QMedical ANS & Vascular HW10 Technical Specifications

Transcription

1 QMedical ANS & Vascular HW10 Technical Specifications 1

2 GENERAL TECHNICAL DATA Note: Unless otherwise indicated, all specifications are subject to change without notice. Temperature range Operation Storage Transport USB communication. Power Supply Voltage Setup location, maximum height above mean sea level Atmospheric Pressure Device Box ingress protection Air humidity Operation Storage Transport Medical device in accordance with Directive 93/42/EEC EN : +10 C to +40 C (50 to 104 F) 40 C to +70 C ( 40 to 158 F) 40 C to +70 C ( 40 to 158 F) 5V DC from the Computer/Notebook USB port. QMedical USB communication power consumption not more than: 5V DC/200mA DC. The Computer/Notebook should be IEC certified (or equivalent) The power supply is delivered via XP Power VEP Series Power Supply VEP15US05 (XP Power, 990 Benecia Avenue, Sunnyvale, CA 94085, USA) Type: Medical Grade Supply Rated Mains Supply Voltage: V~, 50/60Hz, 0.5A Output: +5.0V, 2.0A Protection Class 2 Continuous duty 3000m 50kPa to 106kPa IPX1 15% 85% non condensing 0% 95% non condensing 0% 95% non condensing Class lla Insulated device, protection class II Electric medical device, Defibrillator proof Type CF Degree of protection against harmful ingress of water Degree of safety of application in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Method(s) of sterilization or disinfection recommended by the manufacturer Biocompatibility Ordinary Equipment(enclosed equipment without protection against ingress of water) Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Not applicable The parts of the product described in this operator manual, including all accessories, that come in contact with the patient during the intended use, fulfill the biocompatibility requirements of the applicable standards ISO If you have questions in this matter, please contact Medeia. Information Technologies or its representatives. Replaceable fuse F 1.0AL 250V, (FSF 5x20, ) Device LED Indicator Green Device is powered on and ready for use, Doppler probe is ON. Blinking Blue Device is measuring, LED Blinking with the patient Heart Rate 2

3 ECG TECHNICAL DATA ECG AMPLIFIER Simultaneous, Synchronous Registration Of All 9 Active Electrode Signals (= 12 Standard Leads) SAMPLING FREQUENCY 100/200/400 Hz; default 200Hz DIGITAL RESOLUTION 5 µv DYNAMIC RANGE MAX. ELECTRODE POTENTIAL TIME CONSTANT FREQUENCY RESPONSE ± 10 mvac ± 300 mvdc > 3.2 s ELECTRODE OFFSET ± 300mV TOLERANCE NONLINEARITY < 2% INPUT IMPEDANCE INPUT BIAS CURRENT LINE FREQUENCY FILTER LOW PASS HIGH PASS PATIENT LEAKAGE CURRENT PATIENT INPUT COMMON MODE REJECTION LEADS OFF INDICATORS GAIN/SENSITIVITY SWEEP SPEED INPUT RANGE A/D CONVERSION EMG FILTER T WAVE AMPLITUDE (AT) HEART RATE RANGE HEART RATE UPDATE HEART RATE AVERAGING AND UPDATING HEART RATE RESOLUTION HEART RATE ACCURACY HEART RATE AND QRS DETECTION STABILIZATION PERIOD RESPONSE TIME OF HEART RATE METER TO CHANGE IN HEART RATE ISOLATION TIME CONSTANT PACEMAKER DETECTION 0.05 to 150 Hz ( 3 db) > 10 MOhms ~ 0,1μА Distortion free suppression of superimposed 50 or 60 Hz sinusoidal interferences; default AutoDetect 50, 100 or 150Hz; default 100Hz 0.05Hz or 3.4Hz; default 3.4Hz < 10 µa Fully floating and isolated, defibrillation protected. 80dB (minimum) 100dB (with filter) Connection status for each lead is shown on "Recording ECG" screen 10 mm/mv 25 mm/s ± 5 mv 16bit 35Hz ( 3dB) / 25Hz ( 3dB) T wave amplitude >1.2 times of R wave amplitude can be rejected bpm every 1.5 seconds 2 s + the delay for the occurs of the next QRS pulse 1bpm ± 1bpm < 20s HR change from 80 to 120 bpm: 9 to 12 seconds HR change from 80 to 40 bpm: 9 to 13 seconds Isolated from ground related circuits by >4 kv rms, 5.5 kv peak The pacemaker pulse rejection capability includes pulses between +/ 2mV and +/ 700mV amplitude, with widths between 1ms and 2ms and overshoot from 0 to 100ms. The Device is not capable of rejecting A V Sequential pacemaker pulses. 3

4 PHOTOPLETHYSMOGRAPHY (PPG) Wavelength: 940 nm Artifact Rejection: Synchronous demodulation, AC coupled output Operating Frequency: 100Hz, 200Hz, 400Hz Operating Resolution: 12bit Cable length: 6.5 ft Pulse Rate Range from PPG (during no motion conditions): 30 to 220 bpm ±3 digits Pulse Rate Range from PPG (during Motion conditions): 30 to 220 bpm ±3 digits PPG waveform: non normalized. PPG waveform is present on display for visual signal quality check if require. PPG Signal quality inadequacy: It detect if a patient finger/toe is attach to the sensor. If not a signal is bad warning appear on display. OXYGEN SATURATION Oxygen Saturation Rang (%SpO2): 70 to 100% Maximum Measurement Wavelengths: Red: mw; Infrared: mw SpO2 Accuracy: 70 to 80% +/ 3 digits SaO2; 80 to 100% +/ 2 digits SaO2; SpO2 Accuracy for Neonate: 70 to 100% +/ 3 digits SaO2; SpO2 Update cycle: every 6s SpO2 detection stabilization period: 15s SpO2 Measuring mode: two wavelength lite absorption method Maximum application time per patient and site: no more than 30 min NOTE: HW10 device and sensor has been validated for no motion accuracy in human blood studies on healthy adult male and female volunteers with light to dark skin pigmentation in induced hypoxia studies in the range of % SpO2 against a laboratory Oximeter and ECG monitor. 1% was added to account for the properties of fetal hemoglobin. This variation equals plus or minus one standard deviation which encompasses 68% of the population. WARNING! The HW10 SpO2 can be used during defibrillation, but the readings may be inaccurate for up to 20 seconds. WARNING! Patient Safety If a sensor is damaged in any way, discontinue use immediately. WARNING! Do not place containers containing liquids on or near the HW10 device. Liquids spilled on the HW10 may cause it to perform inaccurately or fail. WARNING! Do not expose the HW10 to excessive moisture such as direct exposure to rain. Excessive moisture can cause the HW10 to perform inaccurately or fail. WARNING! Do not place the HW10 where the controls can be changed by the patient. WARNING! A functional tester cannot be utilized to assess the accuracy of the HW10 SpO2 or any sensors. WARNING! Severe anemia may cause erroneous SpO2 readings. WARNING! Do not place the HW10 or accessories in any position that might cause it to fall on the patient. Do not lift the HW10 by the patient cable. WARNING! Interfering Substances: SpO2 is a functional calculation of arterial oxygen saturation. Carboxyhemoglobin and methemoglobin may erroneously increase SpO2 readings. The level of increase is approximately equal to the amount of carboxyhemoglobin and/or methemoglobin present. Dyes, or any substance containing dyes, that change usual blood pigmentation may cause erroneous readings. WARNING! Do not connect/use other than provided SpO2/PPG sensor with that equipment, readings may be inaccurate. SpO2/PPG probes are designed for use with that specific equipment only; NOTE: The information about wavelength range can be especially useful to some clinicians. NOTE: Because PULSE OXIMETER EQUIPMENT measurements are statistically distributed, only about two thirds of PULSE OXIMETER EQUIPMENT measurements can be expected to fall within ±Arms of the value measured by a CO OXIMETER. When a PULSE OXIMETER MONITOR is suitable for use with a variety of PULSE OXIMETER PROBES, SpO2 ACCURACY information shall be made available for each type of PULSE OXIMETER PROBE. NOTE: Internal company technical personal need to refer to Performance Tests Validation and SpO2 Accuracy Validation Report for product final validation and verification before supply to the client. SpO2 measurement accuracy is based on clinical studies using Secondary standard sensors on volunteer subjects. Samples measurements were analyzed simultaneously. 4

5 BLOOD PRESSURE (NIBP) Number of Blood Pressure: 2, 3 or 4 Cuff pressure Range: mmhg Measuring range: mmhg Accuracy: +/ 2 mmhg mmhg, +/ 2% above 200mmHg Safety: Pressure released if greater than 255 mmhg Pressure released if held above 100 mmhg beyond 3 minutes Pressure released if held between mmhg beyond 5 minutes* (*Operator may over ride for exam purposes) Redundant Control Bleed Rate: 2.5 mmhg/sec nominal PVR: 0.16 to 12.5 Hz bandwidth, AC Coupled Cuff size: S, M, L, XL CAUTION! During unlikely event of over pressure of the cuffs or retaining pressure long time use the Red Button on the front panel of the device to deflate the blood pressure cuff or disconnect the cuffs from the device. CAUTION! BLOOD PRESSURE reading can be affected by the measurement site, the position of the PATIENT (standing, sitting, lying down), exercise, or the PATIENT'S physiologic condition. Environmental or operational factors which can affect the performance of the Blood Pressure reading (e.g. common arrhythmias such as atrial or ventricular premature beats or atrial fibrillation, arterial sclerosis, poor perfusion, diabetes, age, pregnancy, pre eclampsia, renal diseases, Patient motion, trembling, shivering); ULTRASOUND DOPPLER PROBE Doppler Type: Bi Directional, Continuous Wave (CW) Audio Bandwidth: >4 KHz Waveform Display: Digital Mean Frequency Estimator Separate Forward and Reverse Flow Waveforms Available Probe Frequencies: 8MHz, 4MHz Displayed Waveform Amplitude Accuracy: +/ 10% Speaker Output: > 0.25 W Speaker Type: 2 inch, 5 W Cable length: 6.5 ft Volume Control: Continuously variable with mute Waterproof Obstetrical Probe FDA 510k Clearance: K Low Output Summary Table (for systems with no transducers having global maximum index values exceeding 1.0) Transducer Model (MHz) I spta.3 (mw/cm2) TI Type TI Value MI I sppa.3 (W/cm2) TIS 0.01 CW 4MHz TIB TIS CW 4MHz TIB TIS 0.08 CW 8MHz Overall Sensitivity 4MHz Probe 5

6 CONTROLS AND INDICATORS 1) 12 Lead or 3 lead ECG Electrode Cable 2) Reusable Finger/Toe Photoplethysmography (PPG/SpO2) Sensor 1 3) Reusable Finger/Toe Photoplethysmography (PPG/SpO2) Sensor 2 4) Doppler Bi Directional, Continuous Wave (CW) Probe (4MHz or 8MHz) 5) Non Invasive Blood Pressure Cuff 1 6) Non Invasive Blood Pressure Cuff 2 7) Event Button or Blood Pressure Relief button 8) LED Indicator: Green Device is powered on and ready for use; Blinking Blue Device is measuring (Doppler probe is ON), LED is blinking with the patient Heart Rate. 9) Power Supply: +5V, 1.6A 10) Device On/Off Button 11) Reusable USB Communication cable: USB 2.0 Cable Male A/B 6Ft 6

7 EMS SAFETY EMC Notice QMEDICAL generates, uses and can radiate radio frequency energy. If not set up correctly and used in accordance with the instructions in this manual, electromagnetic interference may result. The equipment has been tested and complies with the limits set forth in IEC for Medical Products. These limits provide reasonable protection against electromagnetic interference when operated in the intended environments (e.g. hospitals, research laboratories, etc.) described in this manual. MRI Notice This device contains components whose operation can be affected by intense electromagnetic fields. Do not operate the device in an MRI environment or in the vicinity of high frequency surgical diathermy equipment, defibrillators or short wave therapy equipment. Electromagnetic interference could disrupt the operation of this device. Intended Use Notice QMedical device is intended for detection of blood flow in veins and arteries and as an aid for the diagnosis of peripheral vascular disease. The system is intended for use on patients in medical clinics, healthcare practices and in out patient departments of hospitals. Manufacturer s declaration electromagnetic emissions The QMEDICAL System is intended for use in the electromagnetic environment specified below. The customer or user of the QMEDICAL System should assure that it is used in such an environment. Emissions test Compliance Electromagnetic environment guidance Radio Frequency emissions Group 1 The QMEDICAL uses Radio Frequency CISPR 11 energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. Radio Frequency emissions CISPR 11 Harmonic emissions IEC Voltage fluctuations/flicker emissions IEC Class CF Not applicable Not applicable The QMEDICAL is suitable for use in all establishments, including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes. Manufacturer s declaration electromagnetic immunity The QMEDICAL is intended for use in the electromagnetic environment specified below. The customer or the user of the QMEDICAL should assure that it is used in such an environment. Immunity test IEC test level Compli ance level Electrostatic discharge (ESD) IEC Radiated, radio frequency, electromagnetic field immunity test IEC ±2,4,6 kv contact direct ±2,4,6 kv contact indirect ±2,4,8 kv air direct 1/Frequency Mhz strength 3V/m Modulation 80% AM (2Hz) dwell time 2.8 sec. 2/ Frequency MHz strength 3V/m Modulation 80% AM (2Hz) dwell time 2.8 sec. 3/ Frequency MHz strength 3V/m Modulation 80% AM (2Hz ) dwell time 2.8 sec. B A Electromagnetic environment guidance Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material the relative humidity should be at least 15%. Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. Immunity to conducted disturbances, induced by radiofrequency fields IEC Power frequency (50/60 Hz) magnetic field IEC Frequency MHz Vrms 3 Modulation 80% AM (2Hz) Dwell time 2.8 sec. Frequency 50 and 60 Hz, 3 A/m A A Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. 7

8 STANDARD CERTIFICATION Classification: Class II Equipment Powered Equipment External power supply Degree of protection against ingress of water: Ordinary (not rated) Degree of Safety in Presence of Flammable Gases: Equipment not suitable for use in presence of flammable gases Designed and tested to meet: IEC , IEC :2012, AAMI :2011, IEC :2007, AAMI : A1:2013, ISO :2011. EMC Classification: Class A This equipment was tested to applicable standards for electromagnetic interference. If interference occurs, attempt to eliminate the source of the interference or increase the distance between the QMedical and the source of the interference. WARNING: Connect the QMedical only to equipment that meets the appropriate standards. The QMedical and its External Power Supply are a medical system. The External Power Supply must meet IEC construction requirements for Reinforced Attention: Consult Accompanying Documents, Additional technical information is available upon customer request. FDA 510k Clearance: K080884, K083735, K EU CE mark: 0120 (SGS), Directive 93/42/EEC, ISO 13485:2003 REPORT PARAMETERS: Artery Assessment: Endothelial Dysfunction, Pulse Wave Velocity, Peripheral Augmentation Index, Central Aortic Systolic Pressure, Segmental Ankle Brachial Indices (ABI) and Toe Brachial Index (TBI), PPG, PVR, PTT. Cardiac Autonomic Function Testing (ANS): Heart rate variability Analysis and Cardiac Autonomic Reflex Tests (Autonomic Tonus, Autonomic Balance, Valsalva Ratio, Deep Breathing Reflex, E/I Ratio, K30/15 Ratio and Beat to Beat Systolic blood pressure response difference while standing or tilt). ECG Assessment: 3 or 12 Leads ECG Assessment, Ventricular Extrasystoles (PVC), Atrial Extrasystoles (PAC), QT Variability Overall Health Level Assessment: Accumulative Mental Stress Index, Accumulative Physical Stress Index, Overall Health Level Sudomotor Assessment: (QBioScan/SudoCheck) Sympathetic skin response(ssr), Quantitative Sudomotor Axon Reflex Test (QSART) 8

9 QBioscan SudoCheck HW4 Technical Specifications 9

10 SYMPATHETIC SKIN RESPONSE (SSR) SPECIFICATION Note: Unless otherwise indicated, all specifications are subject to change without notice. Classification Regulation Product Code Indication Operating Characteristics , Class II GZO QBioScan/SudoCheck is indicated for the measurement of galvanic/sympathetic skin response and QSART to aid in the assessment of the sudomotor function. The device is intended for use on the general adult population in medical clinics, healthcare practices and out patient departments of hospitals. Measures difference in skin conductance. Used to provide feedback to physicians, not to diagnose. Skin Contact Pads measure skin conductance. Electrode Surface Area Hand: 384 cm 2 Electrode Placement (Anatomic Sites) Electrode Materials Foot: 384 cm 2 Head: 7 cm 2 (optional) Hands, Feet, Forehead Head Electrode: Stainless Steel with Ag/AgCl layer (cleared electrode) Hand and Foot Electrode: AISI 304 Stainless Steel Skin Conductance µs/cm 2 Measurement Range Skin Conductance Resolution 1 ns/cm 2 Acquisition Duration (total) 120, 300 or 600 seconds Electrical Output to the skin 4 V max Electrical Output Frequency Continuous Electrical Output Unit 1 second Duration Power Density (at electrode) 0.01 µa/mm 2 User Display Computer Display User Control Computer provided with system Audible Indicators Internal Computer Speaker and Optional Headphone Output Report 4 average values of 12 STC measurements: Two STC for each Hand: Average value of a minimum of 6 STC measurements Two STC for each Foot: Average value of a minimum of 6 STC measurements Head: Average value of a minimum of 6 STC measurements Interface USB from laptop Power Source 5 V provided by USB Electrical Safety Standards IEC EN Electrical Safety Classification Class II Type BF Applied Part 10

11 GENERAL TECHNICAL DATA Temperature range Operation Storage Transport Power Supply Voltage Setup location, maximum height above mean sea level Atmospheric Pressure Air humidity Operation Storage Transport Medical device in accordance with Directive 93/42/EEC EN : +10 C to +40 C (50 to 104 F) 40 C to +70 C ( 40 to 158 F) 40 C to +70 C ( 40 to 158 F) 5V DC from the Computer/Notebook USB port. QBioscan device power consumption not more than: 5V DC/100mA DC. The Computer/Notebook should be IEC certified (or equivalent) 3000m 50kPa to 106kPa 30% 70% non condensing 0% 95% non condensing 0% 95% non condensing Class lla Insulated device, protection class II Electric medical device, type BF Measuring range Skin Resistance: 1KOhms 100KOhms Measurement Accuracy Skin Resistance: 5% Non replaceable fuse F1: F 500mAH, 32V (USF A5) STANDARD CERTIFICATION Classification: Class II Equipment Powered Equipment External power supply Degree of protection against ingress of water: Ordinary (not rated) Degree of Safety in Presence of Flammable Gases: Equipment not suitable for use in presence of flammable gases Designed and tested to meet: IEC , IEC :2012, EMC Classification: Class A This equipment was tested to applicable standards for electromagnetic interference. If interference occurs, attempt to eliminate the source of the interference or increase the distance between the QMedical and the source of the interference. WARNING: Connect the QMedical only to equipment that meets the appropriate standards. The QMedical and its External Power Supply are a medical system. The External Power Supply must meet IEC construction requirements for Reinforced Attention: Consult Accompanying Documents, Additional technical information is available upon customer request. FDA 510k Clearance: K EU CE mark: 0120 (SGS), Directive 93/42/EEC, ISO 13485:

12 EMS SAFETY EMC Notice QBIOSCAN generates, uses and can radiate radio frequency energy. If not set up correctly and used in accordance with the instructions in this manual, electromagnetic interference may result. The equipment has been tested and complies with the limits set forth in IEC for Medical Products. These limits provide reasonable protection against electromagnetic interference when operated in the intended environments (e.g. hospitals, research laboratories, etc.) described in this manual. MRI Notice This device contains components whose operation can be affected by intense electromagnetic fields. Do not operate the device in an MRI environment or in the vicinity of high frequency surgical diathermy equipment, defibrillators or short wave therapy equipment. Electromagnetic interference could disrupt the operation of this device. Intended Use Notice QBioScan device is a medical device for the measurement of galvanic skin response. The system is intended for use on patients in medical clinics, healthcare practices and in out patient departments of hospitals. It should only be operated by properly trained personnel. The results obtained from the QBioscan System are used for information only and are not to be used as any diagnostic process. Manufacturer s declaration electromagnetic emissions The QBIOSCAN System is intended for use in the electromagnetic environment specified below. The customer or user of the QBIOSCAN System should assure that it is used in such an environment. Emissions test Compliance Electromagnetic environment guidance Radio Frequency emissions Group 1 The QBIOSCAN uses Radio Frequency CISPR 11 energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. Radio Frequency emissions CISPR 11 Harmonic emissions IEC Voltage fluctuations/flicker emissions IEC Class B Not applicable Not applicable The QBIOSCAN is suitable for use in all establishments, including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes. Manufacturer s declaration electromagnetic immunity The QBIOSCAN is intended for use in the electromagnetic environment specified below. The customer or the user of the QBIOSCAN should assure that it is used in such an environment. Immunity test IEC test level Compli ance level Electrostatic discharge (ESD) IEC Radiated, radio frequency, electromagnetic field immunity test IEC Immunity to conducted disturbances, induced by radiofrequency fields IEC Power frequency (50/60 Hz) magnetic field IEC ±2,4,6 kv contact direct ±2,4,6 kv contact indirect ±2,4,8 kv air direct 1/Frequency Mhz strength 3V/m Modulation 80% AM (2Hz) dwell time 2.8 sec. 2/ Frequency MHz strength 3V/m Modulation 80% AM (2Hz) dwell time 2.8 sec. 3/ Frequency MHz strength 3V/m Modulation 80% AM (2Hz ) dwell time 2.8 sec. Frequency MHz Vrms 3 Modulation 80% AM (2Hz) Dwell time 2.8 sec. Frequency 50 and 60 Hz, 3 A/m B A A A Electromagnetic environment guidance Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material the relative humidity should be at least 30%. Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. 12

13 Product Comparison QANS HW6C QMedical HW10 2B QDoppler HW10 4B D QBioscan HW4 QMedical Combo HW10 & HW4 SENSORS 3 Leads ECG Yes Yes Yes Yes 12 Leads ECG Yes Yes Yes PPG/SpO2 Yes (two) Yes (two) Yes (two) Yes (two) Blood Pressure Cuffs (NIBP) one (external) Yes (two) Yes (four) Yes (two or four) PVR Yes (two) Yes (four) Yes (two or four) Beat to Beat Systolic blood pressure calc Yes Yes Yes Respiration Flow Yes Yes Yes Doppler 4Mhz/8Mhz Yes (external) optional Galvanic/Sympathetic Skin Response Yes Yes Bioimpedance Yes Yes ARTERY ASSESSMENT: Endothelial Dysfunction Yes Yes Yes Yes Pulse Wave Velocity Yes Yes Yes Yes Peripheral Augmentation Index Yes Yes Yes Yes Central Aortic Systolic Pressure Yes Yes Yes Knee Brachial Indices Yes (two) optional Ankle Brachial Indices calc Yes (two) Yes (two) Yes (two) Toe Brachial Index Yes Yes Yes Yes PTT Yes Yes Yes Yes Exercise Vascular assessment Yes Yes Yes Doppler Assessment Yes optional CARDIAC AUTONOMIC FUNCTION TESTING (ANS): Heart rate variability Analysis Yes Yes Yes Yes Cardiac Autonomic Reflex Tests (Autonomic Tonus, Yes Yes Yes Yes Autonomic Balance, Valsalva Ratio, Deep Breathing, E/I Ratio, K30/15 Ratio). Beat to Beat Systolic blood pressure response calc Yes Yes Yes difference while standing or tilt Autonomic Baroreflex assessment Yes Yes Yes SUDOMOTOR ASSESSMENT: Sympathetic skin response(ssr) Yes Yes Quantitative Sudomotor Axon Reflex Test (QSART) Yes Yes Bio impedance Body Composition Yes Yes ECG ASSESSMENT: 3 Leads ECG Assessment Yes Yes Yes Yes 12 Leads ECG Assessment Yes Yes Yes Ventricular Extrasystoles (PVC) Yes Yes Yes Yes Atrial Extrasystoles (PAC) Yes Yes Yes Yes QT Variability Yes Yes Yes Yes OVERALL HEALTH LEVEL ASSESSMENT: Accumulative Mental Stress Index Yes Yes Yes Yes Accumulative Physical Stress Index Yes Yes Yes Yes Overall Health Level Yes Yes Yes Yes 13