Midmark IQecg User manual
IQecg®
OPERATION MANUAL
Version 8.6.1
IQecg® Operation Manual
Notice
The information in this manual is subject to change without notice.
Midmark Corporation shall not be liable for technical or editorial omissions made
herein, nor for incidental or consequential damages resulting from the furnishing,
performance, or use of this guide.
This document may contain proprietary information protected by copyright. No part of
this document may be photocopied or reproduced in any form without prior written
consent from Midmark Corporation.
IQecg, IQholter, IQspiro, IQvitals, IQstress, IQmanager, and IQpath are trademarks of Midmark
Corporation.
Microsoft and Windows are registered trademarks of Microsoft Corporation in the United States and
other countries.
Intel and Intel Core are trademarks of Intel Corporation in the United States and other countries.
Citrix, ICA, and XenApp are trademarks of Citrix Systems, Inc. and/or one or more of its subsidiaries,
and may be registered in the United States Patent and Trademark Office and in other countries.
Cidex is a registered trademark of Advanced Sterilization Products, Division of Ethicon Inc., a Johnson &
Johnson company.
Sani-Cloth is a registered trademark of PDI.
Part Number: 3-100-1115 Rev. C
TABLE OF CONTENTS
IQecg® Operation Manual
RELATED DOCUMENTS ............................................................................................... 1
PRECAUTIONS ............................................................................................................ 2
CONTENTS CHECKLIST ................................................................................................. 3
I.
A.
B.
C.
GENERAL INFORMATION ............................................................................... 4
I
NTRODUCTION
N
ECESSARY COMPUTER SKILLS
C
ONFIGURATIONS
.......................................................................................................... 4
...................................................................................... 5
...................................................................................................... 5
Typical PC Configuration ....................................................................................... 5
Thin Client Configurations .................................................................................... 5
Thin Client Using the IQpath™ Software Solution ................................................ 6
Thin Client Using COM Port Mapping ................................................................... 7
D.
S
YSTEM SPECIFICATIONS
.............................................................................................. 9
Modulating Effects ............................................................................................... 9
II.
A.
B.
SYSTEM INSTALLATION ............................................................................... 10
M
INIMUM COMPUTER REQUIREMENTS
S
OFTWARE INSTALLATION
.......................................................................................... 11
........................................................................ 10
Windows Taskbar ............................................................................................... 12
Screen Saver ........................................................................................................ 12
Installation Steps for IQmanager® ..................................................................... 12
C.
C
ONNECTING THE IQECG® MODULE
............................................................................ 12
Connecting the Serial-Type IQecg® Module ....................................................... 12
Connecting the USB-Type IQecg® Module .......................................................... 14
D.
C
ONFIGURING IQECG
® ............................................................................................. 14
Configuring for Serial-Type IQecg® Module ....................................................... 15
Configuring for USB-Type IQecg® Module .......................................................... 15
Thin Client Channel Setting ................................................................................. 16
Database Settings ............................................................................................... 16
List Management ................................................................................................ 16
ECG Statements tab ............................................................................................ 18
User Names tab .................................................................................................. 21
ECG Settings ........................................................................................................ 22
ECG Lead Group .................................................................................................. 23
Printer Settings ................................................................................................... 27
RR Variability Setting .......................................................................................... 29
ECG Configuration Setting .................................................................................. 30
III.
A.
B.
OPERATION ................................................................................................. 31
I
NTRODUCTORY NOTES
P
ATIENT PREPARATION
............................................................................................. 31
............................................................................................. 31
Patient Position ................................................................................................... 31
Prepare Patient Skin ........................................................................................... 32
IQecg® Operation Manual
C.
D.
E.
IV.
V.
A.
B.
C.
D.
E.
F.
G.
H.
I.
Electrodes ........................................................................................................... 32
Limb Lead Placement .......................................................................................... 32
Standard 12-Lead Placement (Precordial) .......................................................... 32
Modified 12-Lead Placement (Precordial & Posterior) ....................................... 33
O
PERATION OF IQECG® WITH IQMANAGER
® ................................................................ 34
Starting the Program .......................................................................................... 34
Opening Screen ................................................................................................... 34
STAT ECG ............................................................................................................. 35
T
ESTING A NEW PATIENT
.......................................................................................... 36
Live ECG .............................................................................................................. 37
R
EVIEWING PATIENT REPORTS
.................................................................................... 43
ECG Report Review ............................................................................................. 43
Editing Diagnostic Statements ........................................................................... 45
ECG Report (Details) Review ............................................................................... 47
Serial Comparison ............................................................................................... 53
RR Variability Report Review .............................................................................. 55
ACCESSORIES FOR IQECG® ........................................................................... 58
APPENDICES ................................................................................................ 59
A
PPENDIX A - OPERATIONS AT A GLANCE – STANDARD
A
PPENDIX B - OPERATIONS AT A GLANCE – MODIFIED
A
PPENDIX C - UPGRADING IQMANAGER® SOFTWARE VERSION
A
PPENDIX D - TROUBLESHOOTING GUIDE
A
PPENDIX E - MAINTENANCE AND STORAGE OF THE
..................................................................... 65
12-
12-
ECG M
LEAD
ECG ............................... 59
LEAD
ECG ................................ 61
8.5
AND EARLIER
ODULE
................................... 69
................. 63
Preventative Inspection ...................................................................................... 69
Cleaning .............................................................................................................. 69
Storage................................................................................................................ 69
A
PPENDIX F - MAINTENANCE AND STORAGE OF
10-L
EAD RESTING
ECG P
ATIENT CABLE
....... 70
Instructions for Use ............................................................................................. 70
Cleaning .............................................................................................................. 70
Disinfection ......................................................................................................... 70
A
PPENDIX G - RADIO AND TELEVISION INTERFERENCE
A
PPENDIX H -
A
PPENDIX I - SAFETY AND INTERNATIONAL SYMBOLS
EMC R
EQUIREMENTS FOR THE IQECG
..................................................... 71
® .................................................... 71
...................................................... 76
VI.
A.
B.
IQECG® SERVICE MANUAL ........................................................................... 77
I
NTRODUCTION
T
HEORY OF OPERATION
........................................................................................................ 77
............................................................................................ 77
10-Leadwire Patient Cable.................................................................................. 78
ECG Buffer Amplifiers ......................................................................................... 78
Instrumentation Amplifiers ................................................................................. 78
Filters and Gain Amplifiers ................................................................................. 79
Analog to Digital Conversion .............................................................................. 79
Microcontroller ................................................................................................... 79
Isolated Serial Interfaces .................................................................................... 80
IQecg® Operation Manual
C.
VII.
VIII.
Lead-Off Detector ............................................................................................... 80
Pacemaker Detector ........................................................................................... 80
DC-DC Power Converter ...................................................................................... 80
S
YSTEM MAINTENANCE AND OBTAINING SERVICE
CUSTOMER SUPPORT AND WARRANTY INFORMATION ............................... 82
.......................................................... 81
Warranty............................................................................................................. 82
CONTACT INFORMATION ............................................................................ 83
IQecg® Operation Manual
Physician’s Responsibility
The interpretations provided by the Midmark IQecg® are for the exclusive use of licensed
physicians or personnel under their direct supervision. Not all ECG abnormalities can be
detected by computerized / automated ECG analysis algorithm. The suggested interpretation,
including numerical and graphical results, should be examined with respect to the patient’s
overall clinical condition.
It is the responsibility of the physician to ensure proper administration of the test, making a
diagnosis, obtaining expert opinions on the results, and instituting the correct treatment.
CAUTION: Federal Law restricts this device to sale by or on the order of a physician.
CAUTION: The automated ECG analysis algorithm assumes standard 12-lead ECG
placement. Any deviation from the standard 12-lead ECG placements may
affect the accuracy of the automated interpretation.
CAUTION: Follow standard 12-lead ECG placement when performing a STAT ECG.
Related Documents
The following documents may be needed in order to operate Midmark diagnostic devices and
software products with the IQecg® Digital ECG:
• IQecg® Quick Reference User’s Guide – Performing a 12-lead Resting ECG Test
(Part number: 3-100-1116)
• IQmanager® Software Operation Manual (Part number: 4-100-1200)
• Setup Manual: Midmark Products over Thin Client using IQpath™ or COM port mapping
(Part number: 3-100-1126)
All documents referenced above are located on the Midmark Operation Manuals CD (part
number: 3-100-1000), included with every device. All product Operation Manuals can also be
downloaded from midmark.com. For additional information contact Midmark Technical
Service at 1-800-624-8950, option 2.
1
IQecg® Operation Manual
Precautions
Read the following precautions to ensure proper operation of the IQecg®.
1. Installation and maintenance of the instrument:
• Install and keep the instrument away from splashing water.
• Do not install the instrument where humidity, ventilation, direct sunlight or air
containing dust, salt, sulfur, etc. might affect it.
• Protect the instrument from shock and vibration while transporting it.
• Do not install the instrument in a chemical storage area or where gas is generated.
2. Preparation of the instrument prior to operation:
• Verify proper instrument operation.
• Check that all cable connections are safe and secured.
• When in use with additional equipment, such as a computer, request the assistance
of personnel familiar with the additional equipment, if needed.
3. Observe the patient and instrument closely during use. If any abnormality is observed,
immediate proper action, such as stopping the operation of the instrument, should be
taken for the safety of the patient.
4. Keep the instrument clean to ensure trouble-free operation for the next use.
5. In case of a malfunction, contact Midmark Technical Service at (800) 624-8950, option 2
and describe the problem precisely.
6. Inspect the instrument and accessories regularly.
7. Do not make any modifications to the instrument.
8. Environmental operating limits:
Operation:
• 59 to 95 °F (15 to 35 °C)
• 30 to 75% humidity (non-condensing)
• 760mm Hg +/- 20%.
Storage/Shipping (batteries removed):
• 4 to 120 °F (-15 to 50 °C)
• 30 to 95% humidity (non-condensing)
• 760mm Hg +/- 20%
2
IQecg® Operation Manual
DANGER: There is a possible explosion hazard if used in the presence of flammable
anesthetics.
9. The IQmanager® Diagnostic Workstation software and the IQecg® have been tested for
proper function with the Off-The-Shelf (OTS) Operating Systems (OS) specified in this
manual. Do not operate the IQmanager® Diagnostic Workstation and the IQecg® with
an operating system other than the OTS OS specified. Future releases of currently
approved operating systems should not be used until Midmark has had an opportunity
to test the IQecg® with them. Before updating your operating system, contact
Midmark Technical Service for the latest OTS operating systems information.
CAUTION: Replace the patient cable with Midmark patient cables equipped with built-in
defibrillation protection. Contact Midmark Technical Service for cable
replacement.
CAUTION: Electronic devices can be damaged by exposure to liquids. Do not use or store
the IQecg® near any type of liquids.
CAUTION: Contact Midmark Technical Service for any servicing questions.
Contents Checklist
The IQecg® kit contains the items listed below. Open the package and account for each item.
Inspect them for any signs of damage such as dents, cracks, tears or scratches. If an item is
missing or damaged, contact Midmark Technical Service at 1-800-624-8950, option 2, for
replacement.
Quantity
Each
1
1
1
1
1
1
1
1
1
1
Description
IQecg® Device (data acquisition module)
10-Lead Patient Cable
10-pack Clear ECG Clips
100-pack Disposable EZ-Trode ECG Electrodes
Mouse Pad
Training DVD
Operation Manual CD
Quick Reference Guide
Warranty Card
Carrying Case
3
IQecg® Operation Manual
I. General Information
A. Introduction
The information in this Operation Manual is provided for users of ECG models Midmark IQecg®
and IQmark® Digital ECG. Future references of IQecg® in this document may include the
following part numbers:
Model Connection Device Part Number Kit Part Number
Midmark IQecg®
IQmark® Digital ECG
* No longer in production.
USB 1-100-1325
Serial 1-100-1305* 4-000-0060*
USB 1-100-1320* 4-000-0057*
Serial 1-100-1300* 4-000-0005*
NOTE: This manual is intended for IQmanager® Diagnostic Workstation software users. If
using the IQecg® through an EMR, please contact Midmark Technical Service for
assistance with installation, setup and operation.
The IQecg® is a portable device that converts a supported Microsoft® Windows-based personal
computer (PC), be it desktop, laptop, notebook or pen-based, to an electrocardiograph with
interpretive capabilities. The device is electronically isolated from the PC and connects to it
directly through the USB port or serial port.
Together with IQmanager® Diagnostic Workstation software, the IQecg
record 12-lead ECG, interpret them, archive the reports for future reference and share them
with colleagues via networks or email. As simple to use as a traditional office ECG device, it
features fully integrated PC technology and a host of advanced diagnostic features.
4
4-000-0061
®
makes it easy to
IQecg
both are designed for use with a
two AA batteries and
manual is written for both types of modules.
Necessary Computer Skills
for a user capable of using Microsoft® Windows®
some understanding of PC operations, and is familiar with the basic operations of Windows®.
This Operation Manual is designed as a comprehensive guide
the IQ
IQ
The block diagram below illustrates
primary components are a Windows
portable computer is recommended if mobility is a consideration.
system
IQecg
a thin client environment, install the software on the Terminal Server and operate
through a thin client terminal.
supports two thin client configurations:
IQpath
latency, limited bandwidth network configurations with Windows
Windows thin client
and connect to client devices via COM port mappin
Operation Manual
IQecg
port type and a USB port type,
-
type ECG module does not. This
applications, has
educate the user on
device. The information in this manual includes
system.
acquisition module.
Please refer to this diagram
IQecg
Solution and
either USB or serial port versions of the
-
speed networks, use the
-
NOTE: There are two types of
module requires
IQecg®
® modules: a serial COM
Windows-based computer. The serial
the USB-
type ECG
B.
This manual is intended
the operation and functions of
options currently available with
C. Configurations
Typical PC Configuration
when setting up your IQecg®
, designed to
ecg®
ecg®.
the standard configuration of the IQecg®
-based PC, a printer, and the IQecg®
.
The
A
Figure 1-2
Block Diagram for the
®
system
Thin Client Configurations
If working in
the IQecg®
IQmanager®
Client using COM port mapping.
™ works with
IQpath™ Software
IQecg® in highclients. For non-
terminals on low-latency high-
serial port versions of the IQecg®
5
Thin
based PC
g.
Setting up any application in a network environment typically requires special access rights and
knowledge of the network. Please have
IQmanager® to the
office environment.
™
utilizes a dedicated flow control scheme to
operation over
Microsoft Terminal Services:
latency tolerance.
® protocol
No COM port mapping is required.
The USB version of the ECG module is compatible.
Improved device auto
has specific requirements for computer hardware, software and network
performance. System administrators should read
using IQpath
software in a thin client environment.
describes
Windows
IQmanager
software components on each client PC to
for Microsoft Terminal Services
system administrator install and configure
the following advantages over
loss networks
Improvement is approximatel
to
Setup Manual: Midmark Products
before installing, configuring
this thin client environment, the client
on the terminal server and install one of the following
f using Microsoft Terminal Services
the
IQecg
®
Operation Manual
Thin Client Using the IQpath
IQpath™
COM port mapping:
• Improved
o
o Citrix® ICA
tolerance.
•
•
•
NOTE: IQpath™
over Thin Client
and using this
The following block diagram
computers must be running
Software Solution
provide
high-latency, low-bandwidth, high-
: Improvement is approximately 40-
-configuration and diagnostics.
™ or COM port mapping
IQpath™. In
® 8, or 7:
:
y 10-to-1 in
-1 in latency
Figure 1-3
To use IQpath™, load
®
be used for data acquisition:
• IQpath™
: I
(Microsoft RDP).
6
IQecg® Operation Manual
• IQpath™ for Citrix ICA: If using Citrix® software on the clients and servers.
These software products are provided separately and may be obtained by contacting Midmark
Technical Service at (800) 624-8950, option 2.
Once the software is installed on the client server network and computers, IQmanager® must
be configured for thin client operation as described in Section II-C Connecting the IQecg®
Module and Section II-D Configuring IQecg®, or refer to the IQmanager® Operation Manual,
Section VI-F, Configuring Client Server Networks.
Thin Client Using COM Port Mapping
COM port mapping refers to a configuration in which the ECG device connects to a serial port
of the client and the server is configured so that logical COM ports on the terminal server are
mapped to the physical COM ports of the client.
If using a non-Windows-based, thin client terminal device on a low-latency, high-speed
network use the serial port versions of the ECG device and configure the thin client server for
COM port mapping.
NOTE: In order to use the COM port mapping solution in a thin client environment, the
computer hardware and software as well as the network must meet stringent
performance requirements. System administrators must read the document Setup
Manual: Midmark Products over Thin Client using IQpath™ or COM port mapping
before installing, configuring and using this software in a thin client environment
using COM port mapping.
NOTE: If using wireless in a Thin Client Environment – check waveform to ensure data
integrity.
7
The following block diagram illustrates the use of the ECG
using COM port mapping:
in this configuration, install
configure the server to map to the COM port on the client terminal.
System administrators should configure the terminal server for COM port mapping as
described in the document entitled
or COM port mapping
in a thin client environment
the terminal server and
Setup Manual: Midmark Products over Thin Clie
Figure 1-4
To use the ECG device
device
IQmanager® on
IQecg
®
Operation Manual
IQpath™
nt using
.
8
IQecg® Operation Manual
D. System Specifications
The following are the physical and performance specifications for the IQecg®:
Category Specification
Intended Use
Physical Characteristics
Anatomical Sites
Safety Parameters
ECG Acquisition
Patient Connection
Monitor
ECG Analysis & Measurement
Printer
Paper
IQecg® Performance Specifications
To provide standard 12-lead resting electrocardiogram
recordings.
•
3.5” (88mm) x 5.7” (145mm) x 1.2” (30mm) (W x L x H)
•
10.2oz. (USB-type ECG module without batteries)
•
11.2oz. (serial-type ECG module with batteries)
• Two 1.5V AA alkaline batteries (serial-type ECG module
only 25 hours of “ON” time (serial-type ECG module)
• Noninvasive device, 12-lead electrocardiogram
• Patient electrically isolated from main current supply.
• Patient leakage current not to exceed 10 uA.
• Ground leakage current not to exceed 50 uA.
• 12 leads, simultaneous.
• Input impedance > 100 MegaOhm
• Frequency response 0.05-150 Hz –3 dB
• Sensitivity: 5, 10, 20 mm/mV +/- 5%
• Dynamic range: +/- 10 mV
•
ADC resolution: 13 bits at 2.44 uV/bit
•
Acceptable electrode offset: +/- 300 mV per AAMI and EC11 specifications.
• A/D 500 samples/sec.
•
10-lead patient cable with RFI filter, defibrillator protection
and patient isolation.
•
Varies by computer system, minimum 1024 x 768
resolution
•
Midmark 12-Lead Resting Electrocardiogram Analysis
Program.
•
Windows-supported ink-jet or laser printer.
•
Plain 8.5” x 11” (Letter size)
Modulating Effects
The digital sampling techniques used by this device and the ashychronism between sample
rate and signal rate, may produce a noticeable modulating effect from one cycle to the next.
This variation may be particularly noticeable in pediatric recordings. This phenomenon is not
entirely physiologic.
9
IQecg® Operation Manual
II. System Installation
NOTE: Contact Midmark Technical Service before installing and setting up the
IQecg®. Computers today are more complex with more software and
hardware options than before, making each computer almost unique.
Midmark wants to make sure that your IQecg® device is installed and
configured as quickly and easily as possible.
Midmark Technical Service can be reached at 1-800-624-8950, option 2.
A. Minimum Computer Requirements
This section describes the minimum computer resources and hardware components needed
when using new Midmark devices and software. As is the nature of technology to change
often, these requirements will be evaluated and modified periodically. We suggest always
referring to the most recent Minimum Computer Requirements document at
www.midmark.com, or contact Midmark Technical Service at 1-800-624-8950, option 2, for
additional information.
NOTE: If updating existing computer systems currently being used with older
Midmark devices and software, please contact Midmark Technical Service
before doing so.
IQecg® Minimum Computer Requirements
Item Requirement
Operating Systems
Hardware Requirements
CPU
Disk
Memory
Input/Output Ports
Pointing Device
Windows® 8, Professional and Enterprise, 32-bit and 64-bit
Windows® 7, Professional and Enterprise, 32-bit and 64-bit
Windows® compatible personal computer.
Intel® Core™2 Duo Processor E4300 (2M Cache, 1.80 GHz,
800 MHz FSB) (x86) or 64-bit (x64) processor or faster
2GB of free disk space or greater
Minimum 2GB of system memory
One (1) USB port or one (1) serial port:
• One Universal Serial Bus (USB) port if using USB
version of the IQ product
Or
• One RS-232 Serial Port if using serial port version of
IQ product.
The above computer port is required for new test acquisitions.
It is not required to review and/or edit a test.
Additional USB ports as needed for keyboard, mouse, printer,
etc.
Windows® compatible mouse.
10
IQecg® Operation Manual
Keyboard
Display
Printer
Surge Protector
Windows® compatible keyboard.
1024x768 or higher resolutions for the real time acquisition
screen. 16-bit color. Wide-screen (1680x1050) is highly
recommended.
Microsoft Windows® compatible inkjet or laser printer.
One (1) hospital-grade power surge protector for the computer
system.
NOTE: The above is the minimum computer requirement specification for operating
the IQecg® through IQmanager®. A faster CPU and/or more Memory may be
required if planning to operate the IQecg® through an EMR or install additional
software.
NOTE: USB ports/contacts can become worn with repeated use. The IQecg® test may
not function with a worn USB port.
B. Software Installation
NOTE: The following software installation information refers to IQmanager® only. If
using an IQecg® through an EMR, please contact Midmark Technical Service for
assistance with installation and setup.
The medical diagnostic application IQecg® uses IQmanager® to manage patient records. When
installing or upgrading the IQecg®, IQmanager® is automatically installed or upgraded
accordingly (Refer to the IQmanager® Operation Manual for further information).
Other Midmark products can also be accessed from IQmanager®, such as, IQholter®, IQspiro®,
IQstress®, IQvitals®, IQvitals® PC and Weight/Scale Interfaces. Contact the Midmark Sales
Department for the latest information on available Midmark products or visit midmark.com.
NOTE: If IQmanager® is already installed on the computer and are now either upgrading or
adding a new Midmark product, please skip this section and refer to the
IQmanager® Operation Manual for installation information.
Before installing IQmanager® on a computer, it is important to understand and carry out the
following tasks:
11
IQecg® Operation Manual
Windows Taskbar
IQmanager® is designed to run as a full-screen program. For best results, the Windows Taskbar
should not be displayed in order to provide maximum display area. Place the mouse pointer on
the blank portion of the Taskbar on the bottom of the screen, then right-click and select
Properties. Check the Auto-hide the taskbar box to hide the taskbar when it is not in use; to
display the taskbar when it is hidden, move the cursor over the area where the taskbar is
normally set, and it will reappear.
Screen Saver
If a screen saver or any energy saving feature is enabled on the computer, make sure that it
does not activate and interfere with data acquisition during patient care. Refer to your
computer or software manual for these settings.
Installation Steps for IQmanager®
NOTE: Close all Windows® programs before running this software installation. Do not
interrupt the installation program while it is running. The installation should take
less than five minutes.
1. Unplug all IQ devices from the computer before running the software installation.
2. Insert the IQmanager® Installation CD into the CD-ROM or DVD-ROM drive. The installation
starts automatically. If the installation does not start automatically, double-click My
Computer on the desktop and double-click the CD-ROM icon to start.
3. Follow the instructions on the screen. For detailed installation, setup and detailed
operation instructions, please refer to the IQmanager® Operation Manual.
4. Once installation is complete connect the IQecg® module to the computer with the steps
outlined in the following section.
C. Connecting the IQecg® Module
Connecting the Serial-Type IQecg® Module
If using a serial-type IQecg® module, attach the female end of the 9-pin communication cable
to any available serial port on the PC (see Figure 2-2 below). Secure the connections with the
thumbscrews. Do not over-tighten.
If using a USB port with the serial-type IQecg® module, install the USB to serial port adapter
before connecting the IQecg® module to the adapter. Secure the connections with the
thumbscrews. Do not over-tighten.
12
IQecg® Operation Manual
Follow the battery
The battery compartment
NOTE: Almost all USB to serial port adapters come with specific software drivers that must
be installed prior to use. Before connecting the IQecg® module to any adapter,
ensure that all software drivers have been installed according to the manufacturer’s
instructions.
Battery Installation for Serial-Type IQecg®
For the serial-type IQecg® module, slide out and remove the battery door underneath the
module and install 2 AA batteries (see Figure 2-1 below). Follow the battery positions
indicated. Replace the battery compartment door.
orientation icons
Figure 2-1
Patient Cable Installation
Attach the patient cable to the 15-pin connector on the ECG acquisition module:
door flips closed. Insert
outer edge first then push
down the inner edge.
NOTE: For the USB-type IQecg®, no batteries are required.
Figure 2-2
13
IQecg® Operation Manual
Connecting the USB-Type IQecg® Module
If using a USB-type IQecg® module, connect it to any available USB port on the computer after
IQmanager® is installed. As with other USB devices, Windows will attempt to identify the
IQecg® module the first time it connects to it. This may take a few seconds. The USB-type
IQecg® does not require batteries as it receives its power from the computer.
D. Configuring IQecg®
IQmanager® and the IQecg® can be customized by using the configuration settings. Access the
Configuration Settings by one of the following ways:
Double-click the shortcut installed on the desktop , or Click on the SETTINGS
button in the upper right side of the IQmanager® opening screen .
The IQmanager Configuration Settings dialog box appears:
If the practice name and details were entered during the registration/installation process for
IQmanager®, the information will appear here.
If the practice name and details were not entered during the registration/installation process
for IQmanager®, enter the information here.
Complete the Institution Name and Institution Address boxes with information about the
medical practice. This information will also be displayed on printed reports. Enter a name that
describes the practice/location to enable other medical personnel to recognize the origin of
the reports.
14
IQecg® Operation Manual
From the Configuration Settings, the following options can be selected:
1. Metric and English units of measurement
2. AC power source frequencies of 50 Hz or 60 Hz.
o The IQecg® uses the information to filter out background noise
introduced by the power source through its AC filter. In the United States,
this frequency is 60 Hz. If using this product outside of the United States,
please consult with the local power utility company to determine the
appropriate frequency.
Configuring for Serial-Type IQecg® Module
If using a serial-type IQecg®, select the serial port for the ECG module in the Configuration
Settings screen. Click Serial Port to open the following dialog box:
NOTE: The default serial communications port is COM 1.
Click Auto Detect to find the port that the IQecg® is connected to. The IQecg® module must be
connected to an available serial port on the computer. Confirm that a fresh set of batteries is
installed in the ECG module and click Auto Detect for ECG COM ports.
Configuring for USB-Type IQecg® Module
If using a USB-type IQecg® and it is already connected to the computer, the ECG COM Port
setting will be disabled once it is detected.
15
IQecg® Operation Manual
Thin Client Channel Setting
The Thin Client Channel setting applies only when using IQmanager® in a thin client
environment. This setting is ignored when the software is not running in a thin client
environment. The drop-down list contains the following selections:
• COM port mapping (default)
• Microsoft RDP
• Citrix
Select COM port mapping if using IQmanager® in a thin client environment and are not using
IQpath™. If using IQpath™, select Microsoft RDP or Citrix, depending on what the clients and
servers are using. Refer to the document Setup Manual: Midmark Products over Thin Client
using IQpath™ or COM port mapping for more information.
Database Settings
IQmanager® uses the local database by default. If using a network database, the default can be
set either to the local or network by clicking Database Settings on the IQmanager
Configuration screen.
Select a network database as the default by checking the Enable Network Database box then
clicking Network. Refer to the IQmanager® Operation Manual for more details.
If using a Midmark IQholter® system, a different location can be selected to store the Holter
ECG files.
List Management
The List Management configuration option customizes the lists used in IQmanager®, including:
• Medications,
• History Statements,
• ECG/Holter Indications,
• Race Categories,
• ECG Statements, and
• User Names (The names of doctors and technicians can be entered here.)
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IQecg® Operation Manual
Modifying these lists saves time when using them in the appropriate testing screens.
1. To access List Management, open the Configuration setting and click List
Management.
2. Select either the local or network database and click Manage Lists. This will open
the List Management dialog box to add, edit and delete the lists that appear
throughout the program.
General List Management Tab
Customize the Medications, History Statements, ECG/Holter Indications and Race
Categories. Select the desired item from the pull-down list to modify. Click Add, Edit or
Delete.
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IQecg® Operation Manual
• Add: Add an item to the list. A pop-up box will appear that allows you to enter
in the new information.
• Edit: Edit an existing item. Highlight the statement with the cursor, and then
click Edit.
• Delete: Delete an existing item. Highlight the statement with the cursor, and
then click Delete.
ECG Statements tab
Customize the ECG Statements list in order to quickly edit when interpreting an ECG. Add, Edit
and Delete work the same way as in the General List Management tab. These statements will
be available when editing the ECG interpretations online.
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IQecg® Operation Manual
• Add: Add a statement to the list. A pop-up box will appear to enter the new
information.
• Edit: Edit an existing statement. Highlight the statement with the cursor, and
then click Edit.
• Delete: Delete an existing statement. Highlight the statement with the cursor,
and then click Delete.
NOTE: Delete All will delete all the ECG statements.
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• To repopulate statements into this screen, the user may either;
o Add new diagnostic statements, or
o Choose from the two lists available through Load Default Statements.
The two ECG statement list options are IQmark Default List* or AAMI SCP-ECG.
IQecg® Operation Manual
*The IQmark Default List is the default list installed with IQmanager®.
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IQecg® Operation Manual
User Names tab
Add, modify or delete the list of physicians and technicians that appears when a new test is
started. Names can be assigned to one or both lists. Type in a user’s name and define the user
as a physician, technician, or both.
1. Click Add and the following dialog box will appear:
2. Enter a User Name.
3. Check the box(es) indicating on which list(s) the name should appear and click OK.
The names will appear in the New Test and Review windows.
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