Econet Cardio-M Plus ECG User manual

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OPERATION

MANUAL

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Warranty

- The warranty for this product runs for 2 years (for EU countries). But the

warranty for accessories runs for 6 months.

- Warranty repair or replacement will be made by the Medical Econet GmbH

Service Center at no charge for the warranty period, if properly used under
normal conditions, in accordance with the instructions for use.

- In the event of a malfunction or failure during the warranty period, the

customer should inform Medical Econet GmbH. of the model name, serial
number, date of purchase and a description of the problem with the
equipment.

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When the product is not operating correctly, please

contact our customer service center with the name of

the model, serial number, and a description of the

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Contact Medical Econet GmbH

Contact Us If you have any questions or comments relating to our

products or purchasing, please contact our office at the
telephone number or e-mail address below. You can talk
to our sales people. Medical Econet GmbH always
welcomes your inquiries. Please contact us.

 Customer service [phone]

※

problem you are experiencing.

Technical
assistance

Please contact this number for technical support.

 [phone]
 e-mail: [e-mail]

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Fee-Based Service

If you wish to make a claim when the product is damaged through misuse, we
charge repair fees. Please read the manual before you make a claim.

1. The warranty does not cover cleaning, adjusting and instructions for use.

2. A fault of customer
When the product is damaged or broken due to customer’s improper use or

misuse.

- When the power cord is replaced improperly by the user.

- When the user drops the product while moving.

- When the user uses unauthorized accessories.

- When the product is repaired by an unauthorized person.

3. Others

- When the product is damaged by any external means; such as, but not limited
to a natural disaster (fire, flood or earthquake).

- When warranty of main unit or accessories ends.

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Definition of WARNING, CAUTIONS and NOTE

 In order to stress the contents of this manual, we define the terms below.

Please follow the warning and caution instructions.

 The manufacturer or service agents are not responsible for the damage

resulting from inappropriate use or carelessness.

WARNING

There may be serious injuries, fatal accidents or financial damages if you
violate these instructions.

CAUTIONS

There may be slight injuries or reduced damages if you violate these
instructions.

NOTE

There may not be any dangerous events, but it is important to note this
instruction for installation, use, maintenance or repair.

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Environment Instructions

 Please do NOT use or place the product in such an environment explained

below.

Avoid placing in an
area exposed to
moisture. Do not
touch the equipment
with wet hands.

Avoid placing in an
area where there is a
high variation of
temperature.
Operating
temperature ranges

from 10 to 40°C (50 to
104℉) and humidity

ranges from 30 to 85%.

Avoid exposure to
direct sunlight.

Avoid placing in
the vicinity of
electric heaters.

Avoid placing in an
area where there is
an excessive rise in
humidity or a
ventilation problem.

Avoid placing in an
area where chemicals
are stored or where
there is danger of gas
leakage.

Do not disjoint or
disassemble the
equipment. Medical
Econet GmbH
America, Inc takes no
responsibility for it.

Avoid placing
where there is an
excessive shock

or vibration may
occur.

Avoid inserting
dust, and
especially metal
material into the
equipment.

Power off when the
equipment is not
fully installed.
Otherwise,
equipment could
be damaged.

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Safety Instructions for Electricity

Please note the following precautions before using the p roduct.

• Is the power supply cord proper? (100 - 240V AC)

• Is every cord connected properly to the product?

• Is the grounding connected correctly? (Otherwise, noise can occur.)

NOTE

In order to avoid signal noise, do not place the product near power
generators, X-ray equipment, broadcasting equipment or mobile electric
cords. These may cause the product to report inaccurately. It is important
to use an independent electrical circuit and stable grounding. When
sharing an electrical outlet with other appliances, the result may also be
inaccurate.

NOTE

The classification of Cardio M Plus is as below:

 Its classification against electric shocks is Class Ⅰ, Type-BF.
 It is not proper to use this product near a flammable anesthetic or solvent.

 IEC/EN 60601-1 (Safety of Electric Medical Equipment) standard, noise

events: A class & IEC/EN60601-1-2 (Electromagnetic Compatibility
Requirements) standard, noise level: B

NOTE

Diagnosis of Cardio M Plus needs to be confirmed by a medical specialist.

NOTE

The accessories connected to analog or digital connectors should be
authorized in accordance with IEC standards (e.g. IEC 950 for data
processing equipment and IEC 601-1 for medical equipment). Moreover,
every composition should correspond with EN 60601-1:1993.

WARNING

This equipment must only be connected to a grounded electrical connection.

WARNING

Do not touch accessible connect or pins and the patient simultaneously.

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Safety Symbols

Symbols Contents

Isolated patient connection. (IEC 601-1-Type BF)

Power on.

Power off.

ATTENTION:
Refer to the user’s manual.

Ground connection.

External Signal IN/OUT Port

ECG

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Contents

Chapter 1. General Information .............. 12

1) Product Overview ..................................................... 13

2) Product Features ........................................................ 13

3) Product Configuration .............................................. 14

Basic Components And Accessories .................................. 14

Optional Components ............................................................. 15

Body Configuration ..................................................................... 16

Front Panel .................................................................................. 19

Control Panel ............................................................................ 21

Power ........................................................................................... 22

4) System Installation ..................................................... 24

Precautions For Installation ........................................................ 24

Power Connection ...................................................................... 24

Patient Cable Connection ........................................................ 24

Paper Installation ......................................................................... 24

System Start .................................................................................. 25

5) System Setup .............................................................. 26

Reset ............................................................................................ 26

Chapter 2.

Preparation For Electrocardiography

27

1) Location Of Electrode ............................................. 28

2) Electrode Connection ............................................. 29

Patient Cable Connection ........................................................ 29

How To Attach Electrodes.......................................................... 29

Countermeasures For Bad Lead Connection ......................... 30

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Chapter 3.

1) To Start ........................................................................ 33

2) Basic Setup ............................................................... 34

General ......................................................................................... 34

Sensitivity Setup ............................................................................ 35

Printing Speed Setup ................................................................... 35

Channel Form Setup ................................................................... 36

Rhythm Printing Setup ................................................................. 37

Grid On/Off .................................................................................. 37

Beat Report Setup ....................................................................... 38

Diagnosis Printing Setup .............................................................. 39

Rhythm Lead ................................................................................ 39

Patient Information Input ........................................................... 40

Pediatrics Diagnosis ..................................................................... 42

Electrocardiography

...................... 31

3) LCD Monitor Display ................................................ 43

4) Rhythm Mode Printing ............................................. 45

Printing Speed ............................................................................ 45

How To Print ................................................................................ 45

5) Record Mode Printing ............................................... 46

10 Second ECG Recording ........................................................ 46

60 Second ECG Recording ........................................................ 47

5 Minute ECG Recording ........................................................... 48

6) Printing Form .............................................................. 49

7) Copy Mode Printing .................................................. 55

8) Device Setup ............................................................ 57

Basic Setup ................................................................................... 57

Network Setup .............................................................................. 69

Hospital Setup .............................................................................. 70

9) Network Functions ..................................................... 71

10) Data Management .................................................. 72

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Chapter 4.

1) Maintenance And Cleaning ..................................... 76

2) Regular Check-Up .................................................... 76

3) Trouble Shooting ........................................................ 76

System Management

..................... 75

Chapter 5. Specification .......................... 78

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Chapter 1. General Information

1) Product Overview

2) Product Features

3) Product Configuration

Basic Components And Accessories
Optional Components
Body Configuration
Front Panel
Control Panel
Power

4) System Installation

Precautions For Installation
Power Connection
Patient Cable Connection
Paper Installation
System Start

5) System Setup

Reset

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1) Product Overview

Cardio M Plus is an electrocardiogram (EKG) device capable of measuring and
recording 12 channels of cardiac signals of patients. The device enables operators to
record cardiac signals, review them using various viewing modes, and perform
automatic detection of cardiac conditions.

In addition, the device allows operators to enter patient information for it to be
printed alongside cardiac signals, so that operators can sort and manage charts
conveniently. Furthermore, user convenience has been further enhanced by addition
of a functionality that can initiate EKG recording & saving, filter enhancing, parameter
sorting and automatically detecting cardiac signal all at once by pressing one key.

A battery (optional) can be added to the device so that the device can be
operated conveniently during bedside visits or emergency conditions.

2) Product Features

- Print 12-channel (ch) cardiac signals with reports in: 3ch+1 rhythm, 3ch+3 rhythms,
6ch+1 rhythm, and 12ch rhythm patterns on A4 size printing paper.

- Record a rhythm from 1 channel for 60 seconds or 5 minutes then print it on A4 size
printing paper.

- Record and print 12 channel rhythms continuously and simultaneously.

- Calculate heart rate, P-R-T axis and PR, QRS, QT and QTc widths from recorded signals
automatically and print them on a report for use in rhythm analysis.

- Get diagnostic reports using automatic detection functionality.

- Able to modify filter setting, signal sensitivity, printing speed, channel view settings and
rhythm settings, and print on previously recorded EKG signals to aid data analysis.

- Able to attach a battery so that the device can become portable.

- Manage chart effectively by addition of patient and operator data on EKG printout.

- Up to 120 EKG recordings can be saved in device memory.

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3) Product Configuration

The Cardio M Plus system consists of the items below. Unpack the package and check
the items below are included. Also, be sure to check for any damage to the body and
accessories.

Basic Components And Accessories

①

⑦

⑧

②

③

④

⑤

⑥

① Cardio M Plus Body (1 ea.)
② Patient Cable (1 ea.)
③ Disposable Electrodes (1 set)
④ ECG Clips (1 set)
⑤ ECG Paper (1 ea.)

⑥Rechargeable Battery

⑦User Manual (1 ea.)

⑧Power Cord

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Body Configuration

▣ Top View

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① ② ③ ④ ⑤

① Handle

② Printer Cover

③ Printer Cover Opening Button

④ LCD

⑤ Control Panel

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▣ Front View

① Printer Cover Opening Button

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▣ Rear View

④ ⑤ ⑥

① Protective Ground Terminal

② Power Switch

③ USB Port

④AC Power Connection Port

① ② ③

⑤ RS-232C Serial Port

⑥RJ45 LAN Port

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▣ Left Side View

① Handle

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①

▣ Right Side View

①

① Patient Cable Connection Port

NOTE

To avoid an expected electric shock, do not open the equipment cover or
disassemble the equipment. Refer servicing to Medical Econet GmbH
America, Inc.

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Rhythm

Front Panel

ECG/Spiro

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Graphic display window

View

Net/ESC

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Copy

Battery status

Power status

Rotary key

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During device boot up, you can see the system version and the Medical Econet

GmbH name.

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The following descriptions explain data on the graphic LCD.

① ② ③ ④

⑤ ⑥ ⑦ ⑧ ⑨

① Displays The Heart Rate.

② Displays Patient ID.

③ Displays The Date.

④ Displays Battery Status or AC Power Connection Status.

⑤ Displays ECG Sensitivity with One of 5, 10, 20, and Auto (mm/mV).

⑥ Displays Printing Speed With One Of 12.5, 25, And 50 (mm/sec).

⑦ Displays Number Of Data In Memory.

⑧ Displays A Printing Report Channel Form With One Of 3ch+1rhy, 3ch+3rhy, 6ch+1rhy,

12ch rhy, 60s 1rhy and 5m 1rhy.

⑨ Displays a Rhythm Channel Setup with One Of I, II, III, aVR, aVL, aVF, V1, V2, V3, V4,

V5 And V6.

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h or without revision and

ESC: Cancel commands or change into the former mode

Control Panel

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▣ Button

①

②

③

④

Print out the rhythm data on A4 size or continuous paper.

Print out the data in a selected form after recording 10
sec data or 60 sec data.

Process the recorded data wit
print them out.

Change a view of the graphic display window to initial
main window.

⑤

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Change the view of the graphic display window.

NET: Execute communication using networking.

for main menu printing.
(This key is context sensitive.)

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and

green light indicator lets you know the batter is fully

ame functionalities can be achieved by touching

▣ LED

⑦

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A light indicator lets you know that the battery is on
shows your current battery charging status. A red light
indicator lets you know that the battery is charging and a

charged.

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⑧

▣ Rotary Switch

⑨

Green light indicates connection with an AC adapter.

Use when navigating or selecting menu items
(s

menu items on the screen).

Power

▣ AC Power

When AC Power is connected to the device, power LED light will be green; if the
battery is installed, charging will commence.

<AC Power> <Battery Power>

▣ Battery Power

The device will get its power from the battery and the unit will display the battery
power icon (shown above), when the system is powered on, the battery is connected
to the device and the AC power is disconnected. When the battery power is low, an
alarm sound will ring from the device speaker and LCD display will show a “Battery Low”
message. Connect the AC power immediately or the device will automatically shut
down in a few minutes.

• Charging time: Maximum 4 hours

• Time to use continuously: Over 1 hour(100 ECG printouts)

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▣ Display Battery Power Status

 : Battery Fully Charged
 : Battery Charge Half-Full
 : Battery Charge Low
 : Battery Almost Fully Drained

▣ Replacing Battery

When replacing battery for this device, the same type of battery should be used.

• Type: GP1300AAM-PACK Ni-MH battery (12V/2600mAh)

• When to replace: Battery will automatically be charged when the device is

connected to AC power, and cannot be charged when separated from the
device. Battery is designed to have a charging cycle of 500 times or more. If the
device could only last 20 minutes or less on a battery power, the battery needs
to be replaced. Additionally, when a battery pack is damaged or leaking
chemicals, replace it immediately. Do not use damaged battery packs with the
device.

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NOTE

When replacing the fuse, use the same type (T3A250V) to protect the device
from risk of fire.

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4) System Installation

Precautions For Installation

While installing Cardio M Plus, please pay attention to the following items:

- Use the equipment between the ambient temperature 10 to 40℃ (50 to 104℉) and

humidity 30 - 85％.

- Check the power cord is properly connected, and the probe carefully handled.

- Do not plug multiple cords in a power outlet.

- Install and operate Cardio M Plus unit on a flat surface.

- If you experience noise, ground the device.

- Do not use a power cord that may make a connection noise.

- Device preference will be recorded in the internal memory even when it is off.

- Prevent any shock or excessive force that may cause damage to the device.

- Place the device away from any dust or flammable materials.

Power Connection

The equipment needs electrical power to operate. Plug in one end of the power cable
to wall socket and the other to Cardio M Plus.

Patient Cable Connection

- Connect the patient cable to the patient cable connection port on the right side of
the body.

- Connect limb electrodes to RL (N), LL (F), RA(R), and LA (L) leads of the patient cable

and chest electrodes to V1 (C1), V2 (C2), V3 (C3), V4 (C4), V5 (C5), and V6 (C6),

respectively.

Paper Installation

- Push the printer cover release button to the right to open the printer door of the
Cardio M Plus. Install EKG paper with the side to be recorded appearing on top. Close
the cover to finish the paper installation process.

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System Start

- After all installation processes are finished; turn on the power switch to see the Cardio
M Plus logo, system firmware version, the company name, and icons for ECG or
spirometer mode displayed on the LCD screen.

- To select ECG mode, locate the selection box on the ECG and press the rotary key or
touch the selection box on the screen.

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