Cardio M Plus Operation Manual
Contents
1. O Pacemaker Signal Display Setting When a signal from the patient s pacemaker is registered by Cardio M Plus users can set whether to print location of the pacemaker device in rhythm and diagnostic printing modes or not In P M menu within the Device Setup users can set it to either ON or OFF ON for placing the pacemaker location on the printout and OFF for disabling the pacemaker location print Note We recommend that P M be set to OFF in normal conditions and ON when measuring the EKG of patients with a pacemaker 65 83 medical ECONET Version 1 0 Cardio M Plus Operation Manual Lead Fault Signal Display Setting When there is a Lead Fault event this setup sets whether the Lead Fault message will be displayed on the LCD screen ofthe device or not Selecting L F menu will switch between ON and OFF in the menu with ON turning on the message display and OFF switching off the message display The following message for Lead Fault will be shown with affected channels Note lf the RL lead becomes faulty the device will display a message saying all leads are faulty Lead Fault All Leads Ifa Lead Fault occurs during monitoring or recording a buzzer alarm will sound and the message box will pop up No pacemaker signal may be detected Additionally if a Lead Fault occurs please re measure the EKG as if could have affected the measurement by the device2. 3 Min al Lil al HOK Pl La EF d ha pa La A Be R AR OR pl A naas EE He RASSE Eve a IO ER n AE Es HR Id EE DE UI ER le RENE ERGER EE AE EA TE ER LE PL GE DR IE Wa EE EK E ai EE LR AL SI i EE Record Report Form Beat Report 52 83 Version 1 0 medical NET Cardio M Plus Operation Manual 2010 12 21 11 44 59 Representative Beat Report ID PR PA PD GA QD RA RD SA SD QLRD QRSD QRSA TA STA QTc Name I 182 78 108 o 0 625 48 o o o 78 625 131 24 379 Age Years 11 178 127 106 63 24 888 46 100 22 o 82 988 205 26 384 Sex III 182 50 108 o o 261 38 70 30 o 78 331 TE 12 379 H cn W 0kg aVR 182 101 108 754 42 70 22 o o o 78 824 164 t9 379 aVL 182 16 108 o o 173 50 o o o 78 173 22 9 379 kaart pitsi 60 bpm aVF 178 88 106 o o 571 40 92 28 o 82 663 139 19 384 vi 178 89 106 65 22 190 22 471 36 o 82 661 93 2 384 v2 182 87 108 65 22 380 26 820 36 o 78 1200 227 9 379 v3 178 123 106 o o 817 36 588 30 o 82 1405 318 19 384 va 178 134 106 o 0 1005 40 263 28 o 82 1268 259 12 384 v5 182 130 108 75 22 961 46 129 24 o 78 1090 195 12 379 v6 178 74 106 58 24 566 44 BO 26 o 82 646 138 7 384 Fi vs JU Hi JAI EYE HY TIETE v3 HI w V6 HL 53 83 Version 1 0 medical NET Cardio M Plus Operation Manual Beat Report Parameters QT QTc PR PR Interval PA P Amplitude PD P Duration QA Q Amplitude QD
3. 66 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual Line Thickness Printing Setting This menu sets the thickness of lines in printouts Thin indicates thin lines Normal is regular thickness and Thick is bold lines a Es Y Thin Line Thin Normal Normal i Thi j 4 2 Demo Mode Setting This menu puts Cardio M Plus in demo mode When it is set to ON 60bpm Sinus Normal Rhythm signal will be displayed on the device and DEMO sign will appear on the upper part of the LCD screen Users can test rhythm diagnostic copy printing functions as well as PC communication and other miscellaneous functions in Cardio M Plus 67 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual 68 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual QikPrint Quick Printing Setting In this mode users can choose to set or cancel the QikPrint rapid printing function When the function is ON Cardio M Plus will save printing time by utilizing 5 second buffering Note When the ON setting is used you should operate by pressing the Diagnostic Printing button after the signal is stabilized The device will utilize data from 5 seconds prior to button pressing for the function which means diagnostic information and output printout will be negatively affected if the signal is unstable QikPrint Quick Printing setting only affects 10 second recording modes It will
4. Version 1 0 medical NET Cardio M Plus Operation Manual Record Report Form 6ch 1rhy 2010 12 21 11 32 45 6Channe1 1 Rhythm Report Hospital Confirmed by ID Heart Rate 60 bpm Analysis Result To be finally confirmed by cardiologist Name PR Int 182 ms Normal Sinus Rhythm Age Years ORS Dur 78 ms Normal Axis Sex QT QTc 380 380 ms Normal ECG 1 H cm W Okg P R T axes 52 41 51 ls ER JA EE ee A s1 AN N r Ar EK AJA AA Ala J Aw Ir A EL M SY A IA LA Aa FI avR va EES AY J A 7 Alen in ARABES ze A A Ave le JE ies EE ER A TH A AN AN IE Ve AA Aa ta ENE A L AA nn HA Ul MP EE Ne JE H AA ME IT A 1H gt 180HzZ ACROHSZ TaVE 10 Oem mVW VIVEK Mmm mV 28 Awe loan Cardin 1 ON 20 Dianat Cr a Record Report Form 12ch rhy 2010 12 21 11 32 45 12Channel Rhythm Report Hospital Confirmed by LD Heart Rate 60 bpm Analysis Result To be finally confirmed by cardiologist Name Normal Sinus Rhythm Normal Axis 1 CAT RERE ERE ji eran wordat ECG 7 vl SL IL A DDR om SR r3 Pd ek AJAL Laia in ah AA An ka N de de A li A M N N A N Nn EE ER EO ie SE a A a A A IAN REIS My de MEN Ed N A A A sm INPP ALAS EAN sal FAR ALE E Y N EN V Y Y Y Hr TN Y reee e PAR ii _ A te LUN 51 83 Version 1 0 me
5. Sub Menu Section To save a modification after setting values in each submenu select OK To abandon changes select Cancel After selecting either OK or Cancel the screen will go back to the Device Setup view The NET ESC key will function the same as the Cancel button 57 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual Setup Date And Time You can set the month date hour minute and second information using the rotary key in Date Time menu Touch screen functionality update planned Ed dd Touch Setup You can calibrate the touch screen by setting the coordinates 58 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual Note When the user selects the Touch Setup menu all windows will disappear and the touch screen setup will start No keys will be operational until the Touch Setup is complete Unit You can set units of height and weight information in Cardio M Plus Currently users can choose between metric and U S standard units cm Kg and in lb Language You can setup the language for displaying and printing in Cardio M Plus You can choose languages among ENG English ENG US Capital letters printing CHI Chinese GER German FRE French RUS Russian SPA Spanish ITA Italian TUR Turkish POL Polish ROM Romanian and POR Portuguese Note When ENG US is selected printing paper will be set to lettered 280mm
6. ID date AC or battery state sensitivity speed number of saved data printing form rhythm lead User interface Touch screen alphanumeric keyboard and keypad push button and rotary switch Patient data ID name age sex height weight race smoke Basic measurement Heart rate PR QRS QT QTc P R T axis Recorder Thermal print head roll paper Report paper width A4 210mm or 8 5 length A4 300mm or 11 Resolution vertical 8dot mm Horizontal 16dot mm Electrical Resolution 500 sample sec Internal noise 20 uV p p max Input impedance 2 10 MQ Input range 2 5MV Common mode rejection gt 100dB DC offset voltage 2 300mV Time constant 3 2sec Patient leakage current lt 10 yA Frequency response 0 05 150Hz Isolated and defibrillation protected Signal guality control Disconnected lead detection pacemaker pulse detection ECG data storage storage for 120 ECGs internal on flash memory USB key support ECG Interpretation Application screening for cardiac abnormalities in the general population Population adults children Location general physician s office Accuracy high specificity program intended for low risk patient Power Power supply AC or built in battery option Version 1 0 80 83 NET medical Cardio M Plus Operation Manual 95 240 VAC 50 60Hz 1 0 0 5A 60W max Battery Ni MH 1 hour of
7. from A4 59 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual Saving In this menu users can decide whether a message box to ask the user about saving data should appear or not If ON is selected there will be a message box asking users about saving data If OFF is selected the message box will not appear and no data will be saved 60 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual Screen Mode Setup For screen mode users can choose either portrait or landscape layouts lt Portrait Mode gt lt Landscape Mode gt O Filter Setup 61 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual The signal output generated by the device may contain extra unwanted signals in addition to the EKG wave such as AC noise base line drift caused by respiration noise generated by an electrical field nearby etc Applying filters could help to reduce or remove those unwanted signals from the output of the device To change filter information enter the Filter Setup Menu eifher by moving the selection block over and select it using the rotary key or by touching the menu on the touch screen Upon selection the Filter Setup menu shown below will appear Use either the rotary key or touch screen to navigate and select menu items to edit After editing OK must
8. 0 medical NET Cardio M Plus Operation Manual 3 LCD Monitor Display Monitor mode display shows the currently measured electrocardiogram signal in real time The monitor mode display function is used for the following two purposes One is to check whether the signals from the all channels are coming out properly the other one is to see the status of the electrocardiogram of the patient for a long time Filters for the monitor mode display are below Setup in system setup BASE LINE On fixed Electromyogram Filter EMG Off fixed Power Supply Filter AC Option Low Pass Filter LPF 40hz fixed The printing speed can be selected to 12 5 mm s 25 mm s and 50 mm s and the sensitivity can be selected to 2 5 mm mV 5 mm mV 10 mm mV 20 mm mV and Auto Display output can either be done in portrait or landscape views If it s in portrait mode press the VIEW O key to switch viewing mode There are a total of 3 different viewing modes one displaying all 12 leads and two displays each showing 6 leads The following diagram shows the display switch order with arrows indicating each press of the VIEW key e O acompa Gams De e MEER Bawean On wi Gaora Games Da KAA A A M ar Rus Bima Boner Gan Mia Am Tumm Bed MM um Ras Bure Bi On KA J A In the landscape mode there are a total of two display options with either 2 lead columns or 4 3 lead columns The following diagram shows a display swi
9. 31 1 TO MOE sense nds cdas 33 2 Basic Setup adi s 34 511 05165 ER E N AE OE Ed 34 O AA AA 35 Pining Speed S STUD ss o 35 Channel Form SE OES ai 36 Rhythm Printing SEM aia 37 Grid OOM sies aa si aaa aana Ee ee ee t 37 Beat Report SetUp EER ES EED Ee GE ig 38 Diagnosis Printing SE ra 39 Rhythm Ledd IPS N Oe A 39 Patient Information MU 40 Pediatrics DIOS soes ee EE es Ge e 42 3 LCD Monitor Display iss RS dee ee Gee GEE Ged 43 4 Rhythm Mode Printing ooooccccooooooooooooo 45 Printing Speed aria o iia 45 HOW IE PURE ae be ee 45 5 Record Mode Printing eseeoeeeeeneneee 46 10 Second ECG Recording crias dd iii 46 60 Second ECG Re COIN saumon 47 5 Minute ECG Recording cualidad 48 6 Printing Form ens 49 7 Copy Mode Printing siese ss see dee Ee ee 55 8 Device Setup sud 57 BEG SEP ee ee dote tn near ne 57 Network SEE een 69 Hospital SE ME ED ni aga Ee 70 9 Network Functions issie seine se RR ii 71 10 Data Management see ee de ee 72 10 83 Version 1 0 medical NET Cardio M Plus Operation Manual Chapter 4 System Management 75 1 Maintenance And Cleaning sesse esse 76 2 Regular Check Up ss 76 3 Trouble AO MO iii 76 Chapter 5 Specification 78 11 83 Version 1 0 medical NET Cardio M Plus Operation Manual Chapter 1 General Information 1 Product Overview 2 Product Features 3 Product Configuratio
10. A A ya A A A A A i 0 1Hz 40Hz I aVF 10 Omm mV V1 V6 5 Omm mV 25 0mm sec Cardio7 1 00 30 Bionet Co Ltd 49 83 Version 1 0 medical NET Cardio M Plus Operation Manual Record Report Form 3ch 1rhy 2010 12 21 11 32 45 3Channel 1 Rhythm Report Hospital Confirmed by ID Heart Rate 60 bpm Analysis Result To be finally confirmed by cardiologist Name PR Int 182 ms Normal Sinus Rhythm Age Years QRS Dur 78 ms Normal Axis Sex QT QTc 380 380 ms Normal ECG H cm W Okg P R T axes 52 A1 51 NE bye RE ET vh ISA Fi 11 ja II hy v2 vi nn Aal A A N Y AE Me NEER EES SE 5 TE NE ESE r EE vs AR LME AIR MEER LEUR kapsad SA 1 oe ala AA pe BEUDA EP Ed ah Ala MEE Record Report Form 3ch 3rhy 2010 12 21 11 32 45 3Channel 3 Rhythm Report Hospital Confirmed by ID Heart Rate 60 bpm Analysis Result To be finally confirmed by cardiologist Name PR Int 182 ms Normal Sinus Rhythm Age Years QRS Dur 78 ms Normal Axis Sex QT QTc 380 380 ms Normal ECG 1 H cm W Okg P R T axes 52 41 51 I IL ave vi vh a ni A ne y y AA 7 aVL v vi miks KAA RYE AE se lie AA P ki ll es PLE III A lav v3 Y AE ERAS Ala A Aro a EE Puy EER II nl AA AA AAA Al IA platas VI A y y y y
11. Duration RA R Amplitude RD R Duration SA S Amplitude SD Duration QLRD Duration Between And Last R QRSD QRS Duration QRSA QRS Amplitude TA T Amplitude STA ST Amplitude QTc Collect Q T Interval 54 83 Version 1 0 medical NET Cardio M Plus Operation Manual 7 Copy Mode Printing Copy Mode Printing is a function to print out fhe same report as the previously printed report In Copy Mode users can also print out the same previous data but with changed settings such as filter type sensitivity printing speed channel form and rhythm number if more than one rhythm is recorded Copy Mode can be entered by pressing the COPY Okey following an EKG recording After pressing the COPY Key the following message will be displayed on the LCD screen and the printing process will start Printing If Copy Mode Printing is called without performing an EKG recording there would be no EKG data to copy Inthis case the following message box will be displayed for 1 second followed by the setup status of the system being displayed No ECG recorded Note If the original record time was less than the recording time required by the output printout copy will not function If you change the filter setup from the previously saved EKG data the following message will be displayed with the changed filter being applied Copy Processing When the filter application is completed the
12. Printing o Press the NET ESC key to stop and exit while saving data or printing the EKG report Once saving or printing stops the following message will be displayed on the LCD screen for one second followed by the initial screen 46 83 Version 1 0 medical NET Cardio M Plus Operation Manual Process Canceling 60 Second ECG Recording When the channel form is set to 60 sec Irhy pressing the RECORD key will make the device record EKG data while printing record duration for 60 seconds on a predetermined rhythm channel Record 60 seconds Once the EKG recording is done the following message will appear on the LCD display while recorded data is filtered and processed to acquire the heart rate Data Processing After data processing is finished the following message will appear on the LCD screen followed by printing of the recorded signal Printing Press the PAUSE key to pause or exit during data saving or printing After pressing the key the following message will be displayed on the LCD screen for 1 second then saving or printing will stop Process Canceling 47 83 Version 1 0 medical NET Cardio M Plus Operation Manual 5 Minute ECG Recording 120 n 112sec Recording BP 2010 03 25 EN ER EEE EEE EEE EEE EEE EEE WARE EE EEN EE de PR ERREREREREE EEE vl EE EEEEEEEEEEEEEEEEEEEEE 099233322223 EE EEE EEE EEE EEE EEE MF tt
13. and the patient simultaneously 7 83 Version 1 0 medical NET Cardio M Plus Operation Manual Safety Symbols Symbols Contents N Isolated patient connection IEC 601 1 Type BF Power on Power off ATTENTION Refer to the user s manual O O A gt s External Signal IN OUT Port ELG 8 83 Version 1 0 medical NET Cardio M Plus Operation Manual Contents Chapter 1 General Information 12 1 Product Overview sissies sesse DEER ep EE Ge ee Ee sii 13 2 Product Features 13 3 Product Configuration 14 Basic Components And Accessories sesse anae ee e 14 Optional COMpOneniS ral 15 Body Configuration a ASEN AA 16 EEE i sa ee GE A 19 Control Panel assi 21 POWER A A ts 22 4 System Installation ia 24 Precautions For Installation nn 24 Power CONS IN ODE a di ee 24 Patient Cable Connection ES A A 24 Paper 9 310 78118 reia 24 System ie AA OE N OE ED 25 5 System SCD ei Ee eie ada HE Ge ee de 26 okt AE OR ON In 26 Chapter 2 Preparation For Electrocardiography 27 1 Location Of Electrode esse ee ee Ge Ge 28 2 Electrode Connection issus 29 Patient Cable Connection sade ie daa 29 How To Attach Electrodes see antics 29 Countermeasures For Bad Lead Connection 30 9 83 Version 1 0 medical NET Cardio M Plus Operation Manual Chapter 3 Electrocardiography
14. but it is important to note this instruction for installation use maintenance or repair 5 83 Version 1 0 medical NET Cardio M Plus Operation Manual Environment Instructions Please do NOT use or place the product in such an environment explained below Avoid placing in an area exposed to moisture Do not touch the equipment with wet hands Avoid exposure to direct sunlight Avoid placing in an area where there is a Y high variation of temperature Avoid placing in y Operating the vicinity of temperature ranges electric heaters Ca from 10 to 40 C 50 to 104 F and humidity ranges from 30 to 85 Avoid placing where there is an excessive shock or vibration may occur Avoid placing in an area where there is an excessive rise in humidity or a ventilation problem Avoid placing in an n DA 3 en j area where chemicals d a fed lt are stored or where eer ai 4 J there is danger of gas i A the leakage equipment Power off when the equipment is not fully installed Otherwise equipment could be damaged Do not disjoint or disassemble the equipment Medical Econet GmbH America Inc takes no responsibility for it E CD US 6 83 Version 1 0 medical NET Cardio M Plus Operation Manual Safety Instructions for Electricity Please note the following precautions before using the product e ls the power suppl
15. following message will be displayed and the printing process will start 55 83 Version 1 0 medical NET Cardio M Plus Operation Manual Printing If the device encounters a problem before if finishes printing the following message will be displayed for 1 second before returning to previous menu Abnormal End Press the PAUSE key in order to abort the printing Once printing is stopped the following message will be shown for one second on the LCD screen before returning to the previous menu Process Canceling 56 83 Version 1 0 medical NET Cardio M Plus Operation Manual 8 Device Setup Device Setup consists of Basic Setup Network Setup and Hospital Setup main menus Preferences for each main menu item can be set by navigating menus representing each section Upon entering the Device Setup Menu users will see the Basic Setup menu highlighted After selecting preferences for all desired sections press the Ok button to apply and the Cancel button to abandon the setting To exit from Device Setup press the NET ESC key on the control panel or select Exit section Basic Setup Basic Setup consists of Date Time Touch screen Touch Setup Unit Language Save Screen Filter QRS P M L F Line Demo and QikPrint menus Use the rotary key or touch screen to select a desired menu item which would then open its submenu to allow the user to enter the desired input values Main Menu Section
16. lead and shows any important parameters calculated from recordings In the Beat menu under the Printing Form menu use the rotary key or touch screen to select between ON and OFF to tum the option on or off ON will cause the Beat report to be printed and selecting OFF will disable the Beat report from printing 38 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual Diagnosis Printing Setup Under diagnosis printing mode users can set whether diagnosis results will be printed alongside waveforms Diagnosis printing can be turned ON or OFF in the Printing Form setting under Diag menu ON sets diagnosis results to be printed and OFF disables diagnosis printing Rhythm Lead To select Rhythm Lead move the selection block to the Rhythm Lead setting located at the bottom of the screen and select using either the rotary key or touch screen to enter the Rhythm Lead setting In the Rhythm Lead setting select the desired channel then select the desired rhythm lead using the rotary key or touch screen The lead selected from channel 1 will become the base lead in 3ch 1rhy and 6ch 1rhy modes showing on the bottom of the printout form It will also be used in 60 sec Irhy and 5 min Irhy modes as the only lead being recorded and printed For 3ch 3rhy mode lead selected under channels 1 2 and 3 will be printed on the bottom of the printout and become the base rhythm for other channels 39 83 Version 1 0 medical ECONE
17. normal use approx 100 ECG printouts Communication PC connection with RS232 interface and LAN Safety conformity Classi Type BF Operating humidity 30 857 Environment Operating temperature 10 40 C 50 to 104 F Atmospheric pressure 70 106KPa Power cord 1 ea patient cable 1 ea Standard accessory limb 1 set 4 ea chest ball 1 set 6 ea chart paper 1 ea operation manual 1 ea Options Rechargeable battery cart hanger 81 83 Version 1 0 medical NET Cardio M Plus Operation Manual WARRANTY Product Name Electrocardiograph Model Name Cardio M Plus License Number License Date Serial Number Date of purchase Warranty period 2 years from the date of purchase Hospital Name Address Contact No Customer Manufacturer s Name X Thanks for purchasing Cardio M Plus X This product is a medical machine X This product meets the strict quality requirements thoroughly 82 83 Version 1 0 medical NET Cardio M Plus Operation Manual International Sales amp Service Medical Econet GmbH Mainstr 6 c d 45768 Marl Germany www medical econet com Medical Econei GmbH Model Name Cardio M Plus 83 83 Version 1 0 medical NET
18. not function on neither 60 second nor 5 minute recording modes 69 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual Network Setup In Network Setup users will be able to set network information for the device Neither automatic IP address assignment nor DNS setup functionalities are supported by the Cardio M Plus The IP Address field sets a unique IP address which is assigned to the device by the hospital s network provider In the DB server field users can enter the IP address of the PC Workstation where EKG data from the device will be transmitted to i e IP address of the PC where BMS Plus software that can receive EKG information from device and store has been installed For subnet mask and gateway field usually the same information from the DB server can be entered TCP IP Network Address IPAddress Subnet Mask Gateway DB Server Network information can only be entered using the rotary key 70 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual Hospital Setup Enter names of the hospital clinic and attending doctor which will be recorded and printed along with the EKG data Hospital amp Doctor Name Hosp Name D O 71 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual 9 Network Functions Any previously acguired or newly taken measurements from the device can be transmitted to the server PC workstation for comprehensi
19. printing paper Record and print 12 channel rhythms continuously and simultaneously Calculate heart rate P R T axis and PR QRS QT and Tc widths from recorded signals automatically and print them on a report for use in rhythm analysis Get diagnostic reports using automatic detection functionality Able to modify filter setting signal sensitivity printing speed channel view settings and rhythm settings and print on previously recorded EKG signals to aid data analysis Able to attach a battery so that the device can become portable Manage chart effectively by addition of patient and operator data on EKG printout Up to 120 EKG recordings can be saved in device memory 13 83 Version 1 0 medical NET Cardio M Plus Operation Manual 3 Product Configuration The Cardio M Plus system consists of the items below Unpack the package and check the items below are included Also be sure to check for any damage to the body and accessories Basic Components And Accessories User Manual Cardio M Plus Body 1 ea Patient Cable 1 ea Disposable Electrodes 1 set ECG Clips 1 set ECG Paper 1 ea GRechargeable Battery User Manual 1 ea Power Cord 14 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual Body Configuration 3 Top View St O Handle Printer Cover Printer Cover Open
20. set value will appear on the bottom part of the printed form indicating 0 1HZ when set to ON and OHz when set to OFF Electromyogram is caused by the patient s organs or muscle parts When the ECG is recorded on patients with strong electromyogram responses the ECG output 63 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual may not be clear In Cardio M Plus electromyogram can be eliminated by using the Muscle Filter Select ON to apply the filter to the output and OFF to get the unfiltered output When you switch on the filter EMG is indicated on the bottom of the printed form The use of filters can distort the original output Therefore you may reduce the possibility of signal distortion if you set the filters OFF when the signals are clear For your reference we recommend that Baseline and AC filters be set to ON most of the time Use of the electromyogram filter should depend on signal conditions When there is a lot of noise in the output it is recommended that the LPF filter be set to 40Hz ARS Sound Setup In this menu users can set the device to ring an alarm sound when a QRS beat has generated while it is in waiting mode Users can either set the alarm ON or OFF by selecting the menu with ON turning on and OFF turning off the alarm sound 64 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual Note No sound will ring while printing even when the GRS sound is set to ON
21. tt gg tt M 10mm mv A 125mm sec ustaz ch ihy Dar When the channel form is set to 5 min Irhy pressing the RECORD key will make the device record EKG data while printing record duration for 5 minutes on a predetermined rhythm channel Once the EKG recording is done the following message will appear on the LCD screen followed by printing of the recorded signal Printing Press the PAUSE key to pause or exit during data saving or printing After pressing the key the following message will be displayed on the LCD screen for 1 second then saving or printing will stop Process Canceling 48 83 Version 1 0 medical NET Cardio M Plus Operation Manual 6 Printing Form In this section descriptions and samples of various printing forms are provided Rhythm Report Form 2010 12 21 11 32 22 12Channel Rhythm Report Hospital ID Confirmed by Nane Heart Rate 60 bpm 4 In IL A lla Ala LR pal li A AA La mL EGE RE La ALA LA A A AJ AJI A AA ALA els ILI A A kopa ALA A lt A A AE AL VR me mm wa ry i vlie AE ma WE EER M IT BYE nan CER let a A A N f ayE A vd Ln pd JEN Ga le Aia EE v1 Ses Y V de V s 7 a Y V E i Jani ks t A 1 ln hy j A EX l REIN Al pa na m N EE sl E Y5 N As MES EIS SES IE DA awa E Ye A A
22. Cardio M Plus Operation Manual Cardio M Plus OPERATION MANUAL C 0123 1 83 Version 1 0 medical NET Cardio M Plus Operation Manual Warranty The warranty for this product runs for 2 years for EU countries But the warranty for accessories runs for 6 months Warranty repair or replacement will be made by the Medical Econet GmbH Service Center at no charge for the warranty period if properly used under normal conditions in accordance with the instructions for use Inthe event of a malfunction or failure during the warranty period the customer should inform Medical Econet GmbH of the model name serial number date of purchase and a description of the problem with the eguipment 2 83 Version 1 0 medical NET Cardio M Plus Operation Manual Contact Medical Econet GmbH Contact Us If you have any questions or comments relating to our products or purchasing please contact our office af the telephone number or e mail address below You can talk to our sales people Medical Econet GmbH always welcomes your inquiries Please contact us e Customer service 49 0 2365 92437 0 X When the product is not operating correctly please contact our customer service center with the name of the model serial number and a description of the problem you are experiencing SS yA Technical Please contact this number for technical support assistance e 49 0 2365 92437 15 e mail serveice medic
23. Left Border Of Sternum V3 C3 Midway Between Location V2 and V4 V4 C4 At The Mid Clavicular Line In The Fifth Intercostals Space V5 C5 At The Another Axillary Line On The Same Horizontal Level As V4 V6 C6 At The Anterior Axillary Line On The Same Horizontal Level As V4 and V5 28 83 Version 1 0 medical NET Cardio M Plus Operation Manual 2 Electrode Connection Check Points Check the status of equipment and attachment to patient s body before measuring Check for any mechanical danger Check cables and accessories connected to the outside Check all the devices to measure the patient Patient Cable Connection Connect the patient cable to the patient cable port of the Cardio M Plus How To Attach Electrodes Attach electrodes after placing the patient on the bed helping him her to be relaxed and cleaning electrode contact points on the patient s skin by using a disinfective alcohol or water Finally attach leads to the parts as explained in aforementioned location of electrode part Caution Use only electrodes and patient cables provided from Medical Econet GmbH America Inc Medical Econet GmbH America Inc will take no responsibility for any accidents involving 3 party accessories 29 83 Version 1 0 medical NET Cardio M Plus Operation Manual Countermeasures For Bad Lead Connection After turning on the power switch enter the ECG test to check waveforms of all le
24. T Cardio M Plus Operation Manual Patient Information Input In this menu operators can input the patient s ID name age sex height weight race and smoking habit In order to enter the patient s information move the selection block to the Patient Information input setting 18 and select input fields using either the rotary key or touch screen Patient Information Selection Mode 40 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual The Information input mode will be displayed after selecting the value to enter using either the rotary key or touch screen Use the rotary key or touch desired values on the screen to enter information Input mode includes Keyboard for both characters and numbers and Keypad mode for numbers only On values where only the number should be entered users will see the keypad appear instead of the regular keyboard input ale ON Er O Ti 1 Information Input Mode 41 83 Version 1 0 medical NET Cardio M Plus Operation Manual Information Input Mode Pediatric Diagnosis Pediatric diagnosis is supported for patients ages 3 to 15 years old When entering patient information if the input age entered by fhe operator in fhe Age section falls between 3 to 15 years old the device will automatically apply a pediatric diagnosis If the patient is 16 years old or older the device wil perform a regular adult diagnosis instead 42 83 Version 1
25. ads On this menu operators can check waveforms of all leads and their noise and may see Lead Fault message displayed on the LCD screen NOTE Message will be displayed when L F is set to ON in System Setup and will NOT be displayed when set to OFF Lead Fault message will appear and a buzzer alarm will go off when lead fault occurs during printing The following two cases could cause a lead fault error First case leads are detached from the patient s body In this case re attach leads normally Second case signal conductivity between leads and the patient s body is low In this case replace the electrodes If the two above cases have been performed and the operator is still experiencing noise or lead fault conditions the patient cable may be faulty Please contact the Medical Econet GmbH service center 30 83 Version 1 0 medical NET Cardio M Plus Operation Manual Chapter 3 Electrocardiography 1 To Start 2 Basic Setup General Sensitivity Setup Printing Speed Setup Channel Form Setup Grid On Off Rhythm Printing Setup Beat Report Setup Diagnosis Printing Setup Rhythm Lead Patient Information Input Pediatrics Diagnosis 3 LCD Monitor Display 4 Rhythm Mode Printing Printing Speed How To Print 5 Record Mode Printing 10 Second ECG Recording 60 Second ECG Recording 5 Minute ECG Recording 6 Printing Form 31 83 Version 1 0 medical NET Cardio M Plus Oper
26. al econet com 3 83 Version 1 0 medical NET Cardio M Plus Operation Manual Fee Based Service If you wish to make a claim when the product is damaged through misuse we charge repair fees Please read the manual before you make a claim 1 The warranty does not cover cleaning adjusting and instructions for use 2 A fault of customer When the product is damaged or broken due to customer s improper use or misuse When the power cord is replaced improperly by the user When the user drops the product while moving When the user uses unauthorized accessories When the product is repaired by an unauthorized person 3 Others When the product is damaged by any external means such as but not limited to a natural disaster fire flood or earthguake When warranty of main unit or accessories ends 4 83 Version 1 0 medical NET Definition of WARNING CAUTIONS and NOTE e In order to stress the contents of this manual we define the terms below Please follow the warning and caution instructions e The manufacturer or service agents are not responsible for the damage resulting from inappropriate use or carelessness WARNING There may be serious injuries fatal accidents or financial damages if you violate these instructions CAUTIONS There may be slight injuries or reduced damages if you violate these instructions NOTE There may not be any dangerous events
27. ation Manual 7 Copy Mode Printing 8 Device Setup Basic Setup Network Setup Hospital Setup 9 Network Functions 10 Data Management 32 83 Version 1 0 medical NET Cardio M Plus Operation Manual 1 To Start Connect leads to the patient and then turn on the device in accordance with the preparation steps for measuring electrocardiogram in Chapter 2 Set up filter sensitivity printing speed channel form and rhythm settings in accordance with the steps shown in Basic Set Up in Chapter 3 Enter the patient information in accordance with the steps of Basic Setup in Chapter 3 If the waveform displayed on the LCD is abnormal or has excess noise follow the instruction of Countermeasures by Bad Lead Connection in Chapter 2 If the waveform displayed on the LCD is normal press the REC key to record the electrocardiogram of the patient TO copy the same report as the previously printed report press the corr key To do monitoring signal by printer press the RHYTHM key To stop the machine during the printing or saving processes press the STOP key The following buttons will be most commonly used when operating Cardio M Plus Rhythm Printing Pause monitoring on the LCD display and print real time waveform using the printer Can get either continuous or A4 sized EKG rhythm printouts Diagnostic Printing Record 10 seconds of data starting after button is pressed Then the dev
28. be selected in order to apply the changed value If the recorded EKG signal contains a lof of noise Low Pass Filter LPF may help to clear it For Low Pass Filter 40Hz 100Hz 150Hz and OFF option is offered Here 40Hz option means the filter will remove any unwanted signal with frequencies above 40Hz Low Pass Filter values will appear on the bottom of the printout form if LPF setting is OFF then as 250Hz if the LPF setting is 40Hz then as 40Hz if LPF setting is 100Hz then as 100Hz if LPF setting is 150Hz then as 150Hz 62 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual There are three types of an AC power noise filter 60Hz 50Hz and OFF When set to OFF the filter will not be applied If the filter is set to 50Hz or 60Hz then the AC filter will remove 50Hz or 60Hz power noise correspondingly In the U S the AC filter should be set to 60Hz Check the properties of your power source before setting AC filter properties Under battery power there would be no AC noise being generated In this case please set the AC filter setting to OFF so that output signal would not be distorted The status of the AC filter can be checked on the bottom part of the printout indicating AC 60Hz AC 50Hz or AC OFF Base line drift is caused by the patient s breathing If can be seen as ECG signals being overlapped on a large parabola To remove Base line drift from EKG printouts select ON Otherwise select OFF The
29. ccur while the server program on the PC is running Therefore please check to make sure the server program on the PC is in operation before pressing the Communication Pause key on the device lf the size of the data for transmission is too large it may take longer more than a minute than usual A fransmission error could happen if the network communication is disrupted while transmitting the data to the PC In this case the device will display a Transmission Error message first then attempt to resend automatically 1 time and complete the transmission as long as the network disruption does not reoccur However if the disruption continues the user will have to press the Communication Pause key again to manually initiate the data transmission If the problem persists the EKG device may have to be turned off then on to perform data transmission When transmitting multiple sets of data to the PC after saving a network error could occur which may cause transmission halt and subsequent loss of data Therefore we recommend users practice the following procedures to minimize such loss 1 In the EKG Main press the NET button to transmit data to the PC immediately after measuring 2 When transmitting multiple sets of measurements rather than sending all data at once we recommend users transmit individual data after each measurement 72 83 Version 1 0 medical NET Cardio M Plus Operation Manual 10 Data Manag
30. dical NET Cardio M Plus Operation Manual Record Report Form 60 sec Irhy 2010 12 21 11 34 30 1Channel Rhythm 60sec Report Hospital Confirmed by ID Heart Rate 60 bpa Analysis Result To be finally confirmed by cardiologist Name Age Years Sex H cm W 0kg 11 34 30 A IA A AYAN ANAN ran IL E JL AA In 10se A ad JAN AJI La AJ AA ALA s208ec IT AAAA IA HEN AJI H NA HA HAN Hi 30sec A AAA HI nA HA DAY AA LA AJ M 40sec ANA AAA AAA EA EER AE 50se AA La AR Ann Ar ALA Ann AA Record Report Form 5 min 1rhy 2010 12 21 11 35 56 1Channel Rhythn 5Min Report Hospital Confirmed by ID Heart Rate 60 bpm Analysis Result To be finally confirmed by cardiologist Name VE 0 Age Years Sex H cm W 0kg 11 35 56 defi E RE Se AA ds dios PR PE US NS pa E AAA UA RA PU ER FA LR PACA EE PA Li A UN An UE El La s lala ska al A at lk al a al La La Abe 4 La SEER SIE MERE AE EE LERE IN Va pasaran Vel DU baan label NIE BU RUES i Pere PE LE a jih BI BAR Rig ik LE SEK EIE DEA GED Pl LULU El EN pate AJ al LULU akin kis Hd AE al A APN LA Li AL DA HA SA 2 Min bias RE EE A EEN PEA PAA le AA PE AM LA hn II bre m EE al mi DA LA JA si Ds A A ha did la Bari a ros AA AA A A a d Ais Eie La ka lina rd Bi NAN
31. ek e Do not soak the device and its cables into any liquid or detergent Keep the machine and its cables away from any liquid Disposal Of Your Old Appliance So o 1 All electrical and electronic products should be disposed separately from the municipal waste stream via designated collection facilities appointed by the government or the local authorities Wai 2 Correct disposal of your old appliance will help prevent potential BEES negative consequences for the environment and human health 3 For more detailed information about disposal of your old appliance please contact your local government office waste disposal service or local distributor where the product was purchased 2 Regular Check Up Perform the safety inspection on the Cardio M Plus periodically af least once a year See the service manual provided by Medical Econet GmbH upon receipt of written reguest for details on the inspection of Cardio M Plus 3 Trouble Shooting 1 When nothing or blurred out lines are bring printed during print out operation gt The upper cover of the printer may not have been closed properly Check and close the upper cover completely before using the machine 2 When the device is powered by the battery instead of AC power the buzzer rings for three times consecutively and the following message is displayed on the screen 78 83 Version 1 0 medical NET Cardio M Plus Operation Manual Battery Low gt T
32. ement 1 Window And Function Description No ID Name Data Time Type 0123456789 Jun Chang 10 10 10 12 30 ECG 2 1111111111 Hyonok Lee 10 10 10 13 30 ECG Sunho Ryu 10 10 10 15 30 ECG 5 kkk Namha Lee 10 10 10 16 30 ECG 6 abedefg Chris O 10 10 11 12 30 FVC 10 10 12 Hyewon Choi Jeonghyon Kim O 0 9 Currently Selected Data Previous Page Next Page Current Cursor Position Number Of All Data Previous Menu Shown As ECG or SPR Show Menu Prior To Entering Data Management Screen Display Information Of Highlighted Patient Delete Highlighted Data From The Device Print Highlighted Data 6 6 When you move to the right or left with the rotary key at the first or last data data will be shown per page 73 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual When you select Info Delete or Print with no data saved the following message is displayed No Data 2 Sending Data With the NET ESC key users can transmit saved data to a PC workstation e Attempting connection to PC workstation DB Connecting e Transmitting data to PC workstation Sending Saved Data e Indicating that the data transmission is finished Transmission Complete System Message if a connection to the PC has failed Connection Error System Message if a data transmission has failed Transmission Error 74 83 Versio
33. gation Operate by rotating the rotary key Menu movement will occur in the same direction as the direction of the key s rotation Menu Selection Initiate by pressing the rotary key Menu box for setting of the selected menu will be displayed Modifying setting values Move to desired setting then modify 8 select values in the same manner as menu movement shown above If there are any previously set values setting the menu box with the previous value will appear If there are no OK buttons setting the menu will automatically close and return to setting the menu display If there are a lof of setting values enter them all then click on the OK button to indicate data entry is complete to close the menu box 2 Changing The Setup Value With The Touch Screen You select Menu and change the setup value Select Menu You could select the menu by touching the screen Unlike the rotary key the setup box appears when you select Menu Change the value You need to touch the item on the screen to select In the event of system configuration you should use only the rotary key to set up a value 34 83 Version 1 0 medical NET Cardio M Plus Operation Manual Sensitivity Setup This is a functionality that can modify sensitivity of the output signal when the outputting signal s amplitude is too large to cause overlap with neighboring signals or too small so that signal diagnosis is difficult Users can set all 12 channels to 2 5mm
34. graphic LCD O O Displays The Heart Rate Displays Patient ID Displays The Date Displays Battery Status or AC Power Connection Status Displays ECG Sensitivity with One of 5 10 20 and Auto mm mV O Displays Printing Speed With One Of 12 5 25 And 50 mm sec O Displays Number Of Data In Memory Displays A Printing Report Channel Form With One Of 3ch 1rhy 3ch 3rhy 6ch 1rhy 12ch rhy 60s Irhy and 5m Irhy O Displays a Rhythm Channel Setup with One Of I Il III AVR AVL aVF V1 V2 V3 V4 V5 And V6 20 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual Control Panel Ltt Button O Print out the rhythm data on A4 size or continuous paper Print out the data in a selected form after recording 10 sec data or 60 sec data Process the recorded data with or without revision and print them out Change a view of the graphic display window to initial main window Change the view of the graphic display window NET Execute communication using networking ESC Cancel commands or change into the former mode for main menu printing This key is context sensitive 900000 21 83 Version 1 0 medical NET Cardio M Plus Operation Manual 3 LED A light indicator lets you know that the battery is on and shows your current battery cha
35. he battery is almost used up Connect the AC power supply in order to continue operating the machine 3 When the device is printing EKG results there is a lot of noise added to the signal gt Check whether the AC power supply filter is set up properly If it is still noisy even though the AC power supply filter is ON connect the ground wire to the GND electrode of the system Do not use the GND with that of AC power supply Instead connect GND to the patient s bed or any other metal around the device that is connected to the building s wall If you continue to have problems even after following the aforementioned points or other problems that are not mentioned above contact Medical Econet GmbH s customer service 79 83 Version 1 0 medical NET Cardio M Plus Operation Manual Chapter 5 Specification ECG leads 12 standard leads acquired simultaneously and continuously Dimension 296 W x 305 5 H x 92 5 D mm approx 3 5kg Recording channel 3 6 12 channels 10 second recording and beat report 1 channel 60 second or 5 minute recording Sensitivity 2 5 5 10 20 auto I aVF 10 V1 V6 5 mm mV Printing speed 12 5 25 50 mm s AC 50 60 Hz 20dB or better Muscle 25 35Hz 3AB or better Filters Base line drift 0 1Hz 3dB or better Low pass filter off 40Hz 100Hz 150Hz Display 7 inch 800x480 pixel Color TFT LCD display amp 12 channels preview Monitor display HR
36. ice will extract important parameters for diagnosis and print the summary on an A4 sized printout Copy Printing Reprint the report with the same settings or adjusted settings The following settings can be adjusted between printouts such as filter wave sensitivity printing speed channel mode etc Pause Used when cancelling execution returning to previous mode when entering main menu or pausing the printer during printing WOOO 33 83 Version 1 0 medical NET Cardio M Plus Operation Manual 2 Basic Setup General When the device is on the current configuration values of the system will be shown on the LCD in the order of fhe heart rate patient information time battery status sensitivity printing speed application of the base line filter application of the electromyogram filter printing channel configuration and selection of the rhythm lead These configuration values can be changed using either a rotary key or touch screen With the rotary key the desired menu and changed configuration values can be set easily Same functionality can also be achieved with the touch screen by pressing and changing the desired information on the LCD 1 Changing The Configuration Value With The Rotary Key In this case please follow these steps enter Menu Mode navigate and select Menu and then change values Entering Menu Mode Operate by rotating the rotary key clockwise or counter clockwise Menu Navi
37. ing Button LCD Control Panel 15 83 Version 1 0 medical NET Cardio M Plus Operation Manual Front View Printer Cover Opening Button 3 Rear View ll ER e ES r In TEE ri 7 bGdd Lal IN O Protective Ground Terminal Power Switch USB Port AC Power Connection Port RS 232C Serial Port RJ45 LAN Port 16 83 Version 1 0 medical NET Cardio M Plus Operation Manual 5 Left Side View Zz Qu 1 23 Handle 2 Right Side View 4 gt A Wy Patient Cable Connection Port NOTE To avoid an expected electric shock do not open the equipment cover or disassemble the equipment Refer servicing to Medical Econet GmbH America Inc 17 83 Version 1 0 medical NET Cardio M Plus Operation Manual Front Panel Rhythm Graphic display window Record Battery status Rotary key ae ls eae Power status 18 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual During device boot up you can see the system version and the Medical Econet GmbH name 19 83 Version 1 0 medical NET Cardio M Plus Operation Manual The following descriptions explain data on the
38. mV 5mm mV 10mm mV or 20mm mV Users can also set it to Auto which will automatically set the sensitivity level for each channel for example IL Ill AVR AVL AVF to 10 mm mV and VI V2 V3 V4 V5 V6 to Smm mvV Note that 10mm mV means printing 1mV signal as 10mm in amplitude on the printing paper To change the sensitivity of the signal select and enter the wave amplitude menu on the main display M using the rotary key or touch screen and open the setting menu display shown above After that use the rotary key to select the desired sensitivity level and press down to enter or select it using the touch screen to set the size of waveform displayed on screen Selected values are shown on the bottom of EKG printouts in the following way when 2 5 5 10 and 20 are selected they will be displayed as all channels 2 5mm mV all channels Smm mV all channels 10mm mV and all channels 20mm mV When Auto is selected sensitivity level will be printed as aVF 10mm mv V1 V 5mm mv The left side of the graph display will show the channel name and a bar graph so users can notice recently changed values easily For 20mm mV only one bar graph will appear so that overlapping of indicators does not occur Printing Speed Setup This is the function used to adjust the width of the signal displayed Three values 12 5 mm s 25 mm s and 50 mm s are available for adjustment 25 mm s means to record the signal
39. n Basic Componenis And Accessories Optional Components Body Configuration Front Panel Control Panel Power 4 System Installation Precautions For Installation Power Connection Patient Cable Connection Paper Installation System Start 5 System Setup Reset 12 83 Version 1 0 medical NET Cardio M Plus Operation Manual 1 Product Overview Cardio M Plus is an electrocardiogram EKG device capable of measuring and recording 12 channels of cardiac signals of patients The device enables operators to record cardiac signals review them using various viewing modes and perform automatic detection of cardiac conditions In addition the device allows operators to enter patient information for if to be printed alongside cardiac signals so that operators can sort and manage charts conveniently Furthermore user convenience has been further enhanced by addition of a functionality that can initiate EKG recording amp saving filter enhancing parameter sorting and automatically detecting cardiac signal all at once by pressing one key A battery optional can be added to the device so that the device can be operated conveniently during bedside visits or emergency conditions 2 Product Features Print 12 channel ch cardiac signals with reports in 3ch 1 rhythm 3ch 3 rhythms 6ch 1 rhythm and 12ch rhythm patterns on A4 size printing paper Record a rhythm from 1 channel for 60 seconds or 5 minutes then print it on A4 size
40. n 1 0 medical NET Cardio M Plus Operation Manual 3 Copying Data to a USB Flash Drive With the Copy key user can copy saved data to a USB flash drive e Copying data to a USB flash drive File Copying Indicating that the data copy is finished File Copy Success e System message if a USB flash drive is not connected Please checking the device e System messages the reasons when the data copy failed File Copy Failed File Busy File Copy Failed Memory Full File Copy Failed Protocol Fault 75 83 Version 1 0 medical NET Cardio M Plus Operation Manual WARNING When a defibrillator is used do not touch the patient cable or apparatus WARNING When you are connecting to the electrodes or the patient cable make sure connectors never come into contact with any other conductive parts or are grounded In particular make sure that all of the ECG electrodes are attached to the patient to prevent them from contacting conductive parts or contact with ground WARNING Use the provided ECG patient cable for measuring ECG in the operating room The patient cable cannot be used for measuring respiration WARNING Do not use the Cardio M Plus in combination with any Electro Surgical ES equipment WARNING Users must use the same type of electrode or any other electrodes with biocompatibility certification p
41. of the electrocardiogram for a second on 25 mm Therefore the width of 12 5 mm s is a half of the width of 25 mm s and the width of 50 mm s becomes two times the width of 25 mm s If you want to record the broad width of the signal set up the higher value 35 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual To modify EKG waveform s printing speed place the selection block fo speed information menu M by rotating the rotary key then press it to select or touch the speed information menu directly The above Printing Speed menu will be shown Select desired speed using the rotary key or touch screen Set value will be displayed on the bottom of the printout form as 12 5mm s 25mm s or 50mm s Note that if the user wishes to print in Ad size set the printing size to 25mm s Channel Form Setup Select the channel form setting of the Printing Form Currently 6 types of channel forms 3ch 1rhy 3ch 3rhy 6ch 1rhy 12ch rhy 60s Irhy and 5m Irhy are offered in Cardio M Plus To select the printout channel form settings place the selection block to the print setup menu E and press down using the rotary key or touch screen input to select the desired channel forms in the printing form menu Set values will be printed on top of the printout form as 3 Channels 1 Rhythm Report when it s 3ch 1rhy 3 Channels 3 Rhythm Report when it s 3ch 3rhy 6 Channels 1 Rhythm Report when it s 6ch 1rh
42. ower Connection The equipment needs electrical power to operate Plug in one end of the power cable to wall socket and the other to Cardio M Plus Patient Cable Connection Connectthe patient cable to the patient cable connection port on the right side of the body Connect limb electrodes to RL N LL F RA R and LA L leads of the patient cable and chest electrodes to VI C1 V2 C2 V3 C3 V4 C4 V5 C5 and V6 C6 respectively Paper Installation Push the printer cover release button to the right to open the printer door of the Cardio M Plus Install EKG paper with the side to be recorded appearing on top Close the cover to finish the paper installation process 24 83 Version 1 0 medical NET Cardio M Plus Operation Manual System Start After all installation processes are finished turn on the power switch to see the Cardio M Plus logo system firmware version the company name and icons for ECG or spirometer mode displayed on the LCD screen To select ECG mode locate the selection box on the ECG and press the rotary key or touch the selection box on fhe screen 25 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual 5 System Setup Reset Press the VIEW key on the control panel for more than three seconds to initialize the system setup to the factory mode In three seconds the following messages are displayed for a second and then reset starts Factory Default Set
43. rging status A red light O indicator lets you know that the battery is charging and a green light indicator lets you know the batter is fully charged Green light indicates connection with an AC adapter Rotary Switch Use when navigating or selecting menu items O same functionalities can be achieved by touching menu items on the screen Power 1 AC Power When AC Power is connected to the device power LED light will be green if the battery is installed charging will commence DN lt AC Power gt lt Battery Power gt 3 Battery Power The device will get its power from the battery and the unit will display the battery power icon shown above when the system is powered on the battery is connected to the device and the AC power is disconnected When the battery power is low an alarm sound will ring from the device speaker and LCD display will show a Battery Low message Connect the AC power immediately or the device will automatically shut down in a few minutes Charging time Maximum 4 hours Time to use continuously Over 1 hour 100 ECG printouts 22 83 Version 1 0 medical NET Cardio M Plus Operation Manual 3 Display Battery Power Status Battery Fully Charged Battery Charge Half Full Battery Charge Low OE aa Battery Almost Fully Drained 3 Replacing Battery When replacing battery for this device the same type of battery should be u
44. roven by one of the international standards WARNING Cardio M Plus must be operated under the supervision of a health care professional especially when if is used on a pacemaker treated patient 76 83 Version 1 0 medical NET Cardio M Plus Operation Manual Chapter 4 System Management 1 Maintenance And Cleaning 2 Regular Check Up 3 Trouble Shooting 77183 Version 1 0 medical NET Cardio M Plus Operation Manual 1 Maintenance And Cleaning There are various ways to keep the Cardio M Plus clean and well maintained This section outlines several actions that could damage or stain the machine permanently and thus need to be avoided by operators of the device If unapproved materials that may cause damage to the product were used the product warranty may not be honored even though the period of guarantee may not have been expired WARNING Check main unit and electrodes thoroughly after cleaning Donot use old or damaged equipment on patients e To keep the machine clean apply Isopropyl alcohol consisting of 70 solution in water on a soft cloth and scrub the body and the measuring electrodes with the warm water once a month Do not use lacquer thinner ethylene or the oxidizing substance e Keep the cable from dust or stain Wipe the cable with a cloth that is wet with warm water 40 C 104 F and with Isopropyl alcohol consisting of 70 solution in water once a we
45. s 5 min Irhy mode will record the EKG of the selected 1 lead for 5 minutes with 15 lines of 20 second long measurements Rhythm Printing Setup Under rhythm printing mode the user can set whether a printout will be done continuously or fit in A4 size 10 second EKG recordings The rhythm printout setting can be set using the printing form mode Under Mon menu use the rotary key or touch screen to select between A4 or continuous options MON Grid On Off Printing grid may be needed when fax paper is used instead of EKG paper for printing A grid line will be shown for every 5mm X 5mm space and dots for every Imm X IMM space If EKG paper supplied by Medical Econet GmbH is used the grid option should 37 83 Version 1 0 medical EC ONET Cardio M Plus Operation Manual be turned off as if already contains a grid on the paper The grid option could also be set on the Printing Form menu In the Grid menu use the rotary key or touch screen to change the grid option between ON and OFF When the Grid option is set to ON the grid will be printed out and no grid will print if the unit is OFF Beat Report Setup During the diagnostic print set the output of the representative beat information The beat report is added to regular printout 3ch 1rhy 3ch 3rhy 6ch 1rhy and 12ch rhy output and has Representative Beat Report printed on the upper part of the printout form This Beat report has representative waveforms of each
46. sed Type GP1300AAM PACK Ni MH battery 12V 2600mAh lt When to replace Battery will automatically be charged when the device is connected to AC power and cannot be charged when separated from the device Battery is designed to have a charging cycle of 500 times or more If the device could only last 20 minutes or less on a battery power the battery needs to be replaced Additionally when a battery pack is damaged or leaking chemicals replace it immediately Do not use damaged battery packs with the device NOTE When replacing the fuse use the same type T3A250V to protect the device from risk of fire 23 83 Version 1 0 medical NET Cardio M Plus Operation Manual 4 System Installation Precautions For Installation While installing Cardio M Plus please pay attention to fhe following items Use the equipment between the ambient temperature 10 to 40 C 50 to 104 F and humidity 30 85 Check fhe power cord is properly connected and the probe carefully handled Do not plug multiple cords in a power outlet Install and operate Cardio M Plus unit on a flat surface If you experience noise ground the device Do not use a power cord that may make a connection noise Device preference will be recorded in the internal memory even when if is off Prevent any shock or excessive force that may cause damage to the device Place the device away from any dust or flammable materials P
47. tch order with arrows indicating each press of the VIEW key 43 83 Version 1 0 medical NET Cardio M Plus Operation Manual en Q ABOGAN 20100155 Dre mie Rus Die Ben x Gan f 4 TT or moos Or M k nni Aisne unida Gih ave Note Display output mode can be set in Basic Setup under the Device Setup menu Please refer to the Device Setup Displayed heart rate is the average of 4 heartbeats 44 83 Version 1 0 medical NET Cardio M Plus Operation Manual 4 Rhythm Mode Printing In rhythm mode printing the measured ECG signals would be printed in real time Rhythm mode printing allows operators to perform the following two functions one is to verify that signals in all channels are active before recording ECGs and the ofher is to print the ECGs rhythm status of the patient for a longer duration In this rhythm mode filter setting is fixed as follows BASE LINE On fixed Electromyogram Filter EMG Off Power Supply Filter AC Option Low Pass Filter LPF 40hz Printing Speed Printing speed can be set to 12 5 mm s 25mm s 50mm s and signal level can be set to 2 5mm mV 5mm mV 10mm mV 20mm mV and Auto In rhythm mode printing it prints only to 25mm s if you select the A4 printing How To Print The Filter setting value is fixed Set the required printing speed and sensitivity and press the RHYTHM key Then the system starts printing according
48. ting Loading Defaults Are As Follows Sensitivity SENS 10mm mV Printing speed SPD 25mm s Grid GRID Off Channel form FORM 6ch 1rhy Rhythm channel RHY Il Base Line filter BASE On EMG filter MUSC Off Power noise filter AC se EE selling Low pass filter LPF AOhz Diagnosis Diagnosis On Stored Data List Delete Pace Maker P M Off Lead Fault L F On Unit Setting unit cm kg Beat form On Monitoring Form Continue ARS Sound Off File Save Off Printer Line Normal 26 83 Version 1 0 medical NET Cardio M Plus Operation Manual Chapter 2 Preparation For Electrocardiography 1 Location Of Electrode 2 Electrode Connection Patient Cable Connection How To Aftach Electrodes Countermeasures For Bad Lead Connection 27183 Version 1 0 medical NET Cardio M Plus Operation Manual 1 Location Of Electrode Attach electrodes to the patient s body to record an electrocardiogram of twelve standard leads 1 Il Ill AVR AVL aVF V1 V2 V3 V4 V5 V6 as shown below Nad Limb electrodes 1 Middavian Anterior axillary line R RA Rightarm L LA Left am 3 Mid axillary line N RL Rightleg F LL Left leg Limb electrodes are located as follows RL N Right Leg LL F Left Leg RA R Right Arm V1 C1 Fourth Intercostal Space At The Right Border Of The Sternum V2 C2 Fourth Intercostal Space At The
49. to the selected speed with the following message on the LCD Printing Press NET ESC O key to stop printing the EKG rhythm After pressing the key the system will stop printing and the display system setting after indicating the following message for second on the LCD Process Canceling 45 83 Version 1 0 medical NET Cardio M Plus Operation Manual 5 Record Mode Printing For the record mode display save the electrocardiogram in the memory first and apply the filter which is set up by the user to the saved electrocardiogram and then extract the parameters for the heart rate PR interval QRS duration QT QTc and P R T axes Then print out the heart rate according to the sensitivity printing speed and channel form that are setup by the user 10 Second ECG Recording When one of 3ch 1rhy 6ch 1rhy 12ch rhy and beat is selected for the channel form press the RECORD key to display the saving time as below and save the 10 second data to the memory Record 10 seconds When the 10 second data saving is completed the following message will be displayed on the LCD screen and the setup filter will be applied to the saved data After that the parameters that were required for the diagnosis will be extracted from the data Data Processing When the data processing is completed the following message will be displayed on the LCD screen and then the printing will start
50. ve data management 1 Entering Patient Information In order to transmit patient data from the device to a PC workstation patient information should be entered first Note that the patient ID must be entered asitis a reguired input value for network functions 2 Sharing EKG Data Without Printing Q While in the EKG Main screen pressing the NET ESC key after entering the patient s ID will trigger a message box with text Send new record data will appear Select Yes if one wishes to take a new EKG measurement then transmit select No to transmit any previously recorded EKG recordings select Cancel to abandon data transmission If Yes is selected the device will go through Recording gt Analyzing gt Sending processes as the data gets transmitted to the server PC workstation If No is chosen the previously recorded data will be sent to the server PC workstation without going through the Recording and Analyzing processes 3 Transmitting Saved Data After printing the EKG data by pressing RECORD button and saving the data to the device the saved data can be transmitted to the PC Workstation Select 1 o from the bottom of the EKG Main screen Pressing the NET ESC key will trigger the device to transmit data to the PC workstation when the Data Management screen appears For guides in managing acquired data you should refer to the 10 Data Management Screen section Data transmission to a PC can only o
51. y if will show 12 Channels Rhythm Report when it s 12ch rhy it will show 1 Rhythm Report 60 sec when it s 60 sec Irhy and it will show 1 Rhythm Report 5 min when it s 5 min Irhy 36 83 Version 1 0 medical ECONET Cardio M Plus Operation Manual 3ch 1rhy mode will be showing a 10 second EKG recording with channels Il Ill for the first 2 5 seconds aVR aVL aVF for the next 2 5 seconds V1 V2 V3 for the following 2 5 seconds then V4 V5 V6 for the final 2 5 seconds Additionally it will display the rhythm of the selected 1 lead on the bottom for 10 seconds 3ch 3rhy mode will be showing a 10 second EKG recording with channels Il Ill for the first 2 5 seconds aVR aVL aVF for the next 2 5 seconds V1 V2 V3 for the following 2 5 seconds then V4 V5 V for the final 2 5 seconds Additionally it will display rhythms of the selected 3 leads on the bottom for 10 seconds 6ch 1rhy mode will be showing a 10 second EKG recording with channels Il Ill AVR aVL aVF for the first 5 seconds then V1 V2 V3 V4 V5 V6 for the last 5 seconds Additionally it will display the rhythm of the selected 1 lead on the bottom for 10 seconds 12ch rhy mode will record 10 second EKG measurements of all 12 leads in the order of channels IL Ill AVR AVL AVF V1 V2 V3 V4 V5 V6 60 sec Irhy mode will record the EKG of the selected 1 lead for 60 seconds with 6 lines of 10 second long measurement
52. y cord proper 100 240V AC e Is every cord connected properly to the product e Is the grounding connected correctly Otherwise noise can occur NOTE In order to avoid signal noise do not place the product near power generators X ray equipment broadcasting equipment or mobile electric cords These may cause the product to report inaccurately It is important to use an independent electrical circuit and stable grounding When sharing an electrical outlet with other appliances the result may also be inaccurate NOTE The classification of Cardio M Plus is as below Its classification against electric shocks is Class Type BF It is not proper to use this product near a flammable anesthetic or solvent IEC EN 60601 1 Safety of Electric Medical Equipment standard noise events A class amp IEC EN60601 1 2 Electromagnetic Compatibility Requirements standard noise level B NOTE Diagnosis of Cardio M Plus needs to be confirmed by a medical specialist NOTE The accessories connected to analog or digital connectors should be authorized in accordance with IEC standards e g IEC 950 for data processing equipment and IEC 601 1 for medical equipment Moreover every composition should correspond with EN 60601 1 1993 WARNING This equipment must only be connected to a grounded electrical connection WARNING Do not touch accessible connector pins
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