Cardiac Science Eclipse Premier Operating Instructions Manual

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Page 1

Operating

Instructions

Eclipse™ Premier

Electrocardiograph

Part No. 070-1149-01 Rev. B

Page 2

Cardiac Science Corporation

3303 Monte Villa Parkway

5(3

Bothell, WA 98021, USA

MDSS GmbH

Toll Free: +1.800.426.0337 Telephone: +1.425.402.2000 Email: [email protected] Website: www.cardiacscience.com

Tel: +49 511 62 62 86 30

Schiffgraben 41

D-30175 Hannover

Germany

Fax: +49 511 62 62 86 33

ii 070-1149-01 B

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PHOTOCOPY THIS PAGE AS NEEDED

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Table of Contents

Chapter 1 General Information . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

Chapter 2 Equipment Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Chapter 3 Keyboard and Displays . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii

Warnings, Cautions & Notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv

Definitions of Symbols Used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii

Inspection Upon Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1

General Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2

Interpretive Analysis Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3

Safety Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4

Using Multiple Electrical Apparatus . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4

Patient Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2

Grounding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2

Loading Recording Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3

Turning the Unit On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4

Using the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4

The Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1

The PREVIEW Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

A sample menu—the EDIT ID menu . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-6

Using Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7

Lists and System Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8

Chapter 4 System Setup and User Setup . . . . . . . . . . . . . . . . . . . 4-1

Configuring SYSTEM SETUP Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-1

Configuring the USER SETUP Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Acquire Printout of Eclipse Premier Program Settings . . . . . . . . . . . . . .4-17

Chapter 5 Patient Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Choosing the environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Preparing Patients for Resting ECGs . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1

Resting ECG Lead Placement & Coding Chart . . . . . . . . . . . . . . . . . . . . 5-3

Alternative Lead Placements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7

Chapter 6 Acquiring ECG Reports . . . . . . . . . . . . . . . . . . . . . . . 6-1

Acquiring a Stat ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Acquiring an Auto ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

Printing Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

Temporarily Changing Current Settings . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5

Acquiring an Auto Rhythm or a Manual Rhythm . . . . . . . . . . . . . . . . . . .6-6

Acquiring an ECG Using Alternative Lead Placements . . . . . . . . . . . . . . 6-7

Entering Patient Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9

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Chapter 7 Managing Patient Records . . . . . . . . . . . . . . . . . . . . . 7-1

Using the DIRECTORY Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1

Accessing Saved Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3

Additional Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-6

Chapter 8 Sending and Receiving Records . . . . . . . . . . . . . . . . . 8-1

Equipment Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-1

How record status affects the sending operations . . . . . . . . . . . . . . . . . . .8-3

Changing Record Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-3

Setting Up the Unit to Send and Receive . . . . . . . . . . . . . . . . . . . . . . . . .8-4

Receiving requisitions from PYRAMIS . . . . . . . . . . . . . . . . . . . . . . . . . .8-6

Sending records to PYRAMIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-7

Sending and Receiving records from an Eclipse . . . . . . . . . . . . . . . . . . . .8-8

Receiving records from PYRAMIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-8

Chapter 9 Sample Printouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Print Directory Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-1

Print Setup Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2

Standard 12-Lead, 4-Channel Auto ECG . . . . . . . . . . . . . . . . . . . . . . . . .9-3

Standard 12-Lead, 6-Channel Auto ECG . . . . . . . . . . . . . . . . . . . . . . . . .9-4

Standard 3-Channel Rhythm & Manual ECG . . . . . . . . . . . . . . . . . . . . . .9-5

Measurement Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6

Median Complex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-7

Chapter 10 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1

Troubleshooting Basic Unit Problems . . . . . . . . . . . . . . . . . . . . . . . . . . .10-1

Troubleshooting Trace Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2

Troubleshooting Printer Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3

Recognizing and Reducing ECG Artifacts . . . . . . . . . . . . . . . . . . . . . . .10-4

Chapter 11 Maintenance and Service . . . . . . . . . . . . . . . . . . . . . 11-1

Calibrating the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-1

Inspecting for Damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-1

Cleaning and Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-1

Testing Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2

Notice to responsible service personnel . . . . . . . . . . . . . . . . . . . . . . . . . .11-3

Performance Disclosures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-3

EMC Declaration Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-6

Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-10

Chapter 12 Measurement Matrix . . . . . . . . . . . . . . . . . . . . . . . . 12-1

Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IN-1

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Intended Use

WARNING: The Eclipse Premier should not be connected to nonmedical equipment unless the non-medical equipment complies with IEC 601-1. In addition, the enclosure leakage current of nonmedical equipment connected to the Eclipse Premier should not be allowed to exceed 500µA in fault condition. To maintain a proper enclosure leakage current, provide additional protective earth grounding, use an additional isolating transformer or use a floating power supply.

WARNING: The Eclipse Premier and any non-medical equipment that it is connected to should not be allowed within the patient’s vicinity, which extends 6 feet (1.83 m) beyond the perimeter of the bed, table or chair, and 7 1/2 feet (2.29 m) above the floor.

WARNING: NEVER create a direct connection between an Eclipse Premier and a PYRAMIS computer if the Eclipse Premier is already connected to a patient.

Under the supervision of a qualified physician trained in the subject of ECG interpretation, the Eclipse Premier can be used to record the electrical activity of the heart for the purpose of correlating the resultant waveforms with the health of the heart muscle tissue structures.

This equipment produces a 12 lead (view) electrocardiogram which can be used as a first step for assessment of patients with cardiac arrythmias, intraventricular conduction block, pre-excitation syndrome and ischemic heart disease. Records stored and used during the life of the patient can assist physicians in the diagnosis and natural history of heart related illnesses (such as coronary artery disease).

This equipment is not designed to produce a definitive interpretation nor an exhaustive evaluation of the patient’s heart but rather provide an effective beginning for evaluation of patients with heart abnormalities.

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Warnings, Cautions & Notices

Warnings

WARNING: The Eclipse Premier should not be connected to non-medical equipment unless the non-medical equipment complies with IEC 601-1. In addition, the enclosure leakage current of non-medical equipment connected to the Eclipse Premier should not be allowed to exceed 500µA in fault condition. To maintain a proper enclosure leakage current, provide additional protective earth grounding, use an additional isolating transformer or use a floating power supply.

WARNING: NEVER create a direct connection between an Eclipse Premier and a PYRAMIS computer if the Eclipse Premier is already connected to a patient.

WARNING: This device is NOT intended for unattended or continuous patient monitoring. It is intended for short-term ECG waveform acquisition. There are no audible or visible alarms.

WARNING: Never remove the battery pack and attempt to recharge it using an external battery charger. Fire or explosion may result.

WARNING: Explosion hazard. Do NOT use in the presence of flammable anesthetics.

WARNING: Electrical shock hazard. Do NOT contact unit or patient during defibrillation. Otherwise, serious injury or death could result.

WARNING: NEVER position defibrillator paddles very close to or over ECG sensors. Remove all chest sensors (V-Leads/C-Leads) from a patient before defibrillation to allow proper paddle placement. Severe burns may result from improper placement of defibrillator paddles. Before using any defibrillator, consult the operating instructions for that equipment.

WARNING: Electrical shock hazard. Operate the unit from its battery supply if the integrity of the protective earth conductor is in doubt. Otherwise, serious injury or death could result.

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WARNING: If safety procedures not performed, increased risk to patient and device can occur.

WARNING: Hazardous voltage. To reduce the risk of electrical shock, do not attempt to remove the cover under any circumstances. Refer servicing to a qualified technician.

WARNING: Position the Eclipse Premier away from other equipment. If it is necessary to use the Eclipse Premier adjacent to or stacked with other equipment, then observe the Eclipse Premier to verify normal operations.

WARNING: Use of accessories or cables other than those specified, with the exception of accessories and cables sold by Cardiac Science Corporation as replacement parts for internal components, may result in increased emissions or decreased immunity of the Eclipse Premier.

Cautions

CAUTION: Federal law restricts this device to sale by or on the order

of a physician

CAUTION: The unit must be operated only at the line voltage and frequency specified on the rating plate.

CAUTION: Although the Eclipse Premier is designed to meet IEC 601-1-2 EMC immunity requirements, the presence of strong EMI fields generated by electronic, surgical or diathermy instruments in close proximity to the unit may cause trace noise or input overload conditions.

CAUTION: Fire hazard. Use only approved battery packs.

CAUTION: The Eclipse Premier requires special precautions regarding

EMC. Install and use the Eclipse Premier according to the guidelines of the EMC declaration tables.

CAUTION: Portable and RF communications equipment may affect the Eclipse Premier. Always observe the recommended separation distances as defined in the EMC declaration tables.

Notices

NOTICE: Do not place used battery pack in your regular trash. The incineration, landfilling, or mixing of NiCad batteries with municipal waste is PROHIBITED BY LAW in most areas. Return this battery pack to a government-approved battery recycler. Contact your local waste management officials for more information.

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NOTICE: Computer assisted interpretation is a valuable tool when used properly. However, no automated interpretation is completely reliable and interpretations should be reviewed by a qualified physician before treatment, or non-treatment, of any patient.

NOTICE: Because the Eclipse Premier offers different lead configurations, always ensure that the appropriate lead placement is employed for the lead configuration selected.

NOTICE: Waveforms displayed on the Eclipse Premier screen are not intended to be used for diagnostic purposes. Use displayed waveforms to assess signal quality only.

NOTICE: Damage caused by using unapproved recording paper may void your warranty. Your Eclipse Premier electrocardiograph is intended for use with approved ECG supplies; its reliability and performance are directly affected by the supplies you use.

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Definitions of Symbols Used

Safety Symbols

Attention. Consult accompanying documents.

Danger! High voltage.

Hazardous voltage.

Defibrillation-Protected Type CF Equipment.

Equipotentiality (used to label the grounding lug).

Meets or exceeds Council Directive 93/42/EEC, MDD, Class IIa.

Labeling Symbols

Alternating Current (AC)

Automatic Operation

Custom Lead Triplet

Frequency Response

Heart Rate

Input/Output Connection

LCD Screen Contrast

Manual Operation

On/Standby

Stop Function

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Serial port

I0I0

Battery Compartment

Battery Charge Status

Modem

RJ11

Modem

Polarity of DC power connector.

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Chapter

1 General Information

Congratulations on your purchase of a top quality Eclipse Premier electrocardiograph.

By listening to our customers, we have designed the Eclipse Premier to suit your specific needs, incorporating features that people like yourself have requested.

Your business is important to us. If you would like more information or if you have any questions, contact your local representative or Eclipse Technical Support at (800) 4260337 or (425)402-2695.

CAUTION: Federal law restricts this device to sale by or on the order of a physician.

Inspection Upon Delivery

Your new Eclipse Premier was carefully inspected before shipment. Please inspect your unit upon delivery for any damage which may have occurred in transit. If you notice any damage, please contact your shipping agent.

If items are missing, contact your local representative or Eclipse Technical Support at (800) 426-0337 or (425)402-2695.

NOTE: Your Eclipse Premier electrocardiograph is intended for use with approved ECG supplies; its reliability and performance are directly affected by the supplies you use.

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Chapter 1 General Information

General Description

Figure 1-1

Eclipse Premier

● Portable; may be operated from battery or AC line power.

● Features an active-matrix color LCD.

● Prints using a thermal printer and thermosensitive, Z-fold paper.

● Operates in manual and automatic modes.

● Records in either standard or Cabrera lead formats. Alternative lead selections

include Pediatric (V4R), Alternate Chest Lead, Nehb, and Frank.

● Stores and, with interpretive models, analyzes waveforms acquired in automatic

mode.

● Prints at least 800 pages at 25 mm/s recording speed when the internal battery is

fully charged.

● Continuously recharges the battery whenever the unit is connected to AC line

power.

● Enhanceable. Software enhancements are quickly and easily introduced.

● Allows you to preview waveforms before you print, saving time and supplies.

● Features selectable patient demographic fields that you may use to suit your needs.

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Interpretive Analysis Program

About the program

The Eclipse Premier includes an interpretive analysis program. This analysis program is widely regarded as one of the most accurate available today. It was developed in the 1980s by Prof. Peter MacFarlane, of the University of Glasgow, who has been involved in computerized ECG interpretation since its inception in the 1960s. The algorithm has been continuously enhanced to improve results.

The ECG Interpretation Criteria Physician’s Guide outlines the criteria used by the analysis program.

Features of the interpretive analysis program

● DEVELOPED IN A HOSPITAL ENVIRONMENT

The interpretive program was developed in the University Department of Medical Cardiology in the Glasgow Royal Infirmary. Unlike many products which are developed with the aid of outside consultants, this program was developed in the environment for which it is intended.

Interpretive Analysis Program

● USES AGE, GENDER AND RACE DATA EXTENSIVELY

More than 500 measurements, plus the patient’s age, gender, race, clinical classification and medications are factored into each analysis. Several criteria for abnormalities are age, race and gender dependent. Race, for example is key in identifying hypertrophy and T-wave abnormalities.

● USES CLINICAL HISTORY

The program is the first to use clinical class as an integral part of analysis just as a physician would consider clinical class in his or her evaluation.

● PRODUCES CLEAR REASON STATEMENTS

Reasons appending abnormalities are given in conversational language. For example, wording like, “High voltages in limb leads,” is used rather than, “R amp > age, sex dependent limit in limb leads.”

● UNDER CONTINUOUS DEVELOPMENT & ENHANCEMENT

The program has been clinically tested against more than 80,000 ECGs and is continuously under development.

● ACCURATELY DETECTS NORMAL ECGs

Normal ECGs are easily identified and sorted so the physician may quickly verify results.

● PROVIDES USER-SELECTABLE QTc FORMULAS

Provides four clinically proven methods of calculating QTc, for use in diagnosis and pharmaceutical studies: Hodges, Bazett, Fridericia, and Framingham.

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Chapter 1 General Information

Safety Features

● PROVIDES INTERPRETATIONS IN TWO FORMATS

Select BRIEF format for short, concise analysis statements with minimal explanations, presented in mixed case nomenclature (for example, “Normal ECG”). Select FULL format for lengthier analysis statements— presented in upper case nomenclature (for example, “NORMAL ECG”)— and reason statements, which precede the analysis statements.

WARNING: Electrical shock hazard. Do NOT contact unit or patient during defibrillation. Otherwise, serious injury or death could result.

WARNING: NEVER position defibrillator paddles very close to or over ECG sensors. Remove all chest sensors (V-Leads/ C-Leads) from a patient before defibrillation to allow proper paddle placement. Severe burns may result from improper placement of defibrillator paddles. Before using any defibrillator, consult the operating instructions for that equipment.

Includes a 3-conductor, hospital-grade power cable. Includes an electrically isolated, DB-15 style patient cable. This conforms to IEC safety, pinout and mechanical requirements.

This symbol which appears on the rear panel, indicates this equipment meets the requirements of Council Directive 93/42/EEC, MDD, Class IIa.

This symbol next to the patient cable connector indicates this equipment is classified as defibrillation-protected, Type CF equipment. The patient cable and input circuits are designed to prevent damage to the recorder if the unit is connected to a patient during defibrillation.

Using Multiple Electrical Apparatus

Use caution when monitoring patients who must be protected from very small electrical currents. Susceptible patients include patients with cardiac catheters or pacemakers. Consult a qualified technician before using multiple electrical apparatus in this patient environment.

The Eclipse Premier patient leads are electrically isolated from ground and the device meets the most stringent IEC and ANSI/AAMI medical standards for leakage currents.

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Using Multiple Electrical Apparatus

However, a potential hazard may occur if the enclosure leakage currents from multiple pieces of equipment combine and are inadvertently routed directly to a patient’s heart via a catheter or pacemaker lead. Only equipment which is certified to IEC and ANSI/AAMI medical standards should be used in this environment. Use of certified equipment does not, however, completely eliminate this possible hazard.

Another potential hazard may occur if two devices near a patient are powered from different circuits. If the grounds of the two circuits are at different potentials, which can occur under certain fault conditions, then a ground loop can exist between the enclosures of the two devices. If devices must be powered from separate circuits in the vicinity of a susceptible patient, then the grounding lugs on the devices should be electrically connected via an equipotential cable. Please also consult Chapter 2, “Equipment Setup.”

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Chapter 1 General Information

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Chapter

2 Equipment Setup

WARNING: Trip hazard. Route all cables away from main work areas to minimize risk of tripping and injury.

NOTE: For patient safety, all equipment in patient environment should be EN 60601-1 approved.

Figure 2-1

Back Panel

Key

A AC power connector

Power indicator

C Equipotential

grounding

CAUTION: The unit must be operated only at the line voltage and frequency specified on the rating plate.

NOTE: The diagram above shows standard connections. Additional connections may be available if your unit includes communication options. Refer to “Setting Up the Unit to Send and Receive” on pg. 84 for information and instructions on configuring the unit for communication options.

Connect the supplied power cord here.

There is no switch to disconnect AC line power. To do this you must unplug the unit from the AC outlet. The battery is automatically charged whenever the unit is connected to AC line power.

When the green light is on the unit is receiving AC line power.

Connect equipotential ground cable here.

NOTE: Equipotential grounding is only required if peripheral equipment is attached to the Eclipse.

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Chapter 2 Equipment Setup

Patient Cable

Figure 2-2

Patient Cable Connector

For patient safety, all equipment in patient environment should be IEC 601-1 approved. All connected equipment should be IEC 950 approved or equivalent. Consult a qualified technician to verify equipment compatibility.

Connect the patient cable via the connector on the front of the unit.

Make sure the connector on the cable is arrow-side-up then firmly push the connector until the arrow point is aligned with the edge of the Eclipse Premier.

Grounding

WARNING: Electrical shock hazard. Operate the unit from its battery supply if the integrity of the protective earth conductor is in doubt. Otherwise, serious injury or death could result.

NOTICE: For proper grounding, Cardiac Science Corporation. recommends the use of medical grade AC outlets.

Maximum patient and operator safety is ensured only when the Eclipse Premier is properly grounded. To do this, connect the power cable to the AC Power connector (see Figure 2-1 on pg. 2-1) and connect the other end to a properly grounded, AC line outlet.

Patient Cable

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Loading Recording Paper

NOTE: Damage caused by using unapproved recording paper may void your warranty.

Loading Recording Paper

1. Turn the Eclipse Premier on.

2. Open the paper compartment door by lifting and sliding it out to the left.

3. Remove any remaining paper from the paperwell.

4. Lift the top sheet of the new stack of paper and pull it to the right.

5. Place the paper into the compartment.

6. Slide the compartment cover back into place until you notice a deﬁnite click as it snaps into the feed rollers.

7. Press the “P” key to advance the paper to the next sheet.

8. Tear off paper by pulling up and to the right. Do not pull additional paper out of the printer.

9. Select the paper type in the System Setup menu (see “Paper Type” on pg. 4-4).

Use only approved, thermally responsive ECG paper. The following ECG papers are recommended:

1. Assurance

, permanent trace, Z-fold. Thermal image integrity guaranteed for 25 years when stored in accordance with manufacturer’s speciﬁcations.

2. Standard trace, Z-fold. Thermal image integrity guaranteed for 5 years when stored in accordance with manufacturer’s speciﬁcations.

The printer is pre-adjusted at the factory. Do not try to make adjustments.

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Chapter 2 Equipment Setup

Turning the Unit On

Press the On/Standby key to turn the Eclipse Premier on. The unit performs self-tests and displays the current date and time, a message prompting you to check date and time accuracy, and any error detected during the self-tests.

NOTE: To change the date and time settings, see “Configuring SYSTEM SETUP Menu” on pg. 4-1.

After completing self-tests, the unit displays the PREVIEW screen.

Standby Mode

NOTE: The Eclipse Premier will automatically power down to Standby mode after 15 minutes of inactivity.

To power down to Standby mode at any time during operation, press the On/Standby key (there is no switch to disconnect power).

The unit is not operational in Standby mode; however, the internal battery charges in Standby mode if connected to AC power.

The Auto Power Down feature may be temporarily turned off by putting the unit in Battery Calibration Mode.

Power Indicator

This green light on the back of the unit (see Figure 2-1) is on whenever the unit is receiving AC line power.

Using the Battery

The Eclipse Premier displays battery charge status via the battery status gauge in the PREVIEW screen (see Figure 3-2 on pg. 3-4) and in Standby mode. When all 8 bars are lit, the battery is fully charged. When battery power is being used, the message “BATTERY” is displayed and the minus sign ( - ) is highlighted indicating that charge is being drained. When the unit is connected to AC line power, the message “AC ON” is displayed and the plus sign ( + ) is highlighted indicating the battery is charging.

Connect the Eclipse Premier to AC power whenever possible to ensure reliable, uninterrupted performance. Additionally, you must calibrate the battery prior to initial use and at regular intervals; refer to “Calibrating the Battery” on pg. 2-5.

Charging the Battery

Connect the unit to AC line power to recharge the battery. The battery fully recharges in about 4.5 hours. You may operate the Eclipse Premier from AC line power while the battery is charging. However, this will increase charging time.

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Low Battery Indicators

The following are indicators of low battery, listed in order of occurrence.

1. The Eclipse Premier flashes the message “LOW BATTERY” and beeps every 30 seconds when fewer than 15 minutes of operating time remain.

2. The Eclipse Premier displays the message, “POWERING DOWN” and then shuts off after 5 seconds.

3. The Eclipse Premier beeps 3 times or displays the message, “Battery Low-Please Charge” when powering up. In this condition, the Eclipse Premier may not have enough battery charge to power up.

When to Calibrate the Battery

You must calibrate the battery in the following situations:

✔ prior to initial use

✔ when the Eclipse Premier displays the message,

“NOTE: Battery calibration is suggested!” (in Standby mode)

Using the Battery

✔ when the battery drains very quickly but retains a low charge

(single bar as indicated on the battery status gauge) for an extended period before the “LOW BATTERY” message displays

✔ when the battery will not charge to full capacity, as indicated on

the battery status gauge (in the Preview screen or in Standby mode)

Calibrating the battery ensures that the battery status gauge is providing accurate information and the battery is charging to its fullest capacity.

Calibrating the Battery

Battery calibration consists of 2 phases: charging the battery; and completely discharging a fully charged battery.

Charge the battery:

1. Connect AC power. Power down to Standby mode to fully recharge the battery (0 to 4.5 hours).

NOTE: You may operate the Eclipse Premier from AC line power while the battery is charging. However, this will increase charging time. Additionally, the unit must return to Standby mode to finish recharging.

2. The unit will power off automatically once the battery is fully charged.

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Chapter 2 Equipment Setup

Completely discharge a fully charged battery:

3. Unplug the Eclipse Premier from AC line power.

4. Press ON/STBY to turn the Eclipse Premier on.

5. Press M to go to the Main menu. Press B, then press Enter.

6. Press the left arrow key to return to the PREVIEW screen, and verify that the battery gauge states “CALIBRATING”.

7. Leave the unit on until it powers off automatically. You may operate the Eclipse Premier while the battery is discharging.

Battery calibration is complete. Continue with the instructions under “Charging the Battery” on pg. 2-4.

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Chapter

The Keyboard

Figure 3-1

The Keyboard and Key Types

3 Keyboard and Displays

Normal operation of the Eclipse Premier occurs through use of the keyboard and LCD display. Alphabetic and numeric keys are used to enter information and are also used as hot keys, to make selections in certain screens. Other keys, such as the ECG key and the arrow keys, provide additional functions, as described in this chapter.

(A) FUNCTION KEYS

Use the “ECG” key to acquire and print a 12-lead Auto ECG (a series of reports using pre-programmed lead sequences and settings.)

Use the “RHYT” key to acquire an Auto Rhythm report (a rhythm strip with a pre-selected number of pages; uses the leads currently selected in the PREVIEW screen).

Use the “MAN” key to acquire a Manual Rhythm report (a continuous rhythm strip of the leads currently selected in the PREVIEW screen). This report will run until the “STOP” key is pressed.

Use the “STOP” key to terminate any of the above functions and/or return the display to the PREVIEW screen.

(B) NUMERIC/ MACHINE CONTROL

Use the numeric keys to enter numeric data, when required. These keys may also be used as hot keys for specific operations (see “Hot Keys” on pg. 3-8).

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Chapter 3 Keyboard and Displays

Use the “1” and “2” keys to select pre-programmed lead triplets for the display; the displayed leads will also be printed on Manual Rhythm and Auto Rhythm reports.

In the PREVIEW screen, use the “1” and “2” keys with the Shift key to select either User 1 or User 2. See Chapter 4 for user setup information.

Use the “3” and “4” keys to select pre-programmed lead triplets for the display; the displayed leads will also be printed on Manual Rhythm and Auto Rhythm reports.

Use the “5” and “6” keys to select user-defined leads (Custom Lead 1 and Custom Lead

2) for the display; the displayed leads will also be printed on Manual Rhythm and Auto Rhythm reports. See “CUSTOM LEAD 1 & CUSTOM LEAD 2” on pg. 4-11 for setup information.

Use the “7” key to toggle the Paper Speed between 10, 25 and 50 mm/sec.

Use the “8” key to toggle the ECG Gain between 5 mm/mV, 10 mm/mV, 20 mm/mV, L10,C5 mm/mV and L20, C10 mm/mV.

Use the “9” key to toggle the ECG Filter Frequency between 40 and 150 Hz.

Use the “0” key to produce a 1 mV Calibration Pulse on the display and printouts.

NOTE: When numeric keys are used to change settings, the settings are in effect for the current ECG only. To change settings for all future ECGs, modify the settings in the USER SETUP menus or the SYSTEM SETUP menu.

Use this key to adjust the brightness of the display.

(D) ON/STANDBY

Use this key to turn the unit on. Pressing the On/Standby key again while the unit is on will return the unit to standby mode.

(E) BACKSPACE

Use this key to backspace and delete one character behind the cursor, each time the key is pressed.

(F) ARROW

Use the up and down arrows to move within menus, fields and lists. Hold down the shift key and press the arrows to page up and down in the directory and in lists.

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Use the right and left arrows to enter and exit menus and lists.

(G) ENTER

Use the Enter key to accept the current selection.

(H) SPACE

Use this key to insert a space.

(I) ALPHABETIC

The Keyboard

THROUGH

Use the alphabetic keys to enter information, when required. These keys may also be used as hot keys for specific operations (see “Hot Keys” on pg. 3-8).

To enter punctuation and special characters—such as [

, ], [ . ], [ - ], Ñ, Ü, Ö, Å and

Ä—press the Shift key and the corresponding letter.

(J) SHIFT

Use the Shift key, along with alphabetic keys, to enter punctuation and special characters. Use the Shift key with the “1” and“2”keys to select either User 1 or User 2.

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Chapter 3 Keyboard and Displays

The PREVIEW Screen

After the Eclipse Premier has been turned on and performs self-tests, the PREVIEW screen is displayed (see Figure 3-2). General features are described below.

Figure 3-2

The Preview Screen

ABC

ID:0123456789 JONES, THOMAS

aVR

aVL

L=x2,C=x1

PRESS

I ENTER ID

RECORD

ECG

MAIN MENU

Available:60 ECG

III

RA LA LL V1 V2 V3 V4 V5 V6

aVF

SENSORS OK

User: 1

25 mm/s

L20,C10 mm/mV

STABLE 40 Hz

AC ON

FGH

(A) PATIENT ID

Identification number of the current patient. On the Eclipse Premier, this field also displays the patient’s name.

(B) RELATIVE GAIN

Tracks the amplitudes of the displayed waveforms. This corresponds to the Recorder Gain setting as follows:

Recorder Gain Relative Gain

5 mm/mV x1/2 10 mm/mV x1 20 mm/mV x2

L=10, C=5 mm/mV L=x1, C=x1/2

L=20, C=10 mm/mV L=x2, C=x1

Displays the patient’s heart rate.

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The PREVIEW Screen

(D) FUNCTIONS LIST

Displays available functions and menus. Displays space available, for example, “Available: 60 ECG”.

(E) RECORDER SPEED, GAIN AND FREQUENCY RESPONSE

Displays settings for current ECG reports.

(F) BATTERY STATUS GAUGE

Tracks battery charge level.

(G) POWER STATUS

Indicates the power source, AC line power or battery.

(H) SENSOR STATUS

Indicates signal quality.

If all sensors are producing good signals, the display reads:

SENSORS OK

If one or more sensors produce a poor signal, the labels for the affected sensors are highlighted and the problem is indicated by one of the following messages:

FAIL DRIFT NOISE

NOTE: To ensure accurate sensor status indication, the RL electrode must be connected.

NOTE: Refer to Chapter 10, “Troubleshooting” for information on correcting signal problems.

(I) ECG WAVEFORMS

NOTICE: Waveforms displayed on the Eclipse Premier screen are not intended to be used for diagnostic purposes. Use displayed waveforms to assess signal quality only.

This area of the screen displays waveforms for the selected lead group. Until leads are properly connected to a patient, only “flatlines” are displayed.

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Chapter 3 Keyboard and Displays

A sample menu—the EDIT ID menu

Most of the Eclipse Premier displays consist of menus. For example, the EDIT ID menu is used to enter patient demographics.

The ENTER ID selection is automatically highlighted when you enter the PREVIEW screen (see Figure 3-2 on pg. 3-4). You may use the up and down arrow keys to highlight other choices and move around in the Functions List.

To go to the EDIT ID menu, make sure the ENTER ID selection is highlighted and either press the Enter key or the right arrow key; pressing the “I” key will also open the EDIT ID menu. The EDIT ID menu is displayed.

Figure 3-3

A Sample Menu-The

EDIT ID Menu

ID:0123456789 PRESS65

(*Items may affect computer analysis)

*V3 Placement : STANDARD Patient ID : Last Name : First Name : *D.O.B. : *Age : *Age Format : *Sex : *Medication 1 : *Class 1 : Comments :

EDIT ID

blank NO MEDICATION UNKNOWN DIGITALIS DIURETIC

MEDICATION

Once you are in the EDIT ID menu, use the up and down arrow keys to select different fields. Pressing the right arrow key in certain fields, such as *Age Format, will access the list of options for that field. Press the left arrow key to exit the list. Press the left arrow key again to exit the EDIT ID menu.

Following is a description of basic menu features.

(A) RETURN TO PREVIOUS SCREEN

The arrow in the upper left corner reminds you that you may return to the previous screen by pressing the left arrow key.

(B) PREVIOUS SCREEN

The top of the last screen that was displayed shows above all menus.

Located in the Scroll bar, this shows you when the menu continues beyond the current view. The box is at the top when the top field shows. It moves down as you scroll through the menu until the last field shows.

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(D) SCROLL BAR

Located on the right side of the menu.

(E) ACTIVE FIELD

When a field is highlighted you may edit the contents of that field.

Using Menus

The up and down arrow keys are used to scroll within menus.

Menus are composed of fields. There are three kinds of fields:

1. Alphanumeric

2. Numeric

3. List

ALPHANUMERIC FIELDS

When active, alphanumeric fields may be filled by typing alphabetic or numeric keys. You may also type spaces, punctuation, and non-English characters. For example, to type the character “Ñ” in the Last Name field:

Using Menus

1. Scroll to the Last Name field.

2. Hold down the Shift key.

3. Simultaneously press the “I” key.

Press the Enter key after filling fields to accept data and move to the next field.

NUMERIC FIELDS

When active, numeric fields may be filled by typing numeric keys only. The Eclipse Premier will produce a “beep” sound if you try to type letters or other inappropriate data into a numeric field.

Press the Enter key after filling fields to accept data and move to the next field.

LIST FIELDS

When active, list fields display a box with a list of choices. These are described in the next section.

DEFAULTS

Every field has a default setting.

For example, if you skip the *Age Format field it will be filled in with “YEARS.” Unless you make another choice, the Eclipse Premier always uses defaults. Most often, fields are left blank.

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Chapter 3 Keyboard and Displays

Lists and System Notes

LISTS

Lists give you all the choices for a particular field. For example, scroll to Medication 1. A list appears (see Figure 3-4). The field may be filled with any choice from this list. After you make a selection, the next field becomes active.

Figure 3-4

A Sample List - The

Medication List

HOT KEYS

NOTE: If a custom header has been downloaded to the Eclipse

Premier unit, then hot keys will not appear in certain lists such as the medication lists.

ID:0123456789 PRESS65

EDIT ID

(*Items may affect computer analysis)

*V3 Placement : STANDARD Patient ID : Last Name : First Name : *D.O.B. : *Age : *Age Format : *Sex : *Medication 1 : *Class 1 : Comments :

blank NO MEDICATION UNKNOWN DIGITALIS DIURETIC

MEDICATION

All list items have hot keys to select them.

For example, the letter “D” is underlined in the choice, “D

IGITALIS.” This is a hot key; it is temporarily specialized to select this choice. Press the “D” key to select “D

IGITALIS”.

Another way to select items is from within the list. You may gain access to the list by pressing the right arrow key.

Scroll within the list using the up and down arrow keys. When your choice is highlighted, choose it by pressing the Enter key.

To exit the list without selecting anything, press the left arrow key.

SYSTEM NOTES

System notes give you additional information as needed. For example, a system note appears if you enter data that exceeds an allowed range.

To see a system note, scroll to the *Age field. This is a numeric field that accepts only data between 0 and 364. Try typing a larger number such as 500. A system note box appears.

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Lists and System Notes

Not in range: 0 - 364.

Press the Enter key to acknowledge the note and continue.

You have just practiced the basics of using the Eclipse Premier. More information accompanies sections for specific functions such as acquiring an Auto ECG.

Press the left arrow key to return to the PREVIEW screen and continue working.

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Chapter

4 System Setup and User Setup

Configuring SYSTEM SETUP Menu

Within the SYSTEM SETUP menu you can select User 1 or User 2, format Eclipse Premier general settings, and set the internal calendar & clock. Setting options are listed in “SYSTEM SETUP Fields” on pg. 4-2.

NOTE: Default settings for Eclipse Premier are given on page 9-2.

Go to SYSTEM SETUP menu

1. Press the On/Standby key to power up to the PREVIEW screen.

2. Press the “M” key to go to the MAIN MENU.

3. Select S SETUP menu will appear (see Figure 4-1).

YSTEM SETUP by pressing the “S” key. The SYSTEM

Figure 4-1

The SYSTEM SETUP Menu

ID:0123456789 PRESS65

MAIN MENU

SYSTEM SETUP

User 1-2 Select: 1 Line Filter: 60 Hz Date Format: DD.MM.YY Date: 12.11.1995 Time: 13:45 Language: ENGLISH Height Units: IN. Weight Units: LB. Inst. Name:

4. Use the up and down arrow keys to scroll through the fields in the SYSTEM SETUP menu. As you scroll through the fields, the options available for each field will be displayed when the field is highlighted.

5. Once a field is highlighted, change the current selection by pressing the hot key associated with the option. For example, to select User 1 in the User 1-2 Select field, press the “1” key.

6. Use the keyboard to enter information into fields with a blinking cursor, such as Inst. Name.

USER

1 2

Use the left arrow key to exit the menu.

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Chapter 4 System Setup and User Setup

SYSTEM SETUP Fields

Following is a description of the SYSTEM SETUP fields and options. Available choices are listed to the right of the field name.

Eclipse Premier electrocardiographs can send and receive ECG records. The items under MANAGEMENT SYSTEM refer primarily to the use of an ECG Management System, such as the PYRAMIS System or the FAA System. The Phone #, Description, Connection and Baud Rate fields are also used when sending records between two Eclipse units. If you are using a management system, be sure to consult your System Administrator so that you can setup your Eclipse Premier to be compatible with the management system. For more information on sending and receiving records, see “Sending and Receiving Records” on pg. 8-1.

Field Name Options, Limitations And Description

User 1-2 Select 1

NOTE: When applicable, the type of information and the number of characters allowed are listed in brackets to the right of the field name.

For each “User,” there is a customized group of formats. For more information on User 1 and User 2, see “Configuring the USER SETUP Menus” on pg. 4-6.

NOTE: The unit automatically turns off and on again whenever you change the User selection. This ensures that all changes take effect.

Line Filter 5

Filters electrical interference from AC line voltage.

Date Format M

Date [Up to 20 alphanumeric characters]

Use spaces, hyphens or periods to separate the day, month and year. Some acceptable ways to type the date are:

NOTE: Remember that the period character ( . ) is typed by holding down the Shift key and pressing the “N” key. The hyphen character ( - ) is typed by holding down the Shift key and pressing the “M” key.

Time [Alphanumeric field displayed in 24-hour format]

Enter hour and minutes; use a space to separate the hour from the minutes. Seconds will fill in automatically when you press Enter.

0 Hz 0 Hz

M/DD/YY

D.MM.YY

Y. M M. D D

1. 10 10 2004

2. 10–10–204

3. 10.10.2004

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Height Units CM.

Selects units for expressing patient height.

NOTE: The unit automatically turns off and on again whenever you change the Units selection. This ensures that all changes take effect.

Configuring SYSTEM SETUP Menu

Weight Units K

Selects units for expressing patient weight.

NOTE: The unit automatically turns off and on again whenever you change the Units selection. This ensures that all changes take effect.

Inst. Name [Up to 30 alphanumeric characters]

Refers to the institution. Information entered here is printed along the bottom of each printout.

Phone Type T

OUCH TONE

ULSE

MANAGEMENT SYSTEM

Institution Number [Up to 5 numeric characters]

Refers to the institution. This is extremely important when two or more institutions share a PYRAMIS System.

Device Id [Up to 5 numeric characters]

Identifies the Eclipse Premier unit with a unique number. The Device Id is used by the PYRAMIS system to identify which electrocardiograph acquired each ECG record.

Phone # [Up to 25 numeric characters. The comma character ( , ) inserts a

pause during dialing]

Provides a phone number to reach the management system or another Eclipse electrocardiograph with modem. If MODEM is selected for the Connection field, make sure to include a phone number to enable the sending and receiving functions on the Eclipse Premier.

If appropriate, include prefixes for dialing an outside line and/or long distance numbers.

Include a comma to insert a pause while dialing. A pause may be used if you need to access an outside line. For example, this is often used after dialing a “9” prefix before the rest of the phone number.

Description [Up to 20 alphanumeric characters]

Identifies what management system or electrocardiograph is reached at the phone number in the above field.

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Chapter 4 System Setup and User Setup

Connection MODEM

IRECT

02.11b/802.3

ONE

Determines what type of connection is used when sending or receiving records. Selecting NONE disables any sending or receiving functions on the Eclipse Premier. This will also allow the Eclipse Premier to automatically delete records that do not have the St status (see “Record Status” on pg. 7-2).

Baud Rate 2

Determines the rate at which the modem will send or receive records. Selecting AUTO allows the modem to send or receive records at the fastest rate depending on the speed of the modem on the connecting equipment.

AC Mains

Frequency

Labels ECG records with the frequency of the AC line power which is connected to the Eclipse Premier unit. This is used by the PYRAMIS System to identify the line frequency in the area where the records are acquired.

Paper Type A

Sets print head resistance according to paper type selected.

Analysis

Statements

Selects the format of the ECG analysis statements. Selecting BRIEF will result in short, concise analysis statements with minimal explanations, presented in mixed case nomenclature for ease of reading (for example, “Normal ECG”). Selecting FULL results in lengthier analysis statements—presented in upper case nomenclature (for example, “NORMAL ECG”)— and reason statements, which precede the analysis statements.

400

UTO

NSPECIFIED

0 Hz

SSURANCE 50 TANDARD

RIEF

ULL

Barcode Scanner ON

OFF

Enables or disables barcode scanning. When the barcode scanner has been installed and enabled, patient demographics can be entered by scanning one or more barcodes.

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Configuring SYSTEM SETUP Menu

Ethernet or 802.11 Wireless Communication

NOTE: The following four fields should be configured as a part of the Eclipse Premier

wireless communication setup for the wireless device that is being installed. The instructions provided with your wireless device contain additional details and information.

Ethernet/Wireless

Open Timeout (sec)

Ethernet/ Wireless

Retry Timeout (sec)

SCP Max Command

Retries

Ethernet/Wireless

Always Connected

[Up to 2 numeric characters]

Determines the length of the delay, in seconds, from powering on the wireless/Ethernet device to initiating communications when sending records to an EMR.

To determine the appropriate setting, refer to the instructions provided with your wireless device.

[Up to 2 numeric characters]

Determines the length of the delay, in seconds, prior to retrying a network connection when sending records to an EMR. To determine the appropriate setting, refer to the instructions provided with your wireless device. (To mitigate network communication problems, you may set this to a higher value to ensure adequate time to establish communications.)

[Up to 2 numeric characters]

Determines the number of times the system will retry when sending records to an EMR. To determine the appropriate setting, refer to the instructions provided with your wireless device.

ON OFF

Set to ON for short startup time. When ON, the wireless/Ethernet device remains on when the Eclipse Premier is powered on. Set to OFF to maximize battery life. When OFF, the wireless/Ethernet device remains off and is powered on only during record transfer.

NOTE: When using a barcode scanner in addition to the Ethernet/wireless hardware device, note that the device turns off each time you scan a barcode. For best results, change the Ethernet/Wireless Always Connected setting to OFF, or be sure to wait for the device to establish communications after scanning a barcode and before using the send function.

Password ON

OFF

Determines whether a password is required to access the USER SETUP menus and the SYSTEM SETUP menu. The password is set in the MISCELLANEOUS menu (see “Password” on pg. 4-14).

NOTE: If the password is set to OFF in SYSTEM SETUP, the password field will not appear in the MISCELLANEOUS menu.

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Chapter 4 System Setup and User Setup

Directory Password ON

Verify calendar & clock settings

To verify the date and time, press the On/Standby key to put the unit in Standby mode. Then press the On/Standby key again to turn the unit on.

Check the date and time on the POWER-UP screen.

Configuring the USER SETUP Menus

OFF

Determines whether a password is required to access the directory. When ON, the user must enter the directory password after every power up, when accessing the directory. The password is set in the MISCELLANEOUS menu (see “Directory Password” on pg. 4-14)

NOTE: If the directory password is set to OFF in SYSTEM SETUP, the directory password field will not appear in the MISCELLANEOUS menu.

There are 7 USER SETUP menus. Use these to format printouts and reports; customize lead groups; customize demographic information in the EDIT ID menu and on printouts; set default values for Recorder Speed, Gain and Frequency Response; get Custom Header information; and configure miscellaneous settings.

All USER SETUP settings can be customized for both User 1 and User 2 (for more information, see “User 1-2 Select” on pg. 4-2).

NOTE: Default settings for Eclipse Premier are given on page 9-2.

Go to the USER SETUP menus

1. Press the On/Standby key to power up to the PREVIEW screen.

2. Select the set of formats you want to edit by holding down the Shift key and simultaneously pressing either the “1” key or “2” key (for User 1 or User 2, respectively).

NOTE: The unit automatically turns off and on again whenever you change the User selection.

3. Press the “M” key to go to the MAIN MENU.

4. In the MAIN MENU, select the desired USER SETUP menu by pressing the appropriate “hot” key; for example, to select POWER-UP DEFAULTS select the “O” key.

5. The new menu will appear (see Figure 4-2).

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Configuring the USER SETUP Menus

Figure 4-2

A USER SETUP Menu—The

POWER-UP DEFAULTS

ID:0123456789 PRESS65

MAIN MENU

POWER-UP DEFAULTS

Speed: Gain: 10 mm/mV Artifact Filter: 40 Hz

25 mm/s

SPEED

10 mm/s 25 mm/s 50 mm/s

6. Use the up and down arrow keys to scroll through the fields in the selected menu. As you scroll through the fields, the options available for each field will be displayed when the field is highlighted.

7. Once a field is highlighted, change the current selection by pressing the “hot” key associated with the option. For example, to select a speed of 50 mm/s in the POWER-UP DEFAULTS MENU, press the “5” key.

8. Use the keyboard to enter information into fields with a blinking cursor.

Use the left arrow key to exit the menu.

USER SETUP Menus, Fields and Options

Following are descriptions of each USER SETUP menu, with information on menu fields and options. For each field in a menu, the available choices are listed to the right of the field name. When applicable, the type of information and the number of characters allowed are listed in brackets to the right of the field name.

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Chapter 4 System Setup and User Setup

POWER-UP DEFAULTS

The fields in this menu affect paper speed and waveform printing. The settings in this menu are in effect whenever the Eclipse Premier is powered on with the On/Standby key. When changes are made in the POWER-UP DEFAULTS menu, changes go into effect the next time the Eclipse Premier is powered on.

NOTE: These settings also can be temporarily modified by pressing the “7,” “8” and “9” machine control keys to change the settings for Speed, Gain, and Filter, respectively (see “The Keyboard” on pg. 3-1). Changes remain in effect until the unit powers down.

Speed 1

Refers to chart paper speed.

Gain 5

Determines the amplitude of printed and displayed waveforms.

Artifact Filter 1

Sets the upper frequency response.

Selecting 150 Hz provides the highest fidelity recording and should be used when little or no noise is present.

The American Heart Association’s 1990 Recommendations (Recommendations for Standardization and Specifications in Automated Electrocardiography: Bandwidth and Signal Processing) pertaining to high-frequency response for both adult and pediatric recordings are met or exceeded when using the 150 Hz setting.

Selecting 40 Hz will reduce the muscle tremor and patient movement artifacts in the ECG recording. It will result in a smoother looking trace at the expense of losing some of the fine detail. This filter is applied only to the printed report and displayed ECG. The data analyzed by the measurement and interpretation software is not affected when using the 40 Hz setting.

0 mm/s 5 mm/s

0 mm/s

mm/mV 0 mm/mV

0 mm/mV

=10 C=5

L L=20 C

50 Hz 0 Hz

=10

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AUTO ECG SETUP

Configuring the USER SETUP Menus

12 Lead Format STANDARD, 4

STANDARD, 3

TANDARD, 3 CH. + 3 (3 channel ECG with 3 rhythm leads)

ANDARD, 6 CH 5S/LD (5 seconds per lead, 1 page total)

ST STAN

ABRERA, 4 CHANNEL

BRERA, 3 CHANNEL

RERA, 3 CH. + 3 (3 channel ECG with 3 rhythm leads)

CAB CABR CABRE

Sets printout format. For sample printouts, see Chapter 9.

NOTE: If you select a 4-channel or a 3-channel plus 3 rhythm format, select a lead or leads for the rhythm printout.

Rhythm Leads ch. 1 LEAD I

LEAD II

D III

LEA aVR aVL aVF V1 V2 V3 V4 V5 V6

-aVR

Selects leads used if an ECG with rhythm lead(s) is selected for 12 Lead Format above.

CHANNEL (3 channel ECG with 1 rhythm lead) CHANNEL

DARD, 6 CH 10S/LD (10 seconds per lead, 2 pages total)

ERA, 6 CH 5S/LD (5 seconds per lead, 1 page total)

RA, 6 CH 10S/LD (10 seconds per lead, 2 pages total)

Rhythm Leads ch. 2 Same as Channel 1

Rhythm Leads ch. 3 Same as Channel 1

Rhythm Page CUSTOM LEAD 1 AT 2

CUSTOM LEAD 1 AT 5

Enables a separate 10-second rhythm report as part of every Auto ECG report. This is not available if Custom Lead 1 is set to Frank or Nehb.

Analysis-original ON

OFF

Determines whether analysis statements appear on Auto ECG reports.

Analysis-copies ON

OFF

Determines whether analysis statements appear on copies of Auto ECG reports.

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Chapter 4 System Setup and User Setup

Number Of Copies [Numeric. Range = 0-5]

Sets the number of complete report copies to print in addition to the automatic printout.

Median Complex Page ON

OFF

Enables Median Complex printout as part of every Auto ECG report.

Print Mode A

M O

Determines how ECG reports are printed. If AUTO is selected, then reports automatically print out prior to saving. If OFF is selected, no report is printed prior to saving. If MANUAL is selected, then prior to saving the unit will display a message asking whether to print the record.

Save Mode A

AUTO SAVE AND S M

Determines how Auto ECG reports are saved. If AUTO is selected, reports will be automatically saved after printing. If MANUAL save is selected, the PREVIEW screen is displayed at the end of every Auto ECG sequence. You may save the report at this time. If AUTO SAVE AND SEND is selected, then the report is automatically saved; the report is also sent automatically to an ECG Management System, such as the PYRAMIS System or the FAA System.

Wait for good data ON

OFF

When ON, Auto ECG reports are delayed until ten seconds of low noise waveform have been collected (all electrodes must be connected). An immediate report can be forced by pressing ECG a second time. In this case, if data is noisy, the report will state “Warning: Data quality may affect computer interpretation.”

When OFF, the Auto ECG report starts once at least 10 seconds of ECG waveform has been collected, regardless of the quality of the collected waveform data. No warning message is printed in this case.

UTO

ANUAL FF

UTO

END

ANUAL

NOTE: If any electrodes are disconnected the report will show a flat baseline for those leads. (“Overload” conditions will also produce a flat baseline.) Leads with disconnected electrodes will not be used in the ECG analysis.

Annotate R-R Intervals ON

OFF

When ON, R-R intervals are printed at the bottom of the 12-lead report. For additional information, see “R-R Intervals” on pg. 11-4.

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Configuring the USER SETUP Menus

CUSTOM LEAD 1 & CUSTOM LEAD 2

These two menus each format a group of leads. These groups can later be selected by pressing the “5” or “6” machine control keys (see “The Keyboard” on pg. 3-1).

Custom Lead Group 1 is also used for the rhythm page of an Auto ECG report. Only Standard or Cabrera configurations are acceptable for this purpose. Do not select Frank or Nehb if you want a rhythm page as part of an Auto ECG.

NOTICE: Because the Eclipse Premier offers different lead configurations, always ensure that the appropriate lead placement is employed for the lead configuration selected.

Custom Lead 1 STANDARD, 3

STANDARD, 6 STANDARD, 1

TANDARD, 12 CHANNEL (3x4, 1R)

ANDARD, 12 CHANNEL (3x4, 3R)

ST STAND C CABR CABR CABRE CABRERA, 12 CABRERA, 12 CHANNEL A F N

Format Custom Lead 1 to suit your needs. The numbers in parentheses indicate how the selected lead group will be displayed on the screen. If you select a display that includes rhythm leads, the rhythm leads displayed are the same ones that have been selected for printing in the Auto ECG Setup menu. (See “AUTO ECG SETUP” on pg. 4-9.)

If you have selected Alternate Chest Lead or a non-12 lead Standard or Cabrera format, select leads for the appropriate channels. Lead availability is affected by the selected lead configuration.

ARD, 12 CHANNEL (6x2)

ABRERA, 3 CHANNEL (3x1)

ERA, 6 CHANNEL (6x1) ERA, 12 CHANNEL (3x4)

RA, 12 CHANNEL (3x4, 1R)

LTERNATE CHEST LEAD (3X4, 1R) RANK, 3 CHANNEL (3x1) EHB, 3 CHANNEL (3x1)

CHANNEL (3x1) CHANNEL (6x1) 2 CHANNEL (3x4)

CHANNEL (3x4, 3R)

(6x2)

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Chapter 4 System Setup and User Setup

Channel 1 through

Channel 6

Channel 7 through

Channel 12

When programming Custom Lead 1, select 1 lead for each channel. The lead options for each format are listed below.

NOTE: Lead availability is affected by the selected lead configuration.

Standard

LEAD I LEAD II

D III

LEA aVR aVL aVF V1 V2 V3 V4 V5 V6

-aVR

When programming Custom Lead 1 or Custom Lead 2 for Alternate Chest Leads, select one of the following options for each of the channels (Channel 7 through Channel 12).

V1 V2 V3 V4 V5 V6 V7 V8 V9 V2R V3R V4R V5R V6R V7R V8R V9R

Cabrera Frank

LEAD I LEAD II

D III

LEA

aVR

aVL aVF V1 V2 V3 V4 V5 V6 aVR

X Y Z

Nehb

D A J

Custom Lead 2 Custom Lead Group 2 is similar to Custom Lead Group 1. It is set up in the same

manner. It is then accessed by pressing the number “6” on the keyboard.

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MISCELLANEOUS SETTINGS

Configuring the USER SETUP Menus

Baseline Filter 0

Pacer Enhancement ON

Rhythm Mode Pages [Numeric. Range = 1-10]

.05 Hz

TABLE

Sets the low frequency response.

Selecting 0.05 Hz provides the greatest low-frequency response with no delay and should be used when no baseline drift is present.

Selecting STABLE (Baseline Stabilization Filter) will effectively suppress most baseline wander interference while providing an accurate ECG reproduction (no distortion of the ST segment.) Use of the Baseline Stabilization Filter will result in an approximately 1.5 second delay in the displayed ECG. This filter is applied to the printed report, displayed ECG, and the data analyzed.

NOTE: The American Heart Association’s 1990 Recommendations (Recommendations for Standardization and Specifications in Automated Electrocardiography: Bandwidth and Signal Processing) pertaining to low-frequency response in electrocardiography are met or exceeded by both the 0.05 Hz and STABLE selections.

Enables pacemaker enhancement. This feature makes pacemaker signals show up as prominent spikes on the display and on printouts. An enhanced pacer is printed as a spike that is at least 10 mm tall and of positive polarity.

Sets the number of pages printed during an Auto Rhythm.

Bradycardia Limit [Numeric. Range = 41-69]

Reports for adult patients with heart rates below this limit are labeled “BRADYCARDIA.” For more information on heart rate limits refer to the Physician’s Guide.

Tachycardia Limit [Numeric. Range = 81-129]

Reports for adult patients with heart rates above this limit are labeled “TACHYCARDIA.” For more information on heart rate limits refer to the Physician’s Guide.

QTc Formula HODGES

BAZETT FRIDERICIA FRAMINGHAM

Selects QTc formula. Eclipse Premier prints the QTc formula selection on the bottom of each ECG printout (for example, QTc = Hodges).

For additional information on the QTc formulas, see “QT Interval” on page 4-3 of the Physician’s Guide.

NOTE: Hodges is the factory default setting.

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Chapter 4 System Setup and User Setup

Password [Up to 15 alphanumeric characters]

NOTE: The password field will not appear in the MISCELLANEOUS menu if the

password is set to OFF in SYSTEM SETUP.

NOTE: Write down the password and keep it in a secure place. You will be able to change or remove the password protection only after you have entered the correct password.

Determines the password required to access the USER SETUP menus and the SYSTEM SETUP menu. This field is enabled in the SYSTEM SETUP menu [see “Password” on pg. 4-5].

Directory Password [Up to 15 alphanumeric characters]

NOTE: The directory password field will not appear in the MISCELLANEOUS

menu if the directory password is set to OFF in SYSTEM SETUP.

NOTE: Write down the password and keep it in a secure place. You will be able to change or remove the password protection only after you have entered the correct password.

Determines the password required to access the directory. This field is enabled in the SYSTEM SETUP menu (see “Directory Password” on pg. 4-6). Once you have set the password, enable and set the administrator password to prevent users from viewing the directory password; for more information, see “Password” on pg. 4-5.

ENABLING PATIENT DEMOGRAPHIC FIELDS

NOTE: This menu will not be available if the Eclipse Premier is

configured to use Custom Header in conjunction with an ECG Management System, such as the PYRAMIS System or the FAA System.

This final USER SETUP menu determines which patient demographic fields appear in the EDIT ID menu. An asterisk ( * ) indicates that information in these fields directly affects ECG waveform analysis.

To ensure that a field does NOT appear in the EDIT ID menu, the field setting should be “OFF”. Otherwise, select “ON,” “ON, CLEAR” or “ON, HOLD” to make each demographic field appear in the EDIT ID menu; these fields also appear on printouts.

● Select “ON, HOLD” if you want every patient file to have the same

information in this field. Until the information is typed over, the EDIT ID menu will keep the information in these fields even if the Eclipse Premier is turned off. For example, you may want every patient record to be labeled with the same Department name.

● “ON” and “ON, CLEAR” act the same. Fields with this setting are cleared

for every new patient or when the unit returns to Standby mode.

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*V3 Placement ON, CLEAR

OLD

ON, H

Used for pediatric recording of V4R only.

Configuring the USER SETUP Menus

Last Name ON

First Name ON

*D.O.B. ON

OFF

*Age ON

*Age Format ON

*Sex ON

*Race ON

OFF

*Medication 1 ON

*Medication 2 ON

* Class 1 ON

* Class 2 ON

OFF

Height ON

OFF

Weight ON

OFF

Systolic BP ON

OFF

Diastolic BP ON

OFF

ON, H

LEAR OLD

Department ON, C

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Chapter 4 System Setup and User Setup

Room ON, C

Technician ON, C

Physician ON, C

User Field ON, C

User Field Label [Up to 15 alphanumeric characters]

Renames the above field. The new name is displayed in the EDIT ID menu and printed on patient demographics reports. The User Field may be used for anything. For example, you may want to use the field for the referring physician’s name.

Comments ON

ON, H

LEAR OLD

GETTING CUSTOM HEADER INFORMATION

The Get Custom Header function is available for Eclipse Premier electrocardiographs that are used with an ECG Management System, such as the PYRAMIS System or the FAA System.

Custom Header information is a list of patient demographic items to be used in the EDIT ID menu and to be printed on ECG reports. This list is maintained on the ECG data management system. By connecting to the management system, the Eclipse Premier can be programmed to use the Custom Header.

You can connect to the PYRAMIS ECG Data Management System in three ways: using a Direct Connection, using a wireless connection with the Cardiac Science Corporation

802.11b transmitter, or using a Remote Connection (this requires an Eclipse Premier with either an internal or external modem).

NOTE: If you are using a direct connection, begin by connecting the Interconnect Cable to the connector labeled “DECG-SCP” on the PYRAMIS back panel. Connect the other end of the cable to the connector labeled “IOIO” on the Eclipse Premier back panel.

NOTE: The following procedure only affects the User currently selected (either User 1 or User 2; see “User 1-2 Select” on pg. 4-2). The procedure must be repeated to get or update the custom header for the other User.

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Acquire Printout of Eclipse Premier Program Settings

1. Press the On/Standby key to power up to the PREVIEW screen.

2. Press the “M” key to go to the MAIN MENU.

3. Select S SETUP menu will appear (see Figure 4-1 on pg. 4-1).

4. Press the down arrow key to highlight the Connection field and select the appropriate choice: either MODEM, DIRECT or 802.11b.

5. If you are using a remote connection (through a modem), verify that the Phone # and Description fields are correctly filled in.

6. Press the left arrow key to return to the MAIN MENU.

7. Press the “H” key to go to the GET CUSTOM HEADER menu.

8. Receive a list of available Custom Headers by selecting GET

CUSTOM HEADER LIST.

9. Highlight the desired Custom Header and press the Enter key to select it. The word “SELECT” is displayed.

NOTE: Pressing Enter will also deselect a selection.

10. Press the left arrow key to return to the GET CUSTOM HEADER menu.

YSTEM SETUP by pressing the “S” key. The SYSTEM

11. Press the “G” key to receive the Custom Header and automatically configure the Eclipse Premier to use those patient demographic fields.

Acquire Printout of Eclipse Premier Program Settings

Program settings include all settings configured in the SYSTEM SETUP menu and in the USER SETUP menus.

NOTE: Please see “Print Setup Report” on pg. 9-2 for examples which were printed using settings configured at the factory (factory defaults).

1. Press the On/Standby key to power up to the PREVIEW screen.

2. Press the “M” key to go to the MAIN MENU.

3. Press the “P” key to print the list.

Press the left arrow key to return to the PREVIEW screen.

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Chapter 4 System Setup and User Setup

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Chapter

5 Patient Preparation

Choosing the environment

WARNING: Explosion hazard. Do NOT use in the presence of flammable anesthetics.

CAUTION: Although the Eclipse Premier is designed to meet IEC 601-1-2 EMC immunity requirements, the presence of strong EMI fields generated by electronic, surgical or diathermy instruments close to the unit, may cause trace noise or input overload conditions.

The Eclipse Premier is a high fidelity instrument which responds to the minute voltages of the heart. Since it is such a sensitive instrument, take care to avoid interference which can be produced by muscle tremor and AC signals. To minimize interference, locate the electrocardiograph and patient away from power cords and other electrical devices.

Preparing Patients for Resting ECGs

To minimize muscle artifact, make sure your patient is comfortable and relaxed. Assure the patient that there is no danger or pain involved, and that his or her cooperation will assist in producing a valuable diagnostic record.

Make the patient comfortable on a cot or padded table which is large enough to support arms and legs. The patient’s arms should rest at his or her sides and the legs should lie flat, not touching one another. Use a pillow to support the patient’s head. Also, try to avoid factors like cold drafts which could cause discomfort. Leaving the chest and sensor sites exposed, cover your patient with a blanket to prevent shivering.

Apply sensors and connect lead wires before entering patient information into the Eclipse Premier. This allows time for the sensors to adhere and improves conductivity.

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Chapter 5 Patient Preparation

Preparing the Skin

Refer to the “Resting ECG Lead Placement & Coding Chart” on pg. 5-3 for details on where sensor sites are located.

NOTE: For information on alternate chest lead and other lead placements, see “Alternative Lead Placements” on pg. 5-7.

If the patient has oily or sweaty skin, or has recently applied lotion to their skin, clean the sensor sites with warm, soapy water. Allow the sensor sites to dry completely before applying sensors.

When applying sensors to sites with a lot of hair, the following techniques may improve contact:

1. Use the thumb and forefinger to spread the hair before applying the sensor to the skin.

2. If the sensor does not adhere well, it may be necessary to shave the site.

NOTE: In some cases skin irritation can occur from site preparation and sensor electrolyte solutions.

Applying Sensors

Apply sensors according to the instructions on the following pages. For information on using disposable sensors, see “Disposable Resting ECG Sensors” on pg. 5-4. For information on using reusable sensors, see “Reusable ECG Sensors” on pg. 5-5.

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Resting ECG Lead Placement & Coding Chart

AHA

STANDARD LIMB LEADS

LEAD

LEAD I

LEAD II

LEAD III

AUGMENTED LIMB LEADS

LEAD

aVR aVL aVF

CHEST LEADS

LEAD

SENSORS

CONNECTED /

MEASURED

LA-RA LL-RA

LL-LA

SENSORS

CONNECTED /

MEASURED

RA and (LA-LL) LA and (RA-LL) LL and (RA-LA)

SENSORS

CONNECTED /

MEASURED

V1 and (LA-RA-LL)

and (LA-RA-LL)

LEAD CODING AND MEASUREMENTS

AHA COLOR CODE

LEAD

LL RA LA

LEAD

F R

L C C C C C C

LOCATION

RIGHT LEG

LEFT LEG

RIGHT ARM

LEFT ARM

CHEST CHEST CHEST CHEST CHEST CHEST

IEC COLOR CODE

LOCATION LABEL

RIGHT LEG

LEFT LEG

RIGHT ARM

LEFT ARM

CHEST

BAND LABEL

GREEN

RED WHITE BLACK

BROWN BROWN BROWN BROWN BROWN BROWN

BAND

BLACK GREEN

YELLOW

WHITE WHITE WHITE WHITE WHITE WHITE

RED

YELLOW

GREEN

ORANGE

VIOLET

YELLOW

GREEN

BROWN

BLACK VIOLET

RED

BLUE

RED

STANDARD LIMB LEADS

LEAD

LEAD I

LEAD II

LEAD III

AUGMENTED LIMB LEADS

LEAD

aVR aVL aVF

CHEST LEADS

LEAD

SENSORS

CONNECTED /

MEASURED

L-R F-R F-L

SENSORS

CONNECTED /

MEASURED

R and (L-F) L and (R-F) F and (R-L)

SENSORS

CONNECTED /

MEASURED

C1 and (L-R-F)

and (L-R-F)

IEC

PLACEMENT OF THE CHEST SENSORS

AHA

Fourth intercostal space at right

margin of sternum

Fourth intercostal space at left

margin of sternum

Fifth intercostal space at junction

of left midclavicular line

Midway between position V

position V

At horizontal level of position V

left anterior axillary line

At horizontal level of position V

left midaxillary line

and

IEC

Fourth intercostal space at right

margin of sternum

Fourth intercostal space at left

margin of sternum

Fifth intercostal space at junction

of left midclavicular line

Midway between position C

position C

At horizontal level of position C

left anterior axillary line

At horizontal level of position C

left midaxillary line

and

PLACEMENT OF THE

LIMB SENSORS

(R)

aVR aVL

aVF

RL LL

(N) (F)

(L)

III

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Chapter 5 Patient Preparation

Disposable Resting ECG Sensors

Figure 5-1

Disposable Limb Sensor on

Arm

CardioSens® disposable sensors are a more effective alternative to bulbs, plates, straps,

creams, and gels. CardioSens

disposable sensors dramatically reduce cross-

contamination and infection, while helping to improve diagnostic results.

Disposable sensors should be stored according to the guidelines on the packaging and should not be used after the expiration date. Never mix sensor types or brands. Incompatibilities can cause baseline drift and can increase trace recovery time after defibrillation.

APPLYING LIMB SENSORS

1. Expose the arms and legs.

2. Place sensors firmly on the limb sites. Choose fleshy areas, not ankles or wrists (see Figure 5-1).

3. Clip leads to the sensors. Leads on arm sensors should point downward toward feet. Leads on legs should point upward toward chest.

APPLYING CHEST SENSORS

1. Expose the chest.

2. Locate the 6 V-lead (C-lead) positions on the patient’s chest.

3. Apply the sensors.

4. Ensure that the leads conform to body contours and that no strain is placed on the sensors.

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Resting ECG Lead Placement & Coding Chart

Reusable ECG Sensors

Never mix sensor types or brands. Dissimilar metals or other incompatibilities may cause considerable baseline drift and may increase trace recovery time after defibrillation. Do not use corroded sensors, they may give poor results.

ELECTROLYTE

NOTE: Watches and jewelry which could come in contact with

electrolyte should be removed to avoid damage.

Cardiac Science Corporation recommends Liqui-cor Liqui-cor

provides excellent conductivity between the skin and sensor. In addition, it

is nonabrasive and water soluble for easy cleanup.

Reusable sensors (Welsh bulbs and limb plates) should be kept clean. They should be washed after each use and scoured frequently with a light-duty kitchen cleanser. Never use a metallic pad to clean the sensors. Accumulation of electrolyte may cause drifting and degrade ECG quality.

for use with reusable sensors.

APPLYING LIMB PLATES

1. Expose the arms and legs.

2. Connect sensor straps to the “ears” of the sensors.

3. Squeeze out a small amount of Liqui-cor® on sensor as illustrated. Spread it evenly over the sensor surface. Always apply the same amount of electrolyte to each sensor.

4. Place sensors firmly on the limb sites. Position them so that the sensor will not press against the body or table when the patient is relaxed. On arms, the screws should point downward toward the feet. On legs, the screws should point upward, toward chest.

5. Without stretching the strap, wrap it around the limb until a hole lines up with a sensor “ear.” Then stretch the strap and fasten it with the next

hole.

6. Connect the limb leads to the four sensors.

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Chapter 5 Patient Preparation

APPLYING WELSH BULB CHEST SENSORS

1. Connect the 6 Welsh bulb sensors to the V-leads (C-leads) on the patient cable.

2. Locate the 6 V-lead (C-lead) positions on the patient’s chest (see “Resting ECG Lead Placement & Coding Chart” on pg. 5-3).

3. Squeeze out a drop of Liqui-cor® electrolyte at each sensor site. Use a tongue depressor to spread the electrolyte taking care that it does not touch the electrolyte from another site.

4. Apply the sensors by squeezing the rubber bulb and allowing suction to hold the sensor in place. Only a small dimple should remain on the bulb when it is released.

5. Ensure that the leads conform to the body contours and that no strain is placed on the sensors.

Connecting Cables and Lead Wires

After applying sensors, connect the lead wires from the patient cable to the sensors. Make sure the lead cables follow the contours of the patient’s body and lie flat. If any lead wire is too long, as with a short patient or child, take up the length by making a small “stress loop” (see Figure 5-2).

Figure 5-2

Lead Cable Arrangement

CORRECT INCORRECT

Stress Loop

Make sure the patient cable is plugged securely into the connector on the front of the unit. This is located under the keyboard (see “Patient Cable” on pg. 2-2).

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Alternative Lead Placements

Pediatric Lead Placement

When acquiring a pediatric ECG, you may use an alternative to the standard V3(C3) placement. Place the sensor in the V

). See Figure 5-3 for location. Improper placement will result in inaccurate

4 (C4

waveform labeling.

R (C4R) position. This is across the sternum from

Alternative Lead Placements

Figure 5-3

Pediatric Chest Lead

Placement

You must select the corrected V Patient Demographics” on pg. 6-9). If you place V

(C3) placement in the EDIT ID menu (see “Entering

) in the V4R (C4R) position,

3(C3

select “V4R” in the *V3 Placement field located in the EDIT ID menu for proper printout labeling.

V4R (C4R)

Frank: Corrected Orthogonal Leads

Attach all the limb sensors, R, L, F, and N (RA, LA, LL and RL). Please see “Resting ECG Lead Placement & Coding Chart” on pg. 5-3 for diagram.

Attach the chest sensors according to the following table. I, E, C, M and A should all be in the same horizontal plane level with the fifth intercostal space (see Figure 5-4).

V1(C1) Chest - right midaxillary line I

) Chest - midsternum E

2(C2

) Chest - midclavicular line C

3(C3

V4(C4) Chest - left midaxillary line A

) Back - spine, opposite E M

5(C5

) Throat or back of neck H

6(C6

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Chapter 5 Patient Preparation

Figure 5-4

Frank Lead Placement

Lead

Measurement

Dexter-Sinister Cranial-Caudal Ventral-Dorsal

Nehb: Bipolar Leads

Attach all the limb sensors, RA, LA, LL and RL (R, L, N, and F). Please see “Resting ECG Lead Placement & Coding Chart” on pg. 5-3 for diagram.

Attach the chest sensors according to the following table (see Figure 5-5).

V1(C1) Chest - second rib at right sternal border N

V2(C2) Back - left posterior axillary line on level with the

bottom tip of the scapula.

V3(C3) Chest - opposite the scapular apex at the same level

above.

as V

Figure 5-5

Nehb Lead Placement

Lead

Measurement

- N

Nap - N

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Alternative Lead Placements

Alternate Chest Lead

Acquire a standard 12-lead ECG according to the “Resting ECG Lead Placement & Coding Chart” on pg. 5-3.

For the Alternate Chest Lead ECG, retain the placement of the limb sensors. Reposition the chest sensors using 6 of the placements described in the table below. Configure leads as desired. See the table below for a sample lead configuration.

NOTE: The lead configuration for the Alternate Chest Lead is completely customizable. The example below is only one of many possible lead configurations.

NOTE: Lead configuration may also contain any of the standard chest leads, if desired.

Lead Alternate Placement Description

R (C2R) position fourth intercostal space at right margin of sternum

R (C3R) position midway between position V2R (C2R) and position V4R (C4R)

)V4R (C4R) position fifth intercostal space at junction of right midclavicular line

1 (C1

)V5R (C5R) position on

2 (C2

right

)V6R (C6R) position on

3 (C3

right

)V7 (C7) position horizontal level with V6 (C6) at posterior axillary line

4 (C4

)V8 (C8) position horizontal level with V6 (C6) and V7 (C7) at mid scapular line

5 (C5

)V9 (C9) position horizontal level with V7 (C7) and V8 (C8) next to spinal column

6 (C6

R (C7R) position horizontal level with V6R (C6R) at posterior axillary line

R (C8R) position horizontal level with V6R (C6R) and V7R (C7R) at mid scapular

horizontal level with V4R (C4R) at right anterior axillary line

horizontal level with V4R (C4R) and V5R (C5R) at right midaxillary line

line

R (C9R) position horizontal level with V7R (C7R) and V8R (C8R) next to spinal

column

Figure 5-6

Placement Options

V7R

RV9R

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Chapter 5 Patient Preparation

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Chapter

6 Acquiring ECG Reports

Acquiring and printing ECG reports with an Eclipse Premier is quite simple. Once the patient is hooked up to the Eclipse Premier, an ECG can be acquired at any time by pressing the button.

It is a good idea to enter patient demographic information before performing tests. However, patient demographic information also may be entered after the tests have been completed.

NOTE: Some patient information directly affects ECG analysis. Your patient’s physician uses this information when interpreting ECG reports. Likewise, interpretive Eclipse Premier units provide more accurate and complete analysis statements when you enter patient information thoroughly. This information must be entered prior to acquiring the ECG in order to affect the interpretation.

Acquiring a Stat ECG

Sometimes it will be necessary to take an ECG and there will not be time to enter any patient demographic information. If no patient ID is entered, Then Eclipse Premier units with storage will print “#STAT#” in the Patient ID field, followed by the date and time.

1. Prepare patient according to guidelines in Chapter 5, “Patient Preparation.”

2. From Standby mode, press to power up to the PREVIEW screen.

3. Verify that the “Sensors OK” message is displayed on the PREVIEW screen.

4. Press the “ECG” function key to acquire an Auto ECG report.

NOTE: This key is active in the PREVIEW screen and most menus, including the EDIT ID menu.

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Chapter 6 Acquiring ECG Reports

Acquiring an Auto ECG

NOTE: Press the “STOP” function key at any time to halt an Auto ECG.

1. Prepare the patient according to guidelines in Chapter 5, “Patient Preparation.”

2. From Standby mode, press to power up to the PREVIEW screen.

3. If a file already exists for the patient (a requisition exists for the patient or demographic information has been entered previously), go to “Acquiring an ECG Using an Existing Patient File” on pg. 6-3.

4. Press to go to the EDIT ID menu. Enter the patient’s ID number, last name, first name, date of birth, gender, and as many other

fields as required or as time will allow (for more information, see “Patient Demographic Fields” on pg. 6-10).

NOTE: Items indicated with an asterisk (*) may affect computer analysis.

5. Press the left arrow key to return to the PREVIEW screen. Verify that the “Sensors OK” message is displayed on the PREVIEW screen.

NOTE: The Recorder Speed, Gain and Frequency Response settings (displayed in the lower right corner of the PREVIEW screen) can be temporarily modified if necessary. See “Temporarily Changing Current Settings” on pg. 6-5.

6. Press to acquire an Auto ECG.

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Acquiring an Auto ECG

NOTE: To obtain a clean trace with very little noise, ensure that Wait for Good Data is set to ON in the AUTO ECG SETUP menu. If

there is a problem during a recording, the Eclipse Premier will display a message. You can override the error message and continue recording by pressing the ECG key again (for more information, see “Wait for good data” on pg. 4-10).

7. Depending on the current system settings, the Eclipse Premier will automatically print and save the ECG. (If the unit is equipped with communication capabilities, the ECG might also be automatically sent, depending on the settings.) Otherwise, a prompt may be displayed on the screen, asking if you wish to print or save the ECG.

NOTE: To view or modify the print or save settings, see “Print Mode”and “Save Mode” on pg. 4-10.

8. If you have saved the ECG, then the Single ECG Functions list is displayed. At this time you may perform additional functions with the saved test (see “Accessing Saved Files” on pg. 7-3).

Use the left arrow key to exit.

Acquiring an ECG Using an Existing Patient File

If a requisition has been downloaded for a patient, then a demographics-only file will already exist for the patient (see “Receiving requisitions from PYRAMIS” on pg. 8-6). It is also possible to create a demographics-only file for a patient, separately from when the patient’s ECG is acquired (see “Add New Patient” on pg. 7-6). Once a demographics-only file exists for a patient, acquiring the ECG is simple.

NOTE: The following procedure also applies if the patient’s ECG has been acquired in the past and the test still exists in the system.

1. From the PREVIEW screen, press the “M” key to view the MAIN MENU.

2. Press the “D” key to advance to the DIRECTORY menu.

3. Press the “V” key and select the patient’s file from those listed.

4. Press the “A” key to Acquire ECG. The EDIT ID menu is displayed. Make changes to patient information if necessary.

5. Press the left arrow key to return to the PREVIEW screen. Verify that the “Sensors OK” message is displayed on the PREVIEW screen.

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Chapter 6 Acquiring ECG Reports

6. Press to acquire an Auto ECG.

NOTE: To obtain a clean trace with very little noise, ensure that Wait for Good Data is set to ON in the AUTO ECG SETUP menu. If

NOTE: To view or modify the print or save settings, see “Print Mode”and “Save Mode” on pg. 4-10.

8. If you have saved the ECG, then the Single ECG Functions list is displayed. At this time you may perform additional functions with the saved test (see “Accessing Saved Files” on pg. 7-3).

Use the left arrow key to exit.

Printing Reports

NOTE: You can immediately terminate any printout by pressing the “STOP” key. The Eclipse Premier advances the chart paper to the next page and returns to the PREVIEW screen.

A formatted, 12-lead report with demographics is automatically included in any ECG printout. The following reports may also be included with the printout, depending upon system settings: a rhythm report, a median report, and an analysis report.

For more information on selecting the rhythm report and the median report, see “AUTO ECG SETUP” on pg. 4-9. Analysis information will be included on the printout, unless this feature has been disabled (see “Analysis-original” on pg. 4-9).

Printing Problems

If the unit runs out of paper or if the paper jams, you are given the option to reload the paper and continue printing (see Figure 6-1). If you choose to cancel, you have the

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Figure 6-1

System Note Regarding a

Printing Problem

Temporarily Changing Current Settings

option of printing at a later time (see “Print All New ECGs” on pg. 7-6). For paper loading instructions see “Loading Recording Paper” on pg. 2-3.

Paper OUT: Reload and continue ?

OK Cancel

Occasionally it may be necessary to modify the system settings for the current patient. There are several settings that you can customize before acquiring a patient’s ECG. If you wish to change the below settings permanently, see “POWER-UP DEFAULTS” on pg. 4-8.

Recorder Speed, Gain, Frequency Response

Use machine control keys “7” through “9” to adjust Recorder Speed, Gain or Frequency Response.

The “7” key toggles the Paper Speed between 10, 25, and 50 mm/sec.

The “8” key toggles the ECG gain between 5 mm/mV; 10 mm/mV; 20 mm/mV; L10, C5 mm/mV; and L20, C10 mm/mV.

The “9” key toggles the ECG Filter Frequency between 40 and 150 Hz.

NOTE: Settings are displayed in the lower right corner of the PREVIEW screen. These settings will stay in effect until you change them or return the unit to Standby mode.

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Chapter 6 Acquiring ECG Reports

Acquiring an Auto Rhythm or a Manual Rhythm

The Eclipse Premier can be set up to automatically print a rhythm page with the 12-lead ECG. If this feature is not selected, or if an additional rhythm strip is required, you can obtain a rhythm strip by simply pressing the “RHYT” function key or the “MAN” function key.

NOTE: REDUCED PERFORMANCE MODE. Printing performance of an Auto Rhythm or a Manual Rhythm may be reduced when the current Custom Lead format is Frank and when the printing speed is set to 50 mm/s.

NOTE: It is not possible to save Auto Rhythm or Manual Rhythm data.

1. Follow the directions for acquiring a STAT ECG or an AUTO ECG, as described earlier in this chapter (see page 6-1).

2. The Eclipse Premier prints the rhythm report using the channels displayed in the PREVIEW screen. Before printing, select the desired leads using the machine control keys “1” through “6.”

3. To print a rhythm strip for a predefined number of pages, press the “RHYT” function key .

NOTE: The rhythm strip will print for the number of pages defined in the MISCELLANEOUS menu (see “Rhythm Mode Pages” on pg. 4-13).

4. Press the “MAN” function key to acquire a manual rhythm strip. In the Manual Rhythm mode, the Eclipse Premier will

continue to print the rhythm strip until either the “STOP” function key or another function key is pressed.

NOTE: While printing, you may place a 1 mV simulated calibration

pulse on the printout and display by pressing the “0” key.

5. To cancel printing at any time for either selection, Press the “STOP” function key . You may also interrupt printing and begin

another report by pressing any of the other function keys to the left of the keyboard.

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Acquiring an ECG Using Alternative Lead Placements

At times it may be necessary to acquire an ECG using an alternative lead placement. The Alternate Chest Lead ECG allows acquisition of right chest leads and expanded left chest leads. Other alternative lead placements include Frank and Nehb.

NOTE: The standard ECG is an important part of the Alternate Chest Lead ECG. If you are acquiring an Alternate Chest Lead ECG, run a standard resting ECG before continuing (for more information, see “Acquiring an Auto ECG” on pg. 6-2).

1. Configure either the CUSTOM LEAD 1 or CUSTOM LEAD 2 for the desired lead placement (see “CUSTOM LEAD 1 & CUSTOM LEAD 2” on pg. 4-11).

2. Follow the directions for acquiring a STAT ECG or an AUTO ECG, as described earlier in this chapter (see page 6-1).

3. From the Single ECG Functions List, press the left arrow key to return to the PREVIEW screen.

4. Prepare the patient for the Alternate Chest Lead ECG according to guidelines in Chapter 5 (see “Alternate Chest Lead” on pg. 5-9). Attach electrodes according to the specific instructions for each lead configuration.

5. Verify patient ID on screen. If patient ID is incorrect or absent, follow steps 1 through 3 of “Acquiring an ECG Using an Existing Patient File” on pg. 6-3.

6. Select “5” or “6” from the keyboard, depending on whether the alternative placement was selected for CUSTOM LEAD 1 or CUSTOM LEAD 2.

NOTE: If ALTERNATE CHEST LEAD was selected, the screen should display Alternate Chest Lead ECG. In addition, the statement “Alternate Chest Lead ECG” will appear on the printout in place of the interpretation.

7. Verify waveforms before taking the ECG.

8. Press the “ECG” function key to record the ECG.

Eclipse Premier automatically prints the ECG.

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Chapter 6 Acquiring ECG Reports

Acquiring an ECG Using Pediatric Lead Placements

NOTE: The Eclipse Premier unit can be set up to always acquire ECGs using pediatric lead placement. Refer to “*V3 Placement”in “Enabling Patient Demographic Fields” on pg. 4-14.

1. Prepare the patient according to guidelines in Chapter 5, “Patient Preparation.”Attach electrodes according to the specific instructions for “Pediatric Lead Placement” on pg. 5-7.

2. Follow steps 2, 3 and 4 of “Acquiring an Auto ECG” on pg. 6-2. At

the top of the EDIT ID screen, for V3 Placement, select V4R.

NOTE: In the EDIT ID menu, change the Age Format to months

and enter the patient’s age in months, if desired.

3. Press the left arrow key to return to the PREVIEW screen. Verify waveforms before taking the ECG.

4. Press to acquire an Auto ECG.

NOTE: To obtain a clean trace with very little noise, ensure that Wait for Good Data is set to ON in the AUTO ECG SETUP menu. If

5. Depending on the current system settings, The Eclipse Premier will automatically print and save the ECG. (If the unit is equipped with communication capabilities, the ECG might also be automatically sent, depending on the settings.) Otherwise, a prompt may be displayed on the screen, asking if you wish to print or save the ECG.

NOTE: To view or modify the print or save settings, see “Print Mode”and “Save Mode” on pg. 4-10.

6. If you have saved the ECG, then the Single ECG Functions list is displayed. At this time you may perform additional functions with the saved test (see “Accessing Saved Files” on pg. 7-3).

Use the left arrow key to exit.

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Entering Patient Demographics

About Patient Demographics

Before acquiring a patient’s ECG, it is a good idea to enter patient information, since this information affects both physician analysis and computer analysis. Fields which directly affect computer analysis, such as the *D.O.B. (date of birth) field, are marked with an asterisk ( * ). In addition, patient information is used to label all ECG reports until you begin a new patient file or return the unit to Standby mode.

Age/Date of Birth

Entering Patient Demographics

Enter Date of Birth (instead of Age) for the most accurate interpretation. When date of birth is unknown and the patient is a child, then use the following

guidelines to ensure the most accurate interpretation.

✔ Enter age in months for patients younger than 8 years old. ✔ Enter age in days for patients younger than 1 month old.

NOTE: The Eclipse Premier interpretation criteria uses a default age of 40 years when an age of 120 years or higher (or the equivalent date of birth) is entered, or when age is not entered.

Using the EDIT ID Menu

Patient information is entered using the EDIT ID menu. The EDIT ID menu can be accessed from several different locations. To access the EDIT ID menu from either the PREVIEW screen or the MAIN MENU, press the “I” key (you may also use the arrow up and arrow down keys in the MAIN menu to select ENTER ID; press ENTER). The EDIT ID menu will be displayed.

NOTE: If you want to create a file for this patient in the Directory, select A the DIRECTORY Menu” on pg. 7-1).

DD NEW PATIENT in the DIRECTORY menu (see “Using

NOTE: You may exit the EDIT ID menu at any time by pressing the

left arrow key.

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Chapter 6 Acquiring ECG Reports

If demographics have been entered already, a message appears which reads, “NEW Patient?”. Selecting Y

information.

Figure 6-2

The EDIT ID Menu

ES begins a new file. Selecting NO uses the current patient

ID:0123456789 PRESS65

EDIT ID

(*Items may affect computer analysis)

*V3 Placement : STANDARD Patient ID : 123456789 Last Name : First Name : *D.O.B. : *Age : *Age Format : YEA *Sex : *Medication 1 : *Class 1 : Comments :

NEW Patient?

YES

Patient Demographic Fields

Scroll through the EDIT ID menu fields using the up and down arrows.

In most fields in the EDIT ID menu, the cursor blinks. In these fields, type the appropriate information from the keyboard. In this chapter, the type of information and the number of characters allowed are listed in brackets next to the field name. Press the ENTER key to enter the information.

Other fields in the EDIT ID menu have lists. Select the appropriate item from a list by pressing the hot key indicated by the underlined letter. Or, press the right arrow key to access the options, use the up and down arrow keys to select an option, and press the ENTER key to enter the option. In this chapter, the available choices are listed next to the field name.

NOTE: Some of the fields described here may not appear because they have been disabled in the PATIENT FIELDS ENABLE menu (see “Enabling Patient Demographic Fields” on pg. 4-14) or because the Eclipse Premier is configured to use a Custom Header (see “Getting Custom Header Information” on pg. 4-16).

The EDIT ID fields are described below.

NOTE: Fields which directly affect computer analysis are marked with an asterisk ( * ).

*V3 Placement STANDARD

Use only for pediatric reports. For more information on pediatric lead placement, see “Pediatric Lead Placement” on pg. 5-7.

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Patient ID [Up to 20 alphanumeric characters]

Last Name [Up to 20 alphanumeric characters]

First Name [Up to 20 alphanumeric characters]

Entering Patient Demographics

*D.O.B

(Date Of Birth)

*Age [Up to 3 numeric characters. Range = 0-364]

*Age Format Y

*Sex blank

[Up to 20 alphanumeric characters]

Use spaces, hyphens or periods to separate the day, month and year. Some acceptable ways to type the date are:

1. 10 10 1950

2. 10–10–1950

3. 10.10.1950

*D.O.B. is used to automatically fill in *Age and *Age Format. For accuracy and convenience, you may wish to use this field rather than fill in *Age manually.

Not editable if *D.O.B. was entered.

EARS

ONTHS

AYS

Not editable if *D.O.B. was entered.

ALE

EMALE

*Race blank

*Medication 1 blank

LACK

AUCASIAN

SIAN

HER RACE

NKNOWN

O MEDICATION

NKNOWN

IGITALIS

ETIC

DIUR

ETA BLOCKER

UINIDINE

ROCAINAMIDE

MIODARONE

SOPYRAMIDE

IDOCAINE

HER ANTIARRHYTHMIC

HOTROPIC

PSYC

TEROID

S CALCIUM BLO NITRATE ACE INH

CKERS

IBITORS ALPHA BLOCKERS OTHER M

EDICATION

Select a medication type if you know the category of medication your patient is taking. For ECG waveform analysis, it is better to select N

NKNOWN than to leave this field blank.

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O MEDICATION or

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Chapter 6 Acquiring ECG Reports

*Medication 2 See *MEDICATION 1, above

NOTE: If you typically use just the *Medication 1 and *Class 1 fields, use the

PATIENT FIELDS ENABLE menu to select the OFF setting for the *Medication 2 and *Class 2 fields (see “Enabling Patient Demographic Fields” on pg. 4-14).

NOTE: Do not use this field if blank for *Medication 1. These entries for *Medication 1 cause the analysis program in interpretive Eclipse Premier units to ignore the *Medication 2 field.

*Class 1 blank

*Class 2 See *CLASS 1, above

NOTE: If you typically use just the *Medication 1 and *Class 1 fields, use the

PATIENT FIELDS ENABLE menu to select the OFF setting for the *Medication 2 and *Class 2 fields (see “Enabling Patient Demographic Fields” on pg. 4-14).

NOTE: Do not use this field if blank *Class 1. These entries for *Class 1 cause the analysis program in interpretive

Eclipse Premier units to ignore the *Class 2 field.

ORMAL

NKNOWN

YOCARDIAL INFARCTION

M MYOCARDIAL I

YPERTENSION

ONGENITAL HEART DISEASE

C RHEUMAT

Refers to the patient’s cardiac, lung, or endocrine conditions. Select the appropriate diagnosis from the list if you know your patient’s condition. For ECG waveform analysis, it is better to select N this field blank.

SCHEMIA

IC HEART DISEASE

, NO MEDICATION or UNKNOWN is selected

ERICARDITIS

ESPIRATORY DISEASE

NTED PACER

IMPLA

NDOCRINE DISEASE

MONARY EMBOLISM

PUL

T CARDIAC SURGERY

POS

IOMYOPTHY

CARD

THER

ORMAL or UNKNOWN than to leave

, NORMAL or UNKNOWN is selected for

Height [Up to 3 numeric characters. Range = 0-96 in. or 0-244 cm.]

Measured in either inches or centimeters as determined in the SYSTEM SETUP menu.

Weight [Up to 3 numeric characters. Range = 0- 500 lb. or 0-227 kg.]

Measured in either pounds or kilograms as determined in the SYSTEM SETUP menu.

Systolic BP

(Blood Pressure)

Diastolic BP

(Blood Pressure)

Department [Up to 5 numeric characters. Range 1 – 32000]

Room [Up to 7 alphanumeric characters]

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[Up to 3 numeric characters. Range = 0 – 250]

Identifies your department in the facility. A list of the allowable selections is displayed if it has been downloaded from PYRAMIS. To download ECGs from PYRAMIS, the department must be entered with the correct number or set to 1 on the Eclipse Premier.

Identifies your location within the facility.

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Technician [Up to 20 alphanumeric characters]

Identifies the person acquiring the ECG.

Physician [Up to 20 alphanumeric characters]

Identifies the patient’s physician.

User Field [Up to 15 alphanumeric characters]

Use this field to suit your needs. A possible use might be to identify the referring physician. You may label this field in the USER SETUP menu (see “Configuring the USER SETUP Menus” on pg. 4-6).

Comments [Up to 120 alphanumeric characters]

Use this field to input additional patient information as needed.

Entering Patient Demographics

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Chapter 6 Acquiring ECG Reports

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Chapter

7 Managing Patient Records

Once a patient’s record has been saved, it is possible to reprint, delete and transmit ECG records, as well as edit patient information. It is also possible to create files for one or more patients prior to acquiring any ECGs.

NOTE: Speed, gain and/or artifact filter can be changed prior to reprinting a record. See “Printing ECG Reports” on pg. 7-4.

Using the DIRECTORY Menu

In order to perform any of the functions described above, it is necessary to access the DIRECTORY menu.

NOTE: Depending upon your system settings, a password may be required to access the directory. For more information, see “Directory Password” on pg. 4-6.

1. Press the On/Standby key to power up to the PREVIEW screen.

2. Press the “M” key to go to the MAIN MENU.

3. Press the “D” key to go to the DIRECTORY menu

4. Press the “V” key to view the directory.

5. A list of all records stored in the directory is displayed.

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Chapter 7 Managing Patient Records

Record Status

The status of each record is indicated in the last column of the directory contents.

The status of a record is important, especially when transmitting and receiving records from another electrocardiograph or ECG management system (for more information, see “How record status affects the sending operations” on pg. 8-3). Record status also can affect which records are retained in the event that the directory is full (see “Automatic deletion when the Directory is full” on pg. 7-3).

Use the table below to understand the record status associated with each code.

Code Record Status Explanation of Status

Printed The Auto ECG record has been printed by the

Eclipse Premier electrocardiograph.

Demographics Only The record contains only patient demographic

information. The record does not contain an ECG report.

Sent The record has been sent to another

electrocardiograph or to an ECG Management System, such as the PYRAMIS System or the FAA System.

Do Not Send The record was manually marked so that the

record will not be sent the next time that BATCH SEND ECGS is selected in the DIRECTORY menu.

Received The record was received from another

electrocardiograph or from an ECG Management System, such as the PYRAMIS System or the FAA System.

Requisition The record contains only patient demographic

information. An ECG report is being requested for this patient by the ECG data management system.

ECG

RtE

12-Lead The record contains a 12-lead ECG.

Alternate Chest Lead The record contains an Alternate Chest Lead

(non-standard) ECG.

On Eclipse Premier units, it is possible to change the status of certain records. With this feature, users can ensure that certain records are sent and other records are not sent when BATCH SEND ECGS is selected in the DIRECTORY menu (for more information, see “Changing Record Status” on pg. 8-3).

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Accessing Saved Files

Automatic deletion when the Directory is full

If you create a new record when the Directory is full, the Eclipse Premier deletes an older record to make room for the new record. There are rules based on record status which determine which records are automatically deleted. The oldest record with the proper status is deleted.

● Records with status Dm or Rq are never deleted. However, a record with

both Rq and St will be deleted.

● If, in the SYSTEM SETUP menu, the Connection field is set to MODEM

or DIRECT, a record with status Pr and St may be deleted.

● If, in the SYSTEM SETUP menu, the Connection field is set to MODEM

or DIRECT, a record with status Rv and Pr may be deleted.

● If, in the SYSTEM SETUP menu, the Connection field is set to NONE,

any record with status Pr may be deleted.

If the Directory is full of records that don’t meet any of the automatic deletion criteria, you will not be able to create new records unless you manually delete records from the Directory (the Directory Full message is displayed). You may, however, obtain Auto ECG printouts. These will not be stored in the Directory unless storage space is made available.

Accessing Saved Files

Editing Patient Demographics

1. Locate the desired patient file, highlight it and press the Enter key. The Single ECG Functions list is displayed.

2. Press the “E” key to access the EDIT ID menu.

3. Edit patient demographics as desired. These changes are saved when you press the left arrow key to exit this menu.

NOTE: Patient ID, date of birth, age, and age format cannot be changed.

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Chapter 7 Managing Patient Records

Printing ECG Reports

1. Locate the desired patient file, highlight it and press the Enter key. The Single ECG Functions list is displayed.

2. If you wish to edit patient information, press the “E” key to access the EDIT ID menu. Make changes as desired. Press the left arrow to return to the Single ECG Functions list.

3. If you wish to modify the settings for Recorder Speed, Gain or Frequency Response, press the “C” key to access the CHANGE SPEED, GAIN, FILTER menu. Use the arrows to make different selections. Press the left arrow to return to the Single ECG Functions list.

4. Press the “P” key to print a copy of the report.

NOTE: Depending upon system settings, the ECG report will include a rhythm report and a median complex report. Analysis information may also be included on the printout, unless this feature has been disabled. To verify or change the print settings, see “Rhythm Page”, “Median Complex Page”, and “Analysis-original” on pg. 4-9.

5. Manually print a copy of the median complex report for the record by pressing the “R” key.

NOTE: Chart speed is fixed at 50 mm/s.

6. Print a copy of the measurement matrix for the record by pressing the “N” key.

Use the left arrow key to exit.

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Accessing Saved Files

Deleting Patient Files

NOTE: This procedure permanently removes the selected record.

1. Locate the desired patient file, highlight it and press the Enter key. The Single ECG Functions list is displayed.

4501

2. Select DELETE ECG by the file.

3. A message box will appear. Press the “O” key to confirm deletion.

NOTE: Proceed with caution; choosing Ok will permanently erase the record. To cancel the request, select Cancel.

Use the left arrow key to exit.

pressing the “D” key to permanently delete

Faxing Saved Files

NOTE: To use the Fax function, your Eclipse Premier must be equipped with either an internal or an external modem.

1. Locate the desired patient file, highlight it and press the Enter key. The Single ECG Functions list is displayed.

2. Press the “F” key to access the FAX ECG menu.

3. Select the destination for the fax by pressing the corresponding hot key: “1,” “2,” “3” or “4.” Eclipse Premier faxes the report.

NOTE: See “Configuring the FAX Menu” on pg. 7-7 to edit fax numbers and information.

Use the left arrow key to exit.

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Chapter 7 Managing Patient Records

Additional Functions

Add New Patient

If you wish to create one or more patient files prior to recording any ECGs, use the A

DD NEW PATIENT selection in the DIRECTORY. This feature allows you to input demographics into the Directory in advance of taking an ECG, which later reduces the time required to acquire the report.

1. In the DIRECTORY menu, select the A pressing the “A” key.

2. The EDIT ID menu is displayed. Enter the patient’s ID number, last name, first name, date of birth, gender, and as many other fields as required or as time will allow (for more information, see “Patient Demographic Fields” on pg. 6-10).

3. A file is automatically created for the patient. Patient information is saved when you press the left arrow key to exit the EDIT ID menu.

DD NEW PATIENT field by

Print All New ECGs

If you wish to print all ECGs in the directory which have not been printed previously (i.e., Record Status is not PR), select the PRINT ALL NEW E DIRECTORY.

1. In the DIRECTORY menu, select the PRINT ALL NEW E by pressing the “E” key.

2. All ECGs which have not been printed previously will print out on the electrocardiograph.

CGS item in the

CGS field

Use the left arrow key to exit.

Print median complex

If you wish to review the averaged beats for a record, select the PRINT MEDIAN COMPLEX item in the DIRECTORY. On interpretive units, the median complex is used as the basis for all computerized analyses.

1. Locate the desired patient file, highlight it and press the Enter key. The Single ECG Functions list is displayed.

2. Press the “R” key to print the median complex for the selected record.

NOTE: Chart speed is fixed at 50 mm/s.

Use the left arrow key to exit.

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Additional Functions

Print Measurement Matrix

If you wish to review the numerical data for a record, select the PRINT MEASUREMENT MATRIX item in the DIRECTORY. The measurement matrix contains numerical data, such as P wave duration (“PDUR”), which is derived from the median complex for the record.

1. Locate the desired patient file, highlight it and press the Enter key. The Single ECG Functions list is displayed.

2. Press the “N” key to print the measurement matrix for the selected record.

Use the left arrow key to exit.

Configuring the FAX Menu

Eclipse Premier stores up to 4 phone numbers which are listed by their descriptions. Fax numbers and descriptions can be entered or modified from the FAX ECG menu.

1. Locate the desired patient file, highlight it and press the Enter key. The Single ECG Functions list is displayed.

2. From the Single ECG Functions list, press the “F” key to access the FAX ECG menu.

3. Press “E” to enter new phone numbers or correct existing numbers in the EDIT PHONE NUMBER menu.

4. To enter a new number for Phone #1, type in a phone number. To modify an existing phone number, arrow down to the phone number and enter the new number as desired.

NOTE: Enter up to 20 numeric characters. The comma character ( , ) inserts a pause during dialing. For example, this is often used after dialing a “9” prefix before the rest of the phone number.

5. Arrow down to the Description field. Using the keyboard, type in a description for the phone number.

NOTE: Enter up to 15 alphanumeric characters.

6. To add or change additional phone numbers, arrow up or down to the appropriate fields and enter information as desired.

Use the left arrow key to exit.

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Chapter 7 Managing Patient Records

Print Directory

If you wish to print a list of all patient records currently stored in the directory, select the PRINT DIRECTORY item in the DIRECTORY.

Use the left arrow key to exit.

Delete All Records

1. In the DIRECTORY menu, select the PRINT DIRECTORY field.

2. A complete list of the DIRECTORY contents is printed (see sample printout in Chapter 9).

NOTE: The below information is for use by IT personnel or network administrators only.

NOTE: Depending upon your system settings, a password may be required to delete all records. For more information, see “Password” on pg. 4-5.

4501

With Eclipse Premier, it is possible to delete all contents in the directory.

NOTE: It is not possible to recover erased records.

1. In the DIRECTORY menu, scroll to and select the DELETE ALL RECORDS field by pressing the “D” key.

2. A message box will appear. Press the “O” key twice to confirm deletion. To cancel the request, select Cancel.

NOTE: Proceed with caution. Answering Ok to these questions will permanently erase every record in the Directory.

Use the left arrow key to exit.

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Chapter

8 Sending and Receiving Records

NOTE: You may use your Eclipse Premier for a variety of sending and receiving. You may use a remote connection with either an internal or an external modem, a wireless connection with a wireless device, or a direct connection with another Eclipse or a compatible ECG management system.

Eclipse Premier units with communication capabilities can receive requisitions, as well as transmit ECGs to and receive ECGs from other Eclipse electrocardiographs or the PYRAMIS ECG management system.

Equipment Connections

Figure 8-1

Back Panel

RJ11

IOIO

Internal Modem

Serial Port

Analog output

A BC

Key

Connect phone line cable, p/n 007079, to this RJ11 connector if your unit is equipped with an internal fax/modem.

Connect compatible fax/modems to this serial connector using an approved modem cable. Most Hayescompatible modems supporting Fax Service Class 2 commands will work with the Eclipse Premier.

Also use this connector for direct connection to a compatible management system. The part numbers for direct connect cables are 012-0710-00 for the adapter cable; 882029 for the workstation cable; and 863347 for the server cable.

The analog output provides one channel waveform, typically the first channel which is currently displayed on the PREVIEW screen, unless the PREVIEW screen is displaying all 12 leads. In this case, channel II is output.

For wireless connection, connect adapter module into this DB-25 connector (see Figure 8-2 on pg. 8-2).

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Chapter 8 Sending and Receiving Records

Wireless Connection via Adapter Module (Optional)

Figure 8-2

Back Panel with Adapter Module

To connect the adaptor module and the wireless adapter, see the instructions provided with the wireless device.

WARNING: NEVER create a direct connection between an Eclipse Premier and a PYRAMIS computer if the Eclipse Premier is already connected to a patient.

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How record status affects the sending operations

NOTE: For the list of status codes, see “Record Status” on pg. 7-2.

Record status affects whether records can be sent from the Eclipse Premier. The following rules apply:

● Records with status Dm can not be sent.

● Records with status Rv can not be sent.

In general, the following records will automatically be sent when BATCH SEND ECGS is selected in the DIRECTORY menu: records with the status ECG; records with the status ECG and Pr; records with the status RtE; and records with the status RtE and Pr. The following rules also apply:

● Records with status St or Rq will not be sent when BATCH SEND ECGS

is selected in the DIRECTORY menu. These records may be sent individually from the Single ECG Functions list.

● Records with status, No, will not be sent when BATCH SEND ECGS is

selected in the DIRECTORY menu. These records may be sent individually from the Single ECG Functions list.

Changing Record Status

Patient records can be marked so that they are automatically sent when BATCH SEND ECGS is selected in the DIRECTORY menu. Similarly, patient record status can be changed to ensure that a record is not sent.

Mark Record as “SEND”

To ensure that a record is sent the next time BATCH SEND ECGS is selected, select the MARK RECORD AS “SEND” from the Single ECG Functions list.

1. Follow the instructions for accessing the list of patient files (see “Using the DIRECTORY Menu” on pg. 7-1).

2. Locate the desired patient file, highlight it and press the Enter key. The Single ECG Functions list is displayed.

3. Select MARK RECORD AS “SEND” from the Single ECG Functions list

4. If the record has been sent previously, then the status of St is removed from that record. The file will be sent the next time BATCH SEND ECGS is selected.

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Mark Record As “DO NOT SEND”

To ensure that a record is not sent the next time BATCH SEND ECGS is selected, select the MARK RECORD AS “DO NOT SEND” from the Single ECG Functions list.

1. Follow the instructions for accessing the list of patient files (see

2. Locate the desired patient file, highlight it and press the Enter key. The

3. Select MARK RECORD AS “DO NOT SEND” from the Single ECG

4. The record is marked with the No status. The file will not be sent the

Setting Up the Unit to Send and Receive

The Eclipse Premier can transmit and receive records in three ways:

“Using the DIRECTORY Menu” on pg. 7-1).

Single ECG Functions list is displayed.

Functions list

next time BATCH SEND ECGS is selected.

● Direct Connection

● Wireless Connection (optional)

● Remote Connection

A direct connection is achieved through the use of a cable, which connects the Eclipse Premier unit to either PYRAMIS or another Eclipse unit. A wireless connection is achieved through a wireless transmitter attached to the Eclipse Premier, a wireless access port, and receiver software. A remote connection requires either an internal or external modem connected to a phone line.

Using a Direct Connection

1. If you are connecting to PYRAMIS, connect the Interconnect Cable to the connector labeled “DECG-SCP” on the PYRAMIS back panel and to the connector labeled “IOIO” on the Eclipse Premier back panel.

2. If you are connecting to another electrocardiograph, connect the Eclipse Direct Connect Cable #007796 to the connectors labeled “IOIO” on the back panel of each Eclipse.

NOTE: Follow steps 3 through 8 on both Eclipse units.

3. Press the On/Standby key to power up to the PREVIEW screen.

4. Press the “M” key to go to the MAIN MENU.

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Setting Up the Unit to Send and Receive

5. Select SYSTEM SETUP by pressing the “S” key. The SYSTEM SETUP menu will appear (see Figure 4-1 on pg. 4-1).

6. Press the down arrow key to highlight the Connection field and select DIRECT.

7. Press the left arrow key to return to the MAIN MENU.

8. Press the “D” key to go to the DIRECTORY menu.

Using a Wireless Connection

Refer to the instructions that accompanied the Wireless Connection option for instructions on installing and configuring the transmitter and receiver.

Using a Remote Connection

CONNECTING TO PYRAMIS

To send records to PYRAMIS, or to receive requisitions and records from PYRAMIS, the Eclipse Premier must be equipped with either an internal or external modem connected to a phone line.

1. Press the On/Standby key to power up to the PREVIEW screen.

2. Press the “M” key to go to the MAIN MENU.

3. Select S SETUP menu will appear (see Figure 4-1 on pg. 4-1).

4. Press the down arrow key to highlight the Connection field and select MODEM.

5. Verify that the Phone # and Description fields are correctly filled in.

6. Press the left arrow key to return to the MAIN MENU.

7. Press the “D” key to go to the DIRECTORY menu.

CONNECTING TO ANOTHER ECLIPSE

NOTE: This requires two Eclipse units with either an internal or

external modem connected to separate phone lines.

YSTEM SETUP by pressing the “S” key. The SYSTEM

1. Both Eclipse units: Press the On/Standby key to power up to the PREVIEW screen.

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2. Both Eclipse units: Press the “M” key to go to the MAIN MENU.

3. Both Eclipse units: Select S The SYSTEM SETUP menu will appear (see Figure 4-1 on pg. 4-1).

4. On the Eclipse that will be sending records, press the down arrow key to highlight the Description field and verify that the description and phone number are correct for the electrocardiograph that will be receiving records.

5. Both Eclipse units: Press the down arrow key to highlight the Connection field and select MODEM.

6. Both Eclipse units: Press the left arrow key to return to the MAIN MENU.

7. Both Eclipse units: Press the “D” key to go to the DIRECTORY menu.

YSTEM SETUP by pressing the “S” key.

Receiving requisitions from PYRAMIS

A requisition is a request for an ECG report that consists of demographic information only. Requisitions are used to organize the schedule of the person acquiring ECG records. An ECG management system such as PYRAMIS sends a requisition to the electrocardiograph, indicating that an ECG needs to be acquired on a specific patient.

Requisitions are received using the GET REQUISITIONS selection in the DIRECTORY menu.

1. Follow the instructions for setting up the unit to receive records (see “Setting Up the Unit to Send and Receive” on pg. 8-4).

2. From the DIRECTORY menu, press the “Q” key to go to the GET REQUISITIONS menu.

3. Select ENTER CRITERIA. The Get Requisitions menu is displayed.

4. The Department field will display the default Department number as set in the PATIENT FIELDS ENABLE menu. This will limit the search to requisitions targeted at the selected department. You may change this to receive requisitions for a different department. You can also delete this to receive all requisitions currently on the PYRAMIS system.

5. To limit the request to requisitions targeted at you or your area, type your code into the Group Code field.

The Group Code is maintained on the PYRAMIS system. Contact your System Administrator to verify your Group Code.

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6. If you want to receive a specific requisition and you know the number, type this number into the Req. Number (Requisition Number) field.

7. Press the left arrow key to return to the GET REQUISITIONS menu.

8. Select GET REQUISITIONS to receive all requisitions that match the criteria you have entered.

Sending records to PYRAMIS

1. Follow the instructions for setting up the unit to send records (see “Setting Up the Unit to Send and Receive” on pg. 8-4).

2. To send more than one ECG, select BATCH SEND ECGS from the DIRECTORY menu. The Eclipse Premier unit will automatically send all of the ECGs that have the appropriate status (see “How record status affects the sending operations” on pg. 8-3). A message will be displayed indicating the total number of ECGs sent. Select OK.

Sending records to PYRAMIS

3. To send a single ECG, in the DIRECTORY menu, select VIEW DIRECTORY. Select a single record and select SEND ECG from the

Single ECG Functions list. A message will be displayed indicating the status of the operation. Select OK.

4. The list of tests is displayed.

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Sending and Receiving records from an Eclipse

1. Follow the instructions for setting up the unit to send and receive

1. Ensure that both electrocardiographs display the DIRECTORY menu.

2. On the Eclipse that will be receiving the records, press the “R” key

3. To send more than one ECG, select BATCH SEND ECGS from the

4. To send a single ECG, in the DIRECTORY menu, select VIEW

records (see “Setting Up the Unit to Send and Receive” on pg. 8-4).

(

eceive ECGS) to put the electrocardiograph into waiting mode.

DIRECTORY menu. The Eclipse Premier unit will automatically send all of the ECGs that have the appropriate status (see “How record status affects the sending operations” on pg. 8-3). A message will be displayed indicating the total number of ECGs sent. Select OK.

DIRECTORY. Select a single record and select SEND ECG from the Single ECG Functions list. A message will be displayed indicating the status of the operation. Select OK.

5. The list of tests is displayed.

Receiving records from PYRAMIS

1. Follow the instructions for setting up the unit to receive records (see “Setting Up the Unit to Send and Receive” on pg. 8-4).

2. To receive all confirmed records, select GET ALL CONFIRMED ECGS from the DIRECTORY menu. A message will be displayed indicating the total number of ECGs received. Select OK.

NOTE: The Institution Number and Department on the Eclipse Premier must match the settings on PYRAMIS in order for this selection to function properly (see “Institution Number” on pg. 4-3 and “Department” on pg. 6-12).

3. To receive records for a particular patient, select GET ECG VIA ID from the DIRECTORY menu. See “Using GET ECG VIA ID” on pg. 8-9).

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Receiving records from PYRAMIS

Using GET ECG VIA ID

When you select GET ECG VIA ID you can search the PYRAMIS database for all the records for a particular patient. You can search the database using:

● The patient’s ID

● The patient’s name

USING THE PATIENT’S ID

1. From the DIRECTORY menu, select GET ECG VIA ID. The GET ECG VIA ID menu is displayed.

2. The only option available at first is ENTER ID. Select this option. The GET VIA ID menu is displayed.

3. Type the patient’s ID into the ID field.

4. Press the left arrow key to return to GET ECG VIA ID.

5. Select GET ECG LIST to view a list of all the records stored on PYRAMIS with that ID.

6. When the list has downloaded, highlight each record that you want to receive and press enter to select the record. The word, “SELECT” appears on the right side of the display.

7. Press the left arrow key to return to GET ECG VIA ID.

8. Select GET ECG(S) to begin receiving all the selected records.

USING THE PATIENT’S NAME

1. From the DIRECTORY menu, select GET ECG VIA ID. The GET ECG VIA ID menu is displayed.

2. The only option available at first is ENTER ID. Select this option. The GET VIA ID menu is displayed.

3. Type at least the first letter of the patient’s last name (see “How PYRAMIS Searches Using the Patient’s Name”).

4. Press the left arrow key to return to GET ECG VIA ID.

5. Select GET ECG LIST to view a list of all the records stored on PYRAMIS with that ID.

6. When the list has downloaded, highlight each record that you want to receive and press enter to select the record. The word, “SELECT” appears on the right side of the display.

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7. Press the left arrow key to return to GET ECG VIA ID.

8. Select GET ECG(S) to begin receiving all the selected records.

HOW PYRAMIS SEARCHES USING THE PATIENT’S NAME

PYRAMIS can search using just the Last Name field. All the files with the entered last name are retrieved. If there are no files with exactly the same last name, then PYRAMIS locates all the files with last names that are similar to the one entered.

When you search using First Name in addition to the Last Name field, PYRAMIS searches for files with a first name that matches exactly. First, PYRAMIS searches for an exactly matching last name. If no exact matches are found, PYRAMIS searches for similar last names. Once a last name is found, either matching or similar, PYRAMIS displays only the records in which the first name matches exactly.

For example:

The database has 4 records:

Stork, Blanche Smythe, John Smythe, Blanche Smith, Blanche

Search for:

Last Name:Smi First Name: Blanche

PYRAMIS displays 2 records in the List of Patients window:

Smythe, Blanche Smith, Blanche

No exact match was found for the last name so all names similar to “Smi” were located. Of these, only files with an exactly matching first name were displayed.

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