HScribe 5

1. HScribe 5 November 2011 Medica 2011 Presentation

2. NEW HScribe 5 Key Features & Benefits • Scalable Solutions: Simple to complex system configurations • From standalone to a network of workstations that can schedule patients, import recordings, review, and generate results – all within a shared database • Supports one of the smallest traditional Holter recorders on the market to an advanced High Fidelity 12-lead Holter recorder • Multiple scanning choices support traditional as well as advanced Holter review • Superior accuracy with Mortara’s VERITAS™ algorithms provides rapid results • Web-based Holter data transfer enables fast turnaround time for remote sites • Bidirectional interface for HL7 or DICOM® automatic orders, data export and billing • Patient monitoring data import for full Holter reporting • 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)

3. HScribe 5 Holter Analysis System • Schedule • Schedule New Patients • Find existing demographics • Filter criteria for search • Review Orders • Hookup • Edit/Modify Patient Data • Prepare recorder with data • Import Recordings • H3+, H12+ CF card, Web Server, & Surveyor Data • Worklist • Imported recordings in wait • Edit, Review, Sign, Export • Find stored Holter exams • Search Database • User Preferences • System Settings • Exit

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

5. First Impression - What’s New? • New and improved analysis processes and updated VERITAS™ algorithm for Holter • Dynamic channel switching for all recorded leads (not locked to specific leads) • Each beat is checked for signal quality (lower threshold for noisy beat rejection) • 48-Hour recordings are analyzed and reviewed as a single recording • New updated look and feel • Color-coded waveform (instead of beat background) • Light or Dark background chosen by the user • Ability to customize the display • Right/Left Split • Top/Bottom Split

6. Beat Editing and Identification • New ability to insert and delete beats • User may insert a beat label anywhere in the waveform • User may delete an erroneous beat label (T wave, pacer spike, etc.) preserving the surrounding RR intervals for all calculations • An entire region can be excluded from the analysis • New automatic labels • Ventricular Escape Beat • Unknown Beat • Atrial Paced Beat • Dual Paced Beat • New ‘user-added’ labels • Aberrant • Bundle Branch Block • Fusion • Interpolated • Beat labels on display

7. QT/QTc Analysis Feature • Mortara Linear, Bazett, or Fridericia setting choices for QT correction • RR prior, RRc, or RR16 setting choices for RR intervals used with QTc • QT/QTc trending with minimum, mean, and maximum reporting • QT/QTc trends displayed together with heart rate and RR interval trends

8. A Second Glance - What’s New? • New analysis features • New Bigeminy and Trigeminy detection plus other rhythm identification • User-defined rhythms – a label for any rhythm event is possible on a per patient basis • Ventricular and Supraventricular Tachycardia settings and identification • Min/Mean/Max Heart Rate calculated on Normal only or all beats (user-defined)

9. Expanding on the familiar… • Expanded “Profile” selections grouped for easy review • General: Diary Events, HR, RR, Pauses, ST, RR Variance, QT/QTc Analysis, User Defined • Rhythm: Diary Events, HR, Supraventricular Ectopy, Ventricular Ectopy, User Defined • Paced: Diary Events, HR, Atrial, Ventricular, Dual Paced beats, Pacer Failures, User Defined • All: Everything in one display

10. More Intuitive Intuitive “Prospective” Scanning • Stop settings are always displayed • Superimposition and paging simultaneous or paging only • Choose any recorded channels with ability to display all 12-leads in the page view

11. Review & Edit - Histograms • New Histograms Tab • RR interval for all beats • Supraventricular Prematurity by % • Pacer Spike  QRS  Pacer Spike • Ventricular Runs (3 or more) • Supraventricular Runs (3 or more) • Supraventricular beat navigation and prematurity % • No more (confusion with) Supraventricular Templates • Immediate recalculation after a label change • No need to rescan when adjusting prematurity %

12. Review & Edit – Final Report Strips • New Strips Tab • New ability to navigate (hyperlink) to the ECG view by clicking on the strip listing • Same ability to add auto-strips • Improved ability to edit/delete saved strips

13. Final Report Preparation • New Summary Tab • All summary values are editable in this display • Check boxes allow the user to include/exclude sections in the final report output • Summary items with a value and time appear with hyperlinks • 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]”