Rest ECG Systems

Features, Benefits, Lock Out Specs and Key Selling Points

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 Resting ECG Defined

• Resting Electrocardiogram (ECG)

– Is a diagnostic test that measures the electrical activity of the heart
– Useful for identifying the health of the heart tissue
• Is a “snap shot” test
– Takes about 5-10 minutes to perform
– Patient is lying on their back, not moving
– Clinician attaches the ECG wires and electrodes
– Resting ECG device captures ECG rhythm
– Can produce reports for physician review

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 What is a Resting ECG?

• Called a Resting ECG because the patient is “at rest,” i.e., lying still and
not moving
• For diagnosing potential problems with the heart, heart rhythm, etc.
• Used to assess the health of the heart muscle
– Is the heart getting enough blood and oxygen supply?
– Is the heart’s blood supply limited or blocked?
– Is the patient experiencing an abnormal heart rhythm?

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 ECG Rhythm Examples

Normal
Sinus
Rhythm

Atrial
Fibrillation

Ventricular
Tachycardia
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 Resting ECG Report

• An example of a normal resting ECG 12 Lead report

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 3 chanel

6 chanel

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 Mortara offers a complete line of
Electrocardiographs…

ELI 250c

ELI 230

ELI 150c
ELI 380 RScribe

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 Market Channels
RScribe Primary Mid Range Acute Care
Care Hospital Hospital
RScribe √ √
ELI 150c

ELI 230 √
ELI 230
ELI 150c √ √
ELI 250c √ √ √
CP 150 √ √
ELI 250c
ELI 280 √ √
ELI 280
ELI 380 ERGO √

ELI 380 ERGO

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 WAM: the Wireless Freedom

WAM - Wireless Acquisition Module

• For greater versatility and ease of use, a digital
front end that guarantees less noise and data
quality

• A superior feature for all models!

• Unsurpassed 40 KHz sampling rate
• Excellent Pacemaker detection
• Frequency response from 0.05 to 300 Hz
• The best in class for adults and pediatric ECG acquisition.
• Remote control keys for easy and fast ECG acquisition or Rhythm
printout.
• Lead Fail indication
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Same Features in a traditional way: AM12

• For some customers the direct cable is still a

preferred choice.

• The AM12 offers the same features as the WAM

(Sampling Rate, leadwires) but with USB
connector.

• Complete control of the electrocardiograph at the

AM12™ with ECG acquisition and rhythm print
and lead fail indication.
 What is an ECG sampling rate?

 The lower the sampling rate, the fewer amount of discrete data
points.
 Lower sample rates have a smaller data size and therefore
provide easier data storage.

 The higher the sampling rate, the higher the amount of discrete
data points.
 Higher sampling rates have a large data size and therefore may
be challenging for data storage.

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An example: What is this?
Now can you tell?
The importance of sampling rates
 Sampling rate

 The sampling rate defines the number of samples per

second taken from an analog signal to make a
discrete signal.
 In simple words: the higher the number of samples,
the closer the result to the original signal .
 Hypothetically, an endless number of samples will
reproduce the exact original signal
 Sampling rate = How often the sample is taken

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Some definitions:

The more detail, the better the information.

 Various ECG sampling rates:

 1000 samples/sec
 5000 samples/sec
 10,000 samples/sec
 40,000 samples/sec
 Down sampling = compression
 Take a high sampling rate and compress
 Up sampling = expansion
 Take a low sampling rate and expand
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 40 KHz sampling rate =
Enhanced Pacemaker Analysis
• Improves the ability of the algorithm

• Pacemaker information

Here is a short comparison between the regular front end and the
AM12/WAM

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 Quickels Connection with AM12M

• AM12M
– Facilitates direct connection to Quickels
Decapus III patient cable system.
NOTE: AM12M is not backward compatible with Quickels Decapus II or
prior.

– AM12M Part number 9293-065-50

– Adapter no longer required!

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 Clinical Excellence
Cost Focus
ECG Filtering
• Noise, artifact, and interference “wavelets” are also associated
with frequencies
• ECG filters
⁻ The degree to which the waveform data is “filtered” or
suppressed
⁻ Filtering is like editing a picture: The more filtering, the more
changes to the original picture
• Filters typically used:
⁻ 0.5-40Hz
⁻ 0.2-150Hz
⁻ 0.05-40 Hz
⁻ 0.05-150 Hz
⁻ 0.05-250 Hz
⁻ 0.05-300 Hz
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 Who guides the ECG industry?
• Every manufacturer of diagnostic Electrocardiographs must comply with
standards and
WEclinical
EXCEED guidelines
THE that define the performance of the device.
• A verySTANDARD
important parameter
ON ALLisOUR indeed the Frequency Response.
• Some of the International Standards
CARDIOGRAPHS, WITH that define the performances of Diagnostic
Electrocardiographs are IEC 60601-2-25, IEC 60601-2-51, EC-11 and others.
0,05 TO 300 Hz !
• AHA 2007 guidelines recommend 0.05 to 150 Hz bandwidth as a standard for
routine recording of 12-lead electrocardiograms.
• ACC/AHA/HRS 2007 scientific statements
recommend and upper-frequency cutoff
of at least 150Hz for adults and
250Hz for pediatrics.

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VERITAS Algorithm

VERITAS is the suite of all our algorithms

and part of it is the Resting
Interpretation portion.

Gender and AGE specific

VERITAS, incorporates ADULT and PEDIATRIC
interpretation and
it is available in all our products.

Mortara is investing a lot in the continuous

development of VERITAS!
Lead Reversal

It is well known that often electrodes can be misplaced. Mortara

has developed a LEAD REVERSAL algorithm that alerts the user
of errors BEFORE the ECG is acquired, saving time and reducing
the risks associated with this human error.

ELI Cardiographs indicate in REAL TIME errors about LIMB

electrodes, but ALSO if the CHEST electrodes are in the wrong
sequence.

The advantage? Eliminate the need to re-take an ECG due to the

wrong electrodes’ position.
BEST 10

NOISE ??
BEST 10

BEST 10 is a unique feature that automatically selects for you the

BEST 10 seconds of ECG currently in the real time memory of the
cardiograph.

How does it work?

Connect the patient and, if he/she does not cooperate, just

wait…there will be 10 seconds of clean ECG sooner or later and the
cardiograph will find it for you….

At that point the cardiograph will automatically acquire and

analyze the ECG.

GREAT and UNIQUE feature for EVERY DAY use but also non
cooperating adults and pediatric patients and in critical situations,
like Emergency Departments.
 Connectivity
• DICOM
 Mortara was the first to introduce the concept of
DICOM compatibility and allow an easy
integration of our cardiographs in infrastructures
where a PACS or EMR are present.

• PDF, XML, FDA-XML

 We can offer, for ALL our cardiographs a vast
range of solutions for connectivity, from LAN,
WLAN, USB ports, providing data output that can
satisfy most of the customer’s needs (DICOM,
XML, FDA-XML, PDF). And right out of the box!

• All of these can be created simply using the ELI LINK

 Miscellaneous Features

• Time Sync
– Our cardiographs allow time synchronization: a great tool to make sure
all the cardiographs are time-synchronized with the Hospital network.
No need to manually change time at DST!
– Syncs with ELI LINK 3.10
• Battery Operation
– The ELI series works immediately when you plug it in on AC, even if the
battery is fully depleted! Most Competitors Do Not

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 ELI 230: Entry Level ECG with superior features
• Small and portable, ELI 230 features a full
size A4 thermal writer.

• 12-lead ECG acquisition ad interpretation,

Adult and pediatric algorithm, age based

• Color LCD display for ECG preview and

parameters editing

• Wireless Patient Cable option

• Storage for ECG and data export on USB

memory stick

• AC or Battery operated

• A great value in a small package!

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 Mid-Range: ELI 150c and ELI 250c
• PORTABLE OR FULL-SIZE PAPER CARDIOGRAPH
– Feature a compact 110mm or an A4 thermal printer
that allows printouts in 3, 6 and 12 channels formats

• HIGH VISIBILITY COLOR LCD

– Allows for full preview of the ECG waveforms as well as
an easy and intuitive user interface

• FULL KEYBOARD
– Full data entry through the full QUERTY silicone
keyboard

• QUICK BUTTONS
– 4 Buttons allow quick operations for ECG, Rhythm,
SYNC and Stop printer

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 Mid-Range: ELI 150c and ELI 250c

• WAM or AM12
– The unique Wireless Acquisition Module or the AM12,
both with a superior 40KHz sampling rate

• VERITAS 7 Resting ECG Interpretation

– The Mortara VERITAS offers accurate Resting ECG
Intepretation to Adults and Pediatric patients

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 Mid-Range: ELI 150c and ELI 250c
• FULL SUITE OF CONNECTIVITY OPTIONS:
– USB, LAN and WLAN
– Can transmit to ELI LINK and generate
PDF, XML or DICOM files

• SUPPORT FOR BAR CODE SCANNERS

– Both 1D and 2D bar code readers can be connected via the USB port

• LARGE INTERNAL MEMORY

– Allows storage for 40 or 200 ECGs
– Lossless quality of data storage

• LONG BATTERY LIFE

– Internal rechargeable battery allows long operating time in busy
environments
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 Mid-Range: ELI 280

• LARGE 10.1” TOUCH SCREEN LCD

– High visibility and large viewing angle
– Easy-to-use user interface
– Infection Control ready

• FULL-SIZE PAPER CARDIOGRAPH

– Features an A4 thermal printer that allows
printouts in 3, 6 and 12 channels formats

• MULTI-LANGUAGE SUPPORT
– Touch Screen technology allows supports for
Multilanguage user interface and keyboard
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 Mid-Range: ELI 280

• WAM or AM12
– The unique Wireless Acquisition Module or the
AM12, both with a superior 40KHz sampling rate

• VERITAS 7 Algorithm
– The Mortara VERITAS offers accurate Resting ECG
Intepretation to Adults and Pediatric patients
– Improved Pacemaker Spike presentation

• FULL ECG AND INTERPRETATION PREVIEW

– ECG waveforms, Interpretation and Measurements
preview on screen
– Allows for easy paper less workflow and improves
the quality of acquired ECGs

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 Mid-Range: ELI 280
• FULL SUITE OF CONNECTIVITY OPTIONS:
– USB, LAN and WLAN
– Can transmit to ELI LINK and generate PDF, XML or DICOM files

• SUPPORT FOR BAR CODE SCANNERS

– Both 1D and 2D bar code readers can be connected via the USB port

• LARGE INTERNAL MEMORY

– Allows storage for 100 or 200 ECGs
– Lossless quality of data storage

• LONG BATTERY LIFE

– Internal rechargeable battery allows long operating time in busy environments
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 High-End: ELI 380 and ELI 380 ERGO
• HIGH RESOLUTION 17” SWIVELING COLOR DISPLAY
– The largest display size available on a cardiograph
– Robust and shock proof
– Rotate and tilt for ergonomic operation
– LED backlight allows high visibility and low power
needs
– Allows up to 13 seconds of ECG preview
EASY TO OPERATE
– The user interface intuitive and touchpad controlled
• Up to 20 minute of ECG Full Disclosure displayed on
screen
– Allows easy identification of significant episodes of
ECG that need to be analyzed (manual selection of
BEST10)

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 ELI 380 - revolutionary keyboard

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 ELI 380 Clinical Superiority
Programmable alternate lead configurations
• Provides more testing and viewing options for pediatrics, right-sided
and posterior leads.
– Pediatric: leads V1, V2, V3R, V4R, V7, and V9.
– Posterior: leads V7, V8, V9, V4, V5, and V6.
– Right-sided: leads V1, V2, V3R, V4R, V5R, V6R, and V7R.

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 ELI 380 Clinical Superiority
Best 10
• Allows the system to automatically detect the Best 10 seconds of ECG
noise free
– A great feature that helps the technicians when acquiring ECGs on non-
cooperating patients. LAST 10 seconds also available to the user or manual
selection of ANY 10 seconds available in the full disclosure buffer

• SMART PAPER

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Key Selling Points
and Lock Out Specs
RScribe

ELI 150c

ELI 230

ELI 280

ELI 380 ERGO

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 Competition GE

ELI 380 Mac 5500

• Screen size: 17 • Screen size: 10.4”
• Best 10 and Last 10 • Last 10 only
• Sample Rate 40 KHz • Sample Rate 16 KHz
• Low Pass Filter 0,05-300 Hz • Low Pass Filter 0,01 – 150 Hz
• Pacemaker Spike markers on screen • Only HD MD option is purchased
standard on all models • More diverse and difficult to
• Critical alert messages quick and understand
easy
• 10 minutes FD
• 20 minutes FD
• DICOM out of the box • Only via third party

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 Competition Philips

ELI 380 TC 70
• 17”Touch Screen, 1920x1080 • 15”Touch Screen, 1024 x 768
• High Impact resistant display • Non-high impact resistant display
• Best 10 and Last 10 • Last 10 only
• Sample Rate: 40KHz • Sample Rate 8 KHz
• Lead reversal detection all leads • Limb leads only
• Low Pass Filter: 0,05 – 300 Hz • 0,05 – 150 Hz
• Critical alert messages quick and • More diverse and difficult to
easy understand
• 20 minute FD
• 10 minutes FD
• DICOM out of the box
• Requirtes expensive third party
infrastructure $ 250.- per cart and
annual fee of $10.000.-
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 Questions…

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