Kenz-ECG- 03 Single Channel Digital Electrocardiograph Operation Manual Caution: Fedoral law restricts thie device to sale by or on the order of a physician, aeAttentio Thank you very much for purchasing the Kenz-ECG-103, Suzuken’s sophisticated single channel digital electrocardio- graph. Please read this manual thoroughly before operating this device in order to obtain the best results and longevity.1. Be completely familiar with the operating methods before using ine equipment. 2. Installation and maintenance 4) Install and etore the equipmont in a dry place. 2) Do not locate the equipment in such a place where it might be affected by humidity, ventilation, direct sunlight ‘or air born dust, salt, sulfur, et. 3) Do not eleo vibrate or jolt the equipment. 4) Do not locate the equipment in such places where chemicals are stored or gases are generated. 5) The equipment must be operated at the voltage end frequency specitied, 6) Ground the equipment properly when instaling, 3. Preliminary procedures 1) To use tne optional battery, fully charge the baitery for at least 6 hours. 2) Ensure that the equipment operates normally and saioly. 4) Ensure that the grounding lead wire and other cabies are connected properly and safely. 4) Before using with other instruments, consult the specialist in charge. 4, Procedures during use 1) Carefully monitor the patient and equipment. It any abnormality is detected, immediately take appropriate action to ensure the safety of the patient. 2) Do not let the patient interfare with the equipment or any othor clactric devices. 5. Procedures after use 1) Turn off the power button. 2) Properly detach the cabies from their plugs 3) Keop the equipment clean to ensure trouble-free operation 6. Incase of a malfunction, inform a technician with details of the problem. 7. Periodically check the equipment and its parts. '& Never modify the equipment.Manual) Changes This section is for noting any changes of this manual Page Details of change Date10 vi Table Of Contents Name and Function of Each Part of the Instrument. 6 Names and Functions of Operation Panel Keys ........... 7 Names and Functions of Dip Switch Settings ............. 7 LCD (Liquid Crystal Display) Recording Mode 1) Auto 1 modo «+++ 2) Auto 2mode ...-+ ++ 3) Auto 3made ...+. ++ 4) Manual mode ...... Preliminary Procedures .........+- 1) Grounding connection for AC operation 2) Battery operation «++ 3) Charging battery ... 4) Paper loading ..... 5) Electrode attachment ...--..2--2.2000 Operating Instructions . 1) Auto 1 mode ....+ 2) Auto 2, 3mode . 3) Manual mode Self-test Function . 1) Sell-test program .... + 2) Printer test prooram Troubleshooting Flow Chart Circuit Block Diagram ..... Specifications and standard accessories .....©o e008 INCITS GH FUT UE Lau ran ur the Instrument Recording Paper Magazine Lever. Power Button Grounding Terminal AC Inlet Plug for power cable Recording Paper Magazine RUN/STOP Key ‘When this key is prossed, the instrument starts recore- Ing the ECG and stops when the key is pressed again Operation Panel ‘See page 7 for move information on keys. LCD (Liquid Crystal Display) Displays the operating status. Electrocardiograph Input Connector External Input Connector ‘Analog sigral input connector for an external device, (tomm/0.5V) Exiomal Output Connector ‘Output terminal for ECG monitor ‘Sol-up Dip Switches ‘See page 7 for detailed intormetion.Names and Functions of Operation Panel Keys o @ 9 FUER. sewfuy ws Ea TI J) reco wv | sr |] 22 © @ © Muscle Tremor Fitter Key Preseing this key will set MF 1. A next pressing will set (MF 2. And a following pressing will tur the fter off. MF 1... Sight muscle tremor MF 2.... Vigorous muscle tromor @ Recording Speed Key Recording speed is selectable in manual made only either at 25mm/sec or S0mm/sec. © Sensitivity Selection Key ‘Sensitivity is selectable in manual mode only either at 5, 10 oF 20mm/mv. @ Lead Selection Key Recording will start from the lead selected by pressing this Key. o ® © Paper Food Key When this key Is pressed, the printer will feed the paper. © Cattbration Key \Whon thie Koy is pressed, 1mV square waveform will be printed. (manual mode only.) @ INST Key In manual mode, this Key is used to reset the level of the ECG trace, © AUTOIMNL Key (Mode Selector Key) ‘This Koy selecte among the manual (MNL) and 3 AUTO modes in the sequence shown. carer ~ AUTO.2~ AUTOS MANUAL Names and Functions of Dip Switch Settings ‘These switches control various functions when set either ON or OFF. mo) 1 Emre 3m . 40 4 Frequency one (OFF) Soe ON) sc 5 HinvorttFiter OFF ON 6c 6 Racaciog Peper Wath SSrm (OFF) Son (ON | 7 AstoGan of ON scm 8 BastlneFineness fina ine Sancars esate eaestaa enemas ro (response: faz] [oil lao [ el i 7 [or ow or favlor [ox lor low snow [2 Joo on [on oror| on [ow 4 for lorlorefre[ on ov [on [ow‘E=35 LD (Liquid Crystal Display) [EJ when power is turned on, the following display appears on the LCD. Prot Name | Kenz - ECG - 103 (Ver 1.0) G Display during Operation 7 _ au tee peony ons chRecording Mode EE auto 1 move | Normal automatic recording mode T= I= ll an = ai ~ aVe— Vi— Ve Va— Ve Vs = Vo [Ei euro 2 move | Reverse-recording mode Vo~ Vs-— Va= Va Vo Vim ae = ai ~ Ve = = 1 [i -uto 3 move | 3 channel format recording Easily siuck onto an ECG mount I= aVn—~ Vi Va~ = aVi = Ve Vs = IM = Ve = Vo ~ Vo T aVe Vi. Va| MW aVu. V2. Vs | Ill iaVei va: Vo L | j ‘he recording inthis De V4 format can be segregeted (with scissors) into 3 trecks and stuck onto fan ECG mount I iaVii V2! Ill (aVr; V3: Ve [Ej manua move Standard manual operation Lead selection, sensitivity adjustment and calibration can be performed manually.10) Preliminary Procedures [El Grounding Connection for AC Operation Connect one end of the grounding lead wire to an appropriate grounding terminal and tho other end to the protective ‘grounding terminal located on the back panel of the instrument. Never ground this instrument to water or gas pipes. [Ey] Battery Operation AUTO 1 * STD & MFI eee 10) 25 Prose the power bution and chock for the display on the LCD. “The dieplay on the LCD will flash "Battery?" if the battery charge lavel is too low. In euch a case, recharge the battery 10[El charging Battery | Plug the power cable into a suitable wall outlet and press, the poner button, Charge the battery for at least € hours, Winen fully charged, the battery will have sufficient power for ane hour continuous operation, ‘The battery lasts for 2 years under normal use and can be recharged about 500 times. @ Open the paper magazine by sliding the lever to the right. (Fig. 1) @ insert the spoo! into the paper roll. Set the paper in the magazine box as shown in Fig. 2 © Advance some paper and snap the paper magazine shut © Check that the paper comes out properly by pressing the FEED key. (Fig. 3) Note: The display “paper empl" will appear on the LCD i the paper is not loaded property or has run out Itis necessary to use ECG paper specified for the Kenz-EOG-103. Otherwise. unclear tracing and damage to the Thermal Head may result[By Etectrode attachment 1. Connect the ECG input cable to the ECG input connector ‘and atiach the electrodes. 2. Limb electrodes Choose the soft portion of both arms and ankles. ’) Clean the electroce contact positions with alcohol, i) Apply ECG cream. ji) Also apply ECG cream over the contact surface of the electrode, and then firmly attach the electrode. 1 Kenz-Goleet, gos pad is used, steps i) and il) can be corrities. Limb electrode locations and thelr colors ( y:aao coton 2 Fig Tos, Le Lat 108 3. Chest electrodes Allach chest electrodes in the seme ‘mannar i) i) fi) as in 2 Chest electrode locations and their colors Fourth intercostal space ‘right ge of rmaey Res @ Foun ntercosta epoce ‘niet edgeot serum Yellow @ Mie-point of tele eomnnetng @)and@ Green @ Fim marostl space on left nedelevievartine @ tok entre asta ine The horecatl etl of @) Black (Orange) @ Lok micaiar ine a fhonoreontal eel at @ Pup Brow (Bu) or Lead Color ight am] Loft arm [Rit eg | Let Top Tent 2 | Ghast 3 | Ghest 4 [Crest 5 | Grest 6 coe | PA | uA | mF | lca ca | ca | cs | co ec | Red | Yalow | Black | Green Yelow | Green| Brown | lack | Purple aut | Write | Black | Greon | Red Yotow | Green| Bue | orange | Purple | (Cautor: Ensure tal he ches ostroces lier Grey on 8 ri or actly oe an meron space. Pacing ches eectiods in anyother way wil couse thw elostode toto and aod to eneesive boi wander as ie pale breatnes. 2Operating Instructions [Ej auto 1 move ~ o @ ] Power Button On To start press: POWER RUN Recording ends - o ae RN oe ee Ey auto 2, 3 move o e ® Power Button On Geecl mode To sat prose POWER: AUTO. = RUN co MNL STOP MANUAL MODE o @ e ° = ower baton] | Suastmede | |” Selstiead | [Tost pose POWER => AUTO] [aD = RUN co MNL

> FEED (2) A/D converter and power supply testing. Example ‘An A/D number will be displayed in the upper row on the sTD 200H LCD. If the number is from 100H to 300H, the A/D converter is normal. Power voltage will be displayed in the lower row on the POWER, 234H bee. oo For kattory operation, a number loss than 200H means the battery neads recharging, [Ei Printer Check Program ‘Test printing is performed by holding down the FEED key and chen pressing the power bution, * Test printing will continue until the power button is pressed, 4Troubleshooting Flow Chart This section concerns troubleshooting procedures to correct poor ECG recordings. ECG tracing is unclear Is paper sot property? |__| Set paper properly YES, 1 Repaired? — NO YES Is specified recording paper i recor Ivo L_Use sbecities paver Yes be - Repaired? Jo. Yes 5 Call service engineerAC interference ‘Ave any X-ray, ultrasonic or other electronic instruments nearby? YES NO ‘ Move the electrocardiograph away from tho instruments or turn off instruments. Is electrocardiograph properly grounded? VES 1 ‘Are all electrodes screwed tightly enough to their leads? YES 1 Is dip switch No. 5 of Hum/Drift filter set off? wo Repaired? ke Wo +L sroune properiy. wo Repaired? ve bag LTiahten screw ty. —p| Pepaires? a WoL Set on ap switch No.6 YES Call service engineer. END |_——___ sired? L— Repoites YES 16Vertical wandering of ECG baseline 1s patient moving or talking? a Keep patient stil NO = Repaired? NO ves Are patient's skin and electrodes: Wash skin and electrodes with | clean? [No] either soap and water or cotton saturated with alechol. ves “ wal Repairea? aE | | Is dip switch No. 5 of Hum/Drift 5 Hee ~ Sot on dip owitch No. 5. YES, | | red? | wo Repaired? aE Call service engineer.EOG is disturbed by fine and irregular waves such 2s EMG, etc. | nso? Is patient tense’ 7 NO ——-| Put the patient at ease by gently explaining how simple and harmless the ECG procedure is. See Repaired? I. WoL ees YES Is room temperature too low? ——+| Maintain room temperature at a ves lovel comfortable to patient | nO | Repairea? | wo ere Yes ‘Are patient's skin and electrodes __| Wash skin and electrode with either are clean? NO soap and water or cotton saturated + with alechol. [ves | Repaired? NoL See YES 1 Is each electrode properly attached to the patient? VES Properiy attach electrodes. Repaired? |__| Re YES Is muscle tremor filter on? NO —+{ Set on MF 1 or MF 2. YES Call service engineer. END | —_{ Repaired? e YES 18Paper does not feed. 15 paper magazine propery set” | =| Reset paper magazine properly. YES - ? no L Repaired = ? ——+| Load new paper. Is paper used up’ ves pap NO ? a LARS YES 's specified recording paper used? |= --[ Use specified paper YES) — —_| Ropaired? L_—__——+ NO VES Call service engineer. end |LCD shows no display. |s power bution pressed on? w Press power button on. YES Repaired? no Looe ves poration by batter . — — partion by battory? | YES Is battary fully charged?” |_—+[ Charge fully Is power cable properly ING connected to AC YES eB Power source connector? NO | Connect it properly 1 | wal _Repairea? YES Call service engineer. ||? END pa10 Circuit Block Diagram ay / T / nou L aff t Hof 4 fHouwrnesu] / _. ji ONHOUINS| 1, ‘4 ty 2 a Z oa oy aa oe Pe o| | Bin ‘o. Or a TT nas vos “es aes cnvoe won 1 Jan wane we L = Pe 1 on FF 1 ---- Beis bien em 1 [ ava tare : J met ET oa ee g 4 uous SAS et i sed oi [Thc ' =f ST Ross NORIOr= Specifications and standard accessories SPECIFICATIONS Leeds ‘Standard 12 lead | input impedance ‘over 20 MO | CRM iE ‘over 120.68 Frequency Response 1.05-100 Hz (witin -3 8) Time Gonstant over 32 sec. - Filters Digital fiter A ~3.d8 (60 Hz) oF more Muscle 1 - 3 8 (95/45 Hz) or more Muscle 2 :-5 dB (35/45 Hz) or more Drift" --8d8 (05 H2) or mora Calibration 5, 10, 20 mmimnV in manual mode _| Automatically solscts 5 mm/m\ or 10 mm/m\ | osvimv 10 mm/0.8V co ‘Automatic centering Recerding Mode ‘AUTO 1: Norma automatic recording ‘AUTO 2 : Reverse-recording AUTO 3 Track-ecarding MANUAL Master “Autores record lead and tne rterals. | Recoraing Paper Rll paper, 69 mn » 90 M er 50 mm » 20 M 7 {use han sensitity ecorsing papen Rosording Spoed 25 mr/e0s. and 50 mm/sec. Recording Time Select 3, 4,5,6 7,8, 8 oF 10 seo. in automatic mode. ~ Power Supply ‘AG 100, 120, 220 240V ( 10%) (Fixed before shipping) 1G builtin rechargeable Ni-Cd battery (Gption) Classification (EC) Class 1 type OF Dimensions 205 |W) x 210 (0) «80 (H) mm ‘Weight Approx. 28 kg STANDARD ACCESSORIES Patient cable 1 Pe ECG clip-on electrode (4 pesiset) set Chest electrode, suction for adult (6 pes/set) 1 set ECG electrode cream (70 a) i pe Power cable 7 Tp “Grounding wire pe Fuse 2 pcs ‘Accessories bag TPs Recording paper i 1 roll Instruction manual 1p 22SUZUKEN CO.,LTD. HEAD OFFICE : 8, HIGASHIKATAHA-CHO, HIGASHI-KU, NAGOYA 461-8701, JAPAN TEL (02) 950-6327 FAX(052) 962-7440