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Using Eko Clinic App on iOS

Download the Eko Clinic App for iOS

All Eko stethoscopes come with the Essentials features of the Eko App. These features allow you to record, analyze, and securely share data between providers and patients. While it is not required that you use the Eko App, we highly encourage you to use it to get the most out of your Eko device. 

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Download the Eko App here.

Create an Eko Account

To create an Eko Account from a web browser:

  1. Open up the Eko Web Dashboard by clicking here
  2. Click on “Create Account”
  3. Fill out the Sign Up form and click “Create Account.”
  4. Eko will send you a confirmation email after you submit the form. Click on the confirmation link in the email to confirm your Eko Account.

To create an Eko Account from the Eko App:

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  1. In the Login screen, click on “Sign Up.”
  2. Confirm you are a healthcare professional.
  3. Enter in your full name, email address and then click “Sign Up.”
  4. Eko will send you a confirmation email after you submit the form. Click on the confirmation link in the email to confirm your Eko Account.

App Settings Overview 

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  1. View your battery life and bluetooth connection signal quality
  2. Adjust the Audio Filter using the slider.
  3. Turn ON/OFF active noise cancellation.
  4. Adjust recording length using the slider. The default is set to 15 seconds and can be adjusted up to a maximum of 2 minutes. 
  5. Turn ON/OFF Play from Headphones. This feature will enable you to set up wireless screening and hear auscultations directly from bluetooth headphones. Once Play From Headphones is turned ON, you will have additional settings to adjust. 
    1. Turn ON/OFF volume boost. Turning this feature ON will increase amplification to better detect heart and lung sounds.
    2. Adjust background connection time. This feature allows you to set the time the Eko app remains connected to your device in background mode. 
  6. Turn Live Stream ON/OFF. This feature is only for users who have Eko’s Telehealth software. Please click here to learn more. 

Change your audio filters

To change the filter settings on your CORE, start by turning on the CORE and pairing with your mobile device on the Eko App. Tap the top left corner to go into your settings. Then use the Audio Filter toggle to choose between your three options. 

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The three filter options are:

  1. Wide: 45Hz-750Hz (Heart and Lung sounds)
  2. Cardiac: 35Hz-110Hz (Heart and Bowel sounds)
  3. Pulmonary: 275Hz-750Hz (Lung sounds)

Set up wireless screening

Wireless screening allows for real-time streaming of stethoscope sounds to Bluetooth-enabled audio devices. This set up helps clinicians adapt to different environments and keep safe from infectious disease.

The Littmann CORE provides wireless functionality utilizing Bluetooth technology. To unlock this functionality, please download the Eko App in the App Store or Google Play Store (available on both iOS and Android). Follow the steps below to use the Littmann CORE with the Eko App to wirelessly auscultate. 

User Manual and Indications for use can be found here

 

Step 1: Open the Eko App on your mobile device and turn on Play from Headphones under the Settings panel of the App. 

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Step 2: Make sure your preferred headphones are plugged into or paired with your phone. We recommend using wired headphones for best sound quality but have beta tested with airpods and got clear sound quality with the following iOS devices: 5s, 6, 6s, 8, X, XR, XS, XS Max, 11. If you choose to use airpods, or other wireless headphones, we recommend testing the sound quality and having wired headphones as a backup. 

Step 3: [DO NOT TRY TO DISASSEMBLE THE CORE FROM THE STETHOSCOPE] 

If needed, you can tie the stethoscope together (see Image 1 for an example of how to do so) but otherwise, the stethoscope should be left as is. 

Image 1: Rubber-banded tubing

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Step 4: Turn on the Littmann CORE and pair to the Eko App. Once the device is paired to the Eko App, you can put your mobile device in your pocket or hold in your hand during auscultation. The App does not need to remain open during auscultation; it will still stream sounds in the background (i.e. if your phone locks).

Step 5: Put a glove / cover / stethoscope sleeve of your choice on the Littmann CORE so that the entire device is covered. This can be changed between patients and the device can also be cleaned with 70% isopropyl alcohol wipes (do not submerge device in liquid). 

Examples of covers: (you can also use surgical gloves)

  1. Stethocap.com
  2. Stethobarrier.com

 Step 6: Auscultation. Use the covered/protected Littmann CORE for auscultation and sounds will be streaming live through your headphones. 

Create, Share or Delete patients

Follow these simple steps to securely share a patient and their corresponding recordings from the Eko App.

Create patients:

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  1. Log-in to the Eko Mobile App
  2. Click on the top right corner of the Eko App to navigate to your Patient recordings
  3. Click on the large button “Create New Patient”
  4. Fill out the relevant fields for your new patient. The only thing you need to fill out in order to create a patient is a MRN.
  5. Click Done

Share patients:

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  1. Log-in to the Eko Mobile App
  2. Click on the top right corner of the Eko App to navigate to your Patient recordings
  3. Select a patient 
  4. Click on the top right corner to edit the patient information
  5. Scroll down and select "Share Patient" 
  6. Enter collaborator's email address and send

Delete patients:

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Patients can only be deleted on the Eko mobile app. Note: If you are part of an institution and wish to delete a patient from the app, only the Super Admin for your site can delete patients- please request their assistance. 

  1. Log-in to the Eko Mobile App
  2. Click on the top right corner of the Eko App to navigate to your Patient recordings
  3. Select a patient 
  4. Click on the top right corner to edit the patient information
  5. Scroll down and select "Delete” 

Take and save recordings

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  1. Initiate a recording once your Eko device is paired with the Eko app by pressing the circle at the bottom of the screen. The recording button will turn into a stop button, and a countdown will occur at the top of the screen with the word “Recording” appearing above the countdown timer.
  2. Once the recording is complete, you have the option to playback the recording (selecting the “Play” button to the left), saving the recording to a Patient ( “Assign” button to the right), or creating a new recording (the “New” button in the center).
  3. When the “Assign” button is selected, you will be cued to enter your PIN to access your saved Patients (if a PIN has been set up). Then you can select from one of the Patients in your list or create a new Patient to save the recording to.

Analyze your recordings with Eko AI Analysis

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If your account has access to Eko AI Analysis, you can detect the presence of heart murmurs whenever you take a recording. Your AI analysis results will show up within 5 seconds of completing your recording. 

  1. Launch the Eko App and connect your CORE 
  2. Take a recording.
  3. After about 5 seconds or so, the AI results will show up at the bottom of your screen. 
  4. Note:For recordings longer than 15 seconds(up to 30 seconds), Eko AI will only analyze the first 15 seconds of data. Ensuring that signal quality is optimal is needed before a recording is initiated in order to return the best analysis results. Follow the steps outlined in Capturing Good Quality Data to ensure optimal data quality. 

 

LBL 238, Rev A, April 30, 2021

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