Download The E-Scope® Electronic Stethoscope

The E-Scope Electronic Stethoscope
Catalog of Products
May 1, 2010
Cardionics, Inc., 910 Bay Star Blvd., Webster, Texas 77598 USA
Telephone: 281-488-5901 Toll-free USA & Canada 1-800-364-5901
Web: www.cardionics.com
Email: [email protected]
Contents
Description
Page No.
Summary chart……………………………………………….. 1
E-Scope Product description………………………………… 2
General Clinical Use………………………………………..
4
In-the-ear (ITE) & Behind-the-ear (BTE) hearing aids…..
7
EMS use in Ambulance………………………………………10
Headphones for ITE and BTE type hearing aid……………13
Accessories for Teaching
……………………………….15
Service or technical information …………………………18
Index …………………………………………………… 19
E-Scope is a registered trademark of Cardionics, Inc., Webster, Texas 77598
 Specialist & StethView are trademarks of Cardionics, Inc. Webster, Texas 77598
b
Summary of Use – E-Scope Electronic Stethoscope
Where Used
Cat. no.
Description
General clinical
use
With ITE hearing
aid
718-7700
With ITE hearing
aid
718-7711
With BTE
hearing aid
718-7710
Veterinary use
718-7700
With Implant
Cochlear or Baja
718-7710
Clinical Model
E-Scope
Hearing Impaired
E-Scope with
traditional style
headphones
Hearing Impaired
E-Scope with
convertible style
headphones
Hearing Impaired EScope with
headphones
Clinical model EScope
Hearing Impaired EScope with
headphones
Ambulance/EMS
use
718-7800
718-7710
E-Scope EMS with
aviation style
headphones
1
Recommended
Accessories
None
Page
Number
4
None
7
None
7
Call Cardionics
7
Low frequency
headphones
Speech
processor
Cable set
Call Cardionics
for assistance
None
4
none
10
Description
Common to all E-Scope Models
Major Features
Cardionics supplies three basic types of E-Scopes – E-Scope Clinical Model,
E-Scope Hearing Impaired Model and the E-Scope EMS. Various accessories are
added to adapt the E-Scope to different procedures and applications. Each E-Scope
has the following characteristics:
Slim-line design. The E-Scope is a slim-line design that easily wraps around the neck
when not in use. It is lighter than an acoustic stethoscope.
Fingertip Control. All the controls for volume and heart sound or breath sound filters
are on the head of the stethoscope making it easy for the user to set the volume or filter.
Volume control. On the stethoscope head, there is a (+) and (–) symbol that allows the
user to increase or decrease the sound level.
Filter control. A frequency switch for heart sounds (45-900 Hz) and breath sounds
(50-2000 Hz). This allows the listener to concentrate on a particular sound
Automatic shut off. The E-Scope shuts off automatically at 1.5 to 2 minutes.
Cardionics also has models with 8 minute and 60 minute shut off timers available upon
request at no additional charge at the time of order.
Automatic volume restart. The E-Scope remembers the last volume setting so that
when it is turned on, the volume will be set to the previous volume.
Off-the-Shelf Battery. The E-Scope uses a standard off-the-shelf AAA battery that
operates the E-Scope for 4 months assuming usage at 30 times per day, 6 days per
week. Replacement batteries are available at any supermarket or drug store.
Extra ear tips. The E-Scope is supplied with two additional types of ear tips
so the user can select the most comfortable – soft rubber, hard plastic or mushroom
type.
Ability to change chest pieces. Most electronic stethoscopes have a fixed diaphragm
with an electronic switch to change to a bell. Most physicians, however, prefer a
physical bell as is found on a standard acoustic stethoscope. A real bell allows the
physician to listen to lower frequencies in a manner in which he/she is most accustomed.
A bell is used to listen to the lower frequencies and has no diaphragm touching the skin.
By pressing the bell on the skin, it can be stretched forming a natural diaphragm.
Selection of diaphragms and bells. The E-Scope is supplied with an adult and
pediatric diaphragm as well as three sizes of bells – adult, pediatric and infant.
Less amplification of room noise. The design of the E-Scope significantly
2
reduces the amplification of unwanted outside room noise when used in the heart sound
setting. When used in the lung sound setting, there is a little more noise introduced due
to the wider frequency band.
E-Scope Electronic Stethoscope – General Description
Maximum Amplitude. For the E-Scope II, the maximum amplitude or sound pressure
level output without distortion is 120 dB at 100 Hz. This is about 30 times louder than an
acoustic stethoscope.
Operator’s Manual. A complete Operator’s Manual is included with each E-Scope.
a Specialist Adult Diaphragm which is machined form high grade stainless steel. It
provides greater sensitivity and improved performance. The performance of the Adult
Specialist Diaphragm has a 3 dB (or 50%) higher output than the standard Diaphragm
over the 20 to 200 Hz frequency range.
Specialist Adult Diaphragm
A Specialist Adult Diaphragm is supplied with each E-Scope. The trademark Specialist
Refers to a diaphragm that has been machined from high-grade stainless steel. It has
greater sensitivity, a heavier feel and less outside noise.
Specialist Adult Bell. Cardionics supplies an optional stainless steel bell and
diaphragm as well as a Specialist Pediatric Bell.
Specialist Pediatric Bell. The Specialist Pediatric Bell output has, on average, about
60% higher than the standard pediatric bell over a 50 to 200 Hz frequency range for both
heart and breath sound filter settings.
Warranty: One year - parts and labor.
Below is a photo and description of each model E-Scope supplied by Cardionics. The
description will be the same as above except when indicated.
3
E-Scope Clinical Model
Cat. no. 718-7700
Suggested Application: Professional Clinical Use.
E-Scope Electronic Stethoscope Clinical Model
Specialist Adult Diaphragm (supplied)
Description:
Same as general description except that the Clinical Model E-Scope (shown above) will
be supplied with a Specialist Diaphragm as a standard item. This E-Scope is designed
for professional clinical use. In addition to the Specialist Diaphragm, this E-Scope is
supplied with a stamped metal pediatric diaphragm as well as three sizes of plastic bells
– adult, pediatric and infant.
E-Scope head with
Specialist Adult Bell
E-Scope head with
Specialist Adult Diaphragm
4
Specialist Pediatric Bell, Specialist
Adult Bell and Specialist Adult
Diaphragm
.
5
E-Scope Hearing Impaired Model
Cat. no. 718-7710 and Cat. no. 718-7711
Suggested Application: With ITE (in-the-ear) type hearing aid or BTE “open fit” hearing
aid.
E-Scope Model 718-7710
With Traditional Style Headphones
E-Scope Hearing Impaired Model (Belt Model), Cat. no 718-7711
With Convertible style headphones
6
Description:
E-Scope, cat. no. 718-7710 is supplied with Traditional style headphones, while cat. no.
718-7711 is supplied with convertible style headphones. Except for the headphones,
these stethoscopes are identical.
Both E-Scope models shown above (cat. no. 718-7710 and 718-7711) are supplied with
an Adult Specialist Diaphragm. Optional items include a Specialist Bell, cat. no. 3607750 and Specialist Pediatric Bell (cat. no. 718-7755). The Specialist heads are
machined from high-grade stainless steel. They provide a superior sound quality, much
greater sensitivity, have a heavier feel and less likelihood of outside noise.
E-Scope Electronic Stethoscope, cat. no. 718-7710 and 718-7711 are designed for
individuals with in-the-ear (ITE) or “open fit” BTE type hearing aids. An “open fit” type
hearing aid is one that does NOT completely occlude the ear canal.
The dB level of the E-Scope is 130 dB SPL. This is approximately 30 times louder than
a normal acoustic stethoscope.
The E-Scope, cat. no. 718-7710 and 718-7711, have been modified by removing the
normal binaural ear pieces and replaced with an external set of low frequency
headphones. These headphones are placed over the ears without removing the hearing
aid. This has worked well for the vast majority of hearing aid users.
Optional Headphones
The below headphones are supplied as part of the E-Scope Hearing Impaired Models.
Most users have an extra set of headphones as a back-up. Below are photos and
catalog numbers for headphones when ordered separately. Both of the below
headphones are intended to be connected to the top of the E-Scope. The connector is a
3.5 mm mono connector.
Headphone, cat. no. 718-0415
Headphone cat. no. 718-0405
Convertible Style Headphones
supplied with E-Scope 718-7711
Traditional style E-Scope
headphones supplied with
E-Scope 718-7710
7
The above headphones use the same speaker element . The Convertible style
headphones have a bridge that is worn over the head or behind the head. The ear
pieces are just flipped to convert from one position to another.
The Traditional style headphones (above right) are worn over the head. These
headphones have a separate volume control.
Occasionally, large headphones are required. Below is an example of our large over ear
headphone.
Cardionics large headphones, cat. no. 718-0408
Each set of headphones are tested for low frequencies and serialized.
IMPORTANT NOTE: Hearing deficiencies vary considerably from person to person.
Your audiologist is the best source of information on your particular hearing problem.
You should consult with your audiologist if you have any specific questions about the
use of your hearing aid with the E-Scope Electronic Stethoscope or any similar device.
As in all cases where hearing loss is involved, the audiologist can advise you as to the
best solution for your situation. If they are unfamiliar with electronic stethoscopes,
please have them call Cardionics and I’ll put them in touch with an audiologist that is
very familiar with the E-Scope.
8
E-Scope EMS Electronic Stethoscope
Cat. no. 718-7800
E-Scope EMS Electronic Stethoscope
Description:
The E-Scope EMS is designed for use in an ambulance. It has aviation style
headphones and a detachable stethoscope assembly. It is designed to provide
maximum amplification of breath sounds and heart sounds with superior insulation from
outside noise. The E-Scope EMS defaults to the breath sound mode for convenience of
the paramedic. The E-Scope EMS is supplied with a Specialist Diaphragm, but
Specialist Bell or Specialist Pediatric bell can be added.
Aviation Style Headphones. To minimize outside noise and enhance comfort, the EScope EMS Electronic Stethoscope utilizes aviation-style headphones. The padded
seal around the ears and insulation inside the headphones significantly reduce outside
noise allowing the paramedic to hear soft breath and/or heart sounds in an ambulance or
other noisy environment. The ear pads provide cushioned comfort for long-term use.
Finger-tip Control. All the controls for volume and heart sound or breath sound filters
are on the stethoscope chest piece and as well as on the headphone.
Volume Control. On the stethoscope chest piece, the + or – symbol is pressed to
increase or decrease the sound volume. On the headphone, a toggle switch increases
or decreases the sound volume. The toggle switch is easily operated with a gloved
finger.
Breath and Heart Sound Filter Control. Since breath sounds are in the 50-1600 Hz
range and heart sounds are in the 50-700 Hz range, the E-Scope EMS can be adjusted
to concentrate on these frequency ranges. The  symbol on the stethoscope chest
piece switches the frequency response between these two ranges. A push button on the
headphone is also available for a quick frequency response change.
Automatic Shut Off. To extend the life of the AA battery, the E-Scope EMS shuts off
automatically after 1.5 minutes (an optional 8-minute shut off is available.)
9
Automatic Volume Restart. When the E-Scope is turned ON, it remembers the last
volume setting thus keeping new volume adjustments to a minimum
Off-the-Shelf Battery. The E-Scope EMS uses a standard off-the-shelf AA battery that
operates the E-Scope EMS for about 5 months assuming usage at 30 times per day, 6
days per week. Replacement batteries are available wherever batteries are sold.
Accessories for ITE hearing aids
Low Frequency headphones
Cat. No. 718-0405 Traditional style – headband worn over the head
Cat. No. 718-0415 Convertible style – headband worn over or behind the head
Lightweight, low frequency headphones
Cat. no. 718-0405
Cat. No. 718-0415
Description:
The headphones that are supplied with Cat. no. 718-7710 and 718-7750 are shown
above right (cat. no. 718-0415). They can be ordered separately, if desired. The
headphones in the photo above left (cat. no. 718-0405) are used with BTE type hearing
aids.
Catalog No. 718-0408
Headphones, Large Encompassing
Large Over-Ear type headphones
Cat. no 718-0408
10
Description:
The above headphones can be used with cat. no. 718-7710 or 718-7711 Hearing
Impaired Model E-Scopes. They completely encompass the ears. They can be used
with ITE or BTE type hearing aids.
Accessories for Teaching
Stethophone
Cat. no. 718-0401
Stethophone for second listener
For teaching with E-Scope
Description:
The Cardionics Stethophone can be attached to any E-Scope. Its purpose is for training.
Two listeners can hear a single patient simultaneously. The sound heard by both
listeners is identical.
11
Learning Cardiac Auscultation – CD-ROM with quiz
Cat. no. 718-9147
Description:
This CD-ROM presents all common heart sounds and murmurs as well as their
variations. It is possible to alter the volume of any part of a sound. For example, in
listening to the murmurs of mitral stenosis, the middiastolic murmur can be played while
muting the presystolic murmur for teaching purposes.
In the above example, Physiological Splitting of the Second Sound is seen and heard.
Breath sounds are added so as to heart the effects of respiration on the splitting. Heart
rates of each sound are displayed.
12
Software for Display and Recording
StethView Digital Recording System
Cat. no. 717-8000
StethView Digital Recording System
Description:
The StethView Digital Recording System is a software program that can be installed on
any PC with XP Operating System. It provides a one or two channel display of the heart
or breath sounds. The second channel can be used for an ECG display or a second
sound channel.
StethView can display, record and playback heart, breath or bowel sounds. It has a
built-in library of sounds permitting the user to listen to prerecorded simulated and real
heart sounds.
One of the unique characteristics of the StethView program is its ability to compare two
different sounds. For example, if trying to differentiate mitral regurgitation from aortic
stenosis, StethView can display them both. The listener can alternate listening from one
sound to another while viewing the phonocardiogram.
13
Sales, Service and Technical Information
All E-Scope products are warranted for one year for any defects in manufacturing.
Please see the warranty statement in the E-Scope Operator’s Manual.
Service or Repairs
Under warranty
Cardionics will endeavor to repair any Cardionics product in a minimum of time
at reasonable cost. If your E-Scope is under warranty and the problem one of a
manufacturing defect, there will be no charge for the repair. However, there will
be a $15.00 shipping and handling charge within the US. Outside the US,
shipping charges will be at cost. This charge will be made on your credit card.
Out-of-warranty:
Most E-Scope repair charges for out-of-warranty repairs will fall between $25 and
$50.00 plus shipping and handling charge of $15.00 within the US. Cardionics
will call you with an estimate prior to making any out-of-warranty repair.
Shipping charges:
The customer is responsible for shipping the products to Cardionics. We
recommend UPS, FedEx or insured US Mail. Cardionics cannot issue a pick up
order.
Exchange price: If you order an E-Scope, it may be exchanged for another
model within 90 days of purchase. There will be a $25.00 handling charge for an
exchange. This is due to reprocessing and retesting and administrative work in
serial number identification recording.
Trial Unit. If an E-Scope is order and returned within 30 days for any reason,
there will be a $25.00 restocking charge for reprocessing and retesting plus the
outgoing freight charges.
Technical Support. Cardionics will supply unlimited technical support
14
Index
Accessories for Hearing Aids
Headphones ......................................... 10
Accessories for Teaching .............. 11
Learning Cardiac Auscultation ....... 13
Description - E-Scope………………2
E-Scope Clinical Model ................... 4
E-Scope EMS ................................. 9
E-Scope Hearing Impaired Model
ITE type................................................ 6
Headphones ................................... 7
Large, encompassing………..8,10
Light-weight Headphones
10
Learning Cardiac Auscultation - CDROM .......................................... 12
Second listener ............................. 11
Service
Repairs & Technical Service
14
Software for E-Scope .................... 13
Specialist Chest Pieces ................... 5
Specialist Pediatric Bell ................... 3
Stethophone .................................. 11
StethView Digital Recording System
................................................... 13
15