Lode Corival V3 Operator's Manual

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Operator Manual
Corival V3
English
Lode BV
Groningen, The Netherlands
0344
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Operator manual Corival
This is the short operator manual for the Lode Corival Ergometer, which describes the
basic actions for starting up your ergometer. For a complete description, we refer to our
User Guide.
Intended Use
A Lode ergometer is a diagnostic tool intended to be used as a stress test device in a medical environment. The main goal of the use of a Lode ergometer is to create reproducible stress tests. The following parameters can be measured: Workload (watt) Revolutions per minute (rpm) Time (minutes and seconds) Distance (km) Optional: Blood Pressure (mmHg) Optional: Heart rate (beats per minute) Optional: Energy (KiloJoules) Optional: SpO2
In combination with other diagnostic tools, like ECG or pulmonary function equipment, other important physiological data can be obtained, allowing a physician to evaluate a test subjects physical status.
A Lode ergometer is designed both for manual operation and for control by external ECG-, pulmonary equipment. In combination with optional software, the ergometer can also be controlled by a PC.
The ergometer has to be operated under the supervision of well-trained medical specialists, like cardiologists, pulmonologists and physiotherapists. The ultimate judgment whether a test subject should undertake a stress test with an ergometer and which protocols should be used must be made by the responsible medical specialist, based on the limitations of each individual, the medical history and all other applicable circumstances. Neither Lode BV nor its distributors assume any responsibility for the final use of its equipment.
Contra Indication
The Corival ergometer is to be operated by classified personnel only. As stated in the intended use, the Corival is intended to be used in a medical environment. During the intended use the test subject will deliver energy. Application of the wrong dosis of energy could lead to permanent damage of the test subject health.
Maintenance
The Corival should be calibrated once a year. In case any damage is observed of the Corival Lode B.V. or his representative should be informed in order to execute the necessary repair(s). Service of the Corival is restricted to factory-trained personnel only.
Precautions
Caution:
This device should only be sold by, or on the order of authorized persons.
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Caution:
Not suitable for use in the presence of flammable anaesthetics.
Note: The voltage selector (115/230VAC) is inside the ergometer. The main unit panel has to be unscrewed. Voltage selection should be done by a technician!
Possible hazards
Using the Corival according to intended use, contra indications, maintenance, precaution and common sense stated above may not eliminate all hazards. Possible residual hazards could be: wrong installation, wrong use, wrong dose, wrong interpretation of readings, mechanical breakdown of parts, software failure.
LIST OF SYMBOLS USED
On/Off switch
External Input
External Output
Type B Electrical Safety
Separate collection of electric and electronic equipment
Copyright Lode BV, February 2008, All rights reserved.
Manufacturer information:
Lode BV Zernikepark 16 NL-9747 AN Groningen, The Netherlands t: +31 50 571 28 11 f: +31 50 571-67 46 @: ask@lode.nl www.lode.nl
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Operator manual Corival
TABLE OF CONTENTS
1 DESCRIPTION OF THE CORIVAL ERGOMETER 6
1.1 M
ANUAL CONTROL QUICK START
7
1.2 A
NALOG EXTERNAL CONTROL
8
1.3 T
ERMINAL – DIGITAL EXTERNAL CONTROL VIA
RS232 8
2 MAIN MENU 9
3 SYSTEM PARAMETER 10
3.1 S
ET DISPLAY
10
3.1.1 Power 10
3.1.2 RPM 10
3.1.3 Heartrate 10
3.1.4 Torque 10
3.1.5 Timer 10
3.1.6 Distance 10
3.2 S
ET P-SLOPE
10
3.3 S
ET MODE
11
3.3.1 Hyperbolic 11
3.3.2 HR controlled 11
3.3.3 Linear 11
3.3.4 Fixed Torque 11
3.3.5 Isokinetic (only available for Excalibur Sport 925900) 11
3.4 S
ETTINGS
11
3.4.1 Default Startmenu 11
3.4.2 Keyboard On/Off 12
3.4.3 Test Functions 12
3.4.4 P In/Out Analog 12
3.4.5 TC Bytes 12
3.4.6 RS232 Protocol 12
3.4.7 Language 12
3.4.8 Device No 12
4 SPECIFICATIONS 13
4.1 T
ECHNICAL SPECIFICATIONS
13
4.2 F
USES
13
5 COMMUNICATION PORTS 14
5.1 RS232 14
5.2 L
OOP CONNECTION
14
5.3 RS-232
SPECIFICATIONS
14
5.4 A
NALOG IN/OUT
14
A Maintenance 15
A.1 Cleaning 15 A.2 Replacing fuses 15
B Programmable Display Unit 928810 16
B.1 Installing the Programmable Display Unit (option 928810) 16 B.2 Control panel Corival with Programmable Display Unit (option 928810) 16 B.3 Using the Programmable Display Unit 16
B.3.1 Menu structure programmable control unit 17 B.3.2 Manual menu 18 B.3.3 Analog menu 18 B.3.4 Terminal menu 19 B.3.5 System parameters menu 19 B.3.6 Operation from basic control panel 20 B.3.7 Protocol 21
C Heart rate option 928924 27
C.1 Connecting the Heart rate system (option 928924) 27
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C.2 Using the Heart rate option 27 C.3 Installing the BP cuff 27
D Blood pressure option 928817, -818, 820 28
D.1 Using the BP system 28 D.2 Patient Hook-up 29
D.2.1 Apply the cuff 29
D.2.2 Position of the cuff 29 D.3 Abort codes BP system 31 D.4 Cleaning and disinfection 31 D.5 Cleaning of the cuff: 32 D.6 Installing the BP cuff 33
E SpO2 option 928840 34
E.1 Precautions for Use 34 E.2 Using the SpO2 Option 34
F 0 Watt Start-up System 906805 36
F.1 Using the 0 Watt start-up system 36 F.2 0 Watt Start-up system with P-display 36
G RS232 Connections 38
G.1 Overview 38
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1 Description of the Corival ergometer
The control panel consists of the following elements:
1. Led indicator for rpm.
2. Display A directed to test subject.
3. Down button.
4. Up button.
5. Confirmation button.
6. Ergometer type indication.
The back panel of the Corival contains the following elements:
1. Mains on/off switch
2. Mains connector
3. Fuse
4. Fuse
5. Dealer information label (if used)
6. RS232 in
7. RS232 out
8. Analog i/o
9. Protective Earth connector
Fig. 2 Back panel connections
Fig. 1 Control Panel standard Corival
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Adjustability
The ergometer is adjustable to test subjects of most sizes and ages.
The height of the saddle can be adjusted by tilting the handle on the back underneath the saddle
The height of the handlebars can be adjusted by loosening the handle in front of the ergometer.
Moving the ergometer
The ergometer can be moved by turning it over to the right (appr. 30º) when you are in front of the handlebar. A wheel in the middle of the ergometer drops out. You can now drive the ergometer to its location. Turn it over to the left (appr. 30º) and the wheel in the middle will fold in. The ergometer is ready for use.
Instructions for installing the Corival ergometer
1. Place the ergometer in the location where it will be used.
2. Check (at your supplier) whether the voltage set for the ergometer is set correct.
3. Connect the power cord first to the socket of the ergometer and then connect it to the line voltage.
4. Switch the power switch on. The indicator lamp in the switch lights up.
If the initialisation screen with the software version will appear for a few seconds, the ergometer is ready for use.
1.1 Manual control quick start
If the Corival is switched on, the default startup menu is the entrance to the MAIN MENU. Press the confirmation button (
)
to enter the main menu. Select with the arrow keys ▼▲ the
MANUAL MODE. Press
( )
and you will see the following screen:
With the ▼▲ keys the workload can be in- or decreased. The workload will rise with 25 watt/sec when the rpm is above 30. Keeping the
( )
pressed for a few seconds allows you to go
up one or more menu levels.
During cycling, the display shows the following information:
the top line shows 1 or more ergometry parameters.
the bottom right corner shows the current control mode.
at the bottom left position the selected adjustable parameter is shown.
P= 0W 0 rpm
MANUAL
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1.2 Analog external control
Execute the following steps to control the Corival externally using the analog in-/output:
1.
Connect the external controling device (e.g. ECG system) with a correct cable to the analog i/o port.
2.
Start the ergometer and go in the main menu to ANALOG.
3.
Now the ergometer can be controlled by an external device with an analog signal.
1.3 Terminal – digital external control via RS232
For digital external control using the RS232 serial port execute the following steps for the basic Corival:
1.
Connect the Corival to the external control device (i.e. ECG system, PC) using a correct RS232 cable
2.
Switch on the ergometer and select the menu TERMINAL on the display.
3.
Be sure that the correct protocol has been selected under the menu SYSTEM PARAMETERS / SETTINGS / RS232 PROTOCOL
For a list of available protocols and ECG system, we refer to the user guide or your local dealer. If you usually control your ergometer from an ECG system in the TERMINAL MODE, you can set this mode as default startup menu. The Corival is now ready for digital external control. Another option to control the ergometer from a pc is with the Lode Ergometry Manager (LEM, article 92890X) software. This uses the Lode 38k4 protocol.
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2 Main menu
When the ergometer is started after pressing the confirmation button
( )
you enter the MAIN
MENU. The following submenus are selectable from the main menu:
!
TERMINAL
!
MANUAL
!
ANALOG
!
SYSTEM PARAMETER
Use the arrow keys▼▲ to scroll through the menus. Press the
( )
button to select a menu.
Keeping the
( )
pressed for a few seconds allows you to go up one or more menu levels, wherever you are in the menu. The complete menu structure is shown below. In front of each menu the level depth is indicated.
0. MAIN MENU
1. ANALOG
1. MANUAL
1. TERMINAL
1. SYSTEM PARAMETER
2. SET DISPLAY
3. POWER
3. RPM
3. HEARTRATE
3. TORQUE
3. TIMER
3. DISTANCE
2. SET P-SLOPE
2. SET MODE
3. HYPERBOLIC
3. HR CONTROLLED
3. LINEAR
3. FIXED TORQUE
3. ISOKINETIC (only available for Excalibur Sport 925900)
2. SETTINGS
3. DEFAULT STARTMENU
3. KEYBOARD ON/OFF
3. TEST FUNCTIONS
3. P IN/OUT ANALOG
3. ECG TRIGGER
3. TC_BYTES
3. RS232 PROTOCOL
3. LANGUAGE
3. DEVICE NO
3. SEATING POSITION (only available for Excalibur Sport 925900)
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3 System parameter
In the System Parameters different specific ergometer settings can be carried out.
3.1 Set display
This function allows you to adjust the parameters which can be read out on the display during exercising. If more then 2 are set to ON they are shown in groups of 2 scrolling. Choosing default allows you to go to factory settings for the display parameters. Press the
( )
button to go to the next parameter and switching the actual parameter ON/OFF is
done with ▼▲ keys.
3.1.1 Power
Power indication in watts can be switched ON or OFF using the ▼▲ keys. The power displayed is the actual power of the brake. This means that regulation speed is incorporated. When rpm drops below 25 rpm the load is removed at once, because the pedal torque becomes very high. Load is put on the brake when rpm is greater or equal to 30 rpm.
3.1.2 RPM
Switch ON or OFF the Cadence readout in Revolutions per minute. The rpm can always be read out by the LED bar graph on top of the display independent of this adjustment.
3.1.3 Heartrate
Switch ON or OFF the Heart rate indication in beats per minute. The ♥ symbol is used in the display.
3.1.4 Torque
Switch ON or OFF the Torque in the readout. The Torque is displayed in Newton meter.
3.1.5 Timer
Switches the Timer ON or OFF in the readout. The timer is shown in the display as:
Θ =
mm:ss
. The timer starts when you enter manual, terminal or analog mode and the rpm
increases above 30. The timer is reset when one of these modes is left.
3.1.6 Distance
Switches the distance ON or OFF. The distance is shown in the display as:
= 99,9 km,
expressing the distance in km. A fictive formula is used (see main manual), holding only for average cycle conditions and it should not be used for diagnostic purposes.
3.2 Set P-slope
The load regulation steepness is set by this parameter to the default norm-value of 25 watt/sec or to maximal. During the Wingate sprint test the P-slope has to be unlimited.
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3.3 Set mode
Set mode is used to define which parameter (like load, torque, heart rate and linear constant alpha) has to be adjusted during exercising in MANUAL mode with▼▲ keys
3.3.1 Hyperbolic
Hyperbolic mode means that the load P can be adjusted in watt. The load is kept constant independent of rpm.
3.3.2 HR controlled
Heart rate can be adjusted and the load is regulated until the adjusted heart rate is reached. This means when heart rate increases above the adjusted level load is decreased and the other way around.
3.3.3 Linear
In linear mode the load P is coupled with rpm using the following formula:
P [W] = α* (n [min-1] )
2
The linear coupling constant α is the adjustable parameter in this case.
3.3.4 Fixed Torque
In Fixed Torque mode the load is regulated such that the torque is kept at a set fixed value, according to the formula:
T [Nm] = (P*60) / ( 2 * π * n [min-1]) Note: be aware of the fact that this fixed torque mode is not the same as the constant Torque mode which is used with the Wingate software module (see for more information the Wingate manual).
3.3.5 Isokinetic (only available for Excalibur Sport 925900)
In the Isokinetic mode the rpm is kept constant during the exercise, according to the formula:
P [W] = ( 2 * π * n [min-1]*T [Nm]) / 60
During the exercise you can not pedal faster then the chosen rpm. You can deliver more Force with the same speed and produce more workload in this way.
Note: The rpm is the adjustable parameter in this case, this mode can be used to define the optimal rpm.
3.4 Settings
Under settings all device specific and interface adjustments can be made. It concerns to all those items not related directly to ergometry.
3.4.1 Default Startmenu
Normally your ergometer starts in the main menu. But you can modify this menu to your own desired settings. This is convenient when your ergometer is used often in the same setting, The following menus can be selected as startmenu: MAIN MENU; MANUAL; TERMINAL; ANALOG At the next startup of your ergometer the selected menu will be activated.
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3.4.2 Keyboard On/Off
If you do not want to interrupt a training or you do not want the test subject to interrupt the training by pressing a key accidentally, the possibility is offered to disable the keyboard Now you wonder how to get back the control to the keyboard. Act as follows: Switch off the ergometer Switch it on again while keeping the
( )
button pressed. Now you have back the control. Go to SYSTEM PARAMETERS / KEYBOARD ON/OFF and set it to ON. At the next startup of the ergometer the keyboard is enabled again.
3.4.3 Test Functions
For servicing and calibration of the device a number of diagnostic tools is available in the software. They are hidden under Test functions. You need a safety code to enter the TESTFUNCTIONS.
3.4.4 P In/Out Analog
The ergometer can be controlled by an external device which has an analog output only. This is done using the ANALOG mode. With P In/out Analog the analog scaling can be adjusted:
- 1 V analog in - can correspond with a workload of 100 W / 200 W / 500 W.
3.4.5 TC Bytes
The Test code (TC) Bytes offer in case of malfunction or poor performance of the BP option the possibility to make error codes visible. Your local distributor can help you diagnose the problem with the Error Code.
3.4.6 RS232 Protocol
When the ergometer is externally controlled via RS232 a protocol should be selected here.
3.4.7 Language
You can choose different languages for the ergometer.
3.4.8 Device No
When RS232 communication is used with the ergometer, it is identified with a so called device number. This offers the possibility of looping through ergometers.
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4 Specifications
4.1 Technical Specifications
Principle : eddy current brake small disk. Mains voltage : 115-230 VAC (adjustable) Frequency : 50 Hz, 60 Hz. Patient capacity : 350 lb - 160 kg. Power consumption : 120 VA. Workload : 0-999 W HYP, 0-999 W LIN Device control : manual, external analog, external digital Accuracy : < 3 W for P <= 100 W, < 3% for 100 W<
P<500W, <5% for P>500 W. Read-out workload : digital, 0-999 resolution 1 W. Read-out pedalling speed : analog 0-180 rpm or digital 0-255.
Output workload : 100, 200 or 500 W  1 V (max. 999 W). Output pedalling speed : 100 min-1  1 V. Input voltage for external control : 100,200 or 500 W  1 V (max. 999 W).
Safety class Corival : I type B, IEC 601-1 chapter 18, 19 and 20. Safety class Corival + BP option : IIa type B, IEC 601-1 chapter 18, 19 and 20.
Leakage current : < 0.4 mA. Isolation resistance : > 4 MΩ. Earthway resistance : < 0.2 Ω.
Zero load : < 8 W at 60 rpm. Noise level : +/- 60dB at workload 200W/60rpm +/-80cm from
crank.
4.2 Fuses
115 V : 2 x 1,60 A slow. 230 V : 2 x 0,80 A slow.
Met opmaak:
opsommingstekens en nummering
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5 Communication ports
This chapter describes the communication ports in the main unit panel of the Corival:
!
RS232 (two ports for RS232-in and loop connection RS232-out)
!
Analog in/out
5.1 RS232
The Corival has two RS232 connectors for loop-connecting a number of Corival’s and for communication with a personal computer or an ECG device. When the ergometer is controlled externally always use the RS232-in port. Via RS232 an ergometer can be monitored and settings can be entered with a computer. See main manual for App E for protocols and cabling for your controlling device and the Pin layout RS232 connector
5.2 Loop connection
It is possible to control several Corival ergometers with one external device using RS232. Connect the RS232-in connector to the external device. Connect the RS232-out connector to the RS232-in connector of the following Corival ergometer, and so on. The maximum number of Corival ergometers that can be connected in this way is 8. Use the device number option in SYSTEM PARAMETERS to give each Corival a unique number. In this way each Corival can be controlled separately, using the LEM software.
5.3 RS-232 specifications
See main manual for detailed information
5.4 Analog in/out
This connector can be used to connect the Corival to other analog controlling instruments. See main Manual for detailed information.
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A Maintenance
The Lode Ergometer is mechanically and electronically designed for durability and accuracy. This also accounts for the options and add-ons of the device. The frequency of calibration depends on the intensity of usage. As a rule Lode Ergometers are calibrated on an annual basis. Please refer to the Service Manual for specific details on check-up intervals for the Lode Ergometer and its options and/or add-ons.
The dynamic calibration is performed using calibration equipment specially designed by the manufacturer.
A.1 Cleaning
The housing of the Corival ergometer and all other external surfaces can be cleaned with a cloth dampened with non-aggressive liquid.
A.2 Replacing fuses
You will not need a certified technician to replace fuses of the Corival.
Always disconnect the power cord first!
Unplug the mains cable. The fuses are part of the main unit (Fig. 3 Main unit panel connections, item 8) and located at the bottom of the main unit. You have to lift the Corival place it in the upright position (90°) to locate the fuses. Unscrew the fuse holders with a screwdriver, replace the broken one and place them back again. Note: make sure that the fuses that are in the Corival match the set voltage (115 V: 2 x 1,25 A slow; 230 V :2 x 0,63 A slow).
Contact your local dealer for a maintenance contract or ask Lode:
LODE BV Tel. +31 50 5712811 Service department Fax. +31 50 5716746 Zernikepark 16 Email: ask@lode.nl 9747 AN Groningen Internet: www.lode.nl The Netherlands
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LODE
ERGOMETER
TBD
P= 0W 0 rpm
B Programmable Display Unit 928810
B.1 Installing the Programmable Display Unit (option 928810)
When the option 928810 is ordered later on, it should replace the standard Control Unit. Replacement should be carried out by service personnel only. For the description, we refer to our user guide supplied with this ergometer.
B.2 Control panel Corival with Programmable Display Unit (option 928810)
1. Display B (4x20 characters) directed to operator
2. Infrared window (only active for option
928820)
3. One-step-back button
4. Down button
5. Up button
6. Confirmation button
B.3 Using the Programmable Display Unit
Check if the ergometer is properly installed. In the display of the basic control panel the following appears for a few seconds:
Followed after a few seconds by:
At the same time the programmable control panel shows for a few seconds:
Fig 1: Control Panel with Programmable Display Unit
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LODE
P-display
ver X.YZ
system parameter
TERMINAL manual
Term
In case the Blood pressure option is available it is followed for approximately 1 second by the text "BPM Initialized "thereby indicating correct operation of the BP device. The SpO2 comes together with the P-Display. When this option is available correct operation is indicated by the text "SpO2 Initialized" In case the 0-Watt Start -up System is available the text "0 Watt Initialized" is displayed indicating the 0-Watt Start -up System is detected When all three options are installed the display shows:
Then the main menu appears:
The menu displayed in capitals can be selected. As extra reminder the first 4 letters of the selectable mode are showed above the confirmation button. With the ▼▲ keys you can scroll through the other menus and select SYSTEM PARAMETERS, MANUAL, ANALOG or PROTOCOL. With the right
( )
confirmation button the menu in capital can be selected. The
left
( )
escape button is used to go back one level in the menu structure.
The ergometer is now ready for use. If nothing appears in the display(s), check whether the power cord and the control unit have been properly connected or contact your supplier.
B.3.1
Menu structure programmable control unit
0. MAIN MENU
1. ANALOG
1. MANUAL
1. TERMINAL
1. SYSTEM PARAMETER
2. SET DISPLAY
3. POWER
3. RPM
3. HEARTRATE
3. TORQUE
LODE
BPM Initialized SpO2 Initialized
0 Watt Initialized
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MANUAL
P = 0W 0 rpm = 0/m*
esc P BPM*
ANALOG
P = 0W 0 rpm
= 0/m*
esc esc
3. TIMER
3. DISTANCE
3. TARGET HR*
3. ENERGY*
2. SET P-SLOPE
2. SET MODE
3. HYPERBOLIC
3. HR CONTROLLED
3. LINEAR
3. FIXED TORQUE
3. ISOKINETIC (only available for Excalibur Sport 925900)
2. SETTINGS
3. DEFAULT STARTMENU
3. ECG START*
3. P IN/OUT ANALOG
3. CONTRAST
3. ECG TRIGGER
3. TC_BYTES
3. RS232 PROTOCOL
3. LANGUAGE
3. DEVICE NO
3. SEATING POSITION (only available for Excalibur Sport 925900)
1. PROTOCOL*
2. PROTOCOL EDIT *
2. PROTOCOL RUN *
3. ÅSTRAND PROTOCOL*
2. PROTOCOL DELETE *
Compared to the standard version the *menus are added.
B.3.2
Manual menu
Selecting the manual mode will show you (default) the following display at the programmable control panel:
* BPM is displayed when this option is available, otherwise another MENU possibility is active. With the ▼▲ keys you can increase or decrease the parameter of the selected mode. In the middle the adjustable parameter is shown, f.i. the load P (to be set with SYSTEM PARAMETERS> SET MODE)
B.3.3
Analog menu
Selecting the ANALOG menu will show the following screen at the programmable panel:
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TERMINAL
P = 0W 0 rpm = 0/m*
esc esc
set p slope
SET DISPLAY settings
syst
set
POWER
On
esc off
on next
Notice:
= 0/m*
Only displayed if HR option is being installed! The ergometer is now ready for external control with an analog signal as previously described. See for more information about analog control the user guide (only available in English) supplied with the ergometer.
B.3.4
Terminal menu
Selecting the TERMINAL menu will show the following screen at the programmable panel:
Notice:
= 0/m*
Only displayed if HR option is being installed!
The ergometer is now ready for digital external control. For more information about digital external control using the RS 232 serial port see the user guide supplied with the ergometer.
B.3.5
System parameters menu
In the SYSTEM PARAMETERS different ergometry specific settings can be carried out as described previously in the standard manual. On the programmable control panel you can select the desired menu:
The menu displayed in capitals and repeated with an abbreviation under the confirmation button
( )
is the one which can be activated. Selecting one of these menus will show you a more extended display then described previously in this manual. As you can see with the example of
SET DISPLAY
:
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Where the function POWER is the same as described previously in this manual (power indication on or off), the button ESC will bring you back to the system parameters menu. With the ▼▲ keys you can select the power indication to be ON or OFF, and NEXT will bring you to the next item of the SET DISPLAY menu. Beside the parameters RPM, HEART RATE, TORQUE, TIMER and DISTANCE two more are parameters are added: TARGET HEART RATE and ENERGY.
Selecting the target HR parameter will show you the target heart rate programmed in the heart rate controlled protocol beside the actual heart rate. For instance:
Selecting the energy parameter will show you the total amount of mechanical energy delivered by the test subject going into the ergometer in the form of mechanical motion, during the exercise test.
Instead of 2 items you can show 4 items out of your selection at once, they will scroll in groups of 2. When you select 4 parameters, there will be no scrolling but a fixation on the display of these parameters. You can program the parameters (also up to 4 without scrolling) at the basic control panel as well, but you have to switch the control over to the basic side first as is described in the next paragraph.
The menu
SETTINGS
will give you the opportunity to select PROTOCOL as a default startmenu besides the previously described menus ANALOG, MANUAL, TERMINAL and SYSTEM PARAMETERS.
An extra option for the Programmable control unit in the menu SETTINGS is the CONTRAST adjustment for the P-display. Adjusting contrast shows direct effect on the display. Only after confirmation with SAVE the new contrast is kept!
B.3.6
Operation from basic control panel
With the basic control panel as described previously in this manual you had the possibility to switch your KEYBOARD ON or OFF. With the programmable control panel the basic (test subject) side of the unit is default OFF. It is possible to control the ergometer with the buttons of the basic control panel instead of the programmable control panel. You can use this option for service purposes or to program the display of the basic control panel. During the startup of the ergometer you can press one of the buttons at the basic side to switch operation to this basic control panel, you will then loose the control function of the programmable side. To go back to the default control situation you have to restart the ergometer without pressing any button.
The TEST FUNCTIONS are only available at the basic control panel. They are meant for service personnel only. Contact your supplier in case service of the device is required.
If,
2 t=00:48 θ=01:12
P= 23 W 61 rpm = 91/min t=100/min
rec rec
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Name 1
Step P= 0W t=00:00 1S dP=+050W dt=060s
esc next
protocol run
PROTOCOL EDIT protocol delete
p
rot
edit
accidentally, you get into to the TEST FUNCTIONS it can cause damage to the ergometer operation and guarantee will be lost!
B.3.7
Protocol
In this paragraph the program possibilities under the menu PROTOCOL will be described:
You can select the menus PROTOCOL EDIT; PROTOCOL RUN and PROTOCOL DELETE.
B.3.7.1 Protocol edit
The menu PROTOCOL EDIT allows you to program new exercise protocols or edit an existing protocol. The memory capacity will allow you to save 50 protocols, all existing of maximal 15 steps each. Pressing this menu will show you the list of protocols which have already been made and the menu NEW.
With the ▼▲ keys you can select the desired protocol (in this example name1) to edit. Select NEW to program a new exercise protocol and give the protocol a useful name maximal 10 characters with the▼▲ keys. The allowed characters for the name are: ‘0’..’9’,’a’..’z’, and ’ ’. Move the cursor with the confirmation button
( )
OK to the 10th position and the
program screen will appear:
On top the protocol name is mentioned. The second line will give you information about the status of the programmed momentary workload (P) and time (t). The third line is the actual program line. The stage number with the type of stage is mentioned, followed by the programmable parameters (workload in the above example) and time. Those parameters are displayed as ∆ Power (dP) and ∆ time (dt). ∆P is the change in power expressed in watts. ∆ t is the change in time expressed in seconds. The underlined character is the item which can be
New
name1 name2
esc ok
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changed, in the example mentioned above: S. Pressing the ▼▲ keys give you the ability to toggle between the possibilities for programming a stage in a protocol: S, T, L, H, P and Recovery.
S= step
the workload can be adjusted + or – and the duration of this hyperbolic stage can be determined; the load is independent of the RPM.
T= torque
fixed torque: the torque in Nm can be adjusted with certain duration.
L= linear
the workload is coupled with RPM with constant α as the adjustable parameter for the desired duration; load P = α * N2 [W] goes up with square of cadence.
H= heart rate
the workload is regulated as a function of the adjustable heart rate for a
certain duration in this heart rate controlled step.
P= proportional
the workload is increased linear as a function of time (ramp protocol). It will take the total duration time to reach the programmed workload;
R = Repeat
repeat steps (until max. workload): you have to enter the workload step and the duration of the step only once.
Recovery
the recovery stage is the last stage of a protocol with a fixed workload and an unlimited duration (only 1 recovery stage in 1 protocol)
After the confirmation of the workload during the recovery stage the menu PROGRAM BPM will appear. Toggle with the ▼▲ keys for the measurement possibilities:
No BPM
no BPM module available, select this option when the BPM is not installed, or
no automatic blood pressure measurement during this protocol;
Repeat
allows you to program a repeat time in minutes during the exercise stages:
EOS
End Of Stage; automatic measurement at every end of the exercise step with the possibility to program the measurement time before the end of the stage.
Recovery time
If you have programmed automatic BP measurement in the protocol, you get the possibility to program the repeat time of the BP measurement during the recovery stage: After the programming of the BPM the menu PROTOCOL will appear again. You can RUN EDIT or DELETE one of the protocols now.
B.3.7.2 Example Programming Protocol
For the purpose of clarification we will program a demonstration protocol with all possibilities. Execute the following steps to get into the programming mode.
1.
Select PROTOCOL in the MAIN MENU, confirm
( )
2.
Select PROTOCOL edit, confirm
( )
3.
Select New, confirm
( )
4.
Give a protocol name: test
5.
With the ▼▲ keys you can scroll through the alphabet confirm, use next
( )
to go to
the next position
6.
The program screen appears, the underscore showing the programming parameter:
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test
Ramp P=160W t=09:40
6P dP=-060W dt=060s
back next
test
Step P= 0W t=00:00 1S dP=+050W dt=060s
esc next
test
Torq P= 10W t=01:00 2T T= 10Nm dt=030s
back next
Confirm the S with
( )
, use the ▼ key to decrease the workload to 10 watt.
7.
Press the confirmation button NEXT until you reach the following screen. Adjust time dt to 60 seconds using the ▼▲ keys.
8.
Select T with the ▼▲ keys and adjust the Torque to 10 Nm and the duration to 30 seconds with the same keys. Press the confirmation button.
9.
Select L with the ▼▲ keys and confirm the constant α =0.041, change the duration to 10 seconds. Press the confirmation button.
10. Select H with the ▼▲ keys and change the heart rate in 120/m for a duration of 180
seconds, press the confirmation button.
11. Select P with the ▼▲ keys and change the Workload to 150 in duration of 300
seconds, press the confirmation button.
12. Select P with the ▼▲ keys and change the Workload to minus 60 in 60 seconds, press
the confirmation button.
13. Select Recovery the ▼▲ keys and change the Workload to 35 and press the
confirmation button.
14. After confirmation you will automatically go to the BPM menu.
15. Select No BPM when the BPM module is not installed or select Repeat with the ▼▲
keys and choose 2 minutes for the repeat time, confirm with
( )
and choose 2 minutes for the repeat time in the recovery stage. The protocol TEST (with BPM) is ready now, you can go to protocol RUN to test this special protocol (not for normal use).
To edit an existing protocol, you have to select the desired protocol first. You can change the name or confirm the name with OK
( )
ten times. Now you can walk through the stages with
the confirmation button, until you reach the stage you want to edit. You have to scroll through
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10w min
25w 2 min ramp 400w
esc
ok
10w min
1 P=0W t=00:00 1S dP=+10W dt=060s
esc ok
10w min
start at 30 rpm n= 0/min
esc
ok
the total protocol and define the recovery stage before you leave this menu otherwise the changes will not be saved.
B.3.7.3 Protocol Run
The menu PROTOCOL RUN is used to select the desired protocol for the exercise test. Select Protocol Run and three previously programmed protocols will appear on screen. To scroll through the total list use the arrows, for instance:
If you want to select e.g. the protocol 10 w min, use the ▼key until a space appears in front of the name of the protocol (the selectable item is always on the 2nd line) and confirm with ok. The following message will appear on screen:
This screen is used to check the selected protocol; in this case the name is 10w min: the first step will start with 10 watt for 1 minute. Press the confirmation button to go on:
The ergometer is ready for use with the selected protocol. When the test subject exceeds the 30 rpm the protocol will run. You will see the following screen:
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BPM
P= 30W 60 rpm = 114/min
protoc
dis
► proto
BPM
p = 123 mmHg
♥ ♪
P= 30W 60 rpm
protoc dis
► proto
In this example the screen shows that this is the first stage, t= 00:59 with 59 sec to go, the timer is showing 1 sec of total exercise time, the timer will stop the registration when the RPM drops below 30. The workload P is 10 watt, the pedaling frequency is 58 RPM, and the heart rate is 83 beats per minute. The three displayed parameters are those selected under SYSTEM PARAMETERS / SET DISPLAY. At the bottom line you will find the recovery button on the left and right which will bring the workload immediately to the programmed recovery workload. In case the optional BPM is installed you will find instead of the right recovery button a BPM button which allow you to measure the blood pressure with the optional automatic blood pressure module (see the appendix concerning Blood pressure in this manual). The next steps will automatically follow. With the ▼▲ buttons you can go the next stage or previous stage when you do not want to follow the protocol as programmed.
B.3.7.4 Blood Pressure Measurement
When your controller is extended with the optional automatic blood pressure module you can either program a measurement interval (see Protocol edit B.3.7.1 and Example Programming Protocol B.3.7.2) or press the ( ) BP button (see appendix on BP measurement) to start manual a BP measurement. You will see the selected display parameters.
Pressing PROT (protocol) will bring you back to the normal exercise protocol screen. Pressing DISP (▼▲) will allow you to toggle between the BP parameters and de default selected parameters. START will start the blood pressure measurement. Pressing DISP again will show as next display the actual pressure p.
Whenever the test subject is allowed to or has to stop the exercise test, the recovery button has to be pressed. The following will appear on screen:
1 t=00:59 θ=00:01
P= 10 W 58 rpm = 83/min
rec rec
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Rec P= 50W t=10:30
P= 50W 60 rpm = 174/min
esc esc
testprotocol
Delete?
esc ok
In this example the recovery phase will bring the workload down to 50 watt. The timer is showing 10:30 seconds and will go on with the registration during the recovery as long as the RPM is above 30 (the BPM can still be measured when BPM is displayed at the confirmation button). To stop the recovery phase press the ESC button to go back to the PROTOCOL menu. In the menus MANUAL, TERMINAL or ANALOG the BP function is the same as described above.
B.3.7.5 Protocol delete
This function allows you to delete a protocol. Select the protocol which you do want to remove (in this example TESTPROTOCOL) and confirm with OK. The following screen will appear:
Confirm with OK when you agree and the message [deleted] will appear on the screen.
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C Heart rate option 928924
C.1 Connecting the Heart rate system (option 928924)
To install a heart rate option purchased afterwards, follow the instructions given in the user guide supplied with the ergometer. Installation of the Heart rate option itself has to be done by service personnel only.
C.2 Using the Heart rate option
The heart rate option is automatically recognized by the ergometer. The Polar belt should be mounted around the chest of the test subjects (at heart level) with Polar trade mark pointing forwards from the middle of the chest. The belt should not be to loose. If you have a weak signal, check following tips:
Wet the contacts on the right and left backside of the Polar belt for good contact
Stay near the receiver (within a range of 0.8 meter) which is located in the display unit at the test subjects side below the readout.
Due to the integration measurement principle it can take a few seconds before the readout on the display shows the correct value. Be patient.
The test subject should be positioned in such way that a straight virtual line can be drawn between the Polar trade mark on the belt and
the receiver inside the display
unit, or placed in front of the Test subject
C.3 Installing the BP cuff
To install a B option purchased afterwards, follow the instructions given in the user guide supplied with the ergometer. Installation of the Blood pressure measurement module itself has to be done by service personnel only.
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P= 90W 69 rpm
dis
MANUAL
LODE
ERGOMETER
TBD
P = 0
mm Hg
dis
MANUAL
P = 120 mm Hg
dis
MANUAL
D Blood pressure option 928817, -818, 820
With option 928817, -818, 820 it is possible to perform stand alone or external controlled blood pressure measurements. After installation the BP module is recognized automatically at start up of the ergometer, indicated by the following screen for a few seconds:
D.1 Using the BP system
Caution
: Carefully read the instructions in Appendix D.2 Patient Hook-up before continuing. Only well trained medical personnel, familiar with BP measurement, should operate the BP system.
When you are in the MANUAL, TERMINAL or ANALOG mode you can go to the BP measurement by pressing
( )
button. The following menu appears:
In the upper line of the display still your selected readout parameters appear. The buttons below have the following functions:
dis
: Toggle the display between your readout parameters and the pressure p [mm
Hg]. Pressure is indicated as lower case p and workload with upper case P.
: The BP measurement starts:
With the same button the BP can be aborted at any time and the pressure will be released.
( ) MAN / TERM / ANA
: Return to the operation mode where you started from
(MANUAL, TERMINAL or ANALOG).
During the first BP measurement of the test subject the cuff inflates to 180 mm Hg. For each subsequent BP measurement, the last measured SYSTOLIC value +50 mm Hg is used as a maximum inflation limit. Be aware that in case of an error (D.3) the inflate limit can go up to 260 mmHg worst case. Above 300 mm Hg, or if a measurement lasts longer than 180 seconds, the hardware releases pressure immediately for safety reasons. Deflation is done 40
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mm Hg below the last measured DIASTOLIC pressure. The used deflate rate is approximately 4 mm Hg/heartbeat.
A list of most occurring warnings and errors is given in D.3 Abort codes BP system. The built-in BP module offers, in case of malfunction or poor performance, the possibility to make error codes visible. See for more information the user guide supplied with this ergometer.
Caution
: The interpretation of the error codes should be done only by experts. Ask your supplier for more information.
D.2 Patient Hook-up
Correct patient hook-up is very important. Experience has shown that a lot of troubles can be avoided when the rules below are kept in mind. Especially BP measurement using Korotkoff tones under stress requires accurate preparation.
D.2.1
Apply the cuff
On the inside of the upper arm you can feel the brachial artery. Palpate the brachial artery to ensure proper placement. The best place for the microphone is where you can most clearly feel the pulse (Fig 2: Palpating the arm). Upper clothing should be taken off! Pulled up garments should not jam the upper arm.
D.2.2
Position of the cuff
The cuff should be placed on the upper arm, so that it is positioned about 2 cm above the elbow close to the heart level (Fig 3: Cuff position). Place the microphone on the position that you palpated.
Fig 2: Palpating the arm
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Caution: Never place the cuff so that the microphone is located in the elbow.
Pull the cuff so tight, that it neither moves nor ties off the arm of the patient. By fasten the cuff too tight or too loose, error measurements are caused. Wrap the end of the cuff around the upper arm and close the Velcro fastening (Fig 4: Mounting the cuff).
Ensure that the air hose from the monitor to the cuff is not compressed, crimped or damaged. During ergometry the air hose should be handled and attached in such a way, that vibrations and movement artefacts are avoided. Use the ring strap to fix the tubes to the wrist to avoid tensions on the cuff due to moving and pulling tubes.
During the measurement, which starts with inflation, the arm with the cuff should be kept in rest.
With ergometry it is most convenient for the patient to take the arm from the
handlebar of the ergometer and relax the arm with the cuff.
Fig 3: Cuff position
Fig 4: Mounting the cuff
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The intervals of the measurements should not be too short. Intervals of 2 minutes and more result in long pauses between the stenoses, so that venous congestion and artiospasm can be avoided.
D.3 Abort codes BP system
Prior.
Error message
Display
Possible error cause
1
AAAACHECK ECG SIGNAL@@@@
0 / 0 mmHg
!!!! ECG trigger not connected. !!!! ECG trigger properties not correct. ! ECG trigger polarity not correct. !!!! QRS pulse width smaller than 10 ms.
2
AAAACUFF OVERPRESSURE@@@@
0 / 0 mmHg
!!!! Strong arm movements during the blood
pressure measurement.
! Air hose is bent or blocked.
3
AAAAAIR LEAK@@@@
0 / 0 mmHg
!!!! Cuff is loose or not connected. ! Air hose or air-bubble leak. !!!! Air hose not connected.
4
AAAASERVICE REQUIRED@@@@
BP
value
!!!! Fatal error ...Get in touch with the company
Lode.
5
AAAACHECK ECG/ MICROPHONE@@@@
BP
value
! Poor patient hook-up (irregular ECG-signal) or
poor trigger signal.
AND
! Abnormal microphone-signal or damaged
microphone.
6
AAAACHECK MICROPHONE@@@@
BP
value
!!!! Wrong Microphone placement or defect
microphone.
7
AAAACHECK ECG/ ARTIFACT@@@@
BP
value
!!!! ECG trigger signal failed during blood pressure
measurement.
Bad or irregular ECG-
signal during the blood
pressure measurement.
AND
! Excessive movements of the patient during the
blood pressure measurement.
8
AAAAARTIFACT/ARM MOVEMENT@@@@
BP
value
! Excessive movements of the patient during the
blood pressure measurement.
9
AAAACUFF INFLATION TOO LOW@@@@
BP
value
!!!! Maximum cuff pressure adjusted too low. ! Inflation pressure adjusted too low. Repeat
measurement.
10
None
BP
value
D.4 Cleaning and disinfection
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Entry- and connection cables, like the air-hose from the cuff should not be sterilized in hot steam or cold gas or plunged in disinfectants.
D.5 Cleaning of the cuff:
For the cleaning of the cuff, you can take out the air-hose (Fig 5: Air-hose removal).
Now you can open the Velcro fastening of the cuff and take out the microphone, Fig 6: Microphone removal.
The cuff can be washed at 30° C. The air-hose can be cleaned with mild non-alcoholic disinfectant. There may not remain any liquid in the air-hose afterwards.
The air-hose can easily be put back in the cuff, if beforehand both ends are rolled up to the hose entry, see Fig 7: Placing the air-hose.
Fig 5: Air-hose removal
Fig 6: Microphone removal
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Slip the microphone back in the bag (Fig 8: Placing the microphone) and close the Velcro fastening.
D.6 Installing the BP cuff
To install a BP option purchased afterwards, follow the instructions given in the user guide supplied with the ergometer. Installation of the BP module itself has to be done by service personnel only.
Fig 7: Placing the air-hose
Fig 8: Placing the microphone
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E SpO2 option 928840
With option 928840 your Corival is able to perform stand alone or external controlled measurement of functional oxygen saturation of arterial hemoglobin (%SpO2) and pulse rate (BPM) for adult and pediatric test subjects. Keep in mind the fact that SpO2 measurements during arm exercise is not possible due to movement artifacts. Do not attach the pulse oximeter to the same limb as the Cuff of the blood pressure monitor or any other blood flow restrictor. Loss of monitoring can occur due to the hindering of pulse measurement.
E.1 Precautions for Use
In the User Guide for your Corival Contraindications, Warnings and Cautions are stated. The user should have knowledge of this information.
E.2 Using the SpO2 Option
The SpO2 comes together with the P-Display. After startup the Corival indicates correct operation of the SpO2 device by showing the following screen for a few seconds:
When in the sub menu SET DISPLAY of the SYSTEM PARAMETER SpO2 is selected to be displayed. As follows,
The following can be displayed.
The SpO2 option also measures the heart rate and this value is displayed when the this display setting is selected.
The SpO2 option also report errors due to bad signals or improper handling. The following is displayed when the sensor is not connected:
LODE
SpO2 Initialized
TERMINAL
P= 0W 0 rpm = 55/min SpO2= 98
ecs esc
SpO2
On
Esc Off On next
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The following errors can be displayed:
SNSD
Sensor Disconnect – An absence of signal, meaning the sensor is gone
OOT
Out Of Track – An absence of consecutive good pulse signals
MIDA
SpO2 could not be calculated, missing data indicator
ARTF
Artifact – A detected pulse beat didn’t match the current pulse interval
MPRF
Marginal Perfusion – Amplitude representation of medium signal quality
(holds for entire duration)
LPRF
Low Perfusion – Amplitude representation of low signal quality holds for
entire duration)
TERMINAL
P= 0W 0 rpm = 55/min SpO2= SNSD
ecs esc
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50 rpm 0 rpm
RPM TERMINAL
MANUAL
P = 0W 0 rpm = 0/m
esc
P
0Watt
F 0 Watt Start-up System 906805
With option 906805 your Corival is able to start the Corival without load (0 watt) at a preset pedal speed (rpm). You can choose any pedal speed between 30 and 80 rpm. The number of revolutions is increased from 0 to the required rpm by means of a motor drive. With this option there is no energy-loss due to the start-up phase. This option has to be built-in in the Corival while manufacturing and cannot be added later on.
F.1 Using the 0 Watt start-up system
When you are in the MANUAL, TERMINAL or ANALOG mode you can go to the 0 watt by pressing the
( )
(enter) button. The following menu appears (Terminal):
In the upper left the target rpm is shown. The default value is 50. The current rpm is shown on the upper right. The maximum target rpm is 80 the minimum value is 30 rpm. With the up and down key's the target rpm can be changed to the desired value. When entering the menu the system is not started but begins on the first button press of the up or down key. When the current rpm is over the target rpm the system is released. And the system stops. The menu also returns to the previous selection (Terminal).
The test subject can now start pedaling.
F.2 0 Watt Start-up system with P-display
In case the 0-Watt option is available it is followed for approximately 1 second by thereby indicating the device is detected.
When using the 0 Watt option from the P-display it can also be used from TERMINAL, MANUAL or ANALOG mode. When selected the following is shown (manual case).
Pressing the Enter key (0Watt) will show the operating menu for the 0 Watt option:
LODE
0 Watt Initialized
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0 WATT STARTUP SYST.
50 rpm 0 rpm
manual
↓ ↑
manua
The default target rpm (50) is shown on the left. The current rpm is shown on the right. With the up and down key's the target rpm can be changed to the desired value. On the first button press the 0 Watt startup system starts, when the current rpm is above the target rpm the system is released and the display returns to the previous selection (Manual).
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G RS232 Connections
Your ergometer can be connected to almost all available external equipment. In the overview that follows, you can find an overview of the manufacturers of this equipment, the models and the protocol that should be selected in your ergometer. Please keep into account that this list is not exhaustive and that it is possible to connect your Lode ergometer to equipment that is not listed hereunder. If you want to connect your Lode ergometer to external equipment that is not mentioned in the list, please contact your local distributor for the correct communication protocol.
G.1 Overview
Manufacturer External Device
RS232 Protocol Lode Ergometer
Agilent
HP StressWriter M2488A Lode WLP
Bosch
EKG 506 DS Bosch EKG506DS
BTL
BTL-08PC
LODE Protocol
BTL-08 Win Ergo software
LODE Protocol
Burdick / Spacelabs
Spacelab
LODE Protocol
Burdick Quest
P10
Cambridge Heart
CH2000
LODE Protocol
Cardioline
Prima Stress ECG P10 ECT WS 2000 P10 Ergo Card P10
CogniMed
Therapiemonitor TM Soft/Hardware
LODE Protocol
Cortex Biophysik GmbH
MetaLyzer
LODE Protocol
CMS
LODE Protocol
Cosmed S.r.l.
QPFT Ergosystems
LODE Protocol
B2Quark
LODE Protocol
Customed GmbH
CustoCard M
LODE Protocol
Daedalus / Cardiette (H&C Medical)
ECG4
Dr. Vetter
Dr Vetter PC-EKG
P10
Esaote
P8000 Power
P10
P210
P10
Formul@
P10
Archimed P10 Archiwin
P10
Ferraris / Delmar / Reynolds /
Cardio Direct P10
ZAN / Morgan
Cardio Collect P10 600 Ergospirometry System LODE Protocol EX 670 LODE Protocol
Fukuda Denshi Co. Ltd.
FX 4010 + ES10
P10
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Cardimax FX-7402
P10
GEMS IT
CASE 12, 15, 16 (with Ergometer + BPM) P10
CASE 8000 P10
Cardiosoft P10 Cardiosys P10 MAC1200ST
P10
MAC5000
P10
Max I + Corival 400
P10
Max I + Ergometer + BPM P10 Max - PE P4
Innomed Medical Inc. Heartscreen 112DT LODE Protocol
Cardio PC/E
LODE Protocol
Medical Graphics Corporation
Cardio Perfect
LODE Protocol
CPX/D System
LODE Protocol
CPX/MAX/D
LODE Protocol
CardiO2/CP
LODE Protocol
Cardio 2/CPX/D
LODE Protocol
Medgraphics Profiler EX
LODE Protocol
MedIT AS
MeditSense 100
LODE Protocol
Beijing Meigaoyi Co. LTD
ECG LAB Treadmill Stress System Lode WLP
Mortara
X-scribe II LODE Protocol
Neurosoft Poly Spectrum Velo P10
Nihon Kohden
Cardiofax V - ECG - 93xx series P10
Norav
PC-ECG 1200 LODE Protocol
Phillips Medical Systems
Cambridge Heart CH 2000 Stress System P10 Stress Vue P10
Progetti Srl.
Custo Card M Stress Test System P10
Pulse Biomedical Inc.
QRS Card Software P10
Quinton Inc.
Q-Stress LODE Protocol
Schiller AG
Cardiovit AT-104 PC Schiller AT-10 Schiller AT-10 Plus Schiller
CS 100 Schiller
CS 200 Schiller AT-60 Schiller AT 110 Schiller
Schwarzer GmbH Cardos 12-5 P10
Siemens
Megacard P10
VIASYS Healthcare GmbH
Vmax Spectra P10
Sensormedics
Vmax 29 P10 Vmax analog P10 Sensormedics Cardiosoft + Corina V4.2 P10
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Sensormedics
Oxycon Pro Lode WLP Oxycon Alpha Lode WLP Oxycon Beta Lode WLP
Welch Allyn Cardio Control
Cardioperfect 2001 (CP comcard ISA) LODE Protocol
Cardioperfect 2001 (Unilink USB or CP comcard
PCI)
LODE Protocol
A Lode ergometer is default shipped with the LODE RS232 communication protocol. You can change the RS232 protocol by following the procedure below:
Switch on the ergometer and press enter.
You will be in the "MAINMENU"
Select, by using the up/down keys, the menu "SYSTEM PARAMETER" and press enter
Select, by using the up/down keys, the menu "SETTINGS" and press enter
Select, by using the up/down keys, the menu "RS232 PROTOCOL" and press enter
Select, by using the up/down keys, the desired protocol and press enter.
Save the selected RS232 protocol or restore the default RS232 protocol, which is also the LODE PROTOCOL.
Switch off the ergometer.
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