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SCHILLER’s medilog® Holter system


Sophisticated and precise ECG analysis
that meetS the highest demands.
medilog®
Titel_H1_Zusatz

Philosophy
Much more than arrhythmia
screening
Schiller’s medilog® Holter system provides a compre-
hensive analysis of the human being as a whole.

!TRIALlBRILLATIONDETECTION SLEEPAPNOEASCREENINGAND
the determination of the quality of life are just some of
the exceptional features of medilog®.

Designed with feedback from hundreds of cardiologists


ANDCARDIACTECHNICIANSWORLDWIDE MEDILOG® offers un-
paralleled accuracy and opens up new possibilities for
Holter analysis.

A unique set of sophisticated tools


s 0WAVEDETECTIONFORACCURATEATRIALlBRILLATION
screening

s PureECG™ technology for superior signal quality

s ECHOView™ for instantaneous detection of atrial


A    
other critical anomalies
lBRILLATIONONSET AREEASILYIDENTIkED

s 3LEEPAPNOEADETECTIONWITHSYNCHRONISED%#' 
FD12 plus AR12 plus
respiration waveforms and SpO2 readings
Channels 3 or 12 3
s &IREOF,IFE½ABRILLIANT NEWAPPROACHTO(EART2ATE
Variability analysis PureECG™  

P wave detection  

Motion detection  

2ESPIRATION  

Bluetooth  

SpO2  

Adapting to your needs Just 3 mouse clicks away from a report

$!27).OFFERSMAXIMUMmEXIBILITYWITHFREELYCONlGURABLE $!27).ISDESIGNEDTOMAXIMISESPEEDANDEASEOFUSE
REPORTS USER DElNEDSCREENLAYOUTANDWORKmOWS)TISAVAIL-
The automatic analysis of a 24-hour Holter recording takes less
able in three different versions to suit the needs of any
THANSECONDS WITHEXTREMELYACCURATERESULTS
organisation and to grow with it:
Data review is faster than ever: it takes only three mouse
s $!27)./FlCEOPTIMISEDFORROUTINEAPPLICATIONIN
clicks to generate a comprehensive report.
PHYSICIANSOFlCES

s $!27).0ROFESSIONALPERFECTFORASMALLTOMID SIZED 99.9 % accuracy with medilog® ADAPT™


Holter scanning centre with the need for fast atrial
The medilog® ADAPT™ algorithm has a 99.9% accuracy in
lBRILLATIONDETECTION
beat detection.1
s $!27).%NTERPRISEFORTHEMOSTDEMANDINGRESEARCH
All recorded channels are analysed and excessively noisy
CENTRESANDHIGH VOLUMEHOSPITALS)NCLUDESATRIALlBRILLATION 
EPISODESAREAUTOMATICALLYEXCLUDED!SARESULT THEAUTO-
APNOEADETECTION 3P/2 and an option for scanlab
matic analysis is greatly improved and saves time in the
web-service.
lNALREPORTGENERATION

 /BTAINEDINCOMPARISONWITHTHE!MERICAN(EART!SSOCIATIONDATABASE!(!1233E 123 0 6%33E 6%3 0 ANDTHE-)4 ")(ARRHYTHMIADATABASE


-)41233E 123 0 6%33E 6%3 0 ACCORDINGTOTHE!.3)!!-)STANDARDS%#AND%#

2
medilog®
Titel_H1_Zusatz

Recorders
Wide range of options
medilog® recorders offer the acquisition of up to 12 leads
ANDDAYSOFUNINTERRUPTED CHANNELRECORDING

s !LLUNITSFEATUREAROBUST SHOCK PROOFANDSPLASH PROOF


innovative design.

s Voice recording allows technicians to easily store


patient information before starting the recording.

s Patients can easily and immediately record their


diary event with comments perfectly synchronised
with the ECG.

s Bluetooth is available on the most sophisticated


MODELSFORTRANSMISSIONDURINGRECORDING ALLOWING
for a quick ECG check-up at any time.

s medilog® high-end recorders introduce new diagnostic


possibilities with the unique ability to record SpO2
measurements synchronised with ECG waveforms.

AR4 plus FD5 plus


3 3

 

PureECG™

7ITHMEDILOG®(OLTERRECORDERS 3#(),,%2INTRODUCES0URE%#'½TECHNOLOGYANDSETSANEWSTANDARDFORHIGHSIGNALQUALITYAND
lower power consumption.

.OISYEPISODESDUETOMUSCLEARTEFACTS A conventional Holter recorder tends 7ITHTHENEW0URE%#'TECHNOLOGY 


and degrading electrodes are unavoid- to amplify noise much more than the medilog® recorders have broken this
able during a 24-hour or even longer actual signal. To compensate this vicious cycle. The recorder signal is
recording. EFFECT THESIGNALISOFTENHEAVILYlLTERED  remarkably cleared and matches the
which results in further distortions ORIGINALSIGNAL ALLTHEWHILEDRAMATICALLY
and heavy changes on morphology reducing power consumption.
123WIDTH SHAPEOF0AND4WAVE 

3
DARWIN2

Atrial Fibrillation
ECHOView displays up to 4 hours of ECG beats in a compact
format.
P wave detection and Click on the ECHOView window and the corresponding ECG
ECHO View™ WAVEFORMSAREDISPLAYEDTOEVALUATEINDICATIONSOFATRIALl-
BRILLATIONORmUTTER
7ITHTHEINTRODUCTIONOF0URE%#'½ 3#(),,%2HASACHIE
ved unparalleled signal quality in Holter recordings.

7ITH STATE OF THE ART AMPLIlERS AND lLTER TECHNOLOGY 


medilog® recorders are capable of direct P wave de-
TECTION4HISOUTSTANDINGRESULT COUPLEDWITHTHE%#(/-
6IEW½DISPLAY MAKESITPOSSIBLETOIDENTIFYINAMATTER
OFSECONDSTHEONSETANDOFFSETOFATRIALlBRILLATIONAND
ATRIALmUTTEREPISODES

%#(/6IEW½ IS A hBIRD EYEv DISPLAY OF THE %#'  WITH


clear representation of the P and T waves in each cycle.
This innovative diagnostic tool saves valuable time dur-
ing arrhythmia analysis by showing patterns of irregular
02AND14INTERVALSOF BEATSATAGLANCE

s .OMOREBEAT BY BEATORPAGE BY PAGEREVIEWOF


Holter recordings.
s 2EDUCECOSTANDIMPROVEPATIENTCAREWITHEARLY
DETECTIONOFATRIALlBRILLATIONANDATRIALmUTTER
s Preliminary assessment of the need for invasive diag-
NOSIS THERAPYORSURGERY
s Effective patient monitoring following surgery or
ablation.

  


other critical anomalies
AREEASILYIDENTIkED

Why it matters

!TRIAL&IBRILLATION!& ISTHEMOSTCOMMONFORMOFIRREGULARHEART could save healthcare systems the enormous cost of treating
RHYTHM ESTIMATEDTOAFFECTUPTOOFTHEWORLDSPOPULATION PATIENTSUNDEREMERGENCYCONDITIONS ANDIMPROVEOUTCOMES
The likelihood of developing AF increases with age and the for the patients concerned.
number of people affected is expected to double in the next
medilog ® DARWIN2 now puts a reliable, affordable and non-in-
20 years. AF is believed to account for one third of all hospi-
vasive screening device in the hands of people that can make
TAL ADMISSIONS FOR CARDIAC RHYTHM PROBLEMS  AND BELIEVED TO
that difference.
CAUSEAROUNDOFALLSTROKES%ARLYDETECTIONANDTREATMENT

4
DARWIN2

Apnoea Screening
Synchronised ECG and respiration
curves
5SINGTHEMETHODOF%#' DERIVEDRESPIRATION MEDILOG®
$!27). CALCULATES A VERY ACCURATE APNOEA INDEX
thanks to the medilog® recorders’ high sampling rate
and resolution.

4HE SYNCHRONISED DISPLAY OF %#' WAVEFORMS  HEART


rate trends and respiration curves provides a valuable
tool for thorough analysis of the correlation between
Are arrhythmias caused by apnoea episodes? arrhythmias and apnoea episodes.

3YNCHRONIZED%#'ANDRESPIRATIONCURVESPROVIDEALLTHE 7ITHTHEADDITIONOFSIMULTANEOUS3P/2MEASUREMENTS 
information at a glance. medilog® $!27). FEATURES THE MOST COMPREHENSIVE
and effective approach to sleep apnoea screening
1 Bird‘s eye view of respiration 2 Heart rate trend with Holter analysis.
curves, to instantaneously 3 Respiration curve
detect apnoea episodes
4 ECG

Apnoea pre-screening at home: reducing costs through prevention

)NAROUNDOFALLPATIENTSTHATUNDERGOPOLYSOMNOGRAPHY  DARWIN2 Enterprise offers you a fast, reliable and inexpensive


NO APNOEA IS DETECTED (OWEVER  THESE PATIENTS OFTEN SUFFER screening tool to exclude apnoea in your patients.
from cardiological diseases. And yet it is not uncommon for s Early detection of sleep apnoea episodes.
cardiological diseases to occur in combination with apnoea.
s ,OW COST COMFORTABLETOOLFORTESTSATHOME
!PNOEASAREOFTENCHRONICAND IFLEFTUNTREATED CANLEADTO
ENORMOUSlNANCIALBURDENSFORTHEHEALTHCARESYSTEMDUETO s Therapy assessment.
high follow-up costs. s 2EVIEWOFSLEEPQUALITYANDEVALUATIONOFQUALITYOFLIFE


Titel_H1_Zusatz
DARWIN2

Fire of Life™ NORMAL REGULATION – and recovery during the night

A brilliant, intuitive, new approach


to HRV analysis
4IME  AND FREQUENCY DOMAIN (EART 2ATE 6ARIABILITY
RESULTS ARE OFTEN DIFlCULT TO INTERPRET AND TRADITIONALLY
require time-consuming review.
Example 1: Swim trainer, woman, 23y, very good sleep quality,
Fire of Life™ is a very intuitive visual presentation of rhythmic sleep structure, very good capability for regeneration.

FREQUENCY DOMAIN (26 THAT MAKES THE ASSESSMENT OF


24-hour results fast and simple.

2EPEATABLEPATTERNSOFHIGH ANDLOW FREQUENCYACTIVITY REDUCED REGULATIONnOVERLOADED ONLYLITTLERECOVERYATNIGHT


DURINGDAYANDNIGHTCANBEEASILYIDENTIlED PROVIDING
information on sleep quality and level of stress.

)T CAN BE USED VERY EFFECTIVELY IN THE OCCUPATIONAL


health sector to control the stress burden and sleep
quality and also in sports medicine to check the recov-
ery process.

Example 2: 40-year-old manager, overloaded, stress-induced


reduction of parasympathetic activation at night.

Feedback from customers

The Fire of Life picture serves as a visual basis to discuss therapy BURN-OUT SYNDROMEnHEAVILYOVERLOADED INCAPABLEOFWORKING
and life style changes with patients.

4HERE ARE NO NUMBERS AND TABLES  PATIENTS ARE ABLE TO SEE
CHANGESONTHEIROWN RESULTINGININCREASEDCOMPLIANCE

Example 3: Mother, 45 years old, high mental load due to her family
structure, almost complete collapse of the regulatory abilities.
The night is hardly different from the day and shows no regenerative
processes.

Reliable results

-ANY (OLTER SYSTEMS OFFER (26 ANALYSIS /NLY A FEW HAVE THE &OR RESEARCH PURPOSES  ALL DATA CAN BE EXPORTED IN -ATLAB 
precision required for reliable results. -3%XCELOR)3(.%FORMAT

7ITH STATE OF THE ART TECHNOLOGY  HIGH SAMPLING RATE AND $!27).PROVIDESTHEBESTBEAT TO BEATANALYSISTHATANON
RESOLUTION  MEDILOG® Holter recorders provide an extremely invasive measuring method can offer.
ACCURATE2PEAKDETECTION WHICHISTHEBASISOFRELIABLE(26
analysis.


Titel_H1_Zusatz
DARWIN2
Personalise your reports

s "RANDYOUR$!27).REPORTSWITHYOUROWNLOGO Liberty™
s Add or remove arrhythmia strips.

s !DDDIFFERENTTRENDVIEWSORDIAGRAMSFORASPECIlC
Upload your recordings in the Cloud
recording.
$!27). ,IBERTY½ HAS BEEN DESIGNED TO OVERCOME
s )FAPATIENTSHOWSVERYSPECIlC14DURATIONCHANGESOVER
long distances and support communities spread over
TIME WHYNOTTOADDTHISTRENDTOYOURlNALREPORT
large areas.

)TISTHEPERFECTSOLUTIONFOR(OLTERSCANNINGSERVICEPRO-
viders and hospitals with patients in remote locations.
vide
)TWASNEVERSOEASYTOUPLOADANDMANAGE(OLTERDATA
)TW
0213
Digital Hospital
digitalhospr ital Bergstraße 55 Hans Peter, Hölzl and reports. Fast turnaround will dramatically increase
get well soone 8020 Graz 01.01.1960
Switzerland cost
cost-effectiveness of the scanning service and improve
patient care.
pati
Patient Details Case number
Name Hans Peter, Hölzl Rec. start 30.07.2001 12:53:08
ID 0213
.1960
Length 18:16:02 s Ho
s Holter recordings can be uploaded from anywhere
Age 41 Date of birth: 01.01 Recorder AR12 (11/2.0)
Gender M Ref.Doc. via the internet.
vi
Address Contact
Phone
s .O
s .ONEEDFORDEDICATEDCLIENTSOFTWAREATTHEREMOTE
Reason f. rec
Current Therapy location. All that is needed is a PC with internet con-
lo
Recom. Therapy
nection and a web browser.
ne
Heartrate and HRV
36 @ 05:14:56
General Min. HR
Beats
76196 Max. HR
104 @ 03:26:54 s
s Pa
Patient data and waveforms can be displayed at
262 (0,34%) Ø HR
70
V beats
SV beats
75934 (99,66%) Ø HR Day
73 the remote site for quality check.
th
0 (0,00%) Ø HR Night
68
Paced beats
0 (0,00%) 0 (130 bpm) 0%
Beats in Tachy
BBB
Junction
0 (0,00%) Beats in Brady
1628 (45 bpm) 3,4% s
s Fi
Final reports are available for review via internet as
1/1 2,2 sec @ 04:18
AFib/AFL Longest Pause
AFib/AFL%
3,8%/7,6% soon as they are completed.
so
0,00%
Artefacts%
nts
Supraventricular Eve
Ventricular Events Pause 27
111 Tachycardia 0
V ectopic beats
Mono: 5 Poly: 9 --- (defined by length)
Couplets Most severe SVT
0 with --- @ ---
Triplets
96 75
Isolated V Bradycardia length)
1 Most severe Brady 575,2 sec (defined by
Bigemini
3 with 37 bpm @ 00:28
Trigemini
0
VT
--- (---) @ --- 0
Most severe VT PSVT
1 Irreg. Rhythm 7
NSVT
0 SV Ectopic beats 22
Salvo
2
IVR

:02 hours.
Diagnosis on 30.07.2001 12:53:08
with a duration of 18:16 recording.
recording was started bpm over the complete
An ambulatory Holter 68 bpm at night and 70
ge heart rate was 73 bpm during the day, um heart rate was 36 bpm at 05:14:56.
The avera
104 bpm at 03:26 :54. The minim
was
The maximum heart rate was 48,5 ms.
over all normal beats
The standard deviation

Heart Rate Trend

Review your recordings anywhere on the network

s 3CALABLESOLUTIONSTHATMEETALLNEEDS FROMTHEPHYSICIANS
OFlCETOLARGEHOSPITALNETWORKS

s -ULTIPLEmOATINGLICENSESTOMAXIMISEDATAACCESSFOR
minimum cost

s Data security and integrity is guaranteed: patient data can


ONLYBEACCESSEDBYONEUSERATATIME WITHINFORMATION
on who is reviewing which data.

s Data export to 3#(),,%2 SEMA3 or in various formats for


compatibility to third-party systems
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Asia L+(*- %9/)*.+


SCHILLER Asia-Pacific / Malaysia SCHILLER Latin America, Inc.
52200 Kuala Lumpur, Malaysia Doral, Florida 33172
Phone +603 6272 3033 Phone +1 954 673 0358
Fax +603 6272 2030 Fax +1 786 845 06 02
sales@schiller.com.my info@schillerla.ch
www.schiller-asia.com www.schillerla.ch

%&'()*+ P8:+-5
SCHILLER Handelsgesellschaft m.b.H. SCHILLER Poland Sp. z o.o.
A-4040 Linz PL-02-729 Warszawa
Phone +43 732 709 90 Phone +48 22 8432089
Fax +43 732 757 000 Fax +48 22 8432089
sales@schiller.at schiller@schiller.pl
www.schiller.at www.schiller.pl

C,*-+ R&''*+ ; C<I<=<


Alfred Schiller Medical Equipment Co. Ltd. SCHILLER AG Rep. office
100015 Beijing, China 125124 Moscow, Russia
Phone +86-10-84565453 Phone +7 (495) 970 11 33
info@schillermedical.com Fax +7 (495) 970 11 33
www.schillermedical.cn mail@schiller-ag.com
www.schiller-cis.com
F)+-./
SCHILLER Médical S.A.S. =/)S*+
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Phone +33 3 88 63 36 00 11010 Beograd
Fax +33 3 88 94 12 82 Phone +381 11 39 79 508
info@schiller.fr Fax +381 11 39 79 518
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F)+-./ 05*'tribution France)
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Phone +33 1 64 66 50 00 2310 Slovenska Bistrica
Fax +33 1 64 66 50 10 Phone +386 2 843 00 56
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SCHILLER Medizintechnik GmbH =>+*-
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Phone +49 89 62 99 81-0 E-28230-Las Rozas/Madrid
Fax +49 89 62 99 81-54 Phone +34 91 713 01 76
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Phone +36 (1) 383-4780 / 460-9491 CH-8953 Dietikon
Fax +36 (1) 383-4778 Phone +41 44 744 30 00
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Mumbai - 400 001, India SCHILLER TÜRKIYE
Phone +91 22 6152 3333/ 2920 9141 Okmeydani-Sisli – Istanbul
Fax +91 22 2920 9142 Phone +90 212 210 8681 (pbx)
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Schiller medicinski instrumenti d.o.o. U=%
10000 Zagreb SCHILLER America Inc.
Phone +385 1 309 66 59 Doral, Florida 33172
Fax +385 1 309 66 60 Phone +1 786 845 0620
info@schillerzg.hr Fax +1 786 845 06 02
www.schiller.ch sales@schilleramerica.com
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