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Operating Instructions

1. RIIRDICK INC BURDICK REORDER NO REF 007983 9 2 Eclipse Operating Instructions PREMIERI2 7 3 25 26 3 2 3 04 Standard 12 Lead 4 Channel Auto ECG 00 a du 786200 43H ON FE 03H 19 04Ng ZH Ob DIS ZZZOO01 18 es 160199 S2 12 E 46 LISNId abpoH 210 Au ju OL 4seuy leed _ ala aaa lee sae Ta lg a a laa lla Te Ae K Peek EEEN EAE EE Tal apa E FA cera HR ee rrrfrrnro ono jon soso CCS CES ficis ist ssl es es ee A o a oS El 06 SIXY L Y d SW pS gt uolSuedsig 10 su OLD EAUBLUT 910 SW ZOD 2AJ3jUI ID L 907 su 86 UO eng Syd WNYON SSEID su 091 PAJS EU Ud NOILYOIGSW ON SPOW su 2 8 JEAJS UT YY JTW k SISA Cuy PauJi UOOUN x 993 eu J3puO0g wdq 89 9 8y USA SYYJA LE S961 81 0 80 Q au JapJoq sue sabueyo s Jo JajUu L8LLOC8EZ
2. Eclipse Operating Instructions 10 5 Chapter 10 Troubleshooting To reduce electrical interference 10 6 Eclipse Operating Instructions Y Keep the power cord away from the patient and patient cable Connect the unit to a properly grounded wall outlet Arrange the patient cable leads together closely following the body contour Check the line filter setting in the SYSTEM SETUP menu For more information see Configuring SYSTEM SETUP Menu on pg 4 1 Ensure that Diathermy or X ray equipment in adjacent rooms is not operating Other electrical equipment including electric beds televisions and lighting fixtures may also generate interference even when not in use Try moving the patient to another place in the room Sometimes electrical wiring in walls and ceilings causes interference Operate the Eclipse Premier from battery power Chapter 1 1 Maintenance and Service NOTE To ensure safety of patients and operators periodic safety checks should be performed by a qualified service technician trained in medical device safety Calibrating the Battery Regular battery calibration is an important part of Eclipse Premier maintenance Refer to Using the Battery on pg 2 4 for information on when and how to calibrate the battery Inspecting for Damage AN WARNING Hazardous voltage To reduce the risk of electrical shock do not attempt to remove the cover
3. 1 9 3 Standard 12 Lead 6 Channel Auto ECG o oooooooo o os 9 4 Standard 3 Channel Rhythm amp Manual ECG 9 5 Measurement Matrix ns dde 9 6 Meca Complex earn a anun yeso ion eee ee 9 7 Chapter 10 Troubleshooting a cm tas 10 1 Troubleshooting Basic Unit Problems 10 1 Troubleshooting Trace Problems 2 4 s00xi lt 1enneennayekhavans 10 2 Troubleshooting Printer Problems 10 3 Recognizing and Reducing ECG Artifacts 10 4 Chapter 11 Maintenance and Service 11 1 Calibrating the BAR secede oropesa 11 1 Inspecting tor DATA at oo oes 11 1 Cl ann e and Disini chns 502535 ia Ri 11 1 Destino D 0 11 2 Notice to responsible service personnel 11 3 Performance Disclosures 1 11 3 EMC Declaration Tables usina vid te 11 6 Technical Specifications 11 10 Chapter 12 Measurement Matrix 12 1 ed done IN 1 Eclipse Operating Instructions Intended Use WARNING The Eclipse Premier should not be connected to non medical equipment unless the non medical equipment complies with IEC 601 1 In addition the enclosure leakage current of non medical equipment connected to the Eclipse Premier should not be allowed to exceed 500uA in fault condition To maintain a proper enclosure leakage current provide add
4. Notice to responsible service personnel The contents of this document are not binding If you find a significant difference between this service information and your unit please consult your local representative We reserve the right to improve or modify products without amending this document or advising the user We recommend consulting authorized personnel for all service and repairs and using genuine parts exclusively Quinton Cardiology Inc will not otherwise assume responsibility for material quality workmanship or any consequences thereof This product has been carefully designed and manufactured to provide a high degree of safety and dependability However we can not guarantee against the failure or deterioration of components due to aging and normal use Performance Disclosures A A CE 0086 WARNING Explosion hazard Do NOT use in the presence of flammable anesthetics WARNING This device is NOT intended for unattended or continuous patient monitoring It is intended for short term ECG waveform acquisition There are no audible or visible alarms CAUTION Although the Eclipse Premier is designed to meet IEC 601 1 2 EMC immunity requirements the presence of strong EMI fields generated by electronic surgical or diathermy instruments in close proximity to the unit may cause trace noise or input overload conditions NOTE Deviations from the technical specification ranges listed can affect device perform
5. Warnings Cautions amp Notices Warnings WARNING The Eclipse Premier should not be connected to non medical equipment unless the non medical equipment complies with IEC 601 1 In addition the enclosure leakage current of non medical equipment connected to the Eclipse Premier should not be allowed to exceed 500A in fault condition To maintain a proper enclosure leakage current provide additional protective earth grounding use an additional isolating transformer or use a floating power supply WARNING The Eclipse Premier and any non medical equipment that it is connected to should not be allowed within the patient s vicinity which extends 6 feet 1 83 m beyond the perimeter of the bed table or chair and 7 1 2 feet 2 29 m above the floor WARNING NEVER create a direct connection between an Eclipse Premier and a PYRAMIS computer if the Eclipse Premier is already connected to a patient WARNING This device is NOT intended for unattended or continuous patient monitoring It is intended for short term ECG waveform acquisition There are no audible or visible alarms WARNING Never remove the battery pack and attempt to recharge it using an external battery charger Fire or explosion may result WARNING Explosion hazard Do NOT use in the presence of flammable anesthetics y WARNING Electrical shock hazard Do NOT contact unit or patient during defibrillation Otherwise serious injury or death could result WARNIN
6. 4 10 Eclipse Operating Instructions Configuring the USER SETUP Menus Channel 7 through When programming Custom Lead 1 or Custom Lead 2 for Alternate Chest Leads Channel 12 select one of the following options for each of the channels Channel 7 through Channel 12 Vi V2 V3 V4 V5 V6 VZ V8 V9 V1iR V2R V3R V4R VER V6R V7R V8R VOR Custom Lead 2 Custom Lead Group 2 is similar to Custom Lead Group 1 It is set up in the same manner It is then accessed by pressing the number 6 on the keyboard MISCELLANEOUS SETTINGS Baseline Filter 0 05 Hz STABLE Sets the low frequency response Selecting 0 05 Hz provides the greatest low frequency response with no delay and should be used when no baseline drift is present Selecting STABLE Baseline Stabilization Filter will effectively suppress most baseline wander interference while providing an accurate ECG reproduction no distortion of the ST segment Use of the Baseline Stabilization Filter will result in an approximately 1 5 second delay in the displayed ECG This filter is applied to the printed report displayed ECG and the data analyzed NOTE The American Heart Association s 1990 Recommendations Recommendations for Standardization and Specifications in Automated Electrocardiography Bandwidth and Signal Processing pertaining to low frequency response in electrocardiography are met or exceeded by both the 0 05 Hz and STABLE selections Pacer Enhan
7. key The Eclipse Premier advances the chart paper to the next page and returns to the PREVIEW screen A formatted 12 lead report with demographics is automatically included in any ECG printout The following reports may also be included with the printout depending upon system settings a rhythm report a median report and an analysis report For more information on selecting the rhythm report and the median report see AUTO ECG SETUP on pg 4 8 Analysis information will be included on the printout unless this feature has been disabled see Analysis original on pg 4 8 Printing Problems If the unit runs out of paper or if the paper jams you are given the option to reload the paper and continue printing see Figure 6 1 If you choose to cancel you have the option of printing at a later time see Print All New ECGs on 6 4 Eclipse Operating Instructions Temporarily Changing Current Settings pg 7 6 For paper loading instructions see Loading Recording Paper on pg 2 3 Figure 6 1 System Note Regarding a Printing Problem Paper OUT Reload and continue ox cence Temporarily Changing Current Settings Occasionally it may be necessary to modify the system settings for the current patient There are several settings that you can customize before acquiring a patient s ECG If you wish to change the below settings permanently see POWER UP DEFAULTS on pg 4 6 Recorder Speed
8. service disclaimer 11 3 setup communications 8 4 equipment and cables 2 1 menus 4 1 setup report printout sample 9 2 skin preparation 5 2 specifications 11 10 speed 4 7 standby mode 2 4 stop key 3 1 stress loop 5 6 symbols vii system settings printout 4 16 system setup 4 1 T tachycardia limit 4 12 technical data 11 10 testing equipment 11 2 time setting 4 2 4 5 trace problems troubleshooting 10 2 transmitting records 8 1 troubleshooting 10 1 U user keys user 1 user 2 3 2 user selection user 1 user 2 4 2 user setup menus 4 5 user defined field setup 4 14 V V3 placement 4 13 5 7 6 8 6 10 V4R 5 7 6 8 6 10 W warnings V weight units 4 3 Welsh bulb chest sensors 5 6 wide baseline 10 5 wireless connection 4 4 8 2 8 5 FCC CONNECTION INFORMATION This equipment complies with Part 68 of the FCC Rules On the bottom of this equipment is a label that contains among other information the FCC Registration Number and ringer equivalence number REN for this equipment If requested this information must be provided to the telephone company The REN is used to determine the quantity of devices that may be connected to the telephone line Excessive RENs on the telephone line may result in devices not ringing in response to an incoming call In most but not all areas the sum of the RENs should not exceed five 5 0 To be certain of the number of devi
9. 9 9 Eclipse Operating Instructions Chapter 5 Patient Preparation 5 10 Eclipse Operating Instructions Chapter 6 Acquiring ECG Reports Acquiring and printing ECG reports with an Eclipse Premier is quite simple Once the patient is hooked up to the Eclipse Premier an ECG can be acquired at any time by pressing the e eca button It is a good idea to enter patient demographic information before performing tests However patient demographic information also may be entered after the tests have been completed NOTE Some patient information directly affects ECG analysis Your patient s physician uses this information when interpreting ECG reports Likewise interpretive Eclipse Premier units provide more accurate and complete analysis statements when you enter patient information thoroughly This information must be entered prior to acquiring the ECG in order to affect the interpretation Acquiring a Stat ECG Sometimes it will be necessary to take an ECG and there will not be time to enter any patient demographic information If no patient ID is entered Then Eclipse Premier units with storage will print STAT in the Patient ID field followed by the date and time NOTE Some patient information directly affects ECG analysis Your patient s physician uses this information when interpreting ECG reports Likewise interpretive Eclipse Premier units provide more accurate and complete analysis statements
10. OI wy44yJ SNUIS cO LO EL CO OCICI NHOT Y3d009 Standard 12 Lead 4 Channel Auto ECG 9 3 Eclipse Operating Instructions Chapter 9 Sample Printouts Standard 12 Lead 6 Channel Auto ECG O O O O O OS O O O O O O E EA A A A A AA AAA A AA EE en AA 9 4 Eclipse Operating Instructions esta paa pel a a a EEE O CO O O A E O O AE AS AO A E A AA A frasa AA PP PO E PA A A A A O A EE O O E A A EA AO EE AE EA EA A EE A A A A PA O E A E A A A A Garena O OS O E O O O O AE AE EA A PA O A O A A A O A A E D lt BURDICK REORDER NO REF 007983 RI IRDICK INC m a a ES oa Seek pl o To a 2 y ERE a o g ana p EA ee ER BR eee as aan canse D Hd 3 ma c SH 25 ae e EE eee ee eee s 5 E ae ee ee aaa lS SUS le HERBE ES E e ne EE fe ada AE NE L sy LE eT pee a3 ER A Se al a 5 y EN Ei EEE T Es Et te ese EH cr ol 1500 5515500001000 ed Ses HE O 55 ER e Ee el EE a 34 a A ss eft REX A a a mn 219 EE Eg td ee Eel et td te fo m CARCER PARER a gt a Y x Ne HF vn CU T BE Et ae ee tat et te gt AS o A lisemnens la e CLLH Tae os n es See ee ee eee e 8388585 Eeke Ee ty Aa Gia e e aes ey pee z A EE de rela ar HR ERA SSSR ses son 0 U gt nm 5 STATE paa T tlt E ot EEES PA CO E ll UI ARABES I ee Bet OOO oda g ae Bao area aaa i IE Ee
11. either User 1 or User 2 See Chapter 4 for user setup information Ea Es Use the 3 and 4 keys to select pre programmed lead triplets for the display v123 vase the displayed leads will also be printed on Manual Rhythm and Auto Rhythm reports gt A Use the 5 and 6 keys to select user defined leads Custom Lead 1 and Custom Lead 2 for the display the displayed leads will also be printed on Manual Rhythm and Auto Rhythm reports See CUSTOM LEAD 1 amp CUSTOM LEAD 2 on pg 4 9 for setup information Use the 7 key to toggle the Paper Speed between 10 25 and 50 mm sec Use the 8 key to toggle the ECG Gain between 5 mm mV 10 mm mV 20 mm mV L10 C5 mm mV and L20 C10 mm mV 3 3 lt Use the 9 key to toggle the ECG Filter Frequency between 40 and 150 Hz pe y Use the 0 key to produce a 1 mV Calibration Pulse on the display and printouts mm 3 lt NOTE When numeric keys are used to change settings the settings are in effect for the current ECG only To change settings for all future ECGs modify the settings in the USER SETUP menus or the SYSTEM SETUP menu C BRIGHTNESS Use this key to adjust the brightness of the display J B D ON STANDBY on stby Use this key to turn the unit on Pressing the On Standby key again while the unit is on will return the unit to standby mode E BACKSPACE Use this key to backspace and delete
12. pressing the P key and waiting until the paper stops If Paper OUT Reload and continue message appears select OK Press MAN When printing starts press STOP Again press MAN When printing starts press STOP REDUCED PERFORMANCE MODE 50 mm s paper speed selected Paper speed erratic ECG printouts have Reduce paper speed to 25 mm s unexpected breaks in the waveforms at Artifact filter is set to 40 Hz on random intervals Breaks are Change setting to 150 Hz accompanied by vertical dashed lines Current Custom Lead setting is Frank header footer information and lead Use another Custom Lead setting or designators reduce paper speed and turn off Artifact Filter Report is printing STAT in the Patient No ID number was entered for the ID field of the report patient Recognizing and Reducing ECG Artifacts OVERLOAD message Defibrillating the patient will interfere with the Eclipse Premier sensors This may result in loss of the trace or erratic trace deflections An OVERLOAD message alerts you that waveforms may not be accurate A broken wire in a patient lead or a poorly applied sensor may also cause an OVERLOAD message This condition must be corrected before the overload condition clears Rapid large and erratic deflections A broken wire in the patient lead or a poorly applied sensor may cause rapid large and erratic trace deflections Irr
13. 0 364 Not editable if D O B was entered Age Format YEARS MONTHS DAYS Not editable if D O B was entered Sex Race blank BLACK CAUCASIAN ASIAN OTHER RACE UNKNOWN Medication 1 blank LIDOCAINE NO MEDICATION OTHER ANTIARRHYTHMIC UNKNOWN PSYCHOTROPIC DIGITALIS STEROID DIURETIC CALCIUM BLOCKERS BETA BLOCKER NITRATES QUINIDINE ACE INHIBITORS PROCAINAMIDE ALPHA BLOCKERS AMIODARONE OTHER MEDICATION DISOPYRAMIDE Select a medication type if you know the category of medication your patient is taking For ECG waveform analysis it is better to select NO MEDICATION or UNKNOWN than to leave this field blank Eclipse Operating Instructions 6 11 Chapter 6 Acquiring ECG Reports Medication 2 See MEDICATION 1 above NOTE If you typically use just the Medication 1 and Class 1 fields use the PATIENT FIELDS ENABLE menu to select the OFF setting for the Medication 2 and Class 2 fields see Enabling Patient Demographic Fields on pg 4 13 NOTE Do not use this field if blank NO MEDICATION or UNKNOWN is selected for Medication 1 These entries for Medication 1 cause the analysis program in interpretive Eclipse Premier units to ignore the Medication 2 field Class 1 blank PERICARDITIS NORMAL RESPIRATORY DISEASE UNKNOWN IMPLANTED PACER MYOCARDIAL INFARCTION ENDOCRINE DISEASE MYOCARDIAL ISCHEMIA PULMONARY EMBOLISM HYPERTENSION POST CARDIAC SURGERY CONGENITAL HEART DISEASE CARDIOMYOPTHY RHEUMATIC H
14. 2 20 ee 2e 9 1 Resting ECG Lead Placement amp Coding Chart 5 3 Alternative Lead Placements 4 004001 comes ose 5 7 Acquiring ECG Reports 6 64 55 045 6255 ede inne ss 6 1 ACUM Ala Eladio E pee eokope seeps 6 1 ACEQUIA A AMO BCG errata do eo co 6 2 ratio epors tner a de ne te oo 6 4 Temporarily Changing Current Settings 6 5 Acquiring an Auto Rhythm or a Manual Rhythm 6 6 Acquiring an ECG Using Alternative Lead Placements 6 7 Entering Patient Demographics 6 9 Eclipse Operating Instructions Chapter 7 Managing Patient Records 7 1 Using the DIRECTORY Men senses ista ee rene 7 1 reso A aor AEAEE REA 7 3 Additional Functions 1 7 6 Chapter 8 Sending and Receiving Records 8 1 Equipment ONNCCHONS co de ida 8 1 How record status affects the sending operations 8 3 Changing Record Status eses ora oan ee 8 3 Setting Up the Unit to Send and Receive 8 4 Receiving requisitions from PYRAMIS 521 042 200 8 6 Sending records to PYRAMIS seda opa ies ada 8 7 Sending and Receiving records from an Eclipse 8 8 Receiving records from PERMIS 4 8 8 Chapter 9 Sample Printouts sipornrsar ideas a cu 9 1 CEE I eCClOry REPO a en oo de 0 9 1 Print Setup REPO barrera poneis enebro 9 2 Standard 12 Lead 4 Channel Auto ECG
15. 601 1 approved All connected equipment should be IEC 950 approved or equivalent Consult a qualified technician to verify equipment compatibility Patient Cable Connect the patient cable via the connector on the front of the unit Figure 2 2 Patient Cable Connector Patient Cable Make sure the connector on the cable is arrow side up then firmly push the connector until the arrow point is aligned with the edge of the Eclipse Premier Grounding WARNING Electrical shock hazard Operate the unit from its battery supply if the integrity of the protective earth conductor is in doubt Otherwise serious injury or death could result NOTICE For proper grounding Quinton Cardiology Inc recommends the use of medical grade AC outlets Maximum patient and operator safety is ensured only when the Eclipse Premier is properly grounded To do this connect the power cable to the AC Power connector see Figure 2 1 on pg 2 1 and connect the other end to a properly grounded AC line outlet 2 2 Eclipse Operating Instructions Loading Recording Paper Loading Recording Paper NOTE Damage caused by using unapproved recording paper may void your warranty 1 Turn the Eclipse Premier on 2 Open the paper compartment door by lifting and sliding it out to the left 3 Remove any remaining paper from the paperwell 4 Lift the top sheet of the new stack of paper and pull it to the right 5 Place the paper into t
16. Coding Chart on pg 5 3 for diagram Attach the chest sensors according to the following table I E C M and A should all be in the same horizontal plane level with the fifth intercostal space see Figure 5 4 V4 C4 Chest right midaxillary line Vo Co Chest midsternum E Va C3 Chest midclavicular line C Va Ca Chest left midaxillary line A Vs Cs Back spine opposite E M Ve Co Throat or back of neck H Eclipse Operating Instructions 5 7 Chapter 5 Patient Preparation Figure 5 4 Frank Lead Placement Measurement Dexter Sinister Cranial Caudal Ventral Dorsal Nehb Bipolar Leads Attach all the limb sensors RA LA LL and RL R L N and F Please see Resting ECG Lead Placement amp Coding Chart on pg 5 3 for diagram Attach the chest sensors according to the following table see Figure 5 5 V4 C4 Chest second rib at right sternal border Net Vo Co Back left posterior axillary line on level with the Nas bottom tip of the scapula Va C3 Chest opposite the scapular apex atthe same level Nap as Vo above Figure 5 5 Nehb Lead Placement Measurement Nax Net Nap Ns Nap Nax 5 8 Eclipse Operating Instructions Alternative Lead Placements Figure 5 6 Placement Options Alternate Chest Lead Acquire a standard 12 lead ECG according to the Resting ECG Lead Placement amp Coding Chart on pg 5 3 For the Alternate Chest Lead ECG retain t
17. Eclipse Premier to suit your specific needs incorporating features that people like yourself have requested Your business is important to us If you would like more information or if you have any questions contact your local representative or Eclipse Technical Support at 800 426 0337 or 425 402 2485 CAUTION Federal law restricts this device to sale by or on the order of a physician Inspection Upon Delivery Your new Eclipse Premier was carefully inspected before shipment Please inspect your unit upon delivery for any damage which may have occurred in transit If you notice any damage please contact your shipping agent If items are missing contact your local representative or Eclipse Technical Support at 800 426 0337 or 425 402 2485 NOTE Your Eclipse Premier electrocardiograph is intended for use with approved ECG supplies its reliability and performance are directly affected by the supplies you use Eclipse Operating Instructions 1 1 Chapter 1 General Information General Description Figure 1 1 Eclipse Premier 1 2 Eclipse Operating Instructions Portable may be operated from battery or AC line power Features an active matrix color LCD Prints using a thermal printer and thermosensitive Z fold paper Operates in manual and automatic modes Records in either standard or Cabrera lead formats Alternative lead selections include Pediatric V4R Alternate Chest Lead Nehb and Frank Stores an
18. File on pg 6 3 4 Press to go to the EDIT ID menu Enter the patient s ID number last name first name date of birth gender and as many other fields as required or as time will allow for more information see Patient Demographic Fields on pg 6 10 NOTE Items indicated with an asterisk may affect computer analysis O 5 Press the left arrow key to return to the PREVIEW screen Verify that the Sensors OK message is displayed on the PREVIEW screen NOTE The Recorder Speed Gain and Frequency Response settings displayed in the lower right corner of the PREVIEW screen can be temporarily modified if necessary See Temporarily Changing Current Settings on pg 6 5 6 Press to acquire an Auto ECG 6 2 Eclipse Operating Instructions Acquiring an Auto ECG NOTE To obtain a clean trace with very little noise ensure that Wait for Good Data is set to ON in the AUTO ECG SETUP menu If there is a problem during a recording the Eclipse Premier will display a message You can override the error message and continue recording by pressing the ECG key again for more information see Wait for good data on pg 4 9 7 Depending on the current system settings the Eclipse Premier will automatically print and save the ECG If the unit is equipped with communication capabilities the ECG might also be automatically sent depending on the settings Otherwise a prompt may be displayed on the s
19. LIMITATIONS NOTICE The Canadian Department of Communications label identifies certified equipment This certification means that the equipment meets certain telecommunications network protective operational and safety requirements The Department does not guarantee the equipment will operate to the user s satisfaction Before installing this equipment user s should ensure that it is permissible to be connected to the facilities of the local telecommunications company The equipment must also be installed using an acceptable method of connection In some cases the company s inside wiring associated with a single line individual service may be extended by means of a certified connector assembly telephone extension cord The customer should be aware that compliance with the above conditions may not prevent degradation of service in some situations Repairs to certified equipment should be made by an authorized Canadian maintenance facility designated by the supplier Any repairs or alterations made by the user to this equipment or equipment malfunctions may give the telecommunications company cause to request the user to disconnect the equipment User s should ensure for their own protection that the electrical ground connections of the power utility telephone lines and internal metallic water pipe system if present are connected together This precaution may be particularly important in rural areas CAUTION Users should not attempt
20. Le 06 aa lie es Ep i a lta sis E EE eo ef Es de FE O O AE ES E PE aea tals Eed E Ea LE El es as tapte SSS ee a a eee a A est A ecer aep T zerg leere iest T vee aeri gone i eert Tagasi E el td ell See a ed ede el ER E a a es Ole Be ltd eae eb pl es OM eg feel ede Ped eee ee eG ed MIRE GER pe ed deal aed pe Pld IE a A Aa a A QE Dae lo T eel oe fame l epee a Eo T o EE a gg oe A AA NME dent En EE Sn EEE A ee al pe ce ER 1251858 12 td de rl 65565 E ER AE RER US le EE Be el el ced ts lel at ta ted ee For elles eee ee ee el lf ed EEE de ee I dF etd dee a a ae QE a g EEE A gg EEE aa ea e fes 1e al ael ee due ee age TT T EE ro AE e a co Et cd dee oe RE el ee Brac dr dd El tes et ete fe er Ed BE SEE ME AE IE IE ESRI ee ar oe el et lo E E E e tlt eo E Fe E tie eee ae etl tr E EES SES A E A AE aaa eae ele 00000000 000 596 eS ofS EE SIXY 1 U d su ZS uoISuadsiqg 10 su pF LAJ38jU 910 Su OSE 2AJ34U 10 L 307 su C6 UOT eang Syd TWWHON Sse su 091 JLAJS PUT dd NOILYOIGSW ON SPW su 208 SAS HU YY a 1UW wdq pL 3 y USA SUYA 6 S961 81 0 8a 00 Z8LLOCB8EZ QI 0L 1 0L v00Z 03 80 NHOF 3d009 _ 9 6 Eclipse Operating Instructions Median Complex Median Complex aa did 66666667 10 495 51801 2 E 9c SC E L CIE 86 00 JSH ON 83048038 H910HN8
21. NOTE To obtain a clean trace with very little noise ensure that Wait for Good Data is set to ON in the AUTO ECG SETUP menu If there is a problem during a recording the Eclipse Premier will display a message You can override the error message and continue recording by pressing the ECG key again for more information see Wait for good data on pg 4 9 5 Depending on the current system settings The Eclipse Premier will automatically print and save the ECG If the unit is equipped with communication capabilities the ECG might also be automatically sent depending on the settings Otherwise a prompt may be displayed on the screen asking if you wish to print or save the ECG NOTE To view or modify the print or save settings see Print Mode and Save Mode on pg 4 9 6 If you have saved the ECG then the Single ECG Functions list is displayed At this time you may perform additional functions with the saved test see Accessing Saved Files on pg 7 3 6 8 Eclipse Operating Instructions Entering Patient Demographics x Use the left arrow key to exit Entering Patient Demographics NOTE Some patient information directly affects ECG analysis Your patient s physician uses this information when interpreting ECG reports Likewise interpretive Eclipse Premier units provide more accurate and complete analysis statements when you enter patient information thoroughly This information must be entere
22. RA LA LL V1 V2 V3 V4 V5 V6 A PATIENT ID Identification number of the current patient On the Eclipse Premier this field also displays the patient s name B RELATIVE GAIN Tracks the amplitudes of the displayed waveforms This corresponds to the Recorder Gain setting as follows Recorder Gain Relative Gain 5 mm mV x1 2 10 mm mV x1 20 mm mV x2 L 10 C mm mV L x1 C x1 2 L 20 C 10 mm mV L x2 C x1 C HEART RATE Displays the patient s heart rate 3 4 Eclipse Operating Instructions The PREVIEW Screen D FUNCTIONS LIST Displays available functions and menus Displays space available for example Available 60 ECG E RECORDER SPEED GAIN AND FREQUENCY RESPONSE Displays settings for current ECG reports F BATTERY STATUS GAUGE Tracks battery charge level G POWER STATUS Indicates the power source AC line power or battery H SENSOR STATUS Indicates signal quality If all sensors are producing good signals the display reads SENSORS OK If one or more sensors produce a poor signal the labels for the affected sensors are highlighted and the problem is indicated by one of the following messages FAIL DRIFT NOISE NOTE To ensure accurate sensor status indication the RL electrode must be connected NOTE Refer to Chapter 10 Troubleshooting for information on correcting signal problems I ECG WAVEFORMS NOTICE Waveforms displayed on the Eclipse Premier screen are n
23. RSI a ee E ana E pS ee Fes m iF HAE desa Spor HE 2 I Ay EE ES i oS 2 Ne o EEE ECU CES EEG EEG E E EEE E pgp 59 FREE e e 05991 4 123020 249 EE Gola a S logo g2 so Standard 3 Channel Rhythm Manual ECG Standard 3 Channel Rhythm amp Manual ECG H H erro Bee EAE EE A HE TP A O A A EE O A E EE E E E a E EET cara Pre Soo Aa ptes Pais a a aaa PA E aL Corr o es AE tel to 4 J E ES ES El 3 08 20 2004 10 34 16 HAE HE CA eN Es Pa E pra EEE Fae Ee a Ea 0 se el o ed ee ed es el LES ao terror Se a Soa AA E dae catas al cc e e Moore da ERA E a o o a ee eet ee re rl pe eae Fe PS Ee see et tle tle E C E A 78 n INN EC 5 oe EE abe ae Be cr A e BURDICK REORDER NO REF 007983 T PREIS NE EREE ET hS E E HB e EE ee E SES ES EE lA i BURDICK INC Salt lee Ele Gee D Ee ee ee ee pr 738201187 Ey E pa COOPER JOHN ID Aaa ite Perra E CE E Eee AE co pisa Ea E A A E AAA A E EE E eer O E E EE A A A PO A A i O1 Eclipse Operating Instructions 9 Chapter 9 Sample Printouts Measurement Matrix S aE i o 86 00 334 0N 4304034 ADIGUNA ONI AGUNG ME z 0 92 52 El L ZINA E Ee ee nr En en MH o ZT ae FRE eee ae GE A El eee ee ey yd el me Se Sf ne 5 cie RET et nn EE T ae Et ee e bee
24. User Setup NOTICE Because the Eclipse Premier offers different lead configurations always ensure that the appropriate lead placement is employed for the lead configuration selected Custom Lead 1 STANDARD 3 CHANNEL 3x1 STANDARD 6 CHANNEL 6x1 STANDARD 12 CHANNEL 3x4 STANDARD 12 CHANNEL 3x4 1R STANDARD 12 CHANNEL 3x4 3R STANDARD 12 CHANNEL 6x2 CABRERA 3 CHANNEL 3x1 CABRERA 6 CHANNEL 6x1 CABRERA 12 CHANNEL 3x4 CABRERA 12 CHANNEL 3x4 1R CABRERA 12 CHANNEL 3x4 3R CABRERA 12 CHANNEL 6x2 ALTERNATE CHEST LEAD 3X4 1R FRANK 3 CHANNEL 3x1 NEHB 3 CHANNEL 3x1 Format Custom Lead 1 to suit your needs The numbers in parentheses indicate how the selected lead group will be displayed on the screen If you select a display that includes rhythm leads the rhythm leads displayed are the same ones that have been selected for printing in the Auto ECG Setup menu See AUTO ECG SETUP on pg 4 8 If you have selected Alternate Chest Lead or a non 12 lead Standard or Cabrera format select leads for the appropriate channels Lead availability is affected by the selected lead configuration Channel 1 through When programming Custom Lead 1 select 1 lead for each channel The lead Channel 6 options for each format are listed below NOTE Lead availability is affected by the selected lead configuration Standard Cabrera LEAD LEAD LEAD II LEAD II LEAD lll LEAD lll aVR aVR aVL aVL
25. appear in the MISCELLANEOUS menu Configuring the USER SETUP Menus on stby Directory ON Password OFF Determines whether a password is required to access the directory When ON the user must enter the directory password after every power up when accessing the directory The password is set in the MISCELLANEOUS menu see Directory Password on pg 4 12 NOTE Ifthe directory password is set to OFF in SYSTEM SETUP the directory password field will not appear in the MISCELLANEOUS menu Verify calendar clock settings To verify the date and time press the On Standby key to put the unit in Standby mode Then press the On Standby key again to turn the unit on Check the date and time on the POWER UP screen Configuring the USER SETUP Menus O on stby There are 7 USER SETUP menus Use these to format printouts and reports customize lead groups customize demographic information in the EDIT ID menu and on printouts set default values for Recorder Speed Gain and Frequency Response get Custom Header information and configure miscellaneous settings All USER SETUP settings can be customized for both User 1 and User 2 for more information see User 1 2 Select on pg 4 2 NOTE Default settings for Eclipse Premier are given on page 9 2 Go to the USER SETUP menus 1 Press the On Standby key to power up to the PREVIEW screen 2 Select the set of formats you want to edit by holding down
26. desired Press the left arrow to return to the Single ECG Functions list If you wish to modify the settings for Recorder Speed Gain or Frequency Response press the C key to access the CHANGE SPEED GAIN FILTER menu Use the arrows to make different selections Press the left arrow to return to the Single ECG Functions list Press the P key to print a copy of the report NOTE Depending upon system settings the ECG report will include a rhythm report and a median complex report Analysis information may also be included on the printout unless this feature has been disabled To verify or change the print settings see Rhythm Page Median Complex Page and Analysis original on pg 4 8 Manually print a copy of the median complex report for the record by pressing the R key NOTE Chart speed is fixed at 50 mm s Print a copy of the measurement matrix for the record by pressing the N key O Use the left arrow key to exit 7 4 Eclipse Operating Instructions Accessing Saved Files Deleting Patient Files NOTE This procedure permanently removes the selected record 1 Locate the desired patient file highlight it and press the Enter key The Single ECG Functions list is displayed 2 Select DELETE ECG by pressing the D key to permanently delete the file SToP 3 A message box will appear Press the 0 key to confirm deletion NOTE Proceed with caution choos
27. entered with the correct number or set to 1 on the Eclipse Premier Room Up to 7 alphanumeric characters Identifies your location within the facility 6 12 Eclipse Operating Instructions Entering Patient Demographics Technician Physician User Field Comments Up to 20 alphanumeric characters Identifies the person acquiring the ECG Up to 20 alphanumeric characters Identifies the patient s physician Up to 15 alphanumeric characters Use this field to suit your needs A possible use might be to identify the referring physician You may label this field in the USER SETUP menu see Configuring the USER SETUP Menus on pg 4 5 Up to 120 alphanumeric characters Use this field to input additional patient information as needed Eclipse Operating Instructions 6 13 Chapter 6 Acquiring ECG Reports 6 14 Eclipse Operating Instructions Chapter Managing Patient Records Once a patient s record has been saved it is possible to reprint delete and transmit ECG records as well as edit patient information It is also possible to create files for one or more patients prior to acquiring any ECGs NOTE Speed gain and or artifact filter can be changed prior to reprinting a record See Printing ECG Reports on pg 7 4 Using the DIRECTORY Menu In order to perform any of the functions described above it is necessary to access the DIRECTORY menu NOTE Depending upon you
28. key The Single ECG Functions list is displayed 2 Press the N key to print the measurement matrix for the selected record O Use the left arrow key to exit Configuring the FAX Menu Eclipse Premier stores up to 4 phone numbers which are listed by their descriptions Fax numbers and descriptions can be entered or modified from the FAX ECG menu 1 Locate the desired patient file highlight it and press the Enter key The Single ECG Functions list is displayed 2 From the Single ECG Functions list press the F key to access the FAX ECG menu 3 Press E to enter new phone numbers or correct existing numbers in the EDIT PHONE NUMBER menu 4 To enter a new number for Phone 1 type in a phone number To modify an existing phone number arrow down to the phone number and enter the new number as desired NOTE Enter up to 20 numeric characters The comma character inserts a pause during dialing For example this is often used after dialing a 9 prefix before the rest of the phone number 5 Arrow down to the Description field Using the keyboard type in a description for the phone number NOTE Enter up to 15 alphanumeric characters 6 To add or change additional phone numbers arrow up or down to the appropriate fields and enter information as desired O Use the left arrow key to exit Eclipse Operating Instructions 7 7 Chapter 7 Managing Patient Records Print Directory If you
29. marked with the following symbol GY NOTE 1 At 80 MHz and 800MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a 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 Eclipse Premier is used exceeds the applicable RF compliance level above then the Eclipse Premier should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Eclipse Premier b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m Amplitude modulated at 80 with a modulation frequency of 10 KHz per EN 60601 2 25 11 8 Eclipse Operating Instructions EMC Declaration Tables Recommended Separation Distances Refer to the following table for recommended separation distances between the Eclipse Premier and portable and mobile RF communications equipment The Eclipse Premier is intended for use in an e
30. of inactivity To power down to Standby mode at any time during operation press the On Standby key there is no switch to disconnect power The unit is not operational in Standby mode however the internal battery charges in Standby mode if connected to AC power The Auto Power Down feature may be temporarily turned off by putting the unit in Battery Calibration Mode Power Indicator This green light on the back of the unit see Figure 2 1 is on whenever the unit is receiving AC line power Using the Battery Mi The Eclipse Premier displays battery charge status via the battery status gauge in the PREVIEW screen see Figure 3 2 on pg 3 4 and in Standby mode When all 8 bars are lit the battery is fully charged When battery power is being used the message BATTERY is displayed and the minus sign is highlighted indicating that charge is being drained When the unit is connected to AC line power the message AC ON is displayed and the plus sign is highlighted indicating the battery is charging Connect the Eclipse Premier to AC power whenever possible to ensure reliable uninterrupted performance Additionally you must calibrate the battery prior to initial use and at regular intervals refer to Calibrating the Battery on pg 2 D Charging the Battery Connect the unit to AC line power to recharge the battery The battery fully recharges in about 4 5 hours You may operate the Eclipse Premier
31. on pg 7 2 2400 AUTO Determines the rate at which the modem will send or receive records Selecting AUTO allows the modem to send or receive records at the fastest rate depending on the speed of the modem on the connecting equipment UNSPECIFIED 50 HZ 60 Hz Labels ECG records with the frequency of the AC line power which is connected to the Eclipse Premier unit This is used by the PYRAMIS System to identify the line frequency in the area where the records are acquired ASSURANCE 50 STANDARD Sets print head resistance according to paper type selected BRIEF FULL Selects the format of the ECG analysis statements Selecting BRIEF will result in short concise analysis statements with minimal explanations presented in mixed case nomenclature for ease of reading for example Normal ECG Selecting FULL results in lengthier analysis statements presented in upper case nomenclature for example NORMAL ECG and reason statements which precede the analysis statements ON OFF Enables or disables barcode scanning When the barcode scanner has been installed and enabled patient demographics can be entered by scanning one or more barcodes ON OFF Determines whether a password is required to access the USER SETUP menus and the SYSTEM SETUP menu The password is set in the MISCELLANEOUS menu see Password on pg 4 12 NOTE Ifthe password is set to OFF in SYSTEM SETUP the password field will not
32. pacer events and could result in interpretation errors Pacer detection suspension is designed to prevent possible interpretation errors due to interference 11 4 Eclipse Operating Instructions Performance Disclosures NOTE If spikes appear while pacer detection is suspended refer to the Operating Instructions for information on eliminating electrical interference Once you have eliminated the source of the interference proceed with ECG acquisition If any of the following appear on the printout or the screen then pacemaker detection has been suspended due to excessive noise Y PS for Pacer Suspended This small marking appears in the lower right corner of the printout Y Pacer detection suspended due to external noise REVIEW ADVISED This statement appears as the top line of the interpretation on the printout If this statement has been printed then one of the following situations also exists IMPLANTED PACER was entered for the class field in the Patient Demographics or the Eclipse detected valid pacer activity and did not suspend pacer detection for the entire 10 seconds Y NOISE PACER DETECTION SUSPENDED This message is displayed in the electrode status area near the bottom of the screen If the patient has a pacemaker pacer enhancement markings in the waveforms will not appear during pacer detection suspension 40 Hz Artifact Filter WARNING The use of an artifact filter may affect the ECG output the
33. physician is responsible for taking this into account when reviewing and interpreting the ECG The primary purpose of the 40 Hz artifact filter is to remove skeletal muscle artifact i e undesired signals The filter provides a better signal quality when high frequency noise appears However the filter could also lower the peak of the ORS complex as well as smooth some subtle details of ECG signals For example this may occur with left ventricular hypertrophy and with pediatric signals The physician should take into account the effect of the artifact filter when reviewing such cases The 40 Hz artifact filter does not affect the automatic 12 lead measurement and interpretation analysis but may affect the printed waveform To view the full bandwidth signal for an ECG change the artifact filter to 150 Hz for more information see Printing ECG Reports on pg 7 4 Additionally you may change the default settings on your Atria to acquire new ECGs using the 150 Hz filter refer to Artifact Filter on pg 4 7 Eclipse Operating Instructions 11 5 Chapter 11 Maintenance and Service Internal Modem The Eclipse electrocardiograph supports an optional internal modem The internal modem has been certified by the original equipment manufacturer to meet national and international telephone regulatory requirements NOTE Copies of the Declarations of Conformity and national certificates may be obtained by contacting Customer Serv
34. power up to the PREVIEW screen Press the M key to go to the MAIN MENU Select SYSTEM SETUP by pressing the S key The SYSTEM SETUP menu will appear see Figure 4 1 on pg 4 1 Press the down arrow key to highlight the Connection field and select MODEM Verify that the Phone and Description fields are correctly filled in Press the left arrow key to return to the MAIN MENU 7 Press the D key to go to the DIRECTORY menu CONNECTING TO ANOTHER ECLIPSE NOTE This requires two Eclipse units with either an internal or external modem connected to separate phone lines Both Eclipse units Press the On Standby key to power up to the PREVIEW screen Both Eclipse units Press the M key to go to the MAIN MENU Eclipse Operating Instructions 8 5 Chapter 8 Sending and Receiving Records J Both Eclipse units Select SYSTEM SETUP by pressing the S key The SYSTEM SETUP menu will appear see Figure 4 1 on pg 4 1 On the Eclipse that will be sending records press the down arrow key to highlight the Description field and verify that the description and phone number are correct for the electrocardiograph that will be receiving records Both Eclipse units Press the down arrow key to highlight the Connection field and select MODEM Both Eclipse units Press the left arrow key to return to the MAIN MENU Both Eclipse units Press the D key to go to the DIRECTORY menu Receivi
35. the FAA System Wait for good data ON OFF When ON Auto ECG reports are delayed until ten seconds of low noise waveform have been collected all electrodes must be connected An immediate report can be forced by pressing ECG a second time In this case if data is noisy the report will state Warning Data quality may affect computer interpretation When OFF the Auto ECG report starts once at least 10 seconds of ECG waveform has been collected regardless of the quality of the collected waveform data No warning message is printed in this case NOTE If any electrodes are disconnected the report will show a flat baseline for those leads Overload conditions will also produce a flat baseline Leads with disconnected electrodes will not be used in the ECG analysis Annotate R R Intervals ON OFF When ON R R intervals are printed at the bottom of the 12 lead report For additional information see R R Intervals on pg 11 4 CUSTOM LEAD 1 amp CUSTOM LEAD 2 These two menus each format a group of leads These groups can later be selected by pressing the 5 or 6 machine control keys see The Keyboard on pg 3 1 Custom Lead Group 1 is also used for the rhythm page of an Auto ECG report Only Standard or Cabrera configurations are acceptable for this purpose Do not select Frank or Nehb if you want a rhythm page as part of an Auto ECG Eclipse Operating Instructions 4 9 Chapter 4 System Setup and
36. the equipment or the interference source may be moved Battery pack Under normal conditions a fully charged battery pack provides adequate power to print a minimum of 800 pages of data at paper speed of 25 mm sec or a minimum of 20 minutes of continuous acquisition and printing A fully discharged battery pack will completely recharge in approximately 5 hours Heart rate detection The Eclipse Premier heart rate meter is specified to function in the range of 30 to 250 bpm with a tolerance of 10 or 5 bpm whichever is greater Question marks appear on the printout if the heart rate is out of the specified range R R Intervals Individual annotated R R intervals may be printed at the bottom of the 12 lead report The R R interval is the time interval between two consecutive QRS onsets The R R interval printed on the top center of the ECG report is the average of all valid R R intervals The average R R interval value appears in truncated form ms The Vent Rate printed on the top center of the ECG report is derived from the precise average R R interval The Vent Rate value appears in truncated form bpm Pacer Detection and Suspension Unlike ECG signals pacer signals are sharp and narrow impulses External interference spikes sometimes mimic the shape of pacer impulses Although this is a rare occurrence it can obstruct accurate pacer detection When interference occurs it causes an over detection of possible
37. the status of St is removed from that record The file will be sent the next time BATCH SEND ECGS is selected Eclipse Operating Instructions 8 3 Chapter 8 Sending and Receiving Records Mark Record As DO NOT SEND To ensure that a record is not sent the next time BATCH SEND ECGS is selected select the MARK RECORD AS DO NOT SEND from the Single ECG Functions list 1 Follow the instructions for accessing the list of patient files see Using the DIRECTORY Menu on pg 7 1 2 Locate the desired patient file highlight it and press the Enter key The Single ECG Functions list is displayed 3 Select MARK RECORD AS DO NOT SEND from the Single ECG Functions list 4 Therecord is marked with the No status The file will not be sent the next time BATCH SEND ECGS is selected Setting Up the Unit to Send and Receive The Eclipse Premier can transmit and receive records in three ways O Direct Connection O 802 11b Wireless Connection optional O Remote Connection A direct connection is achieved through the use of a cable which connects the Eclipse Premier unit to either PYRAMIS or another Eclipse unit A wireless connection is achieved through a wireless transmitter attached to the Eclipse Premier a wireless access port and receiver software A remote connection requires either an internal or external modem connected to a phone line Using a Direct Connection 1 If you are connecting to PYRAMIS co
38. x SIS euy Paw jucau x 933 eu Jouqy e wayosi unful jeipuecsoAw ysabins saDuey2 1 1S 3A41SUS XG UB WEA euwJou 3 QeqoJd 1A S4 SOUd 44 Wy 4yu SNUIS su Z U101 eJng Sud su 091 BAJOUI Hd su Z08 JBAJOHUI Ye wdq p 3 8y USA 01 1 01 7002100180 SuvaA 6 INIA 010 8nN4g EE sin og TE EEEE Ep tes EE rete eee prat pde eee E eee ay Fe ey ede epee Fe Feel el ee ete eee EEE EEE EEE By Fel at esd el os AE Fe fel te pled AA ed ae ed Re APE ESR ES PE He A EE urea arte Feel eet eed ae i e pta BETES TESS ee NE HE EE cafe apre A RER Fed el feed ee IE e RER Feel etl etl evel eel etl ee ee ed ET ET ep psp a Fil len TA iio er ie Hy Feed eed eel ed ae R ERES ale El 16 5815955590556 led led Ie EE ESSE SS lees En Hesse apapa fn i Et HE NE ha MEME FEES EE AAA Feel eel edd ed eed pente Ede Ee Eke cel el A E nera ee ee eel red ee eed ede Ete nn Fel dl ee Eee cre cee cee ee ce ete ete Ete Ete Ete eC teeter red E EE SEE HE D ee eee Ee Ee D Le Le ee CO eee Pee ane PE E E Efe EE le El sl td td dll py tt de ee eel ed td EE el el E A te ede E ed eel bl el ed EE EA fl ell le ee etd ot tl rl ee te el el er eee eel tl Eel lB eed E le ee edt tl pl Pr EE E td tt el eee dell dl tl pl tl el nl rl rl pl Err Err ll ee ee ee ee ee ee eee eee te tel eel ted ted ted td td rl tl el tl ele ll E ER EE el A td el te He el dee ed sl tle eee td ee et eee td ES Eee AA A A EAP RE I RES eSS o
39. Chapter 3 Keyboard and Displays 3 10 Eclipse Operating Instructions Chapter 4 System Setup and User Setup Configuring SYSTEM SETUP Menu Within the SYSTEM SETUP menu you can select User 1 or User 2 format Eclipse Premier general settings and set the internal calendar amp clock Setting options are listed in SYSTEM SETUP Fields on pg 4 2 NOTE Default settings for Eclipse Premier are given on page 9 2 Go to SYSTEM SETUP menu 1 3 on stby Figure 4 1 The SYSTEM SETUP Menu Press the On Standby key to power up to the PREVIEW screen Press the M key to go to the MAIN MENU Select SYSTEM SETUP by pressing the S key The SYSTEM SETUP menu will appear see Figure 4 1 1D 0123456789 65 PRESS SYSTEM SETUP User 1 2 Select Line Filter 60 Hz Date Format DD MM YY Date 12 11 1995 Time 13 45 Language ENGLISH Height Units IN Weight Units LB Inst Name Use the up and down arrow keys to scroll through the fields in the SYSTEM SETUP menu As you scroll through the fields the options available for each field will be displayed when the field is highlighted Once a field is highlighted change the current selection by pressing the hot key associated with the option For example to select User 1 in the User 1 2 Select field press the 1 key Use the keyboard to enter information into fields with a blinking cursor such as Inst Name 4 Use the l
40. DATA EXTENSIVELY More than 500 measurements plus the patient s age gender race clinical classification and medications are factored into each analysis Several criteria for abnormalities are age race and gender dependent Race for example is key in identifying hypertrophy and T wave abnormalities USES CLINICAL HISTORY The program is the first to use clinical class as an integral part of analysis just as a physician would consider clinical class in his or her evaluation PRODUCES CLEAR REASON STATEMENTS Reasons appending abnormalities are given in conversational language For example wording like High voltages in limb leads is used rather than R amp gt age sex dependent limit in limb leads UNDER CONTINUOUS DEVELOPMENT amp ENHANCEMENT The program has been clinically tested against more than 80 000 ECGs and is continuously under development ACCURATELY DETECTS NORMAL ECGs Normal ECGs are easily identified and sorted so the physician may quickly verify results PROVIDES USER SELECTABLE QTc FORMULAS Provides four clinically proven methods of calculating QTc for use in diagnosis and pharmaceutical studies Hodges Bazett Fridericia and Framingham Eclipse Operating Instructions 1 3 Chapter 1 General Information O PROVIDES INTERPRETATIONS IN TWO FORMATS Select BRIEF format for short concise analysis statements with minimal explanations presented in mixed case nomenclature for example Norm
41. E The Recorder Speed Gain and Frequency Response settings displayed in the lower right corner of the PREVIEW screen can be temporarily modified if necessary See Temporarily Changing Current Settings on pg 6 5 Eclipse Operating Instructions 6 3 Chapter 6 Acquiring ECG Reports 6 Press Y ECG to acquire an Auto ECG NOTE To obtain a clean trace with very little noise ensure that Wait for Good Data is set to ON in the AUTO ECG SETUP menu If there is a problem during a recording the Eclipse Premier will display a message You can override the error message and continue recording by pressing the ECG key again for more information see Wait for good data on pg 4 9 7 Depending on the current system settings the Eclipse Premier will automatically print and save the ECG If the unit is equipped with communication capabilities the ECG might also be automatically sent depending on the settings Otherwise a prompt may be displayed on the screen asking if you wish to print or save the ECG NOTE To view or modify the print or save settings see Print Mode and Save Mode on pg 4 9 8 Ifyou have saved the ECG then the Single ECG Functions list is displayed At this time you may perform additional functions with the saved test see Accessing Saved Files on pg 7 3 O Use the left arrow key to exit Printing Reports NOTE You can immediately terminate any printout by pressing the STOP
42. EART DISEASE OTHER Refers to the patient s cardiac lung or endocrine conditions Select the appropriate diagnosis from the list if you Know your patient s condition For ECG waveform analysis it is better to select NORMAL or UNKNOWN than to leave this field blank Class 2 See CLASS 1 above NOTE If you typically use just the Medication 1 and Class 1 fields use the PATIENT FIELDS ENABLE menu to select the OFF setting for the Medication 2 and Class 2 fields See Enabling Patient Demographic Fields on pg 4 13 NOTE Do not use this field if blank NORMAL or UNKNOWN is selected for Class 1 These entries for Class 1 cause the analysis program in interpretive Eclipse Premier units to ignore the Class 2 field Height Up to 3 numeric characters Range 0 96 in or 0 244 cm Measured in either inches or centimeters as determined in the SYSTEM SETUP menu Weight Up to 3 numeric characters Range 0 500 Ib or 0 227 kg Measured in either pounds or kilograms as determined in the SYSTEM SETUP menu Systolic BP Up to 3 numeric characters Range 0 250 Blood Pressure Diastolic BP Up to 3 numeric characters Range 0 250 Blood Pressure Department Up to 5 numeric characters Range 1 32000 Identifies your department in the facility A list of the allowable selections is displayed if it has been downloaded from PYRAMIS To download ECGs from PYRAMIS the department must be
43. Enter key after filling fields to accept data and move to the next field NUMERIC FIELDS When active numeric fields may be filled by typing numeric keys only The Eclipse Premier will produce a beep sound if you try to type letters or other inappropriate data into a numeric field Press the Enter key after filling fields to accept data and move to the next field LIST FIELDS When active list fields display a box with a list of choices These are described in the next section DEFAULTS Every field has a default setting For example if you skip the Age Format field it will be filled in with YEARS Unless you make another choice the Eclipse Premier always uses defaults Most often fields are left blank Eclipse Operating Instructions 93 7 Chapter 3 Keyboard and Displays Lists and System Notes Figure 3 4 A Sample List The Medication List LISTS Lists give you all the choices for a particular field For example scroll to Medication 1 A list appears see Figure 3 4 The field may be filled with any choice from this list After you make a selection the next field becomes active 1D 0123456789 v65 PRESS KT EDIT ID Items may affect computer analysis V3 Placement STANDARD Patient ID Last Name MEDICATION First Name blank D O B NO MEDICATION Age UNKNOWN Age Format DIGITALIS Sex DIURETIC Medication 1 Class 1 Comments HOT KEYS NOTE Ifa cust
44. G NEVER position defibrillator paddles very close to or over ECG sensors Remove all chest sensors V Leads C Leads from a patient before defibrillation to allow proper paddle placement Severe burns may result from improper placement of defibrillator paddles Before using any defibrillator consult the operating instructions for that equipment WARNING Electrical shock hazard Operate the unit from its battery supply if the integrity of the protective earth conductor is in doubt Otherwise serious injury or death could result iv Eclipse Operating Instructions WARNING If safety procedures not performed increased risk to patient and device can occur AN WARNING Hazardous voltage To reduce the risk of electrical shock do not attempt to remove the cover under any circumstances Refer servicing to a qualified technician WARNING Position the Eclipse Premier away from other equipment If it is necessary to use the Eclipse Premier adjacent to or stacked with other equipment then observe the Eclipse Premier to verify normal operations WARNING Use of accessories or cables other than those specified with the exception of accessories and cables sold by Quinton Cardiology inc as replacement parts for internal components may result in increased emissions or decreased immunity of the Eclipse Premier Cautions CAUTION Federal law restricts this device to sale by or on the order of a physician CAUTION The unit must b
45. Gain Frequency Response Use machine control keys 7 through 9 to adjust Recorder Speed Gain or Frequency Response The 7 key toggles the Paper Speed between 10 25 and 50 mm sec The 8 key toggles the ECG gain between 5 mm mV 10 mm mV mamy 20 mm mV L10 C5 mm mV and L20 C10 mm mV The 9 key toggles the ECG Filter Frequency between 40 and 150 Hz NOTE Settings are displayed in the lower right corner of the PREVIEW screen These settings will stay in effect until you change them or return the unit to Standby mode Eclipse Operating Instructions 6 5 Chapter 6 Acquiring ECG Reports Acquiring an Auto Rhythm or a Manual Rhythm NOTE REDUCED PERFORMANCE MODE Printing performance of an Auto Rhythm or a Manual Rhythm may be reduced when the current Custom Lead format is Frank and when the printing speed is set to 50 mm s NOTE Itis not possible to save Auto Rhythm or Manual Rhythm data The Eclipse Premier can be set up to automatically print a rhythm page with the 12 lead ECG If this feature is not selected or if an additional rhythm strip is required you can obtain a rhythm strip by simply pressing the RHYT function key or the MAN function key 1 6 6 Eclipse Operating Instructions Follow the directions for acquiring a STAT ECG or an AUTO ECG as described earlier in this chapter see page 6 1 NOTE The Recorder Speed Gain and Frequency Response settings displa
46. NOTE The Recorder Speed Gain and Frequency Response settings displayed in the lower right corner of the PREVIEW screen can be temporarily modified if necessary See Temporarily Changing Current Settings on pg 6 5 Press the ECG function key to record the ECG Eclipse Premier automatically prints the ECG Eclipse Operating Instructions 6 7 Chapter 6 Acquiring ECG Reports Acquiring an ECG Using Pediatric Lead Placements NOTE The Eclipse Premier unit can be set up to always acquire ECGs using pediatric lead placement Refer to V3 Placement in Enabling Patient Demographic Fields on pg 4 13 1 Prepare the patient according to guidelines in Chapter 5 Patient Preparation Attach electrodes according to the specific instructions for Pediatric Lead Placement on pg 5 7 2 Follow steps 2 3 and 4 of Acquiring an Auto ECG on pg 6 2 At the top of the EDIT ID screen for V3 Placement select VAR NOTE Inthe EDIT ID menu change the Age Format to months and enter the patient s age in months if desired o 3 Press the left arrow key to return to the PREVIEW screen Verify waveforms before taking the ECG NOTE The Recorder Speed Gain and Frequency Response settings displayed in the lower right corner of the PREVIEW screen can be temporarily modified if necessary See Temporarily Changing Current Settings on pg 6 5 4 Press ECG to acquire an Auto ECG
47. Operating Instructions Eclipse Premier Electrocardiograph Part No 070 1148 00 Rev A Copyright O 2004 Quinton Cardiology Inc All rights reserved 0086 Quinton Cardiology Inc Authorized Representative 3303 Monte Villa Parkway per MDD 93 42 EEC Bothell Washington 98021 8969 MDSS 800 426 0337 425 402 2485 Burckhardtstrasse 1 D 30163 Hannover Germany Quick Reference Instructions Connect patient Refer to lead placement chart Power on on stby Wait for ECG screen and confirm SENSORS OK message If no response or LOW BATTERY appears plug power cord into AC outlet For a STAT ECG ECG with patient information Press Type patient s IDH Press Type patient s LAST NAME Press Type patient s FIRST NAME Press Type patient s DATE OF BIRTH example 04 14 1952 Press Enter remaining patient information Verify waveforms on screen For a continuous rhythm printout Press to stop rhythm printing Precordial lead placement V2 V3 V4 V5 V6 EN m i NO MT W LJ d A ANA SS V Fourth intercostal space at right margin of sternum V Fourth intercostal space at left margin of sternum V Fifth intercostal space at 4 junction of left midclavicular line V Midway between position V and position V V At horizontal level of position V4 at left anterior axillary line Ve At horizonta
48. SELECT appears on the right side of the display Eclipse Operating Instructions 8 9 Chapter 8 Sending and Receiving Records x 7 Press the left arrow key to return to GET ECG VIA ID 8 Select GET ECG S to begin receiving all the selected records HOW PYRAMIS SEARCHES USING THE PATIENT S NAME PYRAMIS can search using just the Last Name field All the files with the entered last name are retrieved If there are no files with exactly the same last name then PYRAMIS locates all the files with last names that are similar to the one entered When you search using First Name in addition to the Last Name field PYRAMIS searches for files with a first name that matches exactly First PYRAMIS searches for an exactly matching last name If no exact matches are found PYRAMIS searches for similar last names Once a last name is found either matching or similar PYRAMIS displays only the records in which the first name matches exactly For example The database has 4 records Stork Blanche Smythe John Smythe Blanche Smith Blanche Search for Last Name Smi First Name Blanche PYRAMIS displays 2 records in the List of Patients window Smythe Blanche Smith Blanche No exact match was found for the last name so all names similar to Smi were located Of these only files with an exactly matching first name were displayed 8 10 Eclipse Operating Instructions Chapter 9 Sample Printouts P
49. TE Some of the fields described here may not appear because they have been disabled in the PATIENT FIELDS ENABLE menu see Enabling Patient Demographic Fields on pg 4 13 or because the Eclipse Premier is configured to use a Custom Header see Getting Custom Header Information on pg 4 15 The EDIT ID fields are described below NOTE Fields which directly affect computer analysis are marked with an asterisk V3 Placement STANDARD V4R Use only for pediatric reports For more information on pediatric lead placement see Pediatric Lead Placement on pg 5 7 6 10 Eclipse Operating Instructions Entering Patient Demographics Patient ID Up to 20 alphanumeric characters Last Name Up to 20 alphanumeric characters First Name Up to 20 alphanumeric characters D O B Up to 20 alphanumeric characters Date Of Birth Use spaces hyphens or periods to separate the day month and year Some acceptable ways to type the date are 1 10 10 1950 2 10 10 1950 3 10 10 1950 NOTE Remember that the period character is typed by holding down the Shift key and pressing the N key The hyphen character is typed by holding down the Shift key and pressing the M key D O B is used to automatically fill in Age and Age Format For accuracy and convenience you may wish to use this field rather than fill in Age manually Age Up to 3 numeric characters Range
50. TEM SETUP menu the Connection field is set to MODEM or DIRECT a record with status Pr and St may be deleted O If in the SYSTEM SETUP menu the Connection field is set to MODEM or DIRECT a record with status Rv and Pr may be deleted O If in the SYSTEM SETUP menu the Connection field is set to NONE any record with status Pr may be deleted If the Directory is full of records that don t meet any of the automatic deletion criteria you will not be able to create new records unless you manually delete records from the Directory the Directory Full message is displayed You may however obtain Auto ECG printouts These will not be stored in the Directory unless storage space is made available Accessing Saved Files Editing Patient Demographics 1 Locate the desired patient file highlight it and press the Enter key The Single ECG Functions list is displayed 2 Press the E key to access the EDIT ID menu 3 Edit patient demographics as desired These changes are saved when you press the left arrow key to exit this menu NOTE Patient ID date of birth age and age format cannot be changed Eclipse Operating Instructions 1 3 Chapter 7 Managing Patient Records Printing ECG Reports 1 Locate the desired patient file highlight it and press the Enter key The Single ECG Functions list is displayed If you wish to edit patient information press the E key to access the EDIT ID menu Make changes as
51. USTOM LEAD 1 AT 50 mm s OFF Enables a separate 10 second rhythm report as part of every Auto ECG report This is not available if Custom Lead 1 is set to Frank or Nehb Analysis original ON OFF Determines whether analysis statements appear on Auto ECG reports Analysis copies ON OFF Determines whether analysis statements appear on copies of Auto ECG reports 4 8 Eclipse Operating Instructions Configuring the USER SETUP Menus Number Of Copies Numeric Range 0 5 Sets the number of complete report copies to print in addition to the automatic printout Median Complex Page ON OFF Enables Median Complex printout as part of every Auto ECG report Print Mode AUTO MANUAL OFF Determines how ECG reports are printed If AUTO is selected then reports automatically print out prior to saving If OFF is selected no report is printed prior to saving If MANUAL is selected then prior to saving the unit will display a message asking whether to print the record Save Mode AUTO AUTO SAVE AND SEND MANUAL Determines how Auto ECG reports are saved If AUTO is selected reports will be automatically saved after printing If MANUAL save is selected the PREVIEW screen is displayed at the end of every Auto ECG sequence You may save the report at this time If AUTO SAVE AND SEND is selected then the report is automatically saved the report is also sent automatically to an ECG Management System such as the PYRAMIS System or
52. YRAMIS database for all the records for a particular patient You can search the database using O The patient s ID O The patient s name USING THE PATIENT S ID 1 From the DIRECTORY menu select GET ECG VIA ID The GET ECG VIA ID menu is displayed The only option available at first is ENTER ID Select this option The GET VIA ID menu is displayed Type the patient s ID into the ID field Press the left arrow key to return to GET ECG VIA ID Select GET ECG LIST to view a list of all the records stored on PYRAMIS with that ID When the list has downloaded highlight each record that you want to receive and press enter to select the record The word SELECT appears on the right side of the display Press the left arrow key to return to GET ECG VIA ID Select GET ECG S to begin receiving all the selected records USING THE PATIENT S NAME 1 From the DIRECTORY menu select GET ECG VIA ID The GET ECG VIA ID menu is displayed The only option available at first is ENTER ID Select this option The GET VIA ID menu is displayed Type at least the first letter of the patient s last name see How PYRAMIS Searches Using the Patient s Name Press the left arrow key to return to GET ECG VIA ID Select GET ECG LIST to view a list of all the records stored on PYRAMIS with that ID When the list has downloaded highlight each record that you want to receive and press enter to select the record The word
53. acters Identifies the Eclipse Premier unit with a unique number The Device Id is used by the PYRAMIS system to identify which electrocardiograph acquired each ECG record Phone Up to 25 numeric characters The comma character inserts a pause during dialing Provides a phone number to reach the management system or another Eclipse electrocardiograph with modem lf MODEM is selected for the Connection field make sure to include a phone number to enable the sending and receiving functions on the Eclipse Premier Include a comma to insert a pause while dialing A pause may be used if you need to access an outside line For example this is often used after dialing a 9 prefix before the rest of the phone number Description Up to 20 alphanumeric characters Identifies what management system or electrocardiograph is reached at the phone number in the above field Eclipse Operating Instructions 4 3 Chapter 4 System Setup and User Setup Connection Baud Rate AC Mains Frequency Paper Type Analysis Statements Barcode Scanner Password 4 4 Eclipse Operating Instructions MODEM DIRECT 802 11b NONE Determines what type of connection is used when sending or receiving records Selecting NONE disables any sending or receiving functions on the Eclipse Premier This will also allow the Eclipse Premier to automatically delete records that do not have the St status see Record Status
54. al ECG Select FULL format for lengthier analysis statements presented in upper case nomenclature for example NORMAL ECG and reason statements which precede the analysis statements Safety Features 7 A CE 0086 WARNING Electrical shock hazard Do NOT contact unit or patient during defibrillation Otherwise serious injury or death could result WARNING NEVER position defibrillator paddles very close to or over ECG sensors Remove all chest sensors V Leads C Leads from a patient before defibrillation to allow proper paddle placement Severe burns may result from improper placement of defibrillator paddles Before using any defibrillator consult the operating instructions for that equipment Includes a 3 conductor hospital grade power cable Includes an electrically isolated DB 15 style patient cable This conforms to IEC safety pinout and mechanical requirements This symbol which appears on the rear panel indicates this equipment meets the requirements of Council Directive 93 42 EEC MDD Class Ila This symbol next to the patient cable connector indicates this equipment is classified as defibrillation protected Type CF equipment The patient cable and input circuits are designed to prevent damage to the recorder if the unit is connected to a patient during defibrillation Using Multiple Electrical Apparatus Use caution when monitoring patients who must be protected from very small electr
55. al rhythm formats Technical Specifications Input Output Adapter Module optional Equipment Type Conforms to Standards Safety Leakage Current Defibrillator Protection standard RS 232 9 pin D analog output DB 25 telephone line interface RJ11C PCMCIA slot type 3 802 11b wireless ethernet optional non standard DB9 with power and RS232 Class lla Council Directive 93 42 EEC MDD IEC 601 1 CSA C22 2 no 601 1 M90 IEC 601 2 25 CSA C22 2 no 601 2 25 IEC 601 1 2 And by reference of IEC 601 1 2 conforms to EN 55011 Class A IEC 801 2 IEC 801 3 IEC 801 4 and IEC 801 5 AZ NZS 2064 1 2 patient lt 10uA chassis lt 100UA to 5000V 360J Eclipse Operating Instructions 11 11 Chapter 11 Maintenance and Service 11 12 Eclipse Operating Instructions Chapter 12 Measurement Matrix Eclipse Premier models with interpretation or measurement capabilities can be programmed to print the Measurement Matrix after the analysis report The Measurement Matrix consists of 12 columns which contain measurements for the twelve standard leads These columns are labeled I II II aVR aVL aVE V1 V2 V3 V4 V5 V6 The following table explains the numerical values in the Measurement Matrix MEASUREMENT PON PDUR QRSON QRSDUR QDUR RDUR SDUR R DUR S DUR P DUR QRSDEF P AMP P AMP QRSP2P QAMP RAMP SAMP R AMP S AMP DESCRIPTION Time in milliseconds from the beginnin
56. ance NOTICE Computer assisted interpretation is a valuable tool when used properly However no automated interpretation is completely reliable and interpretations should be reviewed by a qualified physician before treatment or non treatment of any patient NOTICE Because the Eclipse Premier offers several different lead configurations always ensure that the appropriate lead placement is employed for the lead configuration selected This symbol which appears on the rear panel of some units indicates this equipment meets the requirements of Council Directive 93 42 EEC MDD Class IIa Eclipse Operating Instructions 11 3 Chapter 11 Maintenance and Service These units have been tested for electromagnetic compatibility in accordance with IEC 601 1 2 The failure criterion for the device is undetectable interference with the ECG trace which could result in misdiagnosis While the device passes the relevant standards it may exhibit evidence of interference when subjected to electrostatic discharges high voltage transients or high voltage surges as defined in IEC 801 2 IEC 801 4 and IEC 801 5 The interference from a single event will demonstrate as a sharp noise spike on the ECG trace The clinician will not confuse such a noise spike with the heart beat waveforms and there is no hazard of misdiagnosis In the unlikely situation that the equipment is placed in an environment where such interference events are common either
57. ant to create a file for this patient in the Directory select ADD NEW PATIENT in the DIRECTORY menu see Using the DIRECTORY Menu on pg 7 1 NOTE You may exit the EDIT ID menu at any time by pressing the left arrow key Eclipse Operating Instructions 6 9 Chapter 6 Acquiring ECG Reports If demographics have been entered already a message appears which reads NEW Patient Selecting YES begins a new file Selecting NO uses the current patient information Figure 6 2 EDIT ID Items may affect computer analysis V3 Placement STANDARD Patient ID 123456789 Last Name First Name D O B Age Age Format Sex Medication 1 Class 1 Comments Patient Demographic Fields Scroll through the EDIT ID menu fields using the up and down arrows In most fields in the EDIT ID menu the cursor blinks In these fields type the appropriate information from the keyboard In this chapter the type of information and the number of characters allowed are listed in brackets next to the field name Press the ENTER key to enter the information Other fields in the EDIT ID menu have lists Select the appropriate item from a list by pressing the hot key indicated by the underlined letter Or press the right arrow key to access the options use the up and down arrow keys to select an option and press the ENTER key to enter the option In this chapter the available choices are listed next to the field name NO
58. as the ECG key and the arrow keys provide additional functions as described in this chapter The Keyboard Figure 3 1 The Keyboard and Key Types RHYT lt gt MAN STOP Dp gE C D J AOOOODODOSO D E E y gt U 92 O T m cn O A FUNCTION KEYS Use the ECG key to acquire and print a 12 lead Auto ECG a series of reports using pre programmed lead sequences and settings Use the RHYT key to acquire an Auto Rhythm report a rhythm strip with a pre selected number of pages uses the leads currently selected in the PREVIEW screen Use the MAN key to acquire a Manual Rhythm report a continuous rhythm strip of the leads currently selected in the PREVIEW screen This report will run until the STOP key is pressed Use the STOP key to terminate any of the above functions and or return the display to the PREVIEW screen B NUMERIC MACHINE CONTROL Use the numeric keys to enter numeric data when required These keys may also be used as hot keys for specific operations see Hot Keys on pg 3 8 Eclipse Operating Instructions 3 1 Chapter 3 Keyboard and Displays Use the 1 and 2 keys to select pre programmed lead triplets for the display im Uns the displayed leads will also be printed on Manual Rhythm and Auto Rhythm reports In the PREVIEW screen use the 1 and 2 keys with the Shift key to select
59. ast annually by a qualified service technician Testing the Patient Cable If the patient cable appears damaged in any way contact your local representative for replacement e Visually inspect for the cable for cracks stress marks and broken or bent pins e Connect the patient cable to the ECG and attach each sensor lead to an electronic heart signal simulator If a simulator is not available a test subject may be used e Check the signal transmission through the cable by flexing the cable and electrode lead wires and observing the ECG rhythm for irregular tracings NOTE If using a test subject be sure not to disturb the sensor site since common baseline artifact will occur This should not be confused as a broken wire Testing the battery The Eclipse Premier monitors battery status It is not necessary for you to perform any tests on the battery However if the battery does not retain a charge for more than 30 minutes of operation you may need to calibrate or replace the battery pack To calibrate the battery pack perform the steps outlined in Calibrating the Battery on pg 2 5 The battery pack in the Eclipse Premier is not user replaceable It must be replaced by an authorized service representative WARNING Never remove the battery pack and attempt to recharge it using an external battery charger Fire or explosion may result 11 2 Eclipse Operating Instructions Notice to responsible service personnel
60. at MM DD YY DD MM YY YY MM DD Up to 20 alphanumeric characters Use spaces hyphens or periods to separate the day month and year Some acceptable ways to type the date are 1 10 10 2004 2 10 10 204 3 10 10 2004 NOTE Remember that the period character is typed by holding down the Shift key and pressing the N key The hyphen character is typed by holding down the Shift key and pressing the M key Time Alphanumeric field displayed in 24 hour format Enter hour and minutes use a space to separate the hour from the minutes Seconds will fill in automatically when you press Enter 4 2 Eclipse Operating Instructions Configuring SYSTEM SETUP Menu CM IN Selects units for expressing patient height NOTE The unit automatically turns off and on again whenever you change the Units selection This ensures that all changes take effect Selects units for expressing patient weight NOTE The unit automatically turns off and on again whenever you change the Units selection This ensures that all changes take effect Up to 30 alphanumeric characters Refers to the institution Information entered here is printed along the bottom of each printout Phone Type TOUCH TONE PULSE MANAGEMENT SYSTEM Institution Up to 5 numeric characters Number Refers to the institution This is extremely important when two or more institutions share a PYRAMIS System Device Id Up to 5 numeric char
61. ation Tables Electromagnetic Immunity IEC 60601 Compliance Electromagnetic environment Immunity test test level level guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood concrete or ceramic tile discharge ESD 8 kV air 8 kV air If floors are covered with synthetic material the IEC 61000 4 2 relative humidity should be at least 30 Electrical fast 2 kV for power 2 kV for power Mains power quality should be that of a typical transient burst supply lines supply lines commercial or hospital environment IEC 61000 4 4 1 kV for 1 kV for input output lines input output lines Surge 1kv differential 1kv differential Mains power quality should be that of a typical IEC 61000 4 5 mode mode commercial or hospital environment 2 kV common mode 2 kV common mode Voltage dips short lt 5 Ur lt 5 Ut Mains power quality should be that of a typical interruptions and lt 95 dip in Ur lt 95 dip in Ur commercial or hospital environment If the voltage variations on for 0 5 cycle for 0 5 cycle Eclipse Premier user requires continued power supply input 40 UI 40 UI operation during power mains interruptions then lines T T it is recommended that the Eclipse Premier be IEC 61000 4 11 60 dip in Ur 60 dip in Ur powered from an uninterruptible power supply or for 5 cycles for 5 cycles a battery 70 Uy 70 Ur 30 dip in Uy 30 dip in Ur for 25 cycle fo
62. cement ON OFF Enables pacemaker enhancement This feature makes pacemaker signals show up as prominent spikes on the display and on printouts An enhanced pacer is printed as a spike that is at least 10 mm tall and of positive polarity Eclipse Operating Instructions 4 11 Chapter 4 System Setup and User Setup Rhythm Mode Pages Numeric Range 1 10 Sets the number of pages printed during an Auto Rhythm Bradycardia Limit Numeric Range 41 69 Reports for adult patients with heart rates below this limit are labeled BRADYCARDIA For more information on heart rate limits refer to the Physician s Guide Tachycardia Limit Numeric Range 81 129 Reports for adult patients with heart rates above this limit are labeled TACHYCARDIA For more information on heart rate limits refer to the Physician s Guide QTc Formula HODGES BAZETT FRIDERICIA FRAMINGHAM Selects QTc formula Eclipse Premier prints the QTc formula selection on the bottom of each ECG printout for example QTc Hodges For additional information on the QTc formulas see QT Interval on page 4 3 of the Physician s Guide NOTE Hodges is the factory default setting Password Up to 15 alphanumeric characters NOTE The password field will not appear in the MISCELLANEOUS menu if the password is set to OFF in SYSTEM SETUP NOTE Write down the password and keep it in a secure place You will be able to change or remove the pas
63. ces that may be connected to the line as determined by the total RENs contact the telephone company to determine the total REN for the calling area If your Eclipse Premier causes harm to the telephone network the telephone company will notify you in advance that temporary discontinuance of service may be required But if advance notice isn t practical you will be notified as soon as possible Also you will be advised of your right to file a complaint with the FCC if you believe it is necessary The telephone company may make changes in its facilities equipment operations or procedures that could effect the operation of the equipment If this happens the telephone company will provide advance notice in order for you to make the necessary modifications in order to maintain uninterrupted service If you experience trouble with your Eclipse Premier please contact Technical Support at 800 426 0337 or 425 402 2485 for repair warranty information If the trouble is causing harm to the telephone network the telephone company may request you remove the equipment from the network until the problem is solved This equipment may not be used on coin service provided by the telephone company Connection to Party Line Service is subject to state tariffs Contact the state public utility commission public service commission or corporation commission for information This device is equipped with a USOC RJ11C connector EQUIPMENT ATTACHMENT
64. creen asking if you wish to print or save the ECG NOTE To view or modify the print or save settings see Print Mode and Save Mode on pg 4 9 8 If you have saved the ECG then the Single ECG Functions list is displayed At this time you may perform additional functions with the saved test see Accessing Saved Files on pg 7 3 Use the left arrow key to exit Acquiring an ECG Using an Existing Patient File If a requisition has been downloaded for a patient then a demographics only file will already exist for the patient see Receiving requisitions from PYRAMIS on pg 8 6 It is also possible to create a demographics only file for a patient separately from when the patient s ECG is acquired see Add New Patient on pg 7 6 Once a demographics only file exists for a patient acquiring the ECG is simple NOTE The following procedure also applies if the patient s ECG has been acquired in the past and the test still exists in the system 1 From the PREVIEW screen press the M key to view the MAIN MENU Press the D key to advance to the DIRECTORY menu Press the V key and select the patient s file from those listed 4 Press the A key to Acquire ECG The EDIT ID menu is displayed Make changes to patient information if necessary 5 Press the left arrow key to return to the PREVIEW screen Verify that the Sensors OK message is displayed on the PREVIEW screen NOT
65. d with interpretive models analyzes waveforms acquired in automatic mode Prints at least 800 pages at 25 mm s recording speed when the internal battery is fully charged Continuously recharges the battery whenever the unit is connected to AC line power Enhanceable Software enhancements are quickly and easily introduced Allows you to preview waveforms before you print saving time and supplies Features selectable patient demographic fields that you may use to suit your needs Interpretive Analysis Program Interpretive Analysis Program About the program The Eclipse Premier includes an interpretive analysis program This analysis program is widely regarded as one of the most accurate available today It was developed in the 1980s by Prof Peter MacFarlane of the University of Glasgow who has been involved in computerized ECG interpretation since its inception in the 1960s The algorithm has been continuously enhanced to improve results The ECG Interpretation Criteria Physicians Guide outlines the criteria used by the analysis program Features of the interpretive analysis program DEVELOPED IN A HOSPITAL ENVIRONMENT The interpretive program was developed in the University Department of Medical Cardiology in the Glasgow Royal Infirmary Unlike many products which are developed with the aid of outside consultants this program was developed in the environment for which it is intended USES AGE GENDER AND RACE
66. d prior to acquiring the ECG in order to affect the interpretation About Patient Demographics Before acquiring a patient s ECG it is a good idea to enter patient information since this information affects both physician analysis and computer analysis Fields which directly affect computer analysis such as the D O B date of birth field are marked with an asterisk In addition patient information is used to label all ECG reports until you begin a new patient file or return the unit to Standby mode Age Date of Birth Enter Date of Birth instead of Age for the most accurate interpretation When date of birth is unknown and the patient is a child then use the following guidelines to ensure the most accurate interpretation Y Enter age in months for patients younger than 8 years old Y Enter age in days for patients younger than 1 month old NOTE The Eclipse Premier interpretation criteria uses a default age of 40 years when an age of 120 years or higher or the equivalent date of birth is entered or when age is not entered Using the EDIT ID Menu Patient information is entered using the EDIT ID menu The EDIT ID menu can be accessed from several different locations To access the EDIT ID menu from either the PREVIEW screen or the MAIN MENU press the T key you may also use the arrow up and arrow down keys in the MAIN menu to select ENTER ID press ENTER The EDIT ID menu will be displayed NOTE If you w
67. e ears of the sensors 3 Squeeze out a small amount of Liqui cor on sensor as illustrated Spread it evenly over the sensor surface Always apply the same amount of electrolyte to each sensor 4 Place sensors firmly on the limb sites Position them so that the sensor will not press against the body or table when the patient is relaxed On arms the screws should point downward toward the feet On legs the screws should point upward toward chest 5 Without stretching the strap wrap it around the limb until a hole lines up with a sensor ear Then stretch the strap and fasten it with the next hole 6 Connect the limb leads to the four sensors Eclipse Operating Instructions 5 5 Chapter 5 Patient Preparation Figure 5 2 Lead Cable Arrangement APPLYING WELSH BULB CHEST SENSORS 1 Connect the 6 Welsh bulb sensors to the V leads C leads on the patient cable 2 Locate the 6 V lead C lead positions on the patient s chest see Resting ECG Lead Placement amp Coding Chart on pg 5 3 3 Squeeze out a drop of Liqui cor electrolyte at each sensor site Use a tongue depressor to spread the electrolyte taking care that it does not touch the electrolyte from another site 4 Apply the sensors by squeezing the rubber bulb and allowing suction to hold the sensor in place Only a small dimple should remain on the bulb when it is released 5 Ensure that the leads conform to the body contour
68. e EDIT ID menu these fields also appear on printouts e Select ON HOLD if you want every patient file to have the same information in this field Until the information is typed over the EDIT ID menu will keep the information in these fields even if the Eclipse Premier is turned off For example you may want every patient record to be labeled with the same Department name e ON and ON CLEAR act the same Fields with this setting are cleared for every new patient or when the unit returns to Standby mode V3 Placement ON CLEAR ON HOLD OFF Used for pediatric recording of V4R only Last Name First Name D O B Age Age Format Sex Race Medication 1 Eclipse Operating Instructions 4 13 Chapter 4 System Setup and User Setup Medication 2 Class 1 Class 2 Height Weight Systolic BP Diastolic BP Department Room Technician Physician User Field ON CLEAR ON HOLD OFF ON CLEAR ON HOLD OFF ON CLEAR ON HOLD OFF ON CLEAR ON HOLD OFF ON CLEAR ON HOLD OFF User Field Label Up to 15 alphanumeric characters Renames the above field The new name is displayed in the EDIT ID menu and printed on patient demographics reports The User Field may be used for anything For example you may want to use the field for the referring physician s name Comments 4 14 Eclipse Operating Instructions Configuring the USER SETUP Menus
69. e Operating Instructions Chapter 2 Equipment Setup WARNING Trip hazard Route all cables away from main work areas to minimize risk of tripping and injury NOTE For patient safety all equipment in patient environment should be EN 60601 1 approved Figure 2 1 Back Panel Connect the supplied power cord here There is no switch to disconnect AC line power To do this you must unplug the unit from the AC outlet The battery is automatically charged whenever the unit is connected to AC line power grounding e NOTE Equipotential grounding is only required if peripheral equipment is attached to the Eclipse NZ Y Equipotential Connect equipotential ground cable here A N CAUTION The unit must be operated only at the line voltage and freguency specified on the rating plate NOTE The diagram above shows standard connections Additional connections may be available if your unit includes communication options Refer to Setting Up the Unit to Send and Receive on pg 8 4 for information and instructions on configuring the unit for communication options Eclipse Operating Instructions 2 1 Chapter 2 Equipment Setup WARNING Position the Eclipse Premier away from other equipment Ifit is necessary to use the Eclipse Premier adjacent to or stacked with other equipment then observe the Eclipse Premier to verify normal operations For patient safety all equipment in patient environment should be IEC
70. e display possible delay of up to 5 seconds the does not change unit shuts off To continue with normal operation press On Standby again to restart the Eclipse Premier Unit displays a completely blank screen Press the On Standby key to restart the Eclipse Premier Unit will not send or receive records via Verify that the phone number and modem description fields are correctly filled in These are found in the SYSTEM SETUP menu Verify that the correct phone type and connection type are selected in the SYSTEM SETUP menu No records are received from PYRAMIS No confirmed ECGs currently exist on when using the GET ALL CONFIRMED the PYRAMIS system ECGS in the directory The Institution Number and Department on the Eclipse Premier do not match the settings on PYRAMIS see Institution Number on pg 4 3 and Department on pg 6 12 Eclipse Operating Instructions 10 1 Chapter 10 Troubleshooting PROBLEM PROBABLE CAUSE Fax function is not working Verify that the phone number and description fields are correctly filled in These are accessed through the FAX ECG menu Several functions in the DIRECTORY Verify that the correct connection type menu are unavailable and appear gray is selected in the SYSTEM SETUP menu If MODEM is selected for the Connection field verify that the Phone field is correctly filled in These are found in the SYSTEM SETUP menu Troubleshooting Trace P
71. e operated only at the line voltage and frequency specified on the rating plate CAUTION Although the Eclipse Premier is designed to meet IEC 601 1 2 EMC immunity requirements the presence of strong EMI fields generated by electronic surgical or diathermy instruments in close proximity to the unit may cause trace noise or input overload conditions CAUTION Fire hazard Use only approved battery packs CAUTION The Eclipse Premier requires special precautions regarding EMC Install and use the Eclipse Premier according to the guidelines of the EMC declaration tables CAUTION Portable and RF communications equipment may affect the Eclipse Premier Always observe the recommended separation distances as defined in the EMC declaration tables Notices NOTICE Do not place used battery pack in your regular trash The incineration landfilling or mixing of NiCad batteries with municipal waste is PROHIBITED BY LAW in most areas Return this battery pack to a government approved battery recycler Contact your local waste management officials for more information Eclipse Operating Instructions VW vi NOTICE Computer assisted interpretation is a valuable tool when used properly However no automated interpretation is completely reliable and interpretations should be reviewed by a qualified physician before treatment or non treatment of any patient NOTICE Because the Eclipse Premier offers different lead configurations alwa
72. ed Print quality is very light Print quality is very dark PROBABLE CAUSE AC interference from lighting cables or equipment near patient Improper line filter setting in SYSTEM SETUP menu Patient movement Muscle tremor noise Improperly applied sensors Electrical interference Sensors need to sit longer on skin Poor sensor contact with skin Ineffective baseline filter setting Waveform is a bigeminal rhythm Poor data quality Ensure that the sensors and leads are attached properly ORS amplitude and T wave amplitude are almost the same Undetermined P wave or P T coupling Poor data quality Ensure that the sensors and leads are attached properly Unusual waveform pattern Troubleshooting Printer Problems PROBABLE CAUSE Unit not used for extended period of time with paper installed Reload paper see page 2 3 Paper type in use is Assurance 50 but paper type selected in system settings is Standard Change paper type in settings to Assurance 50 see Paper Type on pg 4 4 Paper type in use is Standard but paper type selected in system settings is Assurance 50 Change paper type in settings to Standard see Paper Type on pg 4 4 Eclipse Operating Instructions 10 3 Chapter 10 Troubleshooting PROBLEM PROBABLE CAUSE Problems using full format paper Load paper see Loading Recording Paper on pg 2 3 Ensure the paper is at top of form by
73. eft arrow key to exit the menu Eclipse Operating Instructions Chapter 4 System Setup and User Setup SYSTEM SETUP Fields Following is a description of the SYSTEM SETUP fields and options Available choices are listed to the right of the field name NOTE When applicable the type of information and the number of characters allowed are listed in brackets to the right of the field name Eclipse Premier electrocardiographs can send and receive ECG records The items under MANAGEMENT SYSTEM refer primarily to the use of an ECG Management System such as the PYRAMIS System or the FAA System The Phone Description Connection and Baud Rate fields are also used when sending records between two Eclipse units If you are using a management system be sure to consult your System Administrator so that you can setup your Eclipse Premier to be compatible with the management system For more information on sending and receiving records see Sending and Receiving Records on pg 8 1 Field Name Options Limitations And Description User 1 2 Select 2 For each User there is a customized group of formats For more information on User 1 and User 2 see Configuring the USER SETUP Menus on pg 4 5 NOTE The unit automatically turns off and on again whenever you change the User selection This ensures that all changes take effect Line Filter 50 Hz 60 Hz OFF Filters electrical interference from AC line voltage Date Form
74. egular frequency or amplitude Patient movement and muscle tremor may result in abnormal traces To minimize this artifact toggle the artifact filter to 40 Hz with the 9 machine control key In addition try to gain the patient s cooperation in staying very relaxed and still Sometimes somatic tremor is unavoidable but its effects may be minimized by having the patient place his her hands under the buttocks 10 4 Eclipse Operating Instructions Recognizing and Reducing ECG Artifacts Figure 10 1 Somatic Tremor and Patient Movement Artifact x f AMN i la A Baseline wander Poorly affixed sensors may cause the baseline to wander Normally the baseline will stabilize within a few seconds If the baseline shifts up and down it may be due to the patient s breathing or to loose or corroded sensors Figure 10 2 Poorly Affixed Sensor Artifact Wide baseline Electrical interference may produce a wide baseline Its amplitude depends on the strength of the current source and the lead being recorded In any one lead the amplitude of the interfering signal is uniform Figure 10 3 Electrical Interference Artifact
75. ent 5 8 notices V O on standby key 3 2 overload message 10 4 overview features 1 2 P pacer detection suspension 11 4 pacer enhancement 4 11 paper speed 4 7 6 5 paper speed key 3 2 paper type 4 4 paper loading 2 3 password 4 4 4 12 directory 4 5 4 12 patient cable 2 2 connecting 5 6 testing 11 2 patient comfort 5 1 patient demographics editing 7 3 entering 6 9 l 2 Eclipse Operating Instructions settings 4 13 patient adding 7 6 pediatric ECG acquiring 6 8 pediatric lead placement 5 7 performance disclosures 11 3 phone line connecting 8 1 phone number 4 3 phone type 4 3 power cable 2 1 power indicator 2 1 2 4 power status 3 5 power up defaults menu 4 6 preview screen 3 4 printer problems troubleshooting 10 3 printing 6 4 auto setting 4 9 batch of reports 7 6 reports 7 4 printing directory 7 8 product description overview 1 2 Q OTc formula 4 12 R receiving records 8 1 8 8 record status 7 2 8 3 records managing 7 1 remote connection setup 8 5 requisitions 8 6 reusable sensors 5 5 rhythm lead settings 4 8 mode pages 4 12 page settings 4 8 printout sample 9 5 reports 6 6 rhythm key RHYT 3 1 R R intervals 4 9 11 4 S safety features 1 4 safety symbols vii saving auto setting 4 9 sending records 8 1 8 7 8 8 sensor status 3 5 sensors applying 5 2 separation distances recommended 11 9
76. from AC line power while the battery is charging However this will increase charging time 2 4 Eclipse Operating Instructions Using the Battery Low Battery Indicators The following are indicators of low battery listed in order of occurrence 1 The Eclipse Premier flashes the message LOW BATTERY and beeps every 30 seconds when fewer than 15 minutes of operating time remain The Eclipse Premier displays the message POWERING DOWN and then shuts off after 5 seconds The Eclipse Premier beeps 3 times or displays the message Battery Low Please Charge when powering up In this condition the Eclipse Premier may not have enough battery charge to power up When to Calibrate the Battery You must calibrate the battery in the following situations Y prior to initial use Y when the Eclipse Premier displays the message NOTE Battery calibration is suggested in Standby mode Y when the battery drains very quickly but retains a low charge single bar as indicated on the battery status gauge for an extended period before the LOW BATTERY message displays Y when the battery will not charge to full capacity as indicated on the battery status gauge in the Preview screen or in Standby mode Calibrating the battery ensures that the battery status gauge is providing accurate information and the battery is charging to its fullest capacity Calibrating the Battery Battery calibration consi
77. g of recording to the beginning of the first P wave P wave duration in milliseconds Time in milliseconds from the beginning of recording to the beginning of the QRS complex QRS duration in milliseconds Q wave duration in milliseconds R wave duration in milliseconds S wave duration in milliseconds R wave duration in milliseconds S wave duration in milliseconds P wave duration in milliseconds Intrinsicoid deflection time P wave amplitude in microvolts P wave amplitude in microvolts Peak to peak amplitude of the QRS complex Q wave amplitude in microvolts R wave amplitude in microvolts S wave amplitude in microvolts R wave amplitude in microvolts S wave amplitude in microvolts Eclipse Operating Instructions 12 1 Chapter 12 Measurement Matrix MEASUREMENT DESCRIPTION STAMP ST wave amplitude in microvolts 2 85TT Amplitude in microvolts at a point which is 2 8 of the ST T interval 3 85TT Amplitude in microvolts at a point which is 3 8 of the ST T interval T AMP T wave amplitude in microvolts T AMP T wave amplitude in microvolts QRSAR Total area of the QRS complex in microvolts millisecond TMORPH T wave morphology RWNCH R wave notch count DWCON Probability in of the presence of a delta wave STSLOP ST slope in degrees TON Time in milliseconds from the beginning of the recording to the beginning of the T wave TDUR T wave duration in milliseconds T DUR T wave duration in milliseco
78. gain 6 5 printout sample 9 3 9 4 settings 12 lead 4 8 ECG filter frequency key 3 2 ECG gain key 3 2 ECG key 3 1 edit ID menu 3 6 electrical interference troubleshooting 10 6 electrodes applying 5 2 electrolyte 5 5 EMC declaration tables 11 6 emissions 11 6 environment 5 1 equipotential grounding 2 1 fax setup 7 7 faxing reports 7 5 filter frequency 6 5 filter frequency key 3 2 Frank ECG acquiring 6 7 Frank lead placement 5 7 frequency response 4 7 G gain 4 7 6 5 gain key 3 2 grounding 2 1 2 2 H heart rate detection 11 4 height units 4 3 hot keys 3 8 immunity 11 6 institution name 4 3 institution number 4 3 intended use ili internal modem 11 6 interpretive analysis program overview 1 3 settings 4 8 statements type 4 4 K keyboard 3 1 L lead placement chart 5 3 lead triplet keys 3 2 lead wires connecting 5 6 limb plates 5 5 limb sensors 5 4 line filter 4 2 Eclipse Operating Instructions 1 1 loading recording paper 2 3 low battery indicators 2 5 M maintenance 11 1 managing records 7 1 manual key MAN 3 1 measurement matrix 12 1 printing 7 7 printout sample 9 6 median complex printout sample 9 7 report printing 7 6 setting 4 9 medical grade outlets 2 2 menus how to use 3 7 miscellaneous settings 4 11 modem 11 6 modem cable connecting 8 1 N Nehb ECG acquiring 6 7 Nehb lead placem
79. he PYRAMIS System or the FAA System No Do Not Send The record was manually marked so that the record will not be sent the next time that BATCH SEND ECGS is selected in the DIRECTORY menu Rv Received The record was received from another electrocardiograph or from an ECG Management System such as the PYRAMIS System or the FAA System Rq Requisition The record contains only patient demographic information An ECG report is being requested for this patient by the ECG data management system ECG 12 Lead The record contains a 12 lead ECG RtE Alternate Chest Lead The record contains an Alternate Chest Lead non standard ECG On Eclipse Premier units itis possible to change the status of certain records With this feature users can ensure that certain records are sent and other records are not sent when BATCH SEND ECGS is selected in the DIRECTORY menu for more information see Changing Record Status on pg 8 3 7 2 Eclipse Operating Instructions Accessing Saved Files Automatic deletion when the Directory is full If you create a new record when the Directory is full the Eclipse Premier deletes an older record to make room for the new record There are rules based on record status which determine which records are automatically deleted The oldest record with the proper status is deleted O Records with status Dm or Rq are never deleted However a record with both Rq and St will be deleted O If in the SYS
80. he compartment 6 Slide the compartment cover back into place until you notice a definite click as it snaps into the feed rollers 7 Press the P key to advance the paper to the next sheet 8 Tear off paper by pulling up and to the right Do not pull additional paper out of the printer 9 Select the paper type in the System Setup menu see Paper Type on pg 4 4 Use only approved thermally responsive ECG paper The following ECG papers are recommended 1 Assurance permanent trace Z fold Thermal image integrity guaranteed for 25 years when stored in accordance with manufacturer s specifications 2 Standard trace Z fold Thermal image integrity guaranteed for 5 years when stored in accordance with manufacturer s specifications The printer is pre adjusted at the factory Do not try to make adjustments Eclipse Operating Instructions 2 3 Chapter 2 Equipment Setup Turning the Unit On Press the On Standby key to turn the Eclipse Premier on The unit performs onstby self tests and displays the current date and time a message prompting you to check date and time accuracy and any error detected during the self tests NOTE To change the date and time settings see Configuring SYSTEM SETUP Menu on pg 4 1 After completing self tests the unit displays the PREVIEW screen Standby Mode NOTE The Eclipse Premier will automatically power down to Standby mode after 15 minutes
81. he placement of the limb sensors Reposition the chest sensors using 6 of the placements described in the table below Configure leads as desired See the table below for a sample lead configuration Lead V4 C4 Vo Co NOTE The lead configuration for the Alternate Chest Lead is completely customizable The example below is only one of many possible lead configurations NOTE Lead configuration may also contain any of the standard chest leads if desired Alternate Placement VoR CoR position V3R C3R position VaR C4R position VER C5R position on right VER CGR position on right V C7 position Va Cg position Vg Cg position V7R CR position VER CgR position VgR CoR position Description fourth intercostal space at right margin of sternum midway between position VR CR and position V R CR fifth intercostal space at junction of right midclavicular line horizontal level with V R CR at right anterior axillary line horizontal level with VAR C4R and VER C5R at right midaxillary line horizontal level with Vg Cg at posterior axillary line horizontal level with Vg Cg and V7 C7 at mid scapular line horizontal level with V7 C7 and Vg Cg next to spinal column horizontal level with VER CgR at posterior axillary line horizontal level with VER CgR and V7R C7R at mid scapular line horizontal level with V7R C7R and VgR CgR next to spinal column Vo 0 V7R VOR
82. his 9 pin D connector on the adapter module using cable p n 010 1675 00 For additional information about connecting the adapter module and the wireless transmitter refer to the instructions that came with the wireless communication kit WARNING The Eclipse Premier should not be connected to non medical equipment unless the non medical equipment complies with IEC 601 1 In addition the enclosure leakage current of non medical equipment connected to the Eclipse Premier should not be allowed to exceed 500uA in fault condition To maintain a proper enclosure leakage current provide additional protective earth grounding use an additional isolating transformer or use a floating power supply WARNING The Eclipse Premier and any non medical equipment that it is connected to should not be allowed within the patient s vicinity which extends 6 feet 1 83 m beyond the perimeter of the bed table or chair and 7 1 2 feet 2 29 m above the floor WARNING NEVER create a direct connection between an Eclipse Premier and a PYRAMIS computer if the Eclipse Premier is already connected to a patient 8 2 Eclipse Operating Instructions How record status affects the sending operations How record status affects the sending operations NOTE For the list of status codes see Record Status on Pe 7 2 Record status affects whether records can be sent from the Eclipse Premier The following rules apply O Records with status Dm ca
83. ical currents Susceptible patients include patients with cardiac catheters or pacemakers Consult a qualified technician before using multiple electrical apparatus in this patient environment The Eclipse Premier patient leads are electrically isolated from ground and the device meets the most stringent IEC and ANSI AAMI medical standards for leakage currents 1 4 Eclipse Operating Instructions Using Multiple Electrical Apparatus However a potential hazard may occur if the enclosure leakage currents from multiple pieces of equipment combine and are inadvertently routed directly to a patient s heart via a catheter or pacemaker lead Only equipment which is certified to IEC and ANSI AAMI medical standards should be used in this environment Use of certified equipment does not however completely eliminate this possible hazard Another potential hazard may occur if two devices near a patient are powered from different circuits If the grounds of the two circuits are at different potentials which can occur under certain fault conditions then a ground loop can exist between the enclosures of the two devices If devices must be powered from separate circuits in the vicinity of a susceptible patient then the grounding lugs on the devices should be electrically connected via an equipotential cable Please also consult Chapter 2 Equipment Setup Eclipse Operating Instructions 1 5 Chapter 1 General Information 1 6 Eclips
84. ically created for the patient Patient information is saved when you press the left arrow key to exit the EDIT ID menu Print All New ECGs If you wish to print all ECGs in the directory which have not been printed previously i e Record Status is not PR select the PRINT ALL NEW ECGS item in the DIRECTORY 1 In the DIRECTORY menu select the PRINT ALL NEW ECGS field by pressing the E key 2 All ECGs which have not been printed previously will print out on the electrocardiograph Ca Use the left arrow key to exit Print median complex If you wish to review the averaged beats for a record select the PRINT MEDIAN COMPLEX item in the DIRECTORY On interpretive units the median complex is used as the basis for all computerized analyses 1 Locate the desired patient file highlight it and press the Enter key The Single ECG Functions list is displayed 2 Press the R key to print the median complex for the selected record NOTE Chart speed is fixed at 50 mm s o Use the left arrow key to exit 7 6 Eclipse Operating Instructions Additional Functions Print Measurement Matrix If you wish to review the numerical data for a record select the PRINT MEASUREMENT MATRIX item in the DIRECTORY The measurement matrix contains numerical data such as P wave duration PDUR which is derived from the median complex for the record 1 Locate the desired patient file highlight it and press the Enter
85. ice at 800 426 0337 or 425 402 2485 National approval marks and registration numbers are located internally on the modem assembly EMC Declaration Tables CAUTION The Eclipse Premier requires special precautions regarding EMC Install and use the Eclipse Premier according to the guidelines of the EMC declaration tables CAUTION Portable and RF communications equipment may affect the Eclipse Premier Always observe the recommended separation distances as defined in the EMC declaration tables The Eclipse Premier is intended for use in the electromagnetic environment specified below The customer or the user of the Eclipse Premier should assure that it is used in such an environment Electromagnetic Emissions Electromagnetic environment Emissions test Compliance guidance RF emissions Group 1 The Eclipse Premier uses RF energy only for its CISPR 11 internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class A The Eclipse Premier is suitable for use in all CISPR 11 establishments including domestic establishments and those directly connected to Harmonic emissions Class A IEC 61000 3 2 the public low voltage power supply network that supplies buildings used for domestic purposes Voltage fluctuations Complies flicker emissions IEC 6100 3 3 11 6 Eclipse Operating Instructions EMC Declar
86. ing Ok will permanently erase the record To cancel the request select Cancel O Use the left arrow key to exit Faxing Saved Files NOTE To use the Fax function your Eclipse Premier must be equipped with either an internal or an external modem 1 Locate the desired patient file highlight it and press the Enter key The Single ECG Functions list is displayed 2 Press the F key to access the FAX ECG menu 3 Select the destination for the fax by pressing the corresponding hot key 1 2 3 or 4 Eclipse Premier faxes the report NOTE See Configuring the FAX Menu on pg 7 7 to edit fax numbers and information O Use the left arrow key to exit Eclipse Operating Instructions 5 Chapter 7 Managing Patient Records Additional Functions Add New Patient If you wish to create one or more patient files prior to recording any ECGs use the ADD NEW PATIENT selection in the DIRECTORY This feature allows you to input demographics into the Directory in advance of taking an ECG which later reduces the time required to acquire the report 1 Inthe DIRECTORY menu select the ADD NEW PATIENT field by pressing the A key 2 The EDIT ID menu is displayed Enter the patient s ID number last name first name date of birth gender and as many other fields as required or as time will allow for more information see Patient Demographic Fields on pg 6 10 3 A file is automat
87. itional protective earth grounding use an additional isolating transformer or use a floating power supply WARNING The Eclipse Premier and any non medical equipment that it is connected to should not be allowed within the patient s vicinity which extends 6 feet 1 83 m beyond the perimeter of the bed table or chair and 7 1 2 feet 2 29 m above the floor WARNING NEVER create a direct connection between an Eclipse Premier and a PYRAMIS computer if the Eclipse Premier is already connected to a patient Under the supervision of a qualified physician trained in the subject of ECG interpretation the Eclipse Premier can be used to record the electrical activity of the heart for the purpose of correlating the resultant waveforms with the health of the heart muscle tissue structures This equipment produces a 12 lead view electrocardiogram which can be used as a first step for assessment of patients with cardiac arrythmias intraventricular conduction block pre excitation syndrome and ischemic heart disease Records stored and used during the life of the patient can assist physicians in the diagnosis and natural history of heart related illnesses such as coronary artery disease This equipment is not designed to produce a definitive interpretation nor an exhaustive evaluation of the patient s heart but rather provide an effective beginning for evaluation of patients with heart abnormalities Eclipse Operating Instructions iii
88. l level of position V at left midaxillary line Limb lead placement PHOTOCOPY THIS PAGE AS NEEDED Table of Contents Chapter 1 Chapter 2 Chapter 3 Chapter 4 Chapter 5 Chapter 6 Intended OT PER 111 Warnings Cautions amp Notices iv Definitions of Symbols Used vii General Information 1 1 Inspection Upon Delivery i ivectivenhoeen atone aes as avagenes 1 1 General Descrip HON oia es he ee ice 1 2 Merpretve Analysis Progra view nd ide needa nea ag ere root LS Sata OA ane 1 4 Using Multiple Electrical Apparatus sicarios 1 4 EQUIDIMCNEOCIUD 64404403 ep ce de toc dot 2 1 ParentiCabl e ae a ee oes 2 2 CO a eee eee 2 2 Loading Recording Paper 2 ae Rana 2 3 Turning the Unit Ae 2 4 Uam eE oc ea e E EE E N A opos cestas 2 4 Keyboard and Displays 3 1 The Wey D poetica edo i 3 1 The PREVIEW Secret ee oo sass 3 4 A sample menu the EDIT ID menu 3 6 Ume MEmMUS 46554444 a de a ada ae 3 7 Liste and gt Si NOIS soneto repre co 3 8 System Setup and User Setup 4 1 Configuring SYSTEM SETUP Men 2 5 22 4 1 Configuring the USER SETUP Menus ein 4 5 Acquire Printout of Eclipse Premier Program Settings 4 16 Patient Preparation 5 1 Choosing the environment 5 1 Preparing Patients for Resting ECOS
89. l space at left margin of sternum V Fifth intercostal space at junction of left midclavicular line V Midway between position V2 and position V V At horizontal level of position V at left anterior axillary line V At horizontal level of position V at left midaxillary line IEC C Fourth intercostal space at right margin of sternum C Fourth intercostal space at left margin of sternum C Fifth intercostal space at junction of left midclavicular line C Midway between position C and position C4 C At horizontal level of position C4 at left anterior axillary line At horizontal level of position C4 at left midaxillary line Ce Eclipse Operating Instructions 5 3 Chapter 5 Patient Preparation Disposable Resting ECG Sensors CardioSens disposable sensors are a more effective alternative to bulbs plates straps creams and gels CardioSens disposable sensors dramatically reduce cross contamination and infection while helping to improve diagnostic results Disposable sensors should be stored according to the guidelines on the packaging and should not be used after the expiration date Never mix sensor types or brands Incompatibilities can cause baseline drift and can increase trace recovery time after defibrillation APPLYING LIMB SENSORS Figure 5 1 Disposable Limb Sensor on Arm 1 2 Expose the arms and legs Place sensors firmly on the limb sites Choose fleshy areas n
90. lS EE SIXB 1 4 d sw ZS UOISJadSIQ 10 SU PLE BAJS UT 910 Su OSE CAJO UT 10 l 307 TUWHON SSe9 NOILY ICJW ON SPW FIUNN S96L 8L Z0 40 L8LLOCBEL GI NHOF Y 3d009 9 7 Eclipse Operating Instructions Chapter 9 Sample Printouts 9 8 Eclipse Operating Instructions Chapter 10 Troubleshooting While the Eclipse Premier has been refined to consistently produce prompt and accurate results occasionally you may encounter problems with the Eclipse Premier Refer to the table in this chapter for solutions to common problems For any additional questions concerning the operation or servicing of your product contact your local representative or Eclipse Technical Support at 800 426 0337 or 425 402 2485 Troubleshooting Basic Unit Problems PROBLEM PROBABLE CAUSE Unit will not turn on Unit not connected to AC line voltage Battery is not installed or has no charge Faulty power cord AC outlet not functional After the battery has been fully charged Battery pack may be worn out the battery status gauge indicates low Battery status gauge is not calibrated battery within 30 minutes of operation see Charging the Battery on pg 2 4 Unit beeps when a key is pushed That function or key is not an option at this time Press another key to proceed Unit has frozen The unit does not Press the On Standby key After a respond to key strokes and th
91. lable choices are listed to the right of the field name When applicable the type of information and the number of characters allowed are listed in brackets to the right of the field name POWER UP DEFAULTS The fields in this menu affect paper speed and waveform printing The settings in this menu are in effect whenever the Eclipse Premier is powered on with the On Standby key When changes are made in the POWER UP DEFAULTS menu changes go into effect the next time the Eclipse Premier is powered on NOTE These settings also can be temporarily modified by pressing the 7 8 and 9 machine control keys to change the settings for Speed Gain and Filter respectively see The Keyboard on pg 3 1 Changes remain in effect until the unit powers down 4 6 Eclipse Operating Instructions Configuring the USER SETUP Menus Speed Gain Artifact Filter 10 mm s 25 mm s 50 mm s Refers to chart paper speed 5 mm mV 10 mm mV 20 mm mV L 10 C 5 L 20 C 10 Determines the amplitude of printed and displayed waveforms 150 Hz 40 Hz Sets the upper frequency response Selecting 150 Hz provides the highest fidelity recording and should be used when little or no noise is present The American Heart Association s 1990 Recommendations Recommendations for Standardization and Specifications in Automated Electrocardiography Bandwidth and Signal Processing pertaining to high frequency response for both ad
92. lectromagnetic environment in which radiated RF disturbances are controlled The user of the Eclipse Premier can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Eclipse Premier as recommended below according to the maximum output power of the communications equipment Rated maximum output power of transmitter Separation distance according to frequency of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz W d 1 2VP d 1 2VP d 2 3VP 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 applies For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres 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 NOTE1 At 80 MHz and 800 MHz the separation distance for the higher frequency range NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Eclipse Operating Instructions 11 9 Chapter 11 Maintenance and Service Technical Specifications Dimensions with cart Weight with cart Power Requirements Mains P
93. left chest leads Other alternative lead placements include Frank and Nehb 8 NOTE The standard ECG is an important part of the Alternate Chest Lead ECG If you are acquiring an Alternate Chest Lead ECG run a standard resting ECG before continuing for more information see Acquiring an Auto ECG on pg 6 2 Configure either the CUSTOM LEAD 1 or CUSTOM LEAD 2 for the desired lead placement see CUSTOM LEAD 1 amp CUSTOM LEAD 2 on pg 4 9 Follow the directions for acquiring a STAT ECG or an AUTO ECG as described earlier in this chapter see page 6 1 From the Single ECG Functions List press the left arrow key to return to the PREVIEW screen Prepare the patient for the Alternate Chest Lead ECG according to guidelines in Chapter 5 see Alternate Chest Lead on pg 5 9 Attach electrodes according to the specific instructions for each lead configuration Verify patient ID on screen If patient ID is incorrect or absent follow steps 1 through 3 of Acquiring an ECG Using an Existing Patient File on pg 6 3 Select 5 or 6 from the keyboard depending on whether the alternative placement was selected for CUSTOM LEAD 1 or CUSTOM LEAD 2 NOTE If ALTERNATE CHEST LEAD was selected the screen should display Alternate Chest Lead ECG In addition the statement Alternate Chest Lead ECG will appear on the printout in place of the interpretation Verify waveforms before taking the ECG
94. mode To send more than one ECG select BATCH SEND ECGS from the DIRECTORY menu The Eclipse Premier unit will automatically send all of the ECGs that have the appropriate status see How record status affects the sending operations on pg 8 3 A message will be displayed indicating the total number of ECGs sent Select OK To send a single ECG in the DIRECTORY menu select VIEW DIRECTORY Select a single record and select SEND ECG from the Single ECG Functions list A message will be displayed indicating the status of the operation Select OK The list of tests is displayed Receiving records from PYRAMIS 8 8 Eclipse Operating Instructions 1 Follow the instructions for setting up the unit to receive records see Setting Up the Unit to Send and Receive on pg 8 4 To receive all confirmed records select GET ALL CONFIRMED ECGS from the DIRECTORY menu A message will be displayed indicating the total number of ECGs received Select OK NOTE The Institution Number and Department on the Eclipse Premier must match the settings on PYRAMIS in order for this selection to function properly see Institution Number on pg 4 3 and Department on pg 6 12 To receive records for a particular patient select GET ECG VIA ID from the DIRECTORY menu See Using GET ECG VIA ID on pg 8 9 Receiving records from PYRAMIS Using GET ECG VIA ID When you select GET ECG VIA ID you can search the P
95. n not be sent O Records with status Rv can not be sent In general the following records will automatically be sent when BATCH SEND ECGS is selected in the DIRECTORY menu records with the status ECG records with the status ECG and Pr records with the status RtE and records with the status RtE and Pr The following rules also apply O Records with status St or Rq will not be sent when BATCH SEND ECGS is selected in the DIRECTORY menu These records may be sent individually from the Single ECG Functions list O Records with status No will not be sent when BATCH SEND ECGS is selected in the DIRECTORY menu These records may be sent individually from the Single ECG Functions list Changing Record Status Patient records can be marked so that they are automatically sent when BATCH SEND ECGS is selected in the DIRECTORY menu Similarly patient record status can be changed to ensure that a record is not sent Mark Record as SEND To ensure that a record is sent the next time BATCH SEND ECGS is selected select the MARK RECORD AS SEND from the Single ECG Functions list 1 Follow the instructions for accessing the list of patient files see Using the DIRECTORY Menu on pg 7 1 2 Locate the desired patient file highlight it and press the Enter key The Single ECG Functions list is displayed 3 Select MARK RECORD AS SEND from the Single ECG Functions list 4 If the record has been sent previously then
96. nds QTINT QT interval in milliseconds 12 2 Eclipse Operating Instructions Index A AC mains frequency 4 4 AC power 2 1 acquiring ECG 6 1 adapter module connecting 8 2 adding patient 7 6 alternate chest lead placement 5 9 alternative lead ECG acquiring 6 7 amplitude 4 7 analysis settings 4 8 analysis type 4 4 arrow keys 3 2 artifact filter 4 7 11 5 auto ECG acquiring 6 2 auto printing 4 9 auto saving 4 9 barcode scanner 4 4 baseline filter 4 11 baseline wander 10 5 batch print 7 6 battery 2 4 calibration 2 5 charging 2 4 performance 11 4 status gauge 3 5 testing 11 2 baud rate 4 4 bipolar leads 5 8 bradycardia limit 4 12 brightness 3 2 C calibrating the battery 2 5 calibration pulse key 3 2 cautions V change record status 8 3 charging the battery 2 4 chest sensors 5 4 cleaning 11 1 connection type 4 4 copies settings 4 9 corrected orthogonal leads 5 7 custom header 4 15 custom lead keys custom lead 1 custom lead 2 3 2 custom lead setup 4 9 D damage inspection 11 1 Data Hunter 8 2 data quality setting 4 9 date setting 4 2 4 5 deleting files 7 5 7 8 deletion automatic 7 3 device ID 4 3 direct connection setup 8 4 directory 7 1 password 4 5 4 12 printing 7 8 report sample 9 1 disinfecting 11 1 disposable sensors 5 4 E ECG acquiring 6 1 artifacts troubleshooting 10 4 filter frequency 6 5
97. ng requisitions from PYRAMIS A requisition is a request for an ECG report that consists of demographic information only Requisitions are used to organize the schedule of the person acquiring ECG records An ECG management system such as PYRAMIS sends a requisition to the electrocardiograph indicating that an ECG needs to be acquired on a specific patient Requisitions are received using the GET REQUISITIONS selection in the DIRECTORY menu 8 6 Eclipse Operating Instructions 1 Follow the instructions for setting up the unit to receive records see Setting Up the Unit to Send and Receive on pg 8 4 From the DIRECTORY menu press the Q key to go to the GET REQUISITIONS menu Select ENTER CRITERIA The Get Requisitions menu is displayed The Department field will display the default Department number as set in the PATIENT FIELDS ENABLE menu This will limit the search to requisitions targeted at the selected department You may change this to receive requisitions for a different department You can also delete this to receive all requisitions currently on the PYRAMIS system To limit the request to requisitions targeted at you or your area type your code into the Group Code field The Group Code is maintained on the PYRAMIS system Contact your System Administrator to verify your Group Code Sending records to PYRAMIS 6 4 7 If you want to receive a specific requisition and you know the number ty
98. nnect the Interconnect Cable to the connector labeled DECG SCP on the PYRAMIS back panel and to the connector labeled IOIO on the Eclipse Premier back panel 2 Ifyou are connecting to another electrocardiograph connect the Eclipse Direct Connect Cable 007796 to the connectors labeled IOIO on the back panel of each Eclipse NOTE Follow steps 3 through 8 on both Eclipse units 3 Press the On Standby key to power up to the PREVIEW screen Press the M key to go to the MAIN MENU ls 8 4 Eclipse Operating Instructions Setting Up the Unit to Send and Receive PgDn dy amp O on stby LE Je on stby E 7 8 Select SYSTEM SETUP by pressing the S key The SYSTEM SETUP menu will appear see Figure 4 1 on pg 4 1 Press the down arrow key to highlight the Connection field and select DIRECT Press the left arrow key to return to the MAIN MENU Press the D key to go to the DIRECTORY menu Using a Wireless Connection Refer to the instructions that accompanied the Wireless Connection option for instructions on installing and configuring the transmitter and receiver Using a Remote Connection CONNECTING TO PYRAMIS To send records to PYRAMIS or to receive requisitions and records from PYRAMIS the Eclipse Premier must be equipped with either an internal or external modem connected to a phone line 1 2 3 6 Press the On Standby key to
99. om header has been downloaded to the Eclipse Premier unit then hot keys will not appear in certain lists such as the medication lists All list items have hot keys to select them For example the letter D is underlined in the choice DIGITALIS This is a hot key it is temporarily specialized to select this choice Press the D key to select DIGITALIS Another way to select items is from within the list You may gain access to the list by pressing the right arrow key Scroll within the list using the up and down arrow keys When your choice is highlighted choose it by pressing the Enter key To exit the list without selecting anything press the left arrow key SYSTEM NOTES System notes give you additional information as needed For example a system note appears if you enter data that exceeds an allowed range To see a system note scroll to the Age field This is a numeric field that accepts only data between 0 and 364 Try typing a larger number such as 500 Asystem note box appears 3 8 Eclipse Operating Instructions Lists and System Notes Not in range Press the Enter key to acknowledge the note and continue You have just practiced the basics of using the Eclipse Premier More information accompanies sections for specific functions such as acquiring an Auto ECG Press the left arrow key to return to the PREVIEW screen and continue working Eclipse Operating Instructions 3 9
100. on stby OE Ea GETTING CUSTOM HEADER INFORMATION The Get Custom Header function is available for Eclipse Premier electrocardiographs that are used with an ECG Management System such as the PYRAMIS System or the FAA System Custom Header information is a list of patient demographic items to be used in the EDIT ID menu and to be printed on ECG reports This list is maintained on the ECG data management system By connecting to the management system the Eclipse Premier can be programmed to use the Custom Header You can connect to the PYRAMIS ECG Data Management System in three ways using a Direct Connection using a wireless connection with the Quinton Cardiology Inc 802 11b transmitter or using a Remote Connection this requires an Eclipse Premier with either an internal or external modem NOTE If you are using a direct connection begin by connecting the Interconnect Cable to the connector labeled DECG SCP on the PYRAMIS back panel Connect the other end of the cable to the connector labeled IOIO on the Eclipse Premier back panel NOTE The following procedure only affects the User currently selected either User 1 or User 2 see User 1 2 Select on pg 4 2 The procedure must be repeated to get or update the custom header for the other User 1 Press the On Standby key to power up to the PREVIEW screen 2 Press the M key to go to the MAIN MENU 3 Select SYSTEM SETUP by pressing the S ke
101. one character behind the cursor each time the key is pressed F ARROW Use the up and down arrows to move within menus fields and lists Hold PgUp y down the shift key and press the arrows to page up and down in the directory and in lists 3 2 Eclipse Operating Instructions The Keyboard 6 a O gt O 8 JJ O C Q L E Use the right and left arrows to enter and exit menus and lists G ENTER Use the Enter key to accept the current selection H SPACE Use this key to insert a space I ALPHABETIC Use the alphabetic keys to enter information when required These keys may also be used as hot keys for specific operations see Hot Keys on pg 3 8 To enter punctuation and special characters such as O and A press the Shift key and the corresponding letter J SHIFT Use the Shift key along with alphabetic keys to enter punctuation and special characters Use the Shift key with the 1 and 2 keys to select either User 1 or User 2 Eclipse Operating Instructions 3 3 Chapter 3 Keyboard and Displays The PREVIEW Screen After the Eclipse Premier has been turned on and performs self tests the PREVIEW screen is displayed see Figure 3 2 General features are described below Figure 3 2 The Preview Screen 1D 0123456789 G5 PRESS JONES THOMAS L x2 C x1 ENTERID RECORD MAIN MENU Available 60 ECG SENSORS OK
102. ot ankles or wrists see Figure 5 1 Clip leads to the sensors Leads on arm sensors should point downward toward feet Leads on legs should point upward toward chest APPLYING CHEST SENSORS 5 4 Eclipse Operating Instructions 2 Ne Expose the chest Locate the 6 V lead C lead positions on the patient s chest Apply the sensors Ensure that the leads conform to body contours and that no strain is placed on the sensors Resting ECG Lead Placement amp Coding Chart Reusable ECG Sensors Never mix sensor types or brands Dissimilar metals or other incompatibilities may cause considerable baseline drift and may increase trace recovery time after defibrillation Do not use corroded sensors they may give poor results ELECTROLYTE NOTE Watches and jewelry which could come in contact with electrolyte should be removed to avoid damage Quinton Cardiology Inc recommends Liqui cor for use with reusable sensors Liqui cor provides excellent conductivity between the skin and sensor In addition it is nonabrasive and water soluble for easy cleanup Reusable sensors Welsh bulbs and limb plates should be kept clean They should be washed after each use and scoured frequently with a light duty kitchen cleanser Never use a metallic pad to clean the sensors Accumulation of electrolyte may cause drifting and degrade ECG quality APPLYING LIMB PLATES 1 Expose the arms and legs 2 Connect sensor straps to th
103. ot intended to be used for diagnostic purposes Use displayed waveforms to assess signal quality only This area of the screen displays waveforms for the selected lead group Until leads are properly connected to a patient only flatlines are displayed Eclipse Operating Instructions 3 5 Chapter 3 Keyboard and Displays A sample menu the EDIT ID menu Most of the Eclipse Premier displays consist of menus For example the EDIT ID menu is used to enter patient demographics The ENTER ID selection is automatically highlighted when you enter the rap PREVIEW screen see Figure 3 2 on pg 3 4 You may use the up and down arrow keys to highlight other choices and move around in the Functions List gt To go to the EDIT ID menu make sure the ENTER ID selection is highlighted and either press the Enter key or the right arrow key pressing the I key will also open the EDIT ID menu The EDIT ID menu is displayed Figure 3 3 A Sample Menu The A EDIT ID Menu 1D 0123456789 65 PRESS EDIT ID Items may affect computer analysis a V3 Placement STANDARD Patient ID Last Name MEDICATION First Name blank D O B NO MEDICATION Age UNKNOWN Age Format DIGITALIS Sex DIURETIC Medication 1 Class 1 Comments Once you are in the EDIT ID menu use the up and down arrow keys to select different fields Pressing the right arrow key in certain fields such as Age Fo
104. ower Requirement Battery Operation Fuses F1 and F2 mains Environmental Operating Temperature Storage Temperature Relative Humidity Acquisition Atmospheric Pressure Lead Selection Interpretation Modes Frequency Response Input Impedance Electrode Offset Tolerance A d Conversion Storage Resolution Artifact Filter Response Display Printout Printout device Paper dimension Paper type Chart speeds Gain Printout formats 11 10 Eclipse Operating Instructions 43 5cm x 65 1cm x 125 7cm 17 125 x 25 625 x 49 5 39 5 kg 87 lbs 115 230 V AC 10 0 80 0 40 A 50 60 Hz 16 8 VDC NiCd battery pack for 115 V 1 0 A 250 V type T for 230 V 0 500 A 250 V type T 10 C to 40 C 20 C to 55 C 25 to 95 non condensing 7 x 10 to 10 6 x 10 Pa Il III aVR aVL aVF V1 V2 V3 V4 V5 V6 Supports Frank X Y Z Nehb D A J and Alternate chest lead diagnosis measurements reasons statements auto rhythm manual meets or exceeds ANSI AAMI EC11 1991 standard meets or exceeds ANSI AAMI EC11 1991 standard 300 mV 10uV LSB 500 samples sec 5uV resolution 40 Hz 3dB 640 x 480 pixel Active Matrix Color Liquid Crystal Display LCD 216 mm thermal dot array 8 5 x 11 US letter 210mm x 300mm A4 Thermal sensitive Burdick Assurance Heartline paper recommended 10 25 50 mm sec 5 10 20 mm mV Chest or Limb may be split or 3 4 6 or 12 channels addition
105. patible ECG management system Eclipse Premier units with communication capabilities can receive requisitions as well as transmit ECGs to and receive ECGs from other Eclipse electrocardiographs or the PYRAMIS ECG management system Equipment Connections Figure 8 1 Back Panel RJ11 Internal Modem Connect phone line cable p n 007079 to this RJ11 connector if your unit is equipped with an internal fax modem IOIO Serial Port Connect compatible fax modems to this serial connector using an approved modem cable Most Hayes compatible modems supporting Fax Service Class 2 commands will work with the Eclipse Premier Also use this connector for direct connection to a compatible management system The part numbers for direct connect cables are 012 0710 00 for the adapter cable 882029 for the workstation cable and 863347 for the server cable lt gt C Analog output The analog output provides one channel waveform typically the first channel which is currently displayed on the PREVIEW screen unless the PREVIEW screen is displaying all 12 leads In this case channel II is output For wireless connection connect adapter module into this DB 25 connector see Figure 8 2 on pg 8 2 Eclipse Operating Instructions 8 1 Chapter 8 Sending and Receiving Records 802 11b Wireless Connection via Adapter Module Optional Figure 8 2 Back Panel with Adapter Module D Connect to the Data Hunter wireless transmitter via t
106. pe this number into the Req Number Requisition Number field Press the left arrow key to return to the GET REQUISITIONS menu Select GET REQUISITIONS to receive all requisitions that match the criteria you have entered Sending records to PYRAMIS 1 4 Follow the instructions for setting up the unit to send records see Setting Up the Unit to Send and Receive on pg 8 4 To send more than one ECG select BATCH SEND ECGS from the DIRECTORY menu The Eclipse Premier unit will automatically send all of the ECGs that have the appropriate status see How record status affects the sending operations on pg 8 3 A message will be displayed indicating the total number of ECGs sent Select OK To send a single ECG in the DIRECTORY menu select VIEW DIRECTORY Select a single record and select SEND ECG from the Single ECG Functions list A message will be displayed indicating the status of the operation Select OK The list of tests is displayed Eclipse Operating Instructions 8 7 Chapter 8 Sending and Receiving Records Sending and Receiving records from an Eclipse 1 Follow the instructions for setting up the unit to send and receive records see Setting Up the Unit to Send and Receive on pg 8 4 Ensure that both electrocardiographs display the DIRECTORY menu On the Eclipse that will be receiving the records press the R key Receive ECGS to put the electrocardiograph into waiting
107. print the list lt Press the left arrow key to return to the PREVIEW screen 4 16 Eclipse Operating Instructions Chapter 5 Patient Preparation Choosing the environment A WARNING Explosion hazard Do NOT use in the presence of flammable anesthetics WARNING Position the Eclipse Premier away from other equipment If it is necessary to use the Eclipse Premier adjacent to or stacked with other equipment then observe the Eclipse Premier to verify normal operations CAUTION Although the Eclipse Premier is designed to meet IEC 601 1 2 EMC immunity requirements the presence of strong EMI fields generated by electronic surgical or diathermy instruments close to the unit may cause trace noise or input overload conditions The Eclipse Premier is a high fidelity instrument which responds to the minute voltages of the heart Since it is such a sensitive instrument take care to avoid interference which can be produced by muscle tremor and AC signals To minimize interference locate the electrocardiograph and patient away from power cords and other electrical devices Preparing Patients for Resting ECGs To minimize muscle artifact make sure your patient is comfortable and relaxed Assure the patient that there is no danger or pain involved and that his or her cooperation will assist in producing a valuable diagnostic record Make the patient comfortable on a cot or padded table which is large enough to support arm
108. r 25 cycle lt 5 Ur lt 5 Ur lt 95 dip in Ur lt 95 dip in Uy for 5 sec for 5 sec Power frequency 3 A m 3 A m Power frequency magnetic fields should be at 50 60 Hz magnetic field IEC 61000 4 8 levels characteristic of a typical location in a typical commercial or hospital environment NOTE 1 Ur is the a c mains voltage prior to application of the test level 11 7 Eclipse Operating Instructions Chapter 11 Maintenance and Service Immunity IEC 60601 Compliance Electromagnetic environment test test level level guidance Portable and mobile RF communications equipment should be used no closer to any part of the Eclipse Premier including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vrms 3 VS IEC 61000 4 6 150 kHz to 80 MHz d 12VP Radiated RF 3 V m 3 V m d 1 2VP 80 MHz to 800 MHz IEC 61000 4 3 80 MHz to 2 5 GHz d 1 2VP 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 dis 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 of equipment
109. r system settings a password may be required to access the directory For more information see Directory Password on pg 4 5 D 1 Press the On Standby key to power up to the PREVIEW screen on stby 2 Press the M key to go to the MAIN MENU Press the D key to go to the DIRECTORY menu oE 4 Press the V key to view the directory 5 A list of all records stored in the directory is displayed Eclipse Operating Instructions 7 1 Chapter 7 Managing Patient Records Record Status The status of each record is indicated in the last column of the directory contents The status of a record is important especially when transmitting and receiving records from another electrocardiograph or ECG management system for more information see How record status affects the sending operations on pg 8 3 Record status also can affect which records are retained in the event that the directory is full see Automatic deletion when the Directory is full on pg 7 3 Use the table below to understand the record status associated with each code Code Record Status Explanation of Status Pr Printed The Auto ECG record has been printed by the Eclipse Premier electrocardiograph Dm Demographics Only The record contains only patient demographic information The record does not contain an ECG report St Sent The record has been sent to another electrocardiograph or to an ECG Management System such as t
110. rding to the instructions on the following pages For information on using disposable sensors see Disposable Resting ECG Sensors on pg 5 4 For information on using reusable sensors see Reusable ECG Sensors on pg 5 5 5 2 Eclipse Operating Instructions Resting ECG Lead Placement s Coding Chart Resting ECG Lead Placement 8 Coding Chart AHA LEAD CODING AND MEASUREMENTS IEC STANDARD LIMB LEADS STANDARD LIMB LEADS SENSORS SENSORS CONNECTED CONNECTED MEASURED MEASURED AHA COLOR CODE LEAD LA RA LEAD LEAD Il LL RA ls LEAD Il LEAD III LL LA RIGHT LEG LEAD III LEFT LEG RIGHT ARM LEFT ARM AUGMENTED LIMB LEADS CHEST RED AUGMENTED LIMB LEADS SENSORS CHEST YELLOW SENSORS CONNECTED CHEST GREEN CONNECTED MEASURED CHEST BLUE MEASURED CHEST ORANGE CHEST VIOLET RA and LA LL LA and RA LL LL and RA LA R and L F L and R F F and R L 300 Ke mere 2 CHEST LEADS LOCATION BAND CHEST LEADS SENSORS SENSORS CONNECTED RIGHT LEG BLACK CONNECTED MEASURED LEFT LEG GREEN MEASURED RIGHT ARM RED LEFTARM YELLOW V and LA RA LL CHEST WHITE RED VS and LA RA LL CHEST WHITE YELLOW V and LA RA LL V and LA RA LL CHEST WHITE GREEN C and C and C and V and LA RA LL CHEST WHITE BROWN V and LA RA LL CHEST WHITE BLACK 6 CHEST WHITE VIOLET PLACEMENT OF THE LIMB SENSORS AHA V Fourth intercostal space at right margin of sternum V Fourth intercosta
111. rint Directory Report Patient Directory 12 11 2004 12 39 Name ID Date Time Status MIKKELSON SCOTT 1230000001 Hees STAT 951112123100 T2 ES fs SEa NICHOLS JENNIFER 1245678912 Ae de oll 22a Eclipse Operating Instructions 9 1 Chapter 9 Sample Printouts Print Setup Report The Print Setup Report is a list of all current settings see Acquire Printout of Eclipse Premier Program Settings on pg 4 16 The example Print Setup Report printout below lists the settings as they are set at the factory SETUP REPORT 08 20 2004 10 04 37 SER SETUP POWER UP DEFAULTS Speed 25 mm s Gain 10 mm mV Artifact Filter 40 Hz AUTO ECG SETUP 12 Lead Format STANDARD 4 CHANNEL Rhythm Lead Ch 1 LEAD II Rhythm Lead Ch 2 aVF Rhythm Lead Ch 3 V5 Rhythm Page OFF Anal ysis Original ON CT gt FE ES ATIENT FIELDS ENABLE Serial 9999999 xItems may affect computer analysis 1V3 Placement ON CLEAR xClass 2 OFF Last Name ON First Name ON xD 0 B ON xAge ON xAge Format ON xGender ON xRace OFF xMedication 1 ON Height in OFF Weight lbs OFF Systolic BP OFF Diastolic BP OFF Depar tment ON HOLD Room OFF Technician Physician xMedication 2 OFF ER
112. rmat will access the list of options for that field Press the left arrow key to 4 exit the list Press the left arrow key again to exit the EDIT ID menu Following is a description of basic menu features A RETURN TO PREVIOUS SCREEN The arrow in the upper left corner reminds you that you may return to the previous screen by pressing the left arrow key B PREVIOUS SCREEN The top of the last screen that was displayed shows above all menus C SCROLLING BOX Located in the Scroll bar this shows you when the menu continues beyond the current view The box is at the top when the top field shows It moves down as you scroll through the menu until the last field shows 3 6 Eclipse Operating Instructions Using Menus D SCROLL BAR Located on the right side of the menu E ACTIVE FIELD When a field is highlighted you may edit the contents of that field Using Menus A PgUp E gt O The up and down arrow keys are used to scroll within menus Menus are composed of fields There are three kinds of fields 1 Alphanumeric 2 Numeric 3 List ALPHANUMERIC FIELDS When active alphanumeric fields may be filled by typing alphabetic or numeric keys You may also type spaces punctuation and non English characters For example to type the character N in the Last Name field 1 Scroll to the Last Name field 2 Hold down the Shift key 3 Simultaneously press the I key Press the
113. roblems PROBLEM PROBABLE CAUSE Waveforms are flat for all leads and or Electrodes not applied correctly OVERLOAD message will not clear Acquiring ECG too quickly wait for the message SENSORS OK before pressing the ECG key Patient cable not properly connected to unit Faulty patient cable Electrical interference from an external source is causing noise spikes Waveform is flat for one or more leads Electrode not applied correctly all others are OK and or Acquiring ECG too quickly wait for OVERLOAD message will not clear the message SENSORS OK before pressing the ECG key Electrode not adhering properly Electrode is being pulled tapped or pressed Electrode disconnected from patient s skin Lead wire disconnected from electrode Debris in teeth of astroclip Faulty lead wire s or patient cable Baseline is drifting in waveform for one Poor patient preparation or more leads Use of dissimilar sensors or sensors not recommended for use with Eclipse Premier Sensors need to sit longer on skin Poor sensor contact with skin 10 2 Eclipse Operating Instructions Troubleshooting Printer Problems PROBLEM Trace is noisy The waveform is not a single clean line Occasional noise or artifact in the waveform for one or more leads Incorrect heart rate printed and or displayed Incorrect or missing measurements on the printout PROBLEM Paper jammed or misalign
114. s and legs The patient s arms should rest at his or her sides and the legs should lie flat not touching one another Use a pillow to support the patient s head Also try to avoid factors like cold drafts which could cause discomfort Leaving the chest and sensor sites exposed cover your patient with a blanket to prevent shivering Apply sensors and connect lead wires before entering patient information into the Eclipse Premier This allows time for the sensors to adhere and improves conductivity Eclipse Operating Instructions 5 1 Chapter 5 Patient Preparation Preparing the Skin Refer to the Resting ECG Lead Placement amp Coding Chart on pg 5 3 for details on where sensor sites are located NOTE For information on alternate chest lead and other lead placements see Alternative Lead Placements on pg 5 7 If the patient has oily or sweaty skin or has recently applied lotion to their skin clean the sensor sites with warm soapy water Allow the sensor sites to dry completely before applying sensors When applying sensors to sites with a lot of hair the following techniques may improve contact 1 Usethe thumb and forefinger to spread the hair before applying the sensor to the skin 2 If the sensor does not adhere well it may be necessary to shave the site NOTE In some cases skin irritation can occur from site preparation and sensor electrolyte solutions Applying Sensors Apply sensors acco
115. s and that no strain is placed on the sensors Connecting Cables and Lead Wires After applying sensors connect the lead wires from the patient cable to the sensors Make sure the lead cables follow the contours of the patient s body and lie flat If any lead wire is too long as with a short patient or child take up the length by making a small stress loop see Figure 5 2 CORRECT INCORRECT Stress Loop Make sure the patient cable is plugged securely into the connector on the front of the unit This is located under the keyboard see Patient Cable on pg 2 2 5 6 Eclipse Operating Instructions Alternative Lead Placements Alternative Lead Placements Pediatric Lead Placement When acquiring a pediatric ECG you may use an alternative to the standard V3 C3 placement Place the sensor in the V R C4R position This is across the sternum from V C4 See Figure 5 3 for location Improper placement will result in inaccurate waveform labeling You must select the corrected V3 C3 placement in the EDIT ID menu see Entering Patient Demographics on pg 6 9 If you place V3 C3 in the V R C4R position select V4R in the V3 Placement field located in the EDIT ID menu for proper printout labeling Figure 5 3 Pediatric Chest Lead Placement Frank Corrected Orthogonal Leads Attach all the limb sensors R L F and N RA LA LL and RL Please see Resting ECG Lead Placement amp
116. sts of 2 phases charging the battery and completely discharging a fully charged battery Charge the battery 1 Connect AC power Power down to Standby mode to fully recharge the battery 0 to 4 5 hours NOTE You may operate the Eclipse Premier from AC line power while the battery is charging However this will increase charging time Additionally the unit must return to Standby mode to finish recharging The unit will power off automatically once the battery is fully charged Completely discharge a fully charged battery Eclipse Operating Instructions 2 5 Chapter 2 Equipment Setup 4 gt PA A Unplug the Eclipse Premier from AC line power Press ON STBY to turn the Eclipse Premier on Press M to go to the Main menu Press B then press Enter Press the left arrow key to return to the PREVIEW screen and verify that the battery gauge states CALIBRATING Leave the unit on until it powers off automatically You may operate the Eclipse Premier while the battery is discharging Battery calibration is complete Continue with the instructions under Charging the Battery on pg 2 4 2 6 Eclipse Operating Instructions Chapter 3 Keyboard and Displays Normal operation of the Eclipse Premier occurs through use of the keyboard and LCD display Alphabetic and numeric keys are used to enter information and are also used as hot keys to make selections in certain screens Other keys such
117. sword protection only after you have entered the correct password Determines the password required to access the USER SETUP menus and the SYSTEM SETUP menu This field is enabled in the SYSTEM SETUP menu see Password on pg 4 4 Directory Password Up to 15 alphanumeric characters NOTE The directory password field will not appear in the MISCELLANEOUS menu if the directory password is set to OFF in SYSTEM SETUP NOTE Write down the password and keep it in a secure place You will be able to change or remove the password protection only after you have entered the correct password Determines the password required to access the directory This field is enabled in the SYSTEM SETUP menu see Directory Password on pg 4 5 4 12 Eclipse Operating Instructions Configuring the USER SETUP Menus ENABLING PATIENT DEMOGRAPHIC FIELDS NOTE This menu will not be available if the Eclipse Premier is configured to use Custom Header in conjunction with an ECG Management System such as the PYRAMIS System or the FAA System This final USER SETUP menu determines which patient demographic fields appear in the EDIT ID menu An asterisk indicates that information in these fields directly affects ECG waveform analysis To ensure that a field does NOT appear in the EDIT ID menu the field setting should be OFF Otherwise select ON ON CLEAR or ON HOLD to make each demographic field appear in th
118. the Shift key and simultaneously pressing either the 1 key or 2 key for User 1 or User 2 respectively NOTE The unit automatically turns off and on again whenever you change the User selection 3 Press the M key to go to the MAIN MENU In the MAIN MENU select the desired USER SETUP menu by pressing the appropriate hot key for example to select POWER UP DEFAULTS select the O key 5 The new menu will appear see Figure 4 2 Eclipse Operating Instructions 4 5 Chapter 4 System Setup and User Setup Figure 4 2 A USER SETUP Menu ID 0123456789 v65 PRESS The POWER UP MAN MENU OOOO DEFAULTS Menu 4 POWER UP DEFAULTS Speed PE A Gain 10 mm mV Artifact Filter 40 Hz 50 mm s 6 Use the up and down arrow keys to scroll through the fields in the selected menu As you scroll through the fields the options available for each field will be displayed when the field is highlighted 7 Oncea field is highlighted change the current selection by pressing the hot key associated with the option For example to select a speed of 50 mm s in the POWER UP DEFAULTS MENU press the 5 key 8 Use the keyboard to enter information into fields with a blinking cursor 4 Use the left arrow key to exit the menu USER SETUP Menus Fields and Options Following are descriptions of each USER SETUP menu with information on menu fields and options For each field in a menu the avai
119. to make such connections themselves but should contact the appropriate electric inspection authority or electrician as appropriate The LOAD NUMBER 5 assigned to each terminal device denotes the percentage of the total load to be connected to a telephone loop which is used by the device to prevent overloading The termination on a loop may consist of any combination of devices subject only to the requirement that the total of the Load Numbers of all of the devices does not exceed 100 SERVICE STATION If you have any questions or trouble please contact Technical Support at 800 426 0337 or 425 402 2485 1 4 Eclipse Operating Instructions Bothell Washington 98021 8969 U S A 800 426 0337 or 425 402 2485
120. ult and pediatric recordings are met or exceeded when using the 150 Hz setting Selecting 40 Hz will reduce the muscle tremor and patient movement artifacts in the ECG recording It will result in a smoother looking trace at the expense of losing some of the fine detail This filter is applied only to the printed report and displayed ECG The data analyzed by the measurement and interpretation software is not affected when using the 40 Hz setting Eclipse Operating Instructions 4 7 Chapter 4 System Setup and User Setup AUTO ECG SETUP 12 Lead Format STANDARD 4 CHANNEL 3 channel ECG with 1 rhythm lead STANDARD 3 CHANNEL STANDARD 3 CH 3 3 channel ECG with 3 rhythm leads STANDARD 6 CH 5S LD 5 seconds per lead 1 page total STANDARD 6 CH 10S LD 10 seconds per lead 2 pages total CABRERA 4 CHANNEL CABRERA 3 CHANNEL CABRERA 3 CH 3 3 channel ECG with 3 rhythm leads CABRERA 6 CH 5S LD 5 seconds per lead 1 page total CABRERA 6 CH 10S LD 10 seconds per lead 2 pages total Sets printout format For sample printouts see Chapter 9 NOTE Ifyou select a 4 channel or a 3 channel plus 3 rhythm format select a lead or leads for the rhythm printout Rhythm Leads ch 1 LEAD LEAD Il LEAD III aVR aVL Selects leads used if an ECG with rhythm lead s is selected for 12 Lead Format above Rhythm Leads ch 2 Same as Channel 1 Rhythm Leads ch 3 Same as Channel 1 Rhythm Page CUSTOM LEAD 1 AT 25 mm s C
121. under any circumstances Refer servicing to a qualified technician Before every use check the power cord power plug power connector and power input jack for signs of damage Contact an authorized service agent immediately if Y The equipment falls from the cart or is subjected to some other extreme mechanical stress Liquid is spilled on the equipment The equipment is not functioning properly Parts of the enclosure are cracked missing or deteriorated SK OS Any connector or cord shows signs of deterioration such as cracking Cleaning and Disinfecting Clean and disinfect the unit any time it is deemed necessary The housing NEVER use ether benzene or similar solvents CLEANING Gently rub the housing with a clean damp cloth using a mild household detergent DISINFECTION Spray the housing with INCIDIN or similar product Eclipse Operating Instructions 11 1 Chapter 11 Maintenance and Service The patient cable and reusable sensors NEVER immerse cables in fluid or use hot sterilization Do not use ether Do not use bleach acetone or similar harsh chemicals or solvents CLEANING AND DISINFECTION Rub with a clean cloth moistened with a formaldehyde solution such as CIDEX SONACIDE LYSOFORM 5 or INCIDIN 1 5 Testing Equipment The Eclipse Premier performs a computer self test every time itis powered up No calibration is necessary Complete safety and component checks should be perform at le
122. when you enter patient information thoroughly This information must be entered prior to acquiring the ECG in order to affect the interpretation 1 Prepare patient according to guidelines in Chapter 5 Patient Preparation 2 From Standby mode press to power up to the PREVIEW screen 3 Verify that the Sensors OK message is displayed on the PREVIEW screen 4 Press the ECG function key G ECG to acquire an Auto ECG report NOTE This key is active in the PREVIEW screen and most menus including the EDIT ID menu Eclipse Operating Instructions 6 1 Chapter 6 Acquiring ECG Reports Acquiring an Auto ECG NOTE Some patient information directly affects ECG analysis Your patient s physician uses this information when interpreting ECG reports Likewise interpretive Eclipse Premier units provide more accurate and complete analysis statements when you enter patient information thoroughly This information must be entered prior to acquiring the ECG in order to affect the interpretation NOTE Press the STOP function key at any time to halt an Auto ECG 1 Prepare the patient according to guidelines in Chapter 5 Patient Preparation 2 From Standby mode press to power up to the PREVIEW screen 3 Ifa file already exists for the patient a requisition exists for the patient or demographic information has been entered previously go to Acquiring an ECG Using an Existing Patient
123. wish to print a list of all patient records currently stored in the directory select the PRINT DIRECTORY item in the DIRECTORY 1 Inthe DIRECTORY menu select the PRINT DIRECTORY field 2 A complete list of the DIRECTORY contents is printed see sample printout in Chapter 9 O Use the left arrow key to exit Delete All Records NOTE The below information is for use by IT personnel or network administrators only NOTE Depending upon your system settings a password may be required to delete all records For more information see Password on pg 4 4 With Eclipse Premier it is possible to delete all contents in the directory NOTE Itis not possible to recover erased records 1 Inthe DIRECTORY menu scroll to and select the DELETE ALL RECORDS field by pressing the D key STOP 2 A message box will appear Press the O key twice to confirm deletion To cancel the request select Cancel NOTE Proceed with caution Answering Ok to these questions will permanently erase every record in the Directory O Use the left arrow key to exit 7 8 Eclipse Operating Instructions Chapter 8 Sending and Receiving Records NOTE You may use your Eclipse Premier for a variety of sending and receiving You may use a remote connection with either an internal or an external modem a wireless connection with the Quinton Cardiology Inc 802 11b transmitter or a direct connection with another Eclipse or a com
124. y The SYSTEM SETUP menu will appear see Figure 4 1 on pg 4 1 4 Press the down arrow key to highlight the Connection field and select the appropriate choice either MODEM DIRECT or 802 11b 5 Ifyou are using a remote connection through a modem verify that the Phone and Description fields are correctly filled in 6 Press the left arrow key to return to the MAIN MENU 7 Press the H key to go to the GET CUSTOM HEADER menu 8 Receive a list of available Custom Headers by selecting GET CUSTOM HEADER LIST 9 Highlight the desired Custom Header and press the Enter key to select it The word SELECT is displayed NOTE Pressing Enter will also deselect a selection Eclipse Operating Instructions 4 15 Chapter 4 System Setup and User Setup 10 Press the left arrow key to return to the GET CUSTOM 4 HEADER menu 11 Press the G key to receive the Custom Header and automatically configure the Eclipse Premier to use those patient demographic fields Acquire Printout of Eclipse Premier Program Settings Program settings include all settings configured in the SYSTEM SETUP menu and in the USER SETUP menus NOTE Please see Print Setup Report on pg 9 2 for examples which were printed using settings configured at the factory factory defaults Y 1 Press the On Standby key to power up to the PREVIEW screen on stby 2 Press the M key to go to the MAIN MENU 3 Press the P key to
125. yed in the lower right corner of the PREVIEW screen can be temporarily modified if necessary See Temporarily Changing Current Settings on pg 6 5 The Eclipse Premier prints the rhythm report using the channels displayed in the PREVIEW screen Before printing select the desired leads using the machine control keys 1 through 6 To print a rhythm strip for a predefined number of pages press the RHYT function key E NOTE The rhythm strip will print for the number of pages defined in the MISCELLANEOUS menu see Rhythm Mode Pages on pg 4 12 Press the MAN function key o man to acquire a manual rhythm strip In the Manual Rhythm mode the Eclipse Premier will continue to print the rhythm strip until eitherthe STOP function key or another function key is pressed NOTE While printing you may place a 1 mV simulated calibration pulse FL on the printout and display by pressing the 0 key To cancel printing at any time for either selection Press the STOP function key You may also interrupt printing and begin another report by pressing any of the other function keys to the left of the keyboard Acquiring an ECG Using Alternative Lead Placements Acquiring an ECG Using Alternative Lead Placements 5 6 At times it may be necessary to acquire an ECG using an alternative lead placement The Alternate Chest Lead ECG allows acquisition of right chest leads and expanded
126. ys ensure that the appropriate lead placement is employed for the lead configuration selected NOTICE Waveforms displayed on the Eclipse Premier screen are not intended to be used for diagnostic purposes Use displayed waveforms to assess signal quality only NOTICE Damage caused by using unapproved recording paper may void your warranty Your Eclipse Premier electrocardiograph is intended for use with approved ECG supplies its reliability and performance are directly affected by the supplies you use Eclipse Operating Instructions Definitions of Symbols Used Safety Symbols Attention Consult accompanying documents y Danger High voltage AN Hazardous voltage 0 Defibrillation Protected Type CF Equipment Y Equipotentiality used to label the grounding lug C Meets or exceeds Council Directive 93 42 EEC MDD Class IIa 0086 Labeling Symbols Alternating Current AC Automatic Operation Custom Lead Triplet Frequency Response Heart Rate Input Output Connection LCD Screen Contrast Manual Operation On Standby DESOSdbG r Stop Function Eclipse Operating Instructions vii Serial port Battery Compartment Battery Charge Status N Modem RJ11 Modem viii Eclipse Operating Instructions Chapter 1 General Information Congratulations on your purchase of a top quality Eclipse Premier electrocardiograph By listening to our customers we have designed the

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