General presentation 1
CARDIONICS S.A.E.C.G. Computer Systems
2009
General presentation 2
I. History
General presentation 3
CARDIONICS S.A.
1969
Founded in 1969 by “Union Minière”
Our goal : To commercialize a diagnosis help software of the ECG
This software has been developed by IBM and medically validated by the Mt Sinaï
hospital (New York)
Use of a computer (IBM 370).
General presentation 4
CARDIONICS S.A.
1969
The ECG are transferred by analog form, using classic telephone line, and are analyzed in Cardionics treatment
center (Brussels)
Software evolutions are made in collaboration with cardiologists and
university centers.
General presentation 5
CARDIONICS S.A.
1985
Development of software
on micro-computers
ECG signal is taken from
any kind of ECG machine
and converted into digital
using a conversion board
(A/D).
General presentation 6
CARDIONICS S.A.
1988
Creation of an acquisition
board, placed in any kind
of PC
Using the same
acquisition device allows
many cardio exams.
General presentation 7
II. Different Markets
General presentation 8
CARDIONICS S.A.
Belgian market
Brussels : more than 80% of hospitals
Wallonie : more than 75 % of hospitals
Flandre : 30 % of hospitals, strong
growing
Since 1969 almost all Belgian University
Hospitals use Cardionics systems.
General presentation 9
CARDIONICS S.A.
French market
Used in 80% Health Examination Center
(preventive medicine of the CNAM)
Active in Occupational Medicine
Several studies in collaboration with CHU
and research teams (INSERM).
General presentation 10
CARDIONICS S.A.
French market (3)
The ECG package includes:
ECG acquisition system
Internet transmission
Reviewing programme.
General presentation 11
CARDIONICS S.A.
Pharmacological Market
Clinical Research
Phase I – II:
10 centers of Phase I located near the
main University Centers of France
CIC: Collaboration with the CIC Saint-
Antoine Paris and Cardiology Hospital of
Lyon.
General presentation 12
CARDIONICS S.A.
Pharmacological Market
Clinical ResearchPhase III – IV:
Collaboration with several CRO:
More than 4500 CarTouch used in the world!
Provide CarTouch for investigators
Central Reception
Analysis and validation software used by
cardiologists.
General presentation 13
III. ECG acquisition devices
General presentation 14
Portable acquisition system,
autonom, numerical 12-Lead
Works with 4 AA batteries
ECG high resolution (16 bits,
sampling rate of 1000 Hz)
General presentation 15
Large LCD screen (240 x 320)
Possibility to store more than 50 Rest ECG in the Flash memory
Unique patient identification on a proximity card
No need for a specific data-processingreader.
General presentation 16
Direct printing of the ECG on a laser
printer (RS 232/ HPGL)
ECG file transmission by Modem or mobile
to a remote PC
Connection to a PC.
General presentation 17
External USB
device
Sampling rate
1000 Hz
16 Bits resolution
General presentation 18
Simultaneous 15-Lead acquisition
Possibility to realize Rest ECG, Stress tests and Late Potentials acquisition
Possibility to record the ECG in real time during several days (Ishne file)
Directly connected to the multiple PC functionalities.
General presentation 19
IV. Cardionics Software
General presentation 20
CARDIONICS S.A.
Cardionics Network
Tele-medicine
potentiality
Communication
between the GP and
the hospital, or
between the patient
and the GP.
General presentation 21
CARDIONICS S.A.
Rest ECG
Possibility to connect the
software to the hospital
database
Unique patient identifiers
for fully automated file
integration
General presentation 22
CARDIONICS S.A.
Rest ECG (2)
Visualization of 12-
Lead in real time
New automatic
analysis of Rest ECG
software CE marked,
tested using CSE
database.
General presentation 23
CARDIONICS S.A.
Rest ECG (3)
Visualisation and
selection of the data
prior to printing
Possibility to acquire
a long term ECG.
General presentation 24
CARDIONICS S.A.
Rest ECG (4)
Different print format
Examinations are stored on hard disk (or CD ROM, 20.000 ECG per CD), SCP format
Information Transfer in a Word document, or in a graphic file (JPEG, TIF, WMF, PDF)
Information Transfer to a central database.
General presentation 25
CARDIONICS S.A.
Rest ECG automatic analysis
Detection of the QRS complex and P waves on the 10 seconds recording
Beats classification
Based on this classification, compute the 12 averaged beats
General presentation 26
CARDIONICS S.A.
Rest ECG automatic analysis (2)
Onset and offset measurement markers of the P, QRS and T waves
Measurement of all the waves (P, Q, R, S, R’, S’…) on the averaged 12 leads
Automatic rhythm and morphology analysis.
General presentation 27
CARDIONICS S.A.
Validation of automatic analysis
ECG trace
visualization (format
3x4, 6x2 and 12x1).
General presentation 28
CARDIONICS S.A.
Validation of automatic analysis(2)
Presentation of
automatic analysis
and measurements
Possibility to review &
modify the diagnostic.
General presentation 29
CARDIONICS S.A.
Stress test
ECG trace visualization
(12-Lead) during the
entire Stress test
Compute the 12
averaged beats, with
ST segment
measurement.
General presentation 30
CARDIONICS S.A.
Stress test (2)
Automatic management
of the ergometer(bicycle or treadmill)
Print the final report
Or store the complete
stress test on the hard disk (Ishne file).
General presentation 31
CARDIONICS S.A.
Stress test tracing
General presentation 32
CARDIONICS S.A.
Late potentials
Acquisition of 3 bipolar
leads (or Frank leads)
Compute the following
measurements :
QRS,
RMS 40 &
LAS 40 durations
Store the complete
recording.
General presentation 33
CARDIONICS S.A.
QT analysis
Use the Rest ECG
recording
Presentation of the 12
averaged medians on
the same baseline
(overlapped median)
Possibility to modify the
marker position.
General presentation 34
CARDIONICS S.A.
QT analysis (2)
Presentation of the 12
averaged beats
Possibility to modify the
marker position or to
suppress the measurements
of one lead
Compute and print the
dispersion index.
General presentation 35
CARDIONICS S.A.
QT analysis (3)
Possibility to choose one
lead, and the localization
of the measurement
Measurement of the QT
interval using the
Tangent method.
General presentation 36
CARDIONICS S.A.
VectorCardioGram
Projection on 3
orthogonal plan of the
spatial ECG loop
Automatic analysis of
Rest VCG (diagnosis
help)
Print the loops and the
measurements.
General presentation 37
V. ECG Networking
General presentation 38
ECG networking
Identification software
Patient identification
data correlated to the
hospital database
Security of the data
Time saving
General presentation 39
ECG networking (2)
Centralization software
PC server
Database management
system
Centralization and
saving of the ECG on
HDD via the hospital
intranet
Archiving.
General presentation 40
ECG networking (3)
Tariff & export software
Possibility to export the
results in a medical file
(jpeg, pdf, xml, txt, ….)
Forward of the detailed
ECG’s ( INAMI code, date
and time, etc..) for invoicing.
General presentation 41
VI. Conclusion
General presentation 42
CARDIONICS S.A.
ECG Computer Systems
Cardionics is ISO 9001 – EN 46001
(Quality Insurance System) certified
CE marked products and Software
CarTouch has obtained the FDA
approbation.
General presentation 43
CARDIONICS S.A.
ECG Computer Systems
Skilled and trained staff:
• A dynamic team (15 people, 4 of whom are fully dedicated to the R&D) working closelywith cardiologists and university clinics
High level products:
• A comprehensive, tailor-made & high tech range of products.
General presentation 44
CARDIONICS
Ready to assist you in ECG
processing!