1. XScribe 5
November 2011
Medica 2011 Presentation

2. XScribe 5 Key Features & Benefits
Wireless ECG Acquisition with X lead transmitter provides freedom for the patient and the clinician
Traditional ECG acquisition with AM-12 patient cable is also an option
Complete clinical data presentation on a widescreen display
ST segment display and other measurements at a glance
ECG display with paper-like pink grid
Accurate diagnostic results with Mortara’s advanced VERITAS™ algorithms and patented Source Consistency Filter (SCF)
Bidirectional interface for HL7 or DICOM® automatic orders, data export and billing
User roles and permissions ensure patient data security
Appropriate tasks can be assigned to each user by the system administrator
Physicians can electronically sign reviewed reports
Audit trails provide regulatory requirements reporting (support HIPAA compliance)
Scalable Solutions: Simple to complex system configurations
From standalone to a network of workstations that can schedule patients, conduct stress exams, review, and generate results – all within a shared database

3. XScribe 5 Stress Exercise System
Schedule
Schedule New Patients
Find existing demographics
Filter criteria for search
Review Orders
Hookup Patient and start stress exam
Search Patient
Find Patient Data
Edit Patient demographics
Worklist
Edit, Review, Sign, Export
Finalize exams
Find stored Stress exams
Search Database
User Preferences
System Settings
Exit

4. New XScribe 5 Modality Manager
The XScribe 5 exercise stress system is available
As a single workstation system that can support up to 4 networked client workstations that can
Perform stress exams
Schedule, Review and edit stress exams
In a distributed configuration where the database resides on a redundant (RAID) storage server with at least one or more networked client workstations that can
Perform Stress Exams
Roles and User Permissions for
IT and Clinical Administrators
Clinical Coordinators
Clinicians / Technicians
Physicians
Exam Groups
Separate stress exam types
Separate User access
Separate report formats and lists
Search and Schedule
Patient demographics
Stress exams
Archive/Restore
Individual exams only
Patient demographics only
All patient data with exams
Audit Trails
Support for HIPAA compliance

5. First Impression - What’s New?
New AM-12 Patient cable for stress testing
Replaces M12A and M12B options
Shorter lead wires with medi-clip end designed for stress testing
Right leg, Right arm, & Left arm leads = 730 mm (29 inches)
Left leg = 400 mm (16 inches)
V1/C1 and V2/C2 = 680 mm (27 inches)
V3/C3 through V6/C6 = 550 mm (22 inches)
Full set of 10-wires with ability to replace individual lead wires
Available with MMM module for TTL and analog output
Available as Quick (USB) Connect
X12+ transmitter continues to be available for wireless stress

6. New Context View during Exam
New Context View selection in Format/F7
Available in Pre-exercise, Exercise, and Recovery
Can be enabled/disabled on a per patient basis and on or off as a default setting
Drop-down list allows ECG lead selection
Ability to add missed events
Bookmark can be added as a quick event while exam is in progress
Saves time during final report preparation

7. New Context View navigation/editing
Use the right scroll-bar to move back or forward in time (time shown in green)
Click a captured blue event box and then the red X to delete a saved event
Double-click anywhere in the context ECG to label and save a new event
Bookmark event labels can be edited in post-test review

8. New Beat Consistency Filter (BCF)
Mortara’s answer to competitor’s Linked Median and Averaged 12-Lead ECGs
Averaged ECGs are used for ECG printouts
This printout option is available in XScribe 5 System Settings under the Profiles tab
ECG Print and Event Print are independently set
Two Format choices
3x4+1 BCF
3x4+3 BCF
The rhythm leads will print real-time ECG with abnormal beats
Note that any abnormal (VE, SVE, etc.) beats are filtered out of the BCF 12-lead ECG
Printed ECG leads will be labeled with ‘BCF’ when this print type is selected
I BCF; II BCF; III BCF; aVR BCF; aVL BCF; aVF BCF
V1 BCF – V6 BCF

9. New VERITAS™ 7 Algorithms
Mortara’s latest resting ECG interpretation version
Gender, Pediatric and Adult specific interpretation dependent on entered patient demographics
Improved pacemaker, atrial flutter, and AV-block analysis
Improved infarction statements
New STEMI statements (****ACUTE MI****)
Mortara’s latest arrhythmia analysis version
Improved detection of PVCs, Ventricular Couplets, Ventricular Runs, and Dominant Rhythm Change
Mortara’s latest ST segment analysis version
aVR is not used for maximum ST segment deviation
aVR is not used for ST/HR index calculation

10. Enhanced Post-Test Full Disclosure Review
User now has two methods to review and find events
Review Exam
Same Playback navigation as in previous versions
New Page Review presents a list of events that are navigable
New ability to add Events

11. New Post-Test Review: Page Review
Faster navigation to event ECG
Click on item in Event list
Click on trend
Use << to page back
Use >> to page forward
Select item in Event list to
Relabel the Event
Print the Event ECG
Delete the Event
Select EVENT/F5 to
Choose Event label
Add an Event ECG

12. Other XScribe 5 Enhancements
Greater flexibility in report layout and content
Selection of specific stage printouts with ECG and median complexes
Customizable fields, demographics, and institution logo
Maximum predicted HR is displayed along with Target and current HR
Print speed at 50mm/s is now available for 12-lead ECGs
Simpler Protocol creation with “copy and paste” mode
Independent height and weight units (kg and cm; or kg and in; etc.)
Larger clock improves readability at a distance
Ability to switch between Auto and Manual BP
Systems equipped with TANGO can abandon the automatic mode
Abort/resume Z200+ and Windows printouts
Ability to customize Event drop-down list order of labels
Ability to change displayed leads using the Format/F7 menu
Automatic ECGs and BP measurements based on time instead of stage
Ergometer Target and Max Workload can be formula calculated or user entered

13. New Final Report Preparation
New Report Manager
All summary values are editable in this display
Check boxes allow the user to include/exclude sections in the final report output
Conclusion entry with free- text or a choice of user defined templates and acronyms
Customizable demographics and institution logo
Option to add electronic signature: “Signed By [Physician Name]”