User Manual for

ViScope & ViScope MD

“dynamic auscultation™” – see what you hear

EC REP

MDSS GmbH
Schiffgraben 41
0197 30175 Hannover,
GERMANY

0602-50001-007
 Table of Contents Pages

Key Features 2
.....................................................................................................................................................................................................
Expectations of Use 2
.....................................................................................................................................................................................................
General Cautionary Notice 2
.....................................................................................................................................................................................................
Battery Precautionary Note 2
.....................................................................................................................................................................................................
Disposal of Lithium lon Battery 2
.....................................................................................................................................................................................................
User Assistance 3
.....................................................................................................................................................................................................
Identifying Parts and Controls 3
.....................................................................................................................................................................................................
Control symbols and their functions 3
.....................................................................................................................................................................................................
Battery Installation 4
.....................................................................................................................................................................................................
Instruction for Use 4
Turning the ViScope ON
Initial screen after turning on the ViScope
Screen icons and symbols with descriptions
.....................................................................................................................................................................................................
Headset Positioning 5
.....................................................................................................................................................................................................
Turning the ViScope ON 6
Auscultating on Different Patients
.....................................................................................................................................................................................................
To adjust visual gain/amplitude 6
.....................................................................................................................................................................................................
Using the ViScopeMD (Optional) 7
To Transfer Data to a Computer
System Requirements for the ViScope software
To Record Heart Sound Waveforms in the ViScope/PC
To View the Saved Waveforms
.....................................................................................................................................................................................................
General Instructions 9
Battery Power Saving Features
Recharging Batteries
Turning the ViScope off
Auscultating other sounds
.....................................................................................................................................................................................................
Cleaning Instruction 9
.....................................................................................................................................................................................................
Diaphragm Replacement 9
.....................................................................................................................................................................................................
Storage 10
.....................................................................................................................................................................................................
Accessories 10
.....................................................................................................................................................................................................
Technical Specifications 10
.....................................................................................................................................................................................................
International Regulatory Standards 11
.....................................................................................................................................................................................................
Trouble shooting 11
ViScope does not turn on when the power key is pressed.
Unable to see anything on the LCD display
Unexpected behavior
.....................................................................................................................................................................................................
Error codes, causes and solutions 12
.....................................................................................................................................................................................................
User Assurance Tests 12
.....................................................................................................................................................................................................
Auscultation Points 14
.....................................................................................................................................................................................................
Auscultation Points for Specific Abnormality 14
.....................................................................................................................................................................................................
Indicative Waveforms of Different Anomalies 15

1
 Congratulations and thank you for choosing the ViScope Visual Stethoscope empowering
medical professions with “dynamic auscultation™” the ability to “see what you hear”
Manufactured by HD Medical (HDM), ViScope delivers the following powerful features:

...............................................................................................................................

Key Features
• Integrated visual display showing the heart’s activity in real-time
• Easily switch between Bell, Diaphragm and Wide modes for audio
• Adjustable Audio with multiple levels of amplification
• “Screen freeze” options to capture, save and transfer heart sound
waveforms - ViScope MD
• Rechargeable Li-ion battery for continuous use
Expectations of Use
The ViScope Visual Stethoscope is intended for use by trained clinicians

• It can be used for the audio and visual output of heart sounds
• It is intended to provide accurate detection of other body sounds while reducing
environmental sounds
• It is not intended for home use
• It is not intended for continuous monitoring
• It is not intended for use except as indicated.

This icon marks warnings.

To prevent possible injury, read all warnings
CAUTION before using this HD Medical product.

General Cautionary Notice

• Review the user manual and become familiar with your ViScope before using it.
• Failure to follow the directions given in this manual could result in damage to the
device and/or possible injury to the user/patient.
• Failure to follow operating and maintenance instructions, listed in the manual
could result in malfunction of the device.
• The device is not recommended for use in the presence of equipment producing
strong electromagnetic radiation/MRI as it may affect the device functionality.
• Do not place the device on wet surfaces. Allowing the chestpiece diaphragm to
come into contact with liquids will affect the device functionality.
• Do not use the device on open wounds or on chest during surgeries.
• The chestpiece diaphragm should be cleaned after each use, while the device’s
body should be cleaned at the end of each day. Use only a soft clean cloth or
alcohol wipe to clean it
• Do not immerse the device in water or any other liquid for cleaning or
sterilization processes.
• Do not use any sharp pointed tool to reset the device.

Battery Precautionary Note

ViScope uses a custom made Li-ion battery and charger. Using any other battery and/or
charger will void the warranty. Observe proper precautions when
handling batteries. Use only batteries approved by HD Medical.

• Do not expose the battery to a flame or excessive heat, immerse in or expose to

water, short the terminals or disassemble the battery as doing so could
damage the battery cause fire, injury or environmental contamination.
• Liquid leaking from the battery can cause skin burns or damage the ViScope.
• If the battery leaks inside the instrument, return the ViScope to the nearest
service center.
• Remove the battery during shipment or if the device is going to be stored or
unused for an extended period of time

Disposal of Lithium lon Battery

For disposal of the battery, follow the procedures as stipulated by the local
governing authority.

2
User Assistance
If you experience any problem with the ViScope Visual Stethoscope, do not attempt to
repair it yourself. Please notify:

HD Medical
India USA
No.11, East Coast Road, Kanathur 818 Kifer Road
Chennai - 603 112 Sunnyvale, CA 94086
Tamil Nadu, INDIA Telephone/Fax: +1 408-338-6244
Telephone: +91-44-31904771

Email: service@hdmedicalgroup.com
website: www.hdmedicalgroup.com

.................................................................................................................................................

Identifying Parts and Controls

1 9

2 1 LCD
3
2 Battery charging status indicator
4
3 Audio toggle key
4 Freeze key
5 Power key
6 Chestpiece / Diaphragm
7 7 Charger connection slot (mini USB)
5 8 8 3 - Way key
6 9 Only for ViScope MD

.................................................................................................................................................

10
11
10 Reset key
11 Battery Screw

Control symbols and their functions:

Symbols Function
Power Key to Turn the device ON/OFF
Freeze/Unfreeze key to Freeze/Unfreeze
displayed screen content
Audio toggle key - To change the audio
between bell, Dia and Wide modes
3 - way key - To increase/decrease
audio/visual output
To reset the device

3
Battery Installation
Be sure the battery is
inserted correctly into the
battery compartment and
has been charged for 5 hours
before using the ViScope
Visual Stethoscope for the
first time.
Use a screw driver to open the battery Insert the battery connector as shown
compartment as shown in the picture in the picture.

Folding the leads under, carefully install Place the battery cover as shown in the Tighten the screw.
the battery as shown in the picture. picture.

Instruction for Use

Turning the ViScope ON
1 Press and hold the power key for 3 seconds to turn ON.
2 Notice that after the display turns on, the screen shows the following icons:

Initial screen after turning on the ViScope

Display Gain Battery
Volume Status

Screen icons and symbols with descriptions:

Icons & Description of Icons and
Symbols Symbols

Warning! Refer to the accompanying document

Power Class II Internally Powered(battery operated)

Type BF Applied Part

IFU - Instruction For Use

All 3 bars present - Full charge

2 bars present - Medium charge

1 bar present - Reduced charge

4
 Icons &
Description of Icons and Symbols
Symbols
No bar present - Low Battery - Battery icon starts
blinking battery power will be available for the next
20 minutes only

Medium (default) audio volume

Loud audio volume

Low audio volume

Bell mode

Diaphragm mode

Wide mode (Extended Lung sounds)

Visual signal gain

Transfer stored waveform to the computer

To view the previous stored waveform

To view the next stored waveform

Recording is in progress 1st Screen

Recording is in progress 2nd Screen

Recording is in progress 3rd Screen

Recording is in progress 4th Screen

IF MURMUR is displayed -
5th
“ PLEASE RECONFIRM WITH CLINICAL FINDINGS”
Screen will be displayed

Applicable for ViScope MD devices only

Headset Positioning
The headset of the ViScope is specifically designed to be comfortable to wear and use.
The eartubes are set at an angle to fit the anatomy of the typical ear canal.
The ear tips should be pointing forward as you insert them into your ear canal.
The tension of the spring in the headset can be reduced by holding each eartube at the
bend and gradually pulling apart until they are fully extended.
The tension of the spring in the headset can be increased by holding the headset
where the eartubes join the plastic tubing and squeezed until one eartube touches the
other. Repeat if necessary.

A-1 A-2 A -3 A-4 A-5

Reduce spring tension Increase spring tension Adjust the angle of the Binaural pointed forward DO NOT fold across the
binaural going into the ear canal pendant

5
Turning the ViScope ON
Delivering high definition sound quality coupled with the ability to see heart and
pulmonary sounds, the ViScope represents the next generation in stethoscopes.
The ViScope displays heart sound waveforms for quick identification of various
cardiac conditions. Take a few minutes to review using this scope and become
familiar with its controls and operation.

1. Press and hold the power key for 3 seconds to turn the device ON
Note: a. Switch off all the mobile phones near the device.
b. Remain quiet during examination with the device.
c. Keep the ambient noise to the lowest level possible.

2. Place the earpiece in your ears as shown in the previous section

3. Instruct the patient to assume the necessary posture for auscultating - sitting/
supine/side-supine
4. Select the appropriate audio mode, by pressing the audio toggle button (By
default the scope is set to audio of the Bell mode)
5. The BELL, DIA or WIDE appears when that particular mode is selected for audio
6. Seat the scope properly on the patient so the chestpiece is in full contact with
patient’s chest at one of the four main auscultation positions. For more details
on the important auscultation points, refer to page 14
7. During auscultation, you will observe two waveforms on the display
7.1 Top display shows the Murmur Signal Wave (labeled “MUR”)
7.2 Bottom display shows Heart Sound waveforms (labeled as “HS”)
8. You will hear the heart sounds through the earpiece as you auscultate

Note: Minor trace of S1 & S2 appearing in “DIA” mode is normal.

Note: It is a requirement that the patient should not breathe heavily for 3-4 seconds during auscultation.

Even when the display is in the freeze mode, the audio can still be heard.

Auscultating on Different Patients

To auscultate on difference patients, clean the chestpiece diaphragm, ensure the display
is free running, select the specific modes you want to begin with and place the
ViScope on the new patient.

To adjust visual gain/amplitude

During auscultation you may change the visual gain of the heart sound displayed.

1. To increase the gain, SCROLL the 3-way key in the direction marked as “+”
symbol. The maximum gain is indicated by ten bars on the gain icon.

2. To decrease the gain, SCROLL the 3-way key in the direction marked as “-”
symbol. The minimum gain is indicated by the single bar on the gain icon.

Note: If Record/Freeze/Unfreeze key is pressed, the last

recording will be erased. Please note the following.
ViScopeMD has been validated on adult patients
only. It is not intended for use on infants or children.
This is not a diagnostic indication but that of a possible
Murmur, clinical judgment and if needed further tests
should be done for more definitive diagnosis.

6
Using the ViScopeMD (Optional)
ViScope MD, if installed on your device, will have a “MD inside”, sticker affixed
on the device itself.

To auscultate with MD, you need to take a 10 seconds record of the heart sounds.
1. Place the chest piece as you would normally, at one of the appropriate positions
to listen to heart sounds (refer to Auscultation Points on page 14)

2. Once you have a good pickup either when listening, or a visual display, press and
release the Record/Freeze/Unfreeze key.

3. Hold the device in that position till the screen changes (should be about 10
seconds) to MURMUR / NO MURMUR / PLEASE RECORD AGAIN.

4. DO NOT MOVE THE CHEST PIECE. SILENCE SHOULD BE MAINTAINED

THROUGHOUT.

5. If the recording signal is not suitable for analysis, it will state “PLEASE RECORD
AGAIN”, in which case repeat step 2.

6. Once the 10 seconds recording time is up, you can take the device off the patient’s
chest. The device will complete the analysis, which once done will display a message
on screen. If it states “MURMUR-PLEASE CONFIRM WITH CLINICAL
FINDINGS” then, the device has detected a possible anomaly; otherwise it will state
“NO MURMUR”.

7. For viewing the recorded waveforms, refer the page 8.

8. You may now transfer to the Computer / Laptop.

9. For next auscultation press Record/Freeze/unfreezekey.

To Transfer Data to a Computer

The ViScope can be connected to a computer to transfer heart sound data that can be
used for patient record keeping, reporting and analysis as well as information sharing
or use in teaching situations. Once heart sound waveforms are transferred to a computer
multiple options are all activated for analysis including caliper and zoom visualization
functionalities. The caliper makes time duration measurements of heart sound signals
while the zoom magnifies a waveform along the horizontal for closer observation of
heart sound patterns.

Before using the data transfer capability, ensure that the computer is loaded with the
ViScope software.

System Requirements for the ViScope software

Recommended Operating System:

Windows XP | Windows Vista | Windows 7 | Windows 8

Ram Requirements: Hard Disk Requirements:

Minimum 64 MB Minimum 100 MB

7
 To Record Heart Sound Waveforms in the ViScope/PC
1. To save the acquired data press the freeze/unfreeze key and then release it when
the heart sound waveform signal that needs to be saved is displayed

2. The ViScope will respond with a screen in which the top ribbon will show
a left arrow a right arrow, a transfer icon and numbers
between the arrows as below.

3. The number appearing between the arrows indicates the waveform that will
be saved
4. Using the 3 - way key, scroll to the ‘transfer icon’ and press the 3 - way key to
transfer the waveform to the PC/Laptop

5. Unfreeze the display by pressing the freeze/unfreeze key once more

6. Repeat the steps from 1 to 5 for new heart sound waveforms

To View the Saved Waveforms

1 Press the freeze/unfreeze key to freeze the display
2 Moving to the 3 - way key select the right or left arrow
3 The number shown between the arrows is the memory location where the wave
form is saved
4 Each press of 3 - way key reveals the stored waveforms in ascending or descending
order depending on which arrow is selected
5 When ready, press the freeze/unfreeze key and the device is ready to continue
auscultating

8
General Instructions
Battery Power Saving Features
Being an electronic stethoscope, the ViScope has multiple power saving options and
features.
1. When the scope is not in active use, you can turn the backlight off to conserve
battery power, by tapping the power key. You re-activate the back-light by
tapping the power key again
2. If the ViScope senses it hasn’t been used for 3 minutes (180 seconds), the display
backlight automatically turns off. To turn it back on tap the power key once
3. If there is no activity for 6 minutes (360 seconds) the ViScope enters into its standby
mode. To turn the scope back on tap the power button once

Recharging Batteries
1 You may operate the ViScope uninterrupted as long as the battery icon shows at
least one bar. Once the icon has no bars and starts blinking, charge the scope
2 Before charging the ViScope switch it off. Using the mini USB cable Insert the
connector into the USB slot in the ViScope and plug it into an AC power outlet.
The battery charge indicator will glow “RED”
3 The ViScope takes about 4 to 5 hours to get completely charged, which can be
observed by the “GREEN” glow of the battery charge indicator
4 Once the battery power is completely drained, the scope will turn completely off.
Should this happen, charge the ViScope as described above, and restart by
pressing and holding the power key for 3 seconds

HD MEDICAL RECOMMENDS YOU DO NOT USE THE VISCOPE FOR AUSCULTATION

WHEN THE BATTERY IS BEING CHARGED. ATTEMPTING TO USE THE SCOPE WHILE
CHARGING MAY NOT BE SAFE.

CAUTION USE ONLY HDM SUPPLIED / AUTHORIZED BATTERY CHARGERS FOR CHARGING THE
BATTERY.

Turning the ViScope off

1. Turn the ViScope off by pressing and holding the power key for 3 seconds

Auscultating other sounds

Place the device at the lung/other body auscultation position and auscultate in
“DIA” Or “WIDE" modes.

Cleaning Instruction
You may be using your ViScope on a number of different patients each day.
Cleaning the chestpiece and the body of the device is imperative since failure to do so
may cause infections or allergies to be transferred to susceptible patients.

1. Ideally the chest piece diaphragm should be cleaned after each use while the
body of the ViScope should be cleaned at the end of each day
2. Use only a soft clean cloth or alcohol wipe to clean
3. Do not immerse the ViScope in water or any other form of liquid sterilization
for cleaning

Diaphragm Replacement

1. Remove the diaphragm from the chestpiece groove as shown above

2. Align the diaphragm over the chestpiece and push it up and carefully
seat it into the groove
3. Do not use a sharp tool to remove the diaphragm
4. Do not attempt to rotate the diaphragm/chestpiece which might result in it
becoming loose

9
Storage
1. Always store the device in a cool, dry place

2. It is advisable to place the device on a soft surface to avoid damage to the device
in general and to the chestpiece in particular
Accessories
USE OF ACCESSORIES NOT AUTHORISED BY HDM MAY DAMAGE THE UNIT
CAUTION

1. USB Cable (VSC060-002)

a. Mini USB Type-B Male connector to USB 4-Pin Type A Male
connector can be used to connect the device to the PC.

2. Earplugs (VSC060-003)
a. Use only HDM earplugs.
b. Use of non-HDM earplugs can result in pain in ears due to material
hardness and may degrade audio.

3. Battery (VSC060-004)
a. Rechargeable Li-Ion 3.7V, 1800 mAh

4. Battery Charger (VSC060-005) medical grade charger

a. Input: 100-240V AC, 50/60 Hz
b. Output: 5V DC, 1000 mA

Technical Specifications
Display High resolution LED backlight 240 x 160 pixels graphical monochrome
(blue) LCD

Electrical Power - 5V, 800 mA DC power supply

Battery - Rechargeable Li-Ion 3.7V, 1800 mAh

Back up of about 8 hours of continuous operation

Charger: 100-240V AC, 50/60 Hz, 5V DC, 1000 mA, medical grade
charger

Environmental
Operating temperatures: 5º C to 40º C

Storage Temperature: -10º C to + 60º C

Humidity: 20% to 80%

Physical Weight: 230 grams (approx. - including battery)

Emission compliance: EN55011, CISPR 11, Group 1

Class B

Type of protection: Internally powered

Degree of Protection: Type BF

Enclosure Degree of protection: IPX0

Biocompatibility: Device is biocompatible as per ANSI/ AAMI/ISO 10993

10
International Regulatory Standards
Immunity Basic Regulatory ViScope
Type Standard Acceptable Limits Capability

Radiated DISPR 11 Class B:2004 30 – 230MHz, 30 – 230MHz –

Emission 30dBµV/m 25.18dBµV/m
  

(Max)
230 – 1000MHz –

Harmonics IEC 61000-3-2:2005 230 – 1000MHz, Within Class A Limits

Current 37dBµV/m
Emission

Flicker IEC 61000-3-3:2005 Within Class A Limits Passed and No

Emission malfunction observed

Electrostatic IEC 61000-4-2 Short time flicker Passed and No

Discharge (10
  

Min)
  

Pst
  

≤
  

1 malfunction observed
Relative Steady
state voltage
change
  

(dc)
  

≤
  

3%
  

Max
Relative voltage change
Dmax
  

≤
  

4%
Value of D(t) during
voltage
  

change
  

≤
  

5%

Radiated IEC 61000-4-3:2006 Contact discharge Passed and No

Susceptibility up to ± 6KV malfunction observed
Air discharge
up to ± 8KV

Electrical IEC 61000-4-4:2004 80MHz – 1000MHz Passed and No

Fast Transient 3V/m malfunction observed
1-2.5GHz 3V/m

High Energy IEC 61000-4-5:2005 Spike Voltage up to ± 2KV Passed and No

Surge for Power Line and malfunction observed
up to ± 1KV Signal Line

Conducted RF IEC 61000-4-6:2004 Pulse amplitude up to Passed and No

a 1KV Differential Line to malfunction observed
Neutral

Power Frequency IEC 61000-4-8:2001 150KHz – 80 MHz : 3Vms Passed and No

Magnetic Field Field Strength: 3A/m malfunction observed

Voltage Dips & IEC 61000-4-11:2004 Short

  

interruption:
  

0%
  

of
  

 Passed and No
Interruptions AC mains for 5 sec malfunction observed
Voltage
  

dips:
  

40%
  

of
  


AC mains for 5 cycles
70%
  

of
  

MC
  

mains
  

for
  


25
  

cycles
  

0%
  

of
  

AC
  

mains
  


voltage for 0.5 cycles

Trouble shooting
ViScope does not turn on when the power key is pressed.
1. The battery could be completely drained. Charge the battery
2. If this does not work, it is possible that the battery is faulty;
Replace with a HDM approved battery available directly from HDM or an
HDM authorized reseller

Unable to see anything on the LCD display

1. In case the ViScope is subjected to large mechanical shock, it is possible that the
LCD may be damaged internally though it may not be readily visible
2. Please contact HDM or an HDM authorized reseller

Unexpected behavior
1. Please contact HDM or an HDM authorized reseller

11
Error codes, causes and solutions
Serial No Error Code Possible Reason Solution

1 Key Stuck
ViScope will be turned off
You have pressed the power
key and held it for more than
3 seconds
Release the power key
as soon as the display
turns on.
Also be sure that you
don’t press and hold
any key for more than
3 seconds.

2 RAM failure Failure of the processor Contact HDM

3 FLASH failure Failure of the processor Contact HDM

4 LOW BATTERY Battery is completely Replace the battery with

ViScope will be turned off drained and should be a new one if the battery
recharged fails to charge

User Assurance Tests

Test No. 1: Turning the ViScope on
Pre-conditions: The scope is in its off state
User Action: Press and hold the Power ON/OFF button for 3 second
Expected Outcome: The ViScope will turn on - you will see the display go
through the splash screen and then displays its ready state screen

Test No. 2: Audio mode change

Pre-conditions: The ViScope is turned on, and the audio is in the default BELL mode
User Action: Press the audio toggle button
Expected Outcome: The audio mode will change to “DIA” (diaphragm) and if pressed
again the ViScope will change to a “WIDE” audio mode

Test No. 3: Volume changes

Pre-conditions: ViScope is turned on; the volume icon is in its default medium level,
showing 2 lines after speaker icon

User Action: Press the 3 - way key once

Expected Outcome: The volume speaker icon changes to showing 3 lines. The audio
volume will be increased

User Action: Press the 3 - way key again.

Expected Outcome: The volume icon will change showing only 1 line after speaker icon.
The audio volume is decreased

Test No. 4 : Changing the gain level

Pre-conditions: The ViScope is turned on; the gain icon is at its default signal level,
showing 4 bars

User Action: Scroll the 3 - way key in the direction of the “+” sign
Expected Outcome: With each scroll, the gain level icon increases by one line
increasing the signal. Once the number of lines reaches 10, it is at the maximum level and
further scrolling will have no effect

User Action: After reaching the maximum level, scroll the 3 - way key in the direction
of the “–”.sign
Expected Outcome: With each scroll, the gain level icon decreases by 1 line and the
signal is decreased. Once the number of the lines decreases to 1, it is at the minimum
level and further scrolling will have no effect

Test No. 5: Turning the display backlight on or off

Pre-conditions: The ViScope is turned on and the display is active

User Action: Press the power key once momentarily

Expected Outcome: The display backlight is turned off

User Action: Press the power key once again

Expected Outcome: The display backlight will turn on again

12
Test No. 6: Record Waveform
Pre-conditions: The ViScope is on with a stationary trace on display.
In the top ribbon of display will be right and left arrows, a number between the arrows,
a transfer icon

a. Freeze Waveform

User Action: Press the freeze/unfreeze key once then perform the following one
after the other the following actions checking against the corresponding expected outcome
shown below
1 Tap gently on the diaphragm
2 press the Audio toggle button
3 The display with right and left arrow, a number between the arrows,
and a transfer icon

Expected Outcome:
1 No change on waveform
2 No change in mode icon and text label

b. Unfreeze Waveform

User Action: Tap the freeze/unfreeze key again and then perform the following
operations one after the other checking against the following corresponding expected
outcomes
1 Tap gently on the diaphragm
2 Press the audio toggle key
3 Press the 3 way key
4 Scroll the 3 way key to the “+” sign then scroll to the “–” sign
Expected Outcome:
1 A distortion will be seen on the displayed waveform
2 Audio mode changes and a change in the text label will be observed
3 A change in volume icon will be observed
4 Changes in the Signal Gain icon will be observed

Test No. 7: Display backlight auto timeouts

Pre-conditions: The ViScope is on

User Action: After the backlight turns off, tap the power key
Expected Outcome: The backlight turns on

User Action: Do not use the ViScope for 3 minutes

Expected Outcome: The backlight turns off

User Action: Continue not using the ViScope for another 3 minutes
Expected Outcome: The ViScope displays a message that it is entering into a standby
mode and then turns off. Press the power key to start using the device again from the
previous state

Test No. 8: ViScope transitions to sleep mode

Pre-conditions: The ViScope is on

User Action: Press and hold power on/off key for 3 seconds
Expected Outcome: ViScope displays a message that it is entering into its Sleep
mode and then turns off

Test No. 9: Charging the battery

Pre-conditions: ViScope is off

User Action: Connect the charger cord to the ViScope and plug it into the electrical outlet
Expected Outcome: During charging, the ViScope’s battery charge indicator will be RED.
As soon as charging is completed, the battery charge indicator will turn GREEN

Test No. 10: Memory options

Pre-conditions: The ViScope is on with a stationary trace on display. In the top ribbon
of display will be right and left arrows, a number between the arrows, a transfer icon

User Action: Using the 3 - way key scroll and notice the arrows, the transfer icon are
highlighted as they are scrolled over

13
Expected Outcome: If the left arrow is scrolled to and highlighted then the number
between the arrows will change in a descending order from 4 to 1 each time the 3 - way
key is pressed

If the right arrow is scrolled to and highlighted then the number between the arrows
changes in the ascending order from 1 to 4 each time the 3 - way key is pressed

When the transfer icon is scrolled to and highlighted and the 3 - way key is pressed, the
stored 4 (four) waveforms in the ViScope will be transferred to the computer that is
connected via the mini USB port

See More Patients and Improve More Lives

HD Medical promotes personal and community health through exceptional healthcare
diagnostic solutions, reinforcing its commitment to delivering “Higher Dimensions in
Healthcare”. The company’s solutions help populations gain access to healthcare
through more effective and rapid screening, while reducing personal healthcare costs
by eliminating unneeded tests such as echocardiograms. With HD Medical’s products,
healthcare professionals see more patients and improve more lives.

Auscultation Points

Aortic 2 Pulmonic
area area
3
4

Tricuspid 5
area Mitral
area

Auscultation Points for Specific Abnormality

Abnormality: Abnormality:
Aortic Stenosis S2 is loudest here Pulmonary stenosis or regurgitation

Location: Location:
2nd ICS R 2nd ICS L
Sternal border Sternal border

1
Auscultation Position for Auscultation Position for
Aortic valve 2 Pulmonary valve

Aortic valve 3 Pulmonic valve

4 Mitral valve
Tricuspid valve
5

Auscultation Position for Auscultation Position for

Tricuspid valve Mitral valve

Location: Location:
L Lower 5th ICS
Sternal border

Abnormality: Abnormality:
Tricuspid Mitral stenosis or regurgitation
S1 is loudest here

14
Indicative Waveforms of Different Anomalies

Normal Aortic Regurgitation

Atriral Septal Defect Mitral Stenosis

Patent Ductus Arteriosis Pulmonary Stenosis

S3 S4

Tricuspid Regurgitation Ventricular Septal Defect

USA - Sales Operations Australia - Corporate Office India – Research Labs

HD Medical, Inc. HD Medical Group Pty Ltd. HD Medical Services (India) Pvt. Ltd.
818 Kifer Road Level 4, 205 Pacific Highway, #11, East Coast Road, Kanathur,
Sunnyvale, CA 94086 St. Leonards, NSW 2060, Australia. Chennai 603112. INDIA.
Direct: 1.408.338.6244 Tel: +61-2-9901 8500 Tel: +91 44 3190 4771

For more information please visit: www.hdmedicalgroup.com Email: info@hdmedicalgroup.com

“Higher Dimensions in Healthcare”

15