CT200C User Manual
Contents
1. MACQUARIE MEDICAL SYSTEMS User Manual CT200C Electrocardiograph MACQUARIE A ELECTROCARDIOGRAPH 9a z1 eie h RA j ce gt Wa VE WE H m g Ca CE Ch Revision 4 0 Release Date 28 November 2007 Manufacturer Macquarie Medical Systems Pty Ltd Origin Product designed and manufactured in Australia AUSTRALIAN MADE Contents Topics Warnings and Cautions Introduction System Requirements Connecting the CT200C to a notebook computer Patient Connections Installing the USB Driver Installing the CT200C Real Time Software Running the CT200C Real Time Software for the first time Main Screen Layout Recording an ECG Reading Identify Patient Recording Save Current Recording Open Previous Recording Filtering the ECG signal Lead Examination Zoom Feature Copy a Recording to the Clipboard Handling USB Connection Issues Detection of inoperable range Trouble Shooting Guide Service and Maintenance Ordering Accessories Technical Information Warranty Appendix A Explanation of Symbols Page 2 Warnings and Cautions Please read the following information before using your CT200C DANGER Risk of explosion if used in the presence of flammable anaesthetics DANGER The CT200C device and its accessories including electrodes and cables contain ferromagnetic materials As with all ferromagnetic equipment these products must not be used in the presence of the high2. is saved as part of the patients recording This is to ensure the recording can be matched with the patient in the correct sequence CAUTION Each recorded patient ECG must have all relevant information entered in the Patient Information section This is to ensure the recording exactly matches the patient from whom it was taken at the time it was taken Page 5 Introduction CT200C Electrocardiograph The CT200C Electrocardiograph ECG is a simple to use but very powerful ECG recorder Its compact size and light weight make it suitable for portable use It is ideal for use in a clinic or medical centre or remote field location as it requires only a standard notebook computer running on battery power alone to display and store the acquired patient ECG signal Intended Use The CT200C is intended to be used on humans as a diagnostic device which receives records and produces a visual display of the electrical signal produced by the patient s heart The CT200C is not intended to be used for direct cardiac application nor during electro surgery There is no safety hazard due to operation of a cardiac pacemaker or other electrical simulators The CT200C system has been designed to withstand defibrillation Read the specific defibrillator user manual before using the defibrillator in conjunction with the CT200C Indications for Use All devices should only be used by those persons competent in the safe use of patient contact electro medic
3. must only be used once Re using these electrodes will always result in poor recordings Lead Connections 10 leads on patient cable The following lead name abbreviations and colours are used for the electrode leads Australia USA Europe RightArm RA White R Red LeftArm LA Black L Yelow RightLeg RL Gren N Blak Left Leg Ra E Gren _ Chetti VI Rea O Cee O ya f Yeow f e f Yeon Chest3 V3 Gren C3 Green enea va Blue e Brown Page 9 Connecting the Patient continued Use of disposable electrodes There is the option of using disposable electrodes in place of reusable electrodes The disposable electrode arrangement that is used on the end of each one of the patient cables 4mm banana plugs is an alligator clip attached to a stick on electrode which is placed in the appropriate place on the patient s body One must take care to note how the alligator clip is attached to the stick on electrode as there is only one conductive side surface on both the stick on electrode and the alligator clip If you do not make this connection correctly there is no conductive path for the patients signal to travel Ensure that all leads are pushed firmly into the backs of each of the ten alligator clips and that each alligator clip is affixed in the correct manner to each stick on electrode which 1s itself stuck on in the correct place on the patient Conductive metal plate with teet
4. N See ee eed fname Jaian nme en nah noni ae ah eel uae oop ANLA ma Looe Uel aee ee KELELE Ill aVF V3 V6 I 7 i I man man mann monen fa po fo ae SCE AN H APALNA Pane RELI Sms a rm punann Ad RARER LRG va i as Rhythm Il IIA EEEE E EEE LA Her E EEE ast teeet cesta f EGAN E Recorded Fri Nov 23 16 22 01 2007 Scale 10mnVvmV Speed 25mn Vs Filter 100Hz Patient ID 007 Doctor Dr Healthy Cardiologist Name Doe Jane Comments and Medications Comments Gender Female DOB 01 30 80 Weight 50kg Height 160cm BP 80 120 RT200 Version 3 00 Results must be verified and confirmed by a Cardiologist Page 34 Copy a Recording to the Clipboard continued Exporting the recording to disk The current ECG recording can be saved as a Windows Metafile to disk This enables the scaleable Vector graphic image of the recording to be physically saved to a location somewhere on a disk drive which may be preferred instead of using the copy feature to the Windows clip board which is only in temporary memory To access this feature please select Edit from the menu bar on the main dialog screen and navigate to the Export item Untitled RT200 V 3 00 View Help Copy Chrl C Export Options Ascii Export You will be presented with the Export ECG trace dialog screen please enter the appropriate path and file name of you choice before committing the file s
5. Recorders with PC connectivity Any other use is strictly prohibited This version of AT 200 is designed to work on Windows 98 SE 2000 XP and ista Windows 95 and ME are not supported Cancel 6 A default directory path is already chosen for you if you wish to change it please do so by clicking the Browse button and navigating to it then click the Next button to continue Choose Destination Location Setup will install AT 200 in the following folder To install into a different folder click Browse and select another folder fou can choose not to install AT 200 by clicking Cancel to exit Setup Destination Folder CAM acquarne Medical Systems Browse Cancel Page 15 Installing CT200C Real Time Software continued 7 Click the Next button to continue Start Installation TOU are now ready to install AT 200 Press the Nest button to begin the installation or the Back button to reenter the installation information Skipping File CAWINDOW S Fonts M ine 1 tti Time Remaining minutes 39 seconds BE lt Back Hent gt Page 16 Installing CT200C Real Time Software continued 9 Once all the files have been installed click the Finish button to complete Installation Complete AT 200 has been successtully installed Press the Finish button to exit this installation Cancel Page 17 Running the CT200C Real Time Software for the firs
6. information recorded 1f it is unwanted A Save changes to Untitled Page 26 Identify Patient Recordings continued In the following circumstances you will receive the message screen prompt asking if you wish to discard the ECG data you have currently acquired e When you attempt to change from single lead trace to twelve lead trace view or visa versa without first saving the current patient recording e When you have made a recording without saving it and then you try to make another recording y P Discard current data Page 27 save Current Recording When you confirm that you want to Save the recording you will be presented with the Save dialog screen which will allow you to select a path and enter a file name for your recording This will save the file to disk in the path entered for future retrieval Save As Save Ir B Macquarie Medical Systems d E Patient Recordings Filename JDoe01 ecd Save as type AT 200 Files ecq Cancel To make saving more convenient you can set a default path where your recordings are to be saved to without having to navigate and retype over and over again To access this feature select Edit from the menu bar and then navigate to the Options item JDoe01 ecg RT200 V 3 00 View Help Select Options item Copy Cr Export Options Ascii Export Then click option Set as below then click Browse and navigate to the path
7. the CT200C as shown below yu i USB Port Patient Cable Port Page 8 Patient Connections Electrodes Good electrode connection is the most important factor in recording a good quality ECG By following a few basic steps consistent clean recordings can be achieved 1 Ensure patient electrical isolation do not connect any Type B applied parts devices in conjunction with the CT200C device and its nominated accessories including electrodes and cables This requirement is to protect the patient or user against risk of electric shock or electrocution emanating from any such third party device Please refer to the section in this manual entitled Warnings and Cautions for further detail on safe operation of the CT200C device 2 Clean the electrode sites with an alcohol swab 3 Place a small amount of ECG electrode gel on the metal electrode of the limb strap or clamp Non conductive gels such as ultrasound gel and water are not suitable for ECG connections Where body hair is present at the electrode sites use more gel to ensure a good connection It is not usually necessary to shave the patient 4 Connect the electrodes a short distance above the ankle or wrist with the metal part placed on the fleshy part of the limb 5 Place a small amount of gel at each of the chest electrode sites and attach the suction bulbs Follow the same procedure for disposable electrodes no gel is required Disposable electrodes
8. 00 XP amp Vista Note Please check the Microsoft website for latest service packs Windows 95 amp ME are not supported Celeron 800Mhz or better 128 MB or better 4 MB 48K for each ECG file CD ROM drive for the installation disc SVGA monitor Minimum requirement 300DPI Dots per inch 1 free USB Port used for recording from the CT200C and powering the CT200C The notebook computer must not exceed a rated voltage and frequency of 240V 60Hz The notebook computer is not supplied by Macquarie Medical Systems The notebook computer should be located outside the patient environment see Figure 3 at all times It is recommended that the notebook computer used complies with IEC 60950 1 Figure 1 Example Patient Environment Page 7 Connecting CT200C to a notebook computer Connecting the CT200C To connect the CT200C to your notebook computer all that is required is the Universal Serial Bus USB cable supplied with the CT200C Follow the steps below to ensure you link the CT200C correctly 1 Locate a spare USB Port on your notebook computer as shown in the picture below Connect the host end Type A of the USB cable into a spare USB port Poa a Figure 2 Host End Figure 3 Type B USB Cable Type A of USB Cable USB Ports 2 The same USB ports are present on notebook computers and desktop computers Most computers will have more than one USB port 3 Connect the other end of the USB cable to
9. age that you will be prompted with if any of these fields are not filled in The patient ID name sex and doctor s name cannot be empty Page 25 Identify Patient Recordings continued Looking again at this patient information dialog screen you will notice a button labelled Clear When this button is clicked it will clear all currently entered information and restore the default text that appears initially when a new recording requiring patient information to be added is first created Note You do not have to use this button if you make a mistake in entry in any of the fields that you are currently entering data in as they can be manually corrected by clicking the mouse in them and navigating and typing the correction It is intended to clear or remove all the information entered at once Patient Information A see g Sumame PO Given name ea DOB 1707980 weight 50 kg Height heo o cm eP s0 y fao Doctor Comments amp Medications Cardiologist Cardiologist s comments Note all fields cleared of information l and only certain fields restored with Default fields with values restored default values When a new recording has been made and you attempt to close the program before you have entered the patient details that must be associated with it you will received the following message dialog screen which will force you to either save and enter the required patient information details or allow you discard the
10. al diagnostic equipment patient monitoring equipment and in possession of the manufacturers detailed safe working instructions contained in this manual CT200C Electrocardiograph User Manual This Manual is divided into sections as listed on the contents page page 2 In order to use the CT200C unit there is a requirement to connect it to a notebook computer It 1s required that this computer be installed with the software supplied The software installation process requires that the device driver for the USB interface be installed first followed by the Real Time software RT200 If you have any difficulties using the unit or the software and the procedures set out in this manual do not help you solve your problem please contact the sales department at Macquarie Medical Systems Website www machealth com au mms Email sales machealth com au Phone Australian Customers Call 02 9692 7911 International Customers Call 612 9692 7911 During Australian Eastern Standard Time Business Hours GMT 10 00 After Hours phone calls will be diverted to Messagebank Fax Australian Customers 02 9692 7965 International Customers 612 9692 7965 Page 6 System Requirements The following table shows the minimum software and hardware requirements needed to install and run CT200C Real Time Software Operating System Microprocessor Memory Hard Disk space Disk Drive Video Adaptor Printer Other Microsoft Windows 98 SE Windows 20
11. ave Export ECG trace The current digplaved ECG trace will be exported into the following Window Metafile File Browse Cancel Page 35 Handling USB Connection Issues Sometimes situations arise that may break the physical connection between the CT200C and the Notebook computer that the Real Time software is running on Such things as the USB cable being removed for example In these situations the user would receive the following sequence of events A message screen dialog will appear stating what relevant communications port the CT200C was previously connected to prior to the disruption The current ECG information will be lost and when you go to make another recording you will be prompted with a message screen dialog prompting you that there is no valid port connected Click the OK to proceed The communication port has not been selected You will then be presented with the RT200 Setup options screen dialog with the General tab already selected You must reselect from the list the correct device driver so the communications link can be re established You can also click on the Link check button to perform an automatic check to see if the software can recognise connection Once connection is re established you can continue recording RT 200 Setup options General Display view Print E port Advance Communication Type a inet AS 232 port selected Link check ECG Directory Wh
12. cal safety issue to ensure the patients safety prior to defibrillation or connection to a defibrillator Screw locks on CT200C connector for patient cable Screws on patient cable CAUTION Regularly inspect both the defibrillation protected patient cable and the USB cable supplied with the unit for any defects such as fraying cracking or splitting in the cable insulation Check for any damage or deformation in the connectors that may cause intermittent connection between the patient cable and the CT200C unit Check that these cables are clean and that the original labelling is legible If any defects are discovered immediately discontinue use of the product until replacement parts are available Please refer to the Ordering Accessories topic in this manual for replacement of parts CAUTION Use only the same brand and type of electrodes at any given time Do not mix different brand names or types of electrodes as conductive problems can occur due to mismatch CAUTION The type of electrodes used can affect the systems recovery from overload especially recovery time after defibrillator pulses Use electrodes that minimise electrode polarisation CAUTION This device is intended for use by persons trained in professional health care The operator must be thoroughly familiar with the contents of this manual before using the device This user manual must accompany the device at all time CAUTION Do not operate near high voltage equipm
13. ck the Trouble Shooting Guide topic in this manual If the problem persists contact your supplier an authorised service centre or Macquarie Medical Systems at the address below Service Department Dock 2 35 Moore Lane Rear of 35 Moore Street Leichhardt NSW 2040 Australia Phone 61 02 9692 7911 Fax 61 02 9692 7965 Email sales machealth com au Web www machealth com au mms European Representative EC REP For all enquires please contact our European representative Medical Technology Promedt Consulting known as MT Promedt whose details are as follows Authorised EU Representative Contact Person Dr Michael Rinck Name Medical Technology Promedt Consulting Address Altenhofstrabe 80 66386 St Ingbert Germany Phone 49 6894 581020 Facsimile 49 6894 581021 E mail info mt procons com Page 39 Ordering Accessories Medical accessories supplies and replacement parts can be ordered from your supplier Use only medical accessories provided by Macquarie Medical Systems or authorised suppliers of their products in your local area For current prices and part numbers please contact your supplier or Macquarie Medical Systems rer Cote Manuals S O O CT200C user manual MANUAL O5 Computer Accessories gt gt gt o S O a Patient Cables o i O 12 lead ECG cable European PATCAB 15 EE n Electrodes S i SOS E e ee OO OO OO O ECG Gel 250 ml bottle ELECTR 10 Page 40 Classification In
14. e 42 Appendix A Explanation of Symbols Below is an explanation of the symbols displayed on the packaging product and accessories Please see the Lead Connections section under Patient Connections topic of this manual for an explanation of the lead name abbreviations Authorised Representative in the European Community m B Manufacturer Temperature Limitation Caution consult accompanying documents Type CF Defibrillator Proof Equipment l H Alee LKE Type CF Equipment Notebook Computer USB Connection Patient Data Consult Instructions for Use Page 43
15. e sites Check the Use By date and replace electrodes if required Switch off the interfering equipment or use the CT200C in another room Make sure that the bed is grounded If not ask a biomedical technician to ground it Replace the cable Refer Ordering Accessories Call for service Refer Service and Maintenance Page 38 Service and Maintenance Maintaining the CT200C The CT200C needs no special maintenance for reliable operation Suction bulbs and limb straps should be cleaned after each use with warm soapy water Electrodes with a build up of gel or corrosion can be cleaned with a metal polish but may need to be replaced for best results Patient cable connectors should be cleaned with alcohol after each use The USB cable is a standard off the shelf USB cable Cleaning should be as per the manufacturer s advice Clean the CT200C unit using a soft dry cloth If it still is not clean apply a small amount of non ammonia non alcohol based mild non abrasive detergent onto a clean soft lint free cloth then wipe the surface Take care to avoid any fluid ingress into the unit Cleaning requirements of third party notebook computer and peripherals Please refer to the instruction manual that came with the notebook computer you are currently using with the CT200C and follow the manufacturer s instructions for cleaning this device and its connected peripherals Service If problems do occur with the CT200C first che
16. e you can more closely examine each lead in detail by moving the mouse over the lead of interest then double clicking on it Untitled R1200 V 3 00 File Edit View Help Dw id ds Ty fz Ag Record Rhythm lead Filter 100Hz Speed 25 mm s Sensitivity 10 mmr a J IN LA tS r Rihythrll ii Ready N f MHH Hy AL b Z i SEESE Beass esr ae eee i NEHER LAA A a For example if we click in the vicinity of V3 a new Zoom View window will launch as shown below 20 mmn Sensitivity 5 f al Speed 25 50 mm sec Page 32 Lead Zoom Examination Feature continued This zoom view window has Sensitivity as well as Speed buttons at the top that when clicked change the scaling of the lead to match RIO a 00 oom View on Lead V S 20 romero ae 25 50 rom sec 20 EEJ There are also vertical and horizontal scroll bars to allow you to move around the image so it can be viewed in detail when parts lie outside the visible region of this screen vonl x Sensitivity 5 10 20 mmm Speed 25 50 mm sec By scrolling to an area of interest and changing sensitivity and speed a much more detailed examination of the lead can be made Example Zoom of above lead at 20mm mV amp 50mm sec is shown below 0 Zoom Vie Lead V x Sensitivity 5 10 20 mm m Speed EA 50 mm sec Page 33 Copy a Recording to the Clipboard T
17. een to also stop and complete the recording At this point in time if you try to make another recording you are presented with a message screen with the option to either save or dicard the current recording just made P j Discard current data Page 23 Recording Screen Layout continued If you decide to discard then all information acquired will be lost but to save the current recording there are several ways which are as follows e By clicking the File option on the menu bar and navigating to the Save or Save As options and selecting one of them y Untitled RT200 V 3 00 aE Edit view Help Save and Save As n button on the menu bar ano E Record Fi Ctrl 5 Save Os Print Ctrl F Print Preview Frink Setup 1 CAZ 04 New_1 ecg z CAZ 04 Untitled ecg 3 CAZ QAN Wntithed tt Exit e The other way is by clicking the save button on the tool bar menu Untitled RT200 V 3 00 Save button on File Edit view Help the tool bar After you have decided you want to save the file you have to enter the associated patient details if you have not already done so Please refer to the topic Identify Patient Recording in the next section in this manual for assistance on this You will then be required to finally save the recording Please refer to the topic Save Current Recording in the next section in this manual for assistance on this Page 24 Identify Patient Recordin
18. en opening or importing files use the following directory f Susterm default Lastaccessed O Setas below Brows Page 36 Detection of inoperable range When an ECG signal being detected by the CT200C unit is found to be in an inoperable range the signal is deamed to be invalid The RealTime software will display the following message Inoperative Electrocardiograph to indicate to the user that this situation is currently occuring All ECG trace information on the screen will be erased and no trace will be visible until the return of a valid signal This is required to prevent invalid information being supplied to the user that would be clinically misleading Such issues as poor patient connection can cause this problem Please refer to the topic Patient Connections in this manual for further detail Untitled RT200 V 3 00 a t leg File Edit View Help aT TO gE Ee MEE Record Rhythm lead Fiter fion Speed 25 mms Sensitivity 10 mamin Inoperative Electrocardiograph r Ahh II Click any mouse button or press any key to stop Page 37 PROBLEM The measured pulse rate does not match the rate printed on the recording The quality of the recorded ECG is poor Trouble Shooting Guide CAUSE The measurement did not reach its final value before the recording started The patient moved during the recording or the quality of the recorded ECG was poor The patien
19. ent that may generate sparks or in an environment where high static electricity is present CAUTION Please ensure the patient leads are in the correct locations on the patient s body and ensure that all leads are connected If it is impossible to connect certain chest leads to the patient then connect the unused chest leads to the right leg CAUTION The CT200C should not be subjected to water or liquid spillage It should only be used in a dry environment Page 4 Warnings and Cautions continued a fe re fe CAUTION Dropping the CT200C may cause device failure or intermittent operation Contact service if this occurs CAUTION The CT200C is not recommended to be used on neo natal patients CAUTION Certain brands of ECG gel may irritate the patient s skin If this occurs the health care professional should choose an appropriate alternative brand or electrode option CAUTION The CT200C 1s not recommended to be used in critical care situations CAUTION Do not mix disposable and reusable electrodes together on the same patient at the same time This may cause electrode polarisation CAUTION Conductive parts of electrodes and associated connectors including the neutral electrode should not contact other conductive parts including earth CAUTION The Date and Time settings on the notebook computer used with the CT200C must be set correctly to the current time zone when patient recordings are made as this information
20. ep 2 Click on the Advance tab at the top of the dialog screen then place a tick in the white tick box labelled Apply additional software filter to ECG data after recording and then click the OK button This setting will now be selected and this dialog screen will close RT 200 Setup options General Displayview Print Export Advance Filter setting ty This option further reduces high frequency inteferenices In the ECG signal It can be enabled tn most ECG recordings Unless the patient i fitted with a pacemaker and special clinical study on the patient i required Disengage Additional Digital Software Filtering in the presence of a Pacemaker Please note that the above mentioned digital real time filter option must not be used when the patient being recorded has a pacemaker fitted Please ensure that you follow steps 1 amp 2 shown above but in step 2 un tick the option labelled Apply additional software filter to ECG data after recording Also ensure that the standard 100Hz filter option is selected Option de selected RT 200 Setup options General Display view Print Export Advance Filter setting fy This option further reduces high frequency inteferenices In the ECG signal It can be enabled in most ECG recordings Unless the patient i fitted with a pacemaker and special clinical study on the patient i required Page 31 Lead Zoom Examination Feature Once an ECG recording has been mad
21. g Whenever any new patient recording 1s created 1t must have all relevant information entered with it to identify which patient it belongs to and at what time the recording was taken This is a requirement and the information must be entered by the qualified person taking the ECG recording Please refer to the section Warnings amp Cautions towards the beginning of this manual The dialog screen Patient Information containing information fields shown below is automatically launched when a new recording has been made or when the Patient Info button is pressed on the main screens toolbar p l Patient Info button j on main screen Patient Information j FE allows manual Beer opening of dialog ID a screen Surname Given name Note Shaped mandatory DOB 1201 1980 fields that must be filled in weight 50 kg Height 160 cm EP 80 i 120 Doctor Comments amp Medications Cardiologist Cardiologist s comments There are five mandatory fields that must be filled in as they will help to reduce the risk of inadvertently misidentifying the current patient with their particular recording It is critical this information be filled in correctly when a recording has been taken Even if you make a recording that you are not satisfied with the five fields Patient ID Patient Name Both Surname and Given Name Patient Sex and the Doctors Name taking the ECG recording must still be filled in Below is the mess
22. h NB Conductive side is on the bottom jaw Top side Insulated does not conduct Conductive edge is underneath NB Conductive side is on the sticky adhesive side Page 10 Installing the USB Driver Installing the USB Driver As soon as you plug in the CT200C to the USB port your computer will start the Found New Hardware wizard which will prompt you through the entire device driver installation process just follow the sequence of dialog screens below selecting the options as instructed First prompt is a message as shown below i Found New Hardware Macquarie Medical Systems CTZ00C Step 1 The wizard launches with this first screen Please ensure the CT200C Installation Disk is inserted into your CD ROM drive On this dialog screen please click option Yes this time only then click the next button Found New Hardware Wizard Welcome to the Found New Hardware Wizard Windows will search for current and updated software by looking on Your computer on the hardware installation CD or on the Windows Update Web site with your permission Read our privacy policy Can Windows connect to Windows Update to search for software Yes now and every time connect a device O No not this time Click Next to continue Step 2 On the following dialog screen please click option Install from a list or specific location Advanced then click the next button Found New Hardware Wizard T
23. he current ECG recording can be copied to the Windows clip board in the format of a Windows metafile so that it can be pasted into other Windows applications that are clipboard enabled There are two ways to activate the copy feature one way is to click the button on the main screens toolbar and the other is to select from the menu bar and navigate to the Copy item this can be located at the top of the same main screen al Untitled RT200 V 3 00 view Help Menu bar Button Cert Export Access via menu l Options Ascii Export This is an example of an actual ECG recording which has been created copied and pasted into this document For information on how to paste the copied ECG recording in other Windows software please refer to the help section that is associated with that specific product Untitled l aVR V1 v4 l mm ERSANNESATATAANTEERIEANTINAEFA NAR BE ii a EEE Se SSR Gn wee am f Jar Pirr pe HEA so j At Ape LL II aVL V2 V5 ji H HEHN rt TN a
24. his wizard helps you install software for Macquarie Medical System CT 2000 9 IF your hardware came with an installation CD lt or floppy disk insert it now What do vou want the wizard to do Install the software automatically Recommended Click Next to continue Page 11 Installing the USB driver continued Step 3 On the following dialog screen please click option Search for the best driver in these locations Then tick the Search removable media floppy CD ROM and if ticked un tick the Include this location in the search then click the next button Found Hew Hardware Wizard Please choose your search and installation options Pha te S Search for the best driver in these locations Use the check boses below to limit or expand the default search which includes local paths and removable media The best driver found will be installed Search removable media floppy CO ROM Don t search will choose the driver to install Choose this option to select the device driver from a list Windows does not guarantee that the driver you choose will be the best match for your hardware Step 4 The following dialog screen will be displayed during the operating systems search for the USB device driver Please wait until this finishes Approximate time taken several seconds Found Hew Hardware Wizard Please wait while the wizard searches op Macquarie Medical Syste
25. l look similar to one of these shown below the screen image in figure 1 below shows the twelve leads plus the selected rhythm lead view and the screen image shown in figure 2 below shows the selected single lead view e Figure 1 E Untitled RT200 V 3 00 x File Edit wiew Help D gH we amp ERa Record Rhythmlead i Fiter 100Hz v Speed 25 mm s Sensitivity 10 mm m i Rhythm ll ono AAN Sao i Ganau nunca nar acur LE CEEA t SERENE HEP Ready e Figure 2 M Untitled RT200 V 3 00 E File Edit View Help EAE R Monitor Lead Select Fiter Speed 25 mm s Sensitivity 10 mm m Monitoring Page 22 Recording Screen Layout continued Before you start a new recording switch to the view you want to use by clicking the View Real Time Format button on the tool bar as shown below This button toogles between the two possible settings when the button appears to be depressed the view will be in 12 lead monitor mode and when it appears as un depressed it will be in single lead monitor mode RT 200 v Help a S 2 12 Lead Monitor Toggle button between 12 lead viewing and single lead viewing Once the patient is connected to the unit and they are lying still click the Record button on the tool bar to bring up the continuous stream on the notebook computer screen Once you are happy with the recording either click the Record button again or click any where on the main scr
26. m CT 200C Cancel Page 12 Installing the USB driver continued Step 5 The following dialog screen will be displayed during the operating systems search for the USB device driver Please wait until this finishes Approximate time taken several seconds Found New Hardware Wizard Please wait while the wizard installs the software F Silicon Labs CPR210 USB to UART Bridge Wi dfCoinstaller01 O05 dll To CAWIN DOW S systems2 Cancel Step 6 On the following dialog screen please click the Finish button to complete the process Found New Hardware Wizard Completing the Found New Hardware Wizard The wizard has finished installing the software for F Silicon Labs CP210 USB to UAAT Bridge Click Finish to clase the wizard Cancel This final dialog screen pops up telling you that your hardware has been successfully installed and the CT200C driver is functional i Found New Hardware Your new hardware is installed and ready to use a26 PM Page 13 Installing CT200C Real Time Software 1 Please ensure the CT200C Real Time software version being installed 1s Version number 3 00 Release date 28th November 2007 2 Please ensure the CT200C Real Time software and driver CD ROM Disk is inserted into your CD ROM Drive 3 Click the Start button then Run New Office Document O4 Open Office Document Sek Program Access and Defaults 4 Windows Catalog Windows Update Pr
27. magnetic field created by a Magnetic Resonance Imaging MRI device The high magnetic field created by a MRI device will attract the equipment with a force sufficient to cause death or serious personal injury to persons between the equipment and the MRI device This magnetic attraction may also damage the equipment Consult the MRI manufacturer for more information WARNING The CT200C is an ultra mobile ECG recorder It is to be used with a notebook computer running under its own battery power The notebook computer is used to display and record ECG data transmitted from the CT200C unit via the USB port connection The CT200C has no battery of its own and has to derive power via the USB port connection to the notebook computer it is connected to For safety reasons the notebook computer must not be connected to the mains power at any time while the CT200C is in contact with a patient via the patient cable leads Also no other mains powered peripheral devices such as printers modems etc are permitted to be connected to the notebook computer while a patient is connected to the CT200C unit via the patient cable leads This requirement is to ensure that the patient is not at risk of any electrical shock or electrocution emanating from the USB power connection to the notebook computer WARNING No Type B applied parts devices are to be used in conjunction with the CT200C device and its nominated accessories including electrodes and cables This require
28. ment is to protect the patient or user against risk of electric shock or electrocution emanating from any such third party device WARNING Hazardous conditions may exist if multiple equipment connections are made to the patient due to the summation of leakage currents from the multiple devices Therefore the CT200C device and its nominated accessories including electrodes and cables must not be used in conjunction with other Type B applied parts devices WARNING To avoid the risk of electric shock or fire hazard a multiple portable socket outlet MPSO or extension cord must not be used in conjunction with the CT200C device or its accessories including electrodes and cables WARNING Do not operate the unit in the presence of electromagnetic interference Interference may be caused by electrosurgery diathermy or magnetic resonance imaging equipment WARNING Use only the defibrillator protected patient cable as supplied by Macquarie Medical Systems Pty Ltd Use of a non defibrillator protected patient cable can cause damage to equipment or harm to patient or give an incorrect reading Page 3 Warnings and Cautions continued WARNING Ensure that when a patient is connected to the supplied defibrillation protected patient cable that this cable is correctly affixed to the CT200C unit Ensure that the two screws that form part of the patient cable are screwed into the screw locks that are on the CT200C case This is a criti
29. ng or importing files use the following directory f System default C Last accessed O Set as below Browse Cancel If the link check is successful the following dialog will be shown Links check OK J A CT200C is found on this port Firmware version 3 00 At this point your CT200C is fully operational Proceed by clicking the OK button in each of these dialog screens to close them Page 19 Main Screen Layout The Real Time main screen dialog will look similar to the one shown below Title bar At the very top in the title section is displayed the currently open file name along with the title of this software its current version and to the far right is the minimise maximize and close buttons Menu bar Below this is the menu bar to use it you click on any one item of interest and navigate to the selected option to activate it Depending on the current operational status of the program certain options may be unavailable for change and this will be indicated by the item being greyed out When the option becomes appropriate to use it will be un greyed Refer figure 2 below to see a sample view of the greyed out items on the menu bar Tool bar Below the menu bar is the tool bar also sometimes called the button bar buttons with icons small images displayed on them can be clicked to activate the associated feature The images are used as a visual cue to further assist the user of the application As with many other types
30. of software running on the Windows operating systems there is the possible use of both the menu bar and the tool bar items to achieve the same task The general premise is all features can be accessed via the text based menu bar where as the tool bar button bar is generally used for highly repetitious tasks Depending on the current operational status of the program certain options may be unavailable for change and this will be indicated by the item being greyed out When the option becomes appropriate to use it will be un greyed Refer figure 3 below to see a sample view of the greyed out items on the tool bar Status Bar At the very bottom of the main screen dialog is the status bar which 1s used to display various messages associated with the programs current operations and such information as capitals lock CAP number lock NUM and scroll lock SCRL d a 3 00 File Edit Yiew Help D gE ay a ERE Record RhythageettT Rhythm tI Page 20 Main Screen Layout continued Figure 2 E Untitled RT200 V 3 00 View Help Example Menu bar items greyed out Note Items Undo Cut and Paste greyed out Copy Ctrl C Export Options Ascii Export Figure 3 Example Tool bar items greyed out Note All button items greyed out except Patient Info About and Record Untitled RT200 3 00 File Edit View Help Rhythm lead Page 21 Recording an ECG Reading The Real Time main screen dialog wil
31. ograms Documents Settings Search Help and Support Windows XP Professional _ Shut Down 4 Please type in the following text D RT200setup exe in the white entry section of the drop down list Note This is not case sensitive upper or lower or mixed is fine then click on the OK button Please note that the drive letter should be your CD ROM Drive where the CT200C installation disk is inserted 1f this is not D drive then the first letter may need to be changed to match For example 1f it is E then you would type in E followed by A RT200setup exe instead Type the name of a program Folder document or Internet resource and Windows will open it For you Open Celik T200setup exe we cancel Browse Page 14 Installing CT200C Real Time Software continued 5 The installation dialog screen will come up on your notebook computer screen Click the Next button to continue Welcome to RT 700 Installation x Welcome to AT 200 Setup program This program will install AT 200 on pour computer 2E Itis strongly recommended that you exit all Windows programs before running this Setup Program Click Cancel to guit Setup and close any programs you have running Click Nest to continue with the Setup program WARNING This program is protected by copyright law and International treaties This program i intended to be used by purchasers of the Macquane Medical System s ECG
32. patch date from MMS Returned products or the returned parts of any product must be accompanied by an advice note stating the original invoice number s relating to the products and the nature of any claimed defect together with such further information as MMS may require The warranty does not apply in circumstances where The goods are not defective The goods were used for a purpose other than for which they were intended The goods were repaired modified or altered by any person other than MMS The defect has arisen due to misuse neglect or accident The defect has arisen due to the incorrect installation of the goods The warranty seal on the back of the unit has been broken and or removed The goods have not been stored or maintained as recommended by MMS or a ae hee E The customer is in breach of any of these Conditions of Sale Due to their nature cables connectors and batteries cannot be covered by this warranty Where the customer returns products otherwise in accordance with this condition MMS may refuse to repair replace or refund the purchase price of the products and return them to the customer at the customer s cost No agent or representative of MMS is authorised to make any representations warranties conditions or agreements not expressly confirmed by MMS in writing and MMS is not bound in any way by such unauthorised statements nor can such statements be taken to form part of these terms and conditions Pag
33. put Power Supply Weight Dimensions Environmental Conditions Performance Characteristics Safety Standards Technical Information Class Ifa Rule 10 in Annex IX of MDD 93 42 EEC Type CF Defibrillator Proof non sterile intermittent operation enclosed equipment without protection against ingress of water Not suitable for use in the presence of a flammable anaesthetic mixture with air or with oxygen or with nitrous oxide Please read the section Warnings and Cautions for more detail on intended use Standard 12 lead US or European coded defibrillation protected patient cable USB Bus powered internally from notebook computer 220gm Unit only 157mm L x 84mm W x 38mm H The CT200C should be stored and transported at a temperature between 0 C and 35 C AAMI EC11 IEC 60601 2 51 AS NZS 3200 1 0 AS NZS 3200 1 1 AS NZS 3200 1 2 AS NZS 3200 2 25 IEC 60601 1 IEC 60601 1 1 IEC 60601 1 2 IEC 60601 2 25 EN 60601 1 EN 60601 1 1 EN 60601 1 2 EN 60601 2 25 IEC 60601 1 4 Page 41 Warranty MMS warrants that if defects appear in products under proper and normal use it will at its option replace or repair the product or refund the purchase price This warranty is subject to the customer making a claim in writing to MMS within the given warranty period which starts on the date of the dispatch of the order The standard warranty period of all MMS produced goods shall be 12 months from the invoice dis
34. t s skin is not clean The suction bulbs or limb straps have built up a residue of gel Disposable electrodes have been re used Electrode terminals are loose or in poor contact with the patient leads Limb straps are loose The patient moved or spoke during the recording or the patient is tense not relaxed Not enough ECG electrode gel has been applied Disposable electrodes have dried out during storage X Ray diathermy or other equipment are causing interference A metal bed is causing interference The patient cable is faulty The CT200C is faulty SOLUTION Wait until the displayed pulse rate is stable before starting a recording Check the conditions below The CT200 may not measure the rate correctly if it cannot see a good ECG signal on Lead Il Wash with alcohol or soap and reapply ECG Electrode Gel Wash with alcohol or soap after each use Very dirty electrodes may need to be cleaned with a metal polish or replaced Do not use disposable electrodes on more than one patient If an electrode falls off make sure it is still sticky before replacing it Tighten the terminals and make sure that the electrical connections are clean Tighten the straps so that the electrodes are held firmly against the patient Make sure that the patient is warm and com fortable and ask them to relax during the record ing Apply more gel to the electrodes Use extra gel if there is hair at the electrod
35. t time Short cuts are added to you current version of Windows to allow you to click and quickly run the program There is an icon on your desktop that can be used or you can use the start button and follow the path under programs please refer to these sample images Note Your desktop graphic will vary from this sample 2 Documents z r Location C Program Files Macquarie Medical Systems Settings oe Search Help and Support TA T j Rum Shut Gown ad start cia y The programs main screen will open as shown below Before you can record any ECG you need to select and verify the communications Click on the Set up button located on the toolbar as shown below 1 REZOO V 3 00 Help E Untitie File Edit Li car DE By Ge Pe lo FP Monitor Lead Select II Filter 100Hz Speed 25 mms Sensitivity 10 mom Monitoring HH Page 18 Running the CT200C Real Time Software for the first time continued On the General tab select communication device Silicon Labs CP210x USB to UART Bridge option then click the Link check button RT 200 Setup options General Display view Print E xport Advance Communication Type fe RS 232 f AS 232 port selected Silicon Labs CP210 USB to UART Bridge COM Link check Communications Port COM Silicon Labs CP210 USB to UART Bridge COM When openi
36. the top of the main screen there is a drop down list box that allows you to select one of two possible options for the filter setting being applied to the ECG signal data There are two possible settings which are 40Hz Normal or 100Hz Clinical By setting the filter to 40Hz most high frequencies above 40Hz including power line and muscle artefact will be removed Note that this setting is actually the Exercise ECG bandwidth and is normally not used in clinical diagnostics Rather than using the lower filter setting to improve the recording environment it is recommended that the 100Hz setting be used please note that the default setting used is the 100Hz clinical filter Y Untitled RT200 V 3 00 File Edit View Help Da le Se gy Fa Fe La SP Record Rhythm lead Fiter 100Hz Speed 25 mms Sensitivity 10 mmni Select by clicking on the down arrow button then navigate to the filter setting and click on it Additional Digital Software Filtering In a very noisy recording environment it is possible to enable the additional digital software filtering option to further smoothen the ECG recording Step 1 To access this option select the Edit menu item on the main screens menu a drop down menu will then appear select the Options item and the RT200 Setup options dialog screen will appear View Help Copy Chrl C Export Options Asci Export Page 30 Filtering the ECG signal continued St
37. you wish to use then click the OK button RT200 Setup options General Display View Print E xport Advance Communication Type S PO AS 232 port selected Silicon Labs CP210 USB to UART Bridge COM Link check steps l 1 ECG Directory When opening or importing files use the following directory gt C System defaut C Last accessed Seis below C Program Files Macquarie Medical Sustems Patent A Bratte 3 Page 28 Open Previous Recording To open a recording previously made there are several ways which are as follows e By clicking the File option on the menu bar and navigating to the Open option and selecting it JDoe01 ece RT 200 V 3 00 wie Edit View Help Ctrl M Open Chrl 0 Save as Select Open item Print Ctrl P Print Preview Frink Setup 1 JDoe01 ecg 2 JDoe0i ecg 3 CAZ 04 New 1 ecg Exit e Or the other way is by clicking the open button on the tool bar menu JDoe01 ecg RT200 File Edit View Help Open button An Open screen dialog will appear prompting you for the recorded file you wish to open Please navigate to it and click the Open button at the bottom of this screen The file will then be opened on screen Look ir O Patient Recordings 8 JDoe01 ecg File name JDoeM Ecg Files of type ECG files ecg Cancel Page 29 Filtering the ECG signal Filters Standard On the menu bar at
Download Pdf Manuals
Related Search