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Originating Site Guidance - Windows App

Windows App Installation

  1. The Eko Windows application is available for download from Eko’s website: https://www.ekohealth.com/download-windows-app

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Click on “Download the Eko Windows App” to initiate the download. The latest version will always be listed. A dialogue box will appear on your screen requesting permission to install the Eko Windows Application. Click on ‘Install’ as seen below.

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  1. Installing the Eko Windows Application for single users or for all users 

It is recommended that Windows Administrators choose to install for all users within a system 

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  1. Enabling Automatic Updates

When Eko releases updates, they will be downloaded when users subsequently open the Eko Windows Application. If this setting is not selected during the installation process, users will need to update the Eko Windows Application manually by re-downloading it from the Eko website.

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  1. Installation

Clicking “Install” completes the download and installation process, which may take several seconds. The Eko Windows Application will then be accessible as a desktop shortcut following installation.

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Logging in

  1. Double click the Eko Windows Application icon to launch the application.
  2. Using either the site credentials or a personal login (determined and provided by the designated Eko Administrator at your institution). Eko advises that users sign in to the Eko Windows application to ensure that they can access any of the premium features, like Live Stream, that they have access to.mceclip6.png
  3. Once signed in, the username will be visible in the top right of the Eko Windows application. Users can also sign out to allow for other users to access their Eko account as needed. Users will typically remain signed in between sessions, allowing for easier access to premium features.mceclip8.png

Pairing

DUO (left): Turn on by pressing and holding the action button for two seconds, the LED will blink which means that the device is searching for a Bluetooth Connection.

CORE (right): Turn on by moving the toggle to ON- the light will flash WHITE

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 On the Eko windows application, select the BLUE Eko devices button (below left)

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Once the device you want to use appears in the menu, click it to pair. For DUO: The LED will turn from flashing to solid with a successful connection. For CORE: the light will turn solid WHITE. *NOTE: If you are using the 3M Littmann CORE Digital stethoscope, select “Eko Devices” to pair. If using the Littmann 3200, select “Littmann Devices.”

Initiating a live stream session

  1. To initiate a Live Stream session, the clinician with the patient will need to be signed in with the applicable Eko username. They can then switch the ‘Live Stream’ button from OFF to ON (located at the bottom of the screen next to the volume slider). Toggling to ON activates a Live Stream URL, which enables the telehealth consultant located remotely to access the audio feed.    

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Sharing the Live Stream URL

The telehealth provider at the patient location can share the Live Stream URL to one or more telehealth consultants located remotely by selecting “Copy Live Stream link”. This will copy the URL to the clipboard of the Windows device, which can then be pasted into any secure EHR chat, email, or video conferencing messaging system. 

Sharing the Live Stream URL via Email

The telehealth provider at the patient location can also share the Live Stream URL to a telehealth consultant via email by selecting “Email Live Stream link”. This will direct the user to a screen where an email can be entered and sent securely to the telehealth consultant

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Bluetooth Range / Connection

Bluetooth connection: The Eko CORE and DUO all connect to compatible software programs via Bluetooth and are subject to the limitations of most other Bluetooth devices. If users are experiencing poor connectivity (frequent disconnections, latency, or disruptions in transmission of the wave forms) attempt the following:

  •  Check that Bluetooth has been turned On for that PC. This can likely be searched from the respective system’s Settings menu.
  •  Ensure that there is a clear line of sight between the stethoscope and the PC the user is attempting to connect and stream from. 
    • Even a human hand or body may disrupt the connection
  • Limit the physical distance between the stethoscope and the PC the user is attempting to connect and stream from.
  • Use the appropriate USB dongle intended for connection with the Eko stethoscope.
    • Some Windows 10 users may find that Bluetooth connection is more reliable when using a USB dongle. 
    • For many Windows 10 users, the Eko stethoscope can likely connect with the Native Bluetooth of that PC, and no USB dongle will be needed. 
  • Windows 10 users may be able to resolve connectivity issues by:
    • Windows 10 will automatically detect if there is a problem with the Bluetooth and attempt to solve the issue 
    •  Going to Settings > Update & Security > Troubleshoot > Bluetooth 
  • Update the Bluetooth drivers
    • Users may need to update the Bluetooth drivers for their PCs or for the USB dongle that they are using in order to obtain optimal performance. This may be especially pertinent if users have recently updated the version of Windows that their PC is running
    •  Guidance for updating Bluetooth drivers

Poor waveforms: If users are experiencing waveforms within the app that have artifact or are smaller than desired, Eko advises: 

  • Alter the positioning of the device. Certain anatomical locations or positioning may provide better waveforms and ECG tracings. 
  • Follow the steps to improve Bluetooth connectivity. If the Bluetooth connection is disrupted that will affect graphing of the waveforms.

Best practices

  • When the clinician is performing auscultation on the patient, they may want to mute their microphone to prevent feedback for the receiver (consulting MD or clinician). Be sure to unmute if needing to engage the provider again.
  • Altering the volume on the Eko stethoscope or in the windows app does not affect what the receiver hears. 
  • The provider conducts the assessment. They can turn OFF the Eko stethoscope during the assessment as needed to confer with the MD. Turning the Eko stethoscope OFF ends data transmission; if the device is turned ON it should auto-pair with the Eko app and resume the Live Stream session. 
  • Once the assessment is concluded the provider can turn the Eko stethoscope OFF and close the Eko app until the next visit. 

LBL 269, Rev A, April 30, 2021

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