CoroNet version 1.6 brings unprecedented flexibility to its already very competent telemetry concept, as well as a completely new review mode for presentation of arrhythmias. It also brings a unique scalability of the system, allowing compact solutions for the small clinic without need for compromising functionality. Other improvements to mention are: review and printout of alarms at the patient monitor, adaptation to monitoring in a non-ECG scenario and addition of interfaces to a number of external devices.
With Ortivus commitment to provide solutions as secure as possible, version 1.6 gives CoroNet installations approval to have an antivirus application included in all network connected components – even those dedicated to real-time monitoring.
In CoroNet the border between Bedside and Telemetry monitoring has been eliminated. The patient, even when linked to a Bedside monitor, is allowed to freely roam around the ward at the extent the medical condition permits; the equipment does not set the boundary. Due to CoroNet’s unique propriety Bluetooth based solution, seamless handover of data transmission from measuring unit to external access points can be made when the wireless link to the Bedside monitor becomes too weak. The 12-lead ECG, at full diagnostic quality, continues to flow uninterrupted and is routed back to the monitor where displayed. On the Central monitor, ECG presentation also flows continuously and in case of an alarm patient location is shown, given by the position of the access point in use. CoroNet version 1.6 brings unprecedented flexibility to the already very competent telemetry concept by making provision for handover also of the recording itself. For instance, a patient arriving to the hospital with chest-pain may be put under surveillance using a Bedside monitor. If a PCI procedure is deemed necessary, the recording can be handed over to the PCI monitor. When the PCI procedures are done, the recording can be handed back to the Bedside or to a Telemetry monitor. On the Central monitor, and when reviewing on a Workstation, the complete recording will be presented as a continuum. To the clinic this gives full flexibility in allocating the monitoring resources to where they are best needed. To the patient, it provides better means for recovery by not unnecessarily being tied to the bed.
Since the beginning, CoroNet has been the gold standard for ST-analysis by its patented MIDA algorithm which many scientific papers have been based on. With version 1.6, CoroNet sets the standard also for arrhythmia review and presentation. During review, arrhythmias can be sorted according to type or to time. They can be filtered so only the arrhythmias of interest at that time are shown; also insignificant detections can be hidden. Arrhythmias, particularly significant, can be marked and subsequently printed in the arrhythmia report. To aid the workflow at the clinic, it is possible in CoroNet version 1.6 to classify the arrhythmias as significant or insignificant at the same time as they are inspected after occurring. Thus, an updated full report of significant arrhythmias is always at hand.
CoroNet is built to accommodate for the needs of large hospitals with many different departments, where the monitoring system is integrated and serving them all – but it is also highly modular. The different components can be combined in many ways bringing a unique scalability to the system. With version 1.6, this concept has been further developed allowing for compact solutions for the small clinic without need for compromising with functionality. On one and the same computer, it is possible to support up to 10 patients monitored telemetrically, presented in a central view in real-time while, simultaneously, one of them is reviewed using the workstation application. Similarly, on a Bedside monitor while monitoring is running, it is possible to run the workstation application, although in a smaller window. It is also possible to – in detail – review events that have occurred, also for other patients, which bring its use to the level of an extended alarm watch. By this, it is not just possible to see the ongoing ECG for an alarming patient, but also reviewing the ECG that caused the alarm – without leaving the patient at hand.
Other improvements to mention are: printout of alarms at the patient monitor and adaptation to monitoring in a non-ECG scenario.
To further improve integration and connectivity, a number of additional interfaces to external devices, as ultrasound equipment, cardiac output units, etc., have been implemented. For the rehabilitation centre, a special interface to exercise machines has been implemented, allowing the patient’s heart rate to control directly the workload given.
With Ortivus commitment to provide solutions as secure as possible, CoroNet version 1.6 has been certified to have an antivirus application included in all network connected components – even those dedicated to real-time monitoring. This has been possible to achieve by using a system, SE-46, that certifies the applications that are allowed to be executed on a given computer, a technique called “white list approach”. This is compatible with critical care monitoring, as compared to standard antivirus software, which is not.
Links:
SE46 antivirus approach
Virus protection in a medical device