USING ZZZPAT. Itamar Medical Watch-PAT 200, Watch-PAT 100

Itamar Medical Ltd.

4 Using zzzPAT

4.1 Preparing a New Study

Preparing the Patient file is a mandatory stage in the preparation of the WP100 or WP200 devices for a sleep study. Before proceeding, make sure that the Compact Flash reader drive was defined as described in Section 2.7.

!

Warning

For WP100 only: Use only Itamar provided Compact Flash cards.

The Compact Flash cards used by the WP100 have a special format. Compact Flash Cards with regular format will not work and their use will result in a failed test!

All references to “Compact Flash cards” in this user manual, refer to Itamar supplied Compact Flash Cards only.

y

Launch ‘zzzPAT’ by clicking the zzzPAT icon through: Start>Programs>zzzPAT>zzzPAT. y

If the zzzPAT icon

on your desktop or navigate

is launched the following login dialog opens:

Figure 37 - Login Dialog Box y

Enter Login and Password. When a Shared Access mode is installed, the login screen allows the user to choose to which database the zzzPAT will connect. zzzPAT 4.2

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Note

In Shared Access mode it is highly recommended to always connect to the Shared database - this will ensure all data is stored in one central location allowing future retrieval from all connected stations. Local database should be selected only if network access is not available, or for special purposes (training, travel etc…).

Note

In Shared Access mode, if data was stored on the local database, it is recommended to export the data into the Shared Access database as soon as practical. y

If applicable, select the desired database to connect to. Local database should be selected only if network access is not available, or for special purposes

(training, travel etc…). y

Enter your login name and password and click OK to continue.

4.1.2 Preparing a New Study

For WP100 only: y

Make sure a Compact Flash card is in the Compact Flash reader and connected to the PC with the zzzPAT software. y

Click in the tool bar. y

The ‘New Study’ dialog box appears: zzzPAT 4.2

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Figure 38 - New Study Dialog Box for WP100

For WP200 only: y

Make sure the device is connected to the PC with the zzzPAT software using the USB cable. y

Click in the tool bar. y

The ‘New Study’ dialog box appears: zzzPAT 4.2

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zzzPAT 4.2

Figure 39 - New Study Dialog Box for WP200 y

Fill the mandatory Patient ID in the Patient fields. y

Insert any additional information if needed, the rest of the fields are optional. y

Select "Study with Tamper-Proof Testing" if you want to use the Patient

Identification Bracelet. By enabling this option you can use the bracelet in order to verify that the identified patient is indeed the one sleeping with the device (see Tamper-Proof testing in Watch-PAT200 Operation Manual). This option is shown only if the feature is enabled in Setup>General

Settings>General Options. y

Select "Multiple Nights" option in order to run up to 3 nights with the same

WP200 device (see Multi-night study in Watch-PAT200 Operation Manual).

This option is shown only if the feature is enabled in Setup>General

Settings>General Options.

Itamar Medical Ltd.

y

Click Save to USB button.

Note

If the Patient ID field was left unfilled, a message will be displayed requesting the need to be filled. Fill in the missing information and press the Save to USB button again.

Note

The units used for weight and height in the ‘New Study’ dialog box are defined by the regional settings of the PC.

Note

The Epworth Score is used to determine the level of daytime sleepiness. An Epworth Sleepiness Scale Questionnaire can be found in the Misc folder under the zzzPAT Installation folder

(the default is C:\Program Files\Itamar medical\zzzPAT\Misc).

If the Compact Flash card/WP200 contains data (either a night study that has not been loaded to the zzzPAT Database or new patient data that has been prepared but not used in a study), the following dialog box opens:

Figure 40 - Compact Flash Card/WP200 Not Loaded Dialog Box y

After saving the patient information to the Compact Flash card/WP200 the following message appears: zzzPAT 4.2

Itamar Medical Ltd.

Figure 41 - New Study Termination Question

Click Yes - if you wish to prepare additional Compact Flash cards.

Click No - if you wish to exit the ‘New Study’ dialog box. y

For WP100 only: Take the Compact Flash card from the Compact Flash reader and insert it into the appropriate compartment in the WP100. (Refer to the WP100 user manual). y

For WP200 only: Disconnect the USB cable from the WP200 device.

4.1.3 New Study screen features

Besides the main screen fields required for preparing a new study, there are additional fields that allow thorough documentation of the patient's past and current medical condition. In addition, zzzPAT enables you to load patient details from previous studies.

Other features in this screen enable organizing the studies into groups using categories of your choice.

4.1.3.1 Synchronizing the WP100 device clock with the zzzPAT software

The internal clock of the WP100 device needs to be set correctly in order for the Study

Date/Time to appear correctly after loading a study in zzzPAT.

Since zzzPAT version 3.0 all WP100 devices are delivered from Itamar Medical having the internal clock set to GMT (Greenwich Mean Time).

The “Time Zone” field in “New Study” screen contains the offset in hours that is added or subtracted to the Study Date/Time read from the WP100 device.

• If the WP100 device clock is set to GMT - this offset equals to the difference in hours between the computer’s local time and GMT

• If the WP100 device clock is set to local time - this offset equals to zero (select GMT on the pull down menu)

To adjust for daylight savings or if you notice a discrepancy in hours between the actual

Study Date/Time and the one obtained in zzzPAT, you can change the “Time Zone” field in

“New Study” screen in order to compensate for the discrepancy:

• If zzzPAT date/time is later than the actual Study Date/Time - decrease the “Time

Zone” zzzPAT 4.2

Itamar Medical Ltd.

• If zzzPAT date/time is earlier than the actual Study Date/Time - increase the “Time

Zone”

Note

You do not need to set the “Time Zone” field each time you prepare a New Study. The software “remembers” the last “Time

Zone” used.

Note

The local GMT offset can be found in Start>Settings>Control

Panel>Date and Time>Time Zone.

Note

When you run Watch-PAT Monitor (version 2.1.45.1 and earlier) with WP100 devices whose clock is set to GMT the Date/Time test will fail.

As long as the difference between the WP100 device clock and the computer clock is equal to the GMT offset, the device clock should be left unchanged.

4.1.3.2 Synchronizing the WP200 device clock with the zzzPAT software

Select the "Synchronize WP200 clock with PC clock while 'Saving to USB'" option while preparing new study if the WP200 device clock needs too be set (see Figure 39).

4.1.3.3 Documenting additional information

To add demographic information: y

Click Demographics button (see Figure 38). The following dialog box will open: zzzPAT 4.2

Itamar Medical Ltd.

Figure 42 - Demographic Details Dialog box y

Insert the information into the appropriate fields and click OK to save.

To add optional clinical information:

y

Click Clinical Data button. The following dialog box opens: zzzPAT 4.2

Itamar Medical Ltd.

Figure 43 - Patient Clinical Data Dialog box y

Double click on the relevant items listed on the left, to add them to the Patient information or add information in free text. y

After adding the selected data click OK to save.

To remove an item from your selection:

y

Highlight the item you want to delete. y

Hit delete key or right click and choose ‘Delete’ from the pop-up menu. y

Click

4.1.3.4 Retrieving patient information from previous studies

This feature allows retrieving patient information from previous studies into current ‘New

Study’ dialog box. In addition it enables viewing the list of all patients in the zzzPAT database. zzzPAT 4.2

Itamar Medical Ltd.

Note

If a patient has more than one study, only the latest patient details inserted will be displayed

To view a list of all the patients in the zzzPAT database:

y

In the ‘New Study’ dialog box (Figure 38), leave the fields: ‘patient ID’, ‘first name’ and ‘last name’ empty. y

Click , the ‘Search Results’ dialog box will open with a list of all the patients in the zzzPAT database. y

Select the study you need and click OK. The patient’s information will be retrieved into the ‘New Study’ dialog box.

To view patients by selected categories:

y

Enter patient ID, first or last name into the ‘New Study’ dialog box. y

Click , the ‘Search Results’ dialog box will open with a list of patients that will match the criteria inserted above. y

Select the patient you need and click OK. The patient’s information will be retrieved into the ‘New Study’ dialog box.

4.1.3.5 Classifying the patients by special categories or groups

To assign a study to a group or category:

y

Click More button in the Study (optional) section of the ‘New Study’ dialog box. The following dialog box will open: zzzPAT 4.2

Figure 44 - More Study Details Dialog box