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Ecg 1150 User Manual
Ecg 1150 User Manual
Electrocardiograph
ECG-1150
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.
1
Contents 2
GENERAL HANDLING PRECAUTIONS
PRECAUTIONS ............................................................................. i
WARRANTY
WARRANTY POLICY ..................................................................................
.........................................................................................................
....................... ii 3
EMC RELA
RELATED
TED CAUTION...........................................................................................
..................................................................................................iii
.......iii
Conventions Used in this Manual and Instrument .............................................................. v 4
Warnings, Cautions and Notes ................................................................................. v
5
Explanations of the Symbols in this Manual and Instrument ................................... vi
On panel...................................................................................
........................................................................................................
..................... vi
On operation panel ...................................................................................
........................................................................................vii
.....vii
6
On screen ......................................................................................................vii
7
On patient cable ............................................................................................vii
Section 1 General...........
.......................
........................
.......................
.......................
........................
.......................
.............
.. 1.1 9
Introduction ......................................................................................................................1.2
Intended Use .........................................................................................................1.2 10
Features.............................................................................................
.................................................................................................................
.................... 1.2
Composition.......................................................................................
...........................................................................................................
.................... 1.2
General Safety Information ..............................................................................................1.3
General ..................................................................................................................1.3
Installation .............................................................................................................1.3
Battery Pack ..........................................................................................................1.5
Operation ...............................................................................................................1.6
Maintenance ..........................................................................................................1.7
Panel and Parts Descriptions...........................................................................................1.8
Descriptions...........................................................................................1.8
Front Panel ............................................................................................................1.8
Left Side Panel ......................................................................................................1.8
Operation Panel .....................................................................................................1.9
Right Side Panel ..................................................................................................1.10
Rear Panel ...........................................................................................................1.11
Patient Cable .......................................................................................................1.11
Functions .......................................................................................................................1.12
Basic Operation (Function Keys Keys,, Panel Keys, Number Keys) ........................................ 1.14
Switching Screens .........................................................................................................1.15
AC and Battery Operation ............................................................................................
..............................................................................................
.. 1.16
Power
Power and Battery Status Indications .................................................................. 1.17
CONTENTS
CONTENTS
4
Section 4 Attaching the Electrodes and Entering Patient
5
Information
Information ............
........................
.......................
.......................
........................
.......................
.................
...... 4.1
Attaching the Electrodes ..................................................................................................4.3 6
Attaching the Limb Electrodes ...............................................................................4.3
Attaching the Chest Electrodes .............................................................................4.3 7
Patient Cable Tip Color Coding ....................................................................................
........................................................................................
.... 4.4
Lead Connection ..............................................................................................................4.5 8
Standard 12 Leads and Cabrera Leads.................................................................4.5
IEC Standard ...............................................................................................4.5 9
AHA Requirement .......................................................................................4.5
Error Indication When the Electrode Is Not Attached Firmly............................................4.6
Firmly ............................................4.6 10
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
CONTENTS
Section 8 Troublesh
roubleshooting
ooting and Error Messages ...........
.......................
......................
..........8.1
8.1
Recording Clear ECG Waveforms
Waveforms ................................................................................... 8.2
AC Interference........................................................................................
......................................................................................................
.............. 8.2
Muscle Tremor
Tremor Interference (EMG)
( EMG)........................................................................ 8.2
Wandering Baseline.................................................................................
Baseline...............................................................................................
.............. 8.3
Abnormal Printout ....................................................................................
..................................................................................................
.............. 8.3
Other ........................................................................................
......................................................................................................................
.............................. 8.4
Troubleshooting..................................................................................
Troubleshooting ................................................................................................................
.............................. 8.5
Error Messages .................................................................................................
...............................................................................................................
.............. 8.8
Checking the Software Version
Version ...................................................................................... 8.10
CONTENTS
Section 10 Reference...........
.......................
.......................
.......................
........................
........................
...................
....... 10.1
Specifications...............................................................................................
.................................................................................................................
.................. 10.2
ECG input ..................................................................................................10.2
Waveform
Waveform Data Processor......................................................................... 10.2
Recorder ...................................................................................
....................................................................................................
................. 10.2
Power
Power Requirement ................................................................................... 10.2
Color LCD (with backlight) .........................................................................10.3
Environment ..............................................................................................10.3
Performance ..............................................................................................10.3
Dimensions and Weight ............................................................................. 10.3
Safety Standard ........................................................................................
.......................................................................................... 10.3
Electromagnetic Compatibility ...................................................................10.4
Electromagnetic Emissions .......................................................................10.5
Electromagnetic Immunity .........................................................................10.5
Recommended Separation Distances between Portable and
Mobile RF Communications Equipment ....................................................10.7
System Composition for EMC Test
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
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.
3. Before Operation
(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
properly.
(3) Check that all cords
cords are connected properly.
properly.
(4) Pay extra attention when
when the instrument is combined with other instruments to avoid misdiagnosis or other
problems.
(5) All circuitry used for direct patient connection must be
be doubly checked.
(6) Check that battery level is acceptable and
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
electrodes and/or transducers when necessary to assure the patient’s
patient’s safety.
5. To Shutd
Shutdown
own After Use
(1) Turn power off
off with all controls returned
returned to their original positions.
(2) Remove the cords gently; do 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 with all accessories for their next use.
(3) Techn
Technical
ical information such as parts list, descriptions, calibration instructions or other information is available for
qualied user technical personnel upon request from your Nihon Kohden representative.
10. When the instrument is used with a defbrillator, make sure that the instrument is protected against defbrillator
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
defects in materials and workmanship for one year
from the date of delivery
delivery.. However, consumable materials such as recording paper, ink, stylus and battery are excluded
from the warranty.
No other party is authorized to make any warranty or assume liability for NKC’s
NKC’s products. NKC will not recognize
recognize any
other warranty, either implied or in writing. In addition, service, technical modication or any other product change
performed by someone other than NKC or its authorized agents
agents without prior consent of NKC may be cause for voiding
this warranty
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 modied, 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 identication marks have been
removed.
adverse electromagnetic effect before continuing to use the equipment and/or system.
The following describes some common interference sources and remedial actions:
1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station
or cellular phone:
Install the equipment
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
equipment
and/or system:
Identify the cause of this
th is interference and if possible remove this interference source. If this is not
possible, use a different power supply.
4. Electromagnetic interference with any radio wave receiver such as radio or television:
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.
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
uninterr uptible power supply.
Caution - continued
If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden
representative for additional suggestions.
For EMC compliance, refer to “Specication - Electromagnetic Compatibility” in the Reference section.
Conventions
Conventions Used in this Manual and Instrument
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 specific information, in the form of recommendations, prerequirements, alternative methods or
supplemental information.
On panel
Symbol Description Symbol Description
On operation panel
Symbol Description Symbol Description
Gain Rhythm
Paper speed
On screen
On patient cable
Symbol Description Symbol Description
1
Section 1 General
Introduction ..........................................................................................................................................................1.2
Intended Use .............................................................................................................................................1.2
Features ....................................................................................................................................................1.2
Composition ..............................................................................................................................................1.2
General Safety Information ..................................................................................................................................1.3
General......................................................................................................................................................1.3
General ......................................................................................................................................................1.3
Installation .................................................................................................................................................1.3
Battery Pack ..............................................................................................................................................1.5
Operation...............................................................................................
...................................................................................................................................................
.................................................... 1.6
Maintenance ..............................................................................................................................................1.7
Panel and Parts Descriptions ..............................................................................................................................1.8
Front Panel ................................................................................................................................................1.8
Left Side Panel ..........................................................................................................................................1.8
Operation Panel.........................................................................................................................................1.9
Right Side Panel ....................................................................................
......................................................................................................................................
.................................................. 1.10
Rear Panel ..............................................................................................................................................1.11
Patient Cable ...........................................................................................................................................1.11
Functions ...........................................................................................................................................................1.12
Basic Operation (Function Keys, Panel Keys, Number Keys) ............................................................................ 1.14
Switching Screens .............................................................................................................................................1.15
AC and Battery Operation .................................................................................................................................1.16
Power and Battery Status Indications......................................................................................................1.17
1. GENERAL
Introduction
NOTE
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
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
channels on 63 mm recording paper
• An LCD screen lets you preview 2.8 seconds of 12 lead ECG waveforms
waveforms
• SD memory card available
available
For ECG analysis, refer to “ECAPS 12C Interpretation Program User’s Guide.”
Composition
• Electrocardiograph, ECG-1150
Standard Accessories
• Thermal head cleaner
• Recording paper, RQS63-3
• Input check jig
Options
• Accessory kit, YD-100D/YD-101D/YD-102D/YD-103D
• Patient cable,
cable, BJ-901D/BJ-902D/BJ-903D/BA-901D/BA-903D/BJ-961D
BJ-901D/BJ-902D/BJ-903D/BA-901D/BA-903D/BJ-961D
• Battery pack, SB-901D
• Cart, KD-104E/KD-105D/KD-105E
• Storage rack, DI-010D
• Patient cable hanger, KH-100D
• SD memory card, QM-001DE/064DE
QM-001DE/064DE (for Europe), QM-001D/064D (for other
countries)
• Cardio cream, Z-101BC
• Medical isolation transformer
1.2 Operator’s Manual ECG-1150
1. GENERAL
1
General Safety Information
General
WARNING WARNING
Never use the electrocardiograph in the presence Never use the electrocardiograph in a hyperbaric
of any flammable anesthetic gas or high oxygen chamber. Failure
Failure to follow this warning
concentration oxygen atmosphere. Failure to may cause explosion or fire.
follow this warning may cause explosion or fire.
WARNING WARNING
When the electrocardiograph is used with an When performing MRI test, remove all electrodes
electrosurgical unit (ESU), firmly attach the entire and transducers from the patient which are
area of the ESU return
retur n plate. Otherwise, the connected to this instrument. Failure
Failure to follow this
current from the ESU flows into the electrodes of warning may cause skin burn on the patient. For
the electrocardiograph, causing electrical burn details, refer to the MRI manual.
where the electrodes are attached. For details,
refer to the ESU manual.
WARNING WARNING
Before defibrillation, remove everything including Before defibrillation, all persons must keep clear
electrodes and patches from the patient’s chest. If of the bed and must not touch the patient or any
the defibrillator paddle contacts an object on the equipment or cable connected to the patient.
patient’s chest, the discharged energy may be Failure to follow this warning may cause electrical
electr ical
insufficient and cause skin burn. shock or injury.
WARNING
Use only the specified 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
defibrillation is performed.
Installation
WARNING WARNING
Connect only the specified instrument to the Only use the provided power cord. When the
electrocardiograph and follow the specified provided power cord cannot be used or when
procedure. Failure
Failure to follow this warning may equipotential grounding is doubtful (such as in a
result in electrical shock or injury to the patient facility with poor grounding), operate the
and operator, and cause fire or instrument electrocardiograph on battery
batter y power. Otherwise,
malfunction. the patient and operator may receive electrical
shock or injury.
1. GENERAL
WARNING WARNING
When several medical instruments are used Never use a local purchase multiple portable
together, ground all instruments to the same one-
o ne- socket outlet. Failure
Failure to follow this warning may
point ground. Any potential difference between cause electrical shock to the patient and operator.
instruments may cause electrical shock to the
patient and operator.
WARNING WARNING
Do not put the multiple portable socket outlet on To use non-medical equipment that requires an
a floor. If the multiple portable socket outlet gets isolation transformer, only connect it to a
dusty,, damaged or contacts liquid, it may cause
dusty specified multiple portable socket outlet that has
instrument malfunction and electrical shock to the an isolation transformer. Do
Do not connect the non-
patient or operator. medical equipment to a wall AC socket or to a
multiple portable socket that does not have an
isolation transformer. Do not connect unspecified
WARNING
electrical instruments to a multiple portable
Do not use an additional multiple portable socket
socket outlet in the system. Failure
Failure to follow this
outlet or extension cord.
cor d. The impedance of the
warning may cause leakage current to increase
protective earth increases and the patient and
and the patient and operator may receive
operator may receive electrical shock or injury.
electrical shock or injury.
Cart
CAUTION CAUTION
Only use the KD-104E/105D/105E cart for this • Do not move
move the cart with the casters locked.
electrocardiograph. If another cart is used, it may The cart may tip over.
over.
tip over or the electrocardiograph may fall off. • When moving the cart, hold the handle only.
only.
CAUTION CAUTION
When moving the cart with patient cable hanger To prevent the cart
car t from tipping over or the
mounted, fold the upper and lower arms together, electrocardiograph falling off the cart:
rotate the arms so that they point toward the • Do not put or hook anything on the handle.
handle and do not protrude beyond the edges of • Do not ride on the cart. Do not lean on the
the cart. handle or put your weight on the cart.
• Periodically check
check that the casters, handle and
frame are firmly attached and not
no t wobbly.
wobbly.
• Always lock the casters so that the cart does
not move accidentally.
1. GENERAL
CAUTION CAUTION
Do not leave accessories and consumables such Only use Nihon Kohden specified parts and
as electrodes or electrolyte cream (CardioCream) accessories to assure maximum performance
near the patient or in reach of children. If they are from your electrocardiograph. Using unspecified
swallowed,
swallowed, consult a physician immediately
immediately.. recording paper or electrodes may cause
incorrect ECG recording and accelerate
Battery Pack
WARNING WARNING
Do not do the following to the battery. It may If the battery pack is damaged and the substance
cause leakage, overheating, explosion and fire. inside the battery contacts the eyes or skin, wash
• Short-circuit the + and – terminals on the immediately and thoroughly with water and see a
battery. physician. Never
Never rub your eyes, because you may
• Put the battery into fire or heat the battery.
battery. lose your eyesight.
WARNING
Only use the SB-901D battery pack.
CAUTION
If the battery operation time is less than 15
CAUTION
Do not expose the battery pack to direct sunlight
minutes, the battery pack may be deteriorated. or leave in a high temperature place. The
The lifetime
Do not charge a deteriorated battery pack. of the battery pack may be shortened, the
Charging a deteriorated battery pack may cause performance of the battery pack may be
the electrocardiograph to fail to operate in both degraded and the battery may leak.
battery and AC power.
power.
1. GENERAL
CAUTION CAUTION
The battery pack must be replaced by qualified SB-901D battery pack is NiMH (Nickel-Metal
service personnel. Hydride). Before disposing of the battery pack,
check with your local solid waste officials 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,
Operation
WARNING WARNING
Do not touch the patient while touching any metal Do not connect the tip of the electrode lead to
part of non-medical electrical equipment or an anything other than an electrode. Connect all the
exposed part when a connector or cover is tips to the corresponding electrodes and attach
removed. Failure
Failure to follow this warning may cause them to the patient. If unconnected tips or
electrical shock or injury to the patient. 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
correctly.. Otherwise, Do not use the output signal from the output
the ECG data may be lost or mixed up with connector of the electrocardiograph for a
another patient’s ECG data. When managing synchronization signal on a defibrillator. There is
examination data that is only in electronic file, a time delay between the input signal and output
make sure to enter the patient information. signal. When using the output signal from the
electrocardiograph for the synchronization signal
on other instrument, always consider this time
CAUTION
delay.
The paper cutter in the recording paper container
is sharp. When setting the recording paper, be
careful not to cut your finger. Set the recording
paper as specified.
1. GENERAL
CAUTION CAUTION
• The automatic ECG interpretation is performed Take care when judging the ECG recording
for acquired ECG waveforms only and does not because the EMG filter may cause distortion of
reflect all conditions of the patient. The results P-waves and QRS-waves
QRS-waves depending on the
of the analysis might not correspond to the waveform shape.
judgement of a physician.
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. GENERAL
Front Panel
Name Function
1. Operation panel Refer to next page.
3. LCD screen Displays ECG waveforms, patient information, marks and message.
Name Function
1. Rec
Record
order
er door
door rel
releas
easee butto
button
n Press
Press this
this butt
button
on to
to open
open the
the reco
recorde
rderr door
door..
2. Patient ca
cable co
connector Connects th
the pa
patient ca
cable.
1. GENERAL
Operation Panel 1
7
8
4 2 3
10
1
5 6
11 12 13 14 15
Name Function
1. AC power lamp Lit when AC power is supplied.
2. Batt
Batter
ery
y ope
opera
rati
tion
on la
lamp
mp Duri
During
ng ba
batt
tter
ery
y ope
opera
rati
tion
on,, ind
indic
icat
ates
es th
thee rem
remai
aini
ning
ng ba
batt
tter
ery
y pow
power
er wi
with
th th
thee col
color
or an
and
d
lighting state. For details, refer to “AC and Battery Operation” later in this section.
3. Bat
atte
tery
ry cha
harrge la
lamp
mp 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)
recharg ing) to prevent self-discharging of the battery
batter y. Keep
Keep
the power cord plugged into the
th e AC socket when the electrocardiograph is not
used.
4. Power ke
key/lamp Turns the electrocardiograph on/off. For details, refer to “AC and Battery Operation”
later in this section.
6. Rhythm key/lamp (“5” Performs rhythm recording in resting ECG examination. The lamp is lit while
number key) waveforms are acquired. On some screens, this key enters the number “5”.
7. F1,, F2,
F1 F2, F3
F3,, F4
F4 fun
funct
ctio
ion
n key
keyss Correspond to the four items at the bottom of the screen. On some screens, these keys
(“1”, “2”, “3” number keys) enter the number “1”, “2” and “3”.
9. Age key (“6” number key) Selects the patient age range (child or adult). On some screens, this key enters the
number “6”.
1. GENERAL
Name Function
11. Feed/Mark key (“8” number
key Paper feeding:
key) 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”.
13. Copy/CAL key lamp (“0” Automatic recording mode and rhythm recording mode:
number key) 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. St
Staart
rt//Stop ke
key/lamp Starts or
or st
stops re
recording. Th
The la
lamp li
lights du
duri
rin
ng re
recording.
15. Auto/Manual ke
key/lamp Selects au
automatic or
or ma
manual re
recording.
Lamp on: automatic recording
Lamp off: manual recording
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 patient
information. Refer to Section 3 “Changing Settings (System Setup Screen)” and
“Entering the Patient Information” in Section 4.
Name Function
1. SD card slot For an SD memory card (option).
2. AC po
powe
werr cor
cord
d soc
socke
kett Conn
Connec
ects
ts th
thee po
powe
werr cor
cord
d to
to sup
suppl
ply
y AC po
powe
werr to
to the
the el
elec
ectr
troc
ocar
ardi
diog
ogra
raph
ph..
3. Equipot
Equipotent
ential
ial gro
ground
unding
ing For a grounding lead. When equipotential grounding is required, always perform
terminal equipotential grounding by using the optional grounding lead.
NOTE
• The equipotential grounding terminal can be removed.
removed. Be
Be careful not to lose
the terminal.
• Only use Nihon Kohden specified equipotential grounding terminal.
1. GENERAL
Rear Panel 1
Name Function
1. Battery compartment Contains the battery pack.
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
Name Function
1. Electrode leads Connects to chest or limb electrodes.
1. GENERAL
Functions
1. GENERAL
- Recorder
- Manual recording
- Auto recording
- Analysis format and settings
- Rhythm recording
1. GENERAL
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. GENERAL
1
Switching Screens
When the electrocardiograph is turned on, the Resting ECG recording screen
appears.
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 ECG recording
screen.
1. GENERAL
AC power operation:
When AC power is supplied, the electrocardiograph operates on AC power and
the AC power lamp is lit.
Lit
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.
The automatic power off function can be turned off by setting “Auto
“Auto
power off” to “Off”
“Off ” on the System Setup screen. Refer to “List of
Settings” in Section 3.
1. GENERAL
Power
Power and Battery
Batter y Status Indications
Power and battery status are indicated by four lamps on the front
f ront panel. A
discharged battery is also indicated by a screen message.
Section 2 Preparation
2
2. PREPARATION
WARNING WARNING
Never use the electrocardiograph in the presence Never use the electrocardiograph in a hyperbaric
of any flammable anesthetic gas or high oxygen chamber. Failure
Failure to follow this warning
concentration oxygen atmosphere. Failure to may cause explosion or fire.
follow this warning may cause explosion or fire.
WARNING
Connect only the specified instrument to the
electrocardiograph and follow the specified
procedure. Failure
Failure to follow this warning may
result in electrical shock or injury to the patient
and operator, and cause fire or instrument
malfunction.
CAUTION CAUTION
The electrocardiograph should not share the • Do not install the electrocardiograph near
power line with any instrument which consumes a a power line, dynamo or motor which has
lot of power, such as an X-ray instrument, electromagnetic induction.
because it may cause artifact. • Do not install the electrocardiograph near
an electrosurgical unit or RF therapeutic
equipment.
CAUTION
• Select a room without excessive
excessive noise,
Make sure that there is enough space between
vibration, sunlight, high humidity or water
the electrocardiograph and the wall for adequate
ventilation. Leave
Leave more than 5 cm of space splashes.
• Make sure that there is no interference from a
between the wall and electrocardiograph so that
mobile phone.
the operating temperature does not exceed 40°C
• Av
Avoid
oid locations where the electrocardiograph
(104°F). Otherwise the internal temperature of
may receive strong electromagnetic
the electrocardiograph rises, which leads to
interference such as radio or TV stations,
inaccurate operation and shortens the
mobile phones or mobile two-way radios.
electrocardiograph life.
• Do not install the electrocardiograph where
it will be exposed to water or chemical
CAUTION solutions. Avoid
Avoid direct sprinkling, spray or
Only use the KD-104E/105D/105E cart for this moist air from a nebulizer or humidifier. These
electrocardiograph. If another cart is used, it may cause malfunction and shorten the life of the
tip over or the electrocardiograph may fall off.
electrocardiograph.
2. PREPARATION
CAUTION CAUTION
When installing the electrocardiograph, take care Do not use the electrocardiograph with its side 2
not to pinch your finger under the panel down. Failure to follow this instruction
instr uction may
electrocardiograph. cause the electrocardiograph to fall over or cause
battery liquid leakage.
NOTE
• Install the electrocardiograph where
where the screen can
be seen clearly and does not reflect light.
• Do not place blankets or cloth over the
electrocardiograph.
• Do not install the electrocardiograph in a dusty area.
2. PREPARATION
CAUTION
Only use the KD-104E/105D/105E cart
car t for this electrocardiograph. If
another cart is used, it may tip over or the electrocardiograph may
fall off.
2. PREPARATION
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
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
cord into a 3-prong AC socket.
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
between
the instruments may cause current to ow to the patient connected to the
instruments, resulting in electrical shock (micro shock).
2. PREPARATION
Operating on Battery
The electrocardiograph can operate on battery power with the optional SB-901D
battery pack. When a battery is inserted, the electrocardiograph
electrocardiograph automatically
switches to battery power if the power cord is disconnected or there is a sudden
power failure.
Battery Handling
WARNING WARNING
Do not do the following to the battery.
b attery. It may If the battery pack is damaged and the substance
cause leakage, overheating, explosion and fire. inside the battery contacts the eyes or skin, wash
• Short-circuit the + and – terminals on the immediately and thoroughly with water and see a
battery. physician. Never
Never rub your eyes, because you may
• Put the battery into fire or heat the battery.
battery. lose your eyesight.
• Disassemble or modify the battery.
battery.
• Give strong impact to or deform the battery.
battery.
WARNING
• Use the battery on unspecified instruments.
instruments.
• Charge the battery on unspecified instruments. • Do not immerse the battery pack in water.
The battery may overheat and rust and the
• Install the battery with the wrong polarity.
polarity.
substance inside the battery may leak.
• Leave the battery in the reach of patients.
• Do not leave the battery pack unused for more
more
than a year. The battery
batter y may leak.
WARNING WARNING
Only use the SB-901D battery pack. Check the direction of the connector when
connecting the battery cable. Do not force the
battery cable into the battery connector.
CAUTION CAUTION
Do not bend or pull the connector of the battery If the battery operation time is less than 15
pack cable with strong force. This may damage minutes, the battery pack may be deteriorated.
the battery cable or battery cable connector. Do not charge a deteriorated battery pack.
Charging a deteriorated battery pack may cause
the electrocardiograph to fail to operate in both
battery and
an d AC power.
NOTE
• The operation time with the fully charged battery pack is 90 minutes
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
waveform quality, the operation time may be less.
2. PREPARATION
Battery Replacement
CAUTION CAUTION
The battery pack must be replaced by qualified Before connecting or disconnecting instruments,
service personnel. 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 Charge the battery pack at surrounding
minutes, the battery pack may be deteriorated. temperatures of 5 to 40°C (41 to 104°F). If the
Do not charge a deteriorated battery pack. battery is charged below 5°C or over 40°C, the
Charging a deteriorated battery pack may cause battery may leak or heat up. This may
may damage
the electrocardiograph to fail to operate in both the battery
batte ry..
battery and AC power.
power.
NOTE
• Before using a new
new battery pack, charge it with the ECG-1150
ECG-1150
electrocardiograph.
• The charging time of the battery pack is
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
pa ck may heat up.
up. Do not put anything on
or cover the electrocardiograph.
Storage
WARNING
Do not leave the battery pack unused for more than a year. The
battery may leak.
2. PREPARATION
CAUTION CAUTION
Do not expose the battery pack to direct sunlight • Remove the battery pack from the
or leave in a high temperature place. The lifetime electrocardiograph when it is not used more
of the battery pack may be shortened, the than six months. The battery may leak out and
performance of the battery pack may be rust.
degraded and the battery may leak. • When the battery pack is not used more than
90 days, store the battery pack at temperatures
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
batter y pack, check with your local solid waste
officials 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
o f this
battery into the municipal waste stream.
NOTE
When disposing of the electrocardiograph, remove the battery pack and
attach tape over the battery
batter y cable. Otherwise,
Otherwise, the battery may explode at
waste disposable services.
2. PREPARATION
WARNING WARNING 2
Do not touch the patient while touching any metal Only use the SB-901D battery pack.
part of non-medical electrical equipment or an
exposed part when a connector or cover is
removed. Failure
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.
4. Reattach the
the battery cover and secure it with the screw
screw..
2. PREPARATION
NOTE
Do not pull the cable with strong force. This may damage the connector.
NOTE
• When you operate the electrocardiograph
electrocardiograph on battery power, run down
down
the battery as much as possible before recharging. If you frequently
charge the battery after it has only been used for a short time, it may
shorten the life of the battery.
• After charging is complete, the battery charge lamp lights about every
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
Keep the power cord plugged into the AC socket when the
electrocardiograph is not used.
• Right after the battery is fully charged, and during battery operation,
the battery operation lamp may light in orange when the surrounding
temperature is low or when printing ECG waveforms.
waveforms.
• When operation time is reduced to half, even
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
every half hour to one
hour, even
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 Operation and Battery Operation” in
Section 1 “General”.
2.10 Operator s Manual ECG 1150
2. PREPARATION
CAUTION
• Only use the Nihon Kohden specified 63 mm recording paper.
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 unspecified recording paper is used, it might
might not print properly or
send multiple pages.
Storage
CAUTION
Prolonged storage under conditions such as high temperatures,
excessive humidity,
humidity, direct sunlight, and fluorescent light causes
fading of the colored
colore d surface. Avoid
Avoid high temperatures exceeding
50°C (122°F) and excessive humidity.
humidity. Store the recording paper in a
cool, dry and dark place if possible.
Operator s Manual ECG 1150 2.11
2. PREPARATION
Usage
CAUTION
• Organic solvents and plastics may develop
develop color on the white
surface or cause the recording paper to fade.
Examples of color-developing materials containing
containing organic
solvents:
Adhesives, paste, felt-tip pens, and semi-dry diazo paper.
Replacement
CAUTION
Do not set the recording paper right after recording because the
thermal head is still hot.
2.12 Operator s Manual ECG 1150
2. PREPARATION
Paper guide
4. Pull out the recording paper and align it with the recorder cover.
cover.
5. Attach the recorder cover to the recorder while holding the paper
paper..
Operator s Manual ECG 1150 2.13
2. PREPARATION
NOTE
When recording paper is not aligned with the paper guide, skewing
may occur.
2. PREPARATION
WARNING
Only use the BJ-901D/BJ-902D/BJ-903D/BJ-961D or BA-901D/BA-
903D patient cables when using with a defibrillator. When the
1. Connect the patient cable to the patient cable connector on the right side
panel of the electrocardiograph.
NOTE
Do not lift the electrocardiograph while holding the patient cable and do
not bend or pull the patient cable strongly.
strongly. This may break the cable.
Operator s Manual ECG-1150 2.15
2. PREPARATION
WARNING
Only use the provided power cord. When the provided power cord
cannot be used or when equipotential grounding is doubtful (such as
Accessories:
• Enough electrolyte cream
• Enough recording paper
• Enough disinfected or sterilized dry electrodes
electrodes
• Patient cable is not frayed or damaged
• No crack in the rubber of suction electrodes
• String of fast clip is strong enough
enough
• New and used electrodes
electrodes are not used together
together
2.16 Operator s Manual ECG-1150
2. PREPARATION
Lit
After turning the power on, check the following items.
When the electrocardiograph is used for the rst time, set the followings. Refer
to Section 3 “Changing Settings Before Measurement”.
Wave setting
settings:
s: AC lter
System settings: Date and time, Date display format, Time
Time display format
Operator s Manual ECG-1150 2.17
2. PREPARATION
To change the date and time setting, refer to “Changing 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.
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.
2.18 Operator’s Manual ECG-1150
2. PREPARATION
If the screen is too dim, press the function key. If the screen is too bright,
press the function key.
key.
2. PREPARATION
Internal Memory
Saves up to 40 les in the memory regardless of the data compression type.
SD Memory Card
QM-001D/001DE/064D/064DE SD memory card or equivalents.
The QM-001D/001DE/064D/064DE SD memory card saves up to 780 les
(type 1, normal) or 3000 les (type 2, compressed). Refer to Section 8 “Data
Management”.
CAUTION
Only use a Nihon Kohden specified 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.
CAUTION
Only use a Nihon Kohden specified SD memory card. Otherwise, the
card might not operate.
2.20 Operator’s Manual ECG-1150
2. PREPARATION
CAUTION
Do not leave the SD memory card near patients or in reach of 2
children.
Handling
CAUTION
• Never disassemble
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
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
sticker on the SD memory card or put
other label or sticker on the SD memory card.
• Only use the SD memory
memory card in the specified 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
memory card
is removed from the electrocardiograph. Store it where patients
cannot accidently swallow the SD memory card.
• Do not expose the SD
SD memory card to direct sunlight or leave
leave in a
high temperature and high humidity.
humidity.
Operating Environment
Temperature: –25 to +85°C (–13 to +185°F)
Humidity: 25 to 95% RH (noncondensing)
Example: QM-064D SD memory card
Storage Environment
Temperature: –40°C to +85°C (–40 to +185°F)
Humidity: 25 to 95% RH
• Do not store the SD m
memory
emory card in a corrosive gas environment.
environment.
Operation
CAUTION
• Only format or write data to the SD
SD memory card in the specified
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.
Operator’s Manual ECG-1150 2.21
2. PREPARATION
CAUTION
• Insert only a Nihon Kohden specified SD memory card in the SD
card slot.
• Insert or remove the SD memory
memory card straight into or out of the SD
card slot. 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.
2. Insert the SD memory card straight into the SD card slot with the label side
up until it clicks.
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.
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
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 Operator’s Manual ECG-1150
List of Settings
Patient Information
Item Description Settings
ID Select “On” to enable ID entry (up to 12 numeric On
characters) when recording starts. Off
Sex Select “On” to display sex on the Patient Information On
screen. Off
Default sex Select the default sex when the power is turned on. M
F
Blank
Age Select whether to display the age on the Patient Age
Information screen. When displaying age, select Age group
whether to display actual age or age group. Off
Wave Settings
Item Description Settings
Base
Baseli
line
ne dr
drif
iftt sup
suppr
pres
essi
sion
on Baseli
Base line
ne dr
drif
iftt sup
suppr
pres
essi
sion
on pr
prev
even
ents
ts th
thee bas
basel
elin
inee fro
from
m Strong
drifting by locking it into one position at the start of Weak
recording. Off
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”
“Weak” setting
has characteristics conforming to the AHA
recommendations.
AC lter Sett th
Se this to
to match yo
your AC power li
line fre
req
quency. 50 Hz
Hz
60 Hz
Off
Operator’s Manual ECG-1150 3.3
Recording Settings
Auto Recording
Item Description Settings
Auto start Select “On” to automatically start recording. On
Off
QT interval varies according to the heart rate. QTc interval is a corrected value
based on a heart rate of 60 bpm.
ECAPS:
(1000 − R-R interval (ms))
QTc interval (ms) = QT interval (ms) +
7
bazett:
QT interval (ms)
QTc interval (ms) =
R-R interval (s)
3.4 Operator’s Manual ECG-1150
9 min Off
On
Off
10 min On
Off
11 min On
Off
12 min On
Off
13 min On
Off
14 min On
Off
15 min On
Off
Interval (min) Select the interval when “Periodic recording type” is 1 to 60 (3)
set to “Interval”.
Interva
Intervall rec
recor
ordi
ding
ng re
repe
peti
titi
tion
onss Sele
Select
ct th
thee num
numbe
berr of
of tim
times
es to ac
acqu
quir
iree ECG
ECG wa
wave
vefo
form
rm.. 1 to
to 999
999 (1
(10)
0)
Auto gain output Select “On” to automatically change the waveform On
amplitude and position during periodic recording. Off
Additional slow speed recording Select “On” to slow paper
paper speed until the next periodic
periodic On
recording starts. Off
Operator’s Manual ECG-1150 3.5
System Settings
Item Description Settings
Sync sound Select QRS synchronized sound or stylus on paper QRS sync sound
scratching sound. Pen sound
Off
QRS sync sound volume Select the QRS sync sound volume. 1 (min)
2
3
4 (max)
dd–mmm–yyyy
Time display format Select the time display and printing format. 12 hour day
24 hour day
Hospital Enter the hospital name. It is printed in the “Exam.:” Up to 40 alphanumeric
column. characters
Language Select the language for display and recording. English
Local language
NOTE
When you install a local language in the
electrocardiograph, check the screen descriptions
and printed ECG finding list before use. You can
compare the screen descriptions with the text that
your Nihon Kohden representative provides. You
can compare the ECG finding list with the User’s
Guide “ECAPS 12C ECG Interpretation
Inter pretation Program”.
If there is any missing or incorrect
incorre ct translation,
contact your Nihon Kohden representative to
correct it.
Backlight auto off Select “On” to automatically turn off the backlight On
when the electrocardiograph is not operated for 3 Off
minutes.
Auto power off Select “On” to automatically turn off the On
electrocardiograph power when it is not operated for 3 Off
minutes in battery operation.
3.6 Operator’s Manual ECG-1150
CAUTION
Take care when judging the ECG recording
because the EMG filter may cause distortion
of P-waves and QRS-waves depending on
the waveform shape.
Lead mode selection Select the ECG lead recording order. Standard 12 leads
Cabrera leads
File Processing
Recording Settings
Recorder
Manual Recording
Auto Recording
Rhythm Recording
3. Press the or function key to select the desired item on the Setup
screen.
6. Press the OK function key. The Setup screen for that item is displayed. Steps
5 and 6 are not necessary for some items.
8. Press the Change function key. The selectable items are toggled. Select the
desired setting.
For changing the date and time, refer to “Changing the Date and Time” later
in this section.
For entering the hospital name, refer to “Entering the Hospital Name” later
in this section.
10. Press the Back function key to return to the previous screen. The changed
changed
setting is saved.
3.10 Operator’s Manual ECG-1150
If the screen has more than two pages, press the or function key to scroll
the screen.
Turn the power off and on again to return to the Resting ECG recording screen. 3
5. Press the Edit function key. The Date and time setting window is displayed.
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.
6. Enter the
the hospital name with the function keys.
3. Press the or function key to select the desired item on the Main Setup
screen.
3.14 Operator’s Manual ECG-1150
10. Press the Back function key to return to the previous screen. The changed
changed
setting is saved.
If the screen has more than two pages, press the or function key to scroll
the screen.
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
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.
6. Turn the power off and on again to return to the Resting ECG recording
screen.
Operator’s Manual ECG-1150 3.17
You can load previously saved settings on the System Setup screen and Main
Setup screen from an SD memory card.
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
5. Turn the power off and on again to return to the Resting ECG recording
screen.
Operator’s Manual ECG-1150 3.21
4. ATT
TTACHING
ACHING THE ELECTRODES
ELECT RODES AND ENTERING PATIENT INFORMA
IN FORMATION
TION
WARNING
Do not connect the tip of the electrode lead to anything other than an
electrode. Connect all the tips to the corresponding electrodes
electro des 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
waveforms and measurement data may be incorrect.
CAUTION
• Do not use new and old electrodes together, or re-usable
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
o f the ECG waveforms.
• Always replace all the electrodes with new ones at the same time.
time.
• When using an ESU
ESU and defibrillator with the electrocardiograph,
use silver chloride disposable electrodes.
• Only use clean and undamaged electrodes with no scratches on
4. ATT
TTACHING
ACHING THE ELECTRODES
ELEC TRODES AND ENTERING PATIENT INFORMA
IN FORMATION
TION
3. Attach the six electrodes to the cleaned skin site. Do not let the electrodes
touch each other.
5. Put the electrode on the site and squeeze the rubber ball to attach the
electrode by suction.
4. ATT
TTACHING
ACHING THE ELECTRODES
ELECT RODES AND ENTERING PATIENT INFORMA
IN FORMATION
TION
4. ATT
TTACHING
ACHING THE ELECTRODES
ELEC TRODES AND ENTERING PATIENT INFORMA
IN FORMATION
TION
Lead Connection
AHA Requirement
Operator’s Manual ECG-1150 4.5
4. ATT
TTACHING
ACHING THE ELECTRODES
ELECT RODES AND ENTERING PATIENT INFORMA
IN FORMATION
TION
Screen Message
The electrocardiograph continuously checks electrode attachment status.
s tatus. When
electrode detachment or large polarization voltage is detected, a message is
displayed.
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
waveforms can be displayed and recorded if the message
due to a large polarization
polar ization voltage is displayed. If recording starts,
star ts,
the analysis result may be incorrect and the ECG waveforms cannot
be saved. Remove the cause of the error message before star ting
measurement.
• A flat baseline is recorded for
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 Operator’s Manual ECG-1150
4. ATT
TTACHING
ACHING THE ELECTRODES
ELEC TRODES AND ENTERING PATIENT INFORMA
IN FORMATION
TION
4
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.
If the message is still displayed after reattaching the electrode, it is probably due
to a large polarization voltage.
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 9 to
faulty
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.
Operator’s Manual ECG-1150 4.7
4. ATT
TTACHING
ACHING THE ELECTRODES
ELECT RODES AND ENTERING PATIENT INFORMA
IN FORMATION
TION
General
You can enter the following patient information on the resting ECG recording
r ecording
screen. The available patient data can be selected in the Patient Information
settings. Refer to Section 3 “Changing the 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.
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 Operator’s Manual ECG-1150
4. ATT
TTACHING
ACHING THE ELECTRODES
ELEC TRODES AND ENTERING PATIENT INFORMA
IN FORMATION
TION
2. Enter the patient ID with the following operation keys and press the Start/
Stop (enter) key. The cursor moves to the gender column.
0 Copy/CAL key 0
6 A ge ke y 6
5 Rhythm key 5
3. Select the gender by pressing the gender key and press the Start/Stop key
key..
The cursor move to the age column.
5. RECORDI
RECORDING
NG RESTING ECG WA
WAVEFORMS
VEFORMS
General
You can record the resting ECG waveforms automatically or manually. When the
power is turned on, automatic recording mode is the default selection.
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
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
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
During recording, if large artifact appears on the ECG waveform,
immediately stop the recording and remove the cause of the artifact.
Refer to “Troubleshooting”
“Troubleshooting” in Section 9. Failure to follow this
instruction causes overheating and damage to the
electrocardiograph.
5. RECORDIN
RECORDINGG RESTING ECG WA
WAVEFORMS
VEFORMS
Automatic recording:
i) Enter the patient information for ECG analysis.
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 anan ECG data le in a media.
Manual recording:
i) Press the STAR
START/STOP
T/STOP key.
ii) Press the function key to select the next lead group.
Rhythm recording:
Press the RHYTHM key. When one minute of ECG waveforms are acquired,
rhythm lead recording starts automatically
automatically..
Operator’s Manual ECG-1150 5.3
5. RECORDI
RECORDING
NG RESTING ECG WA
WAVEFORMS
VEFORMS
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.
5. RECORDIN
RECORDINGG RESTING ECG WA
WAVEFORMS
VEFORMS
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.
printed on the paper, artifact was superimposed on the ECG waveforms during 5
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.
Operator’s Manual ECG-1150 5.5
5. RECORDI
RECORDING
NG RESTING ECG WA
WAVEFORMS
VEFORMS
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.
5. RECORDIN
RECORDINGG RESTING ECG WA
WAVEFORMS
VEFORMS
Electrode status
display area
Displays the error
message for electrode
detachment and
noise.
CAL mark
5. RECORDI
RECORDING
NG RESTING ECG WA
WAVEFORMS
VEFORMS
Patient information
For the default display
settings, area
refer to Section 3
Heart rate
Updated every beat. “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.
QRS sync mark
Blinks in Examination name
synchronization
with the QRS wave.
Electrode status
display area
Displays the error
message for electrode
detachment and
noise.
CAL mark
5. RECORDIN
RECORDINGG RESTING ECG WA
WAVEFORMS
VEFORMS
Automatic Recording
General
The electrocardiograph automatically records the ECG waveforms and
calibration waveforms by switching the lead groups in the settings selected in the
When “Auto start” is set to “On” on the Auto Recording of the System
S ystem Setup
screen and auto-start conditions are satised, real time recording automatically
starts.
Review Recording
When the Resting ECG mode is selected, the electrocardiograph checks for
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.
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.
To print out the current settings, refer to “Printing the List of System Setup and
Main Setup Settings” in Section 3.
Operator’s Manual ECG-1150 5.9
5. RECORDI
RECORDING
NG RESTING ECG WA
WAVEFORMS
VEFORMS
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
th an 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”,
“On”, the real time recording is automatically
started according to the format set on “12 lead recording channels” when all
the following conditions are satised:
- Automatic recording is not started.
- No electrode detachment
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.
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
frequency..
• Lead mode selection (Standard
(Standard 12 leads, Cabrera leads)
Standard 12 leads: I, II, III, aVR,
aVR, aVL, aVF,
aVF, V1, V2,
V2, V3, V4, V5, V6
Cabrera leads: aVL, I, –aVR, II, aVF
aVF,, III, V1, V2, V3, V4, V5, V6
CAUTION
Take care when judging the ECG recording because the EMG filter
5. RECORDIN
RECORDINGG RESTING ECG WA
WAVEFORMS
VEFORMS
File Processing
• After analysis result recording (Save, Off)
Off)
Set whether to save the ECG les after analysis 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 5
High speed printing
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
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.
key.
• 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.
Select “Result + average” when printing the average waveform for each lead
with the ECG analysis result.
5. RECORDI
RECORDING
NG RESTING ECG WA
WAVEFORMS
VEFORMS
CAUTION CAUTION
• When “Auto
“Auto start” is set to “On”, select the When the patient sex and age is not entered,
patient age group and sex before attaching the ECG analysis is performed with the patient as
electrodes to the patient. After the electrodes male and 35 years old.
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
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 file, 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 file capacity
and delete unnecessary files before starting
recording.
2. Check that the AUTO/MANUAL lamp is lit. If it is not lit, press the AUTO/
MANUAL key.
4. If necessary,
necessary, press the FIL
FILTER
TER key to turn the EMG lter on.
5. Select the real time or review recording mode by pressing the START/
START/
STOP key (real time recording) or F3 function key (review recording).
The electrocardiograph automatically records the ECG waveforms with
switching the lead groups.
5.12 Operator’s Manual ECG-1150
5. RECORDIN
RECORDINGG RESTING ECG WA
WAVEFORMS
VEFORMS
Auto Start
When “Auto start” is set to “On” and all the following conditions are
satised, the real time recording is automatically started.
• Automatic recording is not started
• No electrode detachment
detachment is detected for two seconds or more
• Five or more QRS waves are
are detected
• Artifact and high frequency
frequency noise are not detected
detected
• The lead group is periodically switched
5
You can manually extend a lead group recording by pressing the AUTO/
MANUAL key.
key. This is not available for the review recording.
r ecording. 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).
To manuall
manuallyy stop record
recording,
ing, press the STAR
START/STOP
T/STOP key.
When recording the ECG waveforms of another patient without changing the ID,
the same ID conrmation message appears.
To record the waveforms with the same ID, press the Start function key.
5. RECORDI
RECORDING
NG RESTING ECG WA
WAVEFORMS
VEFORMS
Extended Recording
The electrocardiograph automatically extends the 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.
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/
START/
STOP lamp lights. To stop recording, press the ST
START/ST
ART/STOP
OP key once. This
stops acquiring waveforms. To stop printing, press the START/STOP
START/STOP key again.
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.
5. RECORDIN
RECORDINGG RESTING ECG WA
WAVEFORMS
VEFORMS
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.
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
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.
Operator’s Manual ECG-1150 5.15
5. RECORDI
RECORDING
NG RESTING ECG WA
WAVEFORMS
VEFORMS
Manual Recording
General
You can manually record the ECG waveforms. During recording you can
annotate the ECG waveforms when there is a change in patient condition such
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
th an 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
frequency..
CAUTION
Take care when judging the ECG recording because the EMG filter
may cause distortion of P-waves and QRS-waves depending on the
waveform shape.
5.16 Operator’s Manual ECG-1150
5. RECORDIN
RECORDINGG RESTING ECG WA
WAVEFORMS
VEFORMS
Recording Settings
Manual Recording
• 12 lead recording channels
channels (3 ch, 1 ch, 1 ch + rhythm)
The number
number of recording channels for the manual recording.
2. Press the AUTO/MANUAL key to select the manual recording mode. The
AUTO/MANUAL lamp is lit when auto recording mode is selected.
or,
Enter the number “4 (<)” or “5 (>)” with the keyboard on the operation
panel.
12 lead/Cabrera lead 3 ch
or,
5. RECORDI
RECORDING
NG RESTING ECG WA
WAVEFORMS
VEFORMS
25 mm/s 50 mm/s
5. RECORDIN
RECORDINGG RESTING ECG WA
WAVEFORMS
VEFORMS
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
After recording, you can make one or more copies of the recording results by
pressing the COPY/CAL key.
key.
NOTE
To stop rhythm recording, press the Cancel function key.
key.
Operator’s Manual ECG-1150 5.19
5. RECORDI
RECORDING
NG RESTING ECG WA
WAVEFORMS
VEFORMS
Recording Examples
Measurement value
5. RECORDIN
RECORDINGG RESTING ECG WA
WAVEFORMS
VEFORMS
General ................................................................................................................................................................6.2
Preparation for Periodic ECG Recording .............................................................................................................6.3
Recording Procedure...........................................................................................................................................6.4
Procedure...........................................................................................................................................6.4
Recording Examples ...........................................................................................................................................6.5 6
Operator’s Manual ECG-1150 6.1
6. PERIODIC ECG
ECG RECORDING
RECORDING
General
To print the current settings, refer to “Printing the List of System Setup and Main
Setup Settings” in Section 3.
System Setup 6
Periodic Recording Settings
• Starting leads (Limb, Chest)
Select the starting lead group.
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
Operator’s Manual ECG-1150 6.3
6. PERIODIC ECG
ECG RECORDING
RECORDING
2. Press “2”
“2” to select “Periodic Recording”.
Recording”. The Periodic ECG recording
recording
screen appears.
Recording Examples
6
Operator’s Manual ECG-1150 6.5
General ................................................................................................................................................................7.2
Displaying the Data Management Screen ...........................................................................................................7.3
Printing ECG Waveforms in a Media ...................................................................................................................7.4
Editing ID .............................................................................................................................................................7.6
Deleting ECG Data Files .....................................................................................................................................7.9
Displaying the Delete Screen ....................................................................................................................7.9 7
Deleting All ECG Data Files ......................................................................................................................7.9
Deleting ECG Data Files of the Selected ID.........................................................................................
............................................................................................
... 7.11
Deleting ECG Data Files of the Selected Date
Date........................................................................................7.13
........................................................................................7.13
Formatting the Media .......................................................................................
.........................................................................................................................................
.................................................. 7.16
Printing File List .................................................................................................................................................7.18
Copying Files in the Internal Memory to an SD Card ........................................................................................7.20
Operator’s Manual ECG-1150 7.1
7. DA
DAT
TA MANAG
MANAGEMEN
EMENT
T
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 Data Management screen, you can do any of the following operations.
• Print the ECG waveforms in a media
• Change the ID of the selected le
• Delete ECG data
data les in a media
media
• Format media
• Print the ECG data le list of the selected
selected date in a media
• Copy the ECG data les in the internal
internal memory to the SD memory card
To process an ECG data le, select “Media” in “File Processing” in the Main
Setup screen. The selected 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 “File
Processing” in the User Setup screen.
• When the internal memory is selected,
selected, up to 40 ECG data les can be saved
saved
regardless of the data compression type.
• When the SD memory card is selected,
selected, up to 780 (type 1) or 3000 (type 2) les
can be saved.
CAUTION
• Format the SD memory
memory card before the first use.
• Format the SD memory
memory card only in an ECG-1150
electrocardiograph. SD memory cards formatted in other ECG
models cannot be used in this electrocardiograph.
7.2 Operator’s Manual ECG-1150
7. DA
DAT
TA MANAGE
MANAGEMENT
MENT
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
files 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. DA
DAT
TA MANAG
MANAGEMEN
EMENT
T
3. Press “1” to select “Print”. The “Press Enter to enter ID. Press Search to
search les for ID.” message appears.
7. DA
DAT
TA MANAGE
MANAGEMENT
MENT
5. Enter the ID with the following keys and press the START/ST
START/STOP
OP (enter) key
key..
The ID is set and the “Press Enter to enter ID. Press Search to search les for
ID.” message appears.
0 Copy/CAL key 0
6 A ge ke y 6
4 Mode key 4
– F4 function key 4 7
5 Rhythm key 5
7. DA
DAT
TA MANAG
MANAGEMEN
EMENT
T
Editing ID
2. Press “2” to select “Edit ID”. The “Press Enter to enter ID. Press Search to
search les for ID” message appears.
7. DA
DAT
TA MANAGE
MANAGEMENT
MENT
0 Copy/CAL key 0
6 A ge ke y 6
5 Rhythm key 5
7
Clear Auto/Manual key Enter Start/Stop key
ENT
7. DA
DAT
TA MANAG
MANAGEMEN
EMENT
T
8. Enter the new ID with the keys on the operation panel and press the ST
STAR
ART/
T/
STOP (enter) key.
key. The new ID is set and the “Edit complete” message
appears.
7. DA
DAT
TA MANAGE
MANAGEMENT
MENT
NOTE
Back up the ECG data files before deleting the ECG data files.
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.
2. Press “3” to select “Delete”. The Data Management - Delete screen appears.
appears.
To return to the Data Management screen, press the Back function key
key..
7. DA
DAT
TA MANAG
MANAGEMEN
EMENT
T
2. Press “1” to select “All les”. The “Delete all les?” message appears.
appears.
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
deleted lesles is canceled.
appears. TheOK
Press the “Canceled” message
function key. The and
Datathe number of
Management
screen appears.
7.10 Operator’s Manual ECG-1150
7. DA
DAT
TA MANAGE
MANAGEMENT
MENT
4. When all les are deleted, the “All les deleted” message
message appears.
appears. Press the
OK function key. The Data Management screen appears.
7. DA
DAT
TA MANAG
MANAGEMEN
EMENT
T
0 Copy/CAL key 6 A ge ke y
0 6
5 Rhythm key 5
7. DA
DAT
TA MANAGE
MANAGEMENT
MENT
8. When the selected les are deleted, the “Files delete” message
message appears.
appears. Press
the OK function key. The Data management screen appears.
7. DA
DAT
TA MANAG
MANAGEMEN
EMENT
T
0 Copy/CAL key 0
6 A ge ke y 6
5 Rhythm key 5
7. DA
DAT
TA MANAGE
MANAGEMENT
MENT
5. When the selected les are deleted, the “Files deleted” message
message appears.
appears.
Press the OK function key. The Data management screen appears.
7
Operator’s Manual ECG-1150 7.15
7. DA
DAT
TA MANAG
MANAGEMEN
EMENT
T
CAUTION CAUTION
Only use a Nihon Kohden specified SD memory • Format the SD memory
memory card before the first
card. Otherwise, the card might not operate. use.
• Format the SD memory
memory card only in an ECG-
1150 electrocardiograph. SD memory cards
formatted in other ECG models cannot be used
in this electrocardiograph.
NOTE
Formatting deletes all data in the media. Back
Back up the necessary
necessar y data
before formatting.
1. Insert the SD memory card into SD card slot on the rear panel of the
electrocardiograph.
screen appears.
7.16 Operator’s Manual ECG-1150
7. DA
DAT
TA MANAGE
MANAGEMENT
MENT
NOTE
Do not turn the electrocardiograph power off while displaying the
Data Management - Format screen and do not give an impact to the
electrocardiograph.
Operator’s Manual ECG-1150 7.17
7. DA
DAT
TA MANAG
MANAGEMEN
EMENT
T
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 mode.
7. DA
DAT
TA MANAGE
MANAGEMENT
MENT
0 Copy/CAL key 0
6 A ge ke y 6
9
3 F3 function key 9 Filter key
4 Mode key – F4 function key 4
4
5 Rhythm key 5
7
Clear Auto/Manual key Enter Start/Stop key ENT
7. DA
DAT
TA MANAG
MANAGEMEN
EMENT
T
You can copy the ECG data les saved in the internal memory to the SD card.
4. When all les are copied, the “All les copied” message
message appears. Press the
OK function key. The Data Management screen appears.
7.20 Operator’s Manual ECG-1150
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
electrode connection
• Patient or technician touching an electrode during
during recording
• Patient touching any metal part of a bed or examination table
• Broken lead wire, patient cable or power
power cord
• Electrical devices in the immediate area, lighting, concealed
concealed wiring in walls or
oors
• Improperly grounded electrical outlet
Muscle Tremor
Tremor Interference (EMG)
Appears on the ECG as random, irregular voltages superimposed on the tracing.
It may resemble or occur in conjunction with AC interference.
Causes:
• Patient is uncomfortable,
uncomfortable, tense, nervous or apprehensive
• Patient is cold and shivering
• Patient has a neurological
neurological or muscular disorder (e.g. Parkinson’s
Parkinson’s Disease)
• Examination table or bed is too narrow or short to support limbs comfortably
8.2 Operator’s Manual ECG-1150
Wandering
Wandering Baseline
Appears on the ECG as a uctuation of the tracing up and downward on the grid.
Causes:
• Dirty or corroded electrodes
electrodes
• Loose electrodes or electrodes positioned on a bony area
area
• Insufcient or dried out cardioCream
8
• Oily skin or body lotions and creams
• Rising and falling of chest
chest during normal or apprehensive respiration
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.
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
electrosurgical unit
• Noise from the AC power line
• Spike noise caused by electrostatic energy as shown below.
below. The ECG may
interpret the noise spike as a QRS or pacemaker spike.
NOTE
The baseline becomes flat for a while after defibrillation to protect the
electrocardiograph.
8.4 Operator’s Manual ECG-1150
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
to
Trouble Action
No ECG waveform can be recorded even even 1. Check the continuity of the patient cable with “Electrode Input Test”
Test”
when the electrodes are attached to the in the System Test.
patient correctly.
correctly. 2. Check that the electrodes are clean. If an electrode
electrode is contaminated
with electrolyte cream (CardioCream), the ECG waveform cannot
be recorded due to high skin-electrode contact impedance.
impedance. Wash
Wash the
electrode to remove dirt or contamination.
3. If a new and old electrode, or a reusable and disposable electrode
electrode
are used together, the ECG waveform cannot be recorded due to
high polarization voltage. Do not use different types or ages of
electrodes together
t ogether..
4. Check if the skin is cleaned and apply electrolyte cream
cream
(CardioCream) before attaching the electrodes.
5. If a disposable electrode is used more than once, the ECG waveform
cannot be recorded due to polarization voltage. Only use new
electrodes.
Cannot record all electrodes. Select the rst lead group by pressing the function key.
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
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
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
Check that
noise is not superimposed on the waveform on the screen and restart
printing.
Paper skews as it feeds. 1. Check if the specied 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 specied 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.
8.6 Operator’s Manual ECG-1150
Trouble Action
Thee da
Th date
te an
and
d ti
time
me is no
nott co
corr
rrec
ect.
t. 1. Set
Set th
thee co
corr
rrec
ectt ti
time
me in th
thee sy
syst
stem
em se
sett
ttin
ings
gs.. Re
Refe
ferr to “C
“Cha
hang
ngin
ing
g th
thee
Date and Time” in Section 3.
2. Replace the built-in lithium battery. The lifetime of the battery is
about 6 years.
Keys on
on the opera
operation
tion panel
panel do not
not work.
work. 1. Press the
the POWER
POWER key key for more than
than 7 secon
seconds
ds to shut down
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 8
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.
Operator’s Manual ECG-1150 8.7
Error Messages
When an error message is displayed on the screen, take quick action referring to
the table below.
Delete error model but could not save the les. Retry deleting the ECG data les or check
––
the media.
Edit error The electrocardiograph cannot edit Contact your Nihon Kohden representative.
ECG data les.
Fail • 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
electrodes are
disconnected or the RF electrode
is disconnected, no electrode is
indicated in the error message area.
Format error Retry formatting the media or check the
––
media.
Insert SD card The SD memory card is not inserted Retry the operation after inserting the SD
in the SD card slot. card in the slot.
Invalid ECG data les The electrocardiograph could not Contact your Nihon Kohden representative.
load the ECG data les. The le may
be damaged.
8.8 Operator’s Manual ECG-1150
SD ca
card
rd wr
writ
itee-p
-pro
rote
tect
cteed Thee SD me
Th memo
mory
ry car
ardd is wri
rite
te-- Unprotect the SD card and retry the
protected. operation.
Search error There is no corresponding patient Press the OK function key to close the
information data in the selected message window. Change the search
media. condition and search again.
Sett
Settin
ingg l
lee no
nott fo
foun
undd The
here
re is no set
etti
ting
ng l
lee. Retryy th
Retr thee l
lee ope
pera
rati
tion
on or che
heck
ck th
thee me
medi
diaa
to load the ECG data le.
Unsu
Unsupp
ppor
orte
tedd l
lee ty
type
pe This
This EC
ECG
G da
data
ta l
lee ty
type
pe is no
nott
––
supported.
Operator’s Manual ECG-1150 8.9
The software version is printed at the bottom of the paper in automatic or manual
ECG recording.
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
After use, check the following items for the next use.
Overview:
Accessories:
• Enough electrolyte cream
• Enough recording paper
• Enough disinfected or sterilized dry electrodes
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
water are near the electrocardiograph
electrocardiograph
• Acceptable storage temperature and humidity
9.2 Operator’s Manual ECG-1150
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
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
sterilize the electrocardiograph because the materials may
may
deform, crack or discolor.
• The “CAUTION
“CAUTION LABEL”
LABEL” contains important information for
operating the electrocardiograph. Clean the label if it is dirty. If the
label is damaged or difficult to read, contact your Nihon Kohden
representative to replace it with a new one.
Use a dry cloth when you wipe the connector of the electrocardiograph, input
box or operation panel. Otherwise, water gets inside the electrocardiograph
electrocardiograph and
causes malfunction.
CAUTION
• Do not use a rough cloth.
• Do not use acidic, alkaline detergents or alcohol other than ethanol
or isopropyl.
Clean the display using a dry soft cloth or a cloth which is moistened with
neutral soap and wrung out.
Operator’s Manual ECG-1150 9.3
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
CAUTION
• Wipe the electrocardiograph thoroughly after disinfecting
disinfecting it with
spray.
• Do not sterilize or disinfect the electrocardiograph with ultraviolet
ultraviolet
light or ozone.
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
head with the
provided thermal head cleaning pen after every 10 sets of recording paper.
3. Clean the gray colored part of the thermal head with the thermal head
cleaner pen.
9.4 Operator’s Manual ECG-1150
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
9
Paper empty sensor
If the wheel gear is dirty, clean the wheel gear surface with a cotton swab
moistened with alcohol.
Operator’s Manual ECG-1150 9.5
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
Cleaning
CAUTION
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.
spray.
To disinfect the electrode, wipe it with a soft cloth moistened with any of the
disinfectants listed below.
below. Use the recommended concentration.
concentration.
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
Cleaning
CAUTION
Do not use volatile liquids such as thinner or benzine, because these
will cause the materials to 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.
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.
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
Regular Check
Overview:
• Electrocardiograph is not dirty,
dirty, damaged or rusty
• Electrocardiograph and cart are not
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
correct
• AC lter and
and high-cut lter operate correctly
• Patient cable is not dirty or damaged
• Patient cable is not broken
Screen:
• Contrast and backlight
backlight brightness are correct
• Battery charge
charge lamp operates
operates correctly
• Waveform display and other screen display are correct
Recorder:
• Specied 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
voltage is correct
Operation:
• Electrocardiograph passes all check
check items in the System Test screen
• QRS synchronization sound
sound and notication sound
sound are correct
• System settings are correct and are saved correctly
correctly
• Date and time are correct
Safety:
• No current leakage
leakage
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
Clock Accuracy
Periodically check that the date and time on the printing result is correct.
To change the time setting, refer to “Changing Date and Time” in Section 3.
9
Operator’s Manual ECG-1150 9.9
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
Periodic Replacement
For inspection and replacement of the above parts, consult your Nihon Kohden
representative.
9.10 Operator’s Manual ECG-1150
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
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
Operator’s Manual ECG-1150 9.11
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
System Test
Test Screen
This section provides brief explanations of each test or function and explains
how to display the System Test screen. For details, refer to the Service Manual.
• Recorder Te
Test:
st: This is used to check the recorder by printing
a test pattern. Adjust the recorder based on the
printout.
• Electrode Input Test: This is used to check if the input analog signal
processing circuit detects the lead off condition
correctly using the input check
check jig. If a lead is
not connected, the “Error” message is displayed
on the screen.
• ECG Input Circuit Test: In this test, the input analog signal processing
circuit generates 1 mV rectangular waveforms
that are printed.
• Initialize System Settings: This resets all system settings to the factory
default settings.
• Display Internal Information: This displays the internal temperature and power
voltage of the electrocardiograph.
• Display Model Information: This displays the model name, software version
and analysis version of the electrocardiograph.
9.12 Operator’s Manual ECG-1150
9. MAINTENAN
MAINTENANCE
CE AND SYSTEM TEST
2. Press the POWER key while pressing the FEED/MARK key. The System
Test screen is displayed.
9
Operator’s Manual ECG-1150 9.13
Section 10 Reference
Specifications ....................................................................................................................................................10.2
ECG input......................................................................................................................................10.2
input......................................................................................................................................10.2
Waveform Data Processor ............................................................................................................10.2
Recorder .......................................................................................................................................10.2
Power
Power Requirement .....................................................................................
.......................................................................................................................
.................................. 10.2
Color LCD (with backlight) ............................................................................................................10.3
Environment ..................................................................................................................................10.3
Performance
Performance ................................................................................................
..................................................................................................................................
.................................. 10.3
Dimensions and Weight ................................................................................................................10.3
Safety Standard ............................................................................................................................10.3
Electromagnetic Compatibility .....................................................................................
.......................................................................................................
.................. 10.4
10
Electromagnetic Emissions ...........................................................................................................10.5
Electromagnetic Immunity ...........................................................................................
.............................................................................................................
.................. 10.5
Recommended Separation Distances between Portable and
an d Mobile RF Communications
Equipment .....................................................................................................................................10.7
System Composition for EMC Test
Test ..............................................................................................
................................................................................................
.. 10.7
General Requirements for Connecting Medical Electrical System ....................................................................10.8
Standard Accessories .....................................................................................
.....................................................................................................................................
................................................ 10.10
Options and Consumables
Consumables ..............................................................................................
..............................................................................................................................
................................ 10.11
Optional Accessory Kit ..........................................................................................
..........................................................................................................................
................................ 10.11
Options for the Electrocardiograph ........................................................................................
........................................................................................................
................ 10.12
Operator’s Manual ECG-1150 10.1
10. REFERENCE
Specifications
ECG Input
Input impedance: ≥ 50 MΩ
Electrode offset tolerance: ≥ ±550 mV
Debrillation-proof: Isolated and debrillator protected only when the following specied 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)
Common mode rejection ratio: ≤ –110 dB
Patient leakage current: ≤ 5 × 10 -8 A
Standard sensitivity: 10 mm/mV ±5%
Internal noise: ≤ 20 µVp-v
Interference between channels: ≤ –40 dB
Frequency response: 150 Hz (≥ 71%, high-cut lter: 150 Hz)
Sample rate: 8000 sample/s
Recorder
Recording speed accuracy: ≤ ±5%
Printing density: 200 dpi (8 dots/mm), 320 dots/mm2 (25 mm/s)
Scanning line density: 1 ms
Number of recording channels: 1, 2, 3
Paper speed: 10, 25, 50 mm/s
Recording paper: 63 mm width, 30 m roll paper
Mechanical noise: ≤ 48 dB at paper speed 25 mm/s
Printedd data:
Printe Program type, version, date and time, paper speed, sensitivity, lead name, lter,
Patient information (ID number, sex, age), event mark, electrode detachment, noise
Power Requirement
Line voltage: 100 to 240 V AC ±10%
Line frequency: 50, 60 Hz
Power input: 45 VA
10.2 Operator’s Manual ECG-1150
10. REFERENCE
Environment
Operating environment
Temperature:
Temperature: 5 to 40°C (41 to 104°F)
Humidity: 25 to 95% RH (noncondensing)
25 to 80% RH (recording paper)
Atmospheric pressure: 700 to 1060 hPa
Storage environment
Temperature:
Temperature: –20 to +65°C (–4 to +149°F) 10
–20 to +50°C (–4 to +122°F) (recording paper)
Humidity: 10 to 95% RH
10 to 90% RH (recording paper)
Atmospheric pressure: 700 to 1060 hPa
Other: Indoor portable
Performance
Performance standard: IEC 60601-2-51: 2003
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 60601-1-1: 2000
IEC 60601-1-2: 2001
Type of protection against electrical shock:
CLASS I EQUIPMENT (AC Powered)
Internally Powered EQUIPMENT (BA
(BATTERY
TTERY Powered)
Operator’s Manual ECG-1150 10.3
10. REFERENCE
Electromagnetic
Electromagnetic Compatibility
IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004
10.4 Operator’s Manual ECG-1150
10. REFERENCE
Electromagnetic Emissions
This Model ECG-1150 is intended for use in the electromagnetic environment specied below.
The customer or the user of the ECG-1150 should assure that it is used in such an environment.
Electromagnetic Immunity
This Model ECG-1150 is intended for use in the electromagnetic environment specied below.
The customer or the user of the ECG-1150 should assure that it is used in such an environment.
10
Electromagnetic enviro
environment
nment
Immunity test IEC 60601 test level Compliance level
Electrostatic discharge ±6 kV contact ±6 kV contact - guidance
Floors should be wood, concrete or
(ESD) ±8 kV air ±8 kV air ceramic tile. If oors are covered with
IEC 61000-4-2 synthetic material, the relative humidity
should be at least 30%.*
Electrical fast ±2 kV for power supply ±2 kV for power supply Mains power quality should be that
transient/burst lines lines of a typical commercial or hospital
IEC 61000-4-4 ±1 kV for input/output ±1 kV for input/output environment.*
lines lines
Surge ±1 kV differential mode ±1 kV differential mode Mains power quality should be that
IEC 61000-4-5 ±2 kV common mode ±2 kV common mode of a typical commercial or hospital
environment.
Voltage dips, short <5% U T T (>95%
dip in U T T) <5% U T T (>95%
dip in U T T) Mains power quality should be that
interruptions and for 0.5 cycle for 0.5 cycle of a typical commercial or hospital
voltage variations on environment.
power supply input 40% U T T (60%
dip in U T T) 40% U T T (60%
dip in U T T) If the user of the ECG-1150 requires
lines for 5 cycles for 5 cycles continued operation during power
IEC 61000-4-11 mains interruptions, it is recommended
70% U T T (30%
dip in U T T) 70% U T T (30%
dip in U T T) that the ECG-1150 be powered from
for 25 cycles for 25 cycles an uninterruptible power supply or a
battery.
<5% U T T (>95%
dip in U T T) <5% U T T (>95%
dip in U T T)
for 5 s for 5 s
Power frequency 3 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
which is superimposed on the ECG waveforms.
NOTE 3: Noise from AC power
power line may generate noise which is superimposed on the ECG waveforms. waveforms.
* This electrocardiograph may show temporary degradation during exposure of ESD, fast
f ast 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. REFERENCE
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected
affected by absorption and
reection from structures, objects and people.
* Field strengths from xed transmitters, such as base stations for radio (cellular/cordless) telephones
1
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
necessary,, such as re-orienting or relocating the ECG-1150.
*2 Over the frequency range 150 kHz to 80 MHz,
MHz, eld strengths should be less than
than 3 V/m.
10.6 Operator’s Manual ECG-1150
10. REFERENCE
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency
frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected
affected by absorption and
reection from structures, objects and people. 10
10. REFERENCE
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 specied in IEC 60601-1-1: 2000
Second edition.
10. REFERENCE
KEY TO TABLE
• Additional protective earth: If necessary,
necessary, provide additional protective
earthing, which is permanently connected (see also 58.201).
NOTE Equipment modication may be required.
• Separating transformer: If necessary,
necessary, limit the ENCLOSURE LEAKAGE
LEAKAGE
CURRENT,, by using an additional separating transformer according to annex
CURRENT
EEE.
NOTE 1 No
No equipment
equipment modication
modication 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].
• SEPARA
SEPARATION
TION DEVICE:
DEVICE : If necessary, apply SEPARA
SEPARATION
TION DEVICE.
DEVICE .
• IEC 60601: MEDICAL ELECTRICAL EQUIPMENT in compliance with IEC
60601.
• IEC XXXXX: Non-medical equipment in compliance with relevant IEC safety
standards.
10
Operator’s Manual ECG-1150 10.9
10. REFERENCE
Standard Accessories
NOTE
• Only use Nihon Kohden specified
specified parts and accessories to assure
maximum performance from your instrument.
1 2
10. REFERENCE
Description Q’ty Code No. Supply Code No. YD-100D YD-101D YD-102D YD-103D 10
Patient cable
BA-901D, AHA 3 mm
diameter tip 1 706256 K019
BJ-961D, IEC 3 mm diameter
1 725289 K111
tip, thick cable
BJ-902D, IEC/DIN 4 mm
1 705248 K081
diameter tip
Power cord
Type H 1 186656 L935
Type N 1 314839 L936
Chest electrode, 3 mm diameter
2 709957 H041
tip, for adult, 3 pcs/set
Chest electrode, 4 mm diameter
2 666949 H043
tip, for adult, 3 pcs/set
Clip-on limb electrode, 3 mm
1 709939 H068
diameter tip, 4 pcs/set, Fastclip
Clip-on limb electrode, 4 mm
1 709948 H 068K
diameter tip, 4 pcs/set, Fastclip
Operator’s Manual ECG-1150 10.11
10. REFERENCE