Slide 1

Physical examination education system by using the “Kikuzo-speaker x Tablet”

iPax

The iPax system is a cloud-based “Physical examination education system” that was developed based on the ausculaide (auscultation aide ). We offer it on an annual contract.

When you register as a user, normal heart sounds case and normal lung sounds case are available for free.

■Supervisor

Dr. Tsunekazu Takashina, MD.PhD, FACC, FAHA

JECCS (Japanese Educational Clinical Cardiology Society) president

Dr. Takeshi Saraya, MD, PhD

Kyorin University School of Medicine, Department of Respiratory Medicine

Dr. Chiaki Hidai, MD, PhD
Nihon University School of Medicine, Department of Medical Education Center

3密対策をした上でシミュレータに近い臨床教育を実施することができます

Slide 1

iPax

オフラインで「聴診症例」が利用できます

症例拡大表示(全画面表示)にすると実際のヒトとほとんど同じサイズで、リアルな聴診ができます

The iPax system is a cloud-based “Physical examination education system” that was developed based on the ausculaide (auscultation aide). We offer it on an annual contract.

When you register as a user, normal heart sounds case and normal lung sounds case are available for free.

Slide
Supervisor

Dr. Tsunekazu Takashina, MD.PhD, FACC, FAHA

JECCS (Japanese Educational Clinical Cardiology Society) president

Dr. Takeshi Saraya, MD, PhD

Kyorin University School of Medicine, Department of Respiratory Medicine

Dr. Chiaki Hidai, MD, PhD
Nihon University School of Medicine, Department of Medical Education Center

Slide
Sample Case,Movie

Please listen to the heart sounds with earphones.

MOVIE 1. Feature Introduction
PlayPlay
MOVIE 2. Function
PlayPlay
1.Heart sounds cases

The chest piece is moved to the “anterior and/or posterior illustration auscultation area” on the screen to listen. At the chest piece area, sounds are heard.

Below the chest illustration is a phonocardiogram.

2.Heart sound cases

Heart sounds ON, Lung sounds OFF

When lung sounds are turned off, only heart sounds are played.

Press the “A, P, T, M” buttons under the chest illustration to move the chest piece to each area (strongest point) and listen the sounds of that area. Other than the “strongest point”, the heart sound/murmur is decreased. HR can also be adjusted.

3.Heart sound cases

Heart sounds ON, Lung sounds ON

If you turn on “lung sounds”, you can listen to both heart and lung sounds at the same time. Press the “A, P, T, M” buttons at the bottom of the screen to move the chest piece to each area (strongest point) and play the sounds of that area. Other than the “strongest point”, the heart sound/murmur is decreased.

4.Heart sound cases

Heart sounds ON, Pulse palpation ON

If you turn on the pulse function, you can listen to the heart sound while taking the pulse. In this case, you need two Kikuzo speakers as well as a stereo branch cable.

5.Lung sound cases anterior/posterior

For lung sound cases, the anterior and posterior are auscultated. When you move the chest piece, you can listen the lung sounds on that area. Press the 🔄 on the upper right of the screen to switch to the anterior/ posterior illustration.

6.Lung sound cases Auscultation area

Markers indicate the auscultatory and abnormal areas under the chest illustration.

7.Lung sound cases

Lung sounds ON, Heart sounds OFF

Move the chest piece displayed on the screen to listen to lung sounds. The heart sound can be switched ON/OFF, and it cannot be listened when it is OFF.

8.Lung sound cases

Lung sounds ON, Heart sounds ON

Move the chest piece displayed on the screen and listen to lung sounds.

When you turn on the heart sound function, you can hear heart sounds along with lung sounds.

9.Full-screen display and offline use

The chest illustration can be enlarged to full-screen. The screen is magnified with the heart, lung and pulse palpation settings and HR maintained just before magnification. In this full-screen mode, you can use it without an Internet connection. Also, the magnified screen does not display any information such as heart and lung icons or descriptive text.

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Slide
1.Heart sounds cases

The chest piece is moved to the “anterior and/or posterior illustration auscultation area” on the screen to listen. At the chest piece area, sounds are heard.

Below the chest illustration is a phonocardiogram.

2.Pulse function

If you turn on the pulse function, you can listen to the heart sound while taking the pulse. In this case, you need two Kikuzo speakers as well as a stereo branch cable.

3.Lung sound cases

For lung sound cases, the anterior and posterior are auscultated. When you move the chest piece, you can listen the lung sounds on that area. Press the 🔄 on the upper right of the screen to switch to the anterior/ posterior illustration.

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Examples of using iPax
Examples of using iPax
Slide
Auscultation cases list

The following cases are included in the iPax.

1.Heart sound cases

Lung sound ON/OFF, pulse palpation ON/OFF, HR changes, full-screen and offline use

1.Normal heart sounds

2.Normal S2 split

3.Abnormal S2 split

4.S3 gallop

5.S4 gallop

6.S4+S3 gallop

7.S4 S3 summation gallop

8.S4 S3 summation gallop 2

9.Pulmonary ejection sounds

10.Innocent murmur

11.Atrial septal defect

with pulmonary hypertension

12.Atrial septal defect

with pulmonary normotension

13.Aortic stenosis

14.Aortic stenosis early stage

15.Aortic regurgitation

16.Aortic regurgitation 2

17.Mitral regurgitation

18.Mitral stenosis

19.Hypertrophic cardiomyopathy

20.Tricuspid regurgitation

21.Pulmonic valvular stenosis

22.Ventricular septal defect

23.Patent ductus arteriosus

24.Mitral valvular prolapse

25.Dilated cardiomyopathy

2.Lung sound cases

Anterior/posterior switch, Heart sound ON/OFF, full-screen and off-line use

1.Normal lung sounds

2.Weak bronchial sounds at left side

3.Decrease bronchial sounds and wheezes

4.Decrease bronchial sounds and wheezes 2

5.Amphoric breathing

6.Decrease vesicular sounds

7.Fine crackles

8.Fine crackles 2

9.Coarse crackles

10.Coarse crackles 2

11.Coarse crackles 3

12.Coarse crackles + rhonchi

13.Coarse crackles + rhonchi 2

14.Coarse crackles + rhonchi + squawk

15.Coarse crackles + rhonchi + squawk 2

16.Wheezes

17.Wheezes 2

18.Wheezes 3

19.Coarse crackles + wheezes

20.Peripheral friction rub

21.COVID-19 case

sounds for Day1、Day3、Day5、Day7、Day11

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Free case application
When you register as a user, normal heart sounds case and normal lung sounds case are available for free.

Please contact us for paid cases to Telemedica Inc.

About licenses

We will issue you a license key to use iPax for one year. Only one terminal can be registered with a license key. You cannot register more than one terminal with a single license key.

Available terminals and browsers

There are no restrictions on which terminals can use the iPax. You can use it on your computer, tablet or smart phone as long as it has an Internet connection. However, the sound quality may differ depending on the performance of the terminal. Recommended browser, Chrome or Safari.
Others

iPax does not include the Kikuzo speaker, terminals, or stereo branch cables. Please purchase it separately.

Copyright (C) 2019 Telemedica inc All Rights Reserved.