NxSCOPE Guide: Pair, Record, Sync and Calibrate

Older device

NxSCOPE: get started

NxSCOPE clips onto your stethoscope. One button records voice notes, the other takes vitals (temperature, heart rate, respiratory rate). Set it up in the NxVET phone app or on a computer at app.nx.vet.

NxSCOPE device with its USB charging cable, Bluetooth dongle and Get Started card — What's in the box.

In the box
NxSCOPE device, USB charging cable, optional Bluetooth dongle, and a Get Started card with a QR code to the welcome page and the app links.
Charge it first
Charge NxSCOPE for at least 2 hours. A red light is on while it charges.
Phone or computer
Install the NxVET app (iOS, Android) or use app.nx.vet. A computer without Bluetooth needs the USB dongle.

NxSCOPE plugged into its USB cable with the red charging light on — The red light shows it's charging.

Pair NxSCOPE and update the firmware

Update the firmware once when you first pair the device, then clear any old data and check its status. Keep the app open during the update.

Phone app: swipe or use the arrows.

Step 1
Open NxSCOPE
Open the NxVET app and tap NxSCOPE.
Step 2
Scan for devices
Tap Scan for Devices and pick your NxSCOPE.
Step 3
Tap Update
On your device card, tap Update.
Step 4
Update the firmware
Tap Update Firmware.
Step 5
Stay on this screen
Don't switch apps while the firmware downloads. It takes a couple of minutes.
Step 6
Update done
When the timer reaches 0, the update is done and NxSCOPE reboots.
Step 7
Clear old data
Tap Clear Data to wipe any recordings already on the device.
Step 8
Confirm
Tap Clear to confirm.
Step 9
Check the status
Tap Status before your first measurement. You're ready to record.

On a computer

app.nx.vet

Go to app.nx.vet. No Bluetooth built in? Plug in the dongle first (Windows may install drivers on its own).
Click NXSCOPE, or go to the Devices page, and click Scan for Devices.
Choose your device and click Pair.
Click Check for Firmware Updates, select your device again and click Pair.
Click Update to load the latest firmware, then pick your device and click Pair.
Stay on the screen until the bar reaches 100%. The device reboots; it takes a minute or two.
Click Clear Data, select your device, click Pair, then OK.
Click Status, select your device and click Pair. You're ready for your first recording.

Screenshot of the NxSCOPE page in the NxVET web app — The NxSCOPE page in the web app.

Screenshot of the Scan for Devices button in the web app — Scan for Devices.

Screenshot of the browser Bluetooth dialog listing NxSCOPE devices with a Pair button — Choose your device, then Pair.

Screenshot of the Check for Firmware Updates button in the web app — Check for Firmware Updates.

Record with NxSCOPE

Two buttons on the side, one per mode. NxSCOPE works like a remote control.

Side of NxSCOPE showing its two buttons — The two mode buttons on the side.

NxSCOPE in voice mode with blue LEDs — **Voice mode:** press the microphone button for about half a second until the blue LEDs pulse. It stops on its own after 60 minutes, or press and hold the button again.

NxSCOPE in vitals mode with a green LED — **Vitals mode:** press the stethoscope button for about half a second until the green LED flashes. It stops on its own after 30 seconds, or press and hold the button again.

Attach it to your stethoscope

Three steps showing NxSCOPE clipped onto a stethoscope tube — Keep the mic mesh facing up for the clearest voice recordings.

Take a measurement

Diagram of a dog and a cat with the measuring point on the left chest wall marked — Where to place NxSCOPE.

With the patient standing naturally, find where the elbow meets the chest wall on the left side. Place the device firmly against the chest one rib space cranial to that point (over the 5th intercostal space) and keep steady pressure.

A hand holding NxSCOPE against the chest of a cat — Firm, steady pressure gives the most accurate readings.

Sync your NxSCOPE data

Recordings sync to your NxVET account, where each one gets an AI SOAP summary and its measurements.

Auto Sync

Turn on Auto Sync. While the app shows Monitoring (on a computer: Connected and Monitoring), every measurement syncs on its own as long as you stay within about 10 m. Turn it off with Stop Monitoring.

Manual Sync

Tap or click Sync to pull every recording from the device at once. The first upload can take 1 to 2 minutes; later syncs take under 10 seconds.

Assign and view

A measurement not linked to a patient yet: Assign it to a patient or create a new one. Open any record (View on a computer) to see its AI SOAP summary and all the measurements.

Phone app: swipe or use the arrows.

Auto Sync
Turn on Auto Sync
Tap Auto Sync on your device card.
Auto Sync
Monitoring
While the app shows Monitoring, each measurement syncs on its own within about 10 m.
Manual Sync
Sync by hand
Tap Sync to pull every recording at once. The first upload can take 1 to 2 minutes, later ones under 10 seconds.
Records
Assign a record
Not linked to a patient yet? Tap Assign.
Records
Pick the patient
Choose the patient, or create a new one.
Records
Open a record
Tap any record to see its AI SOAP summary.
Records
See the measurements
Heart rate, respiratory rate and temperature, with the signal charts.

Screenshot of the Auto Sync button on the NxSCOPE page of the web app — On a computer: Auto Sync.

Screenshot of the measurements list in the web app with View buttons — On a computer: View opens a record.

Calibrate a new NxSCOPE

A new device shows a Device Calibration Required banner. It calibrates itself once 3 of its recordings have reference measurements (manual vitals) attached.

How it works

Take at least 3 recordings with NxSCOPE, on different animals or sessions. On your first patient, take a rectal temperature alongside each one.
Add the reference values to each recording with Manual Vitals.
After the third, the banner disappears and the device is ready for accurate measurements on its own.

Use reliable methods for the reference values (digital thermometer, traditional stethoscope): they train the device's algorithms.

The Manual Vitals form

Required: species, breed and coat type.
At least one of: temperature (°C or °F, plus how it was taken: rectal, ear or other), heart rate (whole bpm), respiratory rate (whole breaths per minute).
Optional: additional information or notes.
Tap Save Measurement. Manual vitals also keep your medical record complete.

Phone app: swipe or use the arrows.

Step 1
Find your device
Go to Devices. A device that needs calibration shows a banner at the top.
Step 1
Read the banner
It explains the process: 3 recordings with manual vitals.
Step 2
Open Manual Vitals
In Measurements, under Latest Measurements, tap the Manual Vitals button (heart icon) next to the recording.
Step 3
Fill in the form
Species, breed, coat type, then at least one reference value. Tap Save Measurement.
Optional
Assign the patient
Link the measurement to an existing patient profile.
Optional
Or create a patient
Tap Create New Patient to set up a new record.

NxSCOPE troubleshooting

Only a red light

The battery is below 10%. Charge the device.

My computer doesn't find NxSCOPE

Check that the dongle is properly inserted.
Check that the drivers were installed (see the dongle guide below).
Try a different USB port.

Something is missing from the box

Email support@nx.vet.

I'd rather not install an app

Use the web app at app.nx.vet on a computer.

USB Bluetooth dongle setup (Windows)

Requirements: Windows 7, 8, 10 or 11 (32 or 64 bit), 500 MHz CPU or faster, 1 GB RAM, 500 MB free disk space.
Prepare: uninstall any third party Bluetooth software. In Device Manager, right click and disable both Generic Bluetooth Adapter and Intel(R) Wireless Bluetooth Adapter. Restart the computer.
Install: plug the dongle into a free USB port. Windows installs the basic drivers on its own.
Confirm: in Device Manager, under Bluetooth, look for Realtek Bluetooth Adapter.
Pair: a Bluetooth icon appears in the system tray. Right click it, choose Add a Bluetooth Device and follow the prompts.
Still not found? Go to Settings, Bluetooth & other devices, click Add Bluetooth or Other Device, or use the Add a Device button at the top of the Bluetooth settings window.

Screenshot of Windows installing the Bluetooth driver — Windows installs the driver.

Screenshot of Device Manager showing Realtek Bluetooth Adapter — Realtek Bluetooth Adapter in Device Manager.

Screenshot of the Add a Bluetooth Device option in the system tray — Add a Bluetooth Device.

NxSCOPE guidePair, record, sync and calibrate.

NxSCOPE: get started

Pair NxSCOPE and update the firmware

Open NxSCOPE

Scan for devices

Tap Update

Update the firmware

Stay on this screen

Update done

Clear old data

Confirm

Check the status

On a computer

Record with NxSCOPE

Attach it to your stethoscope

Take a measurement

Sync your NxSCOPE data

Auto Sync

Manual Sync

Assign and view

Turn on Auto Sync

Monitoring

Sync by hand

Assign a record

Pick the patient

Open a record

See the measurements

Calibrate a new NxSCOPE

How it works

The Manual Vitals form

Find your device

Read the banner

Open Manual Vitals

Fill in the form

Assign the patient

Or create a patient

NxSCOPE troubleshooting

Still stuck?