Introduction to Guide
The purpose of this guide is to provide a step-by-step walkthrough of the Eko iOSApplication and how it interfaces with the Eko DUO.
The guide is meant to complement the official Eko DUO User Manual, available here: https://support.ekohealth.com/hc/en-us/articles/360003343473-Eko-DUO-User-Manual
Log in / Sign up screen
Already an Eko user? Great! Just enter in the same email and password you’ve been using and you will have access to all of the patients and recordings you have previously created.
New to Eko? Even better!! Click “Sign up” to create your free Eko account.
Click on the “Open the mail app” or visit your email profile to confirm the account creation.
The overview screen will only appear when you first update or download the application, or when creating a new user.
Create a PIN
Creating a PIN is not necessary but recommended. If you decide to create a PIN, you won’t need to enter it to access the Eko app, pair your Eko device, or initiate a recording but you will need to enter your PIN to access your Patients List. You will subsequently be asked to confirm your PIN by re-entering it.
If your Eko device is turned ON, the Eko app will identify it in the Connect Device screen. You do not need to pair an Eko device with Eko app in order to proceed with installing the application.
Welcome to the Home screen! You’ll notice that the screen rotates between the Eko CORE and Eko DUO.
To connect the device, power ON the DUO by holding the action button until the white light begins to flash, the DUO is now in a pairing state.. On the mobile app, select the blue connect device button.
Select your DUO device on the connection screen.
Adjusting DUO Settings in app
Tap the two horizontal bars in the top left to adjust the DUO Settings
There are several options that can be adjusted from the Settings menu. Please note, many of these options only appear when the Eko device is actively connected to the Eko app.
- Select the DUO User Manual.
- Adjust the Audio Filter slider to change the audio filters.
- The default recording length is set to 15 seconds and can be adjusted using the Recording Length slider up to a maximum of 2 minutes.
- The Quick Record feature may be toggled ON or OFF- the quick record feature enables the user to initiate a recording from the device by tapping the action button twice.
- The user may toggle between viewing the PCG Only, ECG Only, or the PCG + ECG by selecting the appropriate button.
- Flip ECG
- The user may toggle between the 60 Hz or 50 Hz ECG mains filter.
- By toggling on “Play From iPhone” the auscultation sounds will emit from the iPhone speakers or headphones that may be connected to the iOS device.
- If utilizing the Eko Live Stream feature, the user may toggle the “Live Stream” button on to initiate a session.
Available Audio Filters
When adjusting the audio filters using the slider button in the settings, the following filter options are available, see image below for corresponding light states on the DUO device.
- Diaphragm (default) mode, 100-500Hz (heart sounds)
- Bellmode, 20-200Hz (heart and bowel sounds)
- Midrange mode, 50-500Hz (heart and some lung sounds)
- Extended mode, 20-2000Hz (heart and lung sounds)
Adjusting Account Settings:
From the Settings panel, you can connect and disconnect your Eko device from the Eko app, if you have access to our Live Stream service you can initiate a session and manage every aspect of your account information (email address, username, PIN, password). We also have links to our Customer Support site and contact information. The Settings menu will change several features to reflect the Eko device that you have connected with the Eko application.
To password or PIN protect your patient data, toggle the Enhanced Security Feature from OFF to ON. Your Eko account password or PIN will now be required to access patient data.
Tap the person icon in the top right to view your Patients. If you choose to enable “Enhanced Security”(iOS Only), you will be required to enter your PIN to access patient data.
Forgot your PIN? On iOS, user Touch ID or Face ID (if your device accommodates this functionality) or enter your Eko account login credentials.
Once you’ve entered your PIN (or valid login credentials) you will be brought to your Patients screen. Eko includes three Sample Patients for reference. By tapping on the blue plus symbol (+) you can create additional patients.
Adding new Patients
The only information needed to create a new Patient is the Patient ID. You will not be allowed to save a new Patient without inputting information into that field. Once you’ve created a Patient you can add recordings to that Patient, share via a PHI protected email, alter that Patient’s information, and delete that Patient’s profile.
Note on sharing patients: A patient’s profile may only be shared or deleted if that patient has been created under your username, patients that you may have access to through your institution or have been shared with you may not be shared or deleted.
Eko Device Connection
Once the device is connected, you will be able to visualize the ECG and PCG. BPM (beats per minute or heart rate) will appear with either the Core or DUO, approximately ten seconds after auscultation has begun.
Ensuring adequate Bluetooth connection
Eko’s stethoscopes require Bluetooth Low Energy (BLE) 4.0 or above (Eko recommends BLE 4.2 or above for use with the second generation CORE) in order to connect with the Eko software. If the Bluetooth connection is disrupted users will see an error message indicating “Weak Bluetooth Connection” appear at the top of their screen, see below:
If the Bluetooth connection is poor the transmission of data is likely being disrupted. If users are receiving the message above, follow the steps below to improve the Bluetooth connection:
- Ensure that the Eko stethoscope is the only Bluetooth device connected with the mobile device being used.
- This includes disconnecting smart watches, headphones, hearing aids, and other Bluetooth peripherals.
- Limit the distance between the Eko stethoscope and the Eko application / mobile device being streamed to.
- Limit any physical obstruction including human body parts between the Eko application / mobile device being streamed to.
- Try to limit use of other Bluetooth devices in the vicinity of the Eko stethoscope.
ECG Signal Quality Indicator
The ECG signal quality indicator will appear at the bottom of the screen if a DUO device is connected, see the recommendations below for optimizing ECG quality. You can always access these tooltips by clicking on the ECG signal quality indicator.
Initiate a recording once your Eko device is paired with the Eko app by pressing the blue 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.
Once the recording is complete, you have the option to playback the recording (selecting the blue “Play” button to the left), saving the recording to a Patient (green “SAVE” button in the middle), or deleting the recording (the red “DELETE” button to the right).
When the “SAVE” 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.
Of note, recording length defaults to 15 seconds; this can be changed to record up to 120 seconds from the Settings menu.
If you have purchased an AI plan, the screening analysis and results will appear immediately after taking the recording as below. A minimum 15 second recording is required to obtain AI results. If your recording length is longer than 15 seconds(up to 30 seconds for AI results), Eko AI will analyze the first 15 seconds of the recording.
Once the recording and analysis results are obtained, they can be saved to the patient’s record to be reviewed later.
Please refer to the comprehensive AI Support Guide for a complete overview of Eko’s AI capabilities and AI best practices.