User Manual for

ViScope & ViScope MD

dynamic auscultation see what you hear

EC

0197

REP

MDSS GmbH
Schiffgraben 41
30175 Hannover,
GERMANY

0602-50001-007

Table of Contents

Pages

2
Key Features
.....................................................................................................................................................................................................
2
Expectations of Use
.....................................................................................................................................................................................................
2
General Cautionary Notice
.....................................................................................................................................................................................................
2
Battery Precautionary Note
.....................................................................................................................................................................................................
2
Disposal of Lithium lon Battery
.....................................................................................................................................................................................................
3
User Assistance
.....................................................................................................................................................................................................
3
Identifying Parts and Controls
.....................................................................................................................................................................................................
3
Control symbols and their functions
.....................................................................................................................................................................................................
4
Battery Installation
.....................................................................................................................................................................................................
4
Instruction for Use
Turning the ViScope ON
Initial screen after turning on the ViScope
Screen icons and symbols with descriptions
.....................................................................................................................................................................................................

Headset Positioning
Turning the ViScope ON

5
6

.....................................................................................................................................................................................................
Auscultating on Different Patients
.....................................................................................................................................................................................................

To adjust visual gain/amplitude

Using the ViScopeMD (Optional)

6
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

Battery Power Saving Features

Recharging Batteries
Turning the ViScope off
Auscultating other sounds
.....................................................................................................................................................................................................

9
Cleaning Instruction
9
Diaphragm Replacement
10
Storage
.....................................................................................................................................................................................................
10
Accessories
.....................................................................................................................................................................................................
10
Technical Specifications
.....................................................................................................................................................................................................
11
International Regulatory Standards
.....................................................................................................................................................................................................
11
Trouble shooting
.....................................................................................................................................................................................................
.....................................................................................................................................................................................................

ViScope does not turn on when the power key is pressed.

Unable to see anything on the LCD display
Unexpected behavior
.....................................................................................................................................................................................................

12
Error codes, causes and solutions
12
User Assurance Tests
14
Auscultation Points
.....................................................................................................................................................................................................
14
Auscultation Points for Specific Abnormality
.....................................................................................................................................................................................................
15
Indicative Waveforms of Different Anomalies
.....................................................................................................................................................................................................
.....................................................................................................................................................................................................

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 hearts 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 devices
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.

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

Chennai - 603 112
Tamil Nadu, INDIA
Telephone:
+91-44-31904771

818 Kifer Road

Sunnyvale, CA 94086
Telephone/Fax: +1 408-338-6244

Email:
website:

service@hdmedicalgroup.com
www.hdmedicalgroup.com

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

Identifying Parts and Controls

1

2
3
4

7
8

5
6

1
2
3
4
5
6
7
8
9

LCD
Battery charging status indicator
Audio toggle key
Freeze key
Power key
Chestpiece / Diaphragm
Charger connection slot (mini USB)
3 - Way key
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

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.

Folding the leads under, carefully install

the battery as shown in the picture.

Use a screw driver to open the battery

compartment as shown in the picture

Insert the battery connector as shown

in the picture.

Place the battery cover as shown in the

picture.

Tighten the screw.

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

Volume

Battery
Status

Screen icons and symbols with descriptions:

Icons &
Symbols

Description of Icons and

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

Icons &
Symbols

Description of Icons and 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
5th
Screen

IF MURMUR is displayed PLEASE RECONFIRM WITH CLINICAL FINDINGS

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

Binaural pointed forward

going into the ear canal

DO NOT fold across the

pendant

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.
3.
4.
5.
6.

7.
7.1
7.2
8.

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

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

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 patients
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:
Minimum 64 MB

Hard Disk Requirements:

Minimum 100 MB

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

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

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 hasnt 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.
2.
3.

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
Use only a soft clean cloth or alcohol wipe to clean
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

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

Electrical

High resolution LED backlight 240 x 160 pixels graphical monochrome

(blue) LCD

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: 5 C to 40 C

Storage Temperature: -10 C to + 60 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
Type

Basic
Standard

Regulatory
Acceptable Limits

ViScope
Capability

Radiated
Emission

DISPR 11 Class B:2004

30 230MHz,
30dBV/m

30 230MHz
25.18dBV/m
 (Max)
230 1000MHz

Harmonics
Current
Emission

IEC 61000-3-2:2005

230 1000MHz,
37dBV/m

Within Class A Limits

Flicker
Emission

IEC 61000-3-3:2005

Within Class A Limits

Passed and No
malfunction observed

Electrostatic
Discharge

IEC 61000-4-2

Short time flicker

(10
 Min)
 Pst

 1
Relative Steady
state voltage
change
 (dc)

 3%
 Max
Relative voltage change
Dmax

 4%
Value of D(t) during
voltage
 change

 5%

Passed and No
malfunction observed

Radiated
Susceptibility

IEC 61000-4-3:2006

Contact discharge
up to 6KV
Air discharge
up to 8KV

Passed and No
malfunction observed

Electrical
Fast Transient

IEC 61000-4-4:2004

80MHz 1000MHz
3V/m
1-2.5GHz 3V/m

Passed and No
malfunction observed

High Energy
Surge

IEC 61000-4-5:2005

Spike Voltage up to 2KV

for Power Line and
up to 1KV Signal Line

Passed and No
malfunction observed

Conducted RF

IEC 61000-4-6:2004

Pulse amplitude up to
a 1KV Differential Line to
Neutral

Passed and No
malfunction observed

Power Frequency
Magnetic Field

IEC 61000-4-8:2001

150KHz 80 MHz : 3Vms

Field Strength: 3A/m

Passed and No
malfunction observed

Voltage Dips &

Interruptions

IEC 61000-4-11:2004

Short
 interruption:
 0%
 of

AC mains for 5 sec
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

Passed and No
malfunction observed

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.
2.

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
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

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
dont press and hold
any key for more than
3 seconds.

RAM failure

Failure of the processor

Contact HDM

FLASH failure

Failure of the processor

Contact HDM

LOW BATTERY
ViScope will be turned off

Battery is completely
drained and should be
recharged

Replace the battery with

a new one if the battery
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 ViScopes 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 companys 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 Medicals products,
healthcare professionals see more patients and improve more lives.

Auscultation Points

Aortic
area

Pulmonic
area

2
3
4
5

Tricuspid
area

Mitral
area

Auscultation Points for Specific Abnormality

Abnormality:
Pulmonary stenosis or regurgitation

Abnormality:
Aortic Stenosis S2 is loudest here
Location:
2nd ICS R
Sternal border

Location:
2nd ICS L
Sternal border

Auscultation Position for

Aortic valve

Auscultation Position for

Pulmonary valve

Aortic valve

3
4

Tricuspid valve

Pulmonic valve
Mitral valve

Auscultation Position for

Tricuspid valve

Auscultation Position for

Mitral valve

Location:
L Lower
Sternal border

Location:
5th ICS

Abnormality:
Mitral stenosis or regurgitation
S1 is loudest here

Abnormality:
Tricuspid

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

HD Medical, Inc.

818 Kifer Road

Sunnyvale, CA 94086
Direct: 1.408.338.6244

Australia - Corporate Office

India Research Labs

Level 4, 205 Pacific Highway,

St. Leonards, NSW 2060, Australia.
Tel: +61-2-9901 8500

#11, East Coast Road, Kanathur,

Chennai 603112. INDIA.
Tel: +91 44 3190 4771

HD Medical Group Pty Ltd.

HD Medical Services (India) Pvt. Ltd.

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

Higher Dimensions in Healthcare

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