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1. 5 USB Socket 1 USB Socket 2 Optional CAUTION Only the USB equipment recommended by the manufacturer can be connected to the USB interface Definitions of corresponding pins Pin Signal Pin Signal 1 5V 3 D 2 D 4 GND WARNING 1 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 configuration shall comply with the valid version of the standard IEC EN 60601 1 1 Therefore anybody 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 2 The summation of leakage current should never exceed leakage current limits while several other units are used at the same time 22 Introduction 12 Channel Electrocardiograph User Manual 2 6 Bottom Panel Figure 2 12 SE 12 Bottom Panel Name Explanation Speaker Hole Path for sound from speaker Battery Compartment Compartment for lithium battery Fuse The specification is T1AL250VP 5x20 Heat Emission Hole Path for internal heat emission
2. SU PSE PSE w1 OLO LO eeeD OF EWON yyy su 6L ma syd EZ00 ON wooy orku SEIS 008 DE fas nai H a L uonewozu sisou erq Wda 09 YH wosuyor Asse aweN Z OZiLIE 0102 90 20 100 GI LYOdda OOF FWeN uonnNnyysur 90 12 Channel Electrocardiograph User Manual Printing ECG Reports As the above figure shows the ECG report printed by the USB printer includes Institution Name Date and Time Patient Information Measurement Information Minnesota Code Diagnosis Information Report Confirmed by ECG waves of 12 leads DFT Filter Lowpass Filter AC Filter Paper Speed Gain SE 12 Express Electrocardiograph Model V1 8 Software Version Number SEMIP V1 5 Algorithm Version Number 8 6 6 ECG Report of Patient with Pacemaker 22 06 2010 15 06 16 981 D 7 001 HR 80 BPM Diagnosis Information Name Marry Johnson P Dur H101 ms 421 Artificial Pacemaker Rhythm Age 25 Years Gender Female PR int 176 ms i Height 165 cm Weight gt 0 kg QRS Dur 80 ms Room No 0023 QT QTC int 339 391 ms Department P QRS T axis 30 42 46 P RVS SV1_ amp 1 148 0 603 mV RVS SV1I amp 1 751 mV RV6 SV2 amp 0 811 1 007 mV Report Confirmed by Seo a ean A Ger O eta ar ase Mths Ly by by bt EE geile r BR E meroak aVL eben enae Senreen ANTENNE EUNANA MANR AN i Hh a eoa a a se Seren iE i L E a pea est 0 67 150Hz AC59 25mm s 10mm mV 2 5s tr Institution jaj per Ay i Ei as tei
3. A1 3 Physical Specifications SE 12 420mmx330mmx105mm 16 5inx13 0inx4 lin Dimensions SE 12 Express 420mmx330mmx120mm 16 5inx13 0inx4 7in SE 12 approx 5 0kg 11 0 lbs SE 12 Express approx 6 5kg 14 3 lbs Weight Excluding recorder paper and battery 320x240 dot single color LCD Screen Display 800x600 multicolor LCD Screen A1 4 Power Supply Specifications Mains Supply Operating Voltage 100V 240V Operating Frequency 50Hz 60Hz Input Power 70VA Built in Lithium Battery Pack SE 12 Express Rated voltage 14 8V SE 12 Rated voltage 14 8V SE 12 Express Rated capacity 4400mAh SE 12 Rated capacity 2200mAh 187 12 Channel Electrocardiograph User Manual Technical Specifications When the battery is fully charged SE 12 can work normally about 4 hours and it can continually print about 1 5 hours in the manual mode or print about 300 ECG reports of 3x4 1R in the auto mode SE 12 Express can work normally about 5 hours and it can continually print about 2 5 hours in the manual mode or print about 350 ECG reports of 3x4 1R in the auto mode Charge mode Constant current voltage SE 12 Express Charge current standard 0 14 CsA 600mA SE 12 Charge current standard 0 28 CsA 600mA Charge voltage standard 16 8 0 1V Necessary Charge time SE 12 Express 9 5 hours SE 12 5 hours Cycle lif
4. M RHYT TF Textbox I R R Periodic Sample Setu OFF Duration 60 min Interval o1 min Manual Style Rhythm Style Preview Dropdown 3 channels Single Lead off List Box 12 channels Auto Extend Record Off Press lt Tab gt or lt Shift Tab gt to move the cursor 1 On the Work Mode Setup interface press Tab or Shift Tab to move the cursor among different check boxes Press Spacebar to select a check box and a check mark y appears in the box ay 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application 2 On the Work Mode Setup interface press Tab or Shift Tab to move the cursor to a list box or dropdown Press the Up or Down arrow to highlight an option 3 On the Work Mode Setup interface press Tab or Shift Tab to move the cursor to a textbox Fill in the selected textbox 4 Press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm 5 Press ESC to cancel the operation or press Tab or Shift Tab to move the cursor to the Cancel button and then press to cancel the operation 3 7 About the File Manager Interface When the main interface is displayed press the function key F7 below File to open the File Manager interfacel Press the Up or Down arrow to highlight a file on the File Manager interfacel and then press the function key F4 below Select to select the file and display the File Manager interface2 Then press the functi
5. 152 12 Channel Electrocardiograph User Manual System Setup press the Up or Down arrow to highlight a language 11 11 3 Selecting Caps Lock Press Tab or Shift Tab to move the cursor to Caps Lock on the Other Setup interface and then press the Up or Down arrow to highlight Off or On When Caps Lock is set to On the letters entered will be capital Pressing Shift o and a letter key can input a lowercase letter When Caps Lock is set to Off the letters entered will be lowercase Pressing Shift o and a letter key can input a capital letter 11 11 4 Setting External Input Press Tab or Shift Tab to move the cursor to the External Input list box on the Other Setup interface and then press the Up or Down arrow to highlight Off or On The extern input socket is equipped in the electrocardiograph through which the electrocardiograph can receive signals from the external equipment Note When External Input is set to On the touch screen becomes ineffective and then you should operate the device by using the keyboard 11 11 5 Setting External Output Press Tab or Shift Tab to move the cursor to the External Output list box on the Other Setup interface and then press the Up or Down arrow to highlight an option The extern output socket is equipped in the electrocardiograph through which the electrocardiograph can send signals to the external equipment If External Input is set to On and External Output is set to
6. Power On Off Power on Power off MODE Press this key to select a working mode among the auto manual rhythm R R analysis and off modes Note Only if a working mode is ticked on the Work 5 P5 lt 12 Channel Electrocardiograph User Manual Introduction Mode Setup interface can the working mode be selected by pressing the MODE key when the main interface is displayed L SLEEP WAKE UP Resting wakening the electrocardiograph ON ea a N START STOP Start Stop printing reports Moving the cursor Up Down Left Right In the manual mode press the Up or Down arrow to switch the lead groups O Arrow Keys During the exercise test pressing the Up or Down arrow can switch the display style When the display style is 3x1 pressing the Left or Right arrow can switch the lead group T6 12 Channel Electrocardiograph User Manual 2 3 Front Panel Introduction C Figure 2 5 SE 12 Express Front Panel ma Figure 2 6 SE 12 Front Panel Symbol Name Explanation A aS Mains supply When the device is powered by the mains supply this indicator indicator is lit B Ta fee When the device is powered by the built in Battery indicator ee or ae rechargeable lithium battery this indicator is lit C A Battery recharging When the battery is being recharged this indicator is indicator lit 17 12 Channel Electrocardi
7. The 12 channel electrocardiograph is intended for use in the electromagnetic environment specified below The customer or the user of the 12 channel electrocardiograph should assure that it is used in such an environment Immunity IEC EN 60601 test Compliance Electromagnetic environment test level level guidance Portable and mobile RF communications equipment should be used no closer to any part of the 12 channel electrocardiograph including cables than the recommended separation distance Conducted RF 3 Vims 3V ims Iculated f th i licabl ECEN TONE calculated from the equation ai icable to the frequency of the transmitter 61000 4 6 i Recommended separation distance 3 V m 3 V m NINE Radiated RF 80 MHz to 2 5 GHz d 1 2 P 80MH 300 MH IEC EN a ae 61000 4 3 d 2 34P_ 800 MHz to 2 5 GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity 193 12 Channel Electrocardiograph User Manual EMC Information of equipment marked with the following symbol gt NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidel
8. woal gt Label Position for product information label 23 12 Channel Electrocardiograph User Manual Introduction 1 Battery Compartment The rated voltage and the rated capacity of the rechargeable lithium battery pack are as follows SE 12 Express Rated Voltage 14 8V Rated Capacity 4400mAh SE 12 Rated Voltage 14 8V Rated Capacity 2200mAh WARNING 1 Improper operation may cause the battery to be hot ignited or exploded and it may lead to the decrease of the battery capacity Therefore it is necessary to read the user manual carefully and pay more attention to warning messages 2 When leakage or foul smell is 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 3 Only qualified service engineers authorized by the manufacturer can open the battery compartment and replace the battery and batteries of the same model and specification must be used 4 Only when the device is off can the battery be installed or removed Note If the battery has not been used for two months or more you should recharge it before using it again 2 Fuse There are two fuses of the same specification installed on the bottom of the main unit The specification is TIAL250VP 5x2
9. 03 20 107625 182 12 Channel Electrocardiograph User Manual Accessories 12V Vehicle carried Inverter 11 21 64056 Bar Code Reader 11 23 068003 Wireless AP 11 17 047338 The 12 channel electrocardiograph and accessories are available by contacting the manufacturer or your local distributor 183 12 Channel Electrocardiograph User Manual Warranty amp Service Policy Chapter 17 Warranty amp Service Policy 17 1 Warranty EDAN warrants that EDAN s products meet the labeled specifications of the products and are free from defects in materials and workmanship that occur within warranty period The warranty period begins on the date the products are shipped to distributors The warranty is void in the cases of a damage caused by handling during shipping b subsequent damage caused by improper use or maintenance c damage caused by alteration or repair by anyone not authorized by EDAN d damage caused by accidents e replacement or removal of serial number label and manufacture label If a product covered by this warranty is found to be defective because of defective materials components or workmanship and the warranty claim is made within the warranty period EDAN will at its discretion repair or replace the defective part s free of charge EDAN will not provide a substitute product for use when the defective product is being repaired 17 2 Service Policy All repairs on products mus
10. Ensure that there is enough recorder paper loaded correctly Patient The patient should not come into contact with conducting objects such as earth metal parts etc 56 12 Channel Electrocardiograph User Manual Operation Preparations Ensure that the patient is warm and relaxed and breathes calmly WARNING The electrocardiograph is intended to be used by qualified physicians or personnel professionally trained and they should be familiar with the contents of this user manual before operation a5 12 Channel Electrocardiograph User Manual Turning On the Electrocardiograph Chapter 5 Turning On the Electrocardiograph When the mains supply is used connect the power cord and the mains supply indicator D eat v is lit Then press on the keyboard to turn on the unit The logo will be displayed on the LCD screen after self test Then the electrocardiograph is ready for use When a built in rechargeable lithium battery is used press D on the keyboard directly to turn on the unit and then the battery indicator ta is lit The logo will be displayed on the LCD screen after self test Then the electrocardiograph is ready for use 58 12 Channel Electrocardiograph User Manual Entering Patient Information Chapter 6 Entering Patient Information After the electrocardiograph is turned on the main interface appears For SE 12 Express pressing the Pretest key can open the main interface of the exercise
11. s seeesseeessessessseeseeresseesseessessseresseessseessesse 86 8 6 5 ECG Reports Printed by the USB Printer cc 3scccig side ccoscocscahiad ooccadanseqascisaccancececenalaaeencns 90 8 6 6 ECG Report of Patient with Pacemaker piviccusssayeesnsesvetevsasadeessesdussdayoteevsasaneud aghesudedeotorast 91 8 6 7 ECG Report of Nehb L ddo neonin e a s a ai Ta 92 Chapter 9 Transmitting ECG Data Automatically e eseesessossesossossesessossessosoesossossesossossesoesssse 94 9 1 Transmite ECG Data to the PG Coo GEA Ea AERE EEES Aike 94 9 1 1 Transmitting ECG Data in DAT Format Through Serial Cable eeeeeeeeeee 94 9 1 2 Transmitting ECG Data in DAT Format Through Net Cable 96 9 1 3 Transmitting ECG Data in SCP FDA XML PDF Format Through Net Cable 98 9 2 Exporting ECG Data to the U Disk Automatically ee eeeeeseceeeeeeeeeeseecnaeenseeseeeeeaees 101 9 3 Real time Transmission to PC ECG sccisisscccisaisesssvessseacevssavedsisegesdoaseavasvaecvsasaaeosseasvoveceesns 102 Chapter 10 Managing Files isis cicscsessesscnasscascennsntedssontonedionsstancgnsdesdvenvesaceestebscuavandecssseceaevenseoadsene 104 10 1 Transmitting Files to th PEseronstis reresign tite o ioa s Ei aae aee 106 10 1 1 Transmitting DAT Files Through Serial Cable sseeeneeseeesessesessersresrersersressresseseresee 107 10 1 2 Transmitting DAT Files Through Net Cable oo cece eeceeseecseceeeeeeeeeeseesnaeenseeneees 108 IV 10 1 3 Transmitting SCP FDA XML PDF
12. www medicaldevicedepot com 1 877 646 3300 EDAN 12 Channel Electrocardiograph Release 1 7 with Software Revision 1 8 User Manual Euz About this Manual P N 01 54 32423 17 Release Date July 2010 Copyright EDAN INSTRUMENTS INC 2007 2010 All rights reserved Statement This manual will help you understand the operation and maintenance of the product better It is reminded that the product shall be used strictly complying with this manual User s operation failing to comply with this manual may result in malfunction or accident for which EDAN INSTRUMENTS INC hereinafter called EDAN can not be held liable EDAN owns the copyrights of this manual Without prior written consent of EDAN any materials contained in this manual shall not be photocopied reproduced or translated into other languages Materials protected by the copyright law including but not limited to confidential information such as technical information and patent information are contained in this manual the user shall not disclose such information to any irrelevant third party The user shall understand that nothing in this manual grants him expressly or implicitly any right or license to use any of the intellectual properties of EDAN EDAN holds the rights to modify update and ultimately explain this manual Product Information Product Name Electrocardiograph Model SE 12 SE 12 Express Responsibility of the
13. 11 4 9 Inputting Customized Information ssssssessseeesseeesseesseesseesseeesseeessseesseessresseesseeesseee 134 liS Transmission SEU ese a a SiS a a a a a a a 135 Lib Sle Setting Device Norte etn r e uate vous ergeet ee teas eaea t aa Ert a 136 115 2 Selecting Auto Transitissiod serete e E E EE 136 11 5 3 Selecting Transmission Mode seesessesseseeeseesesesseseresresseserssresseserssressessresressessresees 136 lt 54 Seting FIP Informat N e a ete e ale AN a 137 11 5 5 Setting IP Addr sseSirseniun inu a a E E R E A R 137 11 6 Lead Setu psecnn aena e esaia E E e EEEO TEE E ledeeasedpsneatensacdebes 137 11 6 Set ng Rhythm Lead 2 3 suiran i a E 138 G2 Setting Lead Seg OE r a a sau aus a E eaooceuenteaoes 139 TTS G SSS He CLANS ANG ID Sis 2 5s cca cos ced Sauce coat a a a a a O sae tetacte 139 11 7 Displiy amp Sound SEU eta Secs gancedsd secs Sever cane legahes aan asuada ded E a le daheg seas E ea TSt S 139 Ph TR Seti BIZNES Soci a joeaataaas E cae acto etetem ens ad aes wean 140 11 7 2 Selecting Display Colors Only for SE 12 Express 0 ee eeeeesseceeeeeeeeeeeeesseeeeeeees 140 11 73 Se CCUG ATRIA ASIN G iein eae cani then iat E E R nd sastem oars Qantas 140 11 74 Setting Key Volmer livsanciowstadaies E E ines dee senea R 141 11 7 5 Setting Hint Volume sagesciesvincedessosesdvaxooesevs sade sanavovaisiesszadsash svnasalgosaniasnncadeasdesndeadpenaceees 141 TAF SEU QRS Vole nienean anan a O EE E E 141 UABE A WITNESS AID EEE a E EE
14. 16 52 40 38 ID 001 Age 25 Years Name Marry Johnson at el d Se pete eoceeesterae coma secs ca EPEE rRe Rara Haa as eee Tooo o ae Em Se eS a el eh a HA RE BALA zi ahs is Mane e a E ot EEE i dl ean es Se a E ee vay Lak al Al A poi NSS A ei ee Baie BS ates Tareas e Cae ee omen A n it ois nh Ht SS aNs Il Mo i P ESS OEEO DOES ESSN a Ni a SL cs Hal an j tar f f I i pE aa A a Et Gna a a REA E A AEREA bhin n E 0 67 100Hz AC50 25mm s 10mm mYV 2 5s 1r Institution Name SE 12Express V1 8 SEMIP V1 5 a 80 12 Channel Electrocardiograph User Manual Printing ECG Reports 02 06 2010 16 52 52 ID z 001 Name Marry Johnson Age 25 Years Gender Female Height 165 cm Weight 50 kg Room No 0023 Department Average Template HR 60 BPM P Dur 94 ms PR int 174 ms QRS Dur 79 ms i af v gi QT QTC int 354 354 ms j IER NS p SRP j a SSi P QRS T axis 55 45 54 f RVS SV1 amp 1 042 0 536 mV l RVS SV1 amp 1 578 mY RV6 SV2 amp 0 736 0 882 mV u aV v2 Ws i ease I A a a ae 5 Diagnosis Information 800 Sinus Rhythm Normal ECG it aVE v3 4 V6 Report Confirmed by ii 0 67 100Hz ACSO 25mm s 10mn mV Institution Name SE 12Express V1 8 SEMIP V1 5 b The above figure a and b show an ECG report in the auto mode Template is selected and Record Style is set
15. Tab to move the cursor to the User Defined textbox on the Patient Information Setup interface and then manually input customized information such as Address 134 12 Channel Electrocardiograph User Manual System Setup which will be displayed in the Patient Information window 11 5 Transmission Setup Notes 1 To transmit ECG data in DAT format to the PC the Smart ECG Viewer software of the manufacturer must be installed in the PC You should log into the Smart ECG Viewer software before transmission 2 To transmit ECG data in SCP FDA XML PDF format to the PC the FTP receiving software must be installed in the PC You should log into the FTP receiving software before transmission Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Transmission on the System Setup interface press to open the Transmission Setup interface Transmission Setup ji92 flies Ho jo fass Hass bass fo OK Figure 11 7 Transmission Setup Interface After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 135 12 Channel Electrocardiograph User Manual System Setup 11 5 1 Setting Device No Press Tab or Shift Tab to move the cursor to the Device No textbox and then fill in the textbox If you input 1 in the Device No textbox after you
16. 1 Limit NC 100uA SFC SO00pA i Test the patient leakage current according to IEC EN 60601 1 Limit NC a c 10A d c 10uA SFC a c SOWA d c SOWA j Test the patient auxiliary current according to IEC EN 60601 1 Limit NC a c 10uA d c 10uA SFC a c SOWA d c SOWA k Test the patient leakage current under single fault condition with mains voltage on the applied part according to IEC EN 60601 1 Limit 50u A 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 has to be repaired WARNING Failure on the part of the responsible individual hospital or institution employing this equipment to implement a satisfactory maintenance schedule may cause undue equipment failures and possible health hazards 179 12 Channel Electrocardiograph User Manual Cleaning Care and Maintenance 1 Main Unit Avoid excessive temperature sunshine humidity and dirt Put the dustproof coat on the main unit after use and prevent shaking it violently when moving it to another place Prevent any liquid from seeping into the equipment otherwise the safety and the performance of the electrocardiograph can not be guaranteed 2 Patient Cable Integrity of the patient cable including the main cable and lead wires should be checked regularly Make sure that it is conductible Do not drag or twis
17. 350 ECG reports of 3x4 1R in the auto mode Please refer to the maintenance section for how to recharge the battery When the battery is being recharged the electrocardiograph can be powered by the mains supply WARNING 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 Recorder Paper Two kinds of recorder paper can be used One is the folded thermal paper and the other is the rolled thermal paper Notes 1 When the folded thermal paper is used the paper roller is unnecessary and must be taken out 2 When using the paper of 216mm in width the two movable parts should be removed 3 The exit edge can help you tear the recorder paper 42 12 Channel Electrocardiograph User Manual Operation Preparations CAUTION Make sure that the recorder paper especially the rolled paper is installed in the center of the recorder and the paper edge is parallel with the casing edge in the direction of advancing paper in order to avoid paper deviation or damage to the paper edge When the recorder paper runs out or is not loaded the hint message No Paper will appear on the screen Then you should load or replace the recorder paper immediately Movable Part 1 Movable Part 2 Paper Tray Exit Edge Edge for Casing Button tearing paper Exit Paper Roller Loading Replacing Process
18. 52 Screen Colors Only for SE 12 Option 1 Express 149 12 Channel Electrocardiograph User Manual System Setup 53 Antialiasing Off 54 QRS Volume Off 55 Hint Volume Medium 56 Key Volume Medium 57 Date Mode DD MM YYYY 58 Time Mode 24 Hours 59 Power Off 0 60 LCD Off 0 61 Auto Save On 62 Saving Path ECG 63 File Format DAT 64 Delete After Trans Or Export Off 65 Replace When Memory Full Off 66 SCP File Compression On 67 System Password Cleared 68 Caps Lock Off 69 Pacemaker Detection Sensitivity Low Exercise ECG 1 Display Style 4x3 2 Speed Unit mph 3 Post J 60ms 4 Device Type Treadmill 5 Device Model TM400 M 6 Ergometer Ergoline 7 BP Monitor In Ergometer 8 Maximum Systole 220mmHg 9 Maximum Diastole 90 mmHg 10 Minimum Systole 110 mmHg 11 Minimum Diastole 60 mmHg 150 12 Channel Electrocardiograph User Manual System Setup 12 Max Predicted HR 220 13 The proportion of Target HR in Max 85 Predicted HR 14 AC Filter On 15 DFT Filter 0 67Hz 16 EMG Filter Off 17 Lowpass Filter 100Hz 18 Rhythm Lead 1 II 19 Rhythm Lead 2 V1 20 Rhythm Lead 3 V5 21 Lead Sequence Standard 22 Gain 10mm mV 23 Paper Marker Yes 24 Exercise Report Late Stage 25 Report Style 6x2 1 26 Recovery Report On 27 Start time of Recovery Report 10s 28 Interval of Recovery Report 2mi
19. E E E A AE E 141 118 1 Setting Date and TIME irisse orner a R wea Eaa T eoa ESTS 142 113 2 Settings Date Mode 55s T r e a a a saben a e ae asia 142 118 3 Setting Time Mod sssirisnn e E E E E sae 143 FL GA Setting Power Ot TIME as ord he E E EE ck dane a oa om weston vse 143 TSS Serine ECD OM TIME ceases sais ease one hens E a E R eae 143 11 9 File SOtp ss sisessutind ee t sdaadasenncd aaa a santana Aa O E ease Lenses 143 LL 951 Selecting Alto SAVE susesccessscascisesendbaceoeecuilaeee nE A ETE ENA R E EDELAS 144 119 2 Setting Savane Path aicstce cca cococetlstanctatens ancatenauceuatupacanceaaseteatunceatensymeenedanecascnonaettes aneest 144 Eo ESAn ate TTS ORT T PE E E E E E E TERT 145 11 9 4 Selecting Deleting Files After Transmission or Expott ssseseeeseseererserereerersresresres 145 11 9 5 Selecting Replacing When Memory is Full ssossseeesseessesssesssseessseesseesseesseesseeesseee 145 119 6 Selecting SCP File Compression sinerien o a e a aa Eis 145 DL ALOES ystem Maintenance Setpa erini i a E a a EE vials se E vse 146 11 10 1 Exporting System Settings to U DisK sssesesssesessseessessersseeeseressseesseessresseesseeesseee 146 11 10 2 Loading System Settings from U Disk sessseesssssesseessessserssseessseesseessersserssseesssees 147 11 10 3 Backing Up Settitigsnsnrssnisisniss tinne a a E aE A ATE TEELS 147 11 10 4 Loading Backup Settings s 3542 cca cscnceusat sactacesacmeutsiagccaneoeeasstanceateasaseneisacconsane
20. Files Through Net Cable 109 10 2 Exporting Piles othe U DISK svccies cues esis ucun depercseraadeegeeay aeatanncvoeis daca aureaingtans O 110 10 3 Deleting Filesi errre Een SO Ie E RE On Ee 111 OAS Gate Ia PS ocd ok teal an carte rc cca a Mahal a acacia cen tuaaat E iki ete acaba N ub 112 10 5 Importing Files e nunni a ys dossanns e a e E Aa E a a E EES 113 10 6 Editing Patient Information 12 c6cicecvececctscscesenssoscstessdsncaeaeaeesasesvactesesenccntencdesscesedeasssbaceeses 113 10 7 RUE See a a a A a a NA 114 DSB Pea Wet SN EEA E E E E E EE 114 Chapter 11 System Seg npc csyiscesssswceseessncoevdusyeavecs yu ees sein veveuass cave de iy cate cays eoeusceveecceeva cons tasaxvenapigeets 118 TIl Work Mode Setup ass erni nnen n vag a E sundae R A E ES 118 11 11 Selecting Work Mode yccsces cess ceaveczcetscsencenssoseasebaveneisdscacsadeavcdsaledeadtesnnsaeses ooeedeadecoaceesna 119 Ti 1 2 Selecting Manual Stylessssienn anana a a a a ieia 120 TT AS Sere Cid WO RH SE e a A a a a ares 120 11 1 4 Selecting Auto Display Style scs csscics cscs sagenessuacvgvestiesuasdetes Govacadendosten dues asa pabedetevgutnaatane 120 11 15 Selecting Sampling MOMS 5 05 se0scacesbssshastuentistsaleectes bean tocertyogheviaahes eas laceazenghapbiaasnwetedaee 121 Ph AG Setting Titerval and D ratioN nsec n tes orate aeden gels tated ona dade atecaeaet 122 E17 Selecting Preview FUNC LOM 2 625 ot eis chick tal Saldanha cela ual aaah a a aR ic Lalas 122 11 1 8 Selecting
21. Manager interfacel 2 Press the Up or Down arrow to highlight a file on the File Manager interface1 and then press the function key F4 below Select to select the file and display the File Manager interface2 3 Press the function key F6 below Preview to open the file preview interface To Preview the File 1 Press the function key F1 below Waveform to display the waveform interface Marry Johnson EI a ton ae ee ie ee E meee ees erent omens canines e e PNN ae ee Se crete een E S E e ees eee See ren Se pr wan need A fm A Py all nea ee eee ee ee ee EE eee i TAR S Sen een a enone re ed eee oe e SEE po 4 E oe m eds a anA Soe reae i o a p A Pe S Ais a n at i A ie nin A 4 Pe E N ee Waveform Template Measure _ J Diagnosis _ _ Record Return 115 12 Channel Electrocardiograph User Manual Managing Files 2 Press the function key F2 below Template to display the template interface 00i Marry Johnson V5 O EA coach i s a al Waveform Template J Measure Diagnosis Record 3 Press the function key F3 below Measure to display the measure interface which shows Patient Name Patient ID Heart Rate P Duration PR interval QRS Duration QT QTC interval P QRS T axis RV5 SV1 amplitude RV5 SV1 amplitude and RV6 SV2 amplitude Marry Johnson Measurement Information HR 6 BPM P Dur 92 ms PR int 174 ms QRS Dur 82 ms
22. PDF For details on activating SCP FDA XML PDF function on the Advanced Setup interface refer to Section 9 1 3 Transmitting ECG Data in SCP FDA XML PDF Format Through Net Cable File Setup On U Disk of r OK Press a or press Tab or Shift Tab to move the cursor to the OK button and then press Ea When the System Setup interface is displayed press ESC to return to the main interface 4 In the auto or rhythm mode ECG data will be automatically exported to the directory of ECGDATA ECG X Store Examination Date of the U disk after an ECG report is printed out In 101 12 Channel Electrocardiograph User Manual Transmitting ECG Data Automatically the off mode ECG data will be automatically exported to the directory of ECGDATA ECG X Store Examination Date of the U disk after the START STOP key is pressed Note X can be set in the Device No textbox on the Transmission Setup interface 9 3 Real time Transmission to PC ECG Note For the real time transmission the PC ECG software of the manufacturer must be installed in the PC 1 Run the PC ECG software and configure it for the real time transmission Double click on the shortcut icon on the desktop to start up the PC ECG software Click on the System Setting button to open the System Setting interface Click on the Device tab Select SE serial Machine from the Sampling Device pull down list on the device setup interface After setup cli
23. Press Tab or Shift Tab to move the cursor to AUTO press Spacebar to select it and then a check mark V appears in the box before AUTO 2 Press Tab or Shift Tab to move the cursor to the Auto DispStyle list box and then press the Up or Down arrow to highlight a style 3 Press Tab or Shift Tab to move the cursor to the Sampling Mode list box and then 68 12 Channel Electrocardiograph User Manual Printing ECG Reports press the Up or Down arrow to highlight a sampling mode For details of the sampling mode refer to Section 11 1 5 Selecting Sampling Mode 4 Press Tab or Shift Tab to move the cursor to Preview and then press the Up or Down arrow to highlight Off or On 5 Press ea or press Tab or Shift Tab to move the cursor to the OK button and then press Ce Work Mode Setup Real time Sam 3 channels 6 channels Three Leads Cancel 6 On the System Setup interface press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Record Info press to open the Record Info Setup interface 7 Press Tab or Shift Tab to move the cursor to the Record Style list box and then press the Up or Down arrow to select a style 69 12 Channel Electrocardiograph User Manual Printing ECG Reports Record Info Setup Save Paper Synchrono i 8 Press Ce or press Tab or Shift Tab to move the cursor to the OK butto
24. RI RTA ERI RER RH TA ER EER G j I j ll yE la An an A Ji Ja a rv E aa TEN ee BRE Ait FEE E Ea HE seb PEE bs EE cok E EE h Bee re ja pelt 1 j ho ee ee es Se San nl zh h ate A f Fi i TIE Be LH jE 7 I Hh Hi ys LA 5 ilj H RIESA Ep al sey os Gir fin AN ces SS IE a a Aa ars E ate w ELA RA A E z TAIEPA i al ate apa z j j y Y j l Vs Ie sae qe MA a el oS ee l i i i V6 i f j A nr aoe mate teen e Ji eames cea mm s 10mm mV 060 Institution Name SE 12Express V1 8 SEMIP V1 5 Si 0 67 100Hz AC50 25 The above figure shows an ECG report in the manual mode channels 02 06 2010 16 56 30 Current Date amp Current Time ID 001 Patient ID 85 and Manual Style is set to 12 12 Channel Electrocardiograph User Manual Printing ECG Reports Age 25 Years Patient Age Name Marry Johnson Patient Name fl 1mV calibration mark I II UW aVR aVL aVF V1 V2 V3 V4 V5 V6 12 standard leads ECG waveform of 12 standard leads 0 67 100Hz 0 67Hz DFT Filter 100Hz Lowpass Filter AC50 50Hz AC Filter 25mm s Paper Speed 10mm mV Gain 760 Heart Rate Institution Name SE 12 Express Electrocardiograph Model V1 8 Software Version Number SEMIP V1 5 Algorithm Version Number 8 6 4 ECG Reports in the R R Analysis Mode ganET A 30 06 2010 17 43 18 980573
25. Setup to open the System Setup interface 2 Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor to File ed Go 3 Press Tab or Shift Tab to move the cursor to the Auto Save list box and then press the Up or Down arrow to select On Press Tab or Shift Tab to move the cursor to the Saving Path list box and then press the Up or Down arrow to select ECG 4 Press Ce or press Tab or Shift Tab to move the cursor to the OK button and then ee Ee 5 When the System Setup interface is displayed press ESC to return to the main interface To Switch to the File Manager Interface 1 2 When the main interface is displayed press the function key F7 below File to open the File Manager interfacel Press the Up or Down arrow to highlight a file on the File Manager interfacel and then press the function key F4 below Select to select the file and display the File Manager interface2 Then press the function key F7 below Return to return to the File Manager interfacel Press the function key F7 below Return on the File Manager interface to return to the main interface 104 12 Channel Electrocardiograph User Manual Managing Files File Manager 1 f 200 Name ID Time Mode Marry Johnson 00i 2010 04 08 10 50 26 AUTO File Manager 7 Time Mode 2010 04 08 10 50 26 AUTO Figure 10 2 File Manager Interface2 On the File Manager interface files can be printed transmitted exported displayed edite
26. Standard or Triggered the electrocardiograph sends the signals which it receives If External Input is set to Off and External Output is set to Standard the electrocardiograph sends ECG signals of rhythm lead I If External Input is set to Off and External Output is set to Triggered the electrocardiograph 153 12 Channel Electrocardiograph User Manual System Setup sends pulses with the height of 4V and the width of 40ms based on the data of rhythm lead I 11 11 6 Setting Pacemaker Detection Sensitivity Press Tab or Shift Tab to move the cursor to Pacemaker Detection Sens on the Other Setup interface and then press the Up or Down arrow to highlight Low or High When Pacemaker Detection Sens is set to High the pacemaker signals are easy to be detected When Pacemaker Detection Sens is set to Low the pacemaker signals are not easy to be detected For more information about the detectable parameter ranges please refer to Appendix 1 Technical Specifications Note If you select Pacemaker on the Patient Information Setup interface the pacemaker sensitivity can only be set in the Patient Information window and the setting of Pacemaker Detection Sens on the Other Setup interface is ineffective 154 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional Chapter 12 Operation Instructions for Exercise ECG Configurable for SE 12 Express 12 1 Activating Exer
27. Up Down Left or Right arrow to move the cursor to Function and then press to open the Function Configuration window Advanced Setup Function Configuration SCP Activate FDA XML Activate PDF Activate Stress Test Activate Return 3 Press Tab or Shift Tab to move the cursor to the Activate button after the function to be activated Press to open the Activate Password window Enter the password and press to activate the function Note Please contact local distributors to get the service password and the activating 99 12 Channel Electrocardiograph User Manual Transmitting ECG Data Automatically password 2 Set file format to SCP FDA XML PDF When the main interface is displayed press the function key F6 below Setup to open the System Setup interface Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor to File press to open the File Setup interface Press Tab or Shift Tab to move the cursor to File Format and then press the Up or Down arrow to select a format File Setup On U Disk a C a E 3 Transmit ECG data in SCP FDA XML PDF format through the net cable 1 Connect the electrocardiograph to the network of the PC with an Ethernet cable recommended by the manufacturer If the wireless AP transmission is used connect the PC to the server wireless AP and connect the electrocardiograph to the client wireless AP Only the wireless AP
28. User Manual Printing ECG Reports Lead Setup Cancel After setup press ESC to return to the main interface 2 When the main interface is displayed press the MODE key to select the R R analysis mode Press F4 to switch the gain Press F5 to set the EMG filter or the Lowpass filter 3 Press the START STOP key to begin to count the sampling time When the sampling time reaches 180s it begins to print an ECG report 4 It will stop automatically after a complete R R analysis report is printed or press the START STOP key to stop printing the ECG report Note In the R R analysis mode you can not set the speed The constant speed is 25mm s and the printing speed is 5mm s because in the R R analysis mode the ECG wave length is compressed to one fifth of the original wave length 8 5 Copy Printing In the auto mode pressing the COPY key can print the ECG report which was printed out last time Pressing the START STOP key can stop printing the ECG report 78 12 Channel Electrocardiograph User Manual 8 6 ECG Reports 8 6 1 ECG Reports in the Auto Mode 8 6 1 1 Example of 6x2 1R Save Paper Mode Printing ECG Reports 02 06 2010 16 51 43 18 ID 001 HR 60 BPM Diagnosis Information Name Marry Johnson P Dur 7 94 ms 00 Sinus Rhythm Age gt 25 Years Gender Female PR int 170 ms Normal ECG Height 165 cm Weight 50 kg QRS Dur 82 ms Room No 0023 QT QTC int 355 355 m
29. and display the File Manager interface2 Press the function key F4 below Export to export the selected file to the directory of ECGDATA ECG X Export Examination Date and Time of the U disk 110 12 Channel Electrocardiograph User Manual Managing Files If the U disk is not connected well the hint U disk is not ready will be displayed on the LCD screen of the electrocardiograph and then you should connect the U disk again If the electrocardiograph fails to export files the hint Exporting fails will pop up After the electrocardiograph successfully exports files the hint Exporting succeeds will be displayed Notes 1 Please insert the U disk or the SD card reader recommended by the manufacturer Please set the format to FAT or FAT32 when formatting the U disk 2 The format of the exported files can be set to DAT SCP FDA XML PDF For details refer to Section 9 2 Exporting ECG Data to the U Disk Automatically 3 X can be set in the Device No textbox on the Transmission Setup interface 4 If you select Delete After Trans Or Export on the File Setup interface the files will be deleted from the File Manager interface after they are exported 10 3 Deleting Files 1 When the main interface is displayed press the function key F7 below File to open the File Manager interfacel 2 Press the function key F3 below Del All to display the following hint press Tab or Shift Tab to move the cursor to the OK button and
30. and then press the function key F4 below Select to select the file and display the File Manager interface2 Press the function key F1 below Edit to open the Patient Information window 113 12 Channel Electrocardiograph User Manual Managing Files Patient Information 001 165 Female m 165 SC OK Cancel Note The Address item is customized 1 Press Tab or Shift Tab to move the cursor to a textbox Fill in the selected textbox 2 Press Tab or Shift Tab to move the cursor to a list box Press the Up or Down arrow to select an option 3 After inputting all the information press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm For details on inputting data please refer to Section 3 2 Entering Data 10 7 Printing Files When the main interface is displayed press the function key F7 below File to open the File Manager interfacel Press the Up or Down arrow to highlight a file on the File Manager interfacel and then press the function key F4 below Select to select the file and display the File Manager interface2 Press START STOP or the function key F2 below Record to print the selected file Pressing START STOP or the function key F2 below Stop can stop printing the file 10 8 Previewing a File To Open the File Preview Interface 1 When the main interface is displayed press the function key F7 below File to open the File 114
31. are controlled The customer or the user of the 12 channel electrocardiograph can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the 12 channel electrocardiograph as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Rated m maximum 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz output power of oH P d 1 2VP d 2 3VP transmitter W 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 195 12 Channel Electrocardiograph User Manual Appendix 3 Abbreviation Abbreviation Abbr English LCD Liquid Crystal Display BP Blood Pressure EC
32. be effective 2 To the patient with a pacemaker the EMG filter should be set to Off and the Lowpass filter should be set to 150Hz or else the amplitude of the pulses may decrease the width may increase and the diagnosis results may not include the pacemaker information 124 12 Channel Electrocardiograph User Manual System Setup 11 3 Record Info Setup Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Record Info on the System Setup interface press to open the Record Info Setup interface You can press F1 or F2 to switch between Setup 1 and Setup 2 After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 11 3 1 Setup 1 Press F1 or F2 to switch to the Setup 1 interface Record Info Setup Save Paper Sequential 10 5mm mv AGC 25mm s HP DJ D2468 HP DJ D5568 HP DJ D2668 HP D D4368 HP LJ P2035 Press lt F1 gt or lt F2 gt to switch page O Z OZO O o oOo Figure 11 4 Record Info Setup1 125 12 Channel Electrocardiograph User Manual System Setup 11 3 1 1 Selecting Auto Recording Style Press Tab or Shift Tab to move the cursor to the Record Style list box on the Setup 1 interface and then press the Up or Down arrow to highlight an option In the auto mode when Record Style is set to 3x4 ECG wav
33. below Template and then the 3 lead average templates will be displayed and the Template button will change into the ST Trend button X ST Trend Display 3 lead ST trends Y ST Trend Button Press the function key F7 below ST Trend and then the 3 lead ST trends will be displayed and the ST Trend button will change into the Template button Z Average Template The 3 lead average waves which are updated every 10 seconds and the positions of the calibration lines The 3 leads can be selected on the Lead Setup interface of the exercise test 3 6 About the System Setup Interface When the main interface is displayed press the function key F6 below Setup to display the System Setup interface Note If you set the system password on the System Maintenance interface you need enter the password before opening the System Setup interface For details refer to Section 11 10 7 Setting System Password 36 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application System Setup Work Mode Record Info Patient Info On the System Setup interface press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on an item press to open the setup interface of the item Take the Work Mode Setup interface for example Work Mode Setup Mode Options Check MANU Box M AUTO Pre Sample Triggered Sample Periodic Sample
34. channels Three Leads 12 channels Cancel 4 On the System Setup interface press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Lead press to open the Lead Setup interface 5 Press Tab or Shift Tab to move the cursor to the Lead Sequence list box and then press the Up or Down arrow to select a sequence 6 Press Ce or press Tab or Shift Tab to move the cursor to the OK button and then press Ce 73 12 Channel Electrocardiograph User Manual Printing ECG Reports Lead Setup Cancel After setup press ESC to return to the main interface When the main interface is displayed press the MODE key to select the manual mode Press F3 to select a paper speed Press F4 to switch the gain Press F5 to set the EMG filter or the Lowpass filter Press the Up or Down arrow to select the lead group to be displayed and printed Press the START STOP key to print an ECG report Press the START STOP key to stop printing the ECG report 8 3 Rhythm Mode Operation Method 1 To set Mode Options Rhythm Style Rhythm Lead1 2 3 or Lead Sequence Optional When the main interface is displayed press the function key F6 below Setup to open the System Setup interface The cursor is on Work Mode Press to open the Work Mode Setup interface 1 Press Tab or Shift Tab to move the cursor to RHYT press Spacebar to select it and then a check mark V appe
35. displayed press the function key F6 below Setup to open the System Setup window The cursor is on Work Mode Press to open the Work Mode Setup interface Single Lead 6 channels Three Leads Cancel 1 Press Tab or Shift Tab to move the cursor to R R press Spacebar to select it and then a check mark V appears in the box before R R 2 Press Tab or Shift Tab to move the cursor to the Rhythm Style list box Press the Up or Down arrow to highlight Single Lead or Three Leads 3 Press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm 4 Press ESC to cancel the operation or press Tab or Shift Tab to move the cursor to the Cancel button and then press to cancel the operation 29 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application 3 4 About the Main Interface After you turn on the device the main interface pops up Loe SRAL E 1 E j n gu e 08G AUTO Marry Johnson 25Y Sampling A R 01 arr y o h nson _ _ at 13 V i nie calle EPE ah ped ic Pe ae _ ees h Iv 60 12 00 01 Figure 3 2 SE 12 Main Interface 30 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application Name Explanation Patient Name within 60 ASCII characters or the equivalent number Name of other characters
36. figure Al American European aarti ancl Electrode Placement Al Ng Attachment point of the second rib to the right sternal edge A2 Nax Fifth intercostal space on the left posterior axillary line V4 Nap Left mid clavicular line in the fifth intercostal space RA R Right arm LA L Left arm RL NorRF Right leg LL F Left leg 4 5 2 Electrode Placement Two kinds of electrode can be used one is the reusable electrode and the other is the disposable electrode 4 5 2 1 Reusable Electrodes Reusable electrodes include limb electrodes and chest electrodes as the following figures show Suction Bulb Metal Cup Connecting to a Lead Wire Chest Electrode z5 12 Channel Electrocardiograph User Manual Operation Preparations Connecting to a Lead Wire Reed Clamp Limb Electrode Chest Electrode Connection 1 2 3 4 5 6 7 Ensure that the electrodes are clean Align all lead wires of the patient cable to avoid twisting and connect the lead wires to the corresponding electrodes according to the colors and identifiers Clean the electrode area on the chest surface with 75 alcohol Daub the round area of 25mm in diameter on each electrode site with gel evenly Place a small amount of gel on the brim of the chest electrode s metal cup Place the electrode on the chest electrode site and squeeze the suction bulb Unclench it and the electrode is adsorb
37. function key F1 below Patient To select Setup press the function key F6 below Setup 397 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application 3 2 Entering Data Patient Information Marry Johnson Female FT Cancel 1 When the main interface is displayed press the function key F1 below Patient to open the Patient Information window 2 Press Tab or Shift Tab to move the cursor to the Name textbox 3 Press on the keyboard to erase the typed information 4 Press the letter or number keys on the keyboard to input patient name Press Fn and a letter key to input the special character in the top right corner of the key Press Shift e and a number key to input the special character in the top right corner of the key For example press Fn a to input and press Shift 3 to input If Caps Lock is set to Off pressing Shift Le and a letter key can input a capital letter If Caps Lock is set to On pressing Shift Le and a letter key can input a lowercase letter 5 Press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm 6 Press ESC to cancel the operation or press Tab or Shift Tab to move the cursor to the Cancel button and then press to cancel the operation 28 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application 3 3 Selecting an Item When the main interface is
38. move the cursor to the Device Model list box and then press the Up or Down arrow to specify the device model Press Tab or Shift Tab to move the cursor to the BP Monitor list box and then press the Up or Down arrow to highlight Off Tango or In Ergometer 159 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional Treadmill lil Ergometer ODE Cancel 5 Press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 6 Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Protocol on the System Setup interface press to open the Protocol Manager interface Select a protocol by pressing the Up or Down arrow Then press the function key F7 below Return to return to the System Setup interface 160 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional Protocol Manager Protocol Name 13 pedi Select Delete Del All Restore Return 7 Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor to Return and then press to return to the main interface of the exercise test 8 Setting the treadmill or the ergometer for external control 1 For TM 400 treadmill it is ready for external control and needn t be set 2 For Lode Treadmill Valiant Hold down the following two k
39. not be effective Note LCD Off time is counted from the time when you last press the keys on the keyboard 11 9 File Setup Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on File on the System Setup interface press to open the File Setup interface 143 12 Channel Electrocardiograph User Manual System Setup File Setup Cancel Figure 11 11 File Setup Interface After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 11 9 1 Selecting Auto Save Press Tab or Shift Tab to move the cursor to the Auto Save list box on the File Setup interface and then press the Up or Down arrow to highlight Off or On When Auto Save is set to On ECG data in the auto rhythm or off mode will be saved in the ECG or the U disk automatically When Auto Save is set to Off ECG data will not be saved 11 9 2 Setting Saving Path Press Tab or Shift Tab to move the cursor to the Saving Path list box on the File Setup interface and then press the Up or Down arrow to highlight ECG or U Disk When Saving Path is set to ECG if Auto Save is set to On ECG data in the auto rhythm or off mode will be saved in the ECG automatically When Saving Path is set to U Disk if Auto Save is set to On ECG data in the auto rhythm or off mode will be saved in the U
40. of Folded Paper 1 Press the casing button downwards and remove the casing to open the recorder 43 12 Channel Electrocardiograph User Manual Operation Preparations 2 Remove the remainder paper from the paper tray if necessary 3 Take off the wrapper of the new folded paper and then put it in the paper tray i 4 Pull the paper out with the grid side facing the thermal print head and replace the casing on the recorder 5 Press down the recorder casing firmly 6 To select Paper Marker Press on the keyboard to turn on the unit After the main interface is displayed press the function key F6 below Setup to display the System Setup interface Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Record Info on the System Setup interface press to open the Record Info Setup interface Press Tab or Shift Tab to move the cursor to the Paper Marker list box and then press the Up or Down arrow to highlight No or Yes Press to confirm and then the System Setup interface appears Press ESC to return 44 12 Channel Electrocardiograph User Manual Operation Preparations to the main interface 7 Advance the recorder paper When the main interface is displayed if Paper Marker is set to Yes you can press Tab o to advance the recorder paper to the next black marker if Paper Marker is Tab O Tab O set to No you can press to advan
41. of the Local IP item to the first three sections of the IP of the PC The last section of the Local IP item is OF 12 Channel Electrocardiograph User Manual Transmitting ECG Data Automatically not the same as the last section of the IP of the PC Set the first three sections of the Gateway item to the first three sections of the IP of the electrocardiograph The last section of the Gateway item must be set to 1 Commonly Subnet Mask is set to 255 255 255 0 Transmission Setup 8 Press E or press Tab or Shift Tab to move the cursor to the OK button and then ra E 9 Press ESC to return to the main interface 3 Log into the Smart ECG Viewer software 4 In the auto or rhythm mode ECG data will be transmitted through the net cable automatically after an ECG report is printed out In the off mode ECG data will be transmitted through the net cable automatically after the START STOP key is pressed 9 1 3 Transmitting ECG Data in SCP FDA XML PDF Format Through Net Cable 1 Activate SCP FDA XML PDF function on the Advanced Setup interface 98 12 Channel Electrocardiograph User Manual Transmitting ECG Data Automatically 1 When the main interface is displayed press the function key F6 below Setup to open the System Setup interface 2 Press F1 to display the Service Password window Then enter the password and press to open the Advanced Setup interface Press Tab or Shift Tab or the
42. rae eee TA Pi Mee mE Waveform _ _ Template _ _ Measure Diagnosis Continue Cancel Figure 8 1 Waveform Preview Interface 1 Na Press the function key F1 below Waveform to display the waveform preview interface 2 3 4 5 6 ww Press the function key F2 below Template to display the template preview interface ww Press the function key F3 below Measure to display the measure preview interface NN Press the function key F4 below Diagnosis to open the diagnosis preview interface wa Press the function key F5 below Continue to print an ECG report wa Press the function key F6 below Cancel to stop printing the ECG report 8 2 Manual Mode Operation Method 1 To set Mode Options Manual Style or Lead Sequence Optional When the main interface is displayed press the function key F6 below Setup to open the System Setup interface The cursor is on Work Mode Press to open the Work Mode Setup interface 1 Press Tab or Shift Tab to move the cursor to MANU press Spacebar to select it and then a check mark V appears in the box before MANU 2 Press Tab or Shift Tab to move the cursor to the Manual Style list box and then press 72 12 Channel Electrocardiograph User Manual Printing ECG Reports the Up or Down arrow to highlight a style 3 Press e or press Tab or Shift Tab to move the cursor to the OK button and then press e Work Mode Setup Single Lead 6
43. recommended by the manufacturer can be used 2 Input the correct FTP path FTP user name and password Set Auto Transmission to On and Transmission Mode to Ethernet Set the IP addresses For details please refer to Section 9 1 2 Transmitting ECG Data in DAT Format Through Net Cable 3 Log into the FTP receiving software The FTP port is 21 4 In the auto or rhythm mode ECG data will be transmitted through the net cable automatically after an ECG report is printed out In the off mode ECG data will be transmitted through the net 100 12 Channel Electrocardiograph User Manual Transmitting ECG Data Automatically cable automatically after the START STOP key is pressed 9 2 Exporting ECG Data to the U Disk Automatically 1 Insert the U disk recommended by the manufacturer to USB socket 2 of the electrocardiograph 2 When the main interface is displayed press the function key F6 below Setup to open the System Setup interface Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor to File press to open the File Setup interface 3 Press Tab or Shift Tab to move the cursor to the Auto Save list box and then press the Up or Down arrow to select On Press Tab or Shift Tab to move the cursor to the Saving Path list box and then press the Up or Down arrow to select U Disk Press Tab or Shift Tab to move the cursor to File Format and then press the Up or Down arrow to select DAT SCP FDA XML
44. style or 20s in the Three Leads style it begins to print an ECG report It will stop automatically after printing a complete report of rhythm lead ECG waveforms Or press the START STOP key again to stop printing the ECG report 8 4 R R Analysis Mode Operation Method 1 To set Mode Options or Rhythm Lead1 When the main interface is displayed press the function key F6 below Setup to open the System Setup interface The cursor is on Work Mode Press to open the Work Mode Setup interface 1 Press Tab or Shift Tab to move the cursor to R R press Spacebar to select it and then a check mark V appears in the box before R R 76 12 Channel Electrocardiograph User Manual Printing ECG Reports Work Mode Setup Vv Real time Sample Iv Triggered Sample Vv Periodic Sample lv al 160 3 i jon off channels 6 channels Three Leads OK Cancel 2 Press ce or press Tab or Shift Tab to move the cursor to the OK button and then press Ce 3 On the System Setup interface press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Lead press to open the Lead Setup interface 4 Press Tab or Shift Tab to move the cursor to the Rhythm Lead1 list box and then press the Up or Down arrow to select a lead 5 Press E or press Tab or Shift Tab to move the cursor to the OK button and then press E aJs 12 Channel Electrocardiograph
45. the auto mode the lead groups are switched automatically according to the lead sequence during the printing course After the ECG waves of one lead group are printed within a certain time the system switches to print ECG waves of another lead group automatically A lmV calibration mark will be printed at the beginning of an ECG report In the manual mode you can determine the lead group to be displayed and printed by pressing the Up or Down arrow In the rhythm mode you can print 60s rhythm lead ECG waveform of one lead in the Single Lead style or 20s rhythm lead ECG waveform of three leads in the Three Leads style In the R R analysis mode you can select a lead to print its R R histogram R R trend chart 180s compressed ECG waveform and all the R R interval values Notes 1 The working mode can not be changed during the printing course Stop printing reports before changing the working mode 2 Within three seconds after returning to the main interface if you press the START STOP key to print an ECG report in the auto quick mode or the manual mode the recorder will not respond 8 1 Auto Mode Operation Method 1 To set Mode Options Auto DispStyle Sampling Mode Preview Record Style Rhythm Lead1 2 3 or Lead Sequence Optional When the main interface is displayed press the function key F6 below Setup to open the System Setup interface The cursor is on Work Mode Press to open the Work Mode Setup interface 1
46. the following hint will pop up 108 12 Channel Electrocardiograph User Manual Managing Files 6 Or press the Up or Down arrow to highlight a file on the File Manager interfacel and then press the function key F4 below Select to select the file and display the File Manager interface2 Press the function key F3 below Trans to transmit the selected file to the PC 10 1 3 Transmitting SCP FDA XML PDF Files Through Net Cable 1 Activate SCP FDA XML PDF function on the Advanced Setup interface For details refer to Section 9 1 3 Transmitting ECG Data in SCP FDA XML PDF Format Through Net Cable 2 Set file format to SCP FDA XML PDF When the main interface is displayed press the function key F6 below Setup to open the System Setup interface Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor to File press to open the File Setup interface Press Tab or Shift Tab to move the cursor to File Format and then press the Up or Down arrow to select a format File Setup Off On U Disk ofp OK 3 Transmit SCP FDA XML PDF files through the net cable 1 Connect the electrocardiograph to the network of the PC with an Ethernet cable recommended by the manufacturer 109 12 Channel Electrocardiograph User Manual Managing Files If the wireless AP transmission is used connect the PC to the server wireless AP and connect the electrocardiograph to the client wireless A
47. then press to delete all the files from the electrocardiograph HINT You will delete all files sure Cancel 3 Or press the Up or Down arrow to highlight a file on the File Manager interfacel and then press the function key F4 below Select to select the file and display the File Manager interface2 Press the function key F5 below Delete to display the following hint press Tab or Shift Tab to move the cursor to the OK button and then press to delete the selected file from the electrocardiograph 111 12 Channel Electrocardiograph User Manual Managing Files HINT 10 4 Searching Files To Open the SearchInfo Setup Window 1 When the main interface is displayed press the function key F7 below File to open the File Manager interface 2 Press the function key F5 below Search to open the SearchInfo Setup window SearchInfo Setup cs Pe 8 as jn 20 i To Search Files 1 Press Tab Shift Tab or the Up or Down arrow to select Name and then input the patient name Press cel or press Tab or Shift Tab to move the cursor to the OK button and then press Ce Then all the files with the input patient name will be displayed on the File Manager interface1 2 Press Tab Shift Tab or the Up or Down arrow to select ID and then input the patient ID Press EA or press Tab or Shift Tab to move the cursor to the OK button and then press Ea Then all the files with the input patient
48. while using the ECG together with a defibrillator 12 Channel Electrocardiograph User Manual Safety Guidance 18 19 20 21 22 23 24 25 WARNING In order to avoid being burnt please keep the electrodes far away from the radio knife while using electrosurgical equipment 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 configuration shall comply with the valid version of the standard IEC EN 60601 1 1 Therefore anybody 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 The potential equalization bar can be connected to that of other equipment when necessary Make sure that all these devices are connected to the potential equalization terminal The equipment is protected against malfunctions caused by electrosurgery according to the clause 36 202 101 in the standard IEC 60601 2 25 The disposable electrodes can only be used for one time If the wir
49. will be printed in the ECG reports In the R R analysis mode the R R analysis report of the rhythm lead selected in the Rhythm Lead1 list box will be printed 11 6 2 Setting Lead Sequence Press Tab or Shift Tab to move the cursor to the Lead Sequence list box on the Lead Setup interface and then press the Up or Down arrow to highlight Standard or Cabrera Lead Sequence Lead group 1 Lead group 2 Lead group 3 Lead group 4 Standard I I W aVR aVL aVF V1 V2 V3 V4 V5 V6 Cabrera aVL I aVR II aVF W V1 V2 V3 V4 V5 V6 11 6 3 Selecting Nehb Press Tab or Shift Tab to move the cursor to the Nehb list box on the Lead Setup interface and then press the Up or Down arrow to highlight Off or On Lead Sequence I I HI ND NA NI Note If you set Nehb to On the working mode is fixed to be manual 11 7 Display amp Sound Setup Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Display amp Sound on the System Setup interface press to open the Display amp Sound Setup interface After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 139 12 Channel Electrocardiograph User Manual System Setup Display amp Sound Setup Cancel Figure 11 9 Display amp Sound Setup Interface 11 7 1 Setting Brightness Pres
50. 0 WARNING Ruptured fuses must only be replaced with those of the same type and rating as the original 24 12 Channel Electrocardiograph User Manual Introduction 2 7 Function Features Supporting multi language Full alphanumeric keyboard For SE 12 Express touch screen is available Built in rechargeable lithium battery with large capacity ECG signals of 12 leads are gathered and amplified simultaneously 12 channel waves are displayed and recorded simultaneously High resolution thermal recorder recording frequency response lt 150Hz Supporting external USB printer Flexible printing formats The auto manual rhythm R R analysis and off modes can be chosen freely Automatic baseline adjustment for optimal printing Convenient operation of system setup and file management Multiple file formats DAT SCP FDA XML PDF Measurement function and interpretation function Hint information of lead off lack of paper low battery capacity etc Supporting bar code reader ECG data can be transmitted to the PC software through the serial cable net cable or wireless AP optional Real time transmission to PC ECG The following features are only for the exercise test function of SE 12 Express optional Real time analysis ST segment and trend are applied while sampling Real time display and print of 12 lead simultaneous ECG waveforms 25 12 Channel Electrocardiograph User Manual Introdu
51. 0 94 866 137 634 180 750 223 750 9 634 52 750 95 750 138 866 181 634 224 750 10 866 53 634 96 750 139 750 182 866 225 634 11 750 54 866 97 634 140 750 183 750 226 866 12 750 55 750 98 866 141 634 184 750 227 750 i 13 634 56 750 99 750 142 866 185 634 228 750 14 866 57 634 100 750 143 750 186 866 229 634 j 15 750 58 866 101 634 144 750 187 750 230 866 16 750 59 750 102 866 145 634 188 750 231 750 17 634 60 750 103 750 146 866 189 634 232 750 18 866 61 634 104 750 147 750 190 866 233 634 j 19 750 62 866 105 634 148 750 191 750 234 866 20 750 63 750 106 866 149 634 192 750 235 750 21 634 64 750 107 750 150 866 193 634 236 750 22 866 65 634 108 750 1517750 194 866 237 634 f 23 750 66 866 109 634 152 750 195 750 238 866 24 750 67 750 110 866 153 634 196 750 239 750 25 634 68 750 111 750 154 866 197 634 26 866 69 634 112 750 155 750 198 866 27 750 70 866 113 634 156 750 199 750 28 750 71 750 114 866 157 634 200 750 29 634 72 750 115 750_ 158 866 201 634 30 866 73 634 116 750 159 750 202 866 31 750 74 866 117 634 160 750 203 750 32 150 75 150 118 866 161 634 204 750 33 634 76 750 119 750 162 866 205 634 34 866 77 634 120 750 163 750 206 866 35 750 78 866 121 634 164 750 207 750 36 750 79 750 122 866 165 634 208 750 37 634 80 150 123 150 166 866 209 634 38 866 81 634 124 750 167 750 210 866 39 750 82 866 125 634 168 750 211 750 40 750 83 750 126 866 169 634 212
52. 750 41 634 84 750 127 7150 170 866 213 634 42 866 85 634 128 750 171 750 214 866 43 750 86 866 129 634 472 750 215 750 na Institution Name SE 12 EXPRESS V1 8 SEMIP VIS ES i fie TH Bes Bees i Pe ered Gee Ee B EEE ys1 3246221 c The above figure a b and c show an ECG report in the R R analysis mode Figure a shows Current Date amp Current Time Patient Information Name ID Gender Age Height Weight Measuring Time Total Beat Number HR Heart Rate RR Avg Interval Average RR interval RR Max Interval Maximum RR interval 88 12 Channel Electrocardiograph User Manual Printing ECG Reports RR Min Interval Minimum RR interval Max Min Ratio of Maximum RR interval to Minimum RR interval SDNN Standard Deviation of Normal to Normal Intervals RMSSD Root Mean Square Successive Difference RR Histogram RR Trend Figure b shows Current Date amp Current Time Patient Information Name ID Age Gain Speed Filter fl mV calibration mark II Lead name 180s compressed ECG wave of Lead II Figure c shows All the RR interval values within the measuring time 89 Printing ECG Reports 12 Channel Electrocardiograph User Manual 8 6 5 ECG Reports Printed by the USB Printer SIA GINAS BTA S8asdxaz1 as 3T 8S42 AWM sys OSOW ZHOOI ZHL90 q pauusyuog yoday AW Z88 0 9EL 0 dwe ZAS 9AY AW sist dwe TAS SAN AW 9ES O ZpO T dwe LAS SAN o PSISb SS Se LISUD d
53. 75Hz CMRR gt 115dB Sampling Frequency 1000 Hz Pacemaker Detection Amplitude 2 to 700 mV Width 0 1 to 2 0 ms 189 12 Channel Electrocardiograph User Manual Technical Specifications Sampling Frequency 10 000 sec channel External Input Output Optional gt 100k Q Sensitivity 10mm V 5 Input Single ended lt 100Q Sensitivity 1V mV 45 Output Single ended Note Test the accuracy of input signal reproduction according to the methods described in clause 4 2 7 2 in ANSI AAMI EC11 1991 R 2001 and the result complies with the clause 3 2 7 2 in ANSI AAMI EC11 1991 R 2001 190 12 Channel Electrocardiograph User Manual EMC Information Appendix 2 EMC Information Guidance and manufacture s declaration electromagnetic emissions for all EQUIPMENT and SYSTEMS Guidance and manufacture s declaration electromagnetic emission The 12 channel electrocardiograph is intended for use in the electromagnetic environment specified below The customer or the user of the 12 channel electrocardiograph should assure that it is used in such an environment Emission test Compliance Electromagnetic environment guidance RF emissions The 12 channel electrocardiograph uses RF CISPR 11 energy only for its internal function Group 1 Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment R
54. Auto Extend Record 5 iisccccisscveisteasecsissscaciasesvaasabedeaesasnncuees seceeteaauecsctesabenennts 122 11 2 Filter SQtuipccsicssseccc costaase ena r spacea te Goysanns E A e EE Ea A E E N dees usec 122 11 2 Setting AC Filter ye iirin an nirea a a R a ETEN asa iS a a nS 123 22 Setin DETH n annann a E a E 123 1123 Sene PEM O PE N E E A 124 11 24 Setting OW pass Fiber sc snxdesds eaea e eoa R EE S s OOE S TaT 124 LDS Record mfo Set Piri or ie e e a a a a a ave a a a a 125 TAPS eup ersen a e a e A yet sah A E S 125 T13 2 SetuP OP Sern e E e E So ee EE a E ERE E 129 11 4 Patient Information Setup icc scccsccascossce sateeeea Vousaeteveysnciasoaveiaaiadeatavavmecess vacedae tadenamauereceesne 130 11 4 1 Selecting First Last Name Gender D O B Height Weight BP Race Pacemaker Medication Room No Department Physician Technician Ref Physician 131 H42 Selecting ID NOC Seat stue seantecccsl sci scctoses cxecitat ence audeonaatiat O O ET anceasea een 132 Lit AS S lectine ID Hants sacsccesyeasavnyhzensasegtiadeabecetesavtaread bevy EE ENE E ESEE ESE E 132 PE AA Setting PROM eenei a grease a E R eeu ewes Ea ESTE 132 114 5 S lectine H W UM verie te e shag rto led coed Bean a a a led obey a E a rE eSEE 132 IE Ae Selectine BP UN ie a a a a a AS 133 F47 Selecting Next Patientinnen aa a i ee BAe ee 133 11 4 8 Setting the Time to Clear Patient Information seseseseeeeesesesseressessrssseesresressreserseresee 134
55. CG waves of 12 leads are displayed in 4 groups of 3 When the auto display style is set to 3x4 1R ECG waves of 12 leads are displayed in 4 groups of 3 with the ECG wave of one rhythm lead on the bottom When the auto display style is set to 3x4 3R ECG waves of 12 leads are displayed in 4 groups of 3 with ECG waves of three rhythm leads on the bottom When the auto display style is set to 6x2 ECG waves of 12 leads are displayed in 2 groups of 6 When the auto display style is set to 6x2 1R ECG waves of 12 leads are displayed in 2 groups of 6 with the ECG wave of one rhythm lead on the bottom When the auto display style is set to 12x1 ECG waves of 12 leads are displayed on one screen simultaneously 11 1 5 Selecting Sampling Mode Press Tab or Shift Tab to move the cursor to the Sampling Mode list box on the Work Mode Setup interface and then press the Up or Down arrow to highlight an option When Sampling Mode is set to Pre Sample 10s ECG data sampled before pressing the START STOP key will be printed out Note When Sampling Mode is set to Pre Sample if you press the START STOP key before the electrocardiograph samples for 10s the recorder will not respond When Sampling Mode is set to Real time Sample 10s ECG data sampled after pressing the START STOP key will be printed out When Sampling Mode is set to Triggered Sample after pressing the START STOP key if Arrhythmia ECG data including Asystole Ventricular Fibrill
56. F emission Class A The 12 channel electrocardiograph is suitable CISPR 11 for use in all establishments other than Harmonic emissions domestic and those directly connected to the IEC EN 61000 3 2 cee public low voltage power supply network that Voltage fluctuations supplies buildings used for domestic purposes flicker emissions Complies IEC EN 61000 3 3 191 12 Channel Electrocardiograph User Manual EMC Information Guidance and manufacture s declaration electromagnetic immunity for all EQUIPMENT and SYSTEMS Guidance and manufacture s declaration electromagnetic immunity The 12 channel electrocardiograph is intended for use in the electromagnetic environment specified below The customer or the user of 12 channel electrocardiograph should assure that it is used in such an environment IEC EN 60601 test y Electromagnetic Immunity test Compliance level level environment guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood discharge ESD 8 kV air 8 kV air concrete or ceramic tile If IEC EN 61000 4 2 floor are covered with synthetic material the relative humidity should be at least 30 Electrical fast 2 kV for power 2 kV for power Mains power quality transient burst supply lines supply lines should be that of a typical IEC EN 61000 4 4 commercial or hospital environment Surge 1 kV line to line 1 kV line to line Mains power q
57. FT Filter 100Hz Lowpass Filter 92 12 Channel Electrocardiograph User Manual AC50 50Hz AC Filter 10mm mV Gain Institution Name V1 8 Software Version Number Printing ECG Reports 25mm s Paper Speed 60 Heart Rate SE 12 Express Electrocardiograph Model SEMIP V1 5 Algorithm Version Number 93 12 Channel Electrocardiograph User Manual Transmitting ECG Data Automatically Chapter 9 _ Transmitting ECG Data Automatically 9 1 Transmitting ECG Data to the PC Notes 1 To transmit ECG data in DAT format to the PC the Smart ECG Viewer software of the manufacturer must be installed in the PC You should log into the Smart ECG Viewer software before transmission 2 To transmit ECG data in SCP FDA XML PDF format to the PC the FTP receiving software must be installed in the PC You should log into the FTP receiving software before transmission 3 By default the ECG file format is DAT You can activate SCP FDA XML PDF function on the Advanced Setup interface For details refer to Section 9 1 3 Transmitting ECG Data in SCP FDA XML PDF Format Through Net Cable 9 1 1 Transmitting ECG Data in DAT Format Through Serial Cable 1 Connect the RS232 socket of the PC to the RS232 socket of the electrocardiograph with an RS232 cable 2 Or if the PC has no RS232 socket connect the USB socket of the PC to the RS232 socket of the electrocardiograph by using the RS232 USB assembly 94 12 Channel El
58. G Electrocardiogram Electrocardiograph HR Heart Rate aVF Left Foot Augmented Lead aVL Left Arm Augmented Lead aVR Right Arm Augmented Lead LA Left Arm LL Left Leg RA Right Arm RL Right Leg ID Identification AC Alternating Current USB Universal Serial Bus AGC Auto Gain Control Medical Device Depot www medicaldevicedepot com 1 877 646 3300 196
59. ID gt 001 Measuring Time 180 s Name Marry Johnson Total Beat Number 240 Age 25 Years Gender Female i Height 165 em Weight 50 ke HR FORT BEM Room No 0023 RRAvegInterval 749 ms RRMaxinterval 66 ms RRMininterval 633 ms Max Min 1 368 SDNN 2 208ms RMSSD 10 976 Report Confirmed by s RR Trend 2 0 RR Histogram 100 1 8 1 6 80 1 4 60 l e i institution Name SE 12 EXPRESS V1 8 SEMIP V1 5 a 86 Printing ECG Reports 12 Channel Electrocardiograph User Manual as TID Ae H ae i ee Hegre ghee pE ee JEg ee bapa coe a Pe E gt A TIN er ERE HEE S EEEE Y A EH EEE GE HEH EEN eared a see eee mee eee 4 Ta e ee Guess ante i efas i 2 n SRH NR RERA 7 RA RH E ae F 4 Bere EES Cree z Di F FE UES HEN GEN HEE nE an Be gt o 7 ae b 87 12 Channel Electrocardiograph User Manual Printing ECG Reports HER ss BR 30 06 2010 17 43 38 pe gen bes peen ps TD RIN EN R RE ER TE AR RRI ar pe ID 001 f Age 25 Years Name Marry Johnson f ae RR Interval List ms No No No No No No i 1 633 44 750 87 750 130 866 173 634 216 750 2 866 45 634 88 750 131 750 174 866 217 634 3 750 46 866 89 634 132 750 175 750 218 866 4 750 47 750 90 866 133 634 176 750 219 750 634 48 750 91 750 134 866 177 634 220 750 6 866 49 634 92 750 135 750 178 866 221 634 7 750 50 866 93 634 136 750 179 750 222 866 8 750 51 75
60. ID will be displayed on the File Manager interfacel 112 12 Channel Electrocardiograph User Manual Managing Files 3 Press Tab Shift Tab or the Up or Down arrow to select Time and then input the examination time range Press ez or press Tab or Shift Tab to move the cursor to the OK button and then press E Then all the corresponding files from the start time to the end time will be displayed on the File Manager interface1 Note The time mode is year month day on the SearchInfo Setup interface 10 5 Importing Files 1 Insert the U disk recommended by the manufacturer to USB socket 2 of the electrocardiograph 2 When the main interface is displayed press the function key F7 below File to open the File Manager interface1 3 Press the function key F6 below Import to import files from the directory of ECGDATA ECG X Import of the U disk to the electrocardiograph Notes 1 X can be set in the Device No textbox on the Transmission Setup interface 2 Only the ECG files in DAT format produced by the electrocardiograph of the manufacturer can be imported 3 For SE 12 a maximum of 100 files can be imported at one time For SE 12 Express a maximum of 200 files can be imported at one time 10 6 Editing Patient Information When the main interface is displayed press the function key F7 below File to open the File Manager interfacel Press the Up or Down arrow to highlight a file on the File Manager interfacel
61. Manufacturer EDAN only considers itself responsible for any effect on safety reliability and performance of the equipment if Assembly operations extensions re adjustments modifications or repairs are carried out by persons authorized by EDAN and The electrical installation of the relevant room complies with national standards and The instrument is used in accordance with the instructions for use Upon request EDAN may provide with compensation necessary circuit diagrams and other information to help qualified technician to maintain and repair some parts which EDAN may define as user serviceable Terms Used in this Manual This guide is designed to give key concepts on safety precautions WARNING A WARNING label advises against certain actions 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 regarding a function or a procedure II Table of Contents Chapter Safety Guidance wacsecisiceecs cscs ccccasscaetnesciecccacnuescuccorncnssecasnavenean eaire e sas teesi eas oneee Sass asas eos 1 eG Usiceeiiec eaae aaa a 1 D2 WWE To QUOI So As sa E E andes asst E E swaeeass 1 LDS SATCVY Warning S ics ceasn chance tcaaca heb acetic a ators waa dun selec s Qushacaawa stead a a E EEES 1 12 2 Battery Care Warning Sosa iiei r
62. Note AC frequency can be set to 50Hz or 60Hz on the Advanced Setup interface according to local mains supply specifications 11 2 2 Setting DFT Filter Press Tab or Shift Tab to move the cursor to the DFT Filter list box on the Filter Setup interface Press the Up or Down arrow to highlight an option 123 12 Channel Electrocardiograph User Manual System Setup DFT Filter greatly reduces the baseline fluctuations without affecting the ECG signals The purpose of this filter is to keep the ECG signals on the baseline of the printout The set value is the low limit of the frequency range including 0 05Hz 0 15Hz 0 25Hz 0 32Hz 0 5Hz and 0 67Hz 11 2 3 Setting EMG Filter Press Tab or Shift Tab to move the cursor to the EMG Filter list box on the Filter Setup interface Press the Up or Down arrow to highlight an option EMG Filter suppresses disturbance caused by strong muscle tremor The cutoff frequency can be set to 25Hz 35Hz or 45Hz Select Off to turn off the function 11 2 4 Setting Lowpass Filter Press Tab or Shift Tab to move the cursor to the Lowpass Filter list box Press the Up or Down arrow to highlight an option Lowpass Filter restricts the bandwidth of input signals The cutoff frequency can be set to 150Hz 100Hz or 75Hz All the input signals whose frequency is higher than the set cutoff frequency will be attenuated Notes 1 Only when EMG Filter is set to Off can the setting of Lowpass Filter
63. P Only the wireless AP recommended by the manufacturer can be used 2 Log into the FTP receiving software The FTP port is 21 3 Input the correct FTP path FTP user name and password Set Transmission Mode to Ethernet Set the IP addresses For details please see Section 9 1 3 Transmitting ECG Data in SCP FDA XML PDF Format to the PC Through Net Cable 4 Press the function key F7 below File to display the File Manager interface1 5 Press the function key F1 below Trans All to transmit all the files to the PC After all the files are transmitted the following hint will pop up HINT Transmitting succeeds 6 Or press the Up or Down arrow to highlight a file on the File Manager interfacel and then press the function key F4 below Select to select the file and display the File Manager interface2 Press the function key F3 below Trans to transmit the selected file to the PC 10 2 Exporting Files to the U Disk 1 Insert the U disk recommended by the manufacturer to USB socket 2 of the electrocardiograph 2 When the main interface is displayed press the function key F7 below File to open the File Manager interfacel 3 Press the function key F2 below Export All to export all the files to the directory of ECGDATA ECG X Export Examination Date and Time of the U disk 4 Or press the Up or Down arrow to highlight a file on the File Manager interfacel and then press the function key F4 below Select to select the file
64. P R interval from several selected dominant beats QRS Dur QRS complex duration the average QRS complex duration from several selected dominant beats QT QTC int Q T interval the average Q T interval from several selected dominant beats Normalized QT interval P QRS T axis Dominant direction of the average integrated ECG vectors RV5 SV1 amp The maximum of the amplitude of R or R wave of one selected dominant beat from lead V5 The maximum absolute value of the amplitude of S or S wave of one selected dominant beat from lead V1 RV5 SV1 amp Sum of RV5 and SV1 RV6 SV2 amp The maximum of the amplitude of R or R wave of one selected dominant beat from lead V6 The maximum absolute value of the amplitude of S or S wave of one selected dominant beat from lead V2 Diagnosis Information 82 12 Channel Electrocardiograph User Manual Diagnosis information shows the auto diagnosis result Average Template Printing ECG Reports Average template shows the average value of 10s sampled ECG signals of every lead The broken lines on the template are position markers They respectively mark the start and end points of the P and QRS waves and the end point of the T wave 8 6 1 2 Example of 3x4 1R 02 06 2010 16 53 52 38 ID 001 HR 60 BPM Diagnosis Information Name gt Marry Johnson P Dur 94 ms 800 Sinus Rhythm Age 25 Years Gender Female PR int 170 ms Normal ECG H
65. QT QTC int 350 350 ms P QRS T axis 51 44 52 o RV5 SV1 amp 1 085 0 552 mV RV5 SVi amp 1 637 m RV6 SV2 amp 0 774 0 914 mV Waveform Template Diagnosis 116 12 Channel Electrocardiograph User Manual Managing Files 4 Press the function key F4 below Diagnosis to show Minnesota Code and Diagnosis Information 00i Marry Johnson Minnesota Code 9 4 1 V3 Diagnosis Information 800 Sinus Rhythm Waveform Template Measure Record Return 5 Press START STOP or the function key F5 below Record to print the file Pressing START STOP or the function key F5 below Stop can stop printing the file 6 Press the function key F7 below Return to return to the File Manager interface2 Note Rhythm data can not be previewed 117 12 Channel Electrocardiograph User Manual System Setup Chapter 11 System Setup After you turn on the device the main interface pops up Press the function key F6 below Setup to display the System Setup interface System Setup Record Info Patient Info Figure 11 1 System Setup Interface After setup 1 Press ESC to return to the main interface 2 Or press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor to lt _ Say Return and then press to return to the main interface 11 1 Work Mode Setup When the cursor is on Work Mode on the System Setup interface press to open the Work Mode Setup interface 118 12 Channel Electrocard
66. Tab or Shift Tab to move the cursor to the Record Device list box on the Setup 1 interface Press the Up or Down arrow to select an option You can set Record Device to Thermal HP DJ D2468 HP DJ D5568 HP DJ D2668 HP DJ D4368 or HP LJ P2035 HP DJ D2468 HP DJ D5568 HP DJ D2668 HP DJ D4368 and HP LJ P2035 are the types of the USB printer when HP DJ D2468 HP DJ D5568 HP DJ D2668 HP DJ D4368 or HP LJ P2035 is selected you should connect the corresponding USB printer to USB socket 2 of the electrocardiograph with a special cable Press the START STOP key to print ECG reports by 127 12 Channel Electrocardiograph User Manual System Setup using the USB printer Options Corresponding USB Printers HP DJ D2468 HP Deskjet 3938 HP Deskjet D2368 HP Deskjet D2468 HP DJ D5568 HP Deskjet D2568 HP Deskjet D5568 HP LJ P2035 HP Laserjet P2015 HP Laserjet P2035 Notes 1 During the USB printing course pressing the START STOP key again can not stop printing ECG reports 2 For details of the ECG report printed by the USB printer please refer to Section 8 6 5 ECG Reports Printed by the USB Printer 3 USB printing is ineffective in the auto periodic sampling mode auto 11 24s sampling mode manual mode and R R analysis mode 4 Make sure that paper is installed in the USB printer before printing Error may occur if no paper is loaded in the USB Printer CAUTION It is forbidden to
67. Unconfirmed When Prompt is set to Confirmed By if Physician is selected and the physician name is input in the Patient Information window the physician s name is printed in the ECG reports When Prompt is set to Unconfirmed Unconfirmed Report is printed in the ECG reports 11 4 5 Selecting H W Unit Press Tab or Shift Tab to move the cursor to H W Unit on the Patient Information Setup 132 12 Channel Electrocardiograph User Manual System Setup interface and then press the Up or Down arrow to select em kg or inch Ib 11 4 6 Selecting BP Unit Press Tab or Shift Tab to move the cursor to BP Unit on the Patient Information Setup interface and then press the Up or Down arrow to select mmHg or kpa When BP Unit is set to kpa two extra edit boxes will be displayed in the Patient Information window for inputting decimal fraction 11 4 7 Selecting Next Patient Press Tab or Shift Tab to move the cursor to Next Patient on the Patient Information Setup interface Press the Up or Down arrow to highlight Off or On When Next Patient is set to On in the auto mode press the START STOP key to print an ECG report and the system will automatically open the next patient interface after a complete ECG report is printed On the next patient interface pressing the function key F1 below Same Patient can return to the main interface all the patient information will keep the same pressing the function key F2 below Next P
68. Up or Down arrow to highlight On or Off If SCP File Compression is set to On the SCP file will be compressed After the SCP function is activated SCP File Compression appears on the File Setup interface For details on activating the SCP function please refer to Section 9 1 3 Transmitting ECG Data in SCP FDA XML PDF Format Through Net Cable 145 12 Channel Electrocardiograph User Manual System Setup 11 10 System Maintenance Setup Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Maintenance on the System Setup interface press to open the System Maintenance interface System Maintenance Export Settings To U disk Load Settings From U disk Back up Settings Load Backup Settings Record System Settings Load Factory Settings Press lt Tab gt or lt Shift Tab gt to move the cursor Figure 11 12 System Maintenance Interface After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 11 10 1 Exporting System Settings to U Disk 1 Connect a U disk to the electrocardiograph 2 Press Tab or Shift Tab to move the cursor to the Export Settings To U disk button on the System Maintenance interface and then press to export the system settings to the U disk 146 12 Channel Electrocardiograph User Manual System Setup 11 10 2 Loading System S
69. User Manual Entering Patient Information and the product ID is 0100 General Dive Detais Power Management HID Keyboard Device _ Property HID_DEVICE_UP 0001_U 0006 HID_DEVICE 4 Press ESC to return to the main interface 2 Connect the bar code reader to USB socket 2 on the right panel of the electrocardiograph 3 When the main interface is displayed scan the patient s bar code with the bar code reader and then the patient information will appear in the corresponding box Note Only bar code readers recommended by the manufacturer can be used 65 12 Channel Electrocardiograph User Manual Freezing ECG Waves Chapter 7 Freezing ECG Waves You can freeze the ECG waves displayed on the main interface Operation Method 1 Press the function key F2 below Freeze to display the freezing interface Note Within ten seconds after returning to the main interface pressing the function key F2 can not display the freezing interface 001 F GG AUTO 12 00 01 Marry Johnson 25Y C4 E ae A E Fp lh menas j j a PE EEA E S O T io V6 j a E Pera Replay fomm mv 100M2 3x4 iR Return Figure 7 1 Freezing Interface 2 Press the function key F3 to set the paper speed press the function key F4 to set the gain press the function key F5 to set the filter and press the function key F6 to set the printing style Note When you press the fu
70. VE 8 SENGE VES The above figure shows the ECG report of a patient with a pacemaker Pacemaker Detection Sens is set to High and the Lowpass filter is set to 150Hz 91 12 Channel Electrocardiograph User Manual Printing ECG Reports Notes 1 To the patient with a pacemaker the EMG filter should be set to Off and the Lowpass filter should be set to 150Hz or else the amplitude of the pulses may decrease the width may increase and the diagnosis results may not include the pacemaker information 2 To the patient with a pacemaker the results given by the equipment may be invalid 8 6 7 ECG Report of Nehb Lead 30 06 2010 17 45 16 98057 z ID 001 Age 25 Years Name Marry Johnson AEAEE FE TD RE ed EEE E p as a ji h S Sar peo Eny ND x m I 1 j l j y a n j si A AA ie a 10A EAG BEN BEN S Zs EH EEEH Fd HEE case ES e E BEN EEREN E A E Ene a E a N BE EEN EAN ES AG HER K Pye Gi EE tes E Paii N jad H ai rE ERE Bee i i TER A Po Gee Pes Be i L TENER SE Eee ed e Grea A ijan HIGA a 0 67 100Hz AC50 25mm s 10mm mV 060 Institution Name SE 12 EXPRESS V1 8 SEMIP VES ECG report of Nehb lead includes 30 06 2010 17 45 16 Current Date amp Current Time ID 001 Patient ID Age 25 Years Patient Age Name Marry Johnson Patient Name fl 1mV calibration mark I II W ND NA NI Nehb leads 0 67 100Hz 0 67Hz D
71. a e tit nate a a a te a ant 3 23 Genera l OaE OS a a A aE 4 1 2 4 Cleaning amp Disinfection Cautions esesseeeseseessesresstseresesseseresresseserssrensteereseessreseseeesee 6 1 2 5 Preparation and Operation Warnings for SE 12 Express Exercise ECG 6 1 2 6 Contraindications for SE 12 Express Exercise ECG ssessseessessessseressseessresseesseesses 7 Ns TSISU OR SWIMMING Se ER IT IS alee da dps dase cela daca ied 8 Chapter 2 mtroductioi seiicciesecgcciicow asnaveate ii caves ioe stoort cet ence ow a r ENES Eense 11 2A Top Panel sasssi cae aksadaeesapiadeeavediats sosiaa Wee teeta n A ea NARS IRS lates 12 2 2 Keyboard AN KEY Shire arei iini E E EE T EE EES 13 2 3 Front Panel sesca nn se cag el Maddock eE AE beets AE Lids ested N EO Gagan a saai 17 UE ALT PANIC EEA EEEE E EEE EEEE EA EEE EE EE E E ATE 18 PO WA SG er Bile inana a a a a A a a AA 19 ZO B ttom Pane l sis vaceiawegeesaceonntasayiqousnan eaeoe o E S E ESEE e E E EEIE ETES 23 21 Function IE CANMITES heene n a E a ai aa a E a E n a E 25 Chapter 3 About the Electrocardiograph Application sssssssocsssecssecesocesooesooessseessocesocescoseoo 27 Sal Selecting Men F NCHONS e Saas Sse ie a A RA A ee a 27 DS PTD Data aranne n E e A aired A R E R laine 28 33 Selecting an Item sessie a a e iae a ae Sease aea 29 ot A Dout line Wali Mlle asta diancatberitacs haan a E E E E E E E 30 3 5 About the Main Interface of Exercise ECG Optional for SE 12 Express 32 3 0 Abou
72. aea aee 167 V2 AS PrOtocal Mana rere ee inie orerar a Qigoaadenls veut aeGecadunedeanstderaateeedouev ans 169 Chapter 13 Turning Off the Electrocardiograph seesessessesessossesossossesoosoesossossesossossesosssososse 173 Chapter 14 Hint Information ssecisssccesssussssveessncecisnahseventsetanssvenssvevaceserdcveysnnsdsvcnssesdesseneiveraicsverss 174 Chapter 15 Cleaning Care and Maintenance sesssesssesssecesocesooessocssocessecesocesooesoocesoessseessooee 176 PS Cleaninh T ennie n a a R A E a aes a ae EE E EEES 176 15 1 1 Cleaning the Main Unit and the Patient Cable eseeeeeeeseeeeeseeesesresersrrserssresseseresee 176 15 1 2 Cleaning the Reusable Electrodes siia sieisssecaiasa sdacassandadeadesedackouseadevessdeecs sendaatalestactaaen 176 151 3 Cleaning the Punt Hea a eae oi ene A R 176 152 Dism eCOM manaa e a e a a a r aa 177 15 3 Care and Maintenant e eneoti eion e a tas e ee aeai 177 15 3 1 Recharge and Replacement of Battery snnsseseseeseseeesseesserssessseeesseeesseeesseesseesseesseee 177 3 3 2 Recorder Paperenn ne eene ae ese Ate EE E E a iR 178 15 3 3 Maintenance of the Main Unit and the Patient Cable 0 0 0 0 eeeeeeeeeceereeeeeteeeeneeees 179 Chapter 16 ACCESS OVICS asosii osses eesis aeaeaie 181 16 1 Sta ndard ACCESSOMHES erreren tera E Nr ages ave a iaasa 181 16 2 Optional ACCESSOrIES a n ea E E A neat E E ai 182 Chapter 17 Warranty amp Service PoliCy eeescoessocsssecssccssocesocesoocesoccsseces
73. after using the system 6 Press down the emergency stop switch of the treadmill before defibrillating to avoid the hazard to the patient and the operator 7 Keep the treadmill ergometer on a horizontal place and make sure it s stably working 8 Make sure that the power cable of the treadmill ergometer is grounded Don t use other electrical equipment with the same power supply line s 12 Channel Electrocardiograph User Manual Safety Guidance 10 11 12 13 14 15 16 17 18 19 20 WARNING Keep the power cable far away from the running treadmill area and the heat surface Examine the treadmill ergometer carefully before using it Do not take an exercise test if the treadmill ergometer is wet Do not use the treadmill ergometer in the open air The patient undergoing the stress exercise test should wear suitable clothes and shoes During the stress exercise test the patient should not get on or off the treadmill Remind patients to take care not to fall down from the treadmill Keep hands hair jewelry and loose clothing away from moving parts of the treadmill After the exercise test slow the speed of the treadmill to the minimum and then stop the treadmill Children are prohibited from approaching the treadmill ergometer alone Don t insert anything into the treadmill or place anything on its surface Press down the emergency stop switch to stop the treadmill immediately an emergency happen
74. anual Operation Preparations 4 4 Connecting the Patient Cable to the Electrocardiograph and Electrodes WARNING The performance and electric shock protection can be guaranteed only if the original patient cable and electrodes of the manufacturer are used The patient cable includes the main cable and lead wires which can be connected to electrodes Main Cable Lead Wires Screw Electrode Connector Connecting to the Electrocardiograph Patient Cable for Resting ECG Main Cable Lead Wires Screw Electrode Connector Connecting to the ECG Sampling Box Patient Cable for Exercise ECG 1 Connecting the Patient Cable to the Electrocardiograph Connect the patient cable to the patient cable socket on the right side of the main unit and then A 12 Channel Electrocardiograph User Manual Operation Preparations secure them with two screws 2 Connecting the Patient Cable to Electrodes Align all lead wires of the patient cable to avoid twisting and connect the lead wires to the reusable electrodes or the alligator clips Firmly attach them 4 5 Attaching Electrodes to the Patient for Resting ECG 4 5 1 Lead Placement 4 5 1 1 Standard 12 Lead Placement The identifiers and color codes of electrode connectors used comply with IEC EN requirements In order to avoid incorrect connection the identifiers and color codes are specified in Table 4 1 Moreover the equivalent codes according to European req
75. aph User Manual Managing Files 10 1 2 Transmitting DAT Files Through Net Cable 1 Connect the electrocardiograph to the network of the PC with an Ethernet cable recommended by the manufacturer If the wireless AP transmission is used connect the PC to the server wireless AP and connect the electrocardiograph to the client wireless AP Only the wireless AP recommended by the manufacturer can be used Notes 1 For details on configuring the wireless AP please refer to the user manual delivered with the wireless AP 2 There should be no shield in or around the room where the wireless AP is used or else the wireless transmission may fail 2 Log into the Smart ECG Viewer software Note If you don t connect the electrocardiograph to the network of the PC or if you don t connect the electrocardiograph PC to the wireless AP or you do not log into Smart ECG Viewer before transmission the following hint will pop up HINT Please check Net cable connection and PC software 3 Set Transmission Mode to Ethernet on the Transmission Setup interface Set the IP addresses For details on setting the transmission mode and the IP addresses please see Section 9 1 2 Transmitting ECG Data in DAT Format Through Net Cable 4 Press the function key F7 below File to display the File Manager interface 5 Press the function key F1 below Trans All to transmit all the files to the PC After all the files are transmitted
76. ard is pressed Current Phase and The current phase and stage of the exercise test Stage 34 12 Channel Electrocardiograph User Manual Total Time and Stage Time About the Electrocardiograph Application The left number is the total time which is counted from the beginning of the pretest phase to the end of the exercise test The right number is the stage time which shows the running time of the current stage Current Speed or Rotation Speed Grade or Power Workload When the treadmill is used the current speed grade and workload of the treadmill will be displayed on the main interface When the ergometer is used the current rotation speed and power of the ergometer will be displayed on the main interface Current Time Current examination time Refer to Section 11 8 1 Setting Date and Time Identify the current capacity of the rechargeable battery Battery Symbol C Full capacity Cal 2 3 capacity Cad 1 3 capacity Low capacity Systolic Blood The left number is the systolic blood pressure and the right Pressure number is the diastolic blood pressure and Diastolic Blood Pressure Current Heart Rate The left number is the current heart rate and the right number is the target heart rate and Target Heart Rate 30 is the percentage of the current heart rate to the target heart rate Press the function key F7 below Exit to exit the main interfa
77. ars in the box before RHYT 2 Press Tab or Shift Tab to move the cursor to the Rhythm Style list box and then press the Up or Down arrow to highlight a style 74 12 Channel Electrocardiograph User Manual Printing ECG Reports 3 Press e or press Tab or Shift Tab to move the cursor to the OK button and then press E Work Mode Setup vi v vi E E 3 channels 6 channels 4 On the System Setup interface press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Lead press to open the Lead Setup interface 5 Press Tab or Shift Tab to move the cursor to the Rhythm Lead1 2 3 list box and then press the Up or Down arrow to select a lead 6 Press Tab or Shift Tab to move the cursor to the Lead Sequence list box and then press the Up or Down arrow to select a sequence 7 Press E or press Tab or Shift Tab to move the cursor to the OK button and then press Ce 75 12 Channel Electrocardiograph User Manual Printing ECG Reports Lead Setup Cancel After setup press ESC to return to the main interface When the main interface is displayed press the MODE key to select the rhythm mode Press F3 to select a paper speed Press F4 to switch the gain Press F5 to set the EMG filter or the Lowpass filter Press the START STOP key to begin to count the sampling time When the sampling time reaches 60s in the Single Lead
78. atient can return to the main interface all the patient information will be changed except gender pressing F3 can switch the auto recording style pressing F4 can switch the paper speed and pressing F5 can switch the gain Press the START STOP key to print the previous ECG report again according to the settings of the auto style speed and gain which are shown on the bottom of the interface 133 12 Channel Electrocardiograph User Manual System Setup 001 FING AUTO 12 00 01 Marry Johnson 257 ic VRoma Th aa tj Pn fe bai ASA A SamePatient NextPatient 3x41 1R Tomm mv When Next Patient is set to Off in the auto mode the system will not automatically display the eee e ee ee ee ee ee e ee e Ae hoes Cena z Pa next patient interface after a complete ECG report is printed 11 4 8 Setting the Time to Clear Patient Information Press Tab or Shift Tab to move the cursor to Patient Info Cleared on the Patient Information Setup interface Press the Up or Down arrow to highlight an option If Patient Info Cleared is set to After Recording the patient information will be cleared after the ECG report is printed out If Patient Info Cleared is set to After Recording And Lead Off the patient information will be cleared after the ECG report is printed out and all the leads are off Note This function is unavailable in the manual mode 11 4 9 Inputting Customized Information Press Tab or Shift
79. ation Ventricular Tachycardia 5 gt PVCS gt 3 Paired PVCS Bigeminy Trigeminy R ON T single PVC and Missed Beat is detected during the learning course the printing will be triggered automatically When Sampling Mode is set to Periodic Sample first you should set Duration and Interval For example if Interval is set to 2 min and Duration is set to 24 min after pressing the START STOP key the printing will be performed every two minutes and come to 12 times Notes 1 There is no saving exporting or transmitting in the Periodic Sample mode 2 ID and patient information will not be changed while carrying out the periodic printing 121 12 Channel Electrocardiograph User Manual System Setup 11 1 6 Setting Interval and Duration Press Tab or Shift Tab to move the cursor to the Duration and Interval textboxes on the Work Mode Setup interface and then input the duration and the interval manually In the auto mode when Sampling Mode is set to Periodic Sample if Interval is set to 2 min Duration is set to 24 min after pressing the START STOP key the printing will be performed every two minutes and come to 12 times 11 1 7 Selecting Preview Function Press Tab or Shift Tab to move the cursor to Preview on the Work Mode Setup interface and then press the Up or Down arrow to highlight Off or On When Preview is set to On the preview interface will appear after you press the START STOP key in the auto or off mod
80. ation of the patient information measure information and diagnosis information 8 6 2 ECG Reports in the Rhythm Mode 02 06 2010 16 54 43 ID 001 Age 25 Years Name Marry Johnson 00 00 O60 ji l l l 00 10 60 ki 0 67 100Hz ACSO 25mm s 10mm mV Institution Name SE 12Express V8 SEMIP V1 5 The above figure shows an ECG report in the rhythm mode and Rhythm Style is set to Three Leads 02 06 2010 16 54 43 Current Date amp Current Time ID 001 Patient ID Age 25 Years Patient Age 84 12 Channel Electrocardiograph User Manual Name Marry Johnson Patient Name 00 00 00 10 Timer 60 Heart Rate fl 1mV calibration mark 20s rhythm waveform of lead II V1 V5 0 67 100Hz 0 67Hz DFT Filter 100Hz Lowpass Filter ACS50 50Hz AC Filter 10mm mV Gain Institution Name SE 12 Express Electrocardiograph Model SEMIP V1 5 Algorithm Version Number 8 6 3 ECG Reports in the Manual Mode 02 06 2010 16 56 30 Printing ECG Reports II V1 V5 Rhythm Lead Name 25mm s Paper Speed V1 8 Software Version Number ID 001 Age 25 Years Name Marry Johnson i f j cara SEA at SEs Som J a I oe ase u i I Ns LAN a EA BS SZ ES A Ale ada 4 m pf Ey ie Bis Em E oh Be IE i ae EN EEA HEN ap pose eed Et Wil Fal Wa Javr ky a yp 4 yp eye i av PAL uf R FS FER ES ER nR ee Be BSE RIA STA IRR
81. below Edit to open the Patient Information window Then you can edit the patient information I Record Press the function key F2 below Record to print the selected file J Trans Press the function key F3 below Trans to transmit the selected file to the PC K Export Press the function key F4 below Export to export the selected file from the electrocardiograph to the U disk L Delete Press the function key F5 below Delete to delete the selected file from the electrocardiograph M Preview Press the function key F6 below Preview to open the file preview interface N Return Press the function key F7 below Return to return to the File Manager interfacel AQ 12 Channel Electrocardiograph User Manual Operation Preparations Chapter 4 Operation Preparations WARNING Before use the equipment patient cable and electrodes should be checked Replace them if there is any evident defectiveness or aging which may impair the safety or the performance and make sure that the equipment is in proper working condition 4 1 Power and Earthing WARNING If the integrity of the external protective conductor is in doubt the equipment should be powered by the built in rechargeable battery Power Supply The electrocardiograph can be powered by either the mains supply or the built in rechargeable lithium battery Mains Supply The mains socket is on the rear panel of the unit If the mains supply is used connect the power c
82. can 01 57 107048 Patient Cable European 01 57 106902 Alligator Clip Banana Socket Adapters 01 57 040173 Disposable Resting Tab Electrodes 11 57 040189 Paper Roller 01 51 30340 01 Thermal Recorder Paper 01 57 107371 Fuse 11 21 64073 Rechargeable Lithium Battery 11 21 064119 Suction Electrode 01 57 040163 Clamp Electrode 01 57 040162 181 12 Channel Electrocardiograph User Manual 16 2 Optional Accessories Table 16 2 Optional Accessory List Accessories Accessory Part Number Patient Cable American 01 57 110375 01 57 110266 Patient Cable European 01 57 107402 01 57 110265 Input Output Connector 11 13 19907 Grounding Wire 11 13 114214 Pediatric Suction Electrode 01 57 040168 Pediatric Clamp Electrode 01 57 040169 Disposable Electrode 11 57 40090 Disposable Pediatric Electrode 11 57 40024 Disposable Neonatal Electrode 11 57 40109 03 24 38952 Smart ECG Viewer Software 03 24 38953 Snap Clip 01 57 040172 Electrode Gel 11 25 78047 RS232 Cable 11 13 20117 Ethernet Cable 11 13 20096 Smart ECG viewer Software Key TINY SPRO 01 18 47116 Smart ECG viewer Software Key USB 12 01 47194 DeskJet HP2368 11 18 52168 U Disk 11 18 78105 ECG Bag 11 56 78118 SD Card Reader 11 17 047324 MT 201 Trolley 03 28 107059 MT 801 Trolley
83. ccssocessosesocessecesocesooseo 184 E a ET a EE E EEE E E EE TE EE 184 17 2 Service PONICY ireren e r a e A A E asd at sui tuatiadoss 184 Appendix 1 Technical Specifications eseesossesoosoesessossesossossossescsossesossossesossossescossesossossesossossee 186 AIRESE AAN eaa TO a aE E A E E A E 186 VII A1 2 Environment Specifications 299505 50h LcansSeahcsdaeeteadase Goons tangbsndtentuacededeted teas suavsteayncebiashed ateeoss 187 WIS Physical SpeciiiCaviOns s 60ciejesesesnaset e E seats E E E 187 A1 4 Power Supply Specifications i 02 05 5 tees ue Ghee Be ees ees 187 ATS Periormanee Specifications neei oe aed eta gale teeth ead aa leet tes Qeaiieg 188 Appendix 2 EMC Information seicecssccessscscsssceceoseessesenssvccosssvecs socaevssvensssensessonsssvencusosusvvsoanaesnanede 191 Appendix 3 Abbreviation sessoesocssessossocssesssesoosscesoesoossoessesooesocssessossocsseesossoossessssssossoessssssssoe 196 Vill 12 Channel Electrocardiograph User Manual Safety Guidance Chapter 1 Safety Guidance This chapter provides important safety information related to the use of the 12 channel electrocardiograph 1 1 Intended Use The intended use of the 12 channel electrocardiograph is to acquire ECG signals from adult and pediatric patients through body surface ECG electrodes The electrocardiograph is only intended to be used in hospitals or healthcare facilities by doctors and trained healthcare professionals The cardiogram rec
84. ce department at support edan com cn 185 12 Channel Electrocardiograph User Manual Technical Specifications Appendix 1 Technical Specifications A1 1 Safety Specifications Comply with IEC 60601 1 1988 A1 A2 EN 60601 1 1990 A1 A2 IEC EN60601 1 2 2001 A1 TEC EN60601 2 25 ANSI AAMI EC11 IEC EN 60601 2 51 Anti electric shock type Class I with internal power supply Anti electric shock degree Type CF Degree of protection against harmful ingress of water Ordinary equipment Sealed equipment without liquid proof Disinfection sterilization method Degree of safety of application in the presence of flammable gas Refer to the user manual for details Equipment not suitable for use in the presence of flammable gas Working mode Continuous operation EMC Group I Class A Patient NC lt l0uA AC lt 10uA DC Leakage Guncnt SFC lt 50uA AC lt 50uA DC Patient NC lt l0uA AC lt 10uA DC Auxiliary G irent SFC lt 50uA AC lt 50uA DC 186 12 Channel Electrocardiograph User Manual A1 2 Environment Specifications Technical Specifications Transport amp Storage Working Temperature 20 C 4 F 55 C 4131 F 5 C 41 F 40 C 4 104 F Relative Humidity 25 93 Non Condensing 25 80 Non Condensing Atmospheric Pressure 700hPa 1060hPa 860hPa 1060hPa
85. ce of the exercise test Exit In the exercise test the Exit button changes into the ST Trend or Template button Press the function key F6 below Setup to open the System Setup interface Setup In the exercise phase the Setup button changes into the Lead button Fit EMG Filter 25Hz 35Hz or 45Hz ilter Lowpass Filter 75Hz 100Hz or 150Hz Gai Gain 2 5 mm mV 5 mm mV 10 mm mV 20 mm mV 10 5 in mm mV or AGC Post J is the length after J point of ST segment Press the function key F3 below Post J to set Post J to 0 20ms 40ms 60ms or Post J 80ms 80ms Note J point is the connection point between the end of QRS complex and the start of ST segment It is the standard point to 235 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application fix the position of ST segment Please select a proper option based on the patient s actual ECG waves Press the function key F2 below Hold and then the system will not follow the previous settings to change the speed and grade of U ECG waveforms S Hold the treadmill but keep the current speed and grade until this key is pressed again Press the function key F1 below Patient to open the Patient T Patient Information window It is invalid in the exercise test Display real time ECG waveforms V Lead Press the function key F6 below Lead to open the Lead Setup interface W Template Button Press the function key F7
86. ce the paper for 2 5cm Press again to stop advancing the paper Loading Replacing Process of Rolled Paper 1 Press the casing button downwards and remove the casing to open the recorder 2 3 Take out the paper roller and remove remainder paper from the roller if necessary Take off the wrapper of the new thermal paper roll and then put the paper roll through the roller 4 Place the paper and the roller gently in the recorder with the roller pin clicking into the groove Groove 5 Pull the paper out with the grid side facing the thermal print head and replace the casing 45 12 Channel Electrocardiograph User Manual Operation Preparations 6 7 8 on the recorder Press down the recorder casing firmly To select Paper Marker Press on the keyboard to turn on the unit After the main interface is displayed press the function key F6 below Setup to display the System Setup interface Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Record Info on the System Setup interface press to open the Record Info Setup interface Press Tab or Shift Tab to move the cursor to the Paper Marker list box and then press the Up or Down arrow to highlight No Press to confirm and then the System Setup interface appears Press ESC to return to the main interface Advance the recorder paper Tab O When the main interface is displayed
87. cise ECG Function 1 When the main interface is displayed press the function key F6 below Setup to open the System Setup interface 2 Press F1 to display the Service Password window Then enter the password and press to open the Advanced Setup interface Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor to Function and then press to open the Function Configuration window Advanced Setup ee E 155 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional Function Configuration Return 3 Press Tab or Shift Tab to move the cursor to the Activate button after Stress Test Press to open the Activate Password window Enter the password and press to activate the exercise ECG function Function Configuration Enabled Note Please contact local distributors to get the service password and the activating password 12 2 Operation Preparation 1 Turn on the electrocardiograph Note Turn on the electrocardiograph before connecting the treadmill or the ergometer or else the start up of the electrocardiograph may be abnormal 156 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional 2 Connect the electrocardiograph to the treadmill or the ergometer 1 Connect the electrocardiograph to the treadmill Connect the RS232 port of the treadmill to the RS232 port of the electrocardiograph wit
88. ck on the OK button to confirm 102 12 Channel Electrocardiograph User Manual Transmitting ECG Data Automatically System Setting Basic Information Sample Setting evice printer Setting Others GDT Sampling Device Device Type Treadmill v Se serial Machine TMx425 bd DP10 wired Sampling Box Device DP12 wired Sampling Box SE serial Machine Treadmill Protocol Bruce v Restore the default 2 Connect USB socket 1 of the electrocardiograph to the USB socket of the PC by using the high speed USB cable 3 Start the real time transmission The electrocardiograph transmits to the PC the ECG signals acquired from the patient Acquisition and transmission are simultaneous The ECG signals are displayed on the PC monitor and eventually analyzed For more details refer to the user manual of the PC ECG software In the real time transmission the function of the electrocardiograph is the same as that of the ECG sampling box 103 12 Channel Electrocardiograph User Manual Managing Files Chapter 10 Managing Files If you want to save the ECG data in the electrocardiograph you should set Auto Save to On and Saving Path to ECG By default Auto Save is On and Saving Path is ECG Then the ECG data in the auto off or rhythm mode will be saved on the File Manager interface automatically To Set Auto Save to On and Saving Path to ECG 1 When the main interface is displayed press the function key F6 below
89. ction ST segment analysis while sampling ST position is adjustable while sampling Providing average templates of three rhythm leads in every stage to observe the change of ST segments between every two stages Automatically forming elaborate reports including Summary Report ST Scope Report and Trend Graph Report Providing classical exercise protocols exercise protocols can be edited and created Automatically controlling and adjusting the speed and grade of the treadmill or the power of the ergometer Supporting multi types of treadmill or ergometer 26 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application Chapter 3 About the Electrocardiograph Application The following sections provide an overview of the main operations and functions You can operate the electrocardiograph by using the keyboard For SE 12 Express you can also carry out the operations by using the touch screen CAUTION Do not touch the LCD screen with sharp things such as pencils or pens otherwise it will be damaged 3 1 Selecting Menu Functions Setup J Fite _ So Fe F Dewees F a T d DO oOo o oOo o OO o SOOO CG O amp OGAssaosaoago0nas BePoOReEemompoe Press F7 below File to select File and SoBe osesoonooo BOOMOOGwaGceS open the File Manager interface Hac 7 A eS Bee hy oo 2S D j To select Patient press the
90. d 105 12 Channel Electrocardiograph User Manual Managing Files searched or deleted SE 12 can accommodate 100 files and SE 12 Express can accommodate 200 files If there is no file on the File Manager interface the following dialog box will pop up when you press function keys HINT No file CAUTION 1 When files are being printed transmitted deleted or exported you can not turn off the electrocardiograph 2 Do not cut off the mains supply directly when no battery is installed in the device or else the stored data may be lost 10 1 Transmitting Files to the PC Notes 1 To transmit DAT files to the PC the Smart ECG Viewer software of the manufacturer must be installed in the PC You should log into the Smart ECG Viewer software before transmission 2 To transmit SCP FDA XML PDF files to the PC the FTP receiving software must be installed in the PC You should log into the FTP receiving software before transmission 3 By default the ECG file format is DAT You can activate SCP FDA XML PDF function on the Advanced Setup interface For details refer to Section 9 1 3 Transmitting ECG Data in SCP FDA XML PDF Format Through Net Cable 4 If you select Delete After Trans Or Export on the File Setup interface the files will be deleted from the File Manager interface after they are transmitted CAUTION It is forbidden to connect or disconnect a U disk or a USB printer during the transmis
91. disk automatically 144 12 Channel Electrocardiograph User Manual System Setup 11 9 3 Setting File Format Press Tab or Shift Tab to move the cursor to File Format on the File Setup interface and then press the Up or Down arrow to highlight an option If you want to set File Format to SCP FDA XML PDF first activate the SCP FDA XML PDF function on the Advanced Setup Interface For details on activating the SCP FDA XML PDF function please refer to Section 9 1 3 Transmitting ECG Data in SCP FDA XML PDF Format Through Net Cable 11 9 4 Selecting Deleting Files After Transmission or Export Press Tab or Shift Tab to move the cursor to Delete After Trans Or Export on the File Setup interface and then press the Up or Down arrow to highlight Off or On When Delete After Trans Or Export is set to On the files will be automatically deleted from the File Manager interface after they are transmitted to the PC or exported to the U disk 11 9 5 Selecting Replacing When Memory is Full Press Tab or Shift Tab to move the cursor to Replace When Memory Full on the File Setup interface and then press the Up or Down arrow to highlight Off or On When Replace When Memory Full is set to On if there is no space on the memory the files will replace the earliest ones automatically 11 9 6 Selecting SCP File Compression Press Tab or Shift Tab to move the cursor to SCP File Compression on the File Setup interface and then press the
92. e When Preview is set to Off the preview interface will not appear after you press the START STOP key 11 1 8 Selecting Auto Extend Record Press Tab or Shift Tab to move the cursor to Auto Extend Record on the Work Mode Setup interface and then press the Up or Down arrow to highlight Off or On When Auto Extend Record is set to On if arrhythmia is detected in the auto or off mode a hint will pop up to ask you whether to print an extra rhythm report after the 12 lead ECG report 11 2 Filter Setup Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Filter on the System Setup interface press to open the Filter Setup interface On the Filter Setup interface you can set AC Filter EMG Filter DFT Filter and Lowpass Filter 122 12 Channel Electrocardiograph User Manual System Setup Filter Setup On Off EA Cancel Figure 11 3 Filter Setup Interface After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 11 2 1 Setting AC Filter Press Tab or Shift Tab to move the cursor to the AC Filter list box on the Filter Setup interface Press the Up or Down arrow to highlight Off or On AC Filter suppresses AC interference without attenuating or distorting the ECG signals Select On to turn on the function and select Off to turn it off
93. e 300 times Power Consumption 70VA max Fuse TLAL250VP 5x20 A1 5 Performance Specifications Recording Recorder Thermal dot matrix recorder ro 8 dots per mm 200 dots per inch amplitude axes Printing Density 40 dots per mm 1000 dots per inch time axes 25 mm s Recorder Paper Folded thermal paper 210mmx295mmx100pages Folded thermal paper 216mmx280mmx100pages Optional Rolled thermal paper 216mmx30m Optional Effective Width 203mm Paper Speed 5mm s 6 25mm s 10mm s 12 5mm s 25mm s 50mm s 43 Accuracy of data 5 x axis 5 y axis 188 12 Channel Electrocardiograph User Manual Technical Specifications HR Recognition Technique Peak peak detection HR Range 30 BPM 300 BPM Accuracy 1 BPM ECG Unit Leads 12 standard leads Acquisition Mode simultaneously 12 leads A D Resolution 24 bits Time Constant gt 3 2s Frequency Response 0 05Hz 150Hz 3dB Gain 2 5 5 10 20 10 5 AGC mm mV Input Impedance gt 50M Q 10Hz Input Circuit Current lt 0 0luA Input Voltage Range lt 5 mVpp Calibration Voltage ImV 2 DC Offset Voltage 600mV Noise lt 12 5 uVp p Multichannel crosstalk lt 0 5mm AC Filter On Off DFT Filter 0 05Hz 0 15Hz 0 25Hz 0 32Hz 0 5Hz 0 67Hz Filter EMG Filter 25Hz 35Hz 45Hz OFF LOWPASS Filter 150Hz 100Hz
94. e C5 White Black V5 Brown Orange C6 White Violet V6 Brown Violet 54 12 Channel Electrocardiograph User Manual Operation Preparations The Precordial Electrodes Positions on Body Surface C1 Fourth intercostal space at the right border of the sternum C2 Fourth intercostal space at the left border of the sternum C3 Fifth rib between C2 and C4 C4 Fifth intercostal space on the left midclavicular line C5 Left anterior axillary line at the horizontal level of C4 C6 Left midaxillary line at the horizontal level of C4 The Extremity Electrodes Positions on Body Surface R L below the right left clavicle N F below the right left rib The quality of ECG waveform will be affected by the contact resistance between the patient and the electrode In order to get a high quality ECG the skin electrode resistance must be minimized while connecting electrodes Electrodes Connection 1 2 3 Align all lead wires of the patient cable to avoid twisting and connect the disposable electrodes to the lead wires Clean the electrode areas on the body surface with 75 alcohol Attach the disposable electrodes to the electrode sites Note The quality and the placement of the electrode will directly influence the quality of 1 2 exercise ECG The wrong placement and use of electrodes will cause incorrect analysis results WARNING Make sure that all electrodes are connected to the patient correctly before ope
95. e PC by using a serial cable recommended by the manufacturer In the auto rhythm or off mode ECG data can be transmitted through the serial cable automatically 136 12 Channel Electrocardiograph User Manual System Setup 11 5 4 Setting FTP Information To Enter FTP Path FTP User Name and Password Press Tab or Shift Tab to move the cursor to the FTP Path FTP User Name and Password textboxes and then fill in these textboxes 11 5 5 Setting IP Addresses To Set Server IP Set the Server IP item to the IP of the PC To Set Local IP For the cross network transmission set the first two sections of the Local IP item to the first two sections of the IP of the PC Set the third section of the Local IP item to the network segment of the electrocardiograph which depends on the configuration of Router The last section of the Local IP item can be set at random For the same network transmission set the first three sections of the Local IP item to the first three sections of the IP of the PC The last section of the Local IP item can be set at random but it can t be the same as the last section of the IP of the PC To Set Gateway Set the first three sections of the Gateway item to the first three sections of the IP of the PC The last section of the Gateway item must be set to 1 To Set Subnet Mask You can set Subnet Mask on the Transmission Setup interface Commonly Subnet Mask is set to 255 255 255 000 11 6 Lead Se
96. e battery will be recharged automatically Then the battery recharging indicator C and the mains supply indicator will be lit at the same time During the recharging course the symbol J flashes in the top right corner of the LCD screen After the battery is fully recharged the symbol stops flashing and the battery recharging indicator gt is black 177 12 Channel Electrocardiograph User Manual Cleaning Care and Maintenance Because of the capacity consumption during the storage and transport course the battery capacity is not full when it is used for the first time Battery recharge should be considered before the first use 3 Replacement When the useful life of the battery is over or foul smell and leakage are found please contact the manufacturer or the local distributor for replacement WARNING 1 Only qualified service engineers authorized by the manufacturer can open the battery compartment and replace the battery and the battery of the same model and specification provided by the manufacturer must be used 2 Danger of explosion Do not reverse the anode and the cathode when installing the battery 3 When the battery s useful life is over contact the manufacturer or the local distributor for disposal or dispose of the battery according to local regulations 15 3 2 Recorder Paper Note Recorder paper provided by the manufacturer should be used Other paper may shorten the life of the thermal print
97. ectrocardiograph User Manual Transmitting ECG Data Automatically Figure 9 1 RS232 USB Assembly 3 Set Auto Transmission to On and Transmission Mode to UART on the Transmission Setup interface 1 When the main interface is displayed press the function key F6 below Setup to open the System Setup interface 2 Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor to Transmission press to open the Transmission Setup interface 3 Press Tab or Shift Tab to move the cursor to the Auto Transmission list box and then press the Up or Down arrow to select On Press Tab or Shift Tab to move the cursor to the Transmission Mode list box and then press the Up or Down arrow to select UART 4 Press E or press Tab or Shift Tab to move the cursor to the OK button and then s CE 5 Press ESC to return to the main interface 4 Log into the Smart ECG Viewer software 5 In the auto or rhythm mode ECG data will be transmitted through the serial cable 95 12 Channel Electrocardiograph User Manual Transmitting ECG Data Automatically automatically after an ECG report is printed out In the off mode ECG data will be transmitted through the serial cable automatically after the START STOP key is pressed 9 1 2 Transmitting ECG Data in DAT Format Through Net Cable 1 Connect the electrocardiograph to the network of the PC with an Ethernet cable recommended by the manufacturer If the wireless AP transmis
98. ed on the chest Attach all chest electrodes in the same way Note Long time measurement with a strong negative pressure on the suction bulb may cause reddening of the skin When using the electrode on small children or patients with delicate skin squeeze the suction ball lightly Limb Electrode Connection 1 2 3 4 5 6 7 Ensure that the electrodes are clean Align all lead wires of the patient cable to avoid twisting and connect the lead wires to the corresponding electrodes according to the colors and identifiers Clean the electrode area which is a short distance above the ankle or the wrist with 75 alcohol Daub the electrode area on the limb with gel evenly Place a small amount of gel on the metal part of the limb electrode clamp Connect the electrode to the limb and make sure that the metal part is placed on the electrode area above the ankle or the wrist Attach all limb electrodes in the same way 259 8 12 Channel Electrocardiograph User Manual Operation Preparations 4 5 2 2 Disposable Electrodes Disposable Electrode Alligator Clip gt m Disposable electrodes must be used together with alligator clips Disposable Electrode Connection 1 Align all lead wires of the patient cable to avoid twisting and connect the alligator clips to the lead wires 2 Clean the electrode areas on the body surface with 75 alcohol 3 Attach the disposable electrodes to the elec
99. eight 165 cm Weight 50 kg QRS Dur 82 ms Room No 0023 QT QTC int 355 355 ms Department P QRS T axis gt 85 45 54 RV5 SV1 amp gt 1 042 0 533 mV RVS SV1 amp 1 575 mV RV6 SV2 amp 0 739 0 879 mV Report Confirmed by ral L ji a a sp oe hs gt leas A Ad 1 1 j i i Og f a E E E n2 oh F Ami EHN bn Art lL YSA Ah fi P n av _av3 loa v Ni By N e v TE Je I oho gt A ait Y aliosema L g f j i f j E DDE DEN amp i Ph gt aAA aa nA A 0 67 100Hz ACSO 25mm s 10mm mY_ 4 2 5s 1r Institution Name SE 12Express V1 8 SEMIP V1 5 The above figure shows an ECG report in the auto mode The style is 3x4 1R The ECG report includes Patient Information Measure Information Diagnosis Information Minnesota Code Report Confirmed by 02 06 2010 16 53 52 Current Date and Current Time 3x4 1R ECG waves 0 67 100Hz 0 67Hz DFT Filter 100Hz Lowpass Filter ACS50 50Hz AC Filter 25mm s Paper Speed 10mm mV Gain 83 12 Channel Electrocardiograph User Manual Printing ECG Reports 4 2 5s 1r 12 leads are printed in 4 groups of 3 and every group is printed for about 2 5s with one rhythm lead at the bottom simultaneously Institution Name SE 12 Express Electrocardiograph Model V1 8 Software Version Number SEMIP V1 5 Algorithm Version Number Note Please refer to Section 8 6 1 1 for the explan
100. eless AP technology is used in order to maintain compliance with the FCC RF exposure guidelines the wireless AP should be installed and operated with a minimum distance of 20cm between the radiator and the human body Use the supplied antenna only There should be no shield in or around the room where the wireless AP is used Fix attention on the examination to avoid missing important ECG waves 1 2 2 Battery Care Warnings 1 WARNING Improper operation may cause the battery to be hot ignited or exploded and it may lead to the decrease of the battery capacity It is necessary to read the user manual x 12 Channel Electrocardiograph User Manual Safety Guidance carefully and pay more attention to warning messages 2 Only qualified service engineers authorized by the manufacturer can open the battery compartment and replace the battery and batteries of the same model and specification should be used 3 DANGER OF EXPLOSION Do not reverse the anode and the cathode when installing the battery 4 Donot heat or splash the battery or throw it into fire or water 5 When leakage or foul smell is 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 6 Only when the device is off can the battery be in
101. emaker Medication Room No Department Physician Technician or Ref Physician is selected the item will be displayed in the Patient Information window 131 12 Channel Electrocardiograph User Manual System Setup 11 4 2 Selecting ID Mode Press Tab or Shift Tab to move the cursor to ID Mode on the Patient Information Setup interface and then press the Up or Down arrow to select a mode You can set ID Mode to Auto Time or Manual When ID Mode is set to Auto the patient ID can be automatically generated The patient ID range is 0 1999 999 999 When ID Mode is set to Time the patient ID can be automatically generated according to the time when you press the START STOP key to print an ECG report When ID Mode is set to Manual you can enter the patient ID manually in the Patient Information window Only 30 ASCII characters can be input 11 4 3 Selecting ID Hint Press Tab or Shift Tab to move the cursor to ID Hint on the Patient Information Setup interface and then press the Up or Down arrow to select On or Off In the auto rhythm or off mode when ID Mode is set to Manual and ID Hint is set to On if you do not input the patient ID before pressing the START STOP key a hint will pop up to remind you to input the patient ID 11 4 4 Setting Prompt Press Tab or Shift Tab to move the cursor to Prompt on the Patient Information Setup interface and then press the Up or Down arrow to select Confirmed By or
102. es of 12 leads are printed in 4 groups of 3 In the auto mode when Record Style is set to 3x4 1R ECG waves of 12 leads are printed in 4 groups of 3 with the ECG wave of one rhythm lead on the bottom of the ECG reports In the auto mode when Record Style is set to 3x4 3R ECG waves of 12 leads are printed in 4 groups of 3 with the ECG waves of three rhythm leads on the bottom of the ECG reports In the auto mode when Record Style is set to 6x2 ECG waves of 12 leads are printed in 2 groups of 6 In the auto mode when Record Style is set to 6x2 1R ECG waves of 12 leads are printed in 2 groups of 6 with the ECG wave of one rhythm lead on the bottom of the ECG reports In the auto mode when Record Style is set to 12x1 ECG waves of 12 leads are printed simultaneously 11 3 1 2 Selecting Recording Mode Press Tab or Shift Tab to move the cursor to the Record Mode list box on the Setup 1 interface and then press the Up or Down arrow to highlight Save Paper or Quickly When Record Mode is set to Save Paper 10s after pressing the START STOP key on the main interface an ECG report is printed The patient information measure information interpretation and ECG waves are printed on the same paper When Record Mode is set to Quickly pressing the START STOP key on the main interface to begin printing an ECG report immediately the patient information measure information interpretation and ECG waves are printed on two pieces of
103. etaateastes 147 11 10 5 Printing System Seting Se e eee a e a E E N a R teases 147 11 10 6 Loading Factory Settings n0esnoeoeseoeseessoeresoerroosrsoeesseesseersornreosssoeesssesseesseenseeessese 147 11 10 7 Setting System PassWord 05 500s cass itecto teas ires ein ee e a ta t 151 TT Other Set pncerenonoia a lars uote thiols teeta Res Mile tates Stee tL 152 VI Dab Mb TASC OMe gests T r ie ease beans aent e gua e aot sia 152 l2 Selecting a lean was es cssustaes oes tea tecunted n E E E 152 FLS Selectme Caps lock 3 22450 ee ee 153 Pha Ts4 Setting External Miputchaitentnlng cee a ee ete add AA 153 11 11 5 Setting External Output ncns na i a E esae n 153 11 11 6 Setting Pacemaker Detection Sensitivity sseesseeeseseeserssesreeseesresressersresrrsseesnresresse 154 Chapter 12 Operation Instructions for Exercise ECG Configurable for SE 12 Express 155 12 1 Activating Exercise ECG Functions bacecidethel eee oe ee Bede 155 12 2yOperation Preparations inini aN n oan tended wieder ea sd 156 12 3 Exereis VOSE sac csiaciceatnecidiecdacaseeeaaseaniaaeisapnenavalevsancivan alias sda oetae dae aa ea eae 163 12 4 System Setup for Exercise Test 5 1 sssssevescevsssivecesavovaisisdgendsasy svaasalgssaneesnncedeasdevedeadpenaceetns 164 12 4 1 General Information Seni lt a cca ceccersct saceoceeaceceushendganesannesteqiedanccasesenaaeleneteaeeen 165 124 2 Record Information SCO sio 53 ce cycaa cosa sok oc ebsiesas esas a esau ced a a aoe
104. ettings from U Disk 1 Connect the U disk containing the system settings to the electrocardiograph 2 Press Tab or Shift Tab to move the cursor to the Load Settings From U disk button on the System Maintenance interface and then press to load the system settings from the U disk to the electrocardiograph 11 10 3 Backing Up Settings Press Tab or Shift Tab to move the cursor to the Back up Settings button on the System Maintenance interface and then press to back up the system settings to the ECG 11 10 4 Loading Backup Settings Press Tab or Shift Tab to move the cursor to the Load Backup Settings button on the System Maintenance interface and then press to load the backup settings from the ECG 11 10 5 Printing System Settings Press Tab or Shift Tab to move the cursor to the Record System Settings button on the System Maintenance interface and then press to print the system settings Pressing this button again can stop printing system settings 11 10 6 Loading Factory Settings Press Tab or Shift Tab to move the cursor to the Load Factory Settings button on the System Maintenance interface and then press to restore the factory settings shown in the following table 147 12 Channel Electrocardiograph User Manual Table 11 1 System Setup Defaults System Setup Resting ECG Setup Default 1 Mode Options Auto Man
105. eys for 10 seconds and then you will enter the service menu of the Valiant By default the Valiant is shipped with the Lode RS232 communication protocol It should be set to the Trackmaster RS232 protocol You can change the communication protocol by following the procedures below gt Select Prot id and select the second RS232 protocol which is the Trackmaster 161 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional communication protocol gt Select Baudrate and set this to 4800 Baud gt Press the red button to leave the service menu gt Turn off the Valiant 3 For Lode ergometer gt Turn on the ergometer By default the Corival ergometer is shipped with the LODE RS232 communication protocol It should be set to the ERGOLINE P4 protocol You can change the RS232 protocol by following the procedures below Turn on the ergometer and press Enter e You will be in MAINMENU e Select by using the Up Down keys the menu SYSTEM PARAMETER and press Enter e Select by using the Up Down keys the menu SETTINGS and press Enter Select by using the Up Down keys the menu RS232 PROTOCOL and press Enter Select by using the Up Down keys ERGOLINE P4 and press Enter e Save the selected RS232 protocol or restore the default RS232 protocol which is also the LODE PROTOCOL Turn off the ergometer gt For controlling the ergometer by SE 12 Express the ergometer should be set in the ANALOG
106. frequently connect or disconnect the U disk or the USB printer 11 3 1 6 Setting Speed Press Tab or Shift Tab to move the cursor to the Speed list box on the Setup 1 interface and then press the Up or Down arrow to highlight an option In the manual mode you can set Speed to 5mm s 6 25mm s 10mm s 12 5mm s 25mm s or 50mm s In the auto and rhythm modes only 25mm s and 50mm s are available In the R R analysis mode only 25mm s is available 11 3 1 7 Selecting Paper Marker Press Tab or Shift Tab to move the cursor to the Paper Marker list box on the Setup 1 128 12 Channel Electrocardiograph User Manual System Setup interface and then press the Up or Down arrow to highlight No or Yes Paper Marker is used to identify the start point of each page of the recorder paper When the paper with black markers on the bottom is used and Paper Marker is set to Yes the device can identify the start point of each page of the recorder paper while printing ECG reports When Paper Marker is set to No the device can not identify the start point of each page of the recorder paper while printing ECG reports 11 3 1 8 Setting Sampling Time If Record Style is set to 12x1 you can set the time period Press Tab or Shift Tab to move the cursor to the Sample Time textbox and then input the time period manually If the time period is set from 11 to 24 seconds in the auto mode after pressing the START STOP key the ECG waves of t
107. g box 169 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional Cancel In the Add Protocol dialog box firstly you should enter the new protocol name in the Protocol Name textbox and then enter the stage information of every stage including the time speed and grade After that press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Note When Time of a stage in the exercise phase is set to 00 this stage and its following stages in the exercise phase will not be carried out 2 Edit Select a protocol on the Protocol Manager interface by pressing the Up or Down arrow and press the function key F2 below Edit to display the Edit Protocol dialog box Then you can edit the protocol information 170 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional Modified Bruce i ANARAN lst all St sl sl ALLEL Cancel Note For the Bruce or Modified Bruce protocol only the stage information of the pretest and recovery phases can be edited 3 Select Select a protocol on the Protocol Manager interface by pressing the Up or Down arrow and press the function key F3 below Select to set the selected protocol as the default protocol 4 Delete Select a protocol on the Protocol Manager interface by pressing the Up or Down arrow and press the function key F4 below Delete to disp
108. ge Heart rate exceeds the normal range Sys Overrange Systolic blood pressure exceeds the normal range Dia Overrange Diastolic blood pressure exceeds the normal range 175 Hint Information 12 Channel Electrocardiograph User Manual Cleaning Care and Maintenance Chapter 15 Cleaning Care and Maintenance 15 1 Cleaning CAUTION Turn off the power before cleaning and disinfection The mains supply must be switched off if it is used 15 15 15 1 1 Cleaning the Main Unit and the Patient Cable The surfaces of the main unit and the 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 1 2 Cleaning the Reusable Electrodes Remove the remainder gel from the electrodes with a clean soft cloth first Take suction bulbs and metal cups of chest electrodes apart and take clamps and metal parts of limb electrodes apart Clean them in warm water and make sure there is no remainder gel Dry the electrodes with a clean dry cloth or air dry naturally 1 3 Cleaning the Print Head Dirty and soiled thermal print head will deteriorate the printing definition So it should be cleaned at least once a month regularly 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 i
109. groups of 4 on the main interface of the exercise test When Display Style is set to 6x2 12 channel ECG waves are displayed in 2 groups of 6 on the main interface of the exercise test When Display Style is set to 12x1 12 channel ECG waves are displayed on the main interface of the exercise test Note When the main interface of the exercise test is displayed pressing the Up or Down arrow on the keyboard can switch the display styles When the display style is 3x1 pressing the Left or Right arrow on the keyboard can switch the lead groups 2 Speed Unit You can set Speed Unit to mph or km h 3 Post J Post J is the length after J point of ST segment You can set Post J to Oms 20ms 40ms 60ms or 80ms Note J point is the connection point between the end of QRS complex and the start of ST segment It is the standard point to fix the position of ST segment Please select a proper option based on the patient s actual ECG waves 4 Device Type Device Model BP Monitor Press Tab or Shift Tab to move the cursor to the Device Type list box and then press the Up or Down arrow to highlight Treadmill or Ergometer Press Tab or Shift Tab to move the cursor to the Device Model list box and then press the Up or Down arrow to specify the device model Press Tab or Shift Tab to move the cursor to the BP Monitor list box and then press the Up or Down arrow to highlight Off Tango or In Ergometer Notes 1 You should test whet
110. h an RS232 cable Note The position of the RS232 port may be different on different treadmills 2 Connect the electrocardiograph to the ergometer 157 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional Connect the RS232 in port of the ergometer to the RS232 port of the electrocardiograph with an RS232 cable Note The position of the RS232 in port may be different on different ergometers 3 Connect the electrocardiograph to the stress BP monitor 4 Connect the power cords and connect the earth wire when necessary 5 Load the recorder paper 6 Turn on the stress BP monitor and treadmill ergometer 7 Set the electrocardiograph 1 After turning on the electrocardiograph press Pretest on the keyboard to open the main interface of the exercise test 2 Press the function key F6 below Setup to open the System Setup interface 3 Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on General Info on the System Setup interface press to open the General Information Setup interface 158 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional System Setup 4 Set Device Type Device Mode and BP Monitor Press Tab or Shift Tab to move the cursor to the Device Type list box and then press the Up or Down arrow to highlight Treadmill or Ergometer Press Tab or Shift Tab to
111. he pacemaker signals are not easy to be detected BP mmHg Patient Systolic Blood Pressure Diastolic Blood Pressure Race Patient Race unknown Oriental Caucasian Black Indian Mongolian Hispanic Asian Pacific other Medication The medication which patient took previously Within 30 ASCII characters Room No Room Number Within 10 ASCII characters Department Within 30 ASCII characters Physician Physician Name Within 35 ASCII characters Technician Technician Name Within 35 ASCII characters Ref Physician Referring Physician Name Within 35 ASCII characters Note The total number of supported characters may be fewer if either special Latin characters or Chinese characters are entered Operation Procedures are as follows 1 Press Tab or Shift Tab to move the cursor to a textbox Fill in the selected textbox For details on inputting data please refer to Section 3 2 Entering Data 2 Press Tab or Shift Tab to move the cursor to a list box Press the Up or Down arrow to select an option 6l 12 Channel Electrocardiograph User Manual Entering Patient Information 3 After inputting all the information press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Note If you select D O B on the Patient Information Setup interface the D O B textbox appears and the Age textbox becomes unavailable in the Patient Information window you can enter
112. he set time period are printed Note If the time period is set from 11 to 24 seconds the ECG data sampled will not be analyzed automatically or stored 11 3 2 Setup 2 Press F1 or F2 to switch to the Setup 2 interface Record Info Setup Cancel Figure 11 5 Record Info Setup2 129 12 Channel Electrocardiograph User Manual System Setup Press Tab or Shift Tab to move the cursor to an item and then press Spacebar to select or deselect the item Auto Record Info includes Patient Info Position Marker Analysis Template Measure Minnesota Code and Baseline Adjustment When Patient Info Position Marker Analysis Template Measure or Minnesota Code is selected it will be printed in the ECG reports When Baseline Adjustment is set to Auto the baselines of the lead groups are adjusted respectively When Baseline Adjustment is set to Horizontal the baselines of the lead groups are adjusted simultaneously and the baselines of the leads in the same row are on the same line R R Record Info includes R R Histogram R R Waveform and R R Interval List When R R Histogram R R Waveform or R R Interval List is selected it will be printed in the ECG reports Grid of Report includes Thermal Report and USB Report When Thermal Report is selected the grid will be printed while printing ECG reports with the thermal recorder When USB Report is selected the grid will be printed while printing ECG reports
113. head The deteriorated print head may lead to illegible ECG reports and block the advance of the paper Storage Requirements Recorder paper should be stored in a dry dark and cool area avoiding excessive temperature humidity and sunshine Do not put the recorder paper under fluorescence for a long time Make 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 recorder paper for a long time or else the ECG reports may trans print each other 178 12 Channel Electrocardiograph User Manual Cleaning Care and Maintenance 15 3 3 Maintenance of the Main Unit and the Patient Cable 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 b Inspect the equipment and accessories for mechanical and functional damage c Inspect the safety related labels for legibility d Inspect the fuse to verify compliance with the rated current and circuit breaking characteristics e Verify that the device functions properly as described in the instructions for use f Test the protection earth resistance according to IEC EN 60601 1 Limit 0 1 ohm g Test the earth leakage current according to IEC EN 60601 1 Limit NC 500uA SFC 1000pA h Test the enclosure leakage current according to IEC EN 60601
114. her the treadmill is controlled by SE 12 Express well when SE 12 Express is connected to the treadmill for the first time 2 Do not stand on the treadmill when testing it for the first time 3 Before the exercise test be sure to be familiar with the user manual of the treadmill or the ergometer 166 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional 4 If you have any questions about the operation please contact us or your local distributor 5 Normal BP Range You can set the normal range of the systolic diastolic blood pressure If the patient s blood pressure values exceed the normal BP ranges the system will give a hint 6 Max Predicted HR and Target HR The following formulas are applied to calculate the target heart rate Max Predicted HR 220 Age Target HR Max Predicted HR 85 Note 220 and 85 are default values and you can modify them in different situations 12 4 2 Record Information Setup Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Record Info on the System Setup interface press to open the Record Info Setup interface Record Info Setup Late Stage Cancel Figure 12 3 Record Info Setup Interface 167 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional Press Tab or Shift Tab to move the cursor to a list box and then pres
115. ic Office or the shop where you purchased the product 8 Federal U S law restricts this device to sale by or on the order of a physician 12 Channel Electrocardiograph User Manual Safety Guidance 1 2 4 Cleaning amp Disinfection Cautions CAUTION 1 Turn off the power before cleaning and disinfection If the mains supply is used the power cord should be dragged out of the outlet Prevent the detergent from seeping into the equipment 2 Do not immerse the unit or the patient cable into liquid under any circumstances 3 Do not clean the unit and accessories with abrasive fabric and avoid scratching the electrodes 4 Any remainder of detergent should be removed from the unit and the patient cable after cleaning 5 Do not use chloric disinfectant such as chloride sodium hypochlorite etc 1 2 5 Preparation and Operation Warnings for SE 12 Express Exercise ECG WARNING 1 Ensure that the main unit and the treadmill ergometer are effectively grounded 2 Test the emergency stop switch of the treadmill before using the system 3 During the exercise test ensure that there are at least 2 experienced physicians present One of them observes the patient and deals with the emergency 4 Make sure that there is necessary valid first aid equipment such as defibrillators blood pressure meters etc and necessary valid medication in the exercise test room 5 Turn off the system power and disconnect the power cord from the wall outlet
116. ill be printed out 10s after entering the recovery phase You can set the interval to print the later recovery reports in the Interval pull down list For example if you select 1 min in the Interval pull down list the later recovery reports will be printed out every 1 min 3 Report Style When Report Style is set to 3x4 1 ECG waves of 12 leads are printed in 4 groups of 3 with the ECG wave of one rhythm lead on the bottom of the ECG reports When Report Style is set to 6x2 1 ECG waves of 12 leads are printed in 2 groups of 6 with the ECG wave of one rhythm lead on the bottom of the ECG reports 168 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional 4 Final Report You can select Summary Report ST Scope Report Trend Graph Report and Edit Conclusion as the final reports After an exercise test is terminated you can press the START STOP key on the keyboard to print out the selected final reports Note Pressing the START STOP key during the printing course can stop printing 12 4 3 Protocol Manager Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Protocol on the System Setup interface press to open the Protocol Manager interface Protocol Manager Bruce Add Edit Select Delete Del All Restore Return Figure 12 4 Protocol Manager Interface 1 Add Press the function key F1 below Add to display the following dialo
117. in the auto rhythm or off mode Memory Full The amount of files on the File Manager interface of SE 12 exceeds 100 The amount of files on the File Manager interface of SE 12 Express exceeds 200 Module Error There is something wrong with the signal sample module DEMO The system is in the demonstration mode Overload The direct current offset voltage on an electrode is too high U Disk USB Printer USB Scanner A U disk a USB printer or a bar code reader is connected to the USB interface 174 12 Channel Electrocardiograph User Manual Table 14 2 Hint Information and Causes for Exercise ECG Hint Information Causes Battery Weak The built in battery is weak No Paper Recorder paper runs out or is not loaded Paper Error When Paper Marker is set to Yes the electrocardiograph advances the recorder paper to the next black marker If it advances the paper for 300mm and can not find the next black marker the hint Paper Error is displayed Module Error There is something wrong with the signal sample module DEMO The system is in the demonstration mode Lead X off Electrodes fall off the patient or the patient cable falls off the unit Overload The direct current offset voltage on an electrode is too high No Testing No test is being carried out Testing An exercise test is being carried out Testing Stop An exercise test is terminated HR Overran
118. indicator Delete key Enter key Esc key Reset key Shift key Fn key Power On Off key COPY key MODE key SLEEP WAKE UP key Safety Guidance 12 Channel Electrocardiograph User Manual Safety Guidance START STOP key Tab key Feed paper key OO UP DOWN LEFT RIGHT Arrow key t amp Recycle P N Part Number Serial Number onl Date of Manufacture ual Manufacturer IEC REP Authorized Representative in the European Community The symbol indicates that the device complies with the 0123 European Council Directive 93 42 EEC concerning medical devices Rx only U S Federal US law restricts this device to sale by or on the order of a physician It indicates that the device should be sent to the special ae agencies according to local regulations for separate collection after its useful life 10 12 Channel Electrocardiograph User Manual Introduction Chapter 2 Introduction The 12 channel electrocardiograph gathers ECG signals of 12 leads simultaneously It displays the operation menu ECG parameters as well as electrocardiograms The 12 channel ECG waves can be viewed on the LCD screen and printed out by using a high quality thermal recorder The sampled ECG data can be saved transmitted and exported The manual auto rhythm R R analysis or off mode can be chosen freely For SE 12 Express the exercise ECG function is optional When a patient with coronary heart disease
119. ines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the 12 channel electrocardiograph is used exceeds the applicable RF compliance level above the 12 channel electrocardiograph should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the 12 channel electrocardiograph Over the frequency range 150 kHz to 80 MHz field strengths should be less than 1 V m 194 12 Channel Electrocardiograph User Manual EMC Information Recommended separation distances between portable and mobile RF communications equipment and the EQUIPMENT or SYSTEM for EQUIPMENT or SYSTEM that are not LIFE SUPPORTING Recommended separation distances between portable and mobile RF communications equipment and the 12 channel Electrocardiograph The 12 channel electrocardiograph is intended for use in an electromagnetic environment in which radiated RF disturbances
120. interface and then press the Up or Down arrow to highlight an option When the electrocardiograph displays a hint such as Lead Off Overload Battery Weak etc there is a sound You can set Hint Volume to Low Medium High or Off When it is set to Off there is no hint sound 11 7 6 Setting QRS Volume Press Tab or Shift Tab to move the cursor to the QRS Volume list box on the Display amp Sound Setup interface and then press the Up or Down arrow to highlight an option When an R wave is detected there is a sound You can set QRS Volume to Low Medium High or Off When it is set to Off there is no sound when an R wave is detected 11 8 Date amp Time Setup Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Date amp Time on the System Setup interface press to open the Date amp Time Setup interface 141 12 Channel Electrocardiograph User Manual System Setup Date amp lime Setup ii 05 20 10 12 foo Joi 24 Hours Figure 11 10 Date amp Time Setup Interface After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 11 8 1 Setting Date and Time Press Tab or Shift Tab to move the cursor to the Date or Time textbox on the Date amp Time Setup interface and then input the date or the time manually The time will be displayed on
121. iograph User Manual System Setup Single Lead Three Leads Figure 11 2 Work Mode Setup Interface After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 11 1 1 Selecting Work Mode Press Tab or Shift Tab to move the cursor to a work mode press Spacebar to select it and then a check mark V appears in the box before the work mode Note Only if a work mode is selected on the Work Mode Setup interface can the work mode be selected by pressing the MODE key when the main interface is displayed MANU In the manual mode you can determine the lead group to be displayed and printed AUTO In the auto mode the lead groups are switched automatically according to the lead sequence during the printing course After the ECG waves of one lead group are printed within a certain time the system switches to print ECG waves of another lead group automatically 119 12 Channel Electrocardiograph User Manual System Setup RHYT In the rhythm mode you can select rhythm leads to print 60s or 20s rhythm lead ECG waves R R In the R R analysis mode you can select a lead to print its R R histogram R R trend chart 180s compressed ECG waveform and all the R R interval values OFF In the off mode the lead groups are switched automatically according to the lead sequence When the main interface is disp
122. lay the following dialog box Press Tab or Shift Tab to move the cursor to the OK button and then press to delete the selected protocol 171 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional 5 Del All To delete all the protocols from the Protocol Manager interface you can press the function key F5 below Del All to display the following dialog box Press Tab or Shift Tab to move the cursor to the OK button and then press to delete all the protocols Cancel 6 Restore Press the function key F6 below Restore to display the following dialog box Press Tab or Shift Tab to move the cursor to the OK button and then press to restore the factory settings HINT Cancel 7 Return Press the function key F7 below Return to return to the System Setup interface 172 12 Channel Electrocardiograph User Manual Turning Off the Electrocardiograph Chapter 13 Turning Off the Electrocardiograph When the built in battery is used hold down the G key to display the hint System is shutting down on the screen Then the device will be off a few seconds later When the mains supply is used hold down the G key to display the hint System is shutting down on the screen Then the device will be off a few seconds later Remove the plug from the outlet Notes 1 When turning off the device follow the above sequence strictly or else there will be s
123. layed after pressing the START STOP key the sampled ECG data can be saved and transmitted but can not be printed 11 1 2 Selecting Manual Style Press Tab or Shift Tab to move the cursor to the Manual Style list box on the Work Mode Setup interface and then press the Up or Down arrow to highlight 3 channels 6 channels or 12 channels When Manual Style is set to 3 channels ECG waves of 3 leads are displayed and printed in the manual mode When Manual Style is set to 6 channels ECG waves of 6 leads are displayed and printed in the manual mode When Manual Style is set to 12 channels ECG waves of 12 leads are displayed and printed in the manual mode 11 1 3 Selecting Rhythm Style Press Tab or Shift Tab to move the cursor to the Rhythm Style list box on the Work Mode Setup interface and then press the Up or Down arrow to highlight Single Lead or Three Leads When Rhythm Style is set to Single Lead in the rhythm mode 60s ECG waves of the appointed single rhythm lead will be printed When Rhythm Style is set to Three Leads in the rhythm mode 20s ECG waves of three appointed rhythm leads will be printed 11 1 4 Selecting Auto Display Style Press Tab or Shift Tab to move the cursor to the Auto DispStyle list box on the Work Mode 120 12 Channel Electrocardiograph User Manual System Setup Setup interface and then press the Up or Down arrow to highlight an option When the auto display style is set to 3x4 E
124. m Setup EMG Filter 25Hz 35Hz or 45Hz 7 Lowpass Filter 75Hz 100Hz or 150Hz Filter Note This setup can t be saved if it is modified on the main interface ease 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application Gain 2 5 mm mV 5 mm mV 10 mm mV 20 mm mV 10 5 mm mV or AGC N Gain ee 7 l Note This setup can t be saved if it is modified on the main interface In the manual mode you can set Speed to 5mm s 6 25mm s 10mm s 12 5mm s 25mm s or 50mm s In the auto and rhythm modes only 25mm s and 50mm s are available In the R R analysis 9 speed mode only 25mm s is available Note This setup can t be saved if it is modified on the main interface Freezing ECG waves For details please refer to Chapter 7 P Freeze Freezing ECG Waves Press the function key F1 below Patient to open the Patient Q Patient Information window For details please refer to Chapter 6 Entering Patient Information R ECG waveform Display ECG waveform 3 5 About the Main Interface of Exercise ECG Optional for SE 12 Express After turning on the electrocardiograph press Pretest on the keyboard to open the main interface of the exercise test Figure 3 3 During the exercise test the main interface of ST Trend Figure 3 4 or the main interface of Template Figure 3 5 will appear 239 12 Channel Electrocardiograph User Manual About the Electrocardiog
125. m to the first two sections of the IP of the PC Set the third section of the Local IP item to the network segment of the electrocardiograph which depends on the configuration of Router The last section of the Local IP item can be set at random For the same network transmission set the first three sections of the Local IP item to the first three sections of the IP of the PC The last section of the Local IP item can be set at random but it can t be the same as the last section of the IP of the PC 7 Press Tab or Shift Tab to move the cursor to the Gateway item Set the first three sections of the Gateway item to the first three sections of the IP of the electrocardiograph The last section of the Gateway item must be set to 1 Note For more information on configuring network settings see your Network Administrator Take the same network transmission for example View the IP of the PC 21x General T seta F TORI ERNE gate Sati Otherwise you need to ask your network administrator for the appropriate IP settings C Oban Ass lo Stree 255 255 255 Default gateway 192 168 W A 6 iit prin 1 ES BGIeSs GULTIEUC Use the tollowing DNS server addresses Prefered DNS serves 192 168 1 1 ARemate DNS server 202 9 134 133 On the Transmission Setup interface of the electrocardiograph set Transmission Mode to Ethernet Set the Server IP item to the IP of the PC Set the first three sections
126. mode The ANALOG mode should be selected as follows After turning on the ergometer press Enter select ANALOG and press Enter again NOTE You can also let the ergometer start up in the ANALOG mode every time you turn on the ergometer by using the default start menu To set the ergometer for starting up in the ANALOG mode proceed as follows Turn on the ergometer and press Enter e You will be in MAINMENU e Select by using the Up Down keys the menu SYSTEM PARAMETER and press Enter e Select by using the Up Down keys the menu SETTINGS and press Enter e Press Enter to confirm the menu DEFAULTSTARTMENU and press Enter If you turn off the ergometer it will start up in the ANALOG mode every time the ergometer is turned on again gt The Lode ergometer is now ready for external control For details on setting other models for external control please refer to the connection instruction of the models 162 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional 9 When the main interface of the exercise test is displayed press the function key F1 below Patient to open the Patient Information window Enter the patient information For details on entering patient information please refer to Chapter 6 Entering Patient Information Note If you do not enter the patient age or the birthday before pressing the Pretest key to begin the exercise test a hint will pop up to remind you to inpu
127. n 29 Summary Report On 30 ST Scope Report On 31 Trend Graph Report On 32 Edit Conclusion On 11 10 7 Setting System Password Press Tab or Shift Tab to move the cursor to the System Password textbox on the System Maintenance interface and then enter the password If you set the system password after you press the function key F6 below Setup the System Password window will pop up After you enter the correct password the System Setup interface will be displayed 151 12 Channel Electrocardiograph User Manual System Setup 11 11 Other Setup Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Other on the System Setup interface press to open the More Setup interface Other Setup Cancel Figure 11 13 Other Setup Interface After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 11 11 1 Entering Institution Press Tab or Shift Tab to move the cursor to the Institution textbox on the Other Setup interface and then manually input the institution name within 40 ASCII characters Note The total number of supported characters may be fewer if either special Latin characters or Chinese characters are entered 11 11 2 Selecting a Language Press Tab or Shift Tab to move the cursor to Language on the Other Setup interface and then
128. n and then press e 9 On the System Setup interface press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Lead press to open the Lead Setup interface 10 Press Tab or Shift Tab to move the cursor to the Rhythm Lead1 2 3 list box and then press the Up or Down arrow to select a lead 11 Press Tab or Shift Tab to move the cursor to the Lead Sequence list box and then press the Up or Down arrow to select a sequence 12 Press E or press Tab or Shift Tab to move the cursor to the OK button and then press ED 70 12 Channel Electrocardiograph User Manual Printing ECG Reports lead Setup Cancel After setup press ESC to return to the main interface 2 When the main interface is displayed press the MODE key to select the auto mode Press F3 to select a paper speed Press F4 to switch the gain Press F5 to set the EMG filter or the Lowpass filter 3 Press the START STOP key to print an ECG report It will stop automatically after printing a complete ECG report of 12 leads Or press the START STOP key again to stop printing the report 4 If Preview is set to On on the Work Mode Setup interface press the START STOP key to display the preview interface sis 12 Channel Electrocardiograph User Manual Printing ECG Reports 001 Marry Johnson a BP i a naen A ee d ne P r cece re S j calm ps I aJl males
129. nction key F7 below Return to exit the freezing interface these settings will not be saved 3 Press the function key F2 below Replay to replay the frozen ECG waves on the Replay interface 66 12 Channel Electrocardiograph User Manual Freezing ECG Waves L RI F al C2 Replay 12 00 01 Marry ohnson 257 Sac c5 c6 monza Aak aban o ji eR I pm PEE a a Ne an re E a A l mer CENE PASE E hi a En cite ee Pee el Pees OF te eee re eee S E E eee Coie E a PEE Saree i el a A n i piesa e f I I r rt mf n gt r ARA P ae ra E frat T n A s A ie A in AN A m A AN m AN A AN mi AN Ir oo nev p banan ily oo arene ee tY i E M aa j eee ee i kian A j Pe 4 ae AJ A AN aS a e J y ea mo y d a A aN on dla n ea peel pees 1 A ae nt lon IL ls Next Page a 7m mw Figure 7 2 Replay Interface 4 Press F1 below Pre Page or F4 below Next Page to turn pages 5 Press F2 below Pre Sec or F3 below Next Sec to view the ECG waves of the previous or next second 6 Press the function key F5 below Play to display ECG waves continuously 7 Press the function key F6 below Pause to stop playing ECG waves 8 Press the function key F7 below Return to return to the main interface 67 12 Channel Electrocardiograph User Manual Printing ECG Reports Chapter 8 Printing ECG Reports There are four modes to print ECG reports In
130. nstructions for use Test the protection earth resistance according to IEC EN 60601 1 Limit 0 1 ohm Test the earth leakage current according to IEC EN 60601 1 Limit NC 500 pA SFC 1000HA Test the enclosure leakage current according to IEC EN 60601 1 Limit NC 100uA SFC 500UA Test the patient leakage current according to IEC EN 60601 1 Limit NC a c 10pA d c 10UA SFC a c 50UA d c 50UA Test the patient auxiliary current according to IEC EN 60601 1 Limit NC a c 10pA d c 10UA SFC a c 50UA d c 50UA Test the patient leakage current under single fault condition with mains voltage on the applied part according to IEC EN 60601 1 Limit 50uA CF 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 has to be repaired 6 Ruptured fuse must only be replaced with that of the same type and rating as the original 7 The device and accessories are to be disposed of according to local regulations after their useful lives Alternatively they can be returned to the dealer or the manufacturer for recycling or proper disposal Batteries are hazardous waste Do NOT dispose of them together with house hold garbage At the end of their lives hand the batteries over to the applicable collection points for the recycling of waste batteries For more detailed information about recycling of this product or battery please contact your local Civ
131. ntroduction 2 1 Top Panel Indicators LCD Screen JgQ0QQUJ OoccccccS D OL OCLC LOLOLO oogoogonD000000 DODUODUDUOUOO ajulelelelalelslelsle ODuDUD00UC Doac oO ecu X Recorder Keyboard Figure 2 1 SE 12 Express Indicators LCD Screen ma Recorder ss ce fe oooccoDnuo000000 ooooopoo00000 Keyboard oo00cooDoo0000 DoooDooDD0oC Doc o0 iti o D000 X Figure 2 2 SE 12 12 12 Channel Electrocardiograph User Manual 2 2 Keyboard and Keys J eJ e BC EJ OP BHMOHWOWOOEOUY g O o a a a a o o H NA A w Wo Oe ESC Figure 2 3 SE 12 Express Keyboard CJ d Be ee amp ee CC UUU UU H a L3 M E o o A U U A o G c E e E a a o oo H N a a A a W u O e i Sa ie S 4 Figure 2 4 SE 12 Keyboard 2135 Introduction 12 Channel Electrocardiograph User Manual Name Introduction Explanation A Note Only if the stress ECG function is activated can these keys be available Pretest When the main interface is displayed press this key to display the main interface of the exercise test When the main interface of the exercise test is displayed press this key to enter the pretest phase The length of the pretest phase is not fixed Exercise Press this key to enter the exercise phase In the exercise phase pre
132. ograph User Manual Introduction 2 4 Rear Panel A Figure 2 7 SE 12 Express Rear Panel A T E B C D Figure 2 8 SE 12 Rear Panel Name Explanation A Mains Supply Socket AC SOURCE alternating current supply socket Potential Equalization Potential equalization conductor provides a connection Conductor between the unit and the potential equalization bus bar of the electrical installation Handle Part for people to hold D Heat Emission Hole Path for internal heat emission 18 12 Channel Electrocardiograph User Manual 2 5 Right Panel Introduction Figure 2 10 SE 12 Right Panel Name Explanation A Patient Cable Socket Connecting to the patient cable Serial Port 1 Connecting to a PC In the exercise test connecting to the treadmill ergometer C USB Socket 1 Optional Standard USB socket connecting to a PC USB Socket 2 Optional Standard USB socket connecting to a U disk a bar code reader or a USB printer recommended by the manufacturer E External Input Output Socket Connecting to the external signal device 19 12 Channel Electrocardiograph User Manual Introduction F In the exercise test connecting to the stress BP Serial Port 2 moni
133. ol Panel Reach Q Set Program Access and Defaults Player Map Network Drive ba Printers and Faxes Disconnect Network Drive Help and Support Show on Desktop Rename Search Properties IT Run gt P Log OFF Turn OFF Computer c On the Computer Management interface click on Device Manager Right click on HID Keyboard Device and then select Properties in the pop up menu A Computer Manag A File Action View Help s 40 HHA aeg Computer Management Local a System Tools Task Scheduler Event Viewer b amp Shared Folders b Local Users and Groups t Performance 4 Storage es Disk Management y Services and Applications 4 gay edan PC gi Computer gt a Disk drives E Display adapters 4g DVD CD ROM drives gt Human Interface Devices gt ca IDE ATA ATAPI controllers a Keyboards HID Keyboard Device E Ho Keyboard A Mice and other p Monitors X Network adapters YF Ports COM amp LP gt i Processors gt ly Sound video and g gt gill System devices Update Driver Software Uninstall Scan for hardware changes b Universal Serial Bus controllers d Click on the Details tab on the HID Keyboard Device Properties interface View the vector ID VID and the product ID PID Take the following figure for example the vector ID is 04B4 64 12 Channel Electrocardiograph
134. ol only Start Stop tmill Before the exercise test press Start tmill to test the connection between the electrocardiograph and_ the treadmill and then press Stop tmill to stop the connection test Function Key Selecting menu functions on the screen Delete Deleting characters Enter Tab Feed paper Confirming operation Moving the cursor Pressing Tab can move the cursor forward and pressing Shift Tab can move the cursor backward Feed paper when the main interface is displayed if Paper Marker is set to Yes you can press the Tab key to advance the recorder paper to the next black marker if Paper Marker is set to No you can press the Tab key to advance the paper for 2 5cm Press the Tab key again to stop advancing the paper Fn Inputting special characters Press Fn a to type Spacebar Adding a _ space between typed characters or selecting deselecting a checkbox Shift Pressing Shift Tab can move the cursor backward Press Shift and a number key to input the special character in the top right corner of the key If Caps Lock is set to Off pressing Shift P can type a capital P If Caps Lock is set to On pressing Shift P can type a lowercase p Esc Reset Canceling operation Note A large polarization voltage may cause baseline drift On the main interface pressing the ESC key can decrease the polarization voltage and draw the baseline to zero quickly
135. omething wrong on the screen 2 Do not hold down the key when the device displays the hint information System is shutting down on the screen 173 12 Channel Electrocardiograph User Manual Hint Information Chapter 14 Hint Information Hint information and the corresponding causes provided by the electrocardiograph are listed in the following tables Table 14 1 Hint Information and Causes Hint Information Causes Lead off Electrodes fall off the patient or the patient cable falls off the unit Battery Weak The built in battery is weak No Paper Recorder paper runs out or is not loaded Paper Error When Paper Marker is set to Yes the electrocardiograph advances the recorder paper to the next black marker If it advances the paper for 300mm and can not find the next black marker the hint Paper Error is displayed Testing The ECG data is being sampled periodically Sampling Analyzing ECG signals are being sampled analyzed recorded Recording Learning The self study process of arrhythmia arithmetic in the Trigger Sample mode Detecting The examining process of arrhythmia data in the Trigger Sample mode Transmitting ECG data is being transmitted from the electrocardiograph to the PC through the net or serial cable in the auto rhythm or off mode Transmit Fail ECG data fails to be transmitted from the electrocardiograph to the PC through the net or serial cable
136. on key F7 below Return to return to the File Manager interfacel Press the function key F7 below Return on the File Manager interface to return to the main interface 38 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application File Manager Name ID Time 2010 04 08 10 50 26 AUTO a rs es Tra ns All xport All Dar All sjet P SBarch hpo REum File Manager 1 200 Name ID Time Mode Figure 3 7 File Manager Interface2 39 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application Name Explanation A Trans All Press the function key F1 below Trans All to transmit all the files to the PC B Export All Press the function key F2 below Export All to export all the files from the electrocardiograph to the U disk C Del All Press the function key F3 below Del All to delete all the files from the electrocardiograph D Select Press the Up or Down arrow to highlight a file on the File Manager interfacel and then press the function key F4 below Select to select the file and display the File Manager interface2 E Search Press the function key F5 below Search to open the SearchInfo Setup window F Import Press the function key F6 below Import to import files from the U disk to the electrocardiograph G Return Press the function key F7 below Return to return to the main interface H Edit Press the function key F1
137. ord to the socket first and then connect the power cord to the hospital grade outlet Operating voltage 100V 240V Operating frequency 50Hz 60Hz Input power 70VA Make sure that the mains supply meets the above requirements before power on and then ly nr eer press on the keyboard to power on the unit The mains supply indicator 0 is lit If the built in rechargeable battery is weak when the mains supply is used it will be recharged automatically at the same time Both the mains supply indicator c and the battery recharging indicator a will be lit 4 12 Channel Electrocardiograph User Manual Operation Preparations Built in Rechargeable Battery When the built in rechargeable lithium battery is used turn on the unit by pressing D on the keyboard Then the battery indicator ta will be lit and the battery symbol will be displayed on the LCD screen Because of the consumption during the storage and transport course the battery capacity may not be full If the symbol J and the hint information Battery Weak are displayed which means the battery capacity is low please recharge the battery first CAUTION If the electrocardiograph is turned off automatically because of low battery capacity the settings may not be saved When the battery is fully charged SE 12 can work normally about 4 hours and print about 300 ECG reports of 3x4 1R in the auto mode SE 12 Express can work normally about 5 hours and print about
138. orded by the electrocardiograph can help users to analyze and diagnose heart disease However the interpreted ECG with measurements and interpretive statements is offered to clinicians on an advisory basis only 1 2 Warnings and Cautions In order to use the electrocardiograph safely and effectively and avoid possible dangers caused by improper operation 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 more attention to the following warning and caution information Notes 1 This device is not intended for home use 2 The pictures and interfaces in this manual are for reference only 1 2 1 Safety Warnings 1 WARNING The electrocardiograph is intended to be used by qualified physicians or personnel professionally trained They should be familiar with the contents of this user manual before operation Only qualified service engineers can install this equipment and only service engineers authorized by the manufacturer can open the shell 12 Channel Electrocardiograph User Manual Safety Guidance WARNING The results given by the equipment should be examined based on the overall clinical condition of the patient and they can not substitute for regular checking This device is not intended for treatment EXPLOSION HAZARD Do not use the electrocardiograph in the presence of flammable anesthetic mixtures with
139. oxygen or other flammable agents 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 If the integrity of the external protective conductor is in doubt the equipment should be powered by a built in rechargeable battery Do not use this equipment in the presence of high static electricity or high voltage equipment which may generate sparks This equipment is not designed for internal use or direct cardiac application Only the patient cable and other accessories supplied by the manufacturer can be used Or else the performance and electric shock protection can not be guaranteed Make sure that all electrodes are connected to the patient correctly before operation Ensure that the conductive parts of electrodes and associated connectors including neutral electrodes do not come in contact with earth or any other conducting objects Electrodes with defibrillator protection should be used while defibrillating If reusable electrodes with electrode gel are used during defibrillation ECG recovery will take more than 10 seconds The manufacturer recommends the use of disposable electrodes at all times Electrodes of dissimilar metals should not be used otherwise it may cause a high polarization voltage To the patient with a pacemaker the results given by the equipment may be invalid Do not touch the patient bed table or the equipment
140. paper Notes 1 In the auto mode only when Sampling Mode is set to Real time Sample Quickly is available 2 When Record Style is set to 3x4 3x4 1R or 3x4 3R only Save Paper is available When Record Style is set to 12x1 only Quickly is available 126 12 Channel Electrocardiograph User Manual System Setup 11 3 1 3 Selecting Recording Sequence Press Tab or Shift Tab to move the cursor to the Record Sequence list box on the Setup 1 interface and then press the Up or Down arrow to highlight Sequential or Synchronous When Record Sequence is set to Sequential the lead group is printed one by one in a certain sequence The start time of a lead group is just the end time of the previous lead group When Record Sequence is set to Synchronous all leads are printed simultaneously The start time of each group is the same 11 3 1 4 Setting Gain Press Tab or Shift Tab to move the cursor to the Gain list box on the Setup 1 interface and then press the Up or Down arrow to highlight an option You can set the indicated height of lmV ECG on the paper You can set Gain to 10mm mV 20mm mV 10 5mm mV AGC 2 5mm mvV or 5mm mV AGC means auto gain control When ECG signals vary greatly AGC can be selected to adjust the gain automatically according to actual signals 10 Smm mV means that the gain of limb leads is set to 10mm mV while the gain of chest leads is set to 5mm mV 11 3 1 5 Selecting Recording Device Press
141. raph Application i K DEMO C No Paper t 00 00 00 00 00 J mmg L Marry Johnson 5 B 001 A lo ec U Bruce Exercise Stage 1 3 No Paper Testing 00 02 20 00 00 40 mmHg Marry Johnson r 00i 1 7 mph 10 0 7 0 METs O 4 mv ST Amplitude 0 4 my ST Amplitude 1 X 0 4 Patient Hold Post1 60ms 10mm mv 100z ted V W Figure 3 4 Main Interface of ST Trend 233 12 Channel Electrocardiograph User Manual About the Electrocardiograph Application Bruce Exercise Stage 1 11 20 30 Testing 00 02 20 00 00 40 mmHg 10 0 x 7 0 wets Marry Johnson mph Patient Post 60ms 10mm m V ST ope Figure 3 5 Main Interface of Template When ID Mode is set to Manual the patient ID is within 30 characters ID When ID Mode is set to Auto the patient ID is 0 1999 999 999 When ID Mode is set to Time the patient ID is within 10 characters Patient Name within 60 ASCII characters or the equivalent Name number of other characters that can be supported by equivalent memory used by 60 ASCII characters HR Overrange Sys Overrange Dia Overrange Battery Hint Information Weak No Paper Paper Error Hint Information2 DEMO Module Error Lead X Off Overload Current Protocol The selected protocol name No Testing Testing Testing Stop Hint Information3 During the exercise test the count from 0 to 9 is displayed after the 12ld key on the keybo
142. ration Ensure that the conductive parts of electrodes and associated connectors including neutral electrodes do not come in contact with earth or any other conducting objects 55 12 Channel Electrocardiograph User Manual Operation Preparations CAUTION The disposable electrodes can only be used for one time 4 7 Inspection Before Power On In order to avoid safety hazards and get good ECG records the following inspection procedure is recommended before power on and operation 1 2 3 4 5 6 Environment Make sure that there is no electromagnetic interference source around the equipment especially large medical electrical equipment such as electrosurgical equipment radiological equipment magnetic resonance imaging equipment etc Turn off these devices when necessary Keep the examination room warm to avoid muscle tremor voltages in ECG signals caused by cold Power Supply Ifthe mains supply is used please check whether the power cord is connected to the unit well The grounded three slot outlet should be used When the battery capacity is low recharge the battery before use Patient Cable Make sure that the patient cable is connected to the unit firmly and keep it far away from the power cord Electrodes Make sure that all electrodes are connected to lead wires of the patient cable correctly Ensure that the chest electrodes do not contact Recorder Paper
143. runs the added heart load will cause myocardium hypotension and then the ECG will change abnormally Therefore the exercise ECG function of SE 12 Express can be used to diagnose concealed coronary heart disease and atypical angina pectoris prescribe the workload for patients with myocardial infarction before they leave hospital and assess the effect of the treatment The 12 channel electrocardiograph can be powered by the mains supply or a built in rechargeable lithium battery With a high resolution thermal recorder a 32 bit processor and a large capacity memorizer the 12 channel electrocardiograph has advanced performance and high reliability The compact size makes it suitable for clinic and hospital uses The 12 channel electrocardiograph has two models SE 12 and SE 12 Express SE 12 adopts 320x240 dot single color LCD screen SE 12 Express adopts 800x600 multicolor LCD screen Configuration main unit power cord patient cable chest electrodes limb electrodes disposable electrodes alligator clips thermal recorder paper fuses lithium battery WARNING 1 This equipment is intended for use on adult and pediatric patients only 2 This equipment is not designed for internal use or direct cardiac application 3 The results given by the equipment should be examined based on the overall clinical condition of the patient and they can not substitute for regular checking ll 12 Channel Electrocardiograph User Manual I
144. s 1 2 6 Contraindications for SE 12 Express Exercise ECG Absolute Contraindications 1 Acute MI within 2 days 2 High risk unstable angina 3 Hemodynamic compromise caused by uncontrolled cardiac arrhythmia 4 Active endocarditis 5 Symptomatic severe aortic stenosis 6 Decompensated symptomatic heart failure 7 Acute pulmonary embolus or pulmonary infarction 12 Channel Electrocardiograph User Manual Safety Guidance 8 9 Acute noncardiac disorder that may affect exercise performance or be aggravated by exercise eg infection renal failure thyrotoxicosis Acute myocarditis or pericarditis 10 Physical disability that would preclude safe and adequate test performance 11 The patient opposes the test Relative Contraindications 1 2 Left main coronary stenosis or its equivalent Moderate stenotic valvular heart disease Electrolyte abnormalities Tachyarrhythmias or bradyarrhythmias Atrial fibrillation with uncontrolled ventricular rate Hypertrophic cardiomyopathy Patients can not cooperate because of mental impairment High degree AV block 1 3 List of Symbols External output External input Caution Consult Instructions for Use il Equipment or part of CF type with defibrillator proof 12 Channel Electrocardiograph User Manual tla fo ped m w OQ z F C BEB COPY i G Potential equalization Mains supply USB port Battery indicator Battery recharging
145. s Department P QRS T axis 55 45 54 T RVS5 SV1 amp 1 042 0 533 mV RV5 SV1 amp 1 575 mV RVG6 SV2 amp 0 739 40 879 mV Report Confirmed by I i l i v1 jt ey Pn i in i an 7 FEH bare fees B im AmA ir j i 2 EASE Bt ee BS R ea a ALP pn nn 4 A mr __ h a Ee SE Pr IEUAN beat EE E h y3 Hir A jA A l A BS ae j 4 aVR SS EHEN Rae Pe PP FIH Bh oa He A a A I s ae 13 ei i i iT ave EEEE e a ee Se 8 f it 5 j j avk i R v l H 4 4 Ji H SE tn G i i i 1 fi wt Le 4 k i s 4 in kes bees 7 J A 0 67 100Hz ACSO 25mm s 10mm mV 2 5st 1ir Institution Name SE 12Express VER SEMIP VI S The above figure shows an ECG report in the auto mode The style is 6x2 1R The ECG report includes Patient Information Measure Information Diagnosis Information Report Confirmed by Current Date and Current Time 6x2 1R ECG waves 0 67 100Hz 0 67Hz DFT Filter 100Hz Lowpass Filter 25mm s Paper Speed ACS0 50Hz AC Filter 10mm mvV Gain 2 5s Ir 12 leads are printed in 2 groups of 6 and every group is printed for about 5s with one 79 12 Channel Electrocardiograph User Manual Printing ECG Reports rhythm lead at the bottom simultaneously Institution Name SE 12 Express Electrocardiograph Model V1 8 Software Version Number SEMIP V1 5 Algorithm Version Number Quick Mode 02 06 2010
146. s Tab or Shift Tab to move the cursor to the Brightness progress bar on the Display amp Sound Setup interface and then press the Left or Right arrow to adjust the brightness of the LCD screen You can set the brightness within 0 20 11 7 2 Selecting Display Colors Only for SE 12 Express Press Tab or Shift Tab to move the cursor to the Display Colors list box on the Display amp Sound Setup interface and then press the Up or Down arrow to highlight Monochrome Option1 or Option2 11 7 3 Selecting Antialiasing Press Tab or Shift Tab to move the cursor to the Antialiasing list box on the Display amp Sound Setup interface and then press the Up or Down arrow to highlight Off or On When Antialiasing is set to On the system will automatically make the waveform smooth When Antialiasing is set to Off the system will not make the waveform smooth 140 12 Channel Electrocardiograph User Manual System Setup 11 7 4 Setting Key Volume Press Tab or Shift Tab to move the cursor to the Key Volume list box on the Display amp Sound Setup interface and then press the Up or Down arrow to highlight an option When you press keys on the keyboard the electrocardiograph gives a short sound You can set Key Volume to Low Medium High or Off When it is set to Off there is no sound when you press keys 11 7 5 Setting Hint Volume Press Tab or Shift Tab to move the cursor to the Hint Volume list box on the Display amp Sound Setup
147. s the Up or Down arrow to highlight an option Or press Tab or Shift Tab to move the cursor to a textbox and then fill in the textbox Or press Tab or Shift Tab to move the cursor to a checkbox and then press Spacebar to select or deselect it After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 1 Exercise Report When Close is highlighted 12 lead ECG report of the exercise phase will not be printed out automatically during the exercise test When Early Stage is highlighted 12 lead ECG report will be printed out automatically at the early period of each stage of the exercise phase When Middle Stage is highlighted 12 lead ECG report will be printed out automatically at the middle period of each stage of the exercise phase When Late Stage is highlighted 12 lead ECG report will be printed out automatically at the late period of each stage of the exercise phase 2 Recovery Report When Output is deselected 12 lead ECG report of the recovery phase will not be printed out automatically during the exercise test When Output is selected 12 lead ECG report of the recovery phase will be printed out automatically during the exercise test You can set the start time to print the first recovery report by filling in the Start Time textbox For example if you fill 10 in the Start Time textbox the first recovery report w
148. save data to the U disk the data will be in the directory of ECGDATA ECG 01 Store Examination Date of the U disk after you export files from the electrocardiograph to the U disk the files will be in the directory of ECGDATA ECG O01I Export Examination Date and Time of the U disk after you import files from the U disk to the electrocardiograph the files in the directory of ECGDATA ECG 01 Import of the U disk will be imported 11 5 2 Selecting Auto Transmission Press Tab or Shift Tab to move the cursor to Auto Transmission and then press the Up or Down arrow to select On or Off When Auto Transmission is set to On in the auto or rhythm mode ECG data will be transmitted automatically after an ECG report is printed out in the off mode ECG data will be transmitted automatically after the START STOP key is pressed 11 5 3 Selecting Transmission Mode Press Tab or Shift Tab to move the cursor to Transmission Mode and then press the Up or Down arrow to highlight Ethernet or UART When Transmission Mode is set to Ethernet first connect the net port of the electrocardiograph to the net port of the PC by using an Ethernet cable recommended by the manufacturer Then set all the items on the Transmission Setup interface In the auto rhythm or off mode ECG data can be transmitted through the net cable automatically When Transmission Mode is set to UART first connect serial port 1 of the electrocardiograph to the serial port of th
149. sion course 106 12 Channel Electrocardiograph User Manual Managing Files 10 1 1 Transmitting DAT Files Through Serial Cable 1 Connect the RS232 socket of the PC to the RS232 socket of the electrocardiograph with an RS232 cable 2 Or if the PC has no RS232 socket connect the USB socket of the PC to the RS232 socket of the electrocardiograph by using the RS232 USB assembly For details of the RS232 USB assembly please refer to Section 9 1 1 Transmitting ECG Data in DAT Format Through Serial Cable 3 Log into the Smart ECG Viewer software Note If you don t connect the RS232 socket of the electrocardiograph to the PC or you do not log into Smart ECG Viewer before transmission the following hint will pop up 4 Set Transmission Mode to UART on the Transmission Setup interface For details refer to Section 9 1 1 Transmitting ECG Data in DAT Format Through Serial Cable 5 Press the function key F7 below File to display the File Manager interface 6 Press the function key F1 below Trans All to transmit all the files to the PC After all the files are transmitted the following hint will pop up 7 Or press the Up or Down arrow to highlight a file on the File Manager interface1 and then press the function key F4 below Select to select the file and display the File Manager interface2 Press the function key F3 below Trans to transmit the selected file to the PC 107 12 Channel Electrocardiogr
150. sion is used connect the PC to the server wireless AP and connect the electrocardiograph to the client wireless AP Only the wireless AP recommended by the manufacturer can be used Notes 1 For details on configuring the wireless AP please refer to the user manual delivered with the wireless AP 2 There should be no shield in or around the room where the wireless AP is used or else the wireless transmission may fail 2 Set Auto Transmission to On and Transmission Mode to Ethernet on the Transmission Setup interface Set the IP addresses 1 When the main interface is displayed press the function key F6 below Setup to open the System Setup interface 2 Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor to Transmission press to open the Transmission Setup interface 3 Press Tab or Shift Tab to move the cursor to the Auto Transmission list box and then press the Up or Down arrow to select On 4 Press Tab or Shift Tab to move the cursor to the Transmission Mode list box and then press the Up or Down arrow to select Ethernet 5 Press Tab or Shift Tab to move the cursor to the Server IP item Set the Server IP item to the IP of the PC 6 Press Tab or Shift Tab to move the cursor to the Local IP item 96 12 Channel Electrocardiograph User Manual Transmitting ECG Data Automatically For the cross network transmission set the first two sections of the Local IP ite
151. ss this key to enter the next stage of the exercise phase Recovery Press this key to enter the recovery phase In the recovery phase press this key to enter the next stage of the recovery phase Test end Press this key to display a pop up dialog box and then you can decide whether the exercise test should be terminated Enter BP Press this key to display the Input BP dialog box and then enter the BP values manually Recall During the exercise test press this key to review 10s data and print out the 12 channel ECG report of the reviewed 10s data 12 ld During the exercise test press this key to sample 10s data and print out the 12 channel ECG report of the sampled 10s data Medians During the exercise test press this key to print out the average template report Comment Press this key to display the Comment dialog box and then you can annotate in the dialog box The annotations will be displayed in the summary report Press this key again to close the dialog box Speed W Press Speed W to change the speed of the treadmill during the exercise phase Note The two keys are available for the customized treadmill protocol only Grade Press Grade to change the grade of the treadmill during the exercise phase Note The two keys are available for the customized 14 12 Channel Electrocardiograph User Manual Introduction treadmill protoc
152. stalled or removed 1 2 3 General Cautions CAUTION 1 Avoid liquid splash and excessive temperature The temperature must be kept between 5 C and 40 C during operation and it should be kept between 20 C and 55 C during transportation and storage 2 Do not use the equipment in a dusty environment with bad ventilation or in the presence of corrosive 3 Make sure that there is no intense electromagnetic interference source around the equipment such as radio transmitters or mobile phones etc Attention large medical electrical equipment such as electrosurgical equipment radiological equipment and magnetic resonance imaging equipment etc is likely to bring electromagnetic interference 4 Before use the equipment patient cable and electrodes etc should be checked Replacement should be taken if there is any evident defectiveness or aging symptom which may impair the safety or the performance 5 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 12 Channel Electrocardiograph User Manual Safety Guidance CAUTION Inspect the equipment and accessories for mechanical and functional damage Inspect the safety related labels for legibility Inspect the fuse to verify compliance with the rated current and circuit breaking characteristics Verify that the device functions properly as described in the i
153. t off with a clean soft cloth After air drying load the recorder paper and shut the recorder casing CAUTION Prevent the detergent from seeping into the main unit while cleaning Do not immerse the unit or the patient cable into liquid under any circumstances 176 12 Channel Electrocardiograph User Manual Cleaning Care and Maintenance 2 Do not clean the unit and accessories with abrasive fabric and avoid scratching the electrodes 15 2 Disinfection To avoid permanent damage to the equipment disinfection can be performed only when it is considered as necessary according to your hospital s regulations Before disinfection clean the equipment first Then wipe the surfaces of the unit and the patient cable with hospital standard disinfectant Note Clean and disinfect the chest and limb electrodes after each use CAUTION Do not use chloric disinfectant such as chloride sodium hypochlorite etc 15 3 Care and Maintenance 15 3 1 Recharge and Replacement of Battery 1 Capacity Identification The current capacity of the rechargeable battery can be identified according to the battery symbol in the top right corner of the LCD screen C Full capacity CE 2 3 capacity Cad 1 3 capacity Low capacity 2 Recharge The 12 channel electrocardiograph is equipped with the recharge control circuit together with the built in rechargeable lithium battery When the unit is connected to the mains supply th
154. t be performed or approved by EDAN Unauthorized repairs will void the warranty In addition whether covered under warranty or not any product repair shall be exclusively be performed by EDAN certified service personnel If the product fails to function properly or if you need assistance service or spare parts contact EDAN s service center A representative will assist you in troubleshooting the problem and will make every effort to solve it over the phone or by email avoiding potential unnecessary returns In case a return can not be avoided the representative will record all necessary information and will provide a Return Material Authorization RMA form that includes the appropriate return address and instructions An RMA form must be obtained prior to any return 184 12 Channel Electrocardiograph User Manual Warranty amp Service Policy Freight policy Under warranty the service claimer is responsible for freight amp insurance charges when a return is shipped to EDAN for service including custom charges EDAN is responsible for freight insurance amp custom charges from EDAN to service claimer Out of warranty the service claimer is responsible for any freight insurance amp custom charges for product Contact information If you have any question about maintenance technical specifications or malfunctions of devices contact your local distributor Alternatively you can send an email to EDAN servi
155. t the System Setup Mmterfac surre a a a E ares 36 3 7 About the File Manager Interface aisscscascccsyscetssiavsasncs scetass shee vasbescatasusnaaes sunecade nacsadeaausdactenes s 38 Chapter 4 Operation Preparations y scc issescecsscassconscnsccssessvasscesoocscances csnoonsccessoasessnensescossasegsoenseds 41 41 Power and Earthin scciscslece Sct radia Gales eeacet A eaiet hoes Meet Doe E an lated eee 41 4 2 Loading Replacing Recorder Paper sessseeesseesssessessseseseessseesstesseesseeeseeeeseeesseesseesseesseet 42 4 3 Preparing th Patient esisi tiens eie ae eon a EAE A ESEE ES i Ee aa TRE 46 4 3 4 Instructing the Patient csuicinunnsinisninisn aan a ea aae s 46 4 32 PPO DAU AN the ATK a e E a A E AA eee 47 4 4 Connecting the Patient Cable to the Electrocardiograph and Electrodes ceeeeeeeeeee 48 4 5 Attaching Electrodes to the Patient for Resting ECG 0 eee eeescceesseceeseeceestecesneeeenaeeeenas 49 Il Ae SM Tee ad Placement ANNARA EE des hese EE S E duces sek utel Gass E E 49 45 2 Electrode PAC OTC Wh 2820 6 ests semeet a coat eat ae enti atic ene eet ee tenet eG mien halal Ne thats 51 4 6 Attaching Electrodes to the Patient for Exercise ECG cccceesccecssececsseceesseceesteeeeneeeenes 54 4 7 Inspection Before PowerON nisreen a eel a end ee a 56 Chapter 5 Turning On the Electrocardiograph scccsscsscssscsssssscssscesscescesssesssessssseesees 58 Chapter 6 Entering Patient Informa
156. t the patient age 12 3 Exercise Test Attach all the electrodes to the patient Apply the stress BP monitor to the patient Press the Pretest key to begin the pretest phase After pretest the patient can get on the treadmill or the ergometer Press the Exercise key to enter the exercise phase and then observe the ECG waveforms heart rate blood pressure and the patient s state When the target heart rate is reached press the Recovery key to enter the recovery phase and then observe the ECG waveforms heart rate blood pressure and the patient s state When the patient s heart rate resumes the normal value press the Test end key to terminate the exercise test Take off the patient cable and electrodes Press START STOP to print the summary report ST scope report and trend graph report Pressing START STOP again can stop printing the reports 163 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional 12 4 System Setup for Exercise Test After turning on the electrocardiograph press Pretest on the keyboard to open the main interface of the exercise test Press the function key F6 below Setup to open the System Setup interface System Setup Figure 12 1 System Setup Interface for Exercise Test After setup 1 Press ESC to return to the main interface of the exercise test 2 Or press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor to Re
157. t the patient cable with excessive stress while using it Hold the connector plug instead of the cable when connecting or disconnecting the patient cable Align the patient cable to avoid twisting knotting or crooking in a closed angle while using it Store the lead wires in a big wheel to prevent any people from stumbling Once damage or aging of the patient cable is found replace it with a new one immediately 3 Reusable Electrodes Electrodes must be cleansed after use and make sure there is no remainder gel on them Keep suction bulbs of chest electrodes away from sunshine and excessive temperature After long term use the surfaces of electrodes will be oxidized because of erosion and other causes By this time electrodes should be replaced to achieve high quality ECG records CAUTION The device and accessories are to be disposed of according to local regulations after their useful lives Alternatively they can be returned to the dealer or the manufacturer for recycling or proper disposal 180 12 Channel Electrocardiograph User Manual Accessories Chapter 16 Accessories 16 1 Standard Accessories WARNING Only the patient cable and other accessories supplied by the manufacturer can be used Or else the performance and electric shock protection can not be guaranteed Table 16 1 Standard Accessory List Accessory Part Number Power Cord 01 13 036106 Patient Cable Ameri
158. test 6 1 Entering Patient ID 1 By default the system generates the patient ID automatically The range of the patient ID is 0 1999 999 999 2 Or the system can generate the patient ID according to the time when you press the START STOP key to print an ECG report The procedures are as follows 1 Press the function key F6 below Setup to open the System Setup interface 2 Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Patient Info press Ce 3 Press Tab or Shift Tab to move the cursor to ID Mode and then press the Up or Down arrow to select Time 4 Press lt J or press Tab or Shift Tab to move the cursor to the OK button and then ry C 5 Press ESC to return to the main interface Then the system will generate the patient ID according to the time when you press the START STOP key to print an ECG report 3 Or you can enter the patient ID manually The procedures are as follows 1 Press the function key F6 below Setup to open the System Setup interface 2 Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the lt cursor is on Patient Info press Ce 59 12 Channel Electrocardiograph User Manual Entering Patient Information 3 Press Tab or Shift Tab to move the cursor to ID Mode and then press the Up or Down arrow to select Manual 4 Press E or press Tab or Shift Tab to move the cursor to
159. that can be supported by equivalent memory used by 60 ASCII characters When ID Mode is set to Manual the patient ID is within 30 ASCII characters ID When ID Mode is set to Auto the patient ID is 0 1999 999 999 When ID Mode is set to Time the patient ID is within 10 characters Patient Age Age The patient age value and the age unit can be set in the Patient Information window Gender Patient Gender Male Female Empty Hint Information 1 Including DEMO Module Error Overload Lead Name When the leads are off the lead names will be shown in black on a yellow background in SE 12 Express while in SE 12 they will be shown in black on a white background Hint Information 2 Including No Paper Paper Error Battery Weak Sampling Analyzing Recording Testing Learning Transmitting Transmit Fail Detecting Memory Full U Disk USB Printer Lead Off USB Scanner Work Mode Manual Auto Rhythm R R Analysis or Off Heart Rate Actual Heart Rate Current Time Current examination time Refer to Section 11 8 1 Setting Date and Time Battery Symbol Identify the current capacity of the rechargeable battery Fil Press the function key F7 below File to open the File Manager i 7 interface For details please refer to Chapter 10 Managing Files Set Press the function key F6 below Setup to display the System Setup etu interface For details please refer to Chapter 11 Syste
160. the OK button and then pa E 5 Press ESC to return to the main interface 6 Press the function key F1 below Patient to open the Patient Information window Press Tab or Shift Tab to move the cursor When the cursor is in the ID textbox enter the patient ID manually 7 Press E or press Tab or Shift Tab to move the cursor to the OK button and then press e Note In the auto rhythm or off mode when ID Mode is set to Manual and ID Hint is set to On if you do not input the patient ID before pressing the START STOP key a hint will pop up to remind you to input the patient ID 6 2 Entering Other Information When the main interface is displayed press the function key F1 below Patient to open the Patient Information window Patient Information 001 Johnson SSE Years FI 170 EA Cancel 60 12 Channel Electrocardiograph User Manual Entering Patient Information First Name Within 30 ASCII characters Last Name Within 30 ASCII characters Age Age Unit Years Months Weeks or Days Gender Patient Gender Male Female Empty Weight kg Patient Weight Range 0 999 Height cm Patient Height Range 0 999 Pacemaker If you select Pacemaker on the Patient Information Setup interface Pacemaker appears in the Patient Information window If Pacemaker is set to Yes the pacemaker signals are easy to be detected If Pacemaker is set to No t
161. the birthday of the patient and the system will calculate the patient age automatically 6 3 Using a Bar Code Reader 1 Configure the bar code 1 When the main interface is displayed press the function key F6 below Setup to open the System Setup interface 2 Press F1 to display the Service Password window Then enter the password and press to open the Advanced Setup interface Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor to Barcode and then press to open the Barcode Setup window 62 12 Channel Electrocardiograph User Manual Entering Patient Information Advanced Setup Item Start Address End Address ID aO ea First Name io o Last Name lo lo Gender ira fea Year Of Birth Tia fiz Month Of Birth ig lio Day Of Birth 20 21 Male Code ll Female Code 2 Vendor ID 04b4 Product ID 0100 3 Enter the start and end addresses the male and female codes the vendor ID and the product ID 63 12 Channel Electrocardiograph User Manual and then press to confirm View the vendor ID and product ID on the PC Entering Patient Information a Connect the bar code reader to the PC b Click on start right click on My Computer and then select Manage in the pop up menu to open the Computer Management interface y Paint PCECG oh Notepad All Programs B My Music TI My Computer Open 7 Explore ci Contr
162. the main interface and the date and the time will be printed in the ECG reports 11 8 2 Setting Date Mode Press Tab or Shift Tab to move the cursor to the Date Mode list box on the Date amp Time Setup interface and then press the Up or Down arrow to highlight DD MM YYYY MM DD YYYY or YYYY MM DD Note After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the new setup will become effective 142 12 Channel Electrocardiograph User Manual System Setup 11 8 3 Setting Time Mode Press Tab or Shift Tab to move the cursor to the Time Mode list box and then press the Up or Down arrow to highlight 24 Hours or 12 Hours 11 8 4 Setting Power Off Time Press Tab or Shift Tab to move the cursor to the Power Off textbox on the Date amp Time Setup interface and then input the power off time manually When Power Off is not set or is set to 0 Minutes this function will not be effective Notes 1 Power off time is counted from the time when you last press the keys on the keyboard 2 Only when the device is powered by the built in rechargeable lithium battery can the set automatic power off time be effective 11 8 5 Setting LCD Off Time Press Tab or Shift Tab to move the cursor to the LCD Off textbox on the Date amp Time Setup interface and then input the LCD off time manually When LCD Off is not set or is set to 0 Minutes this function will
163. tion cccscccsssccssssccssssccsssscessescssseccsssescssssccsssescssseces 59 6 L Entering Patient ID nicesar aiei EE EEA A EA sae AiE 59 6 2 Entering Other Information ssssssesssesesseeesseesseesserssetessetssstesseesseesseessseersstesseesseesseeesseeesseee 60 6 3 Using a Bar Code Reader vissite erinit io Ena a e EE A Eea ia E Ea ES 62 Chapt r 7 Freezing ECG Waves iossucissavcsstesiscrsvassncoussesnseskscrosoescuendubtesiyensesssnseseachseuesasonsvekosaveeesens 66 Chapter 8 Printing ECG Reports essseessecesooesoocesoeessecssocesocesoosesocessecesccssoossoocesoeesscessocssoosssosesse 68 Oil Ante Modessa eG RES ee a ea BCI A A A A NE 68 8 2 Manva Modernen enana a R E T a E EI 72 8 3 Rhythim INTOUG 0 sz cn szeestinseainnsdeacndauianagaveysaaaengeuduahenoaanadeynaatevntincenay geedeasaguoodaakalaateavegaraentiedactyeess 74 REI Analysis Mode inaen Geet i a teas a a a e Rag Ea eS 76 939 COPY gi UL TCU 1 ge ee Ree NO en RARE Oi nT OEE ten Mg nee 78 OO BEG REDOFIS eane aes stove caidas coset a a a eee a tee ein aaah naaueets 79 8 6 1 ECG Reports in the Auto Mode ssisicsscsscaissccssacscsssceinse svavstersdcatissstaaesdeceaatacnsbacevansdentannces 79 8 6 2 ECG Reports in the Rhythm Mode isss c esstscrsccssnczecsnnscozssehodendsesnsccesusedesoeeavensceedetessentens 84 8 6 3 ECG Reports in the Manual Mode vicisscecsacsccssiccisaticaesecdaatasestea cedsaddncnstesadetaesdactessacaavsaens 85 8 6 4 ECG Reports in the R R Analysis Mode
164. to 6x2 1R Figure a shows 02 06 2010 16 52 40 Current Date amp Current Time ID 001 Patient ID Name Marry Johnson Patient Name Age 25 Years Patient Age fl 1mV calibration mark I II UW aVR aVL aVF V1 V2 V3 V4 V5 V6 12 standard leads and ECG waves II on the bottom Rhythm Lead and rhythm wave 0 67 100Hz 0 67Hz DFT Filter 100Hz Lowpass Filter AC50 50Hz AC Filter 25mm s Paper Speed 10mm mV Gain 81 12 Channel Electrocardiograph User Manual Printing ECG Reports 2 5s 1r 12 leads are printed in 2 groups of 6 and every group is printed for about 5s with one rhythm lead at the bottom simultaneously Institution Name SE 12 Express Electrocardiograph Model V1 8 Software Version Number SEMIP V1 5 Algorithm Version Number Figure b shows Patient Information Measure Information Minnesota Code Diagnosis Information Average Template Report Confirmed by Current Date and Current Time 0 67Hz DFT Filter 100Hz Lowpass Filter AC50 50Hz AC Filter 25mm s Paper Speed 10mm mV Gain Institution Name SE 12 Express Electrocardiograph Model V1 8 Software Version Number SEMIP V1 5 Algorithm Version Number Patient Information includes ID Name Age Gender Height Weight Room No Department Measure Information includes HR Heart Rate P Dur P wave duration the average P wave duration from several selected dominant beats PR int P R interval the average
165. tor G Net port Standard net port connecting to a PC 1 Patient Cable Socket 81 7 6 5 4 3 2 1 c 15114113112111110 9 0 Applied part of type CF with defibrillator proof A Caution Definitions of corresponding pins Pin Signal Pin Signal Pin Signal 1 C2 V2 6 SH 11 F LL 2 C3 V3 7 NC 12 Cl1 V1 or NC 3 C4 V4 8 NC 13 Cl1 V1 4 C5 V5 9 R RA 14 RF N RL or NC 5 C6 V6 10 L LA 15 RF N RL Note The left side of is European standard and the right side is American standard 2 Serial Port 1 WARNING The isolated intensity of serial port 1 is 1500V AC and the maximum voltage applied should not exceed 15V DC 20 12 Channel Electrocardiograph User Manual Introduction al al al al Definitions of corresponding pins Pin Signal Pin Signal Pin Signal 1 NC 4 NC 7 NC 2 RxD input 5 GND 8 NC 3 TxD output 6 NC 9 NC 3 Serial Port 2 6 8 2 7 1 5 3 4 Definitions of corresponding pins Pin Signal Pin Signal 1 TxD output 5 NC 2 RxD input 6 NC 3 NC 7 GND 4 NC 8 GND 4 External Input Output Socket 2 1 are E s oe s Definitions of corresponding pins Pin Signal Pin Signal 1 GND 4 GND 21 12 Channel Electrocardiograph User Manual Introduction 2 GND 5 ECG Signal input 3 GND 6 ECG Signal output
166. trode positions on the body surface 4 Clip the disposable electrodes with the alligator clips The quality of ECG waveform will be affected by the contact resistance between the patient and the electrode In order to get a high quality ECG the skin electrode resistance must be minimized while connecting electrodes WARNING 1 Make sure that all electrodes are connected to the patient correctly before operation 2 Ensure that the conductive parts of electrodes and associated connectors including neutral electrodes do not come in contact with earth or any other conducting objects CAUTION The disposable electrodes can only be used for one time 53 12 Channel Electrocardiograph User Manual Operation Preparations 4 6 Attaching Electrodes to the Patient for Exercise ECG The identifiers and color codes of electrodes used comply with IEC EN requirements In order to avoid incorrect connections the electrode identifiers and color codes are specified in Table 4 2 Moreover the equivalent codes according to American requirements are given in Table 4 2 too Table 4 2 Electrodes and Their Identifiers and Color Codes European American Electrodes Color Code Electrodes Color Code R Red RA White L Yellow LA Black N or RF Black RL Green F Green LL Red Cl White Red v1 Brown Red C2 White Yellow V2 Brown Yellow C3 White Green V3 Brown Green C4 White Brown V4 Brown Blu
167. tup Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the 137 12 Channel Electrocardiograph User Manual System Setup cursor is on Lead on the System Setup interface press to open the Lead Setup interface Lead Setup Standard Cabrera Figure 11 8 Lead Setup Interface After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 11 6 1 Setting Rhythm Lead1 2 3 Press Tab or Shift Tab to move the cursor to the Rhythm Lead1 2 3 list box on the Lead Setup interface and then press the Up or Down arrow to highlight an option The rhythm lead can be one of 12 standard leads I II W aVR aVL aVF V1 V2 V3 V4 V5 or V6 In the auto mode when Record Style is set to 3x4 1R or 6x2 1R the rhythm lead selected in the Rhythm Lead1 list box will be printed in the ECG reports when Record Style is set to 3x4 3R 3 rhythm leads selected respectively in the Rhythm Lead1 2 3 list box will be printed in the ECG reports In the rhythm mode when Rhythm Style is set to Single Lead 60s wave of the rhythm lead selected in the Rhythm Lead1 list box will be printed in the ECG reports when Rhythm Style is 138 12 Channel Electrocardiograph User Manual System Setup set to Three Leads 20s waves of three rhythm leads selected respectively in the Rhythm Lead 1 2 3 list box
168. turn and then press to return to the main interface of the exercise test Note The setting methods of filter recorder and lead of the exercise ECG are the same as those of the resting ECG For details about the setting methods please refer to Section 11 2 Filter Setup Section 11 3 1 Setup 1 and Section 11 6 Lead Setup 164 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional 12 4 1 General Information Setup Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on General Info on the System Setup interface press to open the General Information Setup interface Treadmill Ergometer Figure 12 2 General Information Setup Interface Press Tab or Shift Tab to move the cursor to a list box and then press the Up or Down arrow to highlight an option Or press Tab or Shift Tab to move the cursor to a textbox and then fill in the textbox After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 1 Display Style When Display Style is set to 3x1 3 channel ECG waves are displayed on the main interface of 165 12 Channel Electrocardiograph User Manual Operation Instructions for Exercise ECG Optional the exercise test When Display Style is set to 4x3 12 channel ECG waves are displayed in 3
169. ual Rhythm 2 Manual Style 6 channels 3 Auto Display Style 6x2 4 Rhythm Style Three Leads 5 Sampling Mode Real time Sample 6 Duration Periodic Sample 60 min 7 Interval Periodic Sample 1 min 8 Preview Off 9 Auto Extend Record Off 10 AC filter On 11 EMG filter Off 12 DFT filter 0 67Hz 13 Lowpass filter 100Hz 14 Record Style 6x2 15 Record Mode Save Paper 16 Record Sequence Sequential 17 Gain 10mm mV 18 Record Device Thermal 19 Speed 25mm s 20 Paper Marker Yes 21 Sample Time 10s 22 Patient Information On 23 Template On 24 Position Marker On 25 Measure On 26 Analysis On 148 12 Channel Electrocardiograph User Manual System Setup 27 Minnesota Code Off 28 Baseline Adjustment Auto 29 R R Histogram On 30 R R Interval List On 31 R R Waveform On 32 Grid of Thermal Report Off 33 Grid of USB Report On 34 Gender Height Weight On 35 First Last Name D O B BP Race Off Pacemaker Medication Room No Department Physician Technician Ref Physician 36 ID Hint On 37 Next Patient Off 38 ID Mode Auto 39 Patient Information Cleared After Recording 40 H W Unit cm kg 41 BP Unit mmHg 42 Prompt Confirmed By 43 User Defined Cleared 44 Auto Transmission Off 45 Transmission Mode Ethernet 46 FTP User Name FTP Password FTP Cleared Path 47 Lead Sequence Standard 48 Nehb Off 49 Rhythm Lead 1 H 50 Rhythm Lead 2 VI 51 Rhythm Lead 3 V5
170. uality IEC EN 61000 4 5 2 kV line to ground 2 kV line to should be that of a typical ground commercial or hospital environment Power frequency 3A m 3A m Power frequency magnetic 50Hz fields should be at levels magnetic field characteristic of a typical IEC EN 61000 4 8 location in a typical commercial or hospital environment Voltage dips short lt 5 Ur lt 5 Ur Mains power quality interruptions and gt 95 dip in Ur gt 95 dip in Ur should be that of a typical voltage variations for 0 5 cycle for 0 5 cycle commercial or hospital on power supply environment If the user of input lines 40 Ur 40 Ur the 12 channel TEC EN 60 dip in Ur 60 dip in Ur electrocardiograph requires 61000 4 11 for 5 cycles for 5 cycles continued operation during 70 Ur 30 dip in Ur for 25 cycles 710 Ur 30 dip in Ur for 25 cycles power mains interruptions it is recommended that the 12 channel electrocardiograph be powered from an 192 12 Channel Electrocardiograph User Manual EMC Information lt 5 Ur lt 5 Ur uninterruptible power gt 95 dip in Ur gt 95 dip in Ur supply or a battery for 5 sec for 5 sec NOTE Uris the a c mains voltage prior to application of the test level Guidance and manufacture s declaration electromagnetic immunity for EQUIPMENT and SYSTEMS that are not LIFE SUPPORTING Guidance and manufacture s declaration electromagnetic immunity
171. uirements are given in Table 4 1 too Table 4 1 Electrode Connectors and Their Identifiers and Color Codes European American Electrode Connectors Identifier Color Code Identifier Color Code Right arm Right deltoid R Red RA White Left arm Left deltoid L Yellow LA Black Right leg Upper leg as ane 3 N or RF Black RL Green close to torso as possible Left leg Upper leg as F Green LL Red close to torso as possible Chest 1 Cl White Red V1 Brown Red Chest 2 C2 White Yellow V2 Brown Yellow Chest 3 C3 White Green V3 Brown Green Chest 4 C4 White Brown V4 Brown Blue 49 12 Channel Electrocardiograph User Manual Operation Preparations Chest 5 C5 White Black V5 Brown Orange Chest 6 C6 White Violet V6 Brown Violet As the following figure shows the positions of chest electrodes on the body surface are C1 Fourth intercostal space at the right border of the sternum C2 Fourth intercostal space at the left border of the sternum C3 Fifth rib between C2 and C4 C4 Fifth intercostal space on the left midclavicular line C5 Left anterior axillary line at the horizontal level of C4 C6 Left midaxillary line at the horizontal level of C4 ey C4 R L 5 Cg A 50 12 Channel Electrocardiograph User Manual Operation Preparations 4 5 1 2 NEHB Placement The electrodes positions on the body surface are shown in the following table and
172. with a USB printer Notes 1 The items of Auto Record Info are available only in the auto mode and Template and Position Marker do not work in the auto style of 3x4 3x4 1R and 3x4 3R and the style of 6x2 and 6x2 1R in the Save Paper mode 2 To get more information about the above contents please refer to Section 8 6 1 ECG Reports in the Auto Mode 11 4 Patient Information Setup Press Tab or Shift Tab or the Up Down Left or Right arrow to move the cursor When the cursor is on Patient Info on the System Setup interface press to open the Patient Information Setup interface 130 12 Channel Electrocardiograph User Manual System Setup uto fon DY Confirmed by E emo E mm or Cd After Recording BR Eora Press lt Tab gt or lt Shift Tab gt to move the cursor Figure 11 6 Patient Information Setup Interface After setup press to confirm or press Tab or Shift Tab to move the cursor to the OK button and then press to confirm Then the System Setup interface appears 11 4 1 Selecting First Last Name Gender D O B Height Weight BP Race Pacemaker Medication Room No Department Physician Technician Ref Physician Press Tab or Shift Tab to move the cursor to an item on the Patient Information Setup interface and then press Spacebar to select or deselect the item When First Last Name Gender D O B Height Weight BP Race Pac
173. you can press to advance the paper Tab O for 2 5cm Press again to stop advancing the paper 4 3 Preparing the Patient 4 3 1 Instructing the Patient Before attaching the electrodes greet the patient and explain the procedure Explaining the procedure decreases the patient s anxiety Reassure the patient that the procedure is painless 46 12 Channel Electrocardiograph User Manual Operation Preparations Privacy is important for relaxation When possible prepare the patient in a quiet room or area where others can t see the patient Make sure that the patient is comfortable The more relaxed the patient is the less the ECG will be affected by noise 4 3 2 Preparing the Skin Thorough skin preparation is very important The skin is a poor conductor of electricity and frequently creates artifacts that distort the ECG signals By performing methodical skin preparation you can greatly reduce the possibility of noise caused by muscle tremor and baseline drift ensuring high quality ECG waves There is natural resistance on the skin surface due to dry dead epidermal cells oils and dirt To Prepare the Skin 1 Shave hair from electrode sites if necessary Excessive hair prevents a good connection 2 Wash the area thoroughly with soap and water 3 Dry the skin with a gauze pad to increase capillary blood flow to the tissues and to remove the dead dry skin cells and oils 47 12 Channel Electrocardiograph User M

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