6.6 monitoring the patient

1 Step 1 - start session
2 Step 2 - fill in patient data (optional)
3 Step 3 - verify positioning (optional)
4 Step 4 - monitor patient
5 Step 5 - interpret surrogate ICP waveform
6 Step 6 - finalize monitoring session
7 Step 7 - final monitoring session report

ATTENTION - make sure the steps below have been completed:

Step 1 - start session

From the main screen click on new session (1) button to start monitoring session.

TIP - For login instructions and pairing sensor please read section 6.3 logging into app.

app main screen

Step 2 - fill in patient data (optional)

At the beginning of the monitoring session, an optional step is to fill patient data. This information will be used and recorded in the final report. Fill in all data correctly and click on “start positioning” as shown below.

TIP - For faster monitoring, you can choose to skip this step, but for the report to be generated, you will have to fill in the patient information at the end of the monitoring session.

Step 3 - verify positioning (optional)

Once satisfied with the pulse morphology displayed on the app’s sensor positioning screen start monitoring button (1).

Step 4 - monitor patient

Once monitoring has started, a screen is shown in the mobile app, as shown in the figure below, where some information is presented to aid monitoring.

Monitoring screen features

No.	Function	Description

No.	Function	Description
1	Edit patient info	Access to patient information screen for visualization and edit
2	morphology tab	live waveform screen showing last 5 seconds of monitoring session
3	trend tab	tab that shows the full or partial monitoring session waveform stream
4	P2P1 tab	tab that shows minute by minute derived parameter of estimated P2P1 ratio (please refer to
5	TTP tab	tab that shows minute by minute derived parameter of normalized time-to-peak (please refer to
6	Observations	Opens the notes panel to add clinical notes to the monitoring session
7	Partial Report	Partial report access button where the two digits before the “m” informs how many minutes of the monitoring session will be included in the report
8	external	External battery charge level in % (only relevant to BcSs-PICNIW-1000 sensor model)
9	Bluetooth signal strength	Bluetooth signal strength status. Green (good), yellow (regular) and red (bad)
10	internal	Internal battery charge level in %
11	UDI	Sensor’s Unique ID number
12	Monitoring time	Time elapsed since start of monitoring session
13	UMI	Unique Monitoring Session ID
14	End monitoring	End monitoring session button
15	Pause monitoring	Pause monitoring session button (Please refer to section 6.6.3 pause monitoring session (optional) )

Step 5 - interpret surrogate ICP waveform

Step 6 - finalize monitoring session

To end the monitoring session click on end monitoring. A popup window will appear asking you to confirm the end of the monitoring session. Click on save.

Once the monitoring session is complete you will be directed to a confirmation screen. Here you can fill in or edit patient data before the final report is generated. You can also access a partial report by clicking on the expand/zoom button on the right side.

Once confirmed, you can click “Confirm”(1) which will submit the data to the B4C System and allow you to view the report in the mobile app, or you can click “Postpone”(2) and then submit the data in the future.

Step 7 - final monitoring session report

If you choose to confirm the patient data, the next screen will be the monitoring report view. The screen elements are described bellow:

(nr.1) Report status:
- PARTIAL = parts of the submitted data still needs to be processed.
- FINAL = all monitored data has been processed.
(nr.2) Monitoring status:
- IN PROGRESS = monitoring in progress, the report being viewed is an intermediate report.
- ENDED = monitoring has ended.
(nr.3) Update button = is active when pending data has been processed and made available.
(nr.4) Option to export and open PDF
- Export PDF - option to download the report in PDF format
- Open PDF - option to open a downloaded PDF report

If you choose to open PDF, a file of the final report is saved on your local mobile device. When you click “Open”, the mobile device will prompt you to use an installed application to read the PDF file or ask for one if none have been installed. Select the application you normally use to view the report.