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Manual
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Manual
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Manual
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manual
Manual
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Manual
seducao
Manual
engine test bed
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manual
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Electrocardiograph ECG-1150
OPERATOR’S MANUAL
Electrocardiograph ECG-1150
Electrocardiograph ECG-1150
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In order to use this product safely and fully understand all its functions, make sure to read this manual before using the product. Keep this manual near
the instrument or in the reach of the operator and refer to it whenever the operation is unclear. This product stores personal patient information. Manage
and operate the information appropriately. Patient names on the screen shots and recording examples in this manual are ctional and any resemblance
to any person living or dead is purely coincidental. The contents of this manual are subject to change without notice.
Copyright Notice The entire contents of this manual are copyrighted by Nihon Kohden. All rights are reserved. No part of this document may be
reproduced, stored, or transmitted in any form or by any means (electronic, mechanical, photocopied, recorded, or otherwise) without the prior written
permission of Nihon Kohden.
Trademark
The mark printed on the SD card that is used in this instrument is a trademark. The company name and model name are trademarks and registered
trademarks of each company.
Contents
12
345678
Section 1
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Indications................................................................... 1.17
Section 2
C.1
9 10
Section 3
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Setup analytics.
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Setup see the Privacy Policy and
Screen................................................................ Google
3.2 List of Privacy & Terms.
Settings..................................................................................................................
Your consent to our cookies 3.3ifSystem Setup to
you continue Screen.............................................................................................
use this website. Necessary cookie Accept 3.3 Patient
Information....................................................................................... 3.3 Wave Settings............................................................................................... 3.3 Recording
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C.2
CONTENTS Recording Settings....................................................................................... 3.7 Changing the System Setup Settings............................................................................... 3.9
Displaying the System Setup Screen and Changing the Settings.......................... 3.9 Changing the Date and Time................................................................................ 3.11 Entering
the Hospital Name.................................................................................. 3.12 Changing the Main Setup Settings................................................................................. 3.14 Saving the System
Setup and Main Setup Settings....................................................... 3.16 Loading the System Setup and Main Setup Settings..................................................... 3.18 Printing the List
of System Setup and Main Setup Settings........................................... 3.20
123456
Section 4
Attaching the Electrodes and Entering Patient Information............................................................................. 4.1 Attaching the
Electrodes................................................................................................... 4.3 Attaching the Limb Electrodes................................................................................ 4.3 Attaching the Chest
Electrodes.............................................................................. 4.3 Patient Cable Tip Color Coding......................................................................................... 4.4 Lead
Connection............................................................................................................... 4.5 Standard 12 Leads and Cabrera Leads................................................................. 4.5 IEC
Standard................................................................................................ 4.5 AHA Requirement........................................................................................ 4.5 Error Indication When the Electrode Is Not
Attached Firmly............................................. 4.6 Screen Message..................................................................................................... 4.6 Indication on the
Paper........................................................................................... 4.7 Countermeasure..................................................................................................... 4.7 Electrode
Detachment.................................................................................. 4.7 Large Polarization Voltage............................................................................ 4.7 Entering the Patient
Information....................................................................................... 4.8 General................................................................................................................... 4.8 Entering the Patient Information
............................................................................ 4.9
Section 5
Recording Resting ECG Waveforms.................................... 5.1 General............................................................................................................................. 5.2 Flow of Resting ECG Waveform
Recording...................................................................... 5.3 Notes for Accurate Measurement..................................................................................... 5.4 Before Starting the
Recording................................................................................ 5.4 Detecting QRS Waves............................................................................................ 5.4 Counting the Heart
Rate......................................................................................... 5.4 Using the EMG/High-cut Filter................................................................................ 5.4 ECG
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Screen....................................................................................... with our partners
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partners:
Recording social networks and companies engaged
Screen..................................................... 5.6 Explanation in advertising and web
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ECG Recording For more information, see the 5.7
Screen............................................... Privacy Automatic Policy and Google Privacy & Terms.
Recording.........................................................................................................
Your consent to our cookies 5.9 General...................................................................................................................
if you continue to use this website. Necessary cookie5.9 Accept Real Time
Recording.................................................................................... 5.9 Review Recording........................................................................................ 5.9 Auto Gain and Auto
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Position......................................................................... 5.9
C.3
7 8 9 10
CONTENTS Preparation for Automatic Recording...................................................................... 5.9 System Setup............................................................................................. 5.10 Main
Setup................................................................................................. 5.10 Automatic Recording Procedure........................................................................... 5.12 Extended
Recording................................................................................... 5.14 Saving the ECG Data File.......................................................................... 5.14 Printing Another Copy of the Recording
Results.................................................. 5.15 Manual Recording........................................................................................................... 5.16 General.................................................................................................................
5.16 Preparation for Manual Recording........................................................................ 5.16 System Setup............................................................................................. 5.16 Main
Setup................................................................................................. 5.16 Manual Recording Procedure............................................................................... 5.17 Rhythm
Recording.......................................................................................................... 5.19 General................................................................................................................. 5.19 Rhythm Recording
Procedure.............................................................................. 5.19 Recording Examples....................................................................................................... 5.20 Auto Recording
Examples.................................................................................... 5.20 Manual Recording Examples................................................................................ 5.21 Rhythm Recording
Examples............................................................................... 5.21
Section 6
Periodic ECG Recording....................................................... 6.1 General............................................................................................................................. 6.2 Preparation for Periodic ECG
Recording.......................................................................... 6.3 Recording Procedure........................................................................................................ 6.4 Recording
Examples......................................................................................................... 6.5
Section 7
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Troubleshooting and Error Messages..................................
Your consent to our cookies 8.1 Recording Clear ECG
if you continue Waveforms....................................................................................
to use this website. Necessary cookie Accept8.2 AC
Interference....................................................................................................... 8.2 Muscle Tremor Interference (EMG)......................................................................... 8.2 Wandering
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Baseline................................................................................................ 8.3
C.4
1234
Section 9
Maintenance and System Test.............................................. 9.1 Check Items After Turning the Power Off.......................................................................... 9.2 Cleaning and Disinfecting
the Electrocardiograph............................................................ 9.3 Cleaning the Surface of the Electrocardiograph..................................................... 9.3 Cleaning the Display of the
Electrocardiograph...................................................... 9.3 Disinfecting the Surface of the Electrocardiograph................................................. 9.4 Cleaning the Thermal
Head.................................................................................... 9.4 Cleaning the Paper Roller....................................................................................... 9.5 Cleaning the
Sensor............................................................................................... 9.5 Cleaning the Wheel Gear....................................................................................... 9.5 Cleaning and Disinfecting the Patient
Cable..................................................................... 9.6 Cleaning................................................................................................................. 9.6 Disinfecting.............................................................................................................
9.6 Cleaning and Disinfecting Electrodes............................................................................... 9.7 Cleaning................................................................................................................. 9.7
Disinfecting............................................................................................................. 9.7 Cleaning and Disinfecting Other Options.......................................................................... 9.7 Regular
Check.................................................................................................................. 9.8 Clock Accuracy................................................................................................................. 9.9 Periodic
Replacement..................................................................................................... 9.10 Repair Parts Availability Policy........................................................................................ 9.11 System Test
Screen........................................................................................................ 9.12 System Test Items................................................................................................ 9.12 Displaying the System Test
Screen...................................................................... 9.13
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CONTENTS System Composition for EMC Test............................................................. 10.7 General Requirements for Connecting Medical Electrical Systems................................
10.8 Standard Accessories................................................................................................... 10.10 Options and Consumables........................................................................................... 10.11 Optional
Accessory Kit....................................................................................... 10.11 Options for the Electrocardiograph..................................................................... 10.12 Character Code
List...................................................................................................... 10.13 How to Read the Character Code List................................................................ 10.13
C.6
GENERAL HANDLING PRECAUTIONS This device is intended for use only by quali ed medical personnel. Use only Nihon Kohden approved products with
this device. Use of non-approved products or in a non-approved manner may affect the performance speci cations of the device. This includes, but is not
limited to, batteries, recording paper, pens, extension cables, electrode leads, input boxes and AC power. Please read these precautions thoroughly before
attempting to operate the instrument. 1. To safely and effectively use the instrument, its operation must be fully understood. 2. When installing or storing
the instrument, take the following precautions:
3.
(1) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures, poorly ventilated areas, and dust, saline or
sulphuric air. (2) Place the instrument on an even, level oor. Avoid vibration and mechanical shock, even during transport. (3) Avoid placing in an area
where chemicals are stored or where there is danger of gas leakage. (4) The power line source to be applied to the instrument must correspond in
frequency and voltage to product speci cations, and have suf cient current capacity. (5) Choose a room where a proper grounding facility is available.
Before Operation (1) Check that the instrument is in perfect operating order. (2) Check that the instrument is grounded properly. (3) Check that all cords
are connected properly. (4) Pay extra attention when the instrument is combined with other instruments to avoid misdiagnosis or other problems. (5) All
circuitry used for direct patient connection must be doubly checked. (6) Check that battery level is acceptable and battery condition is good when using
battery-operated models.
4.
During Operation (1) Both the instrument and the patient must receive continual, careful attention. (2) Turn power off or remove electrodes and/or
transducers when necessary to assure the patient’s safety. (3) Avoid direct contact between the instrument housing and the patient.
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To Shutdown After Use (1) Turn power
Your off with
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Remove the cords gently;
cookie Acceptdo not use force to remove
them. (3) Remove the power cord from the AC SOURCE socket to isolate the instrument form the AC supply mains. (4) Clean the instrument together
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6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is not functioning properly, it should be
clearly marked to avoid operation while it is out of order. 7. The instrument must not be altered or modi ed in any way. 8. Maintenance and Inspection (1)
The instrument and parts must undergo regular maintenance inspection at least every 6 months. (2) If stored for extended periods without being used,
make sure prior to operation that the instrument is in perfect operating condition. Operator’s Manual ECG-1150
(3) Technical information such as parts list, descriptions, calibration instructions or other information is available for quali ed user technical personnel
upon request from your Nihon Kohden representative.
9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or location of electrodes and/or
transducers to avoid possible burn to the patient. 10. When the instrument is used with a de brillator, make sure that the instrument is protected against
de brillator discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.
WARRANTY POLICY Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year from the
date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded from the warranty. NKC or its authorized
agents will repair or replace any products which prove to be defective during the warranty period, provided these products are used as prescribed by the
operating instructions given in the operator’s and service manuals. No other party is authorized to make any warranty or assume liability for NKC’s
products. NKC will not recognize any other warranty, either implied or in writing. In addition, service, technical modi cation or any other product change
performed by someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding this warranty. Defective products
or parts must be returned to NKC or its authorized agents, along with an explanation of the failure. Shipping costs must be pre-paid. This warranty does
not apply to products that have been modi ed, disassembled, reinstalled or repaired without Nihon Kohden approval or which have been subjected to
neglect or accident, damage due to accident, re, lightning, vandalism, water or other casualty, improper installation or application, or on which the
original identi cation marks have been removed.
ii
EMC RELATED CAUTION This equipment and/or system complies with International Standard IEC 60601-1-2 for electromagnetic compatibility for medical
electrical equipment and/or system. However, an electromagnetic environment that exceeds the limits or levels stipulated in IEC 60601-1-2, can cause
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following describes some common interference sources and remedial actions: 1. Strong electromagnetic interference from a nearby emitter source such
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as an authorized radio station or cellular phone: Install the equipment and/or system at another location. Keep the emitter source such as cellular phone
away from the equipment and/or system, or turn off the cellular phone. 2. Radio-frequency interference from other equipment through the AC power
supply of the equipment and/or system: Identify the cause of this interference and if possible remove this interference source. If this is not possible, use a
different power supply. 3. Effect of direct or indirect electrostatic discharge: Make sure all users and patients in contact with the equipment and/or system
are free from direct or indirect electrostatic energy before using it. A humid room can help lessen this problem. 4. Electromagnetic interference with any
radio wave receiver such as radio or television: If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver. 5. Interference of lightning: When lightning occurs near the location where the equipment and/or
system is installed, it may induce an excessive voltage in the equipment and/or system. In such a case, disconnect the AC power cord from the
equipment and/or system and operate the equipment and/or system by battery power, or use an uninterruptible power supply. 6. Use with other
equipment: When the equipment and/or system is adjacent to or stacked with other equipment, the equipment and/or system may affect the other
equipment. Before use, check that the equipment and/or system operates normally with the other equipment. 7. Use of unspeci ed accessory,
transducer and/or cable: When an unspeci ed accessory, transducer and/or cable is connected to this equipment and/or system, it may cause increased
electromagnetic emission or decreased electromagnetic immunity. The speci ed con guration of this equipment and/or system complies with the
electromagnetic requirements with the speci ed con guration. Only use this equipment and/or system with the speci ed con guration.
iii
Caution - continued 8. Use of unspeci ed con guration: When the equipment and/or system is used with the unspeci ed system con guration different
than the con guration of EMC testing, it may cause increased electromagnetic emission or decreased electromagnetic immunity. Only use this
equipment and/or system with the speci ed con guration. 9. Measurement with excessive sensitivity: The equipment and/or system is designed to
measure bioelectrical signals with a speci ed sensitivity. If the equipment and/or system is used with excessive sensitivity, artifact may appear by
electromagnetic interference and this may cause mis-diagnosis. When unexpected artifact appears, inspect the surrounding electromagnetic conditions
and remove this artifact source. If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden representative for
additional suggestions. For EMC compliance, refer to “Speci cations - Electromagnetic Compatibility” in the Reference section. The CE mark is a
protected conformity mark of the European Community. Products with the CE mark comply with the requirements of the Medical Device Directive
93/42/EEC.
NOTE about Waste Electrical and Electronic Equipment (WEEE) Directive 2002/96/EC For the member states of the European Union only: The purpose of
WEEE directive 2002/96/EC is, as a rst priority, the prevention of waste electrical and electronic equipment (WEEE), and in addition, the reuse, recycling
and other forms of recovery of such wastes so as to reduce the disposal of waste. Contact your Nihon Kohden representative for disposal.
iv
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ECG-1150
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Conventions Used in this Manual
Yourand Instrument
consent Warnings,
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Necessary cookieare used in this manual to alert or signal
Accept
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WARNING A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.
CAUTION A caution alerts the user to possible injury or problems with the instrument associated with its use or misuse such as instrument malfunction,
instrument failure, damage to the instrument, or damage to other property. NOTE A note provides speci c information, in the form of recommendations,
prerequirements, alternative methods or supplemental information.
Explanations of the Symbols in this Manual and Instrument The following symbols found in this manual/instrument bear the respective descriptions as
given. On Panel Symbol
Description
Description
Date of manufacture
Alternating current
Serial number
Equipotential terminal
The CE mark is a protected conformity mark of the European Community. Products marked with this symbol comply with the requirements of the
Medical Device Directive 93/42/EEC and Radio Equipment and Telecommunication Terminal Equipment 1999/5/EC.
Type CF applied part Input output terminal Data input/output Eject (Magazine release button) SD card slot
vi
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ourthe European
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Description
Symbol
Description
Mode
Review
Battery charging
Paper feed
Battery check
Mark
Alternating current
EMG Filter
Patient (Male)
Copy
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Start/Stop recording Your consent to our cookies if you continue to use this website. Necessary cookie Accept
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Age
Automatic control
Lead selection
Manual control
Gain
Rhythm
Paper speed
On Screen Symbol
Description
Symbol
Symbol
vii
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Introduction........................................................................................................................................................... 1.2 Intendedsee the Privacy Policy and Google Privacy & Terms.
Use..............................................................................................................................................
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Composition............................................................................................................................................... 1.2 General Safety
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1.1
1. GENERAL
Introduction The cardiofax C ECG-1150 is an easy to use electrocardiograph with 3-channel recorder and built-in battery. NOTE Use only Nihon Kohden
parts and accessories to assure maximum performance from your instrument.
Intended Use The Nihon Kohden ECG-1150 electrocardiograph is intended for medical use to process the electrical signals produced by the heart, which
are acquired through two or more electrodes, and to display waveforms* and/or prepare a record of these electrical signals. This instrument is a portable
ECG acquisition terminal which measures up to 12 lead ECG waveforms. * Essential performance in EMC standard.
Features • Compact, lightweight and easy to carry — smaller than A4 paper, 2 kg without battery or recording paper • Prints up to 3 channels on 63 mm
recording paper • An LCD screen lets you preview 2.8 seconds of 12 lead ECG waveforms • SD memory card available For ECG analysis, refer to “ECAPS 12C
ECG Interpretation Program User’s Guide”.
Composition • Electrocardiograph, ECG-1150 Standard Accessories • Thermal head cleaner • Recording paper, RQS63-3 • Input check jig
1.2
Options • Accessory kit, YD-100D/YD-101D/YD-102D/YD-103D • Patient cable, BJ-901D/BJ-902D/BJ-903D/BA-901D/BA-903D/BJ-961D • Battery pack, SB-901D
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ECG-1150
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1. GENERAL
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WARNING
Never use the electrocardiograph in the presence of any ammable anesthetic gas or high concentration oxygen atmosphere. Failure to follow this
warning may cause explosion or re.
Never use the electrocardiograph in a hyperbaric oxygen chamber. Failure to follow this warning may cause explosion or re.
WARNING
WARNING
When the electrocardiograph is used with an electrosurgical unit (ESU), rmly attach the entire area of the ESU return plate. Otherwise, the current from
the ESU ows into the electrodes of the electrocardiograph, causing electrical burn where the electrodes are attached. For details, refer to the ESU
manual.
When performing MRI test, remove all electrodes and transducers from the patient which are connected to this instrument. Failure to follow this warning
may cause skin burn on the patient. For details, refer to the MRI manual.
WARNING
WARNING
Before de brillation, remove everything including electrodes and patches from the patient’s chest. If the de brillator paddle contacts an object on the
patient’s chest, the discharged energy may be insuf cient and cause skin burn.
Before de brillation, all persons must keep clear of the bed and must not touch the patient or any equipment or cable connected to the patient. Failure
to follow this warning may cause electrical shock or injury.
WARNING Use only the speci ed patient cables. Failure to follow this warning may cause skin burn where the electrode is attached and damage the
electrocardiograph due to discharge energy when de brillation is performed.
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this warning
may result in electrical shock Your
or injury to the
consent topatient and operator,
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WARNING Only use the provided power cord. When the provided power cord cannot be used or when equipotential grounding is doubtful (such as in a
facility with poor grounding), operate the electrocardiograph on battery power. Otherwise, the patient and operator may receive electrical shock or injury.
1.3
1. GENERAL
WARNING
WARNING
When several medical instruments are used together, ground all instruments to the same onepoint ground. Any potential difference between
instruments may cause electrical shock to the patient and operator.
Never use a local purchase multiple portable socket outlet. Failure to follow this warning may cause electrical shock to the patient and operator.
WARNING
WARNING
Do not put the multiple portable socket outlet on a oor. If the multiple portable socket outlet gets dusty, damaged or contacts liquid, it may cause
instrument malfunction and electrical shock to the patient or operator.
To use non-medical equipment that requires an isolation transformer, only connect it to a speci ed multiple portable socket outlet that has an isolation
transformer. Do not connect the nonmedical equipment to a wall AC socket or to a multiple portable socket that does not have an isolation transformer.
Do not connect unspeci ed electrical instruments to a multiple portable socket outlet in the system. Failure to follow this warning may cause leakage
current to increase and the patient and operator may receive electrical shock or injury.
WARNING Do not use an additional multiple portable socket outlet or extension cord. The impedance of the protective earth increases and the patient
and operator may receive electrical shock or injury.
Cart
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CAUTION Only| To ensure
use the functioning of cart
the KD-104E/105D/105E the site, we electrocardiograph.
for this use cookies. We share information
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orthe
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CAUTION • Do not move the cart
Yourwith the casters
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CAUTION
CAUTION
When moving the cart with patient cable hanger mounted, fold the upper and lower arms together, rotate the arms so that they point toward the
handle and do not protrude beyond the edges of the cart.
To prevent the cart from tipping over or the electrocardiograph falling off the cart: • Do not put or hook anything on the handle. • Do not ride on the cart.
Do not lean on the handle or put your weight on the cart. • Periodically check that the casters, handle and frame are rmly attached and not wobbly. •
Always lock the casters so that the cart does not move accidentally.
1.4
CAUTION Do not leave accessories and consumables such as electrodes or electrolyte cream (CardioCream) near the patient or in reach of children. If
they are swallowed, consult a physician immediately.
1 CAUTION Only use Nihon Kohden speci ed parts and accessories to assure maximum performance from your electrocardiograph. Using unspeci ed
recording paper or electrodes may cause incorrect ECG recording and accelerate deterioration of the electrocardiograph.
WARNING
Do not do the following to the battery pack. It may cause leakage, overheating, explosion and re. • Short-circuit the + and – terminals on the battery
pack. • Put the battery pack into re or heat the battery pack. • Disassemble or modify the battery pack. • Give strong impact to or deform the battery
pack. • Use the battery pack on unspeci ed instruments. • Charge the battery pack on unspeci ed instruments. • Install the battery pack with the wrong
polarity. • Leave the battery pack in the reach of patients.
If the liquid inside the battery contacts the eyes, mouth or skin, do not rub the eyes, mouth or skin. Wash with clean water and see a physician
immediately.
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leakage We share
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a long our partners and Google
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Your consent to our cookies if you continue to use this website. Necessary cookie Accept
WARNING Only use the SB-901D battery pack.
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CAUTION If the battery operation time is less than 15 minutes, the battery pack may be deteriorated. Do not charge a deteriorated battery pack. Charging
a deteriorated battery pack may cause the electrocardiograph to fail to operate in both battery and AC power.
CAUTION Do not use or leave the battery pack in direct sunlight or high temperatures such as in a car in hot weather or in front of a stove. It may cause
leakage of the battery pack and degrade the performance and lifetime of the battery pack.
1.5
1. GENERAL
CAUTION SB-901D battery pack is NiMH (Nickel-Metal Hydride). Before disposing of the battery pack, check with your local solid waste of cials for details
in your area for recycling options or proper disposal. The battery is recyclable. At the end of its useful life, under various state and local laws, it may be
illegal to dispose of this battery into the municipal waste stream.
Operation WARNING
WARNING
Do not touch the patient while touching any metal part of non-medical electrical equipment or an exposed part when a connector or cover is removed.
Failure to follow this warning may cause electrical shock or injury to the patient.
Do not connect the tip of the electrode lead to anything other than an electrode. Connect all the tips to the corresponding electrodes and attach them to
the patient. If unconnected tips or electrodes contact an item which is not equipotential grounded, the patient may receive electrical shock. Also, noise
may superimpose on the ECG waveforms and measurement data may be incorrect.
CAUTION
CAUTION
Enter the patient information correctly. Otherwise, the ECG data may be lost or mixed up with another patient’s ECG data. When managing examination
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Do not use the output signal Your
fromconsent
the output connector
to our cookies of the continue
if you electrocardiograph
to use this for a synchronization
website. Necessarysignal
cookieon aAccept
de brillator. There is a time delay
between the input signal and output signal. When using the output signal from the electrocardiograph for the synchronization signal on other
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CAUTION The paper cutter in the recording paper container is sharp. When setting the recording paper, be careful not to cut your nger. Set the
recording paper as speci ed.
1.6
CAUTION • The automatic ECG interpretation is performed for acquired ECG waveforms only and does not re ect all conditions of the patient. The results
of the analysis might not correspond to the judgement of a physician. • Overall judgement must be performed by the physician, referring to the analysis
result, clinical ndings, and other examination results. After the physician’s overall judgement, the analysis results should be signed or initialed by the
physician.
1 CAUTION Take care when judging the ECG recording because the EMG lter may cause distortion of P-waves and QRS-waves depending on the
waveform shape.
Maintenance CAUTION Before maintenance, cleaning or disinfection, turn the electrocardiograph power off and disconnect the power cord from the AC
socket. Failure to follow this instruction may result in electrical shock and electrocardiograph malfunction.
1.7
1. GENERAL
1 Name
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1 Operation panel
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2 Paper container
3 LCD screen
Name
Function
1.8
1. GENERAL
Operation Panel
1 7EDOC.SITE
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3 9 10
6 11
12
13
14
15
Name
Function
AC power lamp
During battery operation, indicates the remaining battery power with the color and lighting state. For details, refer to “AC and Battery Operation” later in
this section.
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Battery charge lamp Your consent to our cookies if you continue to use this website. Necessary cookie Accept
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Indicates the battery charge status. For details, refer to “Operating on Battery” in Section 2. NOTE After charging is complete, the battery charge lamp
lights about every half hour to one hour. This is because a small current is supplied to the battery (supplementary recharging) to prevent self-discharging
of the battery. Keep the power cord plugged into the AC socket when the electrocardiograph is not used.
POWER key/lamp
Turns the electrocardiograph on/off. For details, refer to “AC and Battery Operation” later in this section.
MODE key (“4” number key) Calls up the Main menu screen. On some screens, this key enters the number “4”.
Performs rhythm recording in resting ECG examination. The lamp is lit while waveforms are acquired. On some screens, this key enters the number “5”.
F1, F2, F3, F4 function keys (“1”, “2”, “3” number keys)
Correspond to the four items at the bottom of the screen. On some screens, these keys enter the number “1”, “2” and “3”.
ID key
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Selects the patient gender. On some screens, this key enters the number “7”.
1.9
1. GENERAL
11
Name
Function
Paper feeding: Feeds the paper while the key is pressed. Event mark: In manual recording mode, adds an event mark to the ECG waveform. On some
screens, this key enters the number “8”.
Turns the EMG lter on/off. The lamp lights when the EMG lter is turned on. On some screens, this key enters the number “9”.
Automatic recording mode and rhythm recording mode: Prints copies of the recording results. The lamp lights when copy is available and during
printing. Manual recording mode: Records the calibration waveforms. This key does not function for external input signals. On some screens, this key
enters the number “0”.
14 START/STOP key/lamp
15 AUTO/MANUAL key/lamp
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The MODE, RHYTHM, F1, F2, F3, AGE, GENDER, FEED/MARK, FILTER and COPY/CAL keys are used to enter numbers in the System Setup screen and
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patient information. Refer to “Changing the System Setup Settings” in Section 3 and “Entering the Patient Information” in Section 4.
2 Name
Function
1 SD card slot
For a grounding lead. When equipotential grounding is required, always perform equipotential grounding by using the optional grounding lead. NOTE •
The equipotential grounding terminal can be removed. Be careful not to lose the terminal. • Only use Nihon Kohden speci ed equipotential grounding
terminal.
1.10
1. GENERAL
Rear Panel
1
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Function Contains the battery pack.
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CAUTION Always install the battery even when the electrocardiograph operates on AC power. Otherwise sudden power off occurs when an electrode is
detached during recording.
Patient Cable 1
2 Name
Function
1 Electrode leads
2 Connector
1.11
1. GENERAL
Functions ECG recording (Refer to Section 5) Automatic recording Real time recording Review recording Analysis result recording Rhythm recording One
minute of one rhythm lead ECG waveform recording Extended recording Extended arrhythmia rhythm recording Extended sequence recording
Extended recording (manual) Copy (manual) ECG data storage (manual) Manual recording ECG manual recording Periodic recording Automatic
recording Real time recording Periodic recording ECG data storage Manual recording ECG data management (Refer to Section 7) Print saved ECG
waveforms Change the ID of the saved le Delete ECG data les Format a media Print ECG data le list Copy ECG data les in the internal memory to SD
card Settings (System setup screen) (Refer to Section 3) • Patient information • Wave settings • Recording settings - Auto recording - Report print out -
Analysis format and settings • Periodic recording settings • System settings • Save/Load/Print system settings
1.12
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Settings (Main setup screen) (Refer to Section 3) • Wave settings • File processing • Recording settings - Recorder - Manual recording - Auto recording -
Analysis format and settings - Rhythm recording To display the Main Setup screen Select Setup from the Main Menu screen. Setting (Brightness screen)
(Refer to Section 2) Adjusting the screen brightness System test (Refer to Section 9) • Demonstration waveform • Recorder test • Key test • Memory test •
LCD/LED test • Electrode input test • ECG input circuit test • Initialize system settings • Display internal information • Display model information To display
the System Test screen 1. Turn the power off. 2. Press the POWER key while pressing the FEED/MARK key.
1.13
1. GENERAL
Basic Operation (Function Keys, Panel Keys, Number Keys) The electrocardiograph has function keys on the screen and dedicated keys on the operation
panel.
Function Keys Press the function key (F1 - F4) corresponding to the operation or item displayed on the bottom of the screen to perform the desired
operation or select the desired item.
Panel Keys Press the key on the operation panel to perform the desired operation. Some of the panel keys also function as number keys on some screens.
Number Keys On some screens, you can press the panel key to enter a number (0 - 9).
1.14
1. GENERAL
Switching Screens When the electrocardiograph is turned on, the Resting ECG recording screen appears.
To switch to another screen 1. Press the MODE key to display the Main Menu screen.
2. Use the number keys on the operation panel to select the number of the desired item. Press the “1” or “2” key on the Main Menu screen to return to the
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1.15
1. GENERAL
AC and Battery Operation AC power operation: When AC power is supplied, the electrocardiograph operates on AC power and the AC power lamp is lit.
Lit AC power lamp on
CAUTION Always install the battery even when the electrocardiograph operates on AC power. Otherwise sudden power off occurs when an electrode is
detached during recording.
Automatic backlight off In AC power operation, the electrocardiograph automatically turns the backlight off when the “Fail Limb” message (electrode
detachment) is displayed on the screen and there is no key operation for approximately three minutes. To turn on the backlight, press any key. The
automatic backlight off function can be turned off by setting “Backlight auto off” to “Off” on the System Setup screen. Refer to “List of Settings” in Section
3.
Lit
Battery power operation: When AC power is not supplied, the electrocardiograph automatically switches to battery power operation and the battery
operation lamp lights to indicate the remaining battery power. The electrocardiograph can operate about 90 minutes with a new fully charged battery.
NOTE • When the battery is almost discharged and the power is turned on, the “Charge battery” message appears, the battery operation lamp blinks in
orange, a noti cation sounds and the electrocardiograph immediately turns the power off. • Automatic power off In battery operation, to prevent
unwanted battery consumption, the electrocardiograph automatically turns the power off when the “Fail Limb” message (electrode detachment) is
displayed on the screen and there is no key operation for approximately three minutes. In this case, temporarily changed settings are lost. If this happens,
turn the power back on to continue using the electrocardiograph. The automatic power off function can be turned off by setting “Auto power off” to “Off”
on the System Setup screen. Refer to “List of Settings” in Section 3.
1.16
1. GENERAL Battery operation time: NOTE Remaining battery power depends on the surrounding temperature and quality of recording waveform.
Battery operation lamp Lights in green Lights in orange Blinks in orange
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Power and Battery Status Indications Power and battery status are indicated by four lamps on the front panel. A discharged battery is also indicated by a
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• Operating on AC power Power lamp: Lit AC power lamp: Lit Battery operation lamp: Off Battery charge lamp: Off
Lit
• Operating on battery power Power lamp: Lit AC power lamp: Off Battery operation lamp: Lit in green Battery charging lamp: Off
Lit
• Operating on battery power and battery operation time is less than 15 minutes Power lamp: Lit AC power lamp: Off Battery operation lamp: Lit in orange
Battery charging lamp: Off
Lit in orange
• Operating on battery power and battery needs recharging Power lamp: Lit AC power lamp: Off Battery operation lamp: Blink in orange Battery charging
lamp: Off Screen indication: “Charge battery” message
Lit
Blink in orange
Lit
• Power off and charging battery Power lamp: Off AC power lamp: Lit Battery power lamp: Off Battery charging lamp: Lit
1.17
Section 2 Preparation Selecting a Suitable Location............................................................................................................................... 2.2 Mounting the Electrocardiograph on the
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Electrocardiograph....................................................................
Your consent to our 2.5cookies
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Electrocardiograph............................................................................................................. 2.5 Cutting Off the Power Supply to the
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2.1
2. PREPARATION
Selecting a Suitable Location Select a suitable examination location according to the following WARNINGS, CAUTIONS and NOTES and refer to
“GENERAL HANDLING PRECAUTIONS”.
WARNING
WARNING
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electrocardiograph of the site,ofwe
in the presence useammable
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anesthetic gas or highabout your activities
concentration oxygen onatmosphere.
the site with Failure
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Your consent to our cookies if you continue to use this website. Necessary cookie Accept
Never use the electrocardiograph in a hyperbaric oxygen chamber. Failure to follow this warning may cause explosion or re.
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WARNING Connect only the speci ed instrument to the electrocardiograph and follow the speci ed procedure. Failure to follow this warning may result
in electrical shock or injury to the patient and operator, and cause re or instrument malfunction.
CAUTION The electrocardiograph should not share the power line with any instrument which consumes a lot of power, such as an X-ray instrument,
because it may cause artifact.
CAUTION Make sure that there is enough space between the electrocardiograph and the wall for adequate ventilation. Leave more than 5 cm of space
between the wall and electrocardiograph so that the operating temperature does not exceed 40°C (104°F). Otherwise the internal temperature of the
electrocardiograph rises, which leads to inaccurate operation and shortens the electrocardiograph life.
CAUTION Only use the KD-104E/105D/105E cart for this electrocardiograph. If another cart is used, it may tip over or the electrocardiograph may fall off.
2.2
CAUTION • Do not install the electrocardiograph near a power line, dynamo or motor which has electromagnetic induction. • Do not install the
electrocardiograph near an electrosurgical unit or RF therapeutic equipment. • Select a room without excessive noise, vibration, sunlight, high humidity
or water splashes. • Make sure that there is no interference from a mobile phone. • Avoid locations where the electrocardiograph may receive strong
electromagnetic interference such as radio or TV stations, mobile phones or mobile two-way radios. • Do not install the electrocardiograph where it will
be exposed to water or chemical solutions. Avoid direct sprinkling, spray or moist air from a nebulizer or humidi er. These cause malfunction and shorten
the life of the electrocardiograph.
2. PREPARATION
CAUTION
CAUTION
When installing the electrocardiograph, take care not to pinch your nger under the electrocardiograph.
Do not use the electrocardiograph with its side panel down. Failure to follow this instruction may cause the electrocardiograph to fall over or cause
battery liquid leakage.
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electrocardiograph of the
where thesite, we use
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Operator’s Manual ECG-1150
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2.3
2. PREPARATION
CAUTION Only use the KD-104E/105D/105E cart for this electrocardiograph. If another cart is used, it may tip over or the electrocardiograph may fall off.
AB
BCAE
1. Attach the set pins to the holes E (KD-104E) or A (KD-105D/105E) on the top cover of the cart.
DC
Use the two set pins and two screws (option: contact your Nihon Kohden representative) to mount the electrocardiograph on the cart.
2. Mount the electrocardiograph by aligning the holes on the rear panel over the set pins.
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Options for the Cart KD-104E Cart DI-009D paper tray DI-010D storage rack DI-007D magnetic card reader holder DI-008D bar code reader holder — —
KD-105D/105E Cart DI-011D paper rack DI-013D middle shelf*1 DI-014D drawer assembly*1*2 DI-012D magnetic card reader holder*2 — DI-015D cart tray
assembly DI-016D roll paper holder*1
*1 A DI-013D middle shelf, DI-014D drawer and DI-016D roll paper holder cannot be attached together on the KD-105D/105E cart. 2 * It is possible to attach
a DI-014D drawer and DI-012D magnetic card reader holder together on the KD-105D/105E cart, but the card reader holder interferes with putting items
in and taking items out of the drawer. KH-100D patient cable hanger You can attach the KH-100D patient cable hanger to the cart and put the cables
and hook limb leads on the hanger. The hanger prevents the cables from getting tangled or the limb leads from getting in the way. 2.4
2. PREPARATION
Electrocardiograph Connecting the Power Cord WARNING Only use the provided power cord. When the provided power cord cannot be used or when
equipotential grounding is doubtful (such as in a facility with poor grounding), operate the electrocardiograph on battery power. Otherwise, the patient
and operator may receive electrical shock or injury. NOTE • Make sure that there is always a battery pack inside the electrocardiograph in case the power
cord is disconnected or there is a power failure. • When there is no battery inside the electrocardiograph, there may be noise on the waveform or the
electrocardiograph may reset and lose measurement data. Connect the provided power cord to the AC power cord socket on the right side panel of the
electrocardiograph and plug the cord into a 3-prong AC socket.
Grounding the Electrocardiograph WARNING When several medical instruments are used together, ground all instruments to the same one-point
ground. Any potential difference between instruments may cause electrical shock to the patient and operator.
When more than one electrical instrument is used, there may be electrical potential difference between the instruments. The potential difference
between the instruments may cause current to ow to the patient connected to the instruments, resulting in electrical shock (micro shock). Always
perform equipotential grounding when required. It is often required in the operating room, ICU room, CCU room, cardiac catheterization room and Xray
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2.5
2. PREPARATION
Cutting Off the Power Supply to the Electrocardiograph To cut off the power supply to the electrocardiograph, disconnect the power cord of the
electrocardiograph from the AC socket. When installing the electrocardiograph, position the electrocardiograph so that it is easy to disconnect the power
cord from the AC socket.
2.6
2. PREPARATION
Operating on Battery 2 The electrocardiograph can operate on battery power with the optional SB-901D battery pack. When a battery is inserted, the
electrocardiograph automatically switches to battery power if the power cord is disconnected or there is a sudden power failure.
WARNING
Do not do the following to the battery pack. It may cause leakage, overheating, explosion and re. • Short-circuit the + and – terminals on the battery
pack. • Put the battery pack into re or heat the battery pack. • Disassemble or modify the battery pack. • Give strong impact to or deform the battery
pack. • Use the battery pack on unspeci ed instruments. • Charge the battery pack on unspeci ed instruments. • Install the battery pack with the wrong
polarity. • Leave the battery pack in the reach of patients.
If the liquid inside the battery contacts the eyes, mouth or skin, do not rub the eyes, mouth or skin. Wash with clean water and see a physician
immediately.
CAUTION
WARNING The following may cause overheating and leakage of the battery pack. • Leaving the battery pack unused for a long period (more than a year) •
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CAUTION
Do not bend or pull the connector of the battery pack cable with strong force. This may damage the battery cable or battery cable connector.
If the battery operation time is less than 15 minutes, the battery pack may be deteriorated. Do not charge a deteriorated battery pack. Charging a
deteriorated battery pack may cause the electrocardiograph to fail to operate in both battery and AC power.
NOTE • The operation time with the fully charged battery pack is 90 minutes or more when the surrounding temperature is 25°C (77°F). If the
surrounding temperature is more than 25°C (77°F) or depending on waveform quality, the operation time may be less.
2.7
2. PREPARATION • The lifetime of the battery pack is about one year. When operating the electrocardiograph with the battery pack, check the date when
the battery pack was last replaced on the start date label attached to the electrocardiograph. • To keep the battery pack fully charged, always keep the
power cord connected to the AC socket even when the electrocardiograph is not used. Battery Replacement
CAUTION
CAUTION
Before connecting or disconnecting instruments, make sure that each instrument is turned off and the power cord is disconnected from the AC socket.
Otherwise, the patient or operator may receive electrical shock or injury.
Charging
CAUTION
CAUTION
If the battery operation time is less than 15 minutes, the battery pack may be deteriorated. Do not charge a deteriorated battery pack. Charging a
deteriorated battery pack may cause the electrocardiograph to fail to operate in both battery and AC power.
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NOTE • Before using a new battery pack, charge it with the ECG-1150 electrocardiograph. • The charging time of the battery pack is less than 10 hours
when the surface temperature of the battery pack is between 10 and 35°C (50 and 95°F). The charging time depends on the surface temperature of the
battery pack. When the surface temperature of the battery pack is below 10 or over 35°C (50 to 95°F), it may take longer to charge the battery. • During
charging, the battery pack may heat up. Do not put anything on or cover the electrocardiograph.
2.8
2. PREPARATION Storage
WARNING
Do not leave the battery pack unused for more than a year. The battery may leak.
CAUTION Do not use or leave the battery pack in direct sunlight or high temperatures such as in a car in hot weather or in front of a stove. It may cause
leakage of the battery pack and degrade the performance and lifetime of the battery pack.
CAUTION • Remove the battery pack from the electrocardiograph when it is not used more than six months. The battery may leak out and rust. • When
the battery pack is not used more than 90 days, store the battery pack at temperatures between –20 to +30°C (–4 to +86°F) in a dry place to prevent it
from rusting and leakage. • If the surrounding temperature is over 30°C (86°F), charge it every three months because it self-discharges quickly. • When
the battery pack is stored more than one month, charge it before use because the battery pack may have self-discharged. • Replace the battery pack with
a new one every year to assure maximum performance from the electrocardiograph.
When the battery pack is stored for a long time, it may become inactivated and cannot be fully charged. The battery charge may be recovered by
discharging and charging the battery several times. Disposing
CAUTION SB-901D battery pack is NiMH (Nickel-Metal Hydride). Before disposing of the battery pack, check with your local solid waste of cials for details
in your area for recycling options or proper disposal. The battery is recyclable. At the end of its useful life, under various state and local laws, it may be
illegal to dispose of this battery into the municipal waste stream. NOTE When disposing of the electrocardiograph, remove the battery pack and attach
tape over the battery cable. Otherwise, the battery may explode at waste disposable services.
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WARNING
Do not touch the patient while touching any metal part of non-medical electrical equipment or an exposed part when a connector or cover is removed.
Failure to follow this warning may cause electrical shock or injury to the patient.
The electrocardiograph is shipped from the factory with no battery pack installed. Follow the procedure below to insert a battery pack into the
electrocardiograph before use. 1. Remove the M3 binding head screw from the battery cover and pull off the battery cover.
2. Connect the battery cable to the battery pack connector. 3. Insert the battery pack into the battery compartment.
2.10
2. PREPARATION
Removing the Battery Pack Remove the battery pack while pressing the lock under the battery cable.
NOTE Do not pull the cable with strong force. This may damage the connector.
Charging the Battery The battery can be charged when AC power is supplied to the electrocardiograph and the power is turned off. You cannot charge
the battery when the power is turned on. The battery charge time is at least 10 hours. A new fully charged battery provides at least 90 minutes continuous
recording. To charge the battery When the electrocardiograph is not used, connect the electrocardiograph to a wall AC socket to charge the battery. The
AC power lamp and battery charge lamp light when the electrocardiograph battery is charging. 1. Press the POWER key to turn the power off. 2. Connect
the electrocardiograph to a wall AC socket. The AC power lamp and battery charge lamp light. Battery charge lamp Lit: Charging OFF: Fully charged
NOTE • When you operate the electrocardiograph on battery power, run down the battery as much as possible before recharging. If you frequently
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When operation time is reduced to half, even if the battery pack is fully charged, the battery life may be expired. Replace the battery with a new one. •
When the battery charge lamp does not light every half hour to one hour, even after a ten-hour recharging, the battery life may be expired. Replace the
battery with a new one. For battery operation time, refer to “AC and Battery Operation” in Section 1. Operator’s Manual ECG-1150
2.11
2. PREPARATION
Setting the Recording Paper Handling the Recording Paper Recording Paper
CAUTION • Only use the Nihon Kohden speci ed 63 mm recording paper. When a narrower recording paper is used and the paper detection circuit
cannot detect it, the thermal head may be activated. The thermal head may be damaged where there is no recording paper and the rubber paper feed
roller may get burned. • If unspeci ed recording paper is used, it might not print properly or send multiple pages.
Model:
RQS63-3
Storage
CAUTION Prolonged storage under conditions such as high temperatures, excessive humidity, direct sunlight, and uorescent light causes fading of the
colored surface. Avoid high temperatures exceeding 50°C (122°F) and excessive humidity. Store the recording paper in a cool, dry and dark place if
possible.
2.12
2. PREPARATION Usage
CAUTION
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• Organic solvents and plastics may develop color on the white surface or cause the recording paper to fade. Examples of color-developing materials
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containing organic solvents: Adhesives, paste, felt-tip pens, and semi-dry diazo paper. Examples of color-fading materials made of soft vinyl chloride:
Document cases, albums, and desk pads including. Examples of color-fading materials containing plastics: Erasers, adhesive tapes, and some uorescent
pens. • The paper cutter in the recording paper container is sharp. When setting the recording paper, be careful not to cut your nger. Set the recording
paper as speci ed. • When pasting the recording paper, use paste with a starch base, PVA base, arabic gum base paste, CMC base synthetic paste, or
paper bond. • Do not apply high pressure to the recording paper. Rubbing or scratching the surface with a hard object discolors it. • Clean the thermal
head with the thermal head cleaner after every 100 m printing. A dirty thermal head degrades printing quality. • Do not use recording paper which is
contaminated with ECG electrolyte cream (cardioCream) or saline solution because the recording paper will fade by the chloride and the contaminated
thermal head may cause missing dots. If the thermal head gets contaminated, clean it with the thermal head cleaner pen. • Do not touch the thermal
head with your ngers. If accidentally touched, clean the thermal head with the thermal head cleaner pen. • Follow the procedure to set the recording
paper. Otherwise, the recording paper might not feed normally or the feeding motor may stop operation.
Replacement
CAUTION Do not set the recording paper right after recording because the thermal head is still hot.
2.13
2. PREPARATION
Setting the Recording Paper 1. Press down the recorder cover release button to open the recorder.
Recorder cover release button 2. Turn over the recorder cover. 3. Set the recording paper in the recorder cover by spreading the paper guides. Paper
guide
4. Pull out the recording paper and align it with the recorder cover.
5. Attach the recorder cover to the recorder while holding the paper.
2.14
2. PREPARATION 6. Close the recorder cover by pressing the center of the cover.
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Feeding the Paper You can feed the paper by pressing the FEED/MARK key anytime before or after recording.
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2.15
2. PREPARATION
WARNING Only use the BJ-901D/BJ-902D/BJ-903D/BJ-961D or BA-901D/BA903D patient cables when using with a de brillator. When the speci ed
patient cable is connected, the electrocardiograph is type CF de brillation-proof compliance. Failure to follow this warning may cause skin burn where
the electrode is attached and damage the electrocardiograph due to discharge energy when de brillation is performed.
1. Connect the patient cable to the patient cable connector on the right side panel of the electrocardiograph.
2. Secure the connector to the electrocardiograph with the screws on the connector. NOTE Do not lift the electrocardiograph while holding the patient
cable and do not bend or pull the patient cable strongly. This may break the cable.
2.16
2. PREPARATION
Turning the Power On or Off 2 WARNING Only use the provided power cord. When the provided power cord cannot be used or when equipotential
grounding is doubtful (such as in a facility with poor grounding), operate the electrocardiograph on battery power. Otherwise, the patient and operator
may receive electrical shock or injury.
Turning the Power On Before turning the power on, check the following items. If there is any damage or the electrocardiograph is suspected to be faulty
as a result of checking, attach an “Unusable” or “Repair request” label to the electrocardiograph and contact your Nihon Kohden representative. Check
Items Before Turning the Power On Overview: • Electrocardiograph is not dirty, damaged or in contact with liquid • No peeling or tear in the operation
panel • No key or button is broken • Power cord is not damaged • Electrodes are clean and not damaged • Cable hanger is not damaged • Paper recorder
is not damaged • Battery is installed Connection and setting: • Power cord is securely connected • Electrocardiograph is securely connected to an external
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2.17
2. PREPARATION Lit
Turning the Power On • When operating on battery power After installing the fully charged battery pack, press the POWER key on the operation panel to
turn the power on. The POWER lamp and battery operation lamp light. • When operating on AC power After grounding and connecting the power cord
to a wall AC socket, press the POWER key on the operation panel to turn the power on. The POWER lamp and AC power lamp light.
Lit After turning the power on, check the following items. Check Items After Turning the Power On • AC power lamp or battery power lamp lights
normally • LCD backlight lights • No re, smoke or smell • No electrical shock when touching the electrocardiograph • Electrocardiograph is not too hot •
Electrocardiograph does not affect surrounding equipment • Screen display is correct (brightness, contrast, no distortion, normal color, etc.) • All operation
indicators lights • All keys on the operation panel operate correctly • All settings are correct • Calibration waveform is properly displayed and recorded •
Ampli er of calibration waveform is correct • No noise on the calibration waveform • No error messages or malfunction during operation • Printing is
correct (paper feeding without skewing or catching, no jamming, printing darkness, no faded or missing dots, date and time) • External instrument
operates correctly • ECG data les can be saved correctly When the electrocardiograph is used for the rst time, set the followings. Refer to Section 3
“Changing Settings Before Measurement”. Wave settings: AC lter System settings: Date and time, Date display format, Time display format
2.18
2. PREPARATION
Changing the Date and Time The date and time on the printing result is part of important information for the medical record. To change the date and
time setting, refer to “Changing the Date and Time” in Section 3. NOTE If the date and time printed on the recording is not the current date and time, the
lithium battery may be burned. Contact your Nihon Kohden representative.
Turning the Power Off NOTE The power cannot be turned off while processing ECG data le. Turn the power off after processing is complete. Press the
POWER key on the operation panel for one second to turn the power off. The screen becomes dark and the POWER lamp on the operation panel turns
off.
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2.19
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2. PREPARATION
Adjusting the Screen Brightness You can adjust the screen brightness. 1. Press the MODE key. The Main Menu screen is displayed.
or
If the screen is too dim, press the press the function key.
4. Press the OK function key to close the Brightness screen. 5. Press the “1” or “2” key to return to the ECG recording screen.
2.20
2. PREPARATION
Preparing for Data Management 2 About the Media The electrocardiograph can save the acquired ECG waveforms, patient information and analysis
result as a le in the internal memory or SD memory card (hereafter referred to as “media”). Internal Memory Saves up to 40 les in the memory
regardless of the data compression type. SD Memory Card QM-001D/064D/064DE SD memory card or equivalents. The QM-001D/064D/064DE SD
memory card saves up to 780 les (type 1, normal) or 3000 les (type 2, compressed). Refer to Section 7 “Data Management”.
CAUTION Only use a Nihon Kohden speci ed SD memory card. Otherwise, the card might not operate. NOTE The electrocardiograph can only recognize
64 MB of data on the SD memory card even if the SD memory card is larger than 64 MB.
Using the Internal Memory 1. Set “Media” to “Internal memory” on the File Processing Section of the Main Setup screen. Refer to “List of Settings - Main
Setup Screen - File Processing” in Section 3. 2. Format the internal memory. Refer to “Formatting the Media” in Section 7.
Using the SD Memory Card About the SD Memory Card Refer to the SD memory card manual and the following precautions for operation and cautions.
To format an SD memory card, refer to “Formatting the Media” in Section 7.
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Operator’s Manual ECG-1150
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2.21
2. PREPARATION
CAUTION Do not leave the SD memory card near patients or in reach of children.
Recommended SD Memory Card QM-064DE (for Europe) or QM-001D/064D (for other countries) Handling
CAUTION
• Never disassemble or modify the SD memory card. • Do not bend or give a strong impact to the SD memory card. • Do not handle the SD memory card
while smoking or eating. Do not get the SD memory card wet. • Do not touch any metal part of the SD memory card. • Do not peel off the label or sticker
on the SD memory card or put other label or sticker on the SD memory card. • Only use the SD memory card in the speci ed instrument. • Do not scratch
the insertion part of the SD memory card. The electrocardiograph might not operate when the dust gets into the insertion part. • Put the SD memory
card in the case when the SD memory card is removed from the electrocardiograph. Store it where patients cannot accidently swallow the SD memory
card. • Do not expose the SD memory card to direct sunlight or leave in a high temperature and high humidity. Operating Environment Temperature: –25
to +85°C (–13 to +185°F) Humidity: 25 to 95% RH (noncondensing) Storage Environment Temperature: –40°C to +85°C (–40 to +185°F) Humidity: 25 to 95%
RH • Do not store the SD memory card in a corrosive gas environment.
Operation
CAUTION • Only format or write data to the SD memory card in the speci ed instrument. Otherwise, the SD memory card may become unusable. • Do
not remove the SD memory card or turn the power off while formatting or data is being written to or read from the SD memory card. This may damage
the SD memory card or saved data.
2.22
CAUTION
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• Insert only a Nihon Kohden speci ed SD memory card in the SD card slot. • Insert or remove the SD memory card straight into or out of the SD card slot.
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Otherwise, the SD memory card and electrocardiograph may get damaged. • Make sure that the electrocardiograph power is turned off, when inserting
or removing an SD memory card. Otherwise, the data in SD memory card may get damaged and operation of the electrocardiograph may become
unstable.
To insert the SD memory card: 1. Turn the electrocardiograph power off. 2. Insert the SD memory card straight into the SD card slot with the label side up
until it clicks. To remove the SD memory card: 1. Turn the electrocardiograph power off. 2. Press in the edge of SD memory card. 3. Pull the card out
straight from the SD card slot.
Preparing the SD Memory Card 1. Insert the SD memory card into the SD card slot on the right side panel of the electrocardiograph. Refer to the above
“Inserting and Removing the SD Memory Card” section. 2. Set “Media” to “SD card” on the File Processing of the Main Setup screen. Refer to “List of
Settings - Main Setup Screen - File Processing” in Section 3. 3. Format the SD memory card. Refer to “Formatting the Media” in Section 7.
2.23
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3. CHANGING SETTINGS BEFORE
Your MEASUREMENT
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System Setup Screen and Main Setup Screen This section explains how to change settings, save settings in an SD memory card, load settings from an SD
memory card and print the list of system settings. We recommend saving and printing the settings immediately after installation. There are two setup
screens, System Setup screen and Main Setup screen. System Setup screen settings are rarely changed. Main Setup screen settings are frequently
changed. You can change settings without turning the power off. In the System Setup screen, you can change the following settings. • Patient
information • Wave settings • Recording settings - Auto recording - Report print out - Analysis format and settings • Periodic recording settings • System
settings • Save/Load/Print system settings In the Main Setup screen, you can change the following settings. • Wave settings • File processing • Recording
settings - Recorder - Manual recording - Auto recording - Analysis format and settings - Rhythm recording
3.2
Description Select “On” to enable ID entry (up to 12 numeric characters) when recording starts. Select “On” to display sex on the Patient Information
screen. Select the default sex when the power is turned on. Select whether to display the age on the Patient Information screen. When displaying age,
select whether to display actual age or age group.
When “Age group” is selected, the Patient Information screen cannot be displayed, only sex and age group can be entered for the patient information
using the keys on the operation panel. Select the default age group when the power is turned 3 - 5 on. This setting is only available when “Age or birth 6-9
date” is set to “Age group”. 10 - 14 15 - 34 35 + Select “Delete all” to clear the previous patient data Delete all when the ID is changed. Off
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CAUTION
When baseline drift suppression is set to “Strong”, distortion may occur in the ST segment with a decrease of heart rate when heart rate is less than 50.
For bradycardia, set this item to “Weak”. The “Weak” setting has characteristics conforming to the AHA recommendations. AC lter
50 Hz 60 Hz Off
3.3
3. CHANGING SETTINGS BEFORE MEASUREMENT Recording Settings Auto Recording Item Auto start
Settings On Off
Report Print Out Item Auto mode of Resting ECG recording Rhythm recording
Description Select “On” to print ECG and report in auto mode of the resting ECG recording. Select “On” to print ECG in rhythm recording.
Periodic recording
Minnesota
Description Select the analysis mode. When “screening” is selected, some ST-T related ndings are not obtained. When “Advanced” is selected, more
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Measurement/analysis selection
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Select whether to print the measurement values and analysis result with the ECG waveforms.
QT interval varies according to the heart rate. QTc interval is a corrected value based on a heart rate of 60 bpm. ECAPS: QTc interval (ms) = QT interval (ms)
+
3.4
30 s 1 min 2 min 3 min 4 min 5 min 6 min 7 min 8 min 9 min 10 min 11 min 12 min 13 min 14 min 15 min
Interval (min) Interval recording repetitions Auto gain output Additional slow speed recording
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999 (10) Select “On” to automatically change the waveform On amplitude and position during periodic recording. Off Select “On” to slow paper speed
until the next periodic On recording starts. Off
3.5
Item
Settings QRS sync sound Pen sound Off 1 (min) 2 3 4 (max) 0 (Off) 1 2 3 4 (max)
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Your consent Necessary cookie Accept
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Hospital
Enter the hospital name. It is printed in the “Exam.:” column. Select the language for display and recording.
Language
3.6
NOTE • When you install a local language in the electrocardiograph, check the screen descriptions and printed ECG nding list before use. You can
compare the screen descriptions with the text that your Nihon Kohden representative provides. You can compare the ECG nding list with the User’s
Guide “ECAPS 12C ECG Interpretation Program”. If there is any missing or incorrect translation, contact your Nihon Kohden representative to correct it. •
When changing the language to or from Korean, the entered hospital name is deleted. • When changing the language to or from Korean, the
electrocardiograph must be restarted to enter the hospital name. Select “On” to automatically turn off the backlight when the electrocardiograph is not
operated for 3 minutes. Select “On” to automatically turn off the electrocardiograph power when it is not operated for 3 minutes in battery operation.
0 (Off) 1 2 3 4 (max) Year, Month, Day, Hour and Minute yyyy/mm/dd yyyy–mmm–dd mmm–dd–yyyy dd–mmm–yyyy 12 hour day 24 hour day Up to 40
alphanumeric characters English Korean Local language
On Off On Off
Default EMG suppression setting Select “On” to turn on the EMG lter when the power is on.
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CAUTION
Take care when judging the ECG recording because the EMG lter may cause distortion of P-waves and QRS-waves depending on the waveform shape.
Lead mode selection
File Processing Item After analysis result recording Media Data compression type File auto delete
Description Select what to do with ECG data les after analysis result recording. Select the media to save ECG data les. Select the le format to save ECG
data les. Type 1 is normal format and Type 2 is compressed format. Select “On” to automatically delete the oldest le when the media is full.
Recording Settings Recorder Item High speed printing Default paper speed
Description Select “On” to print the recording results at high speed. The recording time is reduced by half. Select the initial paper speed when the power
is turned on.
Settings 3 ch 1 ch 1 ch + rhythm
3.7
3. CHANGING SETTINGS BEFORE MEASUREMENT Auto Recording Item Auto gain output
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recording
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Description Settings Select the auto gain and auto position control function. Auto gain + setting gain Auto gain Setting gain + auto gain Setting gain
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Select the 12 lead recording channels. 1 ch 3 ch Average + rhythm Select the total recording time when “Change 10 to 24 sec (10) sequence” is set to
“Time”. On: rhythm (full page): On: rhythm (full page) When an arrhythmia is detected during automatic On: sequence (full page) recording, the rhythm
recording starts after automatic Off recording ends. The format is set in “Rhythm Recording” in “Recording Settings” in the User Setup screen. On:
sequence (full page): When the uctuation of 20% of R-R interval is detected during automatic recording, the recording of the lead group is extended.
The extend recording time is set in the “Mark” or “Time”.
Select the pacing detection sensitivity. If noise is incorrectly detected as a pacing pulse, select “Low”.
3.8
Settings Standard 12 leads: I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6 Cabrera leads: aVL, I, –aVR, II, aVF, III, V1, V2, V3, V4, V5, V6
Changing the System Setup Settings Displaying the System Setup Screen and Changing the Settings
3
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3. Press the screen.
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or
4. Press the OK function key. The Setup screen for that item is displayed.
3.9
5. Press the
or
6. Press the OK function key. The Setup screen for that item is displayed. Steps 5 and 6 are not necessary for some items.
7. Press the
or
8. Press the Change function key. The selectable items are toggled. Select the desired setting.
For changing the date and time, refer to the next “Changing the Date and Time” section.
For entering the hospital name, refer to “Entering the Hospital Name” in this section.
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Interval (m) and Interval recording repetitions
Your consent of Periodic
to our Recording
cookies if Settings
you continue can
to use bewebsite.
this changed by 1 step by cookie
Necessary pressing Accept
the Change function key and by 10
steps by pressing the FILTER key.
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9. Repeat steps 7 and 8 to change other settings. 10. Press the Back function key to return to the previous screen. The changed setting is saved. 3.10
If the screen has more than two pages, press the the screen.
or
Turn the power off and on again to return to the Resting ECG recording screen.
Changing the Date and Time 1. Display the System Setup screen. Refer to the previous “Displaying the System Setup Screen and Changing the Settings”
section. 2. Press the
or
or
function key.
3.11
3
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6. Enter the current date and time with the keyboard on the operation panel. The order of the date setting is always yyyy/mm/dd. 7. Press the OK function
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key. The changed setting is saved. 8. Press the Back function key to return to the previous screen.
Entering the Hospital Name 1. Display the System Setup screen. Refer to “Displaying the System Setup Screen and Changing the Settings” in this section.
2. Press the
or
3.12
or
function key.
5. Press the Edit function key. The Hospital setting window is displayed. 6. Enter the hospital name. When the “Language” is set to “English” or “Local
language” Enter the hospital name with the function keys.
• A-Z: Enters a character. The characters are toggled. • Shift: Changes the character type.
•
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Char (symbol)
0-9
When the “Language” is set to “Korean” Enter the hospital name with the character code. Refer to “Character Code List” in Section 10. 7. Press the
START/STOP key. The changed setting is saved and the previous screen appears. Hospital name is printed in the “Exam:” column on the recording paper.
Operator’s Manual ECG-1150
3.13
Changing the Main Setup Settings 1. Press the MODE key to display the Main Menu screen.
2. Press “8” to select “Main Setup”. The Main Setup screen is displayed.
3.14
or
3. CHANGING SETTINGS BEFORE MEASUREMENT 4. Press the OK function key. The Setup screen for that item is displayed.
5. Press the
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Your item.
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6. Press the OK function key. The Setup screen for that item is displayed. Steps 6 and 7 are not necessary for some items.
7. Press the
or
8. Press the Change function key. The selectable items are toggled. Select the desired setting. 9. Repeat steps 8 and 9 to change other settings. 10. Press
the Back function key to return to the previous screen. The changed setting is saved. If the screen has more than two pages, press the the screen.
or
Press the “1” or “2” key on the Main Menu screen to return to the ECG recording screen. Operator’s Manual ECG-1150
3.15
Saving the System Setup and Main Setup Settings You can save all settings on the System Setup screen and Main Setup screen to an SD memory card. 1.
Insert the SD memory card into the SD card slot on the right side panel of the electrocardiograph before saving the system settings. 2. Display the
System Setup screen. Refer to “Displaying the System Setup Screen and Changing the Settings” in this section. 3. Press the or function key to select
Save/Load/Print System Settings. Save/Load/Print System Settings is on the second page.
3.16
3. CHANGING SETTINGS BEFORE MEASUREMENT 4. Press the OK function key. The Setup screen is displayed.
5. Select Save System Settings and press the OK function key. The “Saving system settings. Do not turn the power off” message appears and the system
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6. Turn the power off and on again to return
Your consent toto thecookies
our Resting ECGcontinue
if you recordingtoscreen.
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3.17
Loading the System Setup and Main Setup Settings You can load previously saved settings on the System Setup screen and Main Setup screen from an
SD memory card. 1. Insert the SD memory card in the SD card slot on the right side panel of the electrocardiograph before loading the system settings. 2.
Display the System Setup screen. Refer to “Displaying the System Setup Screen and Changing the Settings” in this section. 3. Press the or function key to
select Save/Load/Print System Settings. Save/Load/Print System Settings is on the second page.
3.18
5. Select Load System Settings and press the OK function key. The “Loading system settings. Do not turn the power off” message appears.
6. The “Apply new system settings?” message appears. Press the OK function key. The new system settings are loaded.
Press the Cancel function key to cancel. The settings are not changed and previous screen appears.
7. Turn the power off and on again to return to the Resting ECG recording screen. Operator’s Manual ECG-1150
3.19
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SystemtheSetup
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Setup we use 1.cookies.
Settings Display We
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Save/Load/Print information, see Save/Load/Print
Settings. the Privacy Policy and Google
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3.20
4. Select Print System Settings and press the OK function key. The “Printing system settings. Do not turn the power off” message appears and printing
starts.
5. Turn the power off and on again to return to the Resting ECG recording screen.
3.21
Section 4 Attaching the Electrodes and Entering Patient Information Attaching the Electrodes....................................................................................................................................... 4.3
Attaching the Limb Electrodes.................................................................................................................... 4.3 Attaching the Chest
Electrodes.................................................................................................................. 4.3 Patient Cable Tip Color Coding............................................................................................................................ 4.4 Lead
Connection.................................................................................................................................................. 4.5 Standard 12 Leads and Cabrera Leads.....................................................................................................
4.5 IEC Standard.................................................................................................................................... 4.5 AHA Requirement............................................................................................................................ 4.5 Error
Indication When the Electrode Is Not Attached Firmly................................................................................ 4.6 Screen
Message........................................................................................................................................ 4.6 Indication on the Paper.............................................................................................................................. 4.7
Countermeasure........................................................................................................................................ 4.7 Electrode Detachment...................................................................................................................... 4.7
Large Polarization Voltage................................................................................................................ 4.7 Entering the Patient
Information........................................................................................................................... 4.8 General....................................................................................................................................................... 4.8 Entering the
Patient Information . .............................................................................................................. 4.9
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ECG-1150
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WARNING Do not connect the tip of the electrode lead to anything other than an electrode. Connect all the tips to the corresponding electrodes and
attach them to the patient. If unconnected tips or electrodes contact an item which is not equipotential grounded, the patient may receive electrical
shock. Also, noise may superimpose on the ECG waveforms and measurement data may be incorrect.
CAUTION • Do not use new and old electrodes together, or re-usable and disposable electrodes together (such as clip electrodes, suction electrodes, and
disposable electrodes). If different types are used together, it may cause a high polarization voltage and prevent displaying and recording of the ECG
waveforms. • Always replace all the electrodes with new ones at the same time. • When using an ESU and de brillator with the electrocardiograph, use
silver chloride disposable electrodes. • Only use clean and undamaged electrodes with no scratches on the surface. Electrodes with a deteriorated surface
may cause high contact impedance and distorted ECG waveforms. • Do not touch electrodes, lead tips or electrocardiograph connectors to any other
ground or conductive object in the room, such as a metal bedpost.
4.2
Attaching the Electrodes Attaching the Limb Electrodes Attach four limb electrodes to muscular, not bony, areas on the extremities.
1. Clean the skin with a cotton moistened with alcohol to remove oil. 2. Apply a thin layer of electrolyte cream (cardioCream) on the cleaned electrode
sites. R: Right arm L: Left arm RF: Right leg F: Left leg 3. Apply a small amount of electrolyte cream on the contact surface of the electrodes. 4. When limb
electrodes are used Attach the limb electrodes to the cleaned skin site.
When the ECG clip-on electrodes are used Clip the electrode site with the ECG clip-on electrode.
Attaching the Chest Electrodes 1. Clean the skin with a cotton moistened with alcohol to remove oil. 2. Apply a thin layer of electrolyte cream
(cardioCream) on the cleaned skin sites. 3. Attach the six electrodes to the cleaned skin site. Do not let the electrodes touch each other. 4. Apply a thin
layer of cardioCream on the electrode surface. 5. Put the electrode on the site and squeeze the rubber ball to attach the electrode by suction. Standard 12
Lead ECG/Cabrera Lead ECG C1 (V1): Fourth intercostal space at the right border of the sternum C2 (V2): Fourth intercostal space at the left border of the
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4.3
Patient Cable Tip Color Coding BJ-901D, BJ-961D (IEC standard, tip: 3 mm diameter) BJ-902D (IEC/DIN standard, tip: 4 mm diameter) BJ-903D (IEC/DIN
standard, clip) Symbol in lead R L F N (RF) C1 C2 C3 C4 C5 C6
Color (tip, clip/lead) Red/Brown Yellow/Brown Green/Brown Black/Brown Red/White Yellow/White Green/White Brown/White Black/White Violet/White
BA-901D (AHA requirement, tip: 3 mm diameter) BA-903D (AHA requirement, clip) Symbol in lead RA LA RL LL V1 V2 V3 V4 V5 V6
4.4
Color (tip, clip/lead) White/Brown Black/Brown Green/Brown Red/Brown Red/White Yellow/White Green/White Blue/White Orange/White Violet/White
AHA Requirement
4.5
Error Indication When the Electrode Is Not Attached Firmly Screen Message The electrocardiograph continuously checks electrode attachment status.
When electrode detachment or large polarization voltage is detected, a message is displayed. Screen message Fail R, L, F Fail Limb Fail 1, 2, 3, 4, 5 or 6
Noise
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NOTE • If a limb electrode is detached, the chest electrode detachment message is not displayed. Check the chest electrode attachment after removing
the cause of the error message. • The ECG waveforms can be displayed and recorded if the message due to a large polarization voltage is displayed. If
recording starts, the analysis result may be incorrect and the ECG waveforms cannot be saved. Remove the cause of the error message before starting
measurement. • A at baseline is recorded for leads with a detached electrode. • When using the electrocardiograph with an ESU, artifact from the ESU
may be superimposed on the ECG waveforms.
4.6
Indication on the Paper During recording, the following line is recorded on the paper when an electrode detachment or artifact is detected.
Electrode detachment
Noise
Countermeasure Electrode Detachment Check for detached electrodes corresponding to the message and the electrode lead. Reattach the electrode
and connect the electrode lead. Large Polarization Voltage If the message is still displayed after reattaching the electrode, it is probably due to a large
polarization voltage. A large polarization voltage can have the following causes: • New and old electrodes, or re-usable and disposable electrodes are used
together (such as clip electrodes, suction electrodes, and disposable electrodes). If different types are used together, it may cause a large polarization
voltage and prevent displaying and recording of the ECG waveforms. • Improper skin preparation. Use a cotton moistened with alcohol to clean the skin
where the electrode is attached and apply the electrolyte cream (cardioCream) on the clean skin site. Reattach the electrode. • After de brillation, the
ECG waveforms become unstable. Wait at least 5 seconds until the ECG waveforms are stable before recording the ECG waveforms. When the cause of
the message cannot be found, the electrode lead may be faulty. If any abnormality is found, refer to “Troubleshooting” in Section 8 to take proper action.
If there is any damage or the electrocardiograph is suspected to be faulty as a result of checking, attach an “Unusable” or “Repair request” label to the
electrocardiograph and contact your Nihon Kohden representative.
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4.7
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4. ATTACHING THE ELECTRODES
Your AND ENTERING
consent PATIENT
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Entering the Patient Information General You can enter the following patient information on the resting ECG recording screen. The available patient data
can be selected in the Patient Information settings. Refer to Section 3 “Changing Settings Before Measurement”.
CAUTION When the patient sex and age is not entered, ECG analysis is performed with the patient as male and 35 years old. NOTE Add an ID to the
patient information to prevent the ECG data from being mistaken for a different patient’s ECG data. Available patient data • ID: Up to 12 numeric
characters • Gender: Male, female • Age: Up to 3 numeric characters • Age group: 3 to 5, 6 to 9, 10 to 14, 15 to 34, 35 ≤ When “Age group” is set for “Age or
birth date” on the System Setup When “Age group” is set for “Age or birth date” on the System Setup screen, the Patient Information screen cannot be
displayed and patient information cannot be entered. Only gender and age group can be entered using the number keys on the operation panel.
4.8
Entering the Patient Information NOTE If you change the ID, the Name and Age/Date of birth are deleted and Gender returns to the default setting. 1.
Press the ID key. The cursor appears on the ID column.
2. Enter the patient ID with the following operation keys and press the START/ STOP (enter) key. The cursor moves to the gender column. Numeric
Key
Numeric
Key
COPY/CAL key
AGE key
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F1 function key
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GENDER key
F2 function key
FEED/MARK key
F3 function key
FILTER key
MODE key
F4 function key
RHYTHM key
Clear
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START/STOP key
3. Select the gender by pressing the GENDER key and press the START/STOP key. The cursor move to the age column. 4. • When “Age” is set to “Age” in
the System setup. Enter the patient age with the operation keys. • When “Age” is set to “Age group” in the System setup. Select the age group by pressing
the AGE key.
5. Press the ID key. The patient information is set and Resting ECG recording screen appears. 4.9
Section 5 Recording Resting ECG Waveforms General................................................................................................................................................................. 5.2 Flow of Resting ECG
Waveform Recording.......................................................................................................... 5.3 Notes for Accurate Measurement.........................................................................................................................
5.4 Before Starting the Recording.................................................................................................................... 5.4 Detecting QRS
Waves................................................................................................................................ 5.4 Counting the Heart Rate............................................................................................................................ 5.4 Using the
EMG/High-cut Filter.................................................................................................................... 5.4 ECG Analysis............................................................................................................................................. 5.5 Resting
ECG Recording Screen........................................................................................................................... 5.6 Displaying the Resting ECG Recording
Screen......................................................................................... 5.6 Explanation of the Resting ECG Recording Screen................................................................................... 5.7 Automatic
Recording............................................................................................................................................ 5.9 General....................................................................................................................................................... 5.9 Real
Time Recording........................................................................................................................ 5.9 Review Recording............................................................................................................................ 5.9 Auto Gain
and Auto Position............................................................................................................ 5.9 Preparation for Automatic Recording......................................................................................................... 5.9
System Setup................................................................................................................................. 5.10 Main Setup..................................................................................................................................... 5.10 Automatic
Recording Procedure.............................................................................................................. 5.12 Extended Recording....................................................................................................................... 5.14 Saving
the ECG Data File.............................................................................................................. 5.14 Printing Another Copy of the Recording Results...................................................................................... 5.15
Manual Recording.............................................................................................................................................. 5.16 General..................................................................................................................................................... 5.16
Preparation for Manual Recording............................................................................................................ 5.16 System Setup................................................................................................................................. 5.16
Main Setup..................................................................................................................................... 5.16 Manual Recording Procedure................................................................................................................... 5.17
Rhythm Recording.............................................................................................................................................. 5.19 General.....................................................................................................................................................
5.19 Rhythm Recording Procedure.................................................................................................................. 5.19 Recording
Examples.......................................................................................................................................... 5.20 Auto Recording Examples........................................................................................................................ 5.20
Manual Recording Examples................................................................................................................... 5.21 Rhythm Recording
Examples................................................................................................................... 5.21
5.1
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5. RECORDING RESTING ECG WAVEFORMS
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General You can record the resting ECG waveforms automatically or manually. When the power is turned on, automatic recording mode is the default
selection. In automatic recording mode, ECG analysis is automatically performed. After ECG waveforms are recorded, the ECG analysis result is
automatically printed (unless “Report print out” setting is set to Off on the System Setting screen). There are two automatic recording modes, real time
and review recording mode. In review recording mode, you can verify the ECG waveform displayed on the screen before starting recording. This lets you
con rm clear ECG recording and accurate ECG analysis. In real time recording mode, when uctuation of 20% of R-R interval is detected, the
electrocardiograph can automatically extend lead group recording for the preset interval. After recording, you can save the 12 lead ECG (including
extended sequence recording) analysis result and patient information as an ECG data le in the media. You can make one or more copies of the
recording results before the next recording starts. In manual recording mode, you can manually change the recording settings (paper speed, sensitivity,
and EMG lter on/off) during recording. You can also annotate the ECG waveforms with an event mark by pressing the FEED/MARK key. Before or after
automatic or manual ECG recording, you can record one minute of the rhythm lead. You can set the channel of the lead on the Rhythm Recording of the
Recording Settings in the Main Setup screen. For recording settings and other settings, refer to Section 3 “Changing Settings Before Measurement”.
Caution when the ECG waveform has artifact
CAUTION During recording, if large artifact appears on the ECG waveform, immediately stop the recording and remove the cause of the artifact. Refer to
“Troubleshooting” in Section 8. Failure to follow this instruction causes overheating and damage to the electrocardiograph.
If the ECG recording is continued in this condition, the power unit in the electrocardiograph generates high frequency noise which causes the
electrocardiograph to heat up. When the electrocardiograph heats up, a noti cation sound occurs and the START/STOP lamp blinks. The recording
cannot be performed until the electrocardiograph cools down. 5.2
Flow of Resting ECG Waveform Recording Following is the basic procedure for recording resting ECG waveforms. 1. Turn the power on. Lamp
2. Select automatic or manual recording mode by pressing the AUTO/ MANUAL key. Lamp on: Automatic recording Lamp off: Manual recording
Automatic recording: i) Enter the patient information for ECG analysis. ii) Press the START/STOP key or F3 function key (review recording).
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To print a copy of the recording results,
Your consentpress
to the
our COPY/CAL key.continue to use this website.
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When “After analysis result recording” on File Processing of the Main Setup screen is set to “Save”, after automatic recording, the analysis result and
patient information are automatically saved as an ECG data le in a media.
Manual recording: i) Press the START/STOP key. ii) Press the function key to select the next lead group. iii) Repeat step ii) to record all lead groups. iv) Press
the START/STOP key to stop recording.
Rhythm recording: Press the RHYTHM key. When one minute of ECG waveforms are acquired, rhythm lead recording starts automatically.
5.3
Notes for Accurate Measurement Before Starting the Recording 1. In order to acquire correct heart rate and accurate analysis result, con rm the following
before pressing the START/STOP key. • Stable heart rate • No electrode detachment or noise message • The QRS sync mark on the screen blinks in
synchronization with the QRS sound or pen sound. To generate the sound, refer to “System Settings” in Section 3. • No artifact in the pen sound. 2.
Immediately after electrodes are attached, the ECG waveforms may be unstable because of polarization voltage. Before pressing the START/STOP key
wait at least 10 seconds for stable ECG waveforms.
Detecting QRS Waves The electrocardiograph detects the QRS wave from leads II, V1 and V5. To assure QRS detection accuracy, take care to minimize
superimposed artifact on these leads. Take care that QRS wave detection accuracy is not reduced by artifact superimposed on these leads. Also when the
amplitude of these QRS waves is too small (less than 0.5 mV), the electrocardiograph cannot detect the QRS wave. NOTE If low amplitude QRS wave is
displayed on the screen and the QRS sync mark does not blink, the electrocardiograph does not analyze the ECG waveform. The “CANNOT ANALYZE
ECG” message is printed on the ECG analysis result.
Counting the Heart Rate The electrocardiograph counts the heart rate by averaging the latest ve QRS waves and prints the heart rate together with the
ECG waveforms.
Using the EMG/High-cut Filter When using the EMG lter, the quality of ECG recording may be reduced. However, the EMG lter and high-cut lter do
not affect the ECG analysis.
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Operator’s Manual ECG-1150
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ECG Analysis The electrocardiograph acquires 12 lead ECG waveforms simultaneously and analyzes the 10 to 24 seconds of ECG waveforms. The selected
leads and interval of the waveforms are printed on the paper. The ECG analysis result is incorrect if artifact is superimposed on the notselected leads or
interval. When an electrode detachment line or noise line is printed on the paper, artifact was superimposed on the ECG waveforms during acquisition.
When any of these line is printed, record the ECG waveforms again to assure accurate ECG analysis, verifying that all ECG leads are free from artifact.
5.5
Resting ECG Recording Screen Displaying the Resting ECG Recording Screen 1. When the power is turned on, the Resting ECG recording screen appears.
If another screen is displayed, press the MODE key to display the Main Menu screen.
2. Press “1” to select “Resting ECG”. The Resting ECG recording screen is displayed.
5.6
Explanation of the Resting ECG Recording Screen Standard 12 Leads Screen Heart rate Updated every beat.
Patient information display area For the default settings, refer to Section 3 “Changing Settings Before Measurement”. When the patient ID, gender and
age are entered, they are displayed here. Refer to “Entering the Patient Information” in Section 4.
5
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Your consent to our cookies if you continue to use this website. Necessary cookie Accept
Electrode status display area Displays the error message for electrode detachment and noise.
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Message and key function display area Displays the functions of the function keys and screen message.
Waveform display area Displays 2.8 seconds of the 12 lead ECG waveforms in 2 sequences of 6 channels each.
5.7
5. RECORDING RESTING ECG WAVEFORMS Cabrera Lead Screen Heart rate Updated every beat.
Patient information display area For the default settings, refer to Section 3 “Changing Settings Before Measurement”. When the patient ID, gender and
age are entered, they are displayed here. Refer to “Entering the Patient Information” in Section 4.
Examination name
Electrode status display area Displays the error message for electrode detachment and noise.
Message and key function display area Displays the functions of the function keys and screen message.
5.8
Waveform display area Displays 2.8 seconds of the 12 lead ECG waveforms in 2 sequences of 6 channels each.
Automatic Recording General The electrocardiograph automatically records the ECG waveforms and calibration waveforms by switching the lead groups
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electrode detachment. When 2 seconds pass with no electrode detachment, the electrocardiograph starts acquiring and saving the ECG waveforms. So
you can check the acquired ECG waveforms before recording starts. When the F3 function key is pressed, the electrocardiograph starts recording the
saved waveforms from 10 seconds before the F3 function key is pressed. Auto Gain and Auto Position The recording sensitivity and position are
automatically adjusted so that the ECG waveforms of each channel do not overlap. However, waveforms may overlap where there is noise or change of
waveform. During recording, if any ECG waveforms exceed the maximum recording width, the waveform amplitude is automatically reduced to 1/2 (up to
1/8) and the waveforms are repositioned so that the entire waveforms can be recorded on the recording paper. The auto gain waveform amplitude is
based on the sensitivity setting before recording.
Preparation for Automatic Recording Change the following settings, if necessary. Refer to Section 3 “Changing Settings Before Measurement”. The factory
default settings are underlined. To print out the current settings, refer to “Printing the List of System Setup and Main Setup Settings” in Section 3.
5.9
5. RECORDING RESTING ECG WAVEFORMS System Setup Wave Settings Baseline drift suppression (Strong, Weak, Off) Baseline drift suppression
prevents the baseline from drifting by locking it into one position at the start of recording.
CAUTION When baseline drift suppression is set to “Strong”, distortion may occur in the ST segment with a decrease of heart rate when heart rate is less
than 50. For bradycardia, set this item to “Weak”. The “Weak” setting has characteristics conforming to the AHA recommendations.
Recording Settings Auto Recording Auto start (On, Off) When “Auto start” is set to “On”, the real time recording is automatically started according to the
format set on “12 lead recording channels” when all the following conditions are satis ed: • Automatic recording is not started. • No electrode detachment
is detected for two seconds or more. • Five or more QRS waves are detected. • Artifact and high frequency noise are not detected. • The lead group is
periodically switched. NOTE After recording, this function is available only when the electrodes are reattached to the same patient or attaching the
electrodes for the next patient. Main Setup Wave Settings • High cut lter (75 Hz, 100 Hz, 150 Hz) This is active only when the EMG lter is turned off. • EMG
suppression frequency (25 Hz, 35 Hz) EMG lter frequency. • Lead mode selection (Standard 12 leads, Cabrera leads) Standard 12 leads: I, II, III, aVR, aVL,
aVF, V1, V2, V3, V4, V5, V6 Cabrera leads: aVL, I, –aVR, II, aVF, III, V1, V2, V3, V4, V5, V6
CAUTION Take care when judging the ECG recording because the EMG lter may cause distortion of P-waves and QRS-waves depending on the
waveform shape.
5.10
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ECG-1150
Your consent to our cookies if you continue to use this website. Necessary cookie Accept
5. RECORDING RESTING ECG WAVEFORMS File Processing • After analysis result recording (Save, Off) Set whether to save the ECG les after analysis
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result recording. When you select “Save”, the ECG les are automatically saved in an SD memory card. • Media (SD card, Internal memory) Select the
media to save the ECG data les. Recording Settings Recorder High speed printing (On (50 mm/s), Off (25 mm/s)) Applies to analysis result printing.
Auto Recording • Auto gain output (Auto gain + setting gain, Auto gain, Setting gain + auto gain, Setting gain) Select the auto gain and auto position
control function. When “Auto gain + setting gain” or “Setting gain” is selected, the sensitivity can be changed by pressing the 10 mm/mV function key. 10
mm/mV
5 mm/mV
20 mm/mV
• 12 lead recording channels 1 ch (12 lead): 12 lead ECG waveforms are recorded in the order of lead I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6. 3 ch (12 lead):
12 lead ECG waveforms are recorded as 3 channels in 4 sequences. Average + rhythm: The averaged waveform for each lead and rhythm lead are
recorded in 2 channels. The length of each sequence is 10 seconds ( xed). • Extended recording On: rhythm (full page): When an arrhythmia is detected
during automatic recording, the rhythm recording starts after automatic recording ends. The format is set in “Rhythm Recording” in “Recording Settings”
in the Main Setup screen. On: sequence (full page): When uctuation of 20% of R-R interval is detected during automatic recording, the recording of the
lead group is extended. The extend recording time is set in the “Time” setting. Off: Not recorded. Analysis Format and Settings (12 lead ECG only) • Result
printing format (Result only, Result + average) Select “Result + average” when printing the average waveform for each lead with the ECG analysis result. •
Include ndings criteria (On, Off) Prints the criteria for the ndings when this item is set to “On”. Operator’s Manual ECG-1150
5.11
Automatic Recording Procedure CAUTION • When “Auto start” is set to “On”, select the patient age group and sex before attaching the electrodes to the
patient. After the electrodes are attached and the ECG waveform is stable, the recording automatically starts and the default settings of the patient age
group and sex are used for ECG analysis. For ECG analysis details, refer to the User’s Guide “ECAPS 12C ECG Interpretation Program”. • When the “Do not
turn the power off” message appears during saving the ECG data le, do not turn the power off. Otherwise, the data will be lost. • When “After analysis
result recording” on the File Processing of the Main Setup screen is set to “Save”, check the remaining le capacity and delete unnecessary les before
starting recording.
CAUTION When the patient sex and age is not entered, ECG analysis is performed with the patient as male and 35 years old.
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3. Enter the patient information. Refer to “Entering the Patient Information” in Section
Your consent to our cookies if you continue to use this website.4. 4. If necessary, press the
Necessary cookie Accept FILTER key to turn the EMG lter on.
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or
5.12
5. Select the real time or review recording mode by pressing the START/ STOP key (real time recording) or F3 function key (review recording). The
electrocardiograph automatically records the ECG waveforms with switching the lead groups.
Auto Start When “Auto start” is set to “On” and all the following conditions are satis ed, the real time recording is automatically started. • Automatic
recording is not started • No electrode detachment is detected for two seconds or more • Five or more QRS waves are detected • Artifact and high
frequency noise are not detected • The lead group is periodically switched
You can manually extend a lead group recording by pressing the AUTO/ MANUAL key. This is not available for the review recording. During extended
recording, the AUTO/MANUAL lamp blinks. To change to the next lead group, press the AUTO/MANUAL key again. After the lead group which includes
lead V6 is recorded, the electrocardiograph automatically stops recording and the ECG analysis result is printed (unless “Report print out” is set to Off on
the System Setting screen).
When recording the ECG waveforms of another patient without changing the ID, the same ID con rmation message appears.
To record the waveforms with the same ID, press the Start function key. To change the ID, press the Edit ID function key. To cancel recording, press the
Cancel function key.
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5.13
partners: social networks and companies engaged in advertising and web analytics. For more information, see the Privacy Policy and Google Privacy & Terms.
5. RECORDING RESTING ECGYourWAVEFORMS
consent toExtended Recording
our cookies The electrocardiograph
if you continue automatically
to use this website. Necessary extends
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recording when “Extended
recording” on the Auto Recording of the Main Setup screen is set to “On: sequence (full page)” or “On: rhythm (full page)” in automatic recording.
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Extended rhythm recording: When an arrhythmia is detected, it starts rhythm recording following the format set on the Rhythm Recording of the
Recording Settings in the Main Setup screen after automatic recording ends. While acquiring the rhythm lead, the START/ STOP lamp lights. To stop
recording, press the START/STOP key once. This stops acquiring waveforms. To stop printing, press the START/STOP key again. Extended sequence
recording: Extends the lead group recording when uctuation of 20% of R-R interval is detected. The extended recording timing is set on the “Time”
setting on the Recording Settings of the Auto Recording in the Main Setup screen. Saving the ECG Data File The 12 lead ECG waveforms (including
extended sequence recording and extended rhythm recording), analysis result and patient information are automatically saved as an ECG data le in a
media when the “After analysis result recording” on File Processing of the Main Setup screen is set to “Save”. When “After analysis result recording” on the
File Processing of the Main Setup screen is set to “Off”, “File” is displayed in the message and key function display area. Press the File function key to select
the le operation.
To save the ECG data le, press the Save function key. To cancel saving, press the Cancel function key.
5.14
When the selected media (internal memory or SD memory card) becomes full during saving, the “Media is full” message appears. Select another media
and save the les again. When the “File auto delete” is set to “On” on the Main Setup screen, the oldest les are automatically deleted and the new les
are saved.
Printing Another Copy of the Recording Results After automatic and rhythm recording, the COPY/CAL key lamp lights. You can make one or more copies
of the recording results by pressing the COPY/CAL key. The automatic and rhythm recording result can be printed. The word “COPY” is also printed at the
top of the recording paper to distinguish it from automatic and rhythm recording results. If the FILTER key setting is changed, the changed setting
applies to the printing. When the FILTER lamp lights, EMG lter is applied. When it is off, the high cut lter is applied. When “Auto gain output” is set to
“Auto gain + setting gain” in the Auto Recording, the auto gain is applied. When it is set to “Setting gain + auto gain”, the setting gain is applied to the
printing.
5.15
5. EDOC.SITE
RECORDING | To ensure the
RESTING ECGfunctioning
WAVEFORMS of the site, we use cookies. We share information about your activities on the site with our partners and Google
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Manual Recording General You can
Your manually
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cookies waveforms.
if you During
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cookie waveforms when there is a change
Accept
in patient condition such as chest pain or artifact. In manual recording mode, the baseline is automatically adjusted every time recording is started and
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the lead group or sensitivity can be changed. ECG analysis is not available in manual recording mode.
Preparation for Manual Recording Change the following settings, if necessary. Refer to Section 3 “Changing Settings Before Measurement”. The factory
default settings are underlined. To print the current settings, refer to “Printing the List of System Setup and Main Setup Settings” in Section 3. System
Setup Wave Settings Baseline drift suppression (Strong, Weak, Off) Baseline drift suppression prevents the baseline from drifting by locking it into one
position at the start of recording.
CAUTION When baseline drift suppression is set to “Strong”, distortion may occur in the ST segment with a decrease of heart rate when heart rate is less
than 50. For bradycardia, set this item to “Weak”. The “Weak” setting has characteristics conforming to the AHA recommendations.
Main Setup Wave Settings • High cut lter (75 Hz, 100 Hz, 150 Hz) This is active only when the EMG lter is turned off. • EMG suppression frequency (25 Hz,
35 Hz) EMG lter frequency.
CAUTION Take care when judging the ECG recording because the EMG lter may cause distortion of P-waves and QRS-waves depending on the
waveform shape.
5.16
5. RECORDING RESTING ECG WAVEFORMS Recording Settings Manual Recording • 12 lead recording channels (3 ch, 1 ch, 1 ch + rhythm) The number of
recording channels for the manual recording.
Manual Recording Procedure 1. Check the following before starting recording. • The patient is relaxed. • The electrodes (especially chest electrodes) are
not in electrical contact with each other, they are properly attached and there is no artifact. 2. Press the AUTO/MANUAL key to select the manual
recording mode. The AUTO/MANUAL lamp is lit when auto recording mode is selected. 3. Select the rst lead group. Press the function key.
or,
Enter the number “4 (<)” or “5 (>)” with the keyboard on the operation panel.
12EDOC.SITE
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aVF I II III aVR aVL *(aVL I -aVRYour
II aVF III)
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V1
V2
V3
V4
V5
V6
12 lead/Cabrera lead 3 ch
I, II, III
V1, V2, V3
V4, V5, V6
* Parentheses indicate Cabrera lead. • To change the sensitivity Press the 10 mm/mV function key. or, Press the F1 key. 10 mm/mV
5 mm/mV
20 mm/mV
• To change the paper speed Press the 25 mm/s function key. or, Operator’s Manual ECG-1150
5.17
5
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5. RECORDING RESTING and
ECGcompanies engaged
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paper speed. 25 mm/s Your consent to our cookies if you continue to use this website. Necessary cookie Accept
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50 mm/s
• To turn on the EMG lter Press the FILTER key. • To annotate the ECG waveform with a dotted line Press the FEED/MARK key. A dotted line is
continuously printed while this key is pressed. 4. Press the START/STOP key to start recording. 5. Select the next lead group. Press the function key.
When the lead group is changed, the calibration waveform is automatically recorded.
6. Repeat step 5 to record all lead groups. 7. When all lead groups are recorded, press the START/STOP key to stop recording.
5.18
Rhythm Recording General Before or after automatic or manual ECG recording, you can perform rhythm recording. The settings are set on the Rhythm
Recording of the Recording Settings in the Main Setup screen.
Rhythm Recording Procedure Press the RHYTHM key. The electrocardiograph starts to acquire the ECG waveforms and the elapsed time from the start
of ECG waveform acquisition is displayed at the bottom right of the screen. When one minute of ECG waveforms are acquired, recording starts. or
To stop ECG waveform acquisition, press the RHYTHM key or START/STOP key. After recording, you can make one or more copies of the recording results
by pressing the COPY/CAL key. NOTE To stop rhythm recording, press the Cancel function key.
5.19
Recording Examples Auto Recording Examples Standard 12 Lead ECG Baseline drift suppression indications D - Strong d - Weak None - Off AC lter
indications H50: 50 Hz AC lter H60: 60 Hz AC lter None: Off
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Your consent to our cookies if you continue to use this website. Necessary cookie Accept
Patient information
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Analysis result
Measurement value
5.20
5.21
Section 6 Periodic ECG Recording General................................................................................................................................................................. 6.2 Preparation for Periodic ECG
Recording.............................................................................................................. 6.3 Starting Periodic Recording.................................................................................................................................. 6.4
Recording Examples............................................................................................................................................ 6.5
6.1
6. EDOC.SITE
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RECORDING
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General The electrocardiograph can
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cookie Accept
“Recording Resting ECG Waveforms”. You can also perform automatic and manual recording during periodic ECG recording.
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6.2
Preparation for Periodic ECG Recording Change the following settings, if necessary. Refer to Section 3 “Changing Settings Before Measurement”. The
factory default settings are underlined. To print the current settings, refer to “Printing the List of System Setup and Main Setup Settings” in Section 3.
System Setup Periodic Recording Settings • Starting leads (Limb, Chest) Select the starting lead group. • Periodic recording type (Fixed time, Interval, Off)
Select the ECG waveform acquisition interval. • Fixed recording time (30 s, 1 to 15 min) Select “On” to acquire the ECG waveform after the speci ed time
when “Periodic recording type” is set to “Fixed time”. • Interval (m) (1 to 60 (3)) Select the interval when “Periodic recording type” is set to “Interval”. Change
function key increments the value by 1 step. FILTER key increments the value by 10 steps. • Interval recording repetitions (1 to 999 (10)) Select the number
of times to acquire ECG waveform. Change function key increments the value by 1 step. FILTER key increments the value by 10 steps. • Auto gain output
(On, Off) Select “On” to automatically change the waveform amplitude and position during periodic recording. • Additional slow speed recording (On, Off)
Select “On” to slow paper speed until the next periodic recording starts. Main Setup Recording Settings Manual Recording 12 lead recording channels (3
ch, 1 ch, 1 ch + rhythm) 3 ch: II, aVF, V5 1 ch: II
6.3
Starting Periodic Recording 1. Press the MODE key. The Main Menu screen is displayed.
2. Press “2” to select “Periodic Recording”. The Periodic ECG recording screen appears.
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To perform automatic or manual
Yourrecording during
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AUTO/MANUAL key. iii) Press the START/STOP key again to start recording. After recording, the periodic recording automatically resumes.
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4. To turn off periodic recording, press the MODE key to display the Main Menu screen.
6.4
Recording Examples
6.5
7.1
7. DATA MANAGEMENT
General In automatic recording mode, the ECG waveforms, analysis result and patient information can be saved as an ECG data le in a media. On the
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le listweb analytics.
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the SD memory card To process an ECG data le, select “Media” in “File Processing” in
Your consent to our cookies if you continue to use this website. the Main Setup screen. The selected
Necessary cookie Accept media is displayed in the
header of the screen. There are two types of data save format, type 1 (normal) and type 2 (compressed). The type can be set in “Data compression type” in
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“File Processing” in the User Setup screen. • When the internal memory is selected, up to 40 ECG data les can be saved regardless of the data
compression type. • When the SD memory card is selected, up to 780 (type 1) or 3000 (type 2) les can be saved.
CAUTION • Format the SD memory card before the rst use. • Format the SD memory card only in an ECG-1150 electrocardiograph. SD memory cards
formatted in other ECG models cannot be used in this electrocardiograph.
7.2
7. DATA MANAGEMENT
Displaying the Data Management Screen 1. Press the MODE key. The Main Menu screen appears.
2. Press “7” to select “Data Management”. The Data Management screen appears.
The number of ECG data les which are saved in the media is displayed at the upper right of the screen. The remaining free space in the media is
displayed at the lower right of the screen. The number of ECG data les in the media
Media
To select the desired item, press the number of the item with the keyboard on the operation panel. The screen of the selected item is displayed.
To close the Data Management screen, press the MODE key. The Main Menu screen appears. 7.3
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DATA MANAGEMENT
partners: social networks and companies engaged in advertising and web analytics. For more information, see the Privacy Policy and Google Privacy & Terms.
Printing ECG Waveforms in aYour
Media You can
consent toprint the ECG
our cookies if waveforms of to
you continue theuse
selected ID in a media.
this website. 1. Select
Necessary SD card
cookie or Internal memory in “Media” of the
Accept
Main Settings. Refer to Section 3 “Changing Settings Before Measurement”. 2. Display the Data Management screen. Refer to the “Displaying the Data
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Management Screen”on the previous page. 3. Press “1” to select “Print”. The “Press Enter to enter ID. Press Search to search les for ID” message appears.
4. Press the Enter function key. The “Enter the ID” message appears.
7.4
7. DATA MANAGEMENT 5. Enter the ID with the following keys and press the START/STOP (enter) key. The ID is set and the “Press Enter to enter ID. Press
Search to search les for ID.” message appears. Numeric
Key
Numeric
Key
COPY/CAL key
AGE key
F1 function key
GENDER key
F2EDOC.SITE | To ensure the functioning of the site, we use cookies. We share information about your activities on the site with our partners and Google
function key
partners: social networks and companies engaged in advertising and web analytics. For more information, see the Privacy Policy and Google Privacy & Terms.
8 Your consent to our cookies if you continue to use this website. Necessary cookie Accept
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FEED/MARK key
F3 function key
FILTER key
MODE key
F4 function key
RHYTHM key
Clear
Enter
START/STOP key
6. Press the Search function key. The le list of the entered ID appears.
7. Select the le and press the Print function key. The ECG data of the selected le is printed.
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ECG-1150
Your consent to our cookies if you continue to use this website. Necessary cookie Accept
7.5
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7. DATA MANAGEMENT
Editing ID You can edit the ID after recording ECG waveforms. 1. Display the Data Management screen. Refer to “Displaying the Data Management
Screen” in this section. 2. Press “2” to select “Edit ID”. The “Press Enter to enter ID. Press Search to search les for ID” message appears.
3. Press the Enter function key. The “Enter the ID” message appears.
7.6
7. DATA MANAGEMENT 4. Enter the ID with the following keys and press the START/STOP (enter) key. The ID is set and the “Press Enter to enter ID. Press
Search to search les for ID.” message appears. Numeric
Key
Numeric
Key
COPY/CAL key
AGE key
F1 function key
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2 Your consent to our cookies if you continue to use this website. Necessary cookie Accept
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F2 function key
FEED/MARK key
F3 function key
FILTER key
MODE key
F4 function key
RHYTHM key
Clear
Enter
START/STOP key
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partners:
5. Press social networks
the Search and companies
function key. The leengaged
list of theinentered
advertising and web analytics. For more information, see the Privacy Policy and Google Privacy & Terms.
ID appears.
Your consent to our cookies if you continue to use this website. Necessary cookie Accept
6. Select the le and press the Edit function key. The “Change the ID” message appears.
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7.7
7. DATA MANAGEMENT 7. Press the Enter function key. The “Enter the ID” message appears.
8. Enter the new ID with the keys on the operation panel and press the START/ STOP (enter) key. The new ID is set and the “Edit complete” message
appears.
9. Press the OK function key The previous le list without the changed ID data appears.
7.8
7. DATA MANAGEMENT
Deleting ECG Data Files NOTE Back up the ECG data les before deleting the ECG data les. You can delete all ECG data les, ECG data les of the
selected date or ECG data les of the selected ID in the media.
1. Display the Data Management screen. Refer to “Displaying the Data Management Screen” in this section. 2. Press “3” to select “Delete”. The Data
Management - Delete screen appears.
To return to the Data Management screen, press the Back function key.
Deleting All ECG Data Files You can delete all ECG data les from the media. 1. Display the Data Management - Delete screen. Refer to the above
“Displaying the Delete Screen” section.
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7. DATA MANAGEMENT 2. Press “1”consent
Your to selectto
“All
ourles”. The “Delete
cookies all les?”
if you continue tomessage appears.
use this website. Necessary cookie Accept
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3. Press the OK function key. The “Deleting ECG le. Do not turn the power off” message appears.
7.10
To cancel deleting, while deleting the ECG data les, press the Cancel function key. After the current ECG data le is deleted, the deleting of the
remaining les is canceled. The “Canceled” message and the number of deleted les appears. Press the OK function key. The Data Management screen
appears.
7. DATA MANAGEMENT 4. When all les are deleted, the “All les deleted” message appears. Press the OK function key. The Data Management screen
appears.
Deleting ECG Data Files of the Selected ID You can delete ECG data les of the selected ID from the media. 1. Display the Data Management - Delete
screen. Refer to “Displaying the Delete Screen” in this section.
2. Press “2” to select “Selected ID”. The “Press Enter to enter ID. Press Search to search les for ID” message appears.
7.11
7. DATA MANAGEMENT 3. Press Enter function key. The “Enter the ID” message appears.
4. Enter the ID with the following keys and press the START/STOP (enter) key. The ID is set and the “Press Enter to enter ID. Press Search to search les for
ID.” message appears again. Numeric
Key
Numeric
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Key
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0 Your consent to our cookies if you continue to use this website. Necessary cookie Accept
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COPY/CAL key
AGE key
F1 function key
GENDER key
F2 function key
FEED/MARK key
F3 function key
FILTER key
MODE key
—
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key
Your consent to our cookies if you continue to use this website. Necessary cookie Accept
5
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RHYTHM key
Clear
Enter
START/STOP key
7.12
7. DATA MANAGEMENT 6. Select the le and press the Delete function key. The “Delete the selected data?” message appears.
7. Press the OK function key to delete the data. 8. When the selected les are deleted, the “Files delete” message appears. Press the OK function key. The
Data management screen appears.
Deleting ECG Data Files of the Selected Date You can delete ECG data les of the selected date from the media. 1. Display the Data Management - Delete
screen. Refer to “Displaying the Delete Screen” in this section.
7.13
7. DATA MANAGEMENT 2. Press “3” to select “Selected date”. The “Press Enter to enter Date. Press Delete to delete les” message appears.
3. Press the Enter function key. The “Enter the date. Files will be deleted” message appears.
4.EDOC.SITE
Enter the ID| To ensure
with the functioning
the following of press
keys and the site,
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OKuse cookies.
function key.We share
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of the selected your
date areactivities on the site with our partners and Google
deleted. Numeric
partners: social networks and companies engaged in advertising and web analytics. For more information, see the Privacy Policy and Google Privacy & Terms.
7.14 Your consent to our cookies if you continue to use this website. Necessary cookie Accept
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Key
Numeric
Key
COPY/CAL key
AGE key
F1 function key
GENDER key
F2 function key
FEED/MARK key
F3 function key
9
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FILTER key
Your consent to our cookies if you continue to use this website. Necessary cookie Accept
4
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MODE key
F4 function key
RHYTHM key
Clear
Enter
START/STOP key
7. DATA MANAGEMENT 5. When the selected les are deleted, the “Files deleted” message appears. Press the OK function key. The Data management
screen appears.
7.15
7. DATA MANAGEMENT
CAUTION
EDOC.SITE | To ensure the functioning of the site, we use cookies. We share information about your activities on the site with our partners and Google
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CAUTION social networks and companies engaged in advertising and web analytics. For more information, see the Privacy Policy and Google Privacy & Terms.
Your consent to our cookies if you continue to use this website. Necessary cookie Accept
Only use a Nihon Kohden speci ed SD memory card. Otherwise, the card might not operate.
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• Format the SD memory card before the rst use. • Format the SD memory card only in an ECG1150 electrocardiograph. SD memory cards formatted in
other ECG models cannot be used in this electrocardiograph.
NOTE Formatting deletes all data in the media. Back up the necessary data before formatting. 1. Insert the SD memory card into SD card slot on the rear
panel of the electrocardiograph.
2. Display the Data Management screen. Refer to “Displaying the Data Management Screen” in this section. 3. Press “4” to select “Format”. The Data
Management - Format screen appears.
7.16
To cancel formatting, press the Cancel function key. The Data Management screen appears.
7. DATA MANAGEMENT 4. Press the OK function key. The “Formatting. Do not turn the power off” message appears.
5. When the formatting is complete, the “Formatting complete” message appears. Press the OK function key. The Data Management screen appears.
NOTE Do not turn the electrocardiograph power off while displaying the Data Management - Format screen and do not give an impact to the
electrocardiograph.
7.17
7. DATA MANAGEMENT
Printing File List You can print a list of the ECG data that are saved in the media. The list includes measurement date, ID, gender, age and measurement
EDOC.SITE
mode. | Tothe
1. Display ensure
Datathe functioningscreen.
Management of the site,
Refer we
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date” and
message companies engaged in advertising and web analytics. For more information, see the Privacy Policy and Google Privacy & Terms.
appears.
Your consent to our cookies if you continue to use this website. Necessary cookie Accept
3. Press the Enter function key. The cursor appears on the date.
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7.18
7. DATA MANAGEMENT 4. Enter the date with the following keys and press the OK function key. The date is set. Numeric
Key
Numeric
Key
COPY/CAL key
AGE key
F1 function key
GENDER key
F2 function key
EDOC.SITE key
FEED/MARK | To ensure the functioning of the site, we use cookies. We share information about your activities on the site with our partners and Google
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F3 function key
FILTER key
MODE key
F4 function key
RHYTHM key
Clear
Enter
START/STOP key
5. Press the Print function key. The le list of the selected date is printed.
7.19
7. DATA MANAGEMENT
EDOC.SITE | To ensure the functioning of the site, we use cookies. We share information about your activities on the site with our partners and Google
partners:
Copyingsocial
Files networks and companies
in the Internal Memory toengaged
an SD Card in advertising
You can copyand web
the analytics.
ECG data les For more
saved ininformation,
the internal see the Privacy
memory to the Policy and
SD card. Google the
1. Display Privacy
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Management screen. Refer toYour
“Displaying
consentthe Data
to our Management
cookies Screen”toinuse
if you continue thisthis
section. 2. Press
website. “6” to select
Necessary “Copy Accept
cookie int memory > SD”. The “Copy internal
memory les to the SD card?” message appears.
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3. Press the OK function key. The “Copying ECG le. Do not turn the power off” message appears.
To cancel while copying les, press the Cancel function key. The “Canceled” message and the number of copied les appears. Press the OK function key.
The Data management screen appears.
4. When all les are copied, the “All les copied” message appears. Press the OK function key. The Data Management screen appears.
7.20
Section 8 Troubleshooting and Error Messages Recording Clear ECG Waveforms........................................................................................................................ 8.2 AC
Interference.......................................................................................................................................... 8.2 Muscle Tremor Interference (EMG)............................................................................................................
8.2 Wandering Baseline................................................................................................................................... 8.3 Abnormal
Printout...................................................................................................................................... 8.3 Other.......................................................................................................................................................... 8.4
Troubleshooting.................................................................................................................................................... 8.5 Error
Messages.................................................................................................................................................... 8.7 Checking the Software
Version............................................................................................................................. 8.9
8.1
Recording Clear ECG Waveforms AC Interference Appears on the ECG as even-peaked, regular voltages superimposed throughout the tracing. It may
appear in conjunction with muscle tremor.
Causes: • Dirty or corroded lead wire tips or electrodes • Loose electrode connection • Patient or technician touching an electrode during recording •
Patient touching any metal part of a bed or examination table • Broken lead wire, patient cable or power cord • Electrical devices in the immediate area,
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grounded We share
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partners: social networks and companies engaged in advertising and web analytics. For more information, see the Privacy Policy and Google Privacy & Terms.
Muscle Tremor Interference (EMG) Appearstoon
Your consent the
our ECG asifrandom,
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you continue voltages
to use superimposed
this website. on the
Necessary tracing.Accept
cookie It may resemble or occur in
conjunction with AC interference.
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Causes: • Patient is uncomfortable, tense, nervous or apprehensive • Patient is cold and shivering • Patient has a neurological or muscular disorder (e.g.
Parkinson’s Disease) • Examination table or bed is too narrow or short to support limbs comfortably
8.2
Wandering Baseline Appears on the ECG as a uctuation of the tracing up and downward on the grid.
Causes: • Dirty or corroded electrodes • Loose electrodes or electrodes positioned on a bony area • Insuf cient or dried out cardioCream • Oily skin or body
lotions and creams • Rising and falling of chest during normal or apprehensive respiration
When wandering baseline occurs: • Clean skin with alcohol or acetone if necessary • Reposition electrodes • Check the electrode connections • Have the
patient relax
Abnormal Printout During ECG recording, loose or poor electrode contact causes waveform saturation, excessive AC interference, etc. In this case, the
electrocardiograph stops printing to protect the thermal head. Check the electrode attachment.
8.3
Other When an electrosurgical unit (ESU) is used with the electrocardiograph, noise generated by an ESU is superimposed on the ECG waveforms.
Equipment in the same room as the electrocardiograph may generate noise on the ECG waveforms. • Noise from an electrosurgical unit • Noise from the
AC power line • Spike noise caused by electrostatic energy as shown below. The ECG may interpret the noise spike as a QRS or pacemaker spike.
NOTE The baseline becomes at for a while after de brillation to protect the electrocardiograph.
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8.4
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Troubleshooting When trouble occurs, take quick action referring to the table below. If there is any damage or the electrocardiograph is suspected to be
faulty as a result of checking, turn the power off, attach an “Unusable” or “Repair request” label to the electrocardiograph and contact your Nihon Kohden
representative. Trouble When the POWER key is pressed, the electrocardiograph does not operate on AC power (the POWER lamp is not lit). When the
POWER key is pressed, the electrocardiograph does not operate on battery power (the POWER lamp and battery operation lamp are not lit).
Action Check that the power cord is rmly connected to the electrocardiograph and AC socket.
1. Check that the battery is inserted in the electrocardiograph correctly. 2. Check the battery. If it is almost discharged, operate the electrocardiograph on
AC power or recharge the battery. If the remaining battery operation time is less than 15 minutes, replace it with a new one. Nothing can be printed. 1.
Check that the recording paper is set correctly. If the “Check paper and recorder” message appears and noti cation sounds, there is no recording paper.
Correctly set the recording paper. 2. Check that the recorder cover is rmly closed. 3. If the START/STOP lamp is not lit, press and hold down the
START/STOP key until the lamp is lit. 4. If “Report print out” is set to Off in the system settings, set it to On. Refer to “Recording Settings” in Section 3.
During battery operation, the power is 1. Check the battery. If it is almost discharged, operate the turned off during recording. electrocardiograph on AC
power or recharge the battery. If the remaining battery operation time is less than 15 minutes, replace it with a new one. 2. Check that the battery is
inserted in the electrocardiograph correctly. 3. If the battery has been used more than one year, replace it with a new one. The power is turned off during
recording Check the internal memory with “Memory Test” in the System Test. If on either AC or battery operation. the memory is faulty, contact your
Nihon Kohden representative. If the memory is not faulty, power loss might be caused by static electricity. Keep the electrocardiograph away from
materials which generate electrostatic discharge such as curtains. The screen turns black when operating on When “Backlight auto off” is set to On in the
system settings, the LCD AC power. screen automatically turns off to save power. Press any key to turn the screen on again. The power is turned off when
operating on The power is automatically turned off when the “Fail” message battery power. (electrode detachment) is displayed on the screen and there
is no key operation for approximately three minutes to save the battery power. Press the POWER key to resume operation. Refer to “Automatic power off”
in “AC and Battery Operation” of Section 1.
8.5
8. TROUBLESHOOTING AND ERROR MESSAGES Trouble No ECG waveform can be recorded even when the electrodes are attached to the patient
correctly.
Action 1. Check the continuity of the patient cable with “Electrode Input Test” in the System Test. 2. Check that the electrodes are clean. If an electrode is
EDOC.SITE | To
contaminated ensure
with the functioning
electrolyte of the site, we
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ECG waveform
cannot be recorded due to high polarization
Your consent tovoltage. Do not
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website. together.
Necessary cookie4. Check if the skin is cleaned and apply
Accept
electrolyte cream (cardioCream) before attaching the electrodes. 5. If a disposable electrode is used more than once, the ECG waveform cannot be
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recorded due to polarization voltage. Only use new electrodes. Select the rst lead group by pressing the function key. Cannot record all electrodes.
Analysis result recording cannot be 1. If the recording time is less than 10 seconds, the electrocardiograph performed. does not analyze the acquired ECG
waveform. Record the ECG waveform at least 10 seconds. 2. When the printed heart rate is “***”, the electrocardiograph did not detect the QRS waves
because the amplitude of lead II, V1 and V5 are too small. Always check that the heart rate correctly appears on the screen before pressing the
START/STOP key. Recording result is partially missing or When the thermal head is touched with a dirty hand, or comes in faint. contact with cardioCream
or physiological saline solution, this causes missing dots on the recording or reduces recording intensity. Clean the thermal head with the thermal head
cleaner. Take care not to touch the thermal head with a dirty hand when setting the recording paper. The electrocardiograph does not print Excessive
noise during printing causes the electrocardiograph does not anything or recording result is faint. print anything or faint printing to protect the thermal
head. Check that noise is not superimposed on the waveform on the screen and restart printing. Paper skews as it feeds. 1. Check if the speci ed
recording paper is used. 2. Set the recording paper straight by aligning it with the paper guide. 3. When the thermal head is dirty, the recording paper
may skew. Clean the thermal head with the thermal head cleaner. Paper gets jammed in the recorder. Set the recording paper as speci ed in “Setting
the Recording Paper” in Section 2. The screen is not bright and the waveform Adjust the screen brightness. Refer to “Adjusting the Screen cannot be
read. Brightness” in Section 2. The date and time is not correct. 1. Set the correct time in the system settings. Refer to “Changing the Date and Time” in
Section 3. 2. Replace the built-in lithium battery. The lifetime of the battery is about 6 years. Keys on the operation panel do not work. 1. Press the POWER
key for more than 7 seconds to shut down the electrocardiograph. If the cause of the trouble is freezing of the software by static electricity, the
electrocardiograph turns off. 2. Press the POWER key for one second to turn the power on. If error information prints out, contact your Nihon Kohden
representative. The power is not turned off by pressing the Press the POWER key for more than 7 seconds to shut down the POWER key.
electrocardiograph. If the cause of the trouble is freezing of the software by static electricity, the electrocardiograph turns off. If you cannot restart the
electrocardiograph, attach an “Unusable” or “Repair request” label to the electrocardiograph and contact your Nihon Kohden representative. Press the
POWER key for one second to turn the power off. If the electrocardiograph is not turned off, there is a failure in the electrocardiograph. Attach an
“Unusable” or “Repair request” label to the electrocardiograph and contact your Nihon Kohden representative. 8.6
Error Messages When an error message is displayed on the screen, take quick action referring to the table below. Error Message Battery trouble
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The ECG data le was saved by another electrocardiograph. No recording paper. Battery is low. No recording paper. The recorder cover is not closed
rmly. The electrocardiograph received ECG data les from a different model but could not save the les. ––
Action Stop using the electrocardiograph and remove the battery pack. Contact your Nihon Kohden representative. Check that there are ECG data les in
the internal memory or SD memory card. The electrocardiograph cannot manage data that is saved by another electrocardiograph. Set the recording
paper. Operate the electrocardiograph on AC power or charge the battery pack. Set the recording paper. Push the recorder cover in until it is closed
rmly. Retry saving the ECG data les or check the media. Retry deleting the ECG data les or check the media. Contact your Nihon Kohden
representative.
The electrocardiograph cannot edit ECG data les. • The indicated electrode is detached Check the electrode attachment of the or a large polarization
voltage is indicated position. detected. • If two or more limb electrodes are disconnected or the RF electrode is disconnected, no electrode is indicated in
the error message area. Retry formatting the media or check the –– media. The SD memory card is not inserted Retry the operation after inserting the SD
in the SD card slot. card in the slot. The electrocardiograph could not Contact your Nihon Kohden representative. load the ECG data les. The le may be
damaged.
8.7
8. TROUBLESHOOTING AND ERROR MESSAGES Error Message Invalid entry Invalid SD card
Cause The entered data is out of range. The SD memory card is invalid.
Invalid setting le
The setting le could not load correctly. The setting le may be damaged. • Noise superimposed on the indicated electrode waveform. • If noise overlaps
on two or more limb electrodes or on the RF electrode, no electrode is indicated in the error message area. There is not enough space to save new ECG
data le in the memory. Electrocardiograph overheated because it continuously recorded AC interference superimposed on the waveform. The SD
memory card is writeprotected. There is no corresponding patient information data in the selected media. There is no setting le.
Noise
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SD card write-protected Search error
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8.8
Action Enter correct values. Replace the SD card with a new one and retry the operation. Contact your Nihon Kohden representative. Check the electrode
attachment of the indicated position.
Save the ECG data le in another media or delete unnecessary ECG data les. Remove the cause and wait until this message disappears. Unprotect the
SD card and retry the operation. Press the OK function key to close the message window. Change the search condition and search again. Retry the le
operation or check the media to load the ECG data le. ––
Checking the Software Version The software version is printed at the bottom of the paper in automatic or manual ECG recording.
ECG analysis
8.9
Section 9 Maintenance and System Test Check Items After Turning the Power Off.............................................................................................................. 9.2 Cleaning and
Disinfecting the Electrocardiograph................................................................................................ 9.3 Cleaning the Surface of the
Electrocardiograph......................................................................................... 9.3 Cleaning the Display of the Electrocardiograph......................................................................................... 9.3
Disinfecting the Surface of the Electrocardiograph.................................................................................... 9.4 Cleaning the Thermal
Head....................................................................................................................... 9.4 Cleaning the Paper Roller.......................................................................................................................... 9.5 Cleaning the
Sensor................................................................................................................................... 9.5 Cleaning the Wheel Gear........................................................................................................................... 9.5 Cleaning
and Disinfecting the Patient Cable........................................................................................................ 9.6 Cleaning..................................................................................................................................................... 9.6
Disinfecting................................................................................................................................................. 9.6 Cleaning and Disinfecting
Electrodes................................................................................................................... 9.7 Cleaning..................................................................................................................................................... 9.7
Disinfecting................................................................................................................................................. 9.7 Cleaning and Disinfecting Other
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Accuracy..................................................................................................................................................... 9.9analytics. For more information, see the Privacy Policy and Google Privacy & Terms.
Periodic Replacement........................................................................................................................................
9.10 Repair Parts Availability Policy...........................................................................................................................
Your consent to our cookies if you continue to use this website. 9.11 SystemNecessary Test cookie Accept
Screen............................................................................................................................................ 9.12 System Test Items.................................................................................................................................... 9.12
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9.1
Check Items After Turning the Power Off After use, check the following items for the next use. Overview: • Electrocardiograph is not dirty, damaged or in
contact with liquid • No peeling or tear in the operation panel • No key or button is broken • Electrodes are clean and not damaged • Power cord is not
damaged • Cable hanger is not damaged • Recorder is not damaged Accessories: • Enough electrolyte cream • Enough recording paper • Enough
disinfected or sterilized dry electrodes • Patient cable is not frayed or damaged • Electrode lead is not damaged • No crack in the rubber of suction
electrodes Storage: • Electrodes are washed • The battery is fully recharged • The thermal head is clean • The sensor is clean • The power is turned off • No
chemicals or water are near the electrocardiograph • Acceptable storage temperature and humidity
9.2
CAUTION Do not use volatile liquids such as thinner or benzine, because these will cause the materials to melt or crack.
CAUTION Before maintenance, cleaning or disinfection, turn the electrocardiograph power off and disconnect the power cord from the AC socket. Failure
to follow this instruction may result in electrical shock and electrocardiograph malfunction.
9 CAUTION • After cleaning, make sure that the electrocardiograph is completely dried. • Never sterilize the electrocardiograph because the materials may
deform, crack or discolor. • The “CAUTION LABEL” contains important information for operating the electrocardiograph. Clean the label if it is dirty. If the
label is damaged or dif cult to read, contact your Nihon Kohden representative to replace it with a new one.
Cleaning the Surface of the Electrocardiograph Clean the outside surface of the electrocardiograph with a soft cloth moistened with water, neutral soap
orEDOC.SITE
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Cleaning the Display of the Electrocardiograph CAUTION • Do not use a rough cloth. • Do not use acidic, alkaline detergents or alcohol other than ethanol
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or isopropyl.
Clean the display using a dry soft cloth or a cloth which is moistened with neutral soap and wrung out.
9.3
Disinfecting the Surface of the Electrocardiograph CAUTION • Wipe the electrocardiograph thoroughly after disinfecting it with spray. • Do not sterilize or
disinfect the electrocardiograph with ultraviolet light or ozone. • Do not use hypochlorous acid for disinfecting.
To disinfect the outside surface of the electrocardiograph, wipe it with a soft cloth moistened with any of the disinfectants listed below. Use the
recommended concentration. Disinfectant Chlorhexidine gluconate solution Benzethonium chloride solution Glutaraldehyde solution
0.2 0.5
Cleaning the Thermal Head CAUTION • Do not clean the thermal head right after recording because the head is still hot. • Only clean the head with the
provided thermal head cleaner pen. Otherwise the thermal head may be damaged.
To protect the thermal head from abrasion or damage and assure optimum performance and long service life, clean the surface of the head with the
provided thermal head cleaning pen after every 10 sets of recording paper. 1. Turn off the electrocardiograph before cleaning the thermal head. 2. Push
the paper magazine release button and open the paper magazine. 3. Clean the gray colored part of the thermal head with the thermal head cleaner pen.
9.4
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Cleaning the Sensor The paper empty sensor is located as shown left. Clean the sensor surfaces with a cotton swab moistened with alcohol.
If the wheel gear is dirty, clean the wheel gear surface with a cotton swab moistened with alcohol.
9.5
Cleaning and Disinfecting the Patient Cable Cleaning CAUTION Do not immerse the connector in liquid.
CAUTION Do not use volatile liquids such as thinner or benzine, because these will cause the materials to melt or crack.
Clean the patient cable using a soft cloth or a cloth moistened with neutral soap or water and wipe with a dry cloth. Make sure that the patient cable is
completely dried after cleaning. If you leave electrolyte cream (cardioCream) on the patient cable surface and leave the tip wet, it may cause inaccurate
ECG recording due to high skin electrode contact impedance.
Disinfecting CAUTION • Do not use hypochlorous acid for disinfecting. • Wipe the patient cable thoroughly after disinfecting it with spray.
To disinfect the electrode, wipe it with a soft cloth moistened with any of the disinfectants listed below. Use the recommended concentration.
Disinfectant Chlorhexidine gluconate solution Benzethonium chloride solution Glutaraldehyde solution Benzalkonium chloride Alkyldiaminoethylglycine
hydrochloride
9.6
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melt or crack.
Wipe the electrode using a gauze moistened with below 35°C (95°F) warm water and neutral soap or invert soap or, cotton moistened with alcohol. Make
sure that the electrode is completely dried after cleaning. If you leave electrolyte cream (cardioCream) on the electrode surface or leave the metal part
wet, it may cause inaccurate ECG recording due to high skin electrode contact impedance.
Disinfecting CAUTION Do not sterilize electrodes by boiling. It may damage the electrode.
To disinfect the electrode, wipe it with a soft cloth moistened with any of the disinfectants listed below. Use the recommended concentration.
Disinfectant Ethanol Benzalkonium chloride Benzethonium chloride solution
Cleaning and Disinfecting Other Options Refer to the operator’s manual of each option.
9.7
Regular Check Check the following items regularly to keep your instrument in optimal condition. Overview: • Electrocardiograph is not dirty, damaged or
rusty • Electrocardiograph and cart are not broken or rattling • Recorder cover release button is not broken Input circuit: • Electrode lead is not cut or
broken • Sensitivity and time constant are correct • AC lter and high-cut lter operate correctly • Patient cable is not dirty or damaged • Patient cable is
not broken Screen: • Contrast and backlight brightness are correct • Battery charge lamp operates correctly • Waveform display and other screen display
are correct Recorder: • Speci ed recording paper is used • Paper feed properly • No missing dots on printing • Paper empty sensor operates correctly
Power: • Power cord is not broken • Supplied voltage is correct Operation: • Electrocardiograph passes all check items in the System Test screen • QRS
synchronization sound and noti cation sound are correct • System settings are correct and are saved correctly • Date and time are correct Safety: • No
current leakage PC card and accessories: • SD memory card operates correctly • Enough accessories
9.8
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storage temperatures of –20 to +65°C, the accuracy of the clock IC of this instrument is about –12.6 s to –3 min 49 s per month. Periodically check that the
date and time on the printing result is correct. To change the time setting, refer to “Changing the Date and Time” in Section 3.
9.9
Periodic Replacement To maintain the performance of the electrocardiograph, the following parts must be periodically replaced by quali ed service
personnel. Built-in battery One year When the battery deteriorates, the battery operation time is less than 30 minutes after 10 hours charging. Replace
the battery with a new one if operation time is less than 30 minutes after charging. LCD 75,000 hours When the LCD deteriorates, the screen display
becomes darker. The initial screen brightness is reduced to half after 75,000 hours. Built-in lithium battery 6 years This battery backs up system settings
and system clock. When the battery power is low, the time is not accurately recorded and the system settings returns to the factory default settings.
Thermal head 30 km continuous recording When the thermal head wears out, the recording density gets weaker due to missing dots. Feeder motor
3,000 hours continuous operation When the motor wears out, the recording paper may feed unevenly or at unstable speed. For inspection and
replacement of the above parts, consult your Nihon Kohden representative.
9.10
Repair Parts Availability Policy Nihon Kohden Corporation (NKC) shall stock repair parts (parts necessary to maintain the performance of the instrument)
for a period of 8 years from the date of delivery. In that period NKC or its authorized agents will repair the instrument. This period may be shorter than 8
years if the board or part necessary for the faulty section is not available.
9.11
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Your consent to our cookies if you continue to use this website. Necessary cookie Accept
System Test Screen This section provides brief explanations of each test or function and explains how to display the System Test screen. For details, refer
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to the Service Manual. There are 10 items in the System Test screen.
This is used to demonstrate the electrocardiograph. Dummy 12 lead ECG waveforms are displayed.
• Recorder Test:
This is used to check the recorder by printing a test pattern. Adjust the recorder based on the printout.
• Key Test:
This is used to check the keys on the operation panel. The name of the pressed key is displayed on the screen.
• Memory Test:
This is used to check the memory by comparing the data of the test patterns written to and read from each memory area.
• LCD/LED Test:
The LEDs on the operation panel light up one by one. Then the LCD displays four test patterns.
This is used to check if the input analog signal processing circuit detects the lead off condition correctly using the input check jig. If a lead is not
connected, the “Error” message is displayed on the screen.
In this test, the input analog signal processing circuit generates 1 mV rectangular waveforms that are printed.
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9.12
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2. Press the POWER key while pressing the FEED/MARK key. The System Test screen is displayed. 3. Select the desired item with the
or
function key.
4. Press the Test function key or START/STOP key to execute the item. 5. Press the Cancel function key or START/STOP key to nish the item.
9.13
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10
10. REFERENCE
Speci cations ECG Input Input impedance: Electrode offset tolerance: De brillation-proof: Common mode rejection ratio: Patient leakage current:
Standard sensitivity: Internal noise: Interference between channels: Frequency response: Sample rate:
≥ 50 MΩ ≥ ±550 mV Isolated and de brillator protected only when the following speci ed patient cable is connected Patient cable: BJ-901D, BJ-902D, BJ-
903D, BA-901D, BA-903D, BJ-961D Recovery time: ≤ 10 s (IEC 60601-2-25: 1993 51.102 compatible) ≤ –110 dB ≤ 5 × 10-8 A 10 mm/mV ±5% ≤ 20 µVp-v ≤ –40 dB
150 Hz (≥ 71%, high-cut lter: 150 Hz) 8000 sample/s
Waveform Data Processor Sample rate: Response to minimum signal: EMG lter: High cut lter: AC line lter: Drift lter: Time constant:
500 samples/s, 1.25 µV/LSB ≤ 20 µVp-v 25, 35 Hz (–3 dB) 75, 100, 150 Hz (–3 dB) 50, 60 Hz Weak: 0.1 Hz (–20 dB), Strong: 0.1 Hz (–34 dB) ≥ 3.2 s
Recorder Recording speed accuracy: Printing density: Scanning line density: Number of recording channels: Paper speed: Recording paper: Mechanical
noise: Printed data:
≤ ±5% 200 dpi (8 dots/mm), 320 dots/mm2 (25 mm/s) 1 ms 1, 2, 3 10, 25, 50 mm/s 63 mm width, 30 m roll paper ≤ 48 dB at paper speed 25 mm/s Program
type, version, date and time, paper speed, sensitivity, lead name, lter, Patient information (ID number, sex, age), event mark, electrode detachment,
noise
10.2
≥ 90 minutes IEC 60601-2-51: 2003.2 56.7 Under the conditions of operating temperature 25°C, 4 ch recording
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4.8 inch 320 × 240 dots Waveform, patient information,
Your consent recording
to our cookies settings,
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use this website. rate, QRS
Necessary sync mark,
cookie error message, electrode
Accept
detachment, noise
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Environment Operating environment Temperature: Humidity: Atmospheric pressure: Storage environment Temperature: Humidity: Atmospheric
pressure: Other:
5 to 40°C (41 to 104°F) 25 to 95% RH (noncondensing) 25 to 80% RH (recording paper) 700 to 1060 hPa
10
–20 to +65°C (–4 to +149°F) –20 to +50°C (–4 to +122°F) (recording paper) 10 to 95% RH 10 to 90% RH (recording paper) 700 to 1060 hPa Indoor portable
260 W × 50 H × 200 D mm (excluding protrusions) Approx. 1.5 kg (without battery or recording paper)
Safety Standard Safety standard: IEC 60601-1: 1988 IEC 60601-1 Amendment 1: 1991 IEC 60601-1 Amendment 2: 1995 IEC 60601-2-25: 1993 IEC 60601-2-25
Amendment 1: 1999 IEC 60601-1-2: 2001 Type of protection against electrical shock: CLASS I EQUIPMENT (AC Powered) Internally Powered EQUIPMENT
(BATTERY Powered) Degree of protection against electrical shock: De brillator-proof type CF applied part when patient cable BJ-901D, BJ-902D, BJ-903D,
BA-901D, BA-903D or BJ-961D is used Degree of protection against harmful ingress of water: IPX0 (non-protected)
10.3
10. REFERENCE Degree of safety of application in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS
OXIDE: Equipment not suitable for use in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDE Mode
of operation: CONTINUOUS OPERATION Electromagnetic Compatibility IEC 60601-1-2: 2001 IEC 60601-1-2 Amendment 1: 2004 Electromagnetic Emissions
This Model ECG-1150 is intended for use in the electromagnetic environment speci ed below. The customer or the user of the ECG-1150 should assure
that it is used in such an environment. Emissions test RF emissions CISPR 11
Compliance Group 1
RFEDOC.SITE
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61000-3-3
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Class B Your consent to our cookies if you continue to use this website. Necessary cookie Accept
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10.4
Class A
Electromagnetic environment - guidance The ECG-1150 uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not
likely to cause any interference in nearby electronic equipment. The ECG-1150 is suitable for use in all establishments, including domestic establishments
and those directly connected to the public lowvoltage power supply network that supplies buildings used for domestic purposes.
Complies
10. PREPARATION Electromagnetic Immunity This Model ECG-1150 is intended for use in the electromagnetic environment speci ed below. The
customer or the user of the ECG-1150 should assure that it is used in such an environment. Immunity test
Compliance level
±6 kV contact ±8 kV air
±2 kV for power supply lines ±1 kV for input/output lines ±1 kV differential mode ±2 kV common mode
±2 kV for power supply lines ±1 kV for input/output lines ±1 kV differential mode ±2 kV common mode
Electromagnetic environment - guidance Floors should be wood, concrete or ceramic tile. If oors are covered with synthetic material, the relative
humidity should be at least 30%.* Mains power quality should be that of a typical commercial or hospital environment.*
Mains power quality should be that of a typical commercial or hospital environment. Voltage dips, short <5% UT (>95% dip in UT) <5% UT (>95% dip in UT)
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that the ECG-1150 be powered from
for 25 cycles for 25 cycles an uninterruptible power supply or a battery. <5% UT (>95% dip in UT) <5% UT (>95% dip in UT) for 5 s for 5 s Power frequency 3
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A/m 3 A/m Power frequency magnetic elds should (50/60 Hz) be at levels characteristic of a typical magnetic eld location in a typical commercial or IEC
61000-4-8 hospital environment. NOTE 1: UT is the AC mains voltage prior to application of the test level. NOTE 2: Electrostatic energy may generate spike
noise which is superimposed on the ECG waveforms. NOTE 3: Noise from AC power line may generate noise which is superimposed on the ECG
waveforms. * This electrocardiograph may show temporary degradation during exposure of ESD, fast transients and bursts. Within 10 s the
electrocardiograph shall resume normal operation in the previous operating mode, without loss of any system settings or stored data, and shall continue
to perform its intended function as described in this manual.
10.5
10
10. REFERENCE
Immunity test
Compliance level
Electromagnetic environment - guidance Portable and mobile RF communications equipment should be used no closer to any part of the ECG-1150,
including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
3 Vrms
3 Vrms
3 V/m
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strengths from xed RF transmitters, as determined by an electromagnetic site survey*1, should be less than the compliance level in each frequency
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range*2. Interference may occur in the vicinity of equipment marked with the following symbol:
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic
propagation is affected by absorption and re ection from structures, objects and people. 1 * Field strengths from xed 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 xed RF transmitters, an electromagnetic site survey should be
considered. If the measured eld strength in the location in which the ECG-1150 is used exceeds the applicable RF compliance level above, the ECG-1150
should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or
relocating the ECG-1150. *2 Over the frequency range 150 kHz to 80 MHz, eld strengths should be less than 3 V/m.
10.6
10. PREPARATION Recommended Separation Distances between Portable and Mobile RF Communications Equipment The ECG-1150 is intended for use
in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the ECG-1150 can help prevent
electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the
ECG-1150 as recommended below, according to the maximum output power of the transmitter. Separation distance according to frequency of
transmitter (m) 150 kHz to 80_ MHz 80 MHz to 800 800 MHz to 2.5 _ MHz _ GHz d = 1.2√P d = 1.2√P d = 2.3√P 0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10
3.8 3.8 7.3 100 12 12 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be
estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts
(W) according to the transmitter manufacturer. Rated maximum output power of transmitter (W)
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations.
Electromagnetic propagation is affected by absorption and re ection from structures, objects and people.
10
System Composition for EMC Test The ECG-1150 electrocardiograph is tested to comply with IEC 60601-1-2: 2001, Amendment 1: 2004 with the following
composition. If any part which is not speci ed by Nihon Kohden is used, the EMC speci cations may not comply. Units ECG-1150 electrocardiograph
Battery pack, SB-901D Patient cable, BJ-901D Patient cable, BJ-961D Holter card, QM-064D Ground lead type D
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General Requirements for Connecting Medical Electrical Systems When more than one electrical instrument is used, there may be electrical potential
difference between the instruments. Potential difference between instruments may cause current to ow to the patient connected to the instruments,
resulting in electrical shock (micro shock). Therefore, electrical instruments must be appropriately installed as speci ed in IEC 60601-1-1: 2000 Second
edition. The following is an extract from IEC 60601-1-1 “Medical electrical equipment Part 1-1: General requirements for safety”. For details, refer to IEC
60601-1-1 and consult with a biomedical engineer. Examples of combinations of MEDICAL ELECTRICAL EQUIPMENT and non-medical electrical
equipment Medically used room Situation No. 1 1a Items A and B in PATIENT ENVIRONMENT
1c Item A powered from speci ed power supply in item B in PATIENT ENVIRONMENT 2 2a Item A in PATIENT ENVIRONMENT and item B in medically
used room 2b Item A in PATIENT ENVIRONMENT and item B in medically used room 3 3a Item A in PATIENT ENVIRONMENT and item B in non-medically
used room
IEC 60601
IEC 60601
IEC 60601
IEC XXXXX
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IEC 60601
IEC 60601
IEC 60601
IEC XXXXX
IEC 60601
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10. PREPARATION KEY TO TABLE • Additional protective earth: If necessary, provide additional protective earthing, which is permanently connected (see
also 58.201). NOTE: Equipment modi cation may be required. • Separating transformer: If necessary, limit the ENCLOSURE LEAKAGE CURRENT, by using
an additional separating transformer according to annex EEE. NOTE 1: No equipment modi cation is required. NOTE 2: A separating transformer is a
transformer with one or more input winding(s) separated from the output winding(s) by at least basic insulation [IEC 60989]. • SEPARATION DEVICE: If
necessary, apply SEPARATION DEVICE. • IEC 60601: MEDICAL ELECTRICAL EQUIPMENT in compliance with IEC 60601. • IEC XXXXX: Non-medical
equipment in compliance with relevant IEC safety standards.
10
10.9
10. REFERENCE
Standard Accessories NOTE • Only use Nihon Kohden speci ed parts and accessories to assure maximum performance from your instrument. • When
ordering the following accessories/consumables, specify the supply code. When the supply code is not provided with the accessory, specify the model or
code number. 1
No. 1 2 3
10.10
EDOC.SITERecording
Description | To ensurepaper,
the functioning of the site,
RQS63-3 Thermal head wecleaner
use cookies. We share
Input check jig information about your activities on the site with our partners and Google
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10. PREPARATION
Options and Consumables Optional Accessory Kit NOTE • Only use Nihon Kohden speci ed parts and accessories to assure maximum performance from
your instrument. • When ordering the following options/consumables, specify the supply code. When the supply code is not provided with the accessory,
specify the model or code number. YD-100D: 220 to 240 V, IEC ECG lead (3 mm diameter) YD-101D: 100 to 127 V, IEC ECG lead (3 mm diameter) YD-102D:
100 to 127 V, AHA ECG lead (3 mm diameter) YD-103D: 220 to 240 V, IEC ECG lead (4 mm diameter) Description
Q’ty
Supply Code
K019
K111
K081
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L935
Type N
L936
H041
H043
H068
H068K
Patient cable
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Operator’s Manual ECG-1150
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10.11
10
10. REFERENCE
Options for the Electrocardiograph Description Battery pack cardioCream, 100 g Cart Cart Patient cable hanger Patient cable BA-901D, AHA 3 mm
diameter tip BA-903D, AHA clip BJ-901D, IEC 3 mm diameter tip, thin cable BJ-902D, IEC/DIN 4 mm diameter tip BJ-903D, IEC/DIN clip BJ-961D, IEC 3
mm diameter tip, thick cable SD memory card SD memory card Ground lead type D
10.12
Q’ty 1 2 1 1 1
111111111
— — — — — — QM-001D QM-064D/QM-064DE —
10. PREPARATION
Character Code List Enter the character code to enter the “Hospital” name on the System Settings of the System Setup.
How to Read the Character Code List The character code is a four digit number for each character. Search for the character in the list on the next two
pages. Replace the * in the left side number with the number (0 to 9) at the top of the column. If you enter a character code for a blank area which does
not have a character, an unexpected character may be entered.
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10.13
014* 015* 016* 017* 018* 019* 020* 021* 022* 023*
034* 035* 036* 037* 038* 039* 040* 041* 042* 043* 044* 045* 046* 047* 048* 049* 050* 051* 052* 053* 054* 055* 056* 057* 058*
9
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!"#$%&' ( ) *+ , - . / 0 1 2 3 4 5 6 7 8 9 : ; <= >?@ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ ₩ ] ^ _ ` a
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10
11
12
16
068*
168*
069*
169*
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075* 076*and companies engaged in advertising and web analytics. For more information, see the Privacy Policy and Google Privacy & Terms.
077*
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㎕㎖㎗ ℓ ㎘㏄㎣㎤㎥ ㎦㎙㎚㎛㎜㎝㎞㎟㎠㎡ ㎢㏊㎍㎎㎏㏏㎈㎉㏈㎧ ㎨㎰㎱㎲㎳㎴㎵㎶㎷㎸ ㎹㎀㎁㎂㎃㎄㎺㎻㎼㎽ ㎾㎿㎐㎑㎒㎓㎔ Ω ㏀㏁ ㎊㎋㎌㏖㏅㎭㎮㎯㏛㎩ ㎪㎫㎬㏝
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㏐㏓㏃㏉㏜㏆
17
78*
178*
79*
179*
10.14
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19
194* 195* 196* 197* 198* 199* 200* 201* 202* 203*
20
21
22
129*
167*
071*
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119*
067*
070*
109*
059*
085*
099*
033*
084*
029*
032*
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098*
partners: social networks and companies engaged in advertising and web analytics. For more information, see the Privacy Policy and Google Privacy & Terms.
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028* 030*
229*
23
234* 235* 236* 237* 238* 239* 240* 241* 242* 243*
24
4
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6
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25
254* 255* 256* 257* 258* 259* 260* 261* 262* 263*
26
264* 265* 266* 267* 268* 269* 270* 271* 272* 273*
27
274* 275* 276* 277* 278* 279* 280* 281* 282* 283*
28
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29
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294* 295* 296* 297* 298* 299* 300* 301* 302* 303*
30
304* 305* 306* 307* 308* 309* 310* 311* 312* 313*
31
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324* 325* 326* 327* 328* 329* 330* 331* 332* 333*
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334* 335* 336* 337* 338* 339* 340* 341* 342* 343*
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344* 345* 346* 347* 348* 349* 350* 351* 352* 353*
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354* 355* 356* 357* 358* 359* 360* 361* 362* 363*
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364* 365* 366* 367* 368* 369* 370* 371* 372* 373*
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374* 375* 376* 377* 378* 379* 380* 381* 382* 383*
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394* 395* 396* 397* 398* 399* 400* 401* 402* 403*
40
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10.15
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