CardEX - Midmark
Contents
1. tt guu rAatr Sa DE muauzanku mm sagas a P be mc E m r Pr oe eer ee eer ee DEES D Ke aS eee de rbrm Feo Sree T tttaruTuARMEN NIE ei 4 fees nn zemp metam tas TO A a H ELLA OOOO seed asas asas rra E a pren Peer ees tee send yo er eee tra Papaa TEL BRL pis e gt rt E 1 a pira HE a DE PER gt 1 ra CO E mama EA ER d du m ar D D ee ee G AS A rtta TERA arrasa ras mo T d ard BEER aran pa Dis Has FE s rtu errar sra D n p EE Hia Seng BETA n vr aangas Tr ELS pt t r ars a Sn H Fa kdo tin Serpe HECKER gd h Gs i ee P dd TFT MITTE KLEER CH b s O 144 z D sm masr bg rra aaa mu HERE A Bee Seems 1 P zeeprr zer ESREHEE ape z D nr raa fen rra OCA on bea gee yr TETTEL Semen eee bet VE a mn rerg a nn au ea e ra m Cn TECG mee hirsas nnm EE AO roses H KOCHT D rr muto amaaa rr D EN DEE D oo 1 ngu a rem iuam murum rra aa DIST D b rara arr mEHRHEN Fzadd du Era D rr iu O rra ECCE D ae Pr E rre capa ore ui a Che EISE frita feernn 1 Bee E ei cee totes DECKER bh d Wa Lrraudas te rt A MS eun a Se cra Be te OO EETRI G at a a aem a apio M EE 7 ER mereranna KKK Beebe ES ne m wn raga EGET E i FEE d T Fir mm SS a TREES eet e ET 4 ona eee EE a naumuum ESETET2. DFT Filter 0 05 0 15 0 25 0 5 EMG EMG Filter 25Hz 35Hz 45Hz OFF 25Hz 35Hz ASHz OFF LOWPASS Filter 150Hz 100H2 75Hz LOWPASS Filter 150Hz 100H2 75Hz 150Hz 100Hz 75Hz lt IOpA AC 101A DC Patient Auxiliary Current Dielectric Strength 4000V rms gt 100k Q Sensitivity 10mm V 5 External Input Input Output Optional Output single ended 100 O Sensitivity 1V mV 5 single ended 48 8 Cleaning Care and Maintenance 8 1 Cleaning DCAUTION Turn off the power before cleaning and disinfection Mains supply must be switched off if it has been in use 8 1 1 Clean the Main Unit and Patient Cable The surface of the main unit and patient cable can be wiped with a clean soft cloth damped in soapy water or non caustic neutral detergent After that remove detergent remainder with a clean dry cloth 8 1 2 Clean the Electrodes Remove the remainder gel from the electrodes with a clean soft cloth first Clean them in warm water and be sure there is no remainder gel Dry the electrodes with a clean dry cloth or air dry 8 1 3 Clean the Print Head A dirty and soiled thermal print head will deteriorate the recording definition So it should be cleaned at least once a month Open the recorder casing and remove the paper Wipe the print head gently with a clean soft cloth damped in 75 alcohol For stubborn stain soak it with a little alcohol first and wipe it off with a
3. 3 Press PRINT STOP key to begin recording It will stop automatically after recording a full ECG Pressing PRINT STOP again during the course of recording can stop recording However when beginning recording later ECG will be recorded from the first lead group again And ID number will change automatically according to the current time If the ID number needs to be unchanged the user should adjust it before recording Note Whether under auto or manual mode recording mode cannot be changed during the course of recording Stop recording before choosing recording mode Note Under OFF mode the sampled ECG waves will not be recorded The average template and or measurement information can be recorded according to the settings made by the user 95 5 3 MANUAL Mode Under MANUAL mode users should switch the lead group manually Users can determine which lead group needs to be recorded and set the recording settings or other parameters according to different lead group Operation Method 1 2 3 4 5 6 Press MODE RST key to choose MANUAL mode which can be discerned by the identifier in the top left corner of LCD screen Press MENU key to enter the Menu window to set the record settings Press it again to return after setup Press LEAD left arrow or right arrow key to select leads to be recorded Press PRINT STOP key to begin recording 1mV COPY key can be pressed to print out ImV mark while ECG recordi
4. ID Password Password for entering the advanced control interface _ 38 5 9 AUTO mode record Figure a shows the following content 10mm mV Sensitivity 0 15 100Hz Filter information ACS50 50Hz AC Filter 08 01 2008 09 49 15 Date and time IL 1mV calibration mark I IT UL aVR aVL aVF V Lead name ECG wave of 7 leads in the format of 3Ch 25mm s Paper speed 39 Figure b shows the AVERAGE TEMPLET 2Ch 1R and the MEASUREMENT ON The items of the MEASUREMENT include ID Owner Name Type Age Sex BP Weight HR Heart Rate P Dur P wave duration mean of duration of P wave from several of 12 selected dominant beats PR int P R interval mean of P R interval from several of 12 selected dominant beats QRS Dur QRS complex duration mean of duration of QRS complexes from several of 12 selected dominant beats QT QTC int Q T interval mean of Q T interval from several of 12 selected dominant beats Normalized QT interval P QRS T axis dominant direction of the average integrated ECG vectors Note Recording under AUTO mode or MANUAL mode if the Sensitivity is set as 20mm mV only one calibration mark will be displayed on the paper 40 5 10 RHYTHM mode record meets cones soaoi zeng ege eee i s canes TTT se 150644 145a H eves i re D TER sc heres sores teres sn os rna ao D 604 taana o as eames beens i
5. Other paper may shorten thermal print head s life And the deteriorated print head may lead to illegible ECG record and block the advance of paper etc Storage requirements Recording paper should be stored in dry dark and cool area avoiding excessive temperature humidity and sunshine Do not put the paper under fluorescence for long time Be sure that there is no polyvinyl chloride or other chemicals in the storage environment which will lead to color change of the paper Do not overlap the recorded paper a long time or else the ECG record may trans print each other 8 3 3 Maintenance of Main Unit Patient Cable amp Electrodes The following safety checks should be performed at least every 24 months by a qualified person who has adequate training knowledge and practical experience to perform these tests a Inspect the equipment and accessories for mechanical and functional damage b Inspect the safety relevant labels for legibility c Inspect the fuse to verify compliance with rated current and breaking characteristics d Verify the device functions properly as described in the instructions for use e Test the protection ground resistance according to IEC EN60601 1 Limit 0 1 ohm f Test the ground leakage current according to IEC EN60601 1 Limit NC 500 uA SFC 10001A zT g Test the patient leakage current according to IEC EN60601 1 Limit NC a c 10uA d c 10uA SFC a c SOUA d c SOUA h Tes
6. Therefore anyone who connects additional equipment to the signal input or output connector to configure a medical system must make sure that it complies with the requirements of the valid version of the system standard IEC EN 60601 1 1 If in doubt consult our technical service department or your local distributor The summation of leakage current should never exceed leakage current limits while several other units are used at the same time 3 3 Mains Connection and Switch Potential equalization terminal La Q9 o A E l Mains Power Switch Mains Supply Socket 1 Potential Equalization Terminal Y Potential equalization conductor provides a connection between the unit and the potential equalization bus bar of the electrical installation 2 Mains Supply Socket MM AC SOURCE alternating current supply socket 3 Power Switch Switch on O Switch off Ts 3 4 Bottom Panel Mains Supply Shift Switch Battery Compartment Fuse Label Label 1 Battery Compartment LITHIUM BATTERY PACK RECHARGEABLE 14 4V 1600mAh The battery label indicates the rated voltage and rated capacity of rechargeable Lithium battery pack Rated voltage 14 4V Rated capacity 1600mAh A Caution NWARNING Improper operation may cause the battery to be hot ignite or explode and it may lead to the decrease of battery s capacity Therefore it is necessary to read the user manual carefully and pay atten
7. A entr bee 1 nup RAADS BARBS gysr reese a a ag a s 8 4 a a a s 4 H Lat mne AAA ALA p trees 18393 HOR EEE Ee THE Hm s de 2 be tenes EET Hami b _A tent ime ion ing con ty informat ivi 19 Date and t t 1 51 a shows the follow 100Hz Filter ACSO 50Hz AC Filter igure 15 Tl 1mV calibration mark 10mm mV Sens 08 01 2008 09 F 0 II Lead name 60 seconds rhythm waveform of lead II 00 00 00 20 00 40 Timer 060 Heart rate 25mm s Paper speed Figure b shows RR Analysis Results including RR Interval measurement information RR Histogram and RR Trend Chart RR Interval measurement information includes the following content Current Date amp Current Time Animal Information ID Owner Name Type Age Sex BP Weight Measure Time Total R Num Total R wave number HR Heart Rate RR Avg Interval Average RR interval RR Max Interval Maximum RR interval RR Min Interval Minimum RR interval SDNN Standard Deviation of Normal to Normal Intervals RMSSD The Root Mean Square of Successive Difference 42 5 11 USBPRT mode record a E g S S 010104 0302 25mm s Lead off lOmm nV 0 al dias sone D D D sopor Prax nm E D a D AS a a Bape b a D n ARRE ELLA A i e ann nupu be D D wx A Pe braa nagu DEI v
8. D AAA re E be O e rara Sek Al us AE CO repres ra 1 WE art SRSnganps Sr nn unt 1 LI a ee CU po see e MESE PEA E EE AAA Sr pe rro r RSA OK A A da E re D DER rr r LI ee BESSE AA ET tt D DECKEN gu gum Hi ES ac F Pm AS ER rr as D ER RG a q EN nana ELE EECHER ER ER sanum umapHHAAdadEada ua pu pa d a LLLLS LA E q BN D FX GT SrEttIIIagsn WR D D AAA FI al Aotu hie KK E LEI Li E Erase ATA DEN e 1 cde aeg LE gt RN EI E El Pra EEE m D D EK E A zl EI 3 E auc Fira sn D DH pases H EL aa sere AA E 5 bike D D D rana n A RRRRAERGAE EE REGE SSE E We n brad D D D CECR ne Ser et Beeler ee eS wea hese bu bena D E D DECH D I aunar aa ris oes be A bree LI oa H D D cr gnu IO He t 4 mmm H i a ER CH EE E mum naaa SA a z prir r naaa aa n sr arrugas PII anmam ra H A ne r D D D a agassas ee E seer DECKER D Brr mmum 11 n 1 ics t nara r Ta mamuua En E m apum nt un 1 i a i E O r 13 mum mE apum D ne sss e e b R sr EFC D er sm win E AA ER S para i ba ate E er DEE A Scie bro da Ee eeng a x EC Taie nar sr 1 pun no awe RW zb Seed A4 4 sees ni pg Sans ar ena DL D pra rr in neiss H GE EFSER DEEN wrzrrraTtumsanm WR TU Fa AS D asan PETITS pass mos tram uum a d sane 27933 a Ee eee aa ay ir Sieg ME v ri cs are ayuu auna eee Sjende Print aus as H acr aaa EBEN Lo x ardua IP ni ob D so K cose beatas mummmr EFE an ER SES E EE EE EE Be SER me a PRES mn REES
9. H me ER bsa xn E kens a ta AR aaa n n mr P a a S tt IEA auna PPP ALLA TEA El SA tone Str EI AN dpe pon diu D P ee eee An eras PATFTVILTITISEEERERESRERRTAIS IARRR amm oe See fe ee Errar AAN LAO a ee ee DEE SN R meee FETEGET ARANA AER sees Se ee asume bee TEEL mu e rra A Cee ey unm Pp TEET D mr 1 mn O AO mum A pu den Oa qe Wier Sg Sic va n EA rr neun FG Ra rim q TETTI e EEGEN EELER BEBEEEGRRGRAGAa x H Se e dee es bx ir NAO OO cn PETT ae a eee See ee ECKER ee A es DEE EE O E Hr AER aa O A eee ee Teter Leer e eee Al ere AO a ee see epurrregm agu rrkTT LTTISZAIRAE rr DTI AO Aa a di AAA arpas Brtttrtftrrat eee er aaa D D e nee pr serure oe SP rrr trtni cra er re ey D D DEE ESCH RTE rra nora Ar A Ra A OO r B ps D I DECKEN eeben mrrgrtra adn d apreciaron D ECKE A O en om DEPT BEEN 43 As figure above shows the USBPRT mode record includes ID Record speed Hint information Sensitivity Date and time Owner Name Type Age Sex BP Weight Heart Rate P duration PR interval QRS duration QT QTC interval P QRS T axis Minnesota code Written by doctor Diagnosis information Written by doctor Report confirmed by Written by doctor ECG waveform of 7 leads 9 12 Switch Off When built in battery pack used press ON OFF key directly to turn off the unit after finishing ECG recording When mains supply used press ON OFF key first after finishing ECG recording
10. However if a pacemaker is used the results given by the equipment may be invalid or lose the clinical significance 15 16 Do not touch the animal bed table and the equipment while using defibrillator or pacemaker simultaneously In order to avoid burning please keep the electrode far away from the radio knife while using electrosurgical equipment simultaneously WARNINGA 17 18 19 Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC EN standards e g IEC EN 60950 for data processing equipment and IEC EN 60601 1 for medical equipment Furthermore all configurations shall comply with the valid version of the standard IEC EN 60601 1 1 Therefore anybody who connects additional equipment to the signal input connector or output connector to configure a medical system must make sure that it complies with the requirements of the valid version of the system standard IEC EN 60601 1 1 If in doubt consult our technical service department or your local distributor The summation of leakage current should never exceed leakage current limits while several other units are used at the same time The potential equalization conductor can be connected to that of other equipment when necessary to make sure that all these equipment are connected with the potential equalization bus bar of the electrical installation 1 2 2 Battery Care Warnings WARNINGA
11. Settings 5 6 2 ECG Copy Under auto mode once a complete ECG was recorded pressing 1mV Copy key can recall the electrocardiogram that was recorded last time Pressing PRINT STOP during the course of recording can stop recording Note After recording is finished if RECORD FORMAT or SAMPLE MODE is changed ECG Copy is not permitted 5 7 Using the Menu System 9 7 1 Entering and Exiting the Menu Press the MENU key to enter the menu and press the MENU key again to exit the menu AC Filter EMG Filter DFT Filter Lowpass Filter 30 5 7 2 Moving in the Sub menus Press Up or Down to choose the setting items 5 7 3 Parameter Modification Press Left or Right to modify a parameter Note When modifying Record Mode or Sensitivity on the main interface to save the modifications the user should enter the menu interface and exit After that the user will see the modifications in the main interface when he turns on the electrocardiograph again 5 8 Settings 5 8 1 Filter Settings AC Filter EMG Filter DFT Filter Lowpass Filter Four filters can be set in the MENU window They are AC FILTER EMG FILTER DFT FILTER and LOWPASS FILTER AC FILTER AC FILTER suppresses AC interference without attenuating or distorting the ECG Select On to turn on the function and select Off to turn off EMG FILTER EMG FILTER suppresses disturbances caused by strong muscle tremor The cutoff frequency is user defined at 2
12. adn ad do 31 SR Ter OCU DS auctor Pe oss O 31 II 3 5 2 JSCCOFGIHS EE 32 25 99 Itecorditip Ee OR EE 33 220 dOTher Recorkdinp Se Dg S ia 33 58 3 Save dnd Irans mitine SENES iio 34 3 0 0 General SENES oa 35 D051 DY RS A 36 A ee 37 SAITO MOJE Ye COI AAA Gat aries 39 2 10 RELY THM mode 1 eCOn A ee 4 Sel USBPISTI node e 43 SM Eo he PE DUET een nate toe TOOL RTT Se ey ee 44 0 Alert Informal sia cada Ee 45 7 Technical Sp cifications eet e M M 46 S Cleaning C are and kee 49 VN OVEM ER 49 8 1 1 Clean the Main Unit and Patient Cable essere 49 S12 Ieansthe BIGCIEOUE S dioit seite scena M DRM LM MEME SUE 49 o5 leamthe Prnt Hao 49 9 2 DISTA 50 0 2 E EEN EE e 50 8 3 1 Recharge and Replacement of Batter 50 9 9 2 RECOLdING Par c 51 8 3 3 Maintenance of Main Unit Patient Cable amp Electrodes 51 EE CI A A 53 TO ACCESS E 54 MI 1 Safety Guidance 1 1 Safety Information The design of CARDEX 300 3 channel electrocardiograph complies with international standard IEC EN 60601 1 Medical Electrical Equipment General Requirements for Safety and IEC EN 60601 2 25 Particular Requirements for the Safety of Electrocardiographs etc The classification of this equipment is Class I type CF which means a higher degree of protection against electric shock and the patient connection is fully isolated and defibrillation protected This
13. and then switch off the mains supply by pressing the switch on the left side of the unit Pull out the plug from the outlet last Note When switching off the device please operate it according to the sequence above strictly or else there will be an error on the screen 2 E gE 6 Alert Information Alert information will be displayed when there is something wrong Alert information provided by CARDEX 300 and corresponding cause is listed in Table 6 1 Table 6 1 Hint Information and Causes Electrodes fall off from the animal or the patient cable falls off Lead off l from the unit The ECG data is being processed The patient file is being transferred through UART port or Transfer Ethernet Mem Full There is no space for more files to be saved The direct current voltage on an electrode is too high A USB printer is connected to the USB interface USBExist A U disk is connected to the USB interface 45 7 Technical Specifications Safety IEC EN 60601 1 A1 A2 IEC EN 60601 1 2 A1 IEC EN60601 2 25 Standards ANSI AAMI ECII IEC EN 60601 2 51 Anti electric shock type Class I with internal power supply Anti electric shock degree Type CF with defibrillation proof Degree of protection against harmful Sealed equipment without liquid ingress of water proof Classification Disinfection sterilization method Refer to the user manual for details Degree of safety of application in the Equipment not suitable for
14. clean soft cloth After air dried load the recording paper and shut the casing of the recorder CAUTION Prevent the detergent from seeping into the main unit while cleaning Do not immerse the unit or patient cable into liquid under any circumstances Do not clean the unit and accessories with abrasive fabric and avoid scratching the electrodes 49 8 2 Disinfection To avoid permanent damage to the equipment disinfection can be performed only when it has been considered as necessary according to your hospital s regulations Before disinfection clean the equipment first Then wipe the surface of the unit and patient cable with hospital standard disinfectant CAUTION Do not use chloric disinfectant such as chloride and sodium hypochlorite etc 8 3 Care and Maintenance 8 3 1 Recharge and Replacement of Battery 1 Capacity Identification Current capacity of the rechargeable battery can be identified according to the battery symbol in the main interface Go Full capacity L Capacity is limited and recharge should be taken into account LA Battery 1s weak and warning message BAT WEAK will be displayed on LCD screen The battery should be recharged immediately 2 Recharge CARDEX 300 is equipped with recharge control circuit together with built in rechargeable lithium battery When connecting with the mains supply the battery will be recharged automatically Then the battery recha
15. equipment is not explosion proof Do not use it in the presence of flammable anesthetics This equipment is designed for continuous operation and is not drip or splash proof Classification 1 Anti electric shock type Class I with internal power supply 2 Anti electric shock degree CF 3 Degree of protection against harmful Sealed equipment without liquid proof ingress of water 4 Disinfection sterilization method Refer to the user manual for details 5 Degree of safety of application inthe Equipment not suitable for use in the presence presence of flammable gas of flammable gas 6 Working Mode Continuous operation 7 EMC Group I Class A 1 2 Warnings and Cautions In order to use the electrocardiograph safely and effectively avoiding possible dangers caused by improper operations please read through the user manual and be sure to be familiar with all functions of the equipment and proper operation procedures before use Please pay attention to the following warning and caution information 1 2 1 Safety Warnings NWARNINGA 1 The electrocardiograph is provided for the use of qualified veterinarian or personnel professionally trained They should be familiar with the contents of this user manual before operation 2 Only qualified service engineers can install this equipment And only service engineers authorized by Midmark Corporation can open the shell 3 Only qualified personnel can shift the mains shift s
16. folder of the U disk and then continue to import If the error information 1s still displayed then the user should check whether there are some files in the U disk having the same name with the files in the electrocardiograph If it is true the user should remove these files from the U disk or delete these files in the electrocardiograph and then continue to import Under this situation this error information is The same file found Press PRINT STOP return After finishing importing files the electrocardiograph will give a distinct indication Note Only FAT format should be selected when formatting the U disk If the user wants to copy all the files from the electrocardiograph to the U disk press Left or Right to choose ALL to USB and then press PRINT STOP or MENU key to begin to copy after a while all the files will be copied into the ECGDATA folder of the U disk automatically During the course of ALL to USB 1f something wrong happens the electrocardiograph will give the error information Then the user should check whether the U disk is connected well and correct it Note The process of TRANS ALL USB to ECG or ALL to USB needs a long time to finish and the user should be patient During the course of copying the U disk should not be pulled out Press Up or Down to choose one of the files in the recall window If the user wants to transmit this file press Left or Right to choose TRANSMIT button and then press
17. use in presence of flammable gas the presence of flammable gas EREECHEN wom e 20 C 4 F 55 5 C 41 F 40 C Temperature 131 F 104 F Environment Relative 25 93 25 80 Humidity Non Condensing Non Condensing Atmospheric 700hPa 1060hPa 860hPa 1060hPa Pressure Operating voltage 100V 115V 220V 240V Mains Supply Operating frequency 50Hz 60Hz input power 35VA Power Supply Rated voltage 14 8V Built in Lithium Battery Rated capacity 2200mAh Pack Charge mode Constant current voltage Charge current standard 0 28C5A 600mA JAG Charge voltage standard 16 8 0 1V Cycle life gt 300 times Folded thermal paper 80mmx70mmx200pages 5mm s 6 25mm s 10mm s 12 5mm s 25mm s Paper Speed 50mm s 3 Accuracy of data 5 x axis 5 y axis HR u HR Range 30 BPM 300 BPM Recognition Accuracy 1BPM Leads 7 standard leads Acquisition Mode simultaneous 7 leads A D Resolution 1 2bits Time Constant gt 3 28 Frequency Response 0 05Hz 150Hz 3dB Sensitivity 2 5 5 10 20 mm mV Input Impedance 250MO 10Hz ECG Unit Input Circuit Current 0 05uA Input Voltage Range 5 mVpp Calibration Voltage ImV 3 DC Offset Voltage 500mV Noise lt 12 5uVp p Multi channel Crosstalk lt 0 5mm Filter AC Filter On Off SAF CMRR gt 110dB Sampling Frequency 1000Hz QUA AO IA DO Patient Leakage Current
18. used as power With a high resolution thermal printer 32 bit processor and large capacity hard drive CARDEX M 300 has advanced performance and high reliability The compact size makes it suitable for clinic and hospital use Components Main unit and accessories power cord grounding wire patient cable electrodes and thermal record paper A WARNINGA This equipment is not designed for direct cardiac application A WARNINGA The results provided by the equipment should be examined with respect to the overall clinical condition of the animal lt cannot substitute for regular checking 2 1 Function Features Low weight and compact size Touch key for easy operation High resolution thermal recorder recording frequency response lt 150Hz 7 lead sampled and amplified simultaneously 3 channel built in recorder Auto mode manual mode rhythm mode USB print mode and off mode optional Auto measurement function Built in rechargeable Li battery with high capacity Alert for lead off lack of paper and low battery capacity etc Automatic adjustment of baseline for optimal recording a 9 gt gt gt gt gt gt gt gt 9 Standard input output interface RS232 communication interface and net port for linking to special network and setting up ECG database 2 2 List of Symbols gt ES d h E fj o SENS O RECALL External output External input Equipment or part of CF type with defibrillato
19. 20 21 22 23 24 20 Improper operation may cause the battery to be hot ignite or explode and it may lead to the declination of battery s capacity lt is necessary to read the user manual carefully and pay attention to warning messages Only the battery of same model and specification provided by manufacturer should be used Danger of explosion Do not reverse the anode and cathode when connecting the battery Do not heat or splash the battery or throw it into fire or water When leakage or foul smell found stop using the battery immediately If your skin or cloth comes into contact with the leakage liquid cleanse it with clean water at once If the leakage liquid splashes into your eyes do not wipe them Irrigate them with clean water first and go to see a doctor immediately When the battery s useful life is over contact the manufacturer or local distributor for disposal or dispose the battery according to local regulations 2 1 2 3 General Cautions CAUTION 5 1 2 Federal US law restricts this device to sale by or on the order of a veterinarian Avoid liquid splash and excessive temperature The temperature must be kept between 5 C and 40 while working and between 20 C and 55 C while transporting and storage Do not use the equipment in dusty environment with bad ventilation or in the presence of corrosives Be sure that there is no intense electromagnetic interference source around the equipmen
20. 25 10 12 5 25 or 50mm s Under AUTO OFF USBPRT mode RECORDING SPEED can be set as 25 or 50mm s RECORDING LENGTH Short form means that each lead group will be recorded about 2 5 seconds Medium form means that each lead group will be recorded about 5 seconds Long form means that each lead group will be recorded about 7 5 seconds Longest form means that each lead group will be recorded about 10 seconds Note When RECORDING FORMAT is 1Ch only Short form is supported in RECORDING LENGTH 30 5 8 3 Recording Output Settings Average Template 2Ch 1R Measurement Off Interpretation RR Analysis On AVERAGE TEMPLT When AVERAGE TEMPLT is 2Ch 1R limb leads will be recorded in 3 groups of 2 with one rhythm lead at the bottom of recoding paper When AVERAGE TEMPLT is 3Ch limb leads will be recorded in 2 groups of 3 When AVERAGE TEMPLT is Off there will be no average template when recording RR ANALYSIS When RR ANALYSIS is On RR Analysis results including RR Interval measurement information RR Histogram and RR Trend Chart will be recorded after rhythm wave 1s recorded in RHYTHM mode When RR ANALYSIS is Off there will be no RR Analysis results after rhythm wave 1s recorded in RHYTHM mode MEASUREMENT When MEASUREMENT is On the measure information will be recorded when recording in AUTO mode When MEASUREMENT is Off there will be no measure information when recording Note To get the content of ME
21. 5Hz 35Hz or 45Hz Select Off to turn off the function DFT FILTER DFT FILTER greatly reduces the baseline fluctuations without affecting the ECG signal The purpose of this filter is to keep the ECG signals on the baseline of the printout The setting value is the low limit of the frequency range including 0 05Hz 0 15Hz 0 25Hz 0 5Hz and is normally set to 0 15Hz LOWPASS FILTER LOWPASS FILTER restricts the bandwidth of input signal The cutoff frequency is user defined at 150Hz 100Hz or 75Hz All the input signals whose frequency 1s higher than the setting cutoff frequency will be attenuated ae ie 5 8 2 Recording Settings Recording Format 3Ch Recording Grid Off Recording Speed 25mm s Recording Length Short RECORDING FORMAT When RECORDING FORMAT is 3Ch limb leads will be recorded in 2 groups of 3 When RECORDING FORMAT is 3Ch 1R limb leads will be recorded in 2 groups of 3 with one rhythm lead at the bottom of recording paper When RECORDING FORMAT is 1Ch all leads will be recorded one by one in a sequence When RECORDING FORMAT is 1Ch 1R all leads will be recorded one by one in a sequence with one rhythm lead at the bottom of recoding paper RECORD GRID When RECORD GRID is On the dashed grids which are 5 mm by 5 mm will be recorded on the paper When RECORD GRID is Off dashed grids will not be recorded on the paper RECORDING SPEED Under MANUAL RHYTHM mode RECORDING SPEED can be set as 5 6
22. ASUREMENT please refer to Chapter 5 9 ECG Record Note The function of Interpretation is not supported in this version 5 8 4 Other Recording Settings Lead Sequence Standard Sample Mode All CH Simu Rhythm Lead H Paper Style Rolled Bee LEAD SEQUENCE Standard Cabrera Lead Sequence Lead group 1 Lead group 2 Lead group 3 Standard I H HI aVR aVL aVF Cabrera aVL I aVR IL aVF W SAMPLE MODE ICH Sequent Lead is sampled one by one in a certain sequence 3CH Sequent Lead group is sampled one by one in a certain sequence All CH Simu All leads are sampled simultaneously RHYTHM LEAD The rhythm lead can be one of 7 standard leads I II III aVR aVL aVF and V PAPER STYLE Rolled thermal paper and folded thermal paper can be selected as recording paper Note If the user sets the PAPER STYLE as folded paper after ECG recording is completed in Auto mode or RHYTHM mode recording will stop when a black sign is detected or it will stop with alert information Paper Err when no black sign is detected 5 8 5 Save and Transmitting Settings Save Option Off Auto Transfer Off Local IP 192 168 001 021 Remote IP 192 168 001 245 SAVE OPTION When SAVE OPTION is On the ECG data will be saved into the recall window automatically while it is being recorded in AUTO recording mode When SAVE OPTION is Off the ECG data will not be saved into the recall window while it is be
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24. EC EN requirements In order to avoid incorrect connections the electrode identifier and color code is specified in Table 4 1 Table 4 1 Electrodes Identifier and Color Code European American Electrodes Identifier Color code Identifier Color code Right fore limb Red RA White Left fore limb Yellow LA Black Right rear limb Black RL Green Left rear limb Green LL Red Chest White V Brown As the following figure shows the electrode areas on body surface are European Standard American Standard Dog Cat Dog Cat The contacting resistance between the animal and the electrode will affect the quality of ECG greatly In order to get a high quality ECG the skin electrode resistance must be minimized while connecting electrodes 0 E Electrodes connection 1 2 3 4 5 6 Ensure the electrodes to be clean Align lead wires of patient cable to avoid twisting Clean electrode area with alcohol Daub the electrode area with gel evenly Place a small amount of gel on the metal part of electrode clamp Clamp the electrode to the electrode area Attach all electrodes in the same way WARNINGA Be sure that all electrodes have been connected to the animal correctly before operation A WARNINGAS Be sure that the conductive parts of electrodes and associated connectors including neutral electrode should not contact with the ground or any other conducting objects 4 5 Inspection before Power On In order
25. NING You will delete all the files Are you sure RECALL gt OK PRINT gt CANCEL 4 If the user wants to import files The extended name should be dat from the ECGDATA folder of the U disk to the electrocardiograph press Left or Right to choose USB to ECG and then press PRINT STOP or MENU key to begin to import Note To import files in U disk to electrocardiograph there should be some files in the folder named ECGDATA in the U disk The folder name ECGDATA must be capital letters The user should not change the name of files in the ECGDATA folder During the course of USB to ECG 1f something wrong happens the electrocardiograph will give the error information And then the user should do the following First check whether the U disk is connected well and correct it 1f necessary If the error information is still displayed the user should check whether some files exist in the ECGDATA folder of the U disk If nothing 1s found the user should build a folder named ECGDATA in the U disk and put some files The extended name is dat into the ECGDATA folder 28 5 If the error information is still displayed then the user should check whether the total number of files in the ECGDATA folder of the U disk and in the recall window of the electrocardiograph has exceeded the limit The limit of CARDEX 300 1s 120 If the total number has exceeded the limit the user should remove some files from the ECGDATA
26. PRINT STOP or MENU key to transmit the file If the Auto Transfer option is not selected before transmitting WARNING a will pop up to remind the user to do it first If the user wants to delete this file Press Left or Right to choose DELETE button and then press PRINT STOP or MENU key to pop up the WARNING c Then press RECALL to delete this file or PRINT STOP to cancel deleting WARNING c WARNING You will delete this file Are you sure RECALL gt OK PRINT gt CANCEL _ 29 If the user wants to record this file press Left or Right to choose RECORD button and then press PRINT STOP or MENU key to begin recording Pressing PRINT STOP again during the course of recording can stop recording Note If the user selects USBPRT mode to print when PRINT STOP key or MENU key is pressed the electrocardiograph begins to analyze data and after 8 seconds the USB printer begins to print Note MANUAL or RHYTHM mode cannot support recall printing If the user selects MANUAL or RHYTHM mode to record WARNING d will pop up WARNING d MANUAL or RHYTHM mode can not recall printing Press PRINT STOP return YES If the user wants to copy this file to the U disk press Left or Right to choose To USB and then press PRINT STOP or MENU key to begin to copy 6 Press RECALL key to return to the main interface Note To save the ECG data to the recall window as patient files please refer to 5 8 5 Save Option
27. TT D L1 AAA anre MEA am D Pe D wh catas EE ZE GE MU e pe deud A pehergpi ern 3 rernetertaae ras b Wa no a 1 7 Br kg F x m roba WAR rur D AE D Err D D K d D PE DCS E pidio rds 2 neers TELER 1 a T pone eg ee ee eee gs DEE GEES DESEN rara Penang CO anar Rak E I TEE core EE SO pie ZE Ce ipeo EE mtra D AO pore a ram D D Sri B D H a aaa ps m D D mun Dy Minnesota Code T Trends ep SE E rset KL EE ae SC EE BEE is meetin qm BE E EC aet GERE T D RSR Li SR CSL rere t D Ss GE MEA D r TEF LL FLEE Sg S ee SATA on mum near D Tz ice ap Fes i ETA D aua DE Ja pt du d rut ae Li LJ weg LJ CR phage CETE EIE a wie a A ee U E KK L L A rra a LEAL a LI or H kr D ALLE D P AAA carr D gue na E A aa eee LJ auc er rosas AA KE unu KEKKR EELER aa bateti ae sf one PE on nar BERT LKE Pr D U D LE of gebrirgp m D E Lac Ce ee r E NE TED a uu D E anner E sane eee entre Tt eer rara gt B rr v rausmmgrtrTEEE El E E beeen er re trattttacc 5 tr ra P 4 RA e Ah KE FEF rar E rr r MAA LI E E e rm bu ma d LET TN Lj re narra D e a Fr gl eet E E E AAA e IE E E Me T TRES here EE KEE S i eA E Ge A E EE ER Mas rid E app v a eat Dat REA a p tra 1 D DEER pr a E zaai
28. User Manual CardEX 300 3 Channel Electrocardiograph MIDMARIX Manual Ver V1 1 Release Date April 2012 Part Number 003 2512 00 RevA FOR VETERINARY USE ONLY Copyright Copyright Midmark Corporation 2012 All rights reserved Statements Midmark Corporation makes no warranty of any kind with regard to this material including but not limited to the implied warranties of merchantability and fitness for a particular purpose Midmark Corporation assumes no responsibility for any errors that may appear in this document or for incidental or consequential damage in connection with the furnishing performance or use of this material No part of this document can be photocopied reproduced or translated to another language without prior written consent of Midmark Corporation Responsibility of the Manufacturer Midmark Corporation only considers itself responsible for any effects on safety reliability and performance of the equipment if Assembly operations extensions re adjustments modifications or repairs are carried out by personnel authorized by Midmark Corporation The electrical installation of the relevant room complies with safety standards The instrument is used in accordance with the instructions for use Note This device 1s not intended for home use NWARNING This device is not intended for treatment Using This Label Guide NWARNING N A WARNING label advises against certain acti
29. ara D ua eee err EE ama mum D rerin D un ee ee a See nenn m arum E a BR tu rari L ht mtarttixTT4 misa Far DES rae E ri OCA he ICOE biss sine t Teer D bi EEEIEI er Braa ia H E ERE RA grax a S apa a a prriapgnza quaa D 1g vga D D arrasa quan D EI raa D zi prraagaaga q D va I D e prrraqam 4 e vn rau 00 10 Eterraren wet s Sg mma L Li anne asss b s ea gt eee asas D ia E D D DER e ban 8 E baa aa Sp e yr a ones CET um ER oon ugumum m se 2 arrra rra nur rra uu rrr ru D I PETTERI v eer ra DC mrEEREY an D I narrar rra rer EC DCH AE sr Tt 1 Rake tea GE ES cement t re 1 Kal sap EI oes Eri EET O ER ss D m Fre Lag td 4 SS FEA RE Kaa dd a muHRhidu hag D Ep aaa ER O te DE 4 So pan bad AU DER Per LR D I za H CEC TODE rra guumay va m RU RRE aaa uo ras peepee sep CEELI ze ug uumuguumuEq am am um t murprrrTg un q an mra OO ma oun H a gt ped Bonen D I ud D prrusATHE na m 1 Seet pra DCH D I BEE a LLTELE mt m a ena ren ss D I DC ar H DEE SAA a e m a CAES oe Bebb bd dg FIM Beebe En gt r t a m en m e AR 4 14 apo ad ma zeen tases D D I i 1 EET TERET TERET OIC a Enp ane AO D baa Pe porra OOO sn mad o AO RET ren Pe PETI TO mmm rm Aa rm LIAC DKCH ICO H mr mm i ee r mmu
30. ation 5 6 1 ECG Recall Press RECALL key to enter the recall window where patient files are saved The recall window allows files to be stored deleted printed and transmitted When there 1s no space for more files to be stored in the recall window the message Mem Full is displayed on the main interface Recall Window a 0506080950 0506080956 0506080957 TRANS ALL DEL ALL USB to ECG 0506080950 0506080956 0506080957 TRANSMIT DELETE RECORD 0506080950 0506080956 0506080957 Recall Window b Recall Window c ALL to USB To USB 2 597 Operation for ECG RECALL 1 Press RECALL key to enter the Recall Window a where patient files are saved 2 If the user wants to transmit all the files press Left or Right to choose TRANS ALL and then press PRINT STOP or MENU key to transmit all the files If the Auto Transfer option is not selected before transmitting WARNING a will pop up to remind the user to do it first WARNING a Please Select Auto Transfer Option first Press PRINT STOP return PRINT OK Note Before transmitting patient files please set the AUTO TRANSFER option in Menu window Refer to 5 8 5 Transfer Settings for detail 3 Ifthe user wants to delete all the files press Left or Right to choose DEL ALL and then press PRINT STOP or MENU key to pop up the WARNING b Then press RECALL to delete all the files or PRINT STOP to cancel deleting WARNING b WAR
31. e pressed to reset the waveform quickly N WARNING When using the device with defibrillator after the defibrillator discharge the MODE RST key should be pressed to reset the waveform quickly MN Table 3 1 Lead Group Switching order of Different Mode Switching Order from left to right _ yo V At wave In this mode need to press Lead Switch Key to change the lead the lead switch order can be that of AUTO Standard or AUTO MANUAL MP l Cabrera which is determined by settings of lead sequence and record format in the MENU 1 8 9 LEAD Lead Switch Key Q9 Under MANUAL mode press the key to switch the lead group In Recall window or Menu interface this key can be pressed to turn the pages PRINT STOP Key Used to begin recording and stop recording ON OFF Key ON OFF When the unit has been powered on press this key to turn on it Press again to turn off it MENU Key Press this key to enter menu settings 10 Up Arrow Down Arrow Q2 Q gt Pressing the Up Arrow or Down Arrow can select Sex or Age item on the main interface hereinafter called Up Down During MENU setting the two keys can also be pressed to select the item of which the setting is to be changed DER 11 Left Arrow Right Arrow Press these keys to change the content of the selected item During MENU setting these keys can also be pressed to change the content of the selected item hereinafter cal
32. immediately 3 Electrodes Electrodes must be cleansed after use ensuring there is no remainder gel on them After long term use the surface of electrodes will be oxidized because of erosion and other causes By this time electrodes should be replaced to achieve high quality ECG CAUTION The equipment should be sent to a special agency according to local regulation for separate collection after its useful life Un 9 Service Warranty Material and Manufacture The warranty period for the main unit and the accessories 1s 24 months from the date of shipment Midmark Corporation warrants that there s no defect in material and manufacture During the warranty period Midmark Corporation will repair or replace the defective part free 1f the defect has been confirmed as material or manufacture defect Software or Firmware For the software or firmware installed Midmark Corporation will replace the software or firmware free 1f the defect has been confirmed during 24 months from the date of shipment But Midmark Corporation cannot warrant 1t will not interrupt the use of the product Note All services must be done by the engineers authorized by Midmark Corporation Limit of Warranty The charges for freight is excluded under warranty The warranty is void in the case of Assembly extensions readjustments of any parts Modification and repair by unauthorized persons Subsequent damage caused by improper use or maintena
33. ined And they should be familiar with the contents of this user manual before operation 204 5 Operation Instructions 5 1 Switching On While using mains supply press the power switch on the left side of the unit first and the mains supply indicator light _ is lit Then press ON OFF key on the control panel to turn on the unit Equipment information such as device name and version No will be displayed on LCD screen after self test Then CARDEX 300 is ready for examination and recording While using built in rechargeable lithium battery press ON OFF key on the control panel directly to turn on the unit and then the battery indicator C48 will light After self test CARDEX 300 is ready for examination and recording 5 2 AUTO Mode Under AUTO mode the lead groups are switched in order automatically while recording When ECG signal of one lead group has been recorded 1t will be switched to another lead group automatically and begin recording the ECG signal of that lead group There 1s a blank on the recording paper before recording the next ECG signal Moreover a 1mV calibration mark will be recorded at the beginning of recording The lead group switching order is listed on Table 3 1 Operation Method 1 Press MODE RST key to choose AUTO mode which will be displayed in the top left corner on LCD screen 2 Press MENU key to enter the Menu window to set the recording settings Press it again to return after setup
34. ing Sampling Bat Weak etc Sex M F and Age Second Row Current lead I IL III aVR aVL aVF V Sensitivity x2 5mm mV x5mm mV x10mm mV x20mm mV AGC Heart rate Actual heart rate Battery capacity Only when the built in battery is used Third Row ECG wave 3 1 2 Control Panel and Keys RECALL 1 2 LEAD 1 Indicator Lamp e Mains supply indicator light when mains supply is used the light will be lit C4 Battery indicator light when the built in rechargeable Lithium battery 1s used the light will be lit gt Battery recharging indicator light when the battery is recharged this light will be lit 2 3 4 5 SENS Sensitivity Switch Key SENS The sensitivity switching order x10 mm mV x20 mm mV AGCx2 5 mm mV x5 mm mV And AGC means auto gain control Recall Key RECALL Press this key to review the patient files saved in the recall window 1mV COPY Key ImV COPY Under MANUAL mode this key can be pressed to record a 1mV calibration pulse at any time while recording Under AUTO mode once a complete ECG was recorded this key can be pressed to recall the electrocardiogram that recorded last time MODE RST Mode Switch Key MODE RST This key can be pressed to select recording mode between AUTO MANUAL RHYTHM USBPRT and OFF The switching order of lead groups 1s listed in Table 3 1 Recording under Manual mode this key can b
35. ing recorded in AUTO recording mode be Note When there is no space for more files to be stored in the recall window the message Mem Full is displayed on the main interface AUTO TRANSFER Note To transfer ECG data to a PC Smart ECG Viewer software of Midmark Corporation must be installed in PC machine Receive ECG Data window in the software should be opened up transfer type should be selected and other settings should be finished When AUTO TRANSFER is OFF the patient files can not be transferred When AUTO TRANSFER is UART AUTO firstly connect the serial port of PC machine and the RS232 socket of 3 channel electrocardiograph with serial cable recommended by the manufacturer Then open the Receive ECG Data window of Smart ECG Viewer software in PC select the transfer type Serial Trans set the right PortNum and press Connect button Under AUTO mode or OFF mode ECG data can be transferred through UART port automatically after ECG recording is finished When AUTO TRANSFER is Net AUTO first connect the net interface of PC machine and the net interface of 3 channel electrocardiograph with Ethernet cable recommended by the manufacturer Second open the Receive ECG Data window of Smart ECG Viewer software in PC select the transfer type Net Trans and press Connect button Then set the REMOTE IP and LOCAL IP in Menu window in 3 channel electrocardiograph Under AUTO mode or OFF mode ECG data can be transferred through net automa
36. led Left Right 3 2 Patient Cable Socket and Signal Interface There are sockets including the patient cable socket RS232 socket external input output socket and USB interface at the right side of the main unit as following Figure shows USB Interface r Patient Cable Socket External Input Output Socket 1 Patient Cable Socket 9 Applied part of type CF with defibrillator proof A Caution Definition of corresponding pins minim nl FL In 4 NC 9 RRAGnpuy M4 mr L LA input N or RF RL input Note The left side of is European standard and the right side is American standard 4 2 RS232 Socket A WARNINGA RS232 interface is 1500V AC isolated intensity and the maximum voltage applied should not exceed 15V DC Definition of corresponding pins Pim Signal Pim Signal pm Sign 1 NO Jul x 7 N 2 pen 5 ob s 3 TD up 6 nec 9 Ne 3 External Input Output Socket 4 USB Interface ANWARNING Only the USB equipment recommended by Midmark Corporation can be connected to the USB interface WARNINGA Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC EN standards e g IEC EN 60950 for data processing equipment and IEC EN 60601 1 for medical equipment Furthermore all configurations shall comply with the valid version of the standard IEC EN 60601 1 1
37. m mt mes 4 OO H D ner um Cr OCIO al tes EN tti DL a a EEPE KK AO IC KCL R EIL d GI Speci gee H H erba Soa ie ea je ssare pn BEEREA AA E zaguuaug ETT ANA PA DECH DREI arri DREES Pat eee DCH DRECK CI penny sra nope IEA Y D Pe ag CAES 1 e H t rurrrts d nugent nes ee CACA D r D O D m umhh DO TIN mumHEREPT D H e na usum see ee ECG D La H rabiosa L Li Pee HI KSE n ano LJ H D riasan H rer GRELL H 1 D 2 a wk Dn HP E D HI aaa D ERBE Hrs bb be B rl RENE uu para aasgan E a a E J H 1 SSG ey to a ME gi SEERE PEN bi Sere mr htt LRL NR DERE VEERERCUHE E DEEL E e E EE EE ESA ES 2 Ere a ui ms HER resme M RA ER Sais As SS SEHR Tam Bre d a DCH a DS ar se erregen D I n pn 1 ram Sefer ines AA O LI 4 it sas is TTTaTT VI LENK H ona z EE EE E 2 GO Ee ees z mae a He LEE E ER 22 SE REUS REN x EE E WEE TEE EE SE Rsnsspenerbrrrrgsng D PE zpr x iram D an u D r AFA AAA g EE D GE ta TA d rara na D COC 1 LI mat x OCIO 1 O pra ttn LGE ran b SSCS EPSP SEP ERR CRS Fx 355ga eee Tett ER rro arras z EEFEGSTT D D a idee FE i tias D Beene D D a ut D 200 E EES EE E GE St poe mrhrrb
38. ment log If the device is not functioning properly or fails any of the above tests the device has to be repaired Ruptured fuse must only be replaced with the same type and rating as the original When the effective life time of the equipment and accessories is over collect and classify them and dispose them according to local regulations 1 2 4 Cleaning amp Disinfection Cautions CAUTION 5 9 10 11 12 13 Turn off the power before cleaning and disinfection If mains supply used the power cord should be unplugged from the outlet also And prevent the detergent from seeping into the equipment Do not immerse the unit or patient cable into liquid under any circumstances Do not clean the unit and accessories with abrasive fabric and avoid scratching the electrodes Any remaining detergent should be removed from the unit and patient cable after cleaning Do not use chloric disinfectant such as chloride and sodium hypochlorite etc 2 Introduction CARDEX 300 1s 3 channel electrocardiographs with 7 leads gathered simultaneously visual display of operation menu ECG parameters as well as electrocardiogram 3 channel ECG can be viewed on the LCD liquid crystal display screen of CARDEX 300 simultaneously And it can be recorded by the high quality thermal recorder Auto manual rhythm USB print and off mode can be chosen conveniently Either mains supply or built in rechargeable Lithium battery can be
39. nce Replacement or removal of Serial number label and or manufacturer label Be 10 Accessories A WARNING Only patient cable and other accessories supplied by Midmark Corporation can be used or else the performance and electric shock protection cannot be guaranteed Table 10 1 Accessories List Rechargeable Lithium CD 0014 Replacement Battery 2200M AH Alligator Style Veterinary ECG i J S CD 0012 Banana Clips Carrying Bag CD 0004 PC Viewer Software CD 0002 Ground Cable 015 3091 00 CARDEX 300 and accessories are available by contacting Midmark Corporation n R D b MURALES Midmark Corporation 60 Vista Drive Box 286 Versailles OH 45380 0286 1 800 MIDMARK midmark com
40. ng Press PRINT STOP key to stop recording after finishing ECG record LEAD left and right arrow key can be pressed to switch the lead group during the course of recording Pressing PRINT STOP again during the course of recording can stop recording However when begin to record later ID number will change automatically according to the current time If the ID number needs to be unchanged the user should adjust it before recording 9 4 RHYTHM mode Under Rhythm mode the user can record 60s rhythm lead ECG waveform 1 2 3 4 Press MENU key to enter the Menu window to set the RHYTHM LEAD or other settings Press 1t again to return after setup Press MODE RST key to choose RHYTHM mode Press PRINT STOP key and the alert information Sampling will be displayed in the alert information field When the sampling time reaches 60s 1t begins to record It will stop automatically after recording a full rhythm lead ECG waveform Pressing PRINT STOP again during the course of recording can stop recording EE 5 5 USBPRT mode Under USBPRT mode ECG report can be printed out through USB printer 1 Connect CARDEX 300 to the USB printer 2 Press MENU key to enter Menu window to set corresponding options Press it again to return after setup 3 Press MODE RST key to choose USBPRT mode 4 Press PRINT STOP key to begin recording It will stop automatically after recording a full ECG report 5 6 ECG Recall Oper
41. on the roller s left side facing to the groove 5 Pull about 2cm of paper out and put down the recorder casing 6 Secure the casing by pressing it firmly _ 20 Loading Replacing Process for Folded thermal paper 1 Place fingers under the flange of the recorder casing pull upwards directly to release the casing 2 Remove residual paper in the Paper Tray 1f necessary 3 Take off the wrapper of folded thermal paper and then put it 1n the Paper Tray with the paper s grid side facing the thermal print head while putting the free end of paper upright 4 Pull about 2cm of paper out and close the recorder casing 5 Secure the casing by pressing 1t firmly 4 3 Patient Cable Connection A WARNINGA The performance and electric shock protection can be guaranteed only if original Midmark Corporation patient cable and electrodes are used Patient cable includes two parts main cable and lead wires with associated electrode connectors The electrode connectors can be distinguished from the color and identifier on them Main Cable Screw Comnecting to the Patient Cable Socket Electrodes 4 LN Lead Wires Electrode Connectors Connect Main Cable Plug the connector of main cable into the patient cable socket on the right Q7 m e side of the unit and secure the screw A MA 4 4 Electrodes Connections Clamp The identifier and color code of electrode connectors used complies with I
42. ons or situations that could result in personal injury or death CAUTION A CAUTION label advises against actions or situations that could damage equipment produce inaccurate data or invalidate a procedure Note A NOTE provides useful information about a function or procedure Table of Contents Eric ARCHIE 1 IN ALC LY ek tere E OM S da I 1 2 Warntnes ad AU EE l 1 2 ALC EY Warn AE S r ba O A a RS 2 EE A A ee 3 1 2 Genera Caii ONS la ar Ro 4 124 Ccann g Dismtectot EE e E 5 DCE OGM CULO Nidos dales 6 dl EE 6 2 2 ASU Ol VORDOLS AAA AAA etaed 7 AAA A EN EE CEN CU eu ETSEN 10 o oti O Pd eSI da pd mti A 10 Is E mE 10 241 2 Control Panel and KO Sara A e v Saa unn 11 2 2 Patient Cable Socket and Stenal TIME aCe 5s ES o Ee NR E aeas 14 3 5 Mains Connection and WI ad 16 UN AA A A Sammon adobe 17 4 Operation Preparations onda let daa sonas 19 A ee 19 4 27 Loading Replace Record Papel coisa os 20 4 Patient er la 21 AA hlectrodes C ODBeCHODS ere 27 AS nspectotmbelorte Powet CT oe A AIDA ts 29 SC Operation Instruccion D 25 VS CO CUN E 22 AUTO MOS M 23 Sc NINN Pal INOS ree is boites A Ls le MM EE 26 SERAY TIM UU m UT 26 OU SBEP RTO d E ROTE UU T T T Em 27 2 0 EC Cr Recall Operation dsd 24 SD A ECO E 27 IOL ECG COD dp tad 30 Usina the Mem S yV Een A as 30 Sol Ll Entering and Exiting the Mon ii di 30 237 2 MO Vile e ee i 31 5 75 Parameter e e ue EE 31 O O A e
43. r proof Caution Consult Instructions for Use Potential equalization Mains supply On mains supply Off mains supply Battery indicator Battery recharging indicator Sensitivity switch key Recall key ImV COPY MODE RST ImV calibration key Copy key Mode RST switch key Lead switch key Print Stop key ON OFF key Menu key Up Arrow Down Arrow key Left Arrow Right Arrow key Recycle Part Number Serial Number Date of Manufacture Manufacturer EC REP Rx only U S A Authorized Representative in the European Community Federal US law restricts this device to sale by or on the order of a veterinarian It indicates that the device should be sent to the special agencies according to local regulations for separate collection after 1ts useful life 3 General Information 3 1 Top Panel Label LCD Screen Recorder Control Panel Figure 3 1 Main Unit Product Information CardEX Trade mark CardEX 300 Veterinary ECG Trade name del Classification Symbol equipment of CF type with defibrillator proof 3 1 1 LCD Screen The LCD Screen specification 192x64 dot single color LCD Screen AUTO Paper M 02 Y IO HI 10mm mV wot Loch Normally the contents displayed on the LCD screen include description from left to right 10 First Row Record mode AUTO MANUAL RHYTHM USBPRT or OFF Alert information Paper Print
44. rge indicator light gt and the mains supply indicator light 2 will be lit at the same time During the course of recharging the symbol DEF wil flash in the main interface When the capacity of battery 1s full the symbol Db vip stop flashing and the battery recharge indicator light CO will usually be black But if CARDEX 300 1s power off the light will still be on just because the equipment will not monitor the recharge status so you need to power on the device to verify the status Because of the capacity consumption during storage and transport the capacity of battery 1s not full while using at first time Battery recharge should be considered before first usage Note If the battery has not been used for two or three months recharging should be done before use the battery again 50 3 Replacement When the useful life of battery is over or foul smell and leakage has been found please contact with manufacturer or local distributor for replacement of battery A WARNINGS Only the battery of same model and specification provided by manufacturer must be used Danger of explosion Do not reverse the anode and cathode when connecting the battery When the battery s useful life is over contact the manufacturer or local distributor for disposal or dispose the battery according to local regulations 8 3 2 Recording Paper Note Recording paper provided by manufacturer should be used
45. s weak please recharge the battery first Please refer to the maintenance section for how to recharge the battery During recharging the battery CARDEX 300 can be powered by mains supply at the same time 19 A WARNINGA Potential equalization conductor of the unit should be connected to the potential equalization bus bar of the electrical installation when necessary 4 2 Loading Replacing Record Paper Two kinds of paper can be used as ECG record paper One is rolled thermal paper with 80mm width and the other 1s folded thermal paper with 80mm width Note When using folded thermal paper the Paper Roller is unnecessary and it can be taken out When there is no recording paper loaded or it reaches the end of recording paper warning message Paper will be given on the screen Under this circumstance recording paper should be loaded or replaced immediately Paper Tray aay Paper Roller Printer Platen Thermal Print Head 1 i Y Groove Loading Replacing Process for rolled thermal paper 1 Place fingers under the flange of the recorder casing pull upwards directly to release the casing 2 Take out the paper roller and remove remain paper from the left of roller 1f necessary 3 Take off the wrapper of thermal paper roll and then put through the roller from the left with the paper s grid side facing downward 4 Place the paper and roller gently in the recorder with the roller pin
46. t such as radio transmitter or mobile phone etc Attention large medical electrical equipment such as electrosurgical equipment radiological equipment and magnetic resonance imaging equipment etc are likely to bring electromagnetic interference CAUTION 5 Before use the equipment patient cable and electrodes etc should be checked Replacement should be made if there is any evident defectiveness or aging symptom which may impair the safety or performance The following safety checks should be performed at least every 24 months by a qualified person who has adequate training knowledge and practical experience to perform these tests a Inspect the equipment and accessories for mechanical and functional damage b Inspect the safety relevant labels for legibility c Inspect the fuse to verify compliance with rated current and breaking characteristics d Verify the device functions properly as described in the instructions for use e Test the protection ground resistance according to IEC EN60601 1 Limit 0 1 ohm f Test the ground leakage current according to IEC EN60601 1 Limit NC 500 UA SFC 1000pA g Test the patient leakage current according to IEC EN60601 1 Limit NC a c 10pA d c 100A SFC a c 50uA d c 5OUA h Test the patient leakage current under single fault condition with mains voltage on the applied part according to IEC EN60601 1 Limit BOUA CF 8 The data should be recorded in an equip
47. t the patient leakage current under single fault condition with mains voltage on the applied part according to IEC EN60601 1 Limit SOUA CF The leakage current should never exceed the limit The data should be recorded in an equipment log If the device is not functioning properly or fails any of the above tests the device must be repaired A WARNING Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards 1 Main Unit Avoid excessive temperature sunshine humidity and dirt Put on the dustproof coat after use and prevent from shaking violently when moving it to another place Prevent any liquid from seeping into the equipment for it will affect the safety and performance of electrocardiograph 2 Patient Cable Integrity of patient cable including main cable and lead wires should be checked regularly Be sure that it is conductible Do not drag or twist the patient cable with excessive stress while using Hold the connector plugs instead of the cable when connecting or disconnecting the patient cable Align the patient cable to avoid twisting knotting or crooking in closed angle while using Store the lead wires in bigger wheel to prevent anyone from stumbling Once damage or aging of the cable patient has been found replace it with a new one
48. tective conductor in installation or arrangement is in doubt the equipment should be operated from the built in rechargeable battery The electrocardiograph can be powered either by mains supply or the built in rechargeable lithium battery pack 1 2 Mains supply The mains connection socket 1s on the left of the unit If mains supply used connect the power cord to the socket first and then connect the plug of the cord to the hospital grade outlet Rated input voltage 100V 115V 220V 240V Rated frequency 50Hz 60Hz Rated input power 35VA Make sure the mains supply meets the above requirements before power on And then press the mains power switch to power on the unit Then the mains supply indicator light will be lit If the built in rechargeable battery is weak when mains supply used it will be recharged automatically at the same time And both the mains supply indicator light 2 and the battery recharging indicator light 2 3 will be lit Built in rechargeable battery While using the built in rechargeable lithium battery pack turn on the unit by pressing ON OFF key on control panel directly and the battery indicator light aa will be lit The battery symbol will be displayed on the LCD screen Because of the consumption during storage and transport the capacity of battery may not be full If the symbol L and the alert information BAT WEAK are displayed which means the battery capacity 1
49. tically after ECG recording 1s finished Note During the course of transferring or saving data if the power supply is suddenly cut off File System error may arise in the electrocardiograph After the error is displayed the user should format the File System REMOTE IP IP address of the remote computer which receives ECG data from electrocardiograph through net LOCAL IP IP address of electrocardiograph 5 8 6 General Settings Key Beep QRS Beep Extern Inp Outp Record Test zc KEY BEEP When KEY BEEP is On a short beep sound will be made when pressing the control key When KEY BEEP is Off there is no sound while pressing the key QRS BEEP During the course of ECG recording if QRS BEEP is On the unit will make a short beep sound when an R wave has been detected So in normal recording continuous and regular sound of beep will be heard EXTERN INP OUTP External input output signal interface is equipped in CARDEX 300 through which CARDEX 300 can receive ECG signal from external equipment or output ECG signal to other external equipment Set this item as On to turn on the function and Off to turn off RECORD TEST Press Left or Right to start recording test when the record paper has been loaded Then the triangle wave in effective paper width will be recorded The status of print head can be estimated from this triangle wave Press Left or Right again to stop record test 5 8 7 System Settings Demo Set
50. ting Off Language Setting English Lead Setting 7 Leads Default Setting Restore DEMO SETTING Select On to enter the Demo mode LANGUAGE SETTING The user can set the system language LEAD SETTING The user can set the lead number as 7 or 6 When 6 Leads is selected the leads include I II III aVR aVL and aVF DEFAULT SETTING Select Restore to resume default setting value Note In the Parameter Options Column some parameters options have no underline which means these parameters have no default settings And when the user restores default settings these parameters will not change Date Mode dd mm yyyy 18 01 2008 11 30 ID 0801180723 Password 000000 2 56 DATE MODE Date mode can be set as dd mm yyyy mm dd yyyy or yyyy mm dd After setting the current date format will change according to the DATE MODE you selected DATE amp TIME SETTING Set current Date and time It will be recorded on the recording paper ID Animal ID number PASSWORD Password for entering the advanced control interface 5 8 8 Default Settings In the following table the value double underlined is default setting Record Speed 5mm s 6 25mm s 10mm s 12 5mm s 25mm s 50mm s N ET 0 l 2 3 4 5 7 10 11 12 13 14 15 16 17 18 19 20 Key Beep QRS Beep Extern Inp Outp Record Test Demo Setting Language Setting Lead Setting Default Setting Data Mode Date Setting Time Setting
51. tion to warning messages WARNINGA When leakage or foul smell found stop using the battery immediately If the leakage liquid contact your skin or clothing cleanse it with clean water at once If the leakage liquid gets into your eyes do not wipe them Irrigate them with clean water first and go to see a doctor immediately NWARNING Only the battery of same model and specification provided by manufacturer must be used e EE 2 Mains Supply Shift Switch 230V 1 115V Mains supply with rated input voltage 230V 220V 240V or 115V 100V 115V can be chosen by the shift switch according to local mains supply specification A WARNINGA Only qualified personnel can shift the mains shift switch according to local mains supply 3 Fuse There are two fuses installed on the bottom of the main unit The specification is showed on the fuse label AC220V 240V T200mA AC100V 115V T400mA 5x20 FUSE AC220V 240V T200mA AC100V 115V T400mA 5x20 A WARNINGA Ruptured fuse must only be replaced with the same type and rating as the original zd 4 Operation Preparations lt P CAUTION Before use the equipment patient cable and electrodes should be checked Replace it if there is any evident defectiveness or aging which may impair the safety or performance And be sure that the equipment is in proper working condition 4 1 Power and Grounding WARNING If the integrity of external pro
52. to avoid safety hazards and get good ECG recordings the following inspection procedure is recommended before power on and operation 1 Environment 4 Check and make sure that there 1s no electromagnetic interference source around the equipment especially large medical electrical equipment such as electrosurgical equipment radiological equipment and magnetic resonance imaging equipment etc Switch off these devices when necessary Keep the examination room warm to avoid muscle action voltages in ECG signal caused by cold 2 Power Supply 4 4 If mains power used please check whether the power cord has been connected to the unit well A grounded three phase outlet should be used Recharge the battery first when the battery capacity 1s weak before use 3 Patient Cable Check whether the patient cable has been connected to the unit firmly and keep 1t far away from the power cord 2 523 4 Electrodes Be sure that all electrodes have been connected to the animal correctly Ensure that the electrodes haven t contacted each other 5 Recorder Paper Ensure that there 1s enough recorder paper loaded correctly 6 Animal The animal should not be making contact with conducting object such as metal part of table etc Ensure the animal is warm and relaxed and breathing calmly A WARNINGA The electrocardiograph is provided for the use of qualified veterinarian or personnel professionally tra
53. witch 100V 115V 220V 240V according to local mains supply 4 The results given by the equipment should be examined with respect to the overall clinical condition of the animal It cannot substitute for regular checking WARNING 5 EXPLOSION HAZARD Do not use the electrocardiograph in the presence of flammable anesthetic mixture with oxygen or other flammable agents 6 SHOCK HAZARD The power receptacle must be a hospital grade grounded outlet Never try to adapt the three prong plug to fit a two slot outlet 7 If the integrity of external protective conductor in installation or arrangement is in doubt the equipment should be operated from the built in rechargeable battery 8 Do not use this equipment in the presence of high static electricity or high voltage equipment which may generate sparks 9 This equipment is not designed for direct cardiac application WARNING 10 Only patient cable and other accessories supplied by Midmark Corporation can be used or else the performance and electric shock protection cannot be guaranteed 11 Be sure that all electrodes have been connected to the animal correctly before operation 12 Be sure that the conductive parts of electrodes and associated connectors including neutral electrode should not contact the ground or any other conducting objects 13 Electrodes with defibrillator protection should be used while defibrillating 14 There is no danger for animals with pacemaker
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