Tour of the Eko platform April 12, 2023 15:19 Updated Who is this for? ✓ Plan: Telehealth platform for enterprise institutions ✓ Role: Institution Admin, Program Admin Here’s a high-level description of what’s in the Eko platform and how everything works together. Devices Eko has two main devices, the Eko CORE and Eko DUO. Eko CORE The Eko CORE is an electronic stethoscope that enables amplification, filtering, and transmission of auscultation sound data (heart, lungs, bowel, arteries, and veins). The CORE is a small attachment that is located between the tubing and chestpiece of a stethoscope. It’s available as a standalone attachment that a clinician can attach to any stethoscope, or as part of a fully-assembled 3M™ Littmann® CORE Digital Stethoscope. The Eko CORE attachment: The 3M™ Littmann® CORE Digital Stethoscope: Eko DUO The Eko DUO ECG + Digital Stethoscope captures both heart and lung sounds and ECG. By combining ECG and auscultation, clinicians get more information at a glance without disrupting their workflow. It can be used to record heart sounds and cardiac murmurs, bruits, respiratory sounds, and abdominal sounds during physical examinations. Software Eko has a mobile app for iOS and Android and a web-based Dashboard. Eko App The mobile app is used when a clinician needs to perform an exam, take, play back, or share a recording, or initiate a live stream. An Eko device is connected to the app before using the features in the app. The app includes a PCG/ECG tracing visualization, AI analysis (available only in the US), and wireless auscultation with Bluetooth headphones. Eko Dashboard The Dashboard is a website that’s used for more comprehensive functions such as managing programs, transmitting or viewing live streams, and managing recordings. An Eko device is connected to a web browser with web pairing via Bluetooth. How it all works together Let’s learn how this all works together for a live stream-based and a recording-based scenario. Live stream-based workflow In a clinic-to-clinic telemedicine scenario, let’s say the patient is located in their local clinic (originating site), where a nurse preps them for a visit with a provider who isn’t physically present. The nurse signs into either the Eko App or the Eko Dashboard and pairs the Eko device. The nurse then either copies and shares the live stream link with the provider at the distant site OR the provider can also sign in to the Eko Dashboard and navigate to the appropriate live stream link for that visit. The provider listens live to the patient’s heart and lung sounds as the nurse performs the exam. Once complete, the nurse turns off the live stream, the provider closes the live stream browser window, and they continue with the patient visit. Eko components used Eko device at the originating site. Eko App or Dashboard for initiating live stream at originating site. Eko Dashboard for listening to live stream at distant site (headset recommended for best audio quality). Recording and automated disease detection may also be leveraged if enabled for your institution. Recording-based workflow Let’s say a nurse/clinician is examining a patient at the patient’s home or at a hospital/clinic. Before the exam, they sign into either the Eko App or the Eko Dashboard and pair the Eko device. They perform the exam while capturing recordings. The provider then signs into the Eko Dashboard and reviews the recordings on their own time. Eko components used Eko device at the originating site. Eko App or Dashboard for taking recordings at originating site. Eko Dashboard for listening to recordings at distant site (headset recommended for best audio quality). Recording acknowledgements may be used to show that recordings have been reviewed. LBL: 350 Rev.A Date of Issue: August 29, 2022