Servicing Documents
Technical Information
ECG-Suction-Electrode-Systems
Applicard ® 2.0
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 1 of 15
web http://www.riemermed.de author ar
Table of contents 07.2001
pages version
1. General Points
1.1. System description 2 05.2000
1.2. History of the unit
1.3. Maintenance instruction 1 05.2000
1.3.1 Cleaning with ultrasound 1 05.2000
1.4. Troubleshooting chart
1.5.1 Applicard
1.5.2 Applicard
2. Compressor unit
2.1. Design drawing 1 05.2000
2.2. Connection diagram for mains switch 1 05.2000
3. Arm
3.1. Connection diagram for the ECG-socket 1 05.2000
3.2. Distribution board components 1 05.2000
3.3. Dismantling / assembling arm
3.4. Delivery hose replacement
3.5.1. Electrode hose replacement 1 05.2000
Topics in italics are still in the preparatory phase
®
pressure adjustment 2 05.2000
®
UE pressure adjustment 1 05.2000
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 2 of 15
web http://www.riemermed.de author ar
Applicard ®
Technical Information
TI 1.1 / 05.2000
The ECG Suction electrode device Applicard
®
is a product of Riemer MediTech
electromedicine
Applicard
®
is international patented and a registered trademark.
The modular build up of Applicard
®
system allows adaptable arrangements.
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 3 of 15
web http://www.riemermed.de author ar
General System Description
An induction motor (Papst external rotor motor) was mounted in the compressor housing of the
Applicard
This drove a maintenance-free rotary piston compressor. In this version, ambient air was
suctioned through filters, compressed and brought to constant pressure using microfilters and
pressure-regulating valves. The compressed air entered the support tube and swivel arm and
made its way to the distributor.
The hoses, which are labeled and whose color-marking conforms to standards, transport both
the electrical signal and the compressed air to the Injectrode
An air jet pump in each Injectrode
thus the secure suction grip.
From about the start of 1991 the pump was replaced by two diaphragm compressors which
are controlled in duo procedure by diodes, each with opposing half sine waves. This patented
type of pump is not only maintenance-free, it is also almost totally resistant to wear. The
functional system of the Applicard
integrated suction filter strips and that the screw filter on the compressor only has the function of
a pressure buffer because the system is resistant to wear.
Since September 1999 Applicard is now also available in the version 2.0. The difference to the
Applicard 6 S consists in the fact that we use now new developed electrodes, that need less air
so that we can use smaller pumps that are also substantially quieter. This led finally to the fact
that since at the end of 2003 only one so-called linear compressor is necessary. This entailed a
still smaller size, particularly with the so-called installation unit.
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 4 of 15
web http://www.riemermed.de author ar
®
up until the end of 1990.
®
.
®
generates the constant negative pressure necessary and
®
has not changed except that the pump now has two
Applicard
®
Technical Information
TI 1.1 / 05.2000
Injectrode® principle
MediTech Injectrodes® operate according to the jet pump principle which we have patented.
Compressed air is generated in one unit and is then carried to the Injectrodes
electrode hose. Such an air jet pump (comparable to the well-known water jet pump) is built into
every Injectrode
®
. This generates the negative pressure necessary for suction grip.
The advantage of this method over conventional suction electrodes are:
• As the air flows out from the Injectrode
as water, perspiration, skin particles, hairs, etc. Enter the unit generating compressed
®
, the system ensures that no foreign bodies such
®
via the
Conventional Suction Electrode
Foreign body is suctioned
into the system
ZSuAcE1e.CDR
Applicard
Foreign bod y is blow n out
from the system
Injectrode
ZSuAcE2e.CDR
air.
• The system ensures that the negative pressure of a single injectrode remains constant
even if the other Injectrode
• By simply covering the air outlet, individual Injectrode
®
are not in use.
®
may be effortlessly removed to
change their position on the body, etc.
• All Injectrodes
®
fall off automatically when the compressed air is switched off.
• A water separator which normally presents hygienic problems is no longer necessary.
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 5 of 15
web http://www.riemermed.de author ar
Applicard
®
Technical Information
TI 1.3 / 05.2000
Notes on Injectrode® Cleaning and Maintenance
• Clean the Injectrode
recording. With the device switched on, hang the Injectrode
large, wide vessel which is filled with approx. 3 - 5 cm clear or demineralised water.
®
after approximately 10 ECG recordings or daily after the last
®
to be cleaned over the edge of a
• Disinfectants used in hospitals and private practices (Sagrotan, etc. ) may be added to the
water. Observe the mixing ratio given by the manufacturer.
• If required (e.g. in dermatitis or danger of infection) the Injectrode
sterilized with a commercial cold-sterilization agent according to the instructions for use and
mixing specification of the manufacturer.
®
and electrode leads may be
• Always rinse system parts which come into contact with the skin in clear water for approx. 2 -
3 minutes after sterilization.
• With the compressor switched on, allow the Injectrode
being taken out of the water or cleaning solution when cleaning is complete.
• If the suction performance of the Injectrode
of calciferous water, perspiration or dirt particles in the nozzle could be the cause.
®
deteriorates in spite of regular cleaning, deposits
®
to drain off for several minutes after
• Then you may change the nozzle easily.
• With very stubborn deposits it is advantageous to unscrew the injectrode buttons and to place
the parts separately in a vessel with Appliclean
even cleaning them with a soft toothbrush.
• Then thoroughly rinse the Injectrode
electrode hoses.
®
with clear water and immediately screw them onto the
®
(according to the enclosing note), possibly
• They should be left to drain off for a few minutes with the compressor switched on.
• The Injectrode
Note:
TI 1.3.1)
®
may also be cleaned with ultrasound in connection with Appliclean® US (cf.
• Do not use hot water or detergent (apart from the additions described)
• Do not wipe Injectrode
®
with cloths giving off fluff and also do not sand or scratch
• Never pierce injectrode nozzles with needles, canulas or similar objects
• Do not use another contact spray as Applifluid
®
• The electrodes should not be exposed to direct sunlight, because silver-silverchloride is a
photoconductor material and becomes gradually non conductive because of the UV radiation.
• If you disinfect or clean the electrodes with alcohol you should immediately rinse them in clear
water
• Never bring other metals in contact with the silver-silverchloride
Careful observation of these cleaning and maintenance instructions will help protect the sensitive silversilver chloride buttons and the injectrode nozzle, ensuring that the Injectrode
The warranty claim becomes invalid in case of mechanical damage or disintegration of the electrodes
due to non approved contact sprays.
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 6 of 15
web http://www.riemermed.de author ar
®
have a long working life.
Applicard
®
Technical Information
TI 1.3.1 / 05.2000
Notes on Ultrasound Cleaning of the Injectrode®
1. Mix 10 ml Appliclean® US with ½ litre of warm (approx. 60°C - 70°C) water and pour
into ultrasound device.
2. For regular cleaning (approx. once a week), unscrew Injectrode
and place them in the cleaning unit with the button side facing downwards.
3. Cleaning duration: approx. 10 - 15 minutes
4. Allow Injectrode
5. Screw Injectrode
Injectrode
®
to drain, rinse briefly in clear water.
®
®
bubble briefly (approx. 1 minute) in clear water; remove the Injectrode®
back on to the electrode hose, switch on Applicard
and let them blow dry
Every month, proceed as follows for Point 2:
Dismantle injectrode if possible
Kappe Pillenträger mit Düsensystem
®
from electrode hose
®
and let
Pille
04SMD02.WMF
Schraube
and place these parts into the ultrasound device.
Points 3 and 4 as above
Then reassemble parts and proceed with Point 5.
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 7 of 15
web http://www.riemermed.de author ar
Applicard ®
Technical Information
TI 1.5.1 / 05.2000
Notes on Pressure Adjustment in Applicard
®
Units
1. To adjust the pressure, there is a screw accessible from the outside at the rear of
the unit)
2. Now lift off the electrode arm and replace it by the electrode simulator E.
Connect the hose of the +/- manometer.
Electrode
simulator
Support tube
(new, round)
E
Digital-
Manometer
04SME03.WMF
3. Adjust the pressure by twisting the adjusting screw in a clockwise direction (higher
pressure) or in the other direction (lower pressure). The pressure should be approx.
140 - 150 mbar (positive).
4. Please refer to TI 2.4 if the pressure does not reach this value.
5. If you do not have a simulator unscrew an injectrode from an extremity lead and
connect to the manometer using the threaded portion A.
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 8 of 15
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Applicard
®
Technical Information
TI 1.5.1 / 05.2000
6. Set pressure value as described in Point 3.
Electrode hose
Threaded portion
Hose to
manometer
7. Then screw the injectrode back on.
8. You also check the pressure of each individual Injectrode
adapter part B. If the pressure is not at least -140 mbar (negative), adjust it by twisting the
adjusting screw on the air outlet side of the Injectrode
®
.
Adaptor part B
Air inlet
Digital-
Manometer
04SME04.WMF
®
with the +/- manometer and the
Air outlet
04SME05.WMF
9. If this does not achieve the desired result, injectrode cleaning according to TI 1.3 is
recommended.
10. Even more stubborn calciferous deposits in the nozzle can be removed with a 0.5 mm drill bit by
careful drilling from the air outlet side of the injectrode. However, this must be done very
carefully because any widening of the nozzle bore will cause irreparable damage to the
Injectrode
®
.
11. If you carried out the check without the electrode simulator E, check the positive pressure once
more after these work steps. To do this, proceed as in Point 5.
12. The adjusting screw of the compressor should at any rate be resealed (if necessary with
adhesive).
13. Firmly retighten the cover of the compressor.
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 9 of 15
web http://www.riemermed.de author ar
Applicard ®
Technical Information
TI 1.5.2 / 05.2000
Notes on Pressure Adjustment in the Applicard
1. Unscrew an Injectrode
the threaded portion A. The pressure should be approx. 140 - 150 mbar (positive).
®
from an extremity hose and connect this hose to the manometer using
®
UE Units (Monitoring systems)
Electrode hose
Threaded portion
Hose to
manometer
04SME04.WMF
2. Depending on the system, adjust the pressure either at the valve of the compressor or at the
pressure-reducing valve of the central compressed air system.
3. Then screw the Injectrode
4. You also check the pressure of each Injectrode
B. If the pressure is not at least -140 mbar (negative), adjust it by twisting the adjusting screw
on the air outlet side of the Injectrode
®
back on again.
®
.
®
with the +/- manometer and the adapter part
Adapter part B
Air inlet
Air outlet
DigitalManometer
04SME05.WMF
5. If this does not achieve the desired result, injectrode cleaning according to TI 1.3 is
recommended.
6. Even more stubborn calciferous deposits in the nozzle can be removed with a 0.50 mm drill bit
by careful drilling from the outlet side of the Injectrode
carefully because any widening of the nozzle bore will cause irreparable damage to the
Injectrode
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 10 of 15
web http://www.riemermed.de author ar
®
.
®
. However, this must be done very
Applicard ®
Technical Information
TI 2.1 / 05.2000
Design Drawing of the Applicard
®
from the end of 1991
Diaphragm compressor 1 Diaphr agm compressor 2Support tube
Screwed filter
Pressure adjustment screw Cold plug with two 0.8 A
Suc tion filter Suc tion filter
Mains distribution
board 04912
Equipotential
connection according
to DIN 4280 1
fine wire , slow-blo w
fuses
Since the end of 2003 there is only one linear pump
Earthing terminals
04SME06.WMF
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 11 of 15
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Applicard ®
Technical Information
TI 2.3 / 05.2000
Notes on Connecting the Mains Switch
A. Configuration using single strands
4
bl
2
br
bk
3
rd
1
04SME13.WMF
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 12 of 15
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Applicard
Technical Information
TI 3.1 / 05.2000
Notes on Configuration of ECG Socket
1. Configuration of 10-channel model
blue
white
brown
grey
black
inner shield
1
9
red
yellow
green
orange
outer shield
15
8
®
04SME20.WMF
2. Configuration of 14-channel model
1
white/yellow
white/green
white/brown
white/black
white/violet
shield
red/orange
orange
9
red
yellow
green
white/red
yellow/orange
black
light blue/orange
15
8
04SME21.WMF
The configuration of the different ECG plugs which can be directly connected to the
APPLICARD may be obtained on request.
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 13 of 15
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Applicard
N
Technical Information
TI 3.2 / 05.2000
Notes on the Distribution Board
1. PCB 04990 board from mid 1992 (screwed version with loop and screwed arm cable)
L (LA)
®
gn ye bk br gr
F (LF)
(RF)
iS oS re or bl wt
Color coding for 10-channel model
cable (double shielded 9 x 0.19)
R red
L yellow
F green
N outer shield
Ca orange
Cb blue
Cc white
Cd brown
Ce grey
Cf black
Shield inner shield
Ce (V5)
Cd (V4)
Cc (V3)
Cb (V2)
Ca (V1)
R (RA)
04SME26.WMF
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 14 of 15
web http://www.riemermed.de author ar
Applicard
®
Technical Information
TI 3.5.1 / 05.2000
Notes on Replacing Electrode Hoses
1. Unscrew Injectrode®
2. Unscrew the lower sheet metal plate on the distribution box
3. Unscrew the faulty cable (2 Phillips screws)
4. Lift the electrode hose from the hose stem using a screwdriver
5. Push the new hose with antikink device and marking ring onto the hose stem
6. Screw on the cable
7. Push up the marking ring and shrink (if necessary with a lighter)
8. Push over antikink device using detergent (or saliva if necessary) to enable the antikink device
to slide along the electrode hose
9. Screw the lower sheet metal plate back on again; ensure air-tightness, i.e. no air flowing out
10. Screw the Injectrode
®
back on again
Riemer MEDITECH GMBH Germany document tiac20e
Electro-medical company D - 89134 Blaustein date 08/08/05
tel +49 7304 – 96 00-0 Lautertalweg 12 modification 12/08/05
fax +49 7304 – 96 00-40 D - 89130 Blaustein dateprint 12/08/05
e-mail info@riemermed.d POBox 1173 page 15 of 15
web http://www.riemermed.de author ar
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