Cargo plane on tarmac

One operating model, and the technology moving through it.

The four pillars describe how the work gets done. This is what they are carrying.

A gold standard that has stayed inside the hospital.

Our Story carries a line we meant literally: no life should be left without care that already exists. The 12-lead ECG is care that already exists — it has been the standard for decades. What has kept it inside the hospital is not the science. It is that the equipment has been priced for institutions, and that reading the tracing has required someone trained to read it.

Both of those constraints have moved. A hospital-grade 12-lead now costs a fraction of a monitor-defibrillator and fits in a hand, and the interpretation travels with the tracing — so the person who captures it does not have to be the person who reads it. By the American College of Cardiology's count, 46% of US counties have no practicing cardiologist. That expertise can now reach the patient instead of the patient having to reach it.

A cardiac event does not wait for someone to be near a hospital. What differs is who is standing there when it begins — and whether they can capture something a clinician can act on.

SmartHeart® — a hospital-grade 12-lead, about the size of a phone.

Spektrum Medical Access holds US distribution rights for SmartHeart®, an FDA-cleared, fully integrated portable 12-lead ECG. The belt positions all 19 contact points automatically and the app checks each electrode before it records — no gel, no shaving, no adhesives, no consumables. Any team member, with no medical background, captures a full diagnostic-quality 12-lead in about 30 seconds.

It pairs with a phone or any smart device. Every tracing transmits securely, a preliminary interpretation comes back through SmartHeart’s 24/7 telemedicine platform in under two minutes, and a US board-certified cardiologist over-read is available on demand — typically within 30 minutes, wherever the team is operating.

It is not a monitor or an AED replacement. It is the 12-lead that arrives before the monitor does, and it complements the equipment a team already carries.

~30 sec
Full 12-lead capture, by any team member
< 2 min
Preliminary interpretation returned
< 30 min
US board-certified cardiologist over-read, on demand
19
Contact points, positioned by the belt
0
Gels, adhesives or consumables
FDA
510(k) cleared, Class II — K113514

Where the diagnostic clock starts.

Each setting has its own overview, written for the clinicians and teams who work in it.

Pre-hospital

EMS & Fire

ALS units already carry monitors. The gap sits with the BLS crews and first-on-scene responders who get there ahead of them — they capture the 12-lead, and the tracing reaches medical control and the incoming ALS crew before the handoff.

Facility-based

Hospitals & Clinics

Referral hospitals have the cart and the cardiologist. The gap sits in the rural, satellite and community clinics where obtaining a 12-lead means a transfer — so the transfer decision gets made without the tracing that would settle it.

Protection

Protective and Medical Operations

A medically supported detail may carry a paramedic and a monitor. The gap sits with the agents standing next to the principal when symptoms start — a diagnostic 12-lead in their hands before anyone commits to an evacuation, or rules one out.

Backcountry

Search & Rescue

The monitor is with the ALS crew, often hours from where the patient is found. The gap sits with the team that reaches them first — they place the device and capture the tracing, and the read stays with medical control and the crew taking over.

Extended response

Remote, Austere & Event Medicine

Transport is a call away, and a long way off. The gap sits with the site medic or event post holding the patient in the meantime — transport-or-treat-in-place decided on a tracing rather than an impression.

Start with the setting, not the device.

We would like to hear what your teams need, and whether SmartHeart finds a place there. Tell us the setting you work in and we will send the overview written for it.