Introducing Spot Check

Spot Check lets you quickly check for signs of cardiovascular disease from a single recording. Eko’s FDA-cleared, clinically-validated, automated disease detection will automatically check for potential heart murmurs or atrial fibrillation with every Spot Check or full Cardiac Exam. If you are interested in walking through a full cardiac exam, please visit our Cardiac Exam Walkthrough to learn more.  

Step 1: Connecting your Eko stethoscope. 

Make sure Bluetooth is enabled on your mobile device. Log in to the Eko App and power on your digital stethoscope.

 

Select the stethoscope you want to set up from the screen. If you’re using the same stethoscope from your last pairing, Eko will automatically reconnect with that stethoscope.

 

The app will indicate when the stethoscope is paired successfully.

Step 2: Entering Spot Check. 

On the Cardiac Exam Home Screen, tap “Spot Check” to begin. (On your first visit to the new version of the clinic app, Spot Check will be the only selectable option, as shown on the left.

 

Once you complete your first recording, you’ll have the option to perform a Spot Check or Full Cardiac Exam for any future assessment, as shown on the right.)

Step 3: Learning about heart sound and ECG analysis. 

If this is your first time using the new Eko app, a series of screens explaining the possible results and indications for use of the Eko Analysis Software will automatically appear before starting your Spot Check.

 

Tap “Continue” to proceed through each screen.

 

Be sure to check the acknowledge box after reading the Indications for Use and before tapping “Continue.”

Step 4: Taking a recording. 

Spot Check mode is set to record at the Left Upper Sternal Border (LUSB) by default. Once the Eko app hears a sound, it will start recording automatically. You will see the recording and analysis progress on the mobile device screen, as shown on the screenshots below. Note that in Spot Check mode, only one recording will be taken. 

Use the included visual to help guide you through placement. If you’re using a CORE device, hold the chestpiece in position as you normally would.

 

If you’re using a DUO, we recommend positioning the device at an angle toward the left shoulder, ensuring both electrodes are in direct contact with the patient’s skin

 

Have your patient remain still and quiet to capture a high quality recording. The app will listen for a good signal.

 

When a good signal is found, a 15-second recording will start automatically.

 

Hold your stethoscope steady for the next 15 seconds. Eko will automatically check for heart murmurs and/or atrial fibrillation (when using DUO).

 

Tap on “Audio” on the lower left of the screen to enable audio playback through headphones. As shown below on the left, you can initiate headphone playback by sliding the toggle until it is blue. You can also engage Volume Boost by moving the slider right or left.

 

Tap on “Placement” on the lower right of the screen to pull up the placement reference image, as shown below on the right.

Step 5: Viewing the results

Once you have finished the recording, the algorithm analysis results will be displayed on the Spot Check Summary screen. From here, you can assign the recording to a patient by tapping “Assign” on the top right corner.

 

If you’re assigning the recording to a patient you’ve already created, you can find and select them using the search bar or by scrolling through the patient list.

 

You can also create a new patient profile directly from the recording. If you close the “Assign Patient” tray or select “I’ll Assign Later,” your recording will be automatically saved under “Unassigned.”

Tap “Share” in the lower left corner to generate and share a report with the full waveform, a secure link to access the audio clip, and any included annotations (this is explained in more detail below).  Tap “Notes” to enter freeform notes about this patient and/or recording (this is also explained in more detail below).

Tap “Playback” to see the recorded phonocardiogram and hear the recorded sounds.

 

Tap “Delete” to delete the recording; you will be asked for confirmation before deletion takes place.

Step 6: Select a stance

(Optional) Indicating the stance your patient was in during the recording by selecting: “Standing, Sitting, or Supine.”

Step 7: Entering notes and details

Tap “Notes” to further annotate this exam with freeform text.

 

Fill in any additional detail by typing into the text field. Keep in mind that any notes or comments you add will be included when sharing this recording. Therefore, we strongly recommend omitting any personally identifiable patient information or protected health information. Select “Done” to save the note.

 

From the Summary Notes screen, you can edit or delete the note by swiping left on the note and tapping on either “Edit” or “Delete”. You will be asked to confirm any deletion before the record is actually deleted.

 

You can also add separate, additional notes by tapping, “Add Note” at the bottom of the screen.

Step 8: Sharing a recording

After you tap “Share”, you’ll see a pop-up miniature version of the generated report.

 

You now have the option to use a number of common media including text messaging, email, or any frequently used messaging apps. Your recipient will be able to access the audio clip directly from the report without any login.

 

[Important] If this recording is assigned to a patient, any personally identifiable information (PII) from that patient will be present and visible on the report. This may violate HIPAA provisions if you are sharing. YOU ARE RESPONSIBLE FOR ENSURING HIPAA COMPLIANCE WHEN YOU ARE SHARING PATIENT RECORDS.

After you tap on your chosen method (medium) for sharing, tap “End Spot Check” to return to the Cardiac Exam Home Screen. You also have the option to add the three other cardiac recording positions to this Spot Check exam by tapping “Continue with Full Exam.” That will take you to Cardiac Exam Mode. For more information on Cardiac Exam Mode, visit here. 

Remember, once you’ve completed your first recording, you’ll be able to choose between performing a Spot Check or full Cardiac Exam on any future login.

 

 

Atrial fibrillation detection available when using DUO with the Eko app

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