If you’re experiencing dizziness, shortness of breath, chest discomfort, or palpitations your doctor may suggest that you have an electrocardiogram. This cardiovascular test, abbreviated as EKG or ECG, is a non-invasive test typically performed in your doctor’s office and measures the electrical activity of the heartbeat.

How Is an Electrocardiogram Conducted?

No special patient preparation is required for an EKG test.  During the test, you will lie on an exam table and a technician will place several small sensors on your chest, arms and legs.  These sensors have wires called leads which connect to the electrocardiogram machine. They create a 3D map of your heart’s natural electrical rhythms, which can immediately show whether you have any unusual heart activity. The sensors don’t deliver any electrical current; they only record your body’s own natural heart rhythms. The test lasts for six seconds, and the results are printed out and can be interpreted immediately.

What an EKG Is Looking For

This test primarily checks the rhythmic behavior of different chambers of your heart.  By measuring the time interval of the ECG a doctor can determine how long it is taking an electrical wave to pass through your heart.  This shows if the electrical activity is normal, fast, slow or irregular.  It also measures the amount of electrical activity passing through the heart which helps your cardiologist find out if your heart is enlarged or is overworked.

EKGs Tell the Story of Your Heart

An EKG can help physicians diagnose a real-time emergency, such as a heart attack in progress, but it can also help detect patterns that emerge over time. For example, if you have high blood pressure, the EKG may show that your heart has become enlarged due to the extra work of pumping blood under higher pressure. EKGs can also detect when the electrolyte levels in your blood are too high or too low, as those variations change the heart’s conductivity. Finally, the test can identify changes in your heart that occurred as a result of a past heart attack. This is important because some people may have had a heart attack without their knowledge and the EKG can show the presence of cardiac damage that requires treatment.

Additional Cardiovascular Tests

In some cases, especially if you have intermittent symptoms, a six-second snapshot of heart activity doesn’t provide enough information. Small portable EKG machines like SanketLife can be carried in a bag or backpack and perform ECG test without any lead or Gel over the course of 24 hours and lifetime. During such a test period, you can do almost anything you normally would, except for bathing or showering.

It’s important to be aware that a normal ECG doesn’t definitively rule out all cardiac issues, and your physician may suggest further types of testing. These may include a cardiac stress test or nuclear stress test.

A Heart Patient’s best freind

Sanket is a best friend for a heart patient and here is why –

MOBILITY ASSESMENT VIA SANKET

Assess your mobility and the effects that basic functional mobility has on your cardiovascular system. Sanket timely reminds you for mobility, also alerts when it senses higher mobility levels approaching. The mobility reports are relayed to Doctors, family and to user.

MONITORING CARDIAC RESPONSES WHILE ACTIVITY

Sanket can be improvised for continuos monitoring mode during experimental activity tests. With single recharge, Sanket can continously record for 48 hours. Hence as a replacement of Holter devices, Sanket can . improved improved results in a very user freindly way. In case of any dangerous cardiac activity, instant alerts can be sent to user, doctors and family.

EXCERSIE ROUTINES AND HISTORIC TRENDS

With the help of a cardiac therapist, excercise routine can be set up. While the patient follows or not follows the excercise routine, the information can be passed to therapist.   All teh information is presented in the mobile app in a very smart dashboard, which motivated the patient to adhere to the therapy.

MAINTAIN OPTIMAL HEALTH

After almost 8 weeks, Sanket automatically learns usual patterns of the patient and then Sanket helps maintain the same pattern so that patient always maintains optimal health

Abstract

Introduction

This research is meant to establish if a patient monitored with mobile cardiac telemetry (MCT) sees different outcomes regarding diagnostic yield of arrhythmia, therapeutic management through the use of antiarrhythmic drugs, and cardiovascular costs incurred in the hospital setting when compared with more traditional monitoring devices, such as the Holter or the Event monitor.

Materials and methods

We conducted a retrospective analysis spanning 57 months of claims data from January 2007 to September 2011 pertaining to 200,000+ patients, of whom 14,000 used MCT only, 54,000 an Event monitor only, and 163,000 a Holter monitor only. Those claims came from the Truven database, an employer database that counts 2.8 million cardiovascular patients from an insured population of about 10 million members. We employed a pair-wise pre/post test-control methodology, and ensured that control patients were similar to test patients along the following dimensions: age, geographic location, type of cardiovascular diagnosis both in the inpatient and outpatient settings, and the cardiovascular drug class the patient uses.

Results

First, the diagnostic yield of patients monitored with MCT is 61%, that is significantly higher than that of patients that use the Event monitor (23%) or the Holter monitor (24%). Second, patients naive to antiarrhythmic drugs initiate drug therapy after monitoring at the following rates: 61% for patients that use MCT compared with 39% for patients that use the Event and 43% for patients that use the Holter. Third, there are very significant inpatient cardiovascular savings (in the tens of thousands of dollars) for patients that undergo ablation, coronary artery bypass graft (CABG) and valve septa. Savings are more modest but nonetheless significant when it comes to the heart/pericardium procedure.

Conclusion

Given the superior outcome of MCT regarding both patient care and hospital savings, hospitals only stand to gain by enforcing protocols that favor the MCT system over the Event or the Holter monitor.

Keywords: mobile cardiac telemetry, Holter monitor, Event monitor, diagnostic yield, arrhythmia
Full article and source here

Why to use SanketLife

SanketLife – A Portable ECG Monitor, offer many advantages beyond its much larger version, which is the traditional 12-lead ECG machine. A handheld ECG monitor is convenient, easy to use, and economical. With the help of this heart monitoring device, you can record cardiac activity anywhere, anytime, and within minutes.

SanketLife is light and compact. Operating it is even simpler than a digital sphygmomanometer. It is an ideal choice as a Personal ECG Monitor

Since changes in heart activity can happen irregularly, and not always while you are at a medical facility, doing EKG – ECG monitoring at home or in the office can help capture and save significant cardiac activities that would help your doctor analyze your condition. The best time to do a reading is when you are feeling sickly and when you are experiencing some symptoms of an impending heart attack.

When the patient is not feeling well, he or she, or even someone else, can instantly take a reading by means of a SanketLife- Handheld ECG Monitor. If the results are beyond normal limits, go to the hospital immediately to seek emergency medical attention.

SanketLife is also an essential tool in studying sleep apnea. Studies have shown that obstructive sleep apnea changes healthy heart rate dynamics. Through periods of prolonged obstructive sleep apnea, cardiac rate typically shows a recurring fluctuation associated with the apneic stage and the resumption of breathing. By analyzing the EKG-ECG data, a study has revealed that obstructive sleep apnea can be detected in more than 93% of the trial cases.

Additionally, handheld ECG monitoring could reduce false heart attack scares, which can cause loads of stress and worry, and in turn might even trigger a real cardiac arrest.

Proper interpretation of ECG recordings would require extensive preparation. However, a patient must be able to recognize if he/she is feeling well, and whether there are any changes to the ECG waveform.

SanketLife can be a good substitute to a Holter monitor. A Holter monitor is a device used to record the heart’s rhythm. This monitor has many leads, and it is usually worn for 24 to 48 hours while performing normal activities. It could detect cardiac episodes that occur every day in patients with heart conditions. However, to track infrequent cardiac events, a Holter monitor is not adequate. Also, wearing this device can be quite uncomfortable.

Patients can also use SanketLife to gauge the effects of changes in medicine and their development.

Personal ECG monitors are very suitable for home care providers and nursing homes to monitor their patients’ conditions and improvement. As inexpensive and quality portable ECG monitors are now widely available, and since little knowledge is required to take measurements, all patients with heart conditions would benefit greatly with their own handheld ECG monitor. With certain training, anyone can learn to identify abnormal readings; and in case of emergency, the data can be promptly relayed to a doctor or hospital staff.

Lastly, portable ECG monitors may also be used in doctors’ offices as part of their routine check-up. Taking a measurement is fast and easy that even the doctor’s secretary can do it

Microsoft Case study on SanketLife

Agatsa has developed a small electrocardiogram (ECG) monitor called Sanket that is generating interest because of its potential use in remote locations, among other uses. Microsoft teamed up with Agatsa in an IoT hackfest to build a cloud back-end service that can work with Sanket. This report describes the solution.

Customer

Agatsa is a startup based in India that is building affordable medical devices and developing an ecosystem of care that will help people make informed decisions about their health. It currently has 10 employees, including its two cofounders.

Agatsa has developed “Sanket”—a credit card-sized ECG monitor. The device can be held between the thumbs for 15 seconds to get a clinical-grade ECG. No lead or gel is required. Sanket has a corresponding app on Android and iOS. The app displays and records the ECG sent to it via a Bluetooth-based Sanket device.

Figure 1. Sanket ECG device

Commercial applications

Sanket is being reviewed by a major oil company in India and by Security Forces of India for use in remote locations such as Ladakh because the device doesn’t need a specific power input (works on a small battery) and it even works without Internet connectivity. Security Forces can now profile the soldiers serving in remote locations, with basic tools like Agatsa and weight-monitoring devices.

Most of the data collection drives and UAT drives have been done in medical institutions such as Fortis healthcare, Medanta Medicity, and multiple government hospitals in the National Capital Region.

This is the team that was involved with the project:

  • Brijraj Singh – Senior Technical Evangelist, Microsoft, DX India
  • Surbhi Jain – Audience Marketing, Microsoft, DX India
  • Saurabh Kirtani – Technical Evangelist, Microsoft, DX India
  • Pranav Sah – iOS Developer, Agatsa
  • Akashdeep – Android Developer, Agatsa
  • Abhinav Chaudhary – NodeJS Developer, Agatsa
  • Rahul Rastogi – Founder, Agatsa

Pain points

Agatsa is an electronic device company and their focus for the past few years was on developing Sanket and bringing accuracy to their algorithms.

Sanket is a custom device that records minute vibrations of heartbeats via the patient’s thumbs and generates an electric signal that is sent to an Android/iOS app using Bluetooth. The mobile app records these electronic signals and sends them to a function in the cloud (currently a Python code running in Heroku), which converts this signal to an understandable pattern of ECG.

The data collection and aggregation strategy was missing in the implementation. They have a Parse-based implementation on which they store customer profiles and the PDF files of ECGs. While the raw data that produces the ECG is not stored anywhere, the PDF files generated on the phone app are uploaded in Parse.

The current solution has a few challenges:

  • The raw data from which the ECG is deduced is discarded, and isn’t kept anywhere.
  • Since raw data is not pushed to the cloud, further analytics are not possible on the cloud—especially for historical review or predictive analysis.
  • Apart from customer profiles, no other information related to the devices is available on the server side for further processing.
  • There are no means to find out how many devices have been active since what time and how many ECGs have been taken with them.
  • The information about ECG files is in Parse but no reporting tools are available for the same.
  • Parse is being discontinued by Facebook and Agatsa wants a more scalable platform on which to store data that can easily be used for analytics and reporting tools and can be fed to machine learning systems in the future.

Agatsa envisions a platform over which ECG data and other vitals like body temperature, blood pressure, weight, and height can be captured and analyzed for preventive care. Agatsa also wants to connect patients to doctors and hospitals based on their medical conditions and help patients make informed decisions on the basis of analysis over various parameters.

Solution

Step 1: Evaluating ECG device capabilities

Sanket is a custom device that currently has only Bluetooth capabilities and thus it can only communicate with a Bluetooth-enabled device (Android and iOS mobile phones). An ECG data packet is about 90 KB in size with all 8-12 lead worth of data. The user needs to hold the device in his/her hand for up to 15 seconds to get the ECG. The data packet of ECG is sent in one go to cloud after the data of all leads is collected.

Step 2: Determining Hub device connectivity to the cloud

The biggest hurdle we faced was the iOS device connectivity to Azure IoT Hub. Since there is no IoT Hub SDK for iOS, we had to create a REST API wrapper (written in NodeJS) that the iOS device can connect to for creating device identities and sending device-to-cloud messages.

Step 3: Building the end-to-end flow

Once we were able to make both Android and iOS devices talk to Azure IoT Hub, we created the simple IoT Hub-based back end as shown in the next diagram.

Figure 2. Data insertion architecture

Data insertion architecture

We realized there is a pressing need to do push notifications over devices to support scenarios of patients sharing their vital stats with doctors for review and hence we started using Azure Notification Hubs. We also dropped the Azure Active Directory implementation for now but we’ll certainly take it up in the future to support patient and doctors authentication and authorization.

Figure 3. Final architecture

Final architecture

Step 4: Configuring IoT Hub, API app, and Stream Analytics

We started writing code for both Android and iOS devices and started sending data to IoT Hub in a generic format for both devices. We also created a Stream Analytics job, which can do calculations over the ECG data (if there is ECG data in it), and store it in an Azure SQL Database table. The rest of the vitals such as temperature and blood pressure are stored as it is.

Following is the sample request call from the iOS device.

+(void) getSASTokenFromWebAppOnCompletion:(GetSAStokenCompletionHandler) completion {
    
    //create a default NSURLConfiguration
    NSURLSessionConfiguration *defaultConfiguration = [NSURLSessionConfiguration defaultSessionConfiguration];
    //create a session
    NSURLSession *session = [NSURLSession sessionWithConfiguration:defaultConfiguration];
    //Define path
    NSString * completePath = @"https://<RESTAPIEndPoint>/sas?op=registerdevice";
    //create a URL request
    NSMutableURLRequest *request = [[NSMutableURLRequest alloc] initWithURL:[NSURL URLWithString:completePath] cachePolicy:NSURLRequestReloadIgnoringLocalCacheData timeoutInterval:60];
    //customize the url request
    [request setHTTPMethod:@"GET"];
    
    NSURLSessionDataTask *fetchTokenTask = [session dataTaskWithRequest:request completionHandler:^(NSData *data, NSURLResponse *response, NSError *error) {
//        NSLog(@"StatusCode (getSASTokenFromWebAppOnCompletion): %ld",(long)[(NSHTTPURLResponse*)response statusCode]);
        if(error) {
            //error found : Return (nil, error)
            if(completion)
                completion(nil,error);
        }else {
            //error NOT found : Return (response, nil)
            //check if the status code is 200
            if([(NSHTTPURLResponse*)response statusCode] != 200) {
                //if status code is not 200 for some weird reason. Then create internal error and send it back to program's main logic for better understanding.
                NSError *internalError = [[NSError alloc] initWithDomain:@"com.eezytutorials.iosTuts"
                code:[(NSHTTPURLResponse*)response statusCode] userInfo:@{
                                    NSLocalizedFailureReasonErrorKey:@"LocalizedFailureReason",
                                    NSLocalizedDescriptionKey:@"LocalizedDescription",
                                    NSLocalizedRecoverySuggestionErrorKey:@"LocalizedRecoverySuggestion",
                                    NSLocalizedRecoveryOptionsErrorKey:@"LocalizedRecoveryOptions",
                                    NSRecoveryAttempterErrorKey:@"RecoveryAttempter",
                                    NSHelpAnchorErrorKey:@"HelpAnchor",
                                    NSStringEncodingErrorKey:@"NSStringEncodingError",
                                    NSURLErrorKey:@"NSURLError",
                                    NSFilePathErrorKey:@"NSFilePathError"
                                    }];
                if(completion)
                    completion(nil,internalError);
            }else {
                //status code is 200
//                NSString *responseString = [[NSString alloc]initWithData:data encoding:NSUTF8StringEncoding];
                if (completion) {
                    completion(data,nil);
                }
            }
        }
    }];
    [fetchTokenTask resume];
}

+(void) registerDeviceUsingSASToken:(NSData *)sasTokenReceived OnCompletion:(RegisterDeviceCompletionHandler) completion {

    NSString *sasTokenString = [[NSString alloc]initWithData:sasTokenReceived encoding:NSUTF8StringEncoding];
    NSString *deviceNumber = [SSKeychain passwordForService:@"device_alternative" account:@"SanketLife"];
    if(!deviceNumber)
        deviceNumber = [self createUUID];
    
    NSString *requestURI = [NSString stringWithFormat:@"https://<iothubendpoint>/devices/%@?api-version=2016-02-03",imeiNumber];
    NSLog(@"%@",requestURI);
    NSDictionary *jsonDict = [NSDictionary dictionaryWithObject:deviceNumber forKey:@"deviceId"];
    id jsonObject = [NSJSONSerialization dataWithJSONObject:jsonDict options:NSJSONWritingPrettyPrinted error:nil];
    NSString *contentLength = [NSString stringWithFormat:@"%lu",(unsigned long)[jsonObject length]];
    NSMutableURLRequest *urlRequest = [[NSMutableURLRequest alloc]initWithURL:[NSURL URLWithString:requestURI]];
    [urlRequest setHTTPMethod:@"PUT"];
    [urlRequest setValue:sasTokenString forHTTPHeaderField:@"Authorization"];
    [urlRequest setValue:@"application/json; charset=utf-8" forHTTPHeaderField:@"Content-Type"];
    [urlRequest setValue:contentLength forHTTPHeaderField:@"Content-Length"];
    [urlRequest setHTTPBody:jsonObject];
    
    NSLog(@"\n***************************\n%@  %@\n%@\n%@\n***************************",[urlRequest HTTPMethod],[[urlRequest URL] absoluteString],[urlRequest allHTTPHeaderFields],[[NSString alloc]initWithData:[urlRequest HTTPBody] encoding:NSUTF8StringEncoding]);
    
    NSURLSession *session = [NSURLSession sessionWithConfiguration:[NSURLSessionConfiguration defaultSessionConfiguration]];
    [[session dataTaskWithRequest:urlRequest completionHandler:^(NSData *data, NSURLResponse *response, NSError *error) {

        if(error) {
            //error found : Return (nil, error)
            if(completion)
                completion(nil,error);
        }else {
      
            //error NOT found : Return (response, nil)
            //check if the status code is 200
            if([(NSHTTPURLResponse*)response statusCode] != 200) {
                //if status code is not 200 for some weird reason. Then create internal error and send it back to program's main logic for better understanding.
                NSError *internalError = [[NSError alloc] initWithDomain:@"com.eezytutorials.iosTuts"
                code:[(NSHTTPURLResponse*)response statusCode] userInfo:@{
                        NSLocalizedFailureReasonErrorKey:[[(NSHTTPURLResponse*)response allHeaderFields] valueForKey:@"iothub-errorcode"],
                        NSLocalizedDescriptionKey:[[(NSHTTPURLResponse*)response allHeaderFields] valueForKey:@"iothub-errorcode"],
                        NSLocalizedRecoverySuggestionErrorKey:@"Try another Device ID",
                        NSLocalizedRecoveryOptionsErrorKey:@"LocalizedRecoveryOptions",
                        NSRecoveryAttempterErrorKey:@"RecoveryAttempter",
                        NSHelpAnchorErrorKey:@"HelpAnchor",
                        NSStringEncodingErrorKey:@"NSStringEncodingError",
                        NSURLErrorKey:@"NSURLError",
                        NSFilePathErrorKey:@"NSFilePathError"
                        }];
                if(completion)
                    completion(nil,internalError);
            }else {
                //status code is 200
                NSString *responseString = [[NSString alloc]initWithData:data encoding:NSUTF8StringEncoding];
                if (completion) {
                    completion(responseString,nil);
                }
            }
        }

    }] resume];
}

+(void) sendMessageToEventHubUsingRestAPIUsingDeviceId:(NSString *)deviceID andSASToken:(NSData *)sasTokenReceived {
    
    //Get the sas token in string form
    NSString *sasTokenString = [[NSString alloc]initWithData:sasTokenReceived encoding:NSUTF8StringEncoding];
    //create the Request URI
    NSString *requestURI = [NSString stringWithFormat:@"https://<iothubendpoint>/devices/%@/messages/events?api-version=2016-02-03",deviceID];
    
    //JSON Message to be passed, call the collectVitals function to pack the vitals information in JSON
    NSDictionary *jsonDict = collectVitals();

    id jsonObject = [NSJSONSerialization dataWithJSONObject:jsonDict options:NSJSONWritingPrettyPrinted error:nil];
   //Create the URL Request
    NSMutableURLRequest *urlRequest = [[NSMutableURLRequest alloc]initWithURL:[NSURL URLWithString:requestURI]];
    //customize the url request
    [urlRequest setHTTPMethod:@"POST"];
    [urlRequest setValue:sasTokenString forHTTPHeaderField:@"Authorization"];
    [urlRequest setHTTPBody:jsonObject];
    
    //create a default NSURLConfiguration
    NSURLSession *session = [NSURLSession sessionWithConfiguration:[NSURLSessionConfiguration defaultSessionConfiguration]];
    
    [[session dataTaskWithRequest:urlRequest completionHandler:^(NSData *data, NSURLResponse *response, NSError *error) {
        NSLog(@"data: %@", data);
        NSLog(@"response: %@", response);
        NSLog(@"ERROR %@", error);
    }] resume];
}

Sample JSON Message Packet from device to the Azure IoT Hub

{
"data":{
"uid":4632746732,
"Vitals":[
           {
             "vital":"ECG",
             "metric":"Lead1",
             "values":[142,165,167,198],
             "timestamp":1478178407
           },
          {
            "vital":"Height",
            "metric":"inches",
            "values":[68],
            "timestamp":1478178532
         }
],
"deviceid":47324
}
}

The NodeJS-based web API has two functions—one to generate the authentication token for each device and the other to send the data to the IoT Hub using the authentication token. Every time the device boots, it sends an initial message to the IoT Hub to check token validity. If the token is expired, it will generate a new token valid for 10 days. The DeviceID is formatted with both the Bluetooth ID of the device and the iOS/Android device ID, like <bluetoothid>-<mobiledeviceid>

Stream Analytics

When a message enters Azure IoT Hub, one Stream Analytics casts the data to appropriate data types while another Stream Analytics job works on the RAW ECG data and converts it into a usable format and stores it in the Azure SQL Database. Later the data can be archived into the blob storage on the basis of expiration policy. (The Stream Analytics jobs couldn’t be shared because they have IP algorithm to process the Raw ECG data.)

Figure 4. Sanket Stream Analytics job that stores vitals to SQL Database

Stream Analytics job

Step 5. Sharing the reports with doctors

Agatsa is using the Notification Hub to register multiple devices against every user (doctors or patients) and allow the patients to share the ECG reports with doctors. The shared message will have deep-linking links with parameters that would in turn open a Power BI Embedded report in a web control in mobile app (the Power BI Embedded work is in progress).

Figure 5. Some pictures from the hackfest

Hackfest

Figures 6-9. Sample screens of the new Agatsa mobile app

Sample screen 1

Sample screen 2

Sample screen 3

Sample screen 4

Architecture

The schema of the solution architecture is explained above.

Device used and code artifacts

  • Sanket ECG device – Each Sanket device has a built-in token that, when paired with the Sanket app, can help decode the ECG data stream emitted by the Sanket device. Users can access the ECGs taken by themselves only or shared to them by the owner of that ECG only. The ECG is not a PDF file anymore. Rather, it’s rendered on the fly by the device as well as the web app (web app in progress).
  • Android and iOS devices
  • GitHub repo for iOS connectivity to IoT Hub – https://github.com/brijrajsingh/IOS-IOTHUb

Opportunities going forward

We will continue to work with Agatsa as we are expecting the iOS SDK for IoT Hub in few months. Once it is available, we’ll get the code refactored and depend completely on the SDK, and enjoy the cloud-to-device messaging capabilities. Agatsa is also working over a Wi-Fi-enabled device for which we’ll help implement a C-based version of an IoT Hub implementation.

On the cloud side, Agatsa is able to prepare different kinds of reports from the data in Azure SQL Database. They have also started working with Power BI Embedded reports. We’ll continue the engagement to support these efforts.

Conclusion

The Microsoft and Agatsa teams worked in tandem to enable cloud capabilities for the Sanket device. The new compute and data storage capabilities of the cloud would enhance the solution to use advanced analytics. We were able to iron out issues like iOS connectivity quickly with the use of IoT Hub REST API. The Agatsa team was quick to learn Stream Analytics and Azure IoT Hub.

The Agatsa team is happy to see the ease of deployment and integration with PaaS services. During the course of the hackfest, we also learned how their device works and how they have developed a very fine-tuned algorithm to prepare a 12-lead ECG from just the two sensors on the Sanket device. It was really cool to see how the data can even determine whether the patient is under stress or relaxed.

A quote from the Agatsa dev team:

“Choosing Azure IoT Hub was easily the best decision that we have made for Sanket. It allows us to securely connect our devices with cloud back ends. Being in healthcare sector security is paramount. As a mobile dev-centric team, we wouldn’t have thought it could be so much easier to send events over to the cloud and get them to the database with such ease. Earlier, it would have taken weeks for a dev to write APIs and send data to the cloud—now it’s just a matter of hours to set up everything and start sending the data. Not only that, Azure has a set of other tools such as Power BI, Stream Analytics, among others, that can be connected with Azure IoT Hub with minimum fuss, yielding maximum results. Now using Microsoft tech, the Sanket platform can have concurrently thousands of users, getting their ECG monitored in milliseconds.”

Resources

Sanket won the highly coveted Mashelkar Award for the year 2015 in the area of inclusive innovation. Sanket was also honored in the recent Healthcare Summit in Rajasthan. For more about Sanket, see the following:

SanketLife is a Patent Protected Product and many designs and IP patents have been filed around this as early as 2013 by Agatsa Software Pvt Ltd. The patents have been awarded and in published state.

US FDA in Progress

We are filing 510K US FDA notification in association with our US FDA counterpart FDASmart http://www.fdasmart.com/

Expected date for obtaining US FDA is end of 2017

We will keep you posted on this more more updates.

 

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  • B y accepting thes e HC P Terms , Y ou agree that:
  • (i) Y ou will acquire, install, configure and maintain all hardware, software and communications systems necessary to access the S ystem (“Implementation“) and receive the S ervices. To the extent possible, such an assessment should be done before making advance payment for the S ervice. Y our Implementation will comply with the specifications from time to time established by Us. Y ou will ensure that Y our

Implementation is compatible with the S ystem and S ervices. If We notify Y ou that Y our Implementation is incompatible with the S ystem and / or S ervices, Y ou will rectify such incompatibility, and We will have the right to suspend S ervices to Y ou until such rectification has been implemented. Under no circumstances will Y ou be eligible for any refund or any financial assistance in relation to Implementation.

  • E ngagement of HC Ps by Agats a
  • (i) In certain cases, Y ou and Agatsa may agree that Y ou will commit to providing information and responses on the Website for a specific period of time (such as a specific number of hours per day / week/ month). In such a case,
  • a) While all the terms of the Agreement will continue to apply to Y ou, there may be some additional terms which will apply to Y ou which will be agreed between Y ou and Agatsa.
  • b) Y ou and Agatsa will agree to a fixed amount which will be payable by Agatsa to Y ou for your engagement. In such case all HC P Fees which R egistered Users pay for your services will be retained by Agatsa and you will be paid the fixed amount agreed between Y ou and Agatsa.
  • Acces s to the S ys tem and Us e of S ervices
  • (i) Verification. Y ou agree that Y our receipt of S ervices is subject to verification by Us of Y our identity and credentials as a health care practitioner and to Y our ongoing qualification as such. As part of the registration process and at any time thereafter, Y ou may be required to provide Us with various information such as Y our Photo Id, Y our medical registration details (as recognized by the Medical C ouncil of India and Y our S tate Medical C ouncil), Y our qualifications and other information in order to prove that Y ou are a valid health care practitioner in the field that Y ou claim (“C redential Information“). We may verify such C redential Information or may ask Y ou for additional information. We may also make enquiries from third parties to verify the authenticity of Y our C redential

Information. Y ou authorize Us to make such enquiries from such third parties, and Y ou agree to hold them and Us harmless from any claim or liability arising from the request for or disclosure of such information. Y ou agree that We may terminate Y our access to or use of the S ystem and S ervices at any time if We are unable at any time to determine or verify Y our C redential Information. We reserve to right to carry out re-verification of C redential Information as and when required, and the above rights and commitments will extend to re-verification as well.

  • (ii) S afeguards.
  • a) Y ou will implement and maintain appropriate administrative, physical and technical safeguards to protect the S ystem from access, use or alteration; and Y ou will always use the User ID assigned to Y ou.
  • b) Y ou will immediately notify Us of any breach or suspected breach of the security of the S ystem of which Y ou become aware, or any unauthorized use or disclosure of information within or obtained from the S ystem, and Y ou will take such action to mitigate the breach or suspected breach as We may direct, and will cooperate with Us in investigating and mitigating such breach.
  • (iii) No Third-Party Access. Y ou will not permit any third party to have access to the S ystem or to use the S ystem or the S ervices without Our prior written consent. Y ou will not allow any third party to access the S ystem or provide information to R egistered Users/ Non-R egistered Users on the Website. Y ou will promptly notify Us of any order or demand for compulsory disclosure of health information if the disclosure requires access to or use of the S ystem or S ervices.
  • C ompliance
  • (i) Y ou are solely responsible for ensuring that Y our use of the S ystem and the S ervices complies with applicable law. Y ou will also ensure that Y our use of the S ystem, the Website and the S ervices in always in accordance with the terms of the Agreement. Y ou will not undertake or permit any unlawful use of the S ystem or S ervices, or take any action that would render the operation or use of the S ystem or S ervices by us.
  • (ii) Without limiting the generality of the foregoing, Y ou represent that Y ou shall not use the S ystem in violation of any applicable laws including MC Is C ode of Medical E thics R egulations or any other code of conduct governed by your council. Notwithstanding the generality of the foregoing, Y ou shall not use the S ystem to
  • a) Interact with a R egistered Users at the time of medical emergencies.
  • b) Discriminate in any way between appointments booked in the ordinary course and appointments booked through Agatsa.
  • c) Boast of cases, operations, cures or remedies through S ystem, S ervices or Website.
  • d) Directly or indirectly solicit R egistered Users for consultation.
  • e) C laim to be a specialist, through S ystem, S ervices or Website, unless Y ou have a special qualification in that branch.
  • f) Give any positive assertion or representation regarding the risk-free nature of communicating over online media.
  • (iii) Y ou shall keep Y our C redential Information updated and will inform Us immediately should any portion of Y our C redential Information be revoked, is cancelled or expires.
  • Us er information
  • (i) Y ou hereby acknowledge that Y ou may get access to User Information including identifiable health related information.
  • (ii) Y ou represent and warrant that Y ou will, at all times during the use of the S ervices and thereafter, comply with all laws directly or indirectly applicable to Y ou that may now or hereafter govern the collection, use, transmission, processing, receipt, reporting, disclosure, maintenance, and storage of User Information, including but not limited to the Information Technology Act, 2000 and The Information Technology (R easonable S ecurity Practices and Procedures and S ensitive Personal Data or Information) R ules, 2011 made thereunder.,
  • (iii) Notwithstanding the generality of the aforementioned provision
  • (a) Y ou acknowledge that Y ou have read, understood and agree to comply with Agatsa’s Privacy Policy available at https://www.Agatsa.com/privacy when dealing with User Information.
  • (b) Y ou represent and warrant that Y ou will not use the User Information of R egistered Users and Non-R egistered Users for any other purpose than for providing information to such R egistered Users and Non-R egistered Users and /or fixing appointments with the R egistered Users.
  • C ooperation
  • (i) Y ou will cooperate with Us in the administration of the S ystem, including providing reasonable assistance in evaluating the S ystem and collecting and reporting data requested by Us for the purposes of administering the S ystem.
  • (ii) We may provide Y our reference to other potential users of the system as a referral to Our S ervices. In case Y ou would not like to be contacted by potential users, Y ou can send Us an email at info@Agatsa.com regarding the same. We shall cease providing Y our reference to potential users within 48 hours of receipt of such written request.
  • Providing Phys ician Data
  • Y ou agree that We may provide de-identified health information and other information including Y our personal information and information concerning Y our practice to any medical group, independent practice association of physicians, health plan or other organization including any organization with which Y ou have a contract to provide medical services, or to whose members or enrolees Y ou provide medical services. S uch information may identify Y ou, but will not identify any individual to whom Y ou provide services. S uch information may include (without limitation) aggregate data concerning Y our patients, diagnoses, procedures, orders etc.
  • Intellectual Property R ights
  • All intellectual property rights in and title to the S ystem, the present or future modifications

/ upgradations thereof and standard enhancements thereto shall remain the property of Agatsa and its licensors. These HC P Terms or the Agreement do not and shall not transfer any ownership or proprietary interest in the S ystem from Agatsa to Y ou, except as may be otherwise expressly provided in these HC P Terms or as may be agreed to by and between Agatsa and Y ou.

  • Fees and C harges
  • (i) Y ou will be obligated to pay Us Our standard service fee (the “S ervice Fee“) for the
    • ervices to which Y ou have access during Y our subscription to the S ystem and Our S ervices. Y ou also agree to pay, Our then current rates, for all goods or services that Y ou request from Us and that are not included in Our standard services (“Mis cellaneous C harges “). We will notify Y ou of the S ervice Fee and Miscellaneous C harges when Y ou are granted access to a service, and We will notify Y ou of the applicable Miscellaneous C harges before providing services to which a Miscellaneous C harge will apply.
  • (ii) Y ou understand that Agatsa provides various S ervices with respect to the S ystem. While some of these S ervices are provided for free, there are certain S ervices for which costs will be incurred by Y ou, if Y ou decide to avail such S ervices (“Paid S ervices “). For more information on Agatsa’s S ervice Fees with respect to Paid S ervices including modes of payment, please drop us a email at info@agatsa.com . Agatsa shall have the right to change the S ervice Fees for the Paid S ervices at any time, with or without notice to Y ou. Y our continued use of the S ystem and the Website shall be deemed to be Y our acceptance of such changes.
  • (iii) All charges and fees shall be exclusive of all state, municipal, or other government excise, sales, service, use, occupational, or like taxes now in force. We have a right to pass on any additional taxes or other state levies to Y ou and Y ou agree to pay any tax (excluding taxes on Our net income) that We may be required to collect or pay now or at any time in the future and that are imposed upon the sale or delivery of items and S ervices purchased under these HC P Terms.
  • (iv) Y ou are responsible for any charges Y ou incur to use the S ystem, such as telephone and equipment charges, and fees charged by third-party vendors of products and services.
  • (v) We reserve to change the terms applicable to fee at any point in time by giving Y ou fifteen (15) days’ prior intimation via email. The revised fee terms shall be automatically applicable to Y ou after the fifteen (15) days’ notice period. Y ou agree that no separate confirmation or approval is required from Y ou to amend the terms with regard to the fee.
  • vi) The HC P Fees collected by Agatsa on your behalf from R egistered Users shall be disbursed to your bank within 45 days of the date of the completion of the consultation for which such HC P Fees were collected. Y ou agree that the consultation shall be deemed to have been completed after expiry of fifteen (15) days from the date of the consultation. For the removal of doubts, a consultation shall be deemed to have been completed when the payee R egistered User has been provided the level of consultation reasonably expected from you in consideration of the HC P Fees.
  • (viii) When We collect lump sum HC P Fees for multiple consultations which have been booked by the R egistered Users:
  • Y ou will deliver and complete all consultations which have been booked
  • the lump sum HC P Fees shall be deemed to have been delivered only after expiry of fifteen (15) days from the date of completion of the last consultation.
  • Y ou will refund all amounts for which no consultation has been delivered.
  • (ix) Y ou hereby grant Us written consent to collect, store, handle and use Y our financial information such as bank account or credit card or debit card or other payment instrument details for the purpose of paying for S ervices and access to S ystem in accordance with Our Privacy Policy.
  • (x) In case Agatsa is of the opinion that the consultation provided by you to R egistered User against the HC P Fees is unsatisfactory or deficient in some way, then it reserves the right to (a) where the corresponding HC P Fees is unpaid, forfeit the said fees or (b) where the corresponding HC P Fee is paid, (i) recover the corresponding HC P Fees by adjusting the amount equivalent to HC P Fees against any future payments that may be due or (ii) make a claim of the corresponding HC P Fees on you. Y ou agree that upon receipt to a

claim from Agatsa, you will pay the amount to Agatsa within fifteen (15) days from the date of the claim.

  • C onfidential Information
  • (a) Y ou will treat all information received from Us as confidential. Y ou may not disclose Our confidential information to any other person, and Y ou may not use any confidential information except as provided herein. E xcept as otherwise provided in HC P Terms and Other Terms, Y ou may not, without Our prior written consent, at any time, during or after the applicability of these HC P Terms, directly or indirectly, divulge or disclose confidential information for any purpose or use confidential information for Y our own benefit or for the purposes or benefit of any other person. Y ou agree to hold all confidential information in strict confidence and to take all measures necessary to prevent unauthorized copying, use, or disclosure of confidential information, and to keep the confidential information from being disclosed into the public domain or into the possession of persons not bound to maintain confidentiality. Y ou will disclose confidential information only to your employees, agents or contractors who have a need to use it for the purposes permitted under the HC P Terms and Other Terms only. Y ou will inform all such recipients of the confidential nature of confidential information and will instruct them to deal with confidential information in accordance with these HC P Terms. Y ou will promptly notify Us in writing of any improper disclosure, misappropriation, or misuse of the confidential information by any person, which may come to Y our attention.
  • (b) Y ou agree that We will suffer irreparable harm if Y ou fail to comply with the obligations set forth in this S ection 12, and Y ou further agree that monetary damages will be inadequate to compensate Us for any such breach. Accordingly, Y ou agree that We will, in addition to any other remedies available to Us at law or in equity, be entitled to seek injunctive relief to enforce the provisions hereof, immediately and without the necessity of posting a bond.
  • (c) This S ection 12 will survive the termination or expiration of these HC P Terms or Agreement for any reason.
  • Dis claimer and E xclus ion of Warranties
  • (A) Y OU AC KNOWLE DGE THAT AC C E S S TO THE S Y S TE M WILL BE PR OVIDE D

OVE R VAR IOUS FAC ILITIE S AND C OMMUNIC ATION LINE S , AND INFOR MATION

WILL BE TR ANS MITTE D OVE R LOC AL E XC HANGE AND INTE R NE T BAC KBONE

C AR R IE R LINE S AND THR OUGH R OUTE R S , S WITC HE S , AND OTHE R DE VIC E S

(C OLLE C TIVE LY , “C AR R IE R L INE S “) OWNE D, MAINTAINE D, AND S E R VIC E D BY

THIR D-PAR TY C AR R IE R S , UTILITIE S , AND INTE R NE T S E R VIC E PR OVIDE R S , ALL

OF WHIC H AR E BE Y OND OUR C ONTR OL. WE AS S UME NO LIABILITY FOR OR

R E LATING TO THE INTE GR ITY , PR IVAC Y , S E C UR ITY , C ONFIDE NTIALITY , OR US E

OF ANY INFOR MATION WHILE IT IS TR ANS MITTE D ON THE C AR R IE R LINE S , OR

ANY DE LAY , FAILUR E , INTE R R UPTION, INTE R C E PTION, LOS S , TR ANS MIS S ION,

OR C OR R UPTION OF ANY DATA OR OTHE R INFOR MATION ATTR IBUTABLE TO

TR ANS MIS S ION ON THE C AR R IE R LINE S . US E OF THE C AR R IE R LINE S IS S OLE LY AT Y OUR R IS K AND IS S UBJ E C T TO ALL APPLIC ABLE LOC AL, S TATE , NATIONAL, AND INTE R NATIONAL LAWS .

  • (B) THE S E R VIC E S , THE WE BS ITE THE S Y S TE M, AC C E S S TO THE S Y S TE M AND

THE INFOR MATION C ONTAINE D ON THE S Y S TE M IS PR OVIDE D “AS IS ” AND “AS

AVAILABLE ” BAS IS WITHOUT ANY WAR R ANTY OF ANY KIND, E XPR E S S E D OR

IMPLIE D, INC LUDING BUT NOT LIMITE D TO THE IMPLIE D WAR R ANTIE S OF

ME R C HANTABILITY , FITNE S S FOR A PAR TIC ULAR PUR POS E , AND NON-

INFR INGE ME NT. Y OU AR E S OLE LY R E S PONS IBLE FOR ANY AND ALL AC TS OR

OMIS S IONS TAKE N OR MADE IN R E LIANC E ON THE S Y S TE M OR THE

INFOR MATION IN THE S Y S TE M, INC LUDING INAC C UR ATE OR INC OMPLE TE

INFOR MATION. IT IS E XPR E S S LY AGR E E D THAT IN NO E VE NT S HALL WE BE

LIABLE FOR ANY S PE C IAL, INDIR E C T, C ONS E QUE NTIAL, R E MOTE OR

E XE MPLAR Y DAMAGE S , INC LUDING BUT NOT LIMITE D TO, LOS S OF PR OFITS OR

R E VE NUE S , LOS S         OF US E , OR LOS S OF INFOR MATION OR DATA, WHE THE R A

C LAIM FOR ANY S UC H LIABILITY OR DAMAGE S IS PR E MIS E D UPON BR E AC H OF

C ONTR AC T, BR E AC H OF WAR R ANTY , NE GLIGE NC E , S TR IC T LIABILITY , OR ANY

OTHE R THE OR Y OF LIABILITY , E VE N IF WE HAVE BE E N APPR IS E D OF THE

POS S IBILITY OR LIKE LIHOOD OF S UC H DAMAGE S OC C UR R ING. WE DIS C LAIM

ANY AND ALL LIABILITY FOR E R R ONE OUS TR ANS MIS S IONS AND LOS S OF S E R VIC E R E S ULTING FR OM C OMMUNIC ATION FAILUR E S BY TE LE C OMMUNIC ATION S E R VIC E PR OVIDE R S OR THE S Y S TE M.

  • (C ) Y OU AC KNOWLE DGE THAT OTHE R US E R S HAVE AC C E S S TO THE S Y S TE M

AND AR E R E C E IVING OUR S E R VIC E S . S UC H OTHE R US E R S HAVE C OMMITTE D

TO C OMPLY WITH THE S E TE R MS & C ONDITIONS AND OUR POLIC IE S AND

PR OC E DUR E S C ONC E R NING US E OF THE S Y S TE M; HOWE VE R , THE AC TIONS OF

  • UC H OTHE R US E R S AR E BE Y OND OUR C ONTR OL. AC C OR DINGLY , WE DO NOT

AS S UME ANY LIABILITY FOR OR R E LATING TO ANY IMPAIR ME NT OF THE

PR IVAC Y , S E C UR ITY , C ONFIDE NTIALITY , INTE GR ITY , AVAILABILITY , OR R E S TR IC TE D US E OF ANY INFOR MATION ON THE S Y S TE M R E S ULTING FR OM ANY US E R S ‘ AC TIONS OR FAILUR E S TO AC T.

  • (D) WE AR E NOT R E S PONS IBLE FOR UNAUTHOR IZE D AC C E S S TO Y OUR , DATA,

FAC ILITIE S OR E QUIPME NT BY INDIVIDUALS OR E NTITIE S US ING THE S Y S TE M

OR FOR UNAUTHOR IZE D AC C E S S TO, ALTE R ATION, THE FT. C OR R UPTION, LOS S

OR DE S TR UC TION OF Y OUR , DATA FILE S , PR OGR AMS , PR OC E DUR E S , OR

INFOR MATION THR OUGH THE S Y S TE M, WHE THE R BY AC C IDE NT, FR AUDULE NT

ME ANS OR DE VIC E S , OR ANY OTHE R ME ANS . Y OU AR E S OLE LY R E S PONS IBLE

FOR VALIDATING THE AC C UR AC Y OF ALL OUTPUT AND R E POR TS , AND FOR

PR OTE C TING Y OUR DATA AND PR OGR AMS FR OM LOS S BY IMPLE ME NTING

APPR OPR IATE S E C UR ITY ME AS UR E S , INC LUDING R OUTINE BAC KUP

PR OC E DUR E S . Y OU HE R E BY WAIVE ANY DAMAGE S OC C AS IONE D BY LOS T OR

C OR R UPT DATA, INC OR R E C T R E POR TS , OR INC OR R E C T DATA FILE S

  • E S ULTING FR OM PR OGR AMMING E R R OR , OPE R ATOR E R R OR , E QUIPME NT OR
  • OFTWAR E MALFUNC TION, S E C UR ITY VIOLATIONS , OR THE US E OF THIR DPAR TY S OFTWAR E . WE AR E NOT R E S PONS IBLE FOR THE C ONTE NT OF ANY INFOR MATION TR ANS MITTE D OR R E C E IVE D THR OUGH OUR PR OVIS ION OF THE S E R VIC E S .
  • (E ) WE E XPR E S S LY DIS C LAIM ANY LIABILITY FOR THE C ONS E QUE NC E S TO Y OU AR IS ING BE C AUS E OF Y OUR US E OF THE S Y S TE M OR THE S E R VIC E S .
  • (F) WE DO NOT WAR R ANT THAT Y OUR US E OF THE S Y S TE M AND THE S E R VIC E S UNDE R THE S E TE R MS WILL NOT VIOLATE ANY LAW OR R E GULATION APPLIC ABLE TO Y OU.
  • L imitation Of L iability
  • NOTWITHS TANDING THE OTHE R TE R MS OF THE S E HC P TE R MS , IN THE E VE NT

AGATS A S HOULD HAVE ANY LIABILITY TO Y OU OR ANY THIR D PAR TY FOR ANY

LOS S , HAR M OR DAMAGE , Y OU AND AGATS A AGR E E THAT S UC H LIABILITY

  • HALL UNDE R NO C IR C UMS TANC E S E XC E E D THE VALUE OF ANY FE E S WHICH

MAY BE R E C E IVE D BY AGATS A FR OM Y OU IN THE PR E C E DING TWE LVE MONTHS

OR INR 5000 WHIC HE VE R IS LOWE R . Y OU AND AGATS A AGR E E THAT THE

FOR E GOING LIMITATION OF LIABILITY IS AN AGR E E D ALLOC ATION OF R IS K

BE TWE E N Y OU AND AGATS A. Y OU AC KNOWLE DGE THAT WITHOUT Y OUR AS S E NT TO THIS S E C TION 14, AGATS A WOULD NOT PR OVIDE AC C E S S TO THE S Y S TE M, TO Y OU.

  • Indemnification
  • Y ou agree to indemnify, defend, and hold harmless Agatsa, Our and their affiliates, officers, directors, and agents, from and against any claim, cost or liability, including reasonable attorneys’ fees, arising out of: (a) the use of the S ervices; (b) any breach by Y ou of any representations, warranties or agreements contained in these HC P Terms ; (c) the actions of any person gaining access to the S ystem under a User ID assigned to Y ou; (d) the actions of anyone using a User ID, password or other unique identifier assigned to Y ou that adversely affects the S ystem or any information accessed through the S ystem;
  • Termination; Modification; S uspens ion; Termination
  • (a) We or Y ou may terminate our S ervices at any time without cause upon thirty (30) days prior written notice to Y ou.
  • (b) We may update or change the S ervices and/or the HC P Terms and/ or the S ervice Fee set forth in these HC P Terms from time to time and recommend that Y ou review these HC P Terms on a regular basis. Y ou understand and agree that Y our continued use of the S ervices after the HC P Terms has been updated or changed constitutes Y our acceptance of the revised HC P Terms. Without limiting the foregoing, if We make a change to these HC P Terms that materially affects Y our use of the S ervices, We may post notice on the Website or notify Y ou via email of any such change.
  • (c) Termination, S uspension or Amendment as a result of applicable laws –

Notwithstanding anything to the contrary in these HC P Terms , We have the right, on providing notice to Y ou, immediately to terminate, suspend, or amend the provision of the S ervices without liability: (a) to comply with any order issued or proposed to be issued by any governmental agency; (b) to comply with any provision of law, any standard of participation in any reimbursement program, or any accreditation standard; or (c) if performance of any term of these HC P Terms by either Party would cause it to be in violation of law.

  • (d) We may terminate the provision of S ervices to Y ou through the S ystem immediately upon notice to Y ou: (i) if Y ou are named as a defendant in a criminal proceeding for a violation of federal or state law; (ii) if a finding or stipulation is made or entered into that Y ou have violated any standard or requirement of federal or state law relating to the privacy or security of health information is made in any administrative or civil proceeding; or (iii) Y ou cease to be qualified to provide services as a health care professional, or We are unable to verify Y our qualifications as notified to Us under these HC P Terms.
  • (e) We may suspend Y our S ervices immediately pending Y our cure of any breach of these HC P Terms, or in the event We determine in Our sole discretion that access to or

use of the S ystem by Y ou may jeopardize the S ystem or the confidentiality, privacy, security, integrity or availability of information within the S ystem, or that Y ou have violated or may violate these HC P Terms or Other Terms, or has jeopardized or may jeopardize the rights of any third party, or that any person is or may be making unauthorized use of the S ystem with any User ID assigned to Y ou. Our election to suspend the S ervices shall not waive or affect Our rights to terminate these HC P Terms as applicable to Y ou as permitted under these HC P Terms.

  • (f) Upon termination, Y ou will cease to use the S ystem and We will terminate Y our access to the S ystem. Upon termination for any reason, Y ou will remove all software provided under HC P Terms from Y our computer systems, Y ou will cease to have access to the S ystem, and Y ou will return to Us all hardware, software and documentation provided by or on behalf of Us.
  • Agreement to this Terms of Use

Please note that your usage of Agatsa Mobile application for doctors (S anket Doctor

Mobile app), deems that you have agred to the terms of usage defined here with

  • E C G R eview fees

From 10-01-2017, E C G review fees for our registered HC Ps is INR 100/- per E C G review. This is inclusive of any tax liability that may be deducted further.

Agatsa, S anket, S anket Life, S anket Doc are registered trademark of Agatsa S oftware Pvt Ltd

are registered logo of Agatsa S oftware Pvt Ltd

 

Agatsa Privacy Policy

Agatsa Privacy Policy

Posted: 26 January 2017

At Agatsa, our mission is to make world heart healthy by providing well rounded cardiac diseases management services and health tracking by tracking various Health parameters.

This mission covers Data acquisition through our medical devices and our online cardiac disease management services which connects health care providers and other third party players to provide consultation, review and coaching services to our users.

Our privacy policy describes, what data we acquire, how we use and share this information.

BY USING OUR SANKET APP AND PRODUCT, YOU CONSENT TO THE COLLECTION, USE AND TRANSFER OF YOUR PERSONAL AND HEALTH DATA FOR PROCESSING AS DESCRIBED IN OUR PRIVACY POLICY.

Who we are?

We are a medical devices and mobile application development company located in Noida, India. Our pocket sized ECG monitor Sanket captures ECG by placing thumbs on sensors and transmit data wirelessly to a smartphone app Sanket.

Information we collect

 

Agatsa collects personal and Health data to operate our business and provide users innovative devices, services and platform to detect, manage and prevent cardiac diseases with our innovative online health consultation and wellness solutions. We provide internet and mobile application based services including the apps linked to below:

Sanket App

SanketDoc

Sanket- ECG monitor

We collect and use the following information to provide, improve and protect our Services:

Personal- Personal data is acquired and used directly or indirectly to establish your identity. This may include your personal information like your name, email address and phone number, health data, location data, your health care history, and your performance data. Some of our services let you access your accounts and your information with other service providers.

Health- Raw ECG data is acquired by our Sanket device or ECG data from paper reports is captured. Other health data like tracking vitals like BP, Blood sugar, Cholesterol, Height, weight and different habitual data like smoker, alcoholic etc is collected to track individual’s health and progress when he uses our services. The data is also shared with different players of eco system to make an informed conclusion regarding health care services required and track health goals and progress. Information also may include past health data like past medical history, medication, prescription, test results etc. Other data like

Services- When you use our Services, we store, process and transmit your files and information related to them. If you give us access to your contacts, we’ll store those contacts on our servers for you to use. This will make it easy for you to do things like  send emails and invite others to use the Services.

Usage- We collect information from and about the devices you use to access the Service.

With whom

We may share information as discussed below, but we won’t sell it to advertisers or other third parties.

Doctors/Health services providers:

Others working for Agatsa- Agatsa uses certain trusted third parties  to help us provide, improve, protect and promote our Services. These third parties will access your information only to perform tasks on our behalf in compliance with this Privacy Policy, and we’ll remain responsible for their handling of your information in accordance with our instructions.

Other users- Our Services display information like your name and email address to other users in places like your user profile and sharing notifications. Certain features let you make additional information available to other users.

Other applications- You can also give third parties access to your information and account. Just remember that their use of your information will be governed by their privacy policies and terms.

How:

Information Security- We ensure all Health data is secured as per e-Governance division of MoHFW and HIPAA. All Health records are safeguarded and used only when needed and the information is not used, disclosed, deleted, accessed or altered inappropriately while being stored or retrieved or transmitted.

We have a team dedicated to keeping your information secure and testing for vulnerabilities. We also continue to work on features to keep your information safe .

Data Retention- We’ll retain information you store on our Services for as long you maintain your account or as we need to provide you the Services. You can access your personal information by logging in to your Agatsa account. We will also retain your data as necessary to comply with our legal obligations, resolve disputes, and enforce our agreements.

Third Parties We Don’t Own or Control: Please note that this Privacy Policy does not apply to the practices of companies that we do not own or control or to people that we do not employ or manage. For example, if you download one of our applications on your smartphone, the manufacturer of your smartphone may have a policy that applies to its own practices for collecting information through that smartphone. We encourage you to read the privacy policies of each and every device, website, and service that you use.

 

Where

Around the world. To provide you with the Services, we may store, process and transmit information. Information may also be stored locally on the devices you use to access the Services.  We ask that you first submit any such complaints directly to us at info@agatsa.com.

Changes

Privacy Policy Updates- We may update this Privacy Policy from time to time without prior notice. You can determine when this Policy was last revised by checking the Effective Date. We encourage you to periodically review this privacy policy to ensure you understand our privacy practices. If you have a registered account, we may notify you of any changes to our privacy policy via email and we may ask you to affirmatively acknowledge and consent to the changes the next time you use our Services.

 

Reorganisation- If we are involved in a reorganisation, merger, acquisition or sale of our assets, your information may be transferred as part of that deal. We will notify you (for example, via a message to the email address associated with your account) of any such deal and outline your choices in that event.

Contact

Have questions or concerns about Agatsa, our Services and privacy?

Contact us at info@agatsa.com.

Agatsa Softwares Pvt Ltd.

C-56/22, 4th Floor,

Sector-62,  Noida

Phone – +91-1206500400

Comparison with 12 Lead Clinical ECG

Wireless, pocket-sized ECG monitor: A potential tool used in the detection of Cardiovascular Disease
Debashree Ghosh; Neha Rastogi; Rahul Rastogi
ABSTRACT
Recent technological advancements in medical/healthcare and mobile computing has caught attention of researchers for remote health monitoring systems. The application of mobile technology in health monitoring enables remote monitoring of people which helps to (a) improve the communication between health care professionals and patients and (b) provide timely action in case of emergency.
Smartphones have now become the integral part of people’s lives and therefore these devices can integrate healthcare more seamlessly into everyday lives. The primary objective  was to develop a reliable and efficient remote heart monitoring system that would help healthcare professionals monitor their patients remotely. Also the users can make use of this technology in their routine lifestyle for cardiac care and get timely support anytime, anywhere in case of emergencies.
This paper presents information about accuracy of a Smartphone ECG monitor which is pocket-able, lead less, supporting up to 6 lead and having remote sharing functionality. The accuracy of measurement in terms of sensitivity and specificity is done in comparison with a typical traditional ECG machine. The possible need, usage and potential benefits of such as device from the point of view of the patients is assessed via interviewing the people.
The proposed device is mechanized by a Sanket app running on compatible iOS and Android phones that connects wirelessly via Bluetooth technology to the device. Six lead ECG can be measured anytime, anywhere and the reports can be easily downloaded and instantly shared with the healthcare professional for immediate clinical advice. The ECG reports are also saved in cloud for future reference. The device mainly consists of electronics such as sensors, comparators, filters and Bluetooth chip. In this study, the ECG variables namely Heart Rate, PR, QRSD, QT & QTc  were monitored, displayed and saved in our system. The proposed device was field tested to establish the accuracy and reliability. The test results showed that our device was able to measure the ECG variables with a high accuracy.
METHODOLOGY
This study was conducted for 1-week in a hospital at Gurgaon with 28 participants in total. Patient consent was obtained from all participants by signature on the consent form. They were educated about the objectives of the study and guidelines for using the data for publication purpose. The sample size consisted of patients who had some previous history of cardiovascular disease and patients with related symptoms of cardiovascular disease. 12 lead ECG was captured for all the 28 participants using standard 12 lead ECG machine namely GE2000 by the standard procedure of using gel and placing electrodes at appropriate position on the body while the patient is lying horizontally. Immediately, 6 lead ECG was captured using Sanket for all the participants. The Sanket device captured the signals just by touch and transmitted it over Bluetooth to the connected phone which had the app running. All the baseline ECG parameters namely HR, PR, QT, QTc, QRSD were captured using both the standard 12 lead & 6 lead ECG. The accuracy and efficiency of the ECG variables from Sanket were measured by comparison of the respective data from the GE machine. The ECGs captured by Sanket were also analyzed and interpreted by automated algorithms built in the application.
ECGs reports were analyzed for the presence of abnormal rhythm or beats. The cardiovascular diseases interpreted by 12 lead ECG machine were observed for visibility in the 6 Lead ECG by Sanket.
STATISTICAL  ANALYSIS
It was observed that in comparison with the standard 12 lead ECG machine GE 2000, Sanket was able to correlate the following cardiovascular diseases – Left Axis Deviation, Ectopic PVC beats, Hyperkalaemia , WPW, RBBB, Right Axis Deviation, Ischemia, Left Atrial Hypertrophy, LBBB, First Degree Heart Block, Myocardial Ischemia, STEMI. The ECG reports captured by Sanket were able to correlate cardiovascular diseases in 18 participants similar to standard 12 lead ECG machine which also detected cardiovascular disease in 18 patients.  Statistical analysis showed that 15 participants were true positive (i.e. cardiovascular disease was detected on both the ECG captured by 12 lead machine and Sanket). 3 participants were false positive (i.e. cardiovascular disease was detected on the ECG captured by Sanket and not by 12 lead machine). 3 participants were false negative (i.e. cardiovascular disease was detected on the ECG captured by 12 lead machine and not by Sanket. 7 participants were true negative (i.e. cardiovascular disease was not detected in either of the ECG reports captured by 12 lead machine and Sanket.

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