-5
The most important steps of each installation are shown in the following diagram.
Type of installation
SQLite MySQL
Export Import
Finished
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Installation
Insert the BTL CardioPoint installation DVD into DVD drive or mount .iso file as a virtual
drive and run the “setup.exe” application located in the root directory of the DVD.
(A) Before installation close other applications to allow updating relevant system files
without need of reboot the PC. Continue by clicking the “Next” button.
.A. .B.
(C) The option “Local only” is preselected automatically, click the “Next” button.
(D) The option “Install” is preselected automatically when the installation is performed for
the first time. Continue in the installation by clicking the “Next” button.
.C. .D.
2-7
(E) The “Local only” type of installation is preselected automatically. By selecting
“Local only + DEMO”, ECG and Spiro atlases will be installed (see subsection
2.4.3 Advanced Options).
Additional components can be installed later from the installation DVD. Click the “Install”
button to start the installation process.
.E.
(F) The BTL CardioPoint SQLite engine setup is started automatically. Set location of
SQLite engine installation.
(G) Set location of Database data directory. It is recommended to keep default setting of
paths. Confirm the setup by clicking the “Next” button.
.F. .G.
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Installation
(H) The BTL CardioPoint setup is started automatically after successful installation of the
Database. Set location of the BTL CardioPoint software installation.
(I) Set location of application data directory. It is recommended to keep default setting of
paths. Confirm the setup by clicking the “Next” button.
.H. .I.
(J) Select which shortcuts should be created. Keep the option “Help improve
BTL CardioPoint” ticked. BTL CardioPoint is reporting region and version of installation to
BTL. No information about users, patients and examinations is included. Click the “Install”
button to continue.
.J.
2-9
(K) During the installation process plugins are installed automatically except of the HL7
plugin. If HL7 plugin is going to be used for communication with hospital information
systems, Java Runtime Environment should be installed at first. In case Java Runtime
Environment is already present in the PC, HL7 plugin will be installed automatically.
.K. .L.
(M) Set the folder where CDS will be stored. Default folder is set automatically. In case
CDS is created in a network location (e.g. external server) or in a folder with limited
access, it is recommended to test the availability by clicking the “CDS test write” button.
If the test does not pass, ensure availability of the folder, rights for access or select
another location.
.M.
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Installation
(N) Set department name and contact details. Highlighted fields are mandatory. The
department name and contact details will be visible on reports.
.N.
(O) Create user account. User name (first name and surname) will be visible on reports,
highlighted fields are mandatory. Other users can be added now or later in
BTL CardioPoint (see section 5.2 User Accounts Management).
.O.
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(P) If missing, Adobe Reader is installed to allow viewing PDF reports.
(Q) When the installation is finished, it is highly recommended to add an exception into
the antivirus software for the BTL folder. The folder is located by default in:
Specific procedure of adding the exception varies according to the antivirus software
manufacturer. Please find the guideline on manufacturer’s website.
.P. .Q.
Insert the BTL CardioPoint installation DVD into DVD drive or mount .iso file as a virtual
drive and run the “setup.exe” application located in the root directory of the DVD.
NOTE: Network installation of the Main PC must be finished before the installation
of the Next PC is started.
All PCs must be in the same network and workgroup/domain. Shared folders in the
network must be accessible and visible.
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Installation
(A) Before installation close other applications to allow updating relevant system files
without need of reboot the PC. Continue by clicking the “Next” button.
.A. .B.
(C) Select the “Network” option and click the “Next” button.
(D) Continue in the installation by clicking the “Next” button.
.C. .D.
2-13
(E) “Network – main PC” type of installation is preselected automatically. By selecting
“Network – main PC + DEMO”, ECG and Spiro atlases will be installed (see subsection
2.4.3 Advanced Options).
.E. .F.
(G) The BTL CardioPoint MySQL engine setup is started automatically. Set location of
MySQL engine installation.
(H) Set location of Database data directory. It is recommended to keep default setting of
paths. Confirm the setup by clicking the “Next” button.
.G. .H.
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Installation
(I) Tick the “Advanced installation” in case the Service name and the database port
(for MySQL communication) should be modified in step (J).
.I. .J.
(K) The BTL CardioPoint setup is started automatically after successful installation of
the Database. Set location of the BTL CardioPoint software installation.
(L) Set location of application data directory. It is recommended to keep default setting of
paths. Confirm the setup by clicking the “Next” button.
.K. .L.
2-15
(M) Select which shortcuts should be created. Keep the option “Help improve
BTL CardioPoint” ticked. BTL CardioPoint is reporting region and version of installation to
BTL. No information about users, patients and examinations is included. Click the “Install”
button to continue.
.M.
(N) If HL7 plugin is going to be used for communication with hospital information
systems, confirm installation of Java Runtime Environment.
.N. .O.
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Installation
(P) Set a folder where a Connection string will be exported to. The Connection string is
an encrypted XML document which allows the Next PC to connect to the Database in the
Main PC. It is unique for each Main PC and contains name of the PC and login details to
the Database.
A file with the Connection string is exported to the root folder C:\ by default. It is
beneficial to export the Connection string directly to USB drive for easier transfer to the
Next PC.
NOTE: The file with Connection string must be transferred into the Next PC via USB
drive, email or another suitable way before the installation of the Next PC. During
the installation of the Next PC the Connection string file is asked to be inserted.
.P.
(Q) Set the folder where CDS will be stored. Default folder is set automatically. Make sure
that the checkbox “Share CDS” is ticked. In case CDS is created in a network location or
in a folder with limited access, it is recommended to test the availability by clicking
the “CDS test write” button. If the test does not pass, check availability of the folder,
rights for access or select another location.
2-17
.Q.
(R) Set department name and contact details. Highlighted fields are mandatory. The
department name and contact details will be visible on reports.
.R.
(S) Create user account. User name (first name and surname) will be visible on reports,
highlighted fields are mandatory. Other users can be added now or later in BTL
CardioPoint (see section 5.2 User Accounts Management).
.S.
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Installation
.T. .U.
Insert the BTL CardioPoint installation DVD into DVD drive or mount .iso file as a virtual
drive and run the “setup.exe” application located in the root directory of the DVD.
NOTE: Before installation of the Next PC, installation of the Main PC must be
finished. Make sure that the Main PC is switched ON and accessible during the
installation of the Next PC.
The Connection string file exported from the Main PC should be prepared.
All PCs must be in the same network and workgroup/domain. Shared folders in the
network must be accessible.
2-19
(A) Before installation close other applications to allow updating relevant system files
without need of reboot the PC. Continue by clicking the “Next” button.
.A. .B.
(C) Select the “Network” option and click the “Next” button.
.C. .D.
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Installation
.E. .F.
(G) The Next PC uses the Database of the Main PC and therefore the Database
installation is not performed for the Next PC. The BTL CardioPoint setup is started
automatically. Set location of the BTL CardioPoint software installation.
(H) Set location of application data directory. It is recommended to keep default setting
of paths. Confirm the setup by clicking the “Next” button.
.G. .H.
2-21
(I) Import the Connection string file which was exported on the Main PC (see subsection
2.2.2 Network Installation of Main PC step (P).
In case the Connection string is not available, export it from the Main PC using
“MewMySqlExportCS” tool located in the MEW folder (see subsection 5.1.2 MEW Folder)
and transferred to the Next PC.
(J) Select which shortcuts should be created. Keep the option “Help improve
BTL CardioPoint” ticked. BTL CardioPoint is reporting region and version of installation to
BTL. No information about users, patients and examinations is included. Click the “Install”
button to continue.
.I. .J.
(K) If HL7 plugin is going to be used for communication with hospital information
systems, confirm installation of Java Runtime Environment.
.K. .L.
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Installation
(N) When the installation is finished, it is highly recommended to add an exception into
the antivirus software for the BTL folder. The folder is located by default in:
.M. .N.
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2.3 BTL CardioPoint Update
Update of BTL CardioPoint to the current version is performed from the installation DVD
without a need of the complete reinstallation. Alternatively, BTL CardioPoint can be
updated to the same version in case of functionality issues. The update restores
damaged or missing components which may have caused the error.
To perform the update, insert the BTL CardioPoint installation DVD into DVD drive
or mount .iso file as a virtual drive and run “setup.exe” application located in the root
directory of the DVD. Confirm the license agreement and continue.
In the window shown below, the option “Update” is preselected automatically when
the application is already installed in PC. Click the “Next” button to start the update
process.
The folders, where application files are installed (e.g. MEW, Plugins folder), are
overwritten during the update. Folders, where application data are stored
(e.g. User edited folder, CDS), remain unchanged. It means that update affects factory
program settings and does not affect examination data, logs and personal settings.
Backup of the data is not necessary.
When the update is finished, it is highly recommended to add an exception into the
antivirus software for the BTL folder. The folder is located by default in:
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Installation
To access the installation options, insert the BTL CardioPoint installation DVD into DVD
drive or mount .iso file as a virtual drive and run the “setup.exe” application located in the
root directory of the DVD. Confirm the license agreement and continue.
2.4.1 Documentation
In the option “Documentation” the “Operator’s Manuals” and guidelines are available.
2.4.2 Utilities
Option “Utilities” allows additional installation of third-party components
(e.g. .NET Framework 4.0 or Acrobat Reader). All components are included in the
installation DVD and can be installed during the installation of BTL CardioPoint or later.
2-25
2.4.3 Advanced Options
Select the option “Advanced” to install other parts of BTL CardioPoint (e.g. atlases,
drivers). Find description of the options below.
BTL CARDIOPOINT
Install the database or the application separately if needed.
ATLASES
Import the examples of normal ECG and Spiro examinations and pathologies.
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Installation
DRIVERS
Drivers for the Devices connected to the PC can be installed here. Use this option if
a problem during automatic driver’s installation appears.
Besides drivers for BTL Devices, driver for Kettler Ergoline USB is also included.
PLUGINS
Following plugins are available:
Since the plugins offer variable settings, contact Technical support in case assistance
during installation and setup is needed.
2-27
BTL CARDIOPOINT LAN
The BTL CardioPoint LAN components must be installed in case WiFi&LAN module is
going to be used. The WiFi&LAN module enables connection of the BTL-08 ECG Unit
to BTL CardioPoint by WiFi or LAN.
For further information see “BTL-08 WiFi&LAN Module Operator‘s Manual &
Communications Handbook”.
NOTE: Migrated PC can serve only as Main PC in the BTL CardioPoint network.
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Installation
2.5 Uninstallation
It is recommended to use the “BTL CardioPoint total uninstall” tool to uninstall
BTL CardioPoint. The tool removes the BTL CardioPoint application, database, data and
all other components from PC.
IMPORTANT: Incompetent use of the “BTL CardioPoint uninstall” tool can lead
to loss of important data. Read carefully description of steps below and follow
the instructions given in the tool to prevent loss of patient data.
Click the “More settings” button and untick corresponding options in case the
examination data should not be archived, the MewData folder or registry should not be
deleted. For further information about MewData folder and registry see section
5.1 Important Places in PC.
The tool creates a log file during the uninstall executing. The file is saved into the same
folder where the “BTL CardioPoint total uninstall” tool is located. Send the log file to
BTL ISC (see chapter 7 Technical Support Contact) in case of troubles during the
uninstallation process.
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The “BTL CardioPoint total uninstall” tool performs the tasks in the following order:
Examinations located in Next PC, which have not been shared, are marked as
“Remote”. Find details in 3.3 Examination Access Type.
• Checking of the CDS location. If the CDS is located in the MewData folder,
warning message regarding CDS backup appears. The CDS must be copied and
archived manually because the MewData folder will be deleted later.
IMPORTANT: Skipping of manual copying of the CDS from MewData folder can
lead to loss of patient data.
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BTL CARDIOPOINT
3 EXAMINATION DATA FLOW
3.1 User Interface ......................................................................................................................... 3-2
3-1
3.1 User Interface
PATIENT LIST
Patient list allows browsing patients, filtering them or starting a new examination.
DEMO patient
In the Patient list a DEMO patient is present. The DEMO patient enables using
BTL CardioPoint without need of connection any external devices. Simulated signal is
recorded and evaluated instead. The hardware and software protections of
BTL CardioPoint (see chapter 4 Licensing) do not need to be present when using the
DEMO patient.
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Examination Data Flow
EXAMINATION LIST
Examination list contains summarized information about each examination - type of
examination, its ID, status, date and time of starting the examination and its access type.
The examination access type provides information in which data storage the examination
is present (see subsection 3.3 Examination Access Type).
3-3
3.2 Examination Status
Examination status represents a stage of processing of the examination. The status is
displayed in the Examination list.
The statuses New, Recording and Recorded are changed automatically according to the
recording progress. The statuses Partially processed and Approved are changed by user
when closing the examination.
New – New examination window was opened, but recording has not been started yet.
Some information about the examination or about the patient could have been entered.
Recorded – Examination has been recorded and loaded to BTL CardioPoint. It is possible
to view the examination record.
Partially processed – Examination was preprocessed, but final evaluation has not been
finished yet. The status partially processed is available for the Network installation only.
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Examination Data Flow
LOCAL INSTALLATION
When BTL CardioPoint is installed as Local, following examination access types occur.
Shared – Examination was compressed to MEWZIP file and moved from User edited
folder to CDS.
Archived – Examination was moved from CDS to archive (USB stick, CD etc.). It is
accessible only in case the storage media is available in PC.
NETWORK INSTALLATION
In case of Network installation there is an additional access type and specific restrictions
are applied during work with the examinations on different PCs in the BTL CardioPoint
network.
Local – Examination is present in current PC in the User edited folder and is only
accessible from current PC. Examination cannot be opened by other PCs in the
BTL CardioPoint network.
Shared – Examination was compressed to MEWZIP file and moved from User edited
folder to CDS. It is accessible by every PC in the BTL CardioPoint network.
Archived – Examination was moved from CDS to archive (USB stick, CD). It is
accessible only in case the storage media is available.
3-5
3.4 Data Flow in Examples
A basic procedure of the examination process is described below from data point of
view. The data flow is slightly different for Local and Network installation and therefore is
described separately.
LOCAL INSTALLATION
BTL CardioPoint is installed on one PC (User edited folder, CDS and Database are present
there). In this example a new patient and an examination are created by a physician. An
ECG signal is recorded; the examination is closed and shared automatically. The
examination is re-opened later for further investigation and approved again.
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Examination Data Flow
Physician closes the examination and it is Examination is moved from User edited
shared again. folder to CDS.
Modified examination overwrites the old
one in CDS.
Examination record is updated in the
Database.
3-7
NETWORK INSTALLATION
BTL CardioPoint is installed on two PCs (physician – Main PC, nurse – Next PC). Main PC
must be accessible at all times. In following example a new patient and an examination
are created; an ECG signal is recorded and closed by the nurse on the Next PC. After that
the examination is evaluated and by the physician on the Main PC and approved.
Nurse creates a new New folder is created in New patient record is created
patient. User edited. in the Database and is visible
for both nurse and physician.
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Examination Data Flow
3-9
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BTL CARDIOPOINT
4 LICENSING
4-1
4.1 General Information
The BTL CardioPoint software is secured by two means of protection - software (license
file) and hardware (hardware key). For proper operation of modules, all required
protections must be present in the PC.
The software license must be obtained from the BTL license server or from BTL ISC for
registering of BTL CardioPoint. Hardware key is delivered with the Device.
HARDWARE KEY
Hardware protection is represented by various types of hardware keys – USB stick
(for Holter and Ergo module), Spiro - USB converter (for Spiro module) and Optical - USB
converter (for ABPM module). No hardware protection is used for ECG module. Details
about hardware protection for each module are described in section 4.2 Licensing of
Modules.
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Licensing
Find detailed information about BTL license server in document “General Instructions and
Common Service Tasks” or contact BTL ISC (see chapter 7 Technical Support Contact).
The license file is delivered as a XML file which must be loaded to BTL CardioPoint to
ensure unrestricted functionality of the software. To load the license to BTL CardioPoint,
double click on the file. Dialog window confirming successful loading will appear.
Only registered modules are visible when the license file is loaded. In the example below
only Spiro module is registered and included in the license file.
HARDWARE KEY
Hardware key is always delivered with the Device. There is a separate hardware key for
each module and it is not possible to combine two hardware keys into one. For Holter
and Ergo module apart of Full key also Lite/Viewer key is available, allowing
simultaneous using of the module in network PCs. The Lite/Viewer key must be ordered
separately.
The examination reports of the unregistered modules are devalued with “Unregistered”
watermark and “Unregistered” caption in the header.
4-3
HARDWARE KEY
Details about missing hardware key for each module are described in section
4.2 Licensing of Modules.
LICENSE FILE
License file defines software edition of ECG module (C300 and C600).
HARDWARE KEY
Hardware key defines software edition of Holter module (H100, H300 and H600) and
Ergo module (E300 and E600).
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Licensing
Full key is used by an operator to start, download and evaluate the examination, write
conclusion and print the report. Additional Lite key could be obtained for medical
facilities which work with the data on more PCs in the BTL CardioPoint network. Lite key
is used by an operator to start the examination, download it to BTL CardioPoint and
preprocess it.
No restrictions.
4-5
4.2.2 ECG Module
RESTING ECG
ECG module is protected only by a license file.
In case the used license file does not contain serial number of connected ECG Device, all
leads except II are replaced by noisy signal. Label and watermark “Unregistered” is not
present.
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Licensing
Full key is used by an operator to start a new examination and evaluate it using
diagnostics tools available in the software edition. Full key enables use of ECG module
without additional ECG protection. Software edition E600 (Ergo) comes with C600 (ECG)
and software edition E300 (Ergo) comes with C300 (ECG).
Additional Viewer key exists in E600 edition and could be obtained for medical facilities
which work with the data on more PCs in the BTL CardioPoint network. Viewer key
allows opening of recorded examination with advanced features of BTL CardioPoint.
Without any key recoded examination can be opened only as E300.
No restrictions.
4-7
4.2.4 Spiro Module
Spiro module is protected by a license file and a Spiro - USB converter.
No restrictions.
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Licensing
No restrictions.
4-9
4.3 Service Key
The service key opens basic tools of Holter, Ergo and ECG module and shall be used for
service purposes only.
• Setting of BTL-08 Holter via USB, SD card or Bluetooth using BTL CardioPoint to
check functionality of communication and opening of recorded Holter
examination to check the recorded signal
• Starting of Ergo examination in BTL CardioPoint to test functionality of connected
stress devices
• Recording the ECG signal in BTL CardioPoint via connected BTL-08 ECG Units
without restriction of serial number and necessity to load a license file
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BTL CARDIOPOINT
5 COMMON TASKS
5-1
5.1 Important Places in PC
The paths to the most important folders and tools used for service tasks are described in
the following subsections.
NOTE: Never change, move or delete anything if it is not advised. It may cause loss
of patient data or malfunction of BTL CardioPoint.
• CDS – shared data storage, if the path was not changed to another location
• User edited folder – local data storage
• Configurations – settings saved by user
• Licenses – licenses loaded to BTL CardioPoint
• Logs – log files
“C:\ProgramData\BTL\MewData”
• “MEW.Main”– an .exe file which starts the BTL CardioPoint application. Its
shortcut is present in the desktop by default.
• “MEW.Import” – a tool for import of multiple examinations (see subsection
5.5.1 Importing Examinations)
• “MEW.Agent” – a tool for sharing examinations (see subsection
5.5.2 Sharing Examinations)
• “MEW.Archiver” – a tool for backup examinations (see subsection
5.5.4 Backup Examinations)
• “MEW.RecycleBin” – a tool for deleting examinations (see subsection
5.5.5 Examinations Cleanup)
• “MEW.Users” – a tool for resetting of forgotten password (see subsection
5.2.1 Forgotten Password)
• “MewMySqlExportCS” – a tool for export of the Database Connection string
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Common Tasks
In the Registry editor it is possible to check, where the BTL CardioPoint database and
application are installed (InstallPath) and where the data are stored (InstallDataPath). It is
beneficial especially when default paths have been changed and MEW or MewData
folder could not be found.
To open Registry editor type “regedit” into the Run command window in Windows OS.
Information about BTL CardioPoint is in the Registry editor located in the MEW folder.
“HKEY_LOCAL_MACHINE\SOFTWARE\Wow6432Node\MEW”
5-3
5.2 User Accounts Management
User’s or department’s accounts are created or changed in the Users administration.
User and department details are shown in examination reports.
Users administration is accessed in menu (“Settings > Manage users”). The procedure of
creating, editing and hiding of the departments is the same as for users.
If the user should no longer have the access to BTL CardioPoint, the
user account is blocked using the “Change validity” button. The
checkbox “Valid” is unticked for blocked users.
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Common Tasks
(A) Launch the “MEW.Users” tool located in the MEW folder (see subsection
5.1.2 MEW Folder). Log in as user “root”. List of all users appears. Select the user with
forgotten password and click the “Edit” button.
(B) Click the “Reset password” button to reset the forgotten password. The password is
disabled and should be changed by a user in the standard Users administration.
.A.
.B.
5-5
5.3 General Settings
General settings allow changing of features which are common for more modules.
MEASUREMENT SYSTEM
The Measurement system changes units for Ergo module. Units can be switched
between Metric (km/h) and Imperial (mph) system.
REPORT LOGO
Examination reports are customized by adding customer’s logo into a header.
Supported logo formats are PNG, BMP, JPEG, and TIFF. Recommended maximal size of
the file is 2 MB; larger logo slows down the report creation.
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Common Tasks
PRINTING
Default method for creating reports preview is drawing. Drawing method is the fastest
option. It does not use Acrobat Reader; the report is previewed directly in
BTL CardioPoint.
System default printer is automatically preselected for the report printing. Change the
default printer by unticking the check box “Use system default printer”. Any external
printer or software for creating PDF documents can be selected.
5-7
5.4 Administrator Mode
Administrator mode allows access to advanced settings of BTL CardioPoint which should
not be performed by a user.
When administrator mode is activated in any opened module, recording and evaluating
of signal is not possible.
LAYOUT
Change position of components using drag and drop function. Layout of
Patient/Examination list and also of each module is able to be customized.
When finished save the changes in (“Settings > Layout > Save Layout as Default”).
To restore default layout go to (“Settings > Layout > Reset to Factory Layout”).
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Common Tasks
Examination can be imported to BTL CardioPoint from the external data storage.
Examination is imported with last saved status. Imported data are always saved to
User edited folder and therefore their access type is Local. After importing it is necessary
to share the data (see subsection 5.5.2 Sharing Examinations).
When importing an examination, confirm the action by clicking the “Import” button in
a new dialog window.
5-9
IMPORT OF MULTIPLE EXAMINATIONS
Import multiple examinations using “MEW.Import” tool, located in the MEW folder (see
subsection 5.1.2 MEW Folder).
(A) Select multiple MEWZIP files from a folder by clicking the “Browse …” button.
Alternatively select the whole folder where MEWZIP files are stored by clicking the
“Browse CDS for MEWZIPs …” button.
.A. .B.
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Common Tasks
5-11
SHARING MULTIPLE EXAMINATIONS
Share multiple examinations using “MEW.Agent” tool, which is located in the MEW folder
(see subsection 5.1.2 MEW Folder).
Close Form
“Close examination” window is launched when closing any module. In the bookmark
“Advanced” it is possible to change examination status and change sharing options.
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Common Tasks
There are two options for sharing – “now” (examination is shared immediately when the
module is closed) and “automatically in 14 days”.
Save the combination of particular status and its sharing option as default by ticking
“Remember this combination”.
Hide the “Close examination” window by ticking “Don’t show again”. The window must
be hidden separately for each module. To show the window again, go to (“Settings >
Restore all warnings”).
Dataflow Settings
Change the global configuration of examination sharing in “Dataflow settings” wizard
separately for each module.
To access “Dataflow settings” enter the administrator mode, go to (“Setup > Edit dataflow
settings”) and move to step 2.
• Single user – examinations are shared 14 days after last opening. This option is
set automatically for the Local installation.
• Multi user – immediate – examinations are shared immediately after closing the
module. This option is set automatically for the Network installation. It allows all
users in the BTL CardioPoint network to work with the examinations immediately
after the closing.
• Multi user – suspended – examinations are shared 14 days after last opening.
This option is set automatically in the Network installation for Holter module.
Opening of shared Holter examination takes longer time then opening
examinations from User edited folder due to transferring and unpacking of large
amounts of data.
5-13
5.5.3 Exporting Examinations
Examination can be exported from BTL CardioPoint (from User edited folder or from CDS)
to selected folder and then sent to another PC. Export does not change either
examination status or examination access type.
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Common Tasks
(C) Decide whether examination data in MEWZIP file or just PDF reports will be exported.
(D) Set a destination folder and finish the export by clicking the “Next” button.
.A. .B.
.C. .D.
5-15
5.5.4 Backup Examinations
For back up of the examination use the “Backup” tool in menu (“Tools > Backup”) or click
the “Backup” icon located in the main window. Examinations will be archived according
to setting of number of days from last opening. Default value is 14 days. Target location
must be selected (folder in PC or external drive). If examinations should be deleted from
CDS after backup in order to save a space on the current local hard drive, option
“Cleanup examinations after successful backup” must be ticked. Examinations will
remain only in the storage media (USB stick, external HDD) and will be accessible when
the storage media is available.
NOTE: In the Network installation all examinations must be shared on all Next PCs
before performing the backup. Follow the instructions given in subsection
5.5.2 Sharing Examinations. Otherwise the backup may not be completed.
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Common Tasks
In “More settings” menu set cleanup options separately for each module. If examination
reports should also be deleted, the “Delete PDF report as well” must be ticked. The
backup process continues by clicking the “Backup” button.
In the confirmation dialog window that appears, optionally untick the examinations that
should not be archived. Click the “Backup” button to start the process.
The examinations are saved in MEWZIP file to subfolders according to start date of the
examination. Each year, month and date has its own subfolder. Examinations are stored
in the separate folders with a unique name assigned by the software.
5-17
5.5.5 Examinations Cleanup
Cleanup is performed when local storage is getting full. Delete archived examinations or
not archived examinations which are no longer necessary to be stored. There is also
an option to delete examination data and keep only the PDF reports
To delete the examination data permanently from BTL CardioPoint use the “Cleanup”
tool. The examination records will remain in Examination list with access type Deleted. If
the deleted examinations should not be present in Examination list, hide them according
to the instructions given in subsection 5.5.6 Hiding Items.
The “Cleanup” tool deletes examination data from all data storages (User edited folder
and CDS). If the examination was archived before, it will remain accessible from the
storage media, the examination has access type Archived. If the examination was not
archived and is deleted using “Cleanup” tool, it will not be accessible anymore and will
have access Deleted.
Launch the “Cleanup” tool either from BTL CardioPoint (“Tools > Clean up examinations”)
or by opening “MEW.RecycleBin” tool located in the MEW folder (see subsection
5.1.2 MEW Folder).
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Common Tasks
(A) Options in the “Cleanup” tool are similar to the “Backup” tool (see subsection
5.5.4 Backup Examinations). First select whether only archived or also not archived
examinations should be deleted. Then click the “More settings” button to set cleanup
options separately for each module and for PDF reports. Click the “Delete examinations”
button to continue.
(B) Optionally untick the examinations that should not be deleted, type “DELETE” to the
box to confirm the action and click the “Delete” button to start the cleanup process.
.A. .B.
5-19
5.5.6 Hiding Items
Neither examination nor patient records can be deleted from BTL CardioPoint
completely. Hiding of records from the Patient or Examination list is available.
To hide a patient, select the patient in Patient list and go to (“Patient > Hide)”.
(A) Go to (“View > Show hidden items”) and tick the option to show hidden patient and
examination records.
(C) To show the hidden patient or examination select the hidden record and go to
(“Patient/Examination > Unhide”).
(D) To hide the hidden items again, go to (“View > Show hidden items”)
and untick the option.
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Common Tasks
(A) Select patient to whom the examination should be moved and click the
“Move Examination” button.
NOTE: In case the examination should be moved to the patient who is not present in
the Patient list, create the patient before using the “Move examination to another
patient…” tool.
.A.
.B.
5-21
5.6 BTL CardioPoint Reinstallation
The reinstallation is done in case of functionality issues that were not solved by
an update to the same version. This procedure is also used when BTL CardioPoint is
moved to another PC on customer’s request. The procedure is performed by following
steps:
(A) Use the “BTL CardioPoint total uninstall” tool to remove BTL CardioPoint and all the
components from the PC (see section 2.5 Uninstallation). During the uninstallation
process, the CDS must be copied to another location when the warning message
appears. Skipping of this step may lead to loss of patient data.
IMPORTANT: Incompetent use of the “BTL CardioPoint uninstall” tool can lead
to loss of important data. Read carefully description in section 2.5 Uninstallation
and follow the instructions given in the tool to prevent loss of patient data.
(B) Install BTL CardioPoint (see section 2.2 BTL CardioPoint Installation).
.A.
.B.
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Common Tasks
(C) Use the “MEW.Import” tool (see subsection 5.5.1 Importing Examinations part Import
of multiple examinations) to import examinations which were archived during the
uninstallation process. Examinations are imported to User edited folder.
(D) Use the “MEW.Agent” tool (see subsection 5.5.2 Sharing Examinations) to share the
examinations from User edited folder to the CDS. This step should not be skipped
because the examinations in the CDS are shared and compressed.
.C.
.D.
5-23
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BTL CARDIOPOINT
6 TROUBLESHOOTING GUIDE
6-1
6.1 Troubleshooting Basics
• Installation log file contains record of activity during the installation process. To
access the log file type “%temp%/mewlog.log” into the Run command window.
• Application log files contain record of activity of BTL CardioPoint and connected
stress devices. The log files are saved into the Logs folder located in
the MewData folder (see subsection 5.1.1 MewData Folder).
NOTE: When sending the application log files to the BTL ISC, “diag” folders and
*.dmp files should be excluded. The size of these files can be excessively large and
the files provide no information for support purposes.
DO NOT
SEND!
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Troubleshooting Guide
When the Error window appears, fill in the detailed description of actions before the error
occurred and e-mail address in order to identify the error report. The report is sent to BTL
by clicking the “Send Error Report” button. Receiving the reports helps to identify and
remove hidden bugs in the software.
Before asking for support, check the Device specific “Service Manual” and “Operator’s
Manual” for a solution. After that contact BTL ISC (see chapter 7 Technical Support
Contact) to arrange the remote support online meeting.
NOTE: Always inform the BTL ISC 1 day ahead that the remote support is needed.
Otherwise the immediate remote support cannot be guaranteed.
The BTL support software is installed together with BTL CardioPoint in case of the default
installation. The BTL support is present either on desktop (BTL Support icon) or in the
QuickSupport folder (“TeamViewerQS_en” tool) which is located by default in:
6-3
6.2 Troubleshooting
IMPORTANT: Incompetent use of the “BTL CardioPoint uninstall” tool can lead
to loss of important data. Read carefully description in section 2.5 Uninstallation
and follow the instructions given in the tool to prevent loss of patient data.
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Troubleshooting Guide
In case an error occurs during the operation of BTL CardioPoint, follow these general
steps:
• Update BTL CardioPoint (to the newest released version or to the same version if
the newest released version is already installed).
• Add an exception into antivirus software for the BTL folder (follow the
instructions given in subsection 2.2.1 Local Installation step (Q)).
• Update operating system.
• Restart PC.
• If no solution has been found, contact BTL ISC (see chapter
7 Technical Support Contact) for assistance and send error report via the Error
window.
In case an error occurs while opening recorded examination, follow these steps:
ECG DEVICE
• Make sure that the export settings of the Device are correct. For further
information see “BTL CardioPoint-ECG Operator‘s Manual”.
• Check that COM port assigned to the RS232 - USB converter in PC was selected
correctly in BTL CardioPoint. For more information refer to “BTL CardioPoint-ECG
Operator‘s Manual”.
• Reconnect the Device to another USB port or connect the Device directly to the
PC without using external USB hub.
• Update operating system.
• Check the RS232 - USB converter drivers; install/update/reinstall them if needed.
The drivers are available on the installation DVD (see subsection 2.4.3 Advanced
Options).
• Replace RS232 - USB converter/USB A-A cable.
6-5
• If no solution has been found, contact BTL ISC (see chapter
7 Technical Support Contact) for assistance.
HOLTER DEVICE
• Check the condition of batteries in the Device and make sure that the Device is
turned ON.
• USB: Reconnect the Device to another USB port or connect the Device directly to
the PC without using external USB hub.
• Check the Device drivers; install/update/reinstall them if needed. The drivers are
available on the installation DVD (see subsection 2.4.3 Advanced Options).
• Update operating system.
• Replace USB cable.
• If no solution has been found, contact BTL ISC (see chapter
7 Technical Support Contact) for assistance.
SPIRO DEVICE
• Reconnect the Device to another USB port or connect the Device directly to the
PC without using external USB hub.
• Check the Device drivers; install/update/reinstall them if needed. The drivers are
available on the installation DVD (see subsection 2.4.3 Advanced Options).
• Update operating system.
• Replace Spiro - USB converter.
• If no solution has been found, contact BTL ISC (see chapter
7 Technical Support Contact) for assistance.
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Troubleshooting Guide
ABPM DEVICE
• Update BTL CardioPoint to the newest released version or to the same version if
the newest released version is already installed.
• Check the condition of batteries in the Device.
• Reconnect the Device to another USB port or connect the Device directly to the
PC without using external USB hub.
• Update operating system.
• Check the Device drivers; install/update/reinstall them if needed. The drivers are
available on the installation DVD (see subsection 2.4.3 Advanced Options).
• Restart the PC.
• Replace the Optical - USB converter (both USB adapter and optical cable).
• If no solution has been found, contact BTL ISC (see chapter
7 Technical Support Contact) for assistance.
STRESS DEVICE
• Make sure that the safety button on BTL Treadmill is not pressed.
• Check that COM port assigned to the RS232 - USB converter in PC was selected
correctly in BTL CardioPoint.
• Make sure that appropriate communication protocol for used stress device is
selected in BTL CardioPoint.
• Reboot the stress device. Especially for BTL Treadmill 870/770 note that the
stress device should be turned OFF for about 20 seconds to discharge internal
power sources and reset communication module.
• In case the stress device is connected to PC via serial cable, replace it by
RS232 - USB converter.
• Reconnect the Device to another USB port or connect the Device directly to the
PC without using external USB hub.
• Check the RS232 - USB converter drivers; install/update them if needed. The
drivers are available on the installation DVD (see subsection 2.4.3 Advanced
Options).
• Replace RS232 - USB converter.
• In case the stress device is connected using USB cable, check the drivers for
stress device.
• Update operating system.
• Replace interconnecting serial cable.
• If no solution has been found, contact BTL ISC (see chapter
7 Technical Support Contact) for assistance.
6-7
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BTL CARDIOPOINT
7 TECHNICAL SUPPORT CONTACT
7-1
Please prepare following information with any service enquiry:
• Operating system.
• Serial number of the Device, Device model, type and firmware version if
available.
• Application log files. Send all log files except “diag” folders and *.dmp files
(see subsection 6.1.1 Log Files).
NOTE: For screen shots of PC windows use preferably print screen function to
achieve high quality images.
E-mail: service@btlnet.com
Address:
4002 Plovdiv
Bulgaria
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BTL CARDIOPOINT
8 INDEX
8-1
abpm module ........................ 1-2, 1-5, 4-10 measurement system ............................. 5-6
access type ............................................... 3-5 medicus plugin ...................................... 2-27
accessories ................................................... iii mew folder ................................................ 5-2
address....................................................... 7-2 mewdata folder ........................................ 5-2
administrator mode ................................ 5-8 mewzip file ..........................1-4, 5-11, 5-18
appendix ......................................................... v minimal number of usb ports ............... 2-2
application log files ................................. 6-2 missing license ......................................... 4-4
automatic sharing ........................ 5-9, 5-12 modules...................................................... 1-2
backup...................................................... 5-17 multiple hardware keys ................. 4-4, 4-5
btl license server.............................. 4-2, 4-4 mysql........................................................... 1-4
btl service server ..................................... 1-5 network installation................ 2-4, 2-5, 3-9
btl support software ............................... 6-3 network installation of main pc. 2-4, 2-12
CDS (central data storage)... 1-4, 3-5, 5-2 network installation of next pc .. 2-4, 2-19
color parts .....................................................iv next pc ............................................... 2-4, 2-5
compatible devices ................................. 1-5 nibpm .......................................................... 1-5
compatible OS ......................................... 2-3 noisy leads ................................................. 4-7
connection string export ............ 2-17, 5-3 optical - usb converter ................. 4-2, 4-10
connection string import . 2-19, 2-22, 6-4 password reset ......................................... 5-5
contact ....................................................... 7-2 patient list .................................................. 3-2
database ................................... 1-4, 2-4, 2-5 pdf plugin ................................................ 2-27
database location .................................... 5-3 phone .......................................................... 7-2
device ............................................................. iii plugins ..................................................... 2-27
device compatibility................................ 1-5 printing method settings ....................... 5-7
dicom........................................................ 2-27 remote support.............................. 2-28, 6-3
drivers....................................................... 2-27 report ......................................... 4-2, 4-4, 5-4
ecg module .............................. 1-2, 1-5, 4-7 report logo setting ................................... 5-6
ergo module ............................ 1-2, 1-5, 4-8 sds (sudden death screening) ..... 1-2, 4-7
error window ............................................ 6-3 service bulletin ............................................ iv
examination access type ....................... 3-5 service documentation structure............ iv
examination list............ 3-3, 3-4, 3-5, 5-22 service key .............................................. 4-11
examination status.................................. 3-4 service manual ............................................ iv
forgotten password ................................ 5-5 service manual appendix .......................... iv
full key ....................................... 4-4, 4-6, 4-8 software edition ....................................... 4-5
gdt plugin ................................................ 2-27 software protection ................................. 4-2
green part ......................................................iv software requirements ........................... 2-3
hardware key ............................................ 4-2 spiro - usb converter ............................... 4-2
hardware requirements ......................... 2-2 spiro module ............................ 1-2, 1-5, 4-9
hidden items ........................................... 5-21 sqlite ............................................................ 1-4
hl7 plugin .............. 2-10, 2-16, 2-22, 2-27 sudden death screening ........................ 4-7
holter module .......................... 1-2, 1-5, 4-6 total uninstall tool ...................... 2-29, 5-23
installation log file ................................... 6-2 uninstall tool................................ 2-29, 5-23
license file.................................................. 4-2 unit.................................................................. iii
lite key ................................................ 4-4, 4-6 unregistered modules............................. 4-4
local installation ...................... 2-4, 2-7, 3-7 user accounts ........................................... 5-4
local to network migration .................. 2-28 user edited folder .................... 1-4, 3-5, 5-2
log files ............................................... 5-2, 6-2 viewer key......................................... 4-4, 4-8
logo settings ............................................. 5-6 wifi&lan module .................................... 2-28
main pc .............................................. 2-4, 2-5 yellow part .................................................... iv
8-2
BTL CARDIOPOINT
9 APPENDIX
9-1
The Appendix is kept as an external document “Service Manual Appendix”. As it can be a
subject of frequent changes. After printing, the Appendix becomes this latest chapter.
9-2 590-82ServiceManualEN100
9.1 Requirements and Recommendations for Installation
PREREQUISITIES
• All PCs must be in the same network and workgroup/domain.
o PCs must be connected to the same network.
o Check if the PCs are in the same workgroup/domain: (“Control panel >
System and Security > System > Computer name, domain and workgroup
settings”)
• Check communication among all PCs using “ping” command.
o Type “cmd” in the Run window to launch the Command Prompt.
9-3
• Default value of MySQL database port is 64202.
o The port can be changed during the installation process. Contact IT
department in case of a ports collision in the network.
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Fill in details
assigned by IT
9-5
9.2 How to Change the Installation of BTL CardioPoint from Local to
Network
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9.2.3 Database Migration
Start the migration process as soon as type of the database is checked (and the backup
of examination data is finished).
• Insert the BTL CardioPoint installation DVD into DVD drive or mount .iso file as
a virtual drive. Select “Advanced” and click the “Next” button, then click
the “SQLite to MySQL migration”.
• Enter password and click the “Next” button. Then click the “Install” button to start
the MySQL database installation.
9-7
9.2.4 Post Migration Steps
When the migration process is finished, optionally export Connection string and share
CDS.
• At the end of the migration process, the Post migration steps window is opened
automatically.
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• Share CDS folder
o CDS folder has to be shared on the network to enable access for the Next
PCs.
Select the destination folder, where the connection string will be exported to. Then
transfer the connection string to the Next PC.
9-9
9.3 How to Change License Name Shown in Reports
The name from license (A) is shown in reports created in BTL CardioPoint (B). To change
the name in the reports, delete the original license file and reload a new one with
changed name.
• Obtain license file with correct name from the BTL license server or from BTL ISC.
Backup contents of the Licences folder. The Licences folder is located in the
MewData folder.
“C:\ProgramData\BTL\MewData\Licences”
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• Delete all files located in the Licenses folder.
o DO NOT delete the Licenses folder itself.
• Install the correct registered license file obtained for the customer by double-
clicking the file.
• Check that the label “Unregistered” is not present in BTL CardioPoint.
9-11
9.4 Connection of SunTech Tango M2 to BTL CardioPoint-ERGO
• Connect the SunTech Tango M2 to PC using the USB A-B cable. The cable is
included in standard packing.
• Install the SunTech Tango M2 driver manually from enclosed CD or from the
BTL service server. To install the driver:
o Open the Device manager in PC.
o Right-click on the device and select “Update Driver Software…”.
o Select the folder where the driver is stored and follow further instructions.
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• Set the SunTech Tango M2 to exercise mode. It is indicated by a green “running
man” icon.
• Set the BP device features in BTL CardioPoint according to the picture below.
Select BP device.
Select option
Automatic measure to
allow BTL CardioPoint
automatic measuring
of blood pressure.
BP device:
The SunTech Tango is
an independent BP
measurement device.
• Save the configuration by clicking the “Save device” button and close the window
by clicking the “OK” button. The setting is saved for starting of a new stress test.
Check whether the automatic BP measurement is correctly performed during the stress
test.
9-13