Replacing the Recording Paper50
Thermal Paper Handling52
Trouble Shooting53
Technical Data55
iii
Important Information
Battery Care and Disposal Instructions
Disposal Instructions
and Battery Care
°DO NOT DISPOSE OF THE BATTERY BY FIRE OR INCINERATOR - DANGER OF
EXPLOSION
°DO NOT ATTEMPT TO RECHARGE THE BATTERY - DANGER OF EXPLOSION
°DO NOT OPEN THE BATTERY CASING - DANGER OF ACID BURN
Only dispose of the battery in official recycling centres or municipally
approved areas. Alternatively, used batteries can be returned to SCHILLER
AG for disposal.
Unit Disposal Instructions
Units no longer required can be returned to SCHILLER AG for
disposal. Alternatively dispose of the unit in municipally approved recycling centres.
This equipment has been tested and found to comply with the limits for a class A digital device, pursuant to
both Part 15 of the FCC (Federal Communications Commission) Rules and the radio interference regulations
of the Canadian Department of Communications. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance
with this instruction manual, may cause harmful interference to radio communications. Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to
correct the interference at his own expense.
iv
Important Information
Power Supply
The mains connection is on the rear of the unit.
The power supply voltage is set by the factory for 100-115V (nom. 110V) or 220-240V (nom. 230V) working.
The setting is indicated by the indented metal strip on the fuse panel. Contact your dealer if the voltage
needs to be changed.
The mains indicator lamp on the keyboard is always lit when the unit is connected to the mains supply. The unit
can either be operated from the mains supply or from the built-in rechargeable battery.
Changing a Mains Fuse
If it is necessary to change a fuse, always replace with the correct rating i.e. 2x200mAT for 230V, or
2x315mAT for 110V.
To change a fuse press the two retaining lugs on the side of the fuse panel (situated below the mains connector on the back panel). Remove the fuse panel and replace the fuse(s). Click back the fuse panel.
ENGLISH
v
Important Information
Terms of Warranty
The SCHILLER AT-1 is warranted against defects in material and
manufacture for the duration of one year (as from date of purchase).
Excluded from this guarantee is damage caused by an accident
or as a result of improper handling. The warranty entitles free
replacement of the defective part. Any liability for subsequent
damage is excluded. The warranty is void if unauthorized or
unqualified persons attempt to make repairs.
In case of a defect, contact your dealer or the manufacturer.
The manufacturer can only be held responsible for the safety,
reliability, and performance of the apparatus if:
*assembly operations, extensions, readjustments,
modifications, or repairs are carried out by persons
authorized by him, and
*the AT-1 and approved attached equipment are used
in accordance with the manufacturers instructions.
THERE ARE NO EXPRESS OR IMPLIED WARRANTIES WHICH EXTEND
BEYOND THE WARRANTIES HEREINABOVE SET FORTH. SCHILLER MAKES
NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE WITH RESPECT TO THE PRODUCT OR PARTS THEREOF.
About this Handbook
The philosophy of SCHILLER is one of continuous improvement. Our
aim is to provide the user with the most up-to-date information and
the latest technological developments.
Your suggestions and comments are welcome on all SCHILLER
documentation. Please contact the SCHILLER Technical
Documentation Department.
PHYSICIAN‘S RESPONSIBILITY
THE AT-1 ELECTROCARDIOGRAPH IS PROVIDED FOR THE
EXCLUSIVE USE OF QUALIFIED PHYSICIANS OR PERSONNEL
UNDER THEIR DIRECT SUPERVISION. THE NUMERICAL AND
GRAPHICAL RESULTS FROM A RECORDING MUST BE EXAMINED
WITH RESPECT TO THE PATIENTS OVERALL CLINICAL CONDITION.
THE RECORDING PREPARATION QUALITY AND THE GENERAL
RECORDED DATA QUALITY, WHICH COULD EFFECT THE REPORT
DATA ACCURACY, MUST ALSO BE TAKEN INTO ACCOUNT.
IT IS THE PHYSICIANS RESPONSIBILITY TO MAKE THE DIAGNOSIS
OR TO OBTAIN EXPERT OPINION ON THE RESULTS, AND TO
INSTITUTE CORRECT TREATMENT IF INDICATED.
FEDERAL LAW IN THE USA RESTRICTS THIS DEVICE TO SALE BY OR
ON THE ORDER OF A PHYSICIAN
NOTES
vi
Safety Information
DO NOT USE SOLVENT CLEANERS.
THIS UNIT COMPLIES WITH EMC REGULATIONS FOR MEDICAL PRODUCTS WHICH AFFORDS PROTECTION AGAINST EMISSIONS
AND ELECTRICAL INTERFERENCE. HOWEVER SPECIAL CARE MUST BE EXERCISED WHEN THE UNIT IS USED WITH HIGH FREQUENCY
EQUIPMENT.
BEFORE USING THE UNIT, ENSURE THAT AN INTRODUCTION REGARDING THE UNIT FUNCTIONS AND THE SAFETY PRECAUTIONS
HAS BEEN PROVIDED BY A PRODUCT REPRESENTATIVE.
CAUTIONS
SWITCH THE UNIT OFF BEFORE CLEANING AND DISCONNECT FROM THE MAINS.
THE DEVICE MUST ONLY BE OPER ATED USING BATTERY POWER IF THE EARTH CONNECTION IS SUSPECT OR IF THE MAINS LEAD IS
DAMAGED OR SUSPECTED OF BEING DAMAGED.
USE ONLY ACCESSORIES AND OTHER PARTS RECOMMENDED OR SUPPLIED BY SCHILLER AG. USE OF OTHER THAN RECOM-
MENDED OR SUPPLIED PARTS MAY RESULT IN INJURY INACCURATE INFORMATION AND / OR DAMAGE TO THE UNIT.
IT MUST BE ENSURED THAT NEITHER THE PATIENT NOR THE ELECTRODES (INCLUDING THE NEUTRAL ELECTRODE) COME INTO
CONTACT WITH OTHER PERSONS OR CONDUCTING OBJECTS (EVEN IF THESE ARE EARTHED).
THERE IS NO DANGER WHEN USING THE ECG UNIT FOR A PACEMAKER PATIENT OR WITH SIMUL TANEOUS USE OF OTHER ELECTRI-
CAL STIMULATION EQUIPMENT. HOWEVER, THE STIMULATION UNITS SHOULD ONL Y BE USED AT A SUFFICIENT DIST ANCE FROM THE
ELECTRODES. IN CASE OF DOUBT, THE PATIENT SHOULD BE DISCONNECTED FROM THE RECORDER.
IF SEVERAL UNITS ARE COUPLED THERE IS A DANGER OF SUMMATION OF LEAKAGE CURRENTS. WHEN OPERATING SEVERAL
DEVICES FOR MEDICAL AND NON-MEDICAL APPLICATION DO NOT USE ANY EXTENSION CABLES OR DISTRIBUTION BOXES FOR
THE CONNECTION.
EARTH MUST BE CONNECTED WHEN THE EXTERNAL PRINTER IS USED.
ENGLISH
vii
Safety Information
WARNINGS
TO PREVENT ELECTRIC SHOCK DO NOT DISASSEMBLE THE UNIT . NO SERVICEABLE P ARTS INSIDE. REFER SERVICING TO QUALIFIED
PERSONNEL ONLY.
DO NOT USE THIS UNIT IN AREAS WHERE THERE IS ANY DANGER OF EXPLOSION OR THE PRESENCE OF FLAMMABLE GASES SUCH
AS ANAESTHETIC AGENTS.
THIS PRODUCT IS NOT DESIGNED FOR STERILE USE.
THIS PRODUCT IS NOT DESIGNED FOR OUTDOOR USE.
DO NOT, UNDER ANY CIRCUMSTANCES, IMMERSE THE UNIT OR CABLE ASSEMBLIES IN LIQUID.
DO NOT USE HIGH TEMPERATURE STERILISATION PROCESSES (SUCH AS AUTOCLAVING). DO NOT USE E-BEAM OR GAMMA
RADIATION STERILISATION.
THIS UNIT IS CF CLASSIFIED ACCORDING TO IEC EN 60601-1. THIS MEANS THAT THE PATIENT CONNECTION IS FULLY
ISOLATED AND DEFIBRILLATION PROTECTED. SCHILLER CAN ONLY GUARANTEE PROTECTION AGAINST DEFIBRILLATION VOLTAGE
HOWEVER, WHEN THE ORIGINAL SCHILLER PATIENT CABLE IS USED.
DO NOT TOUCH THE CASING DURING DEFIBRILLATION.
IF THE PATIENT CABLE SHOULD BECOME DEFECTIVE AFTER DEFIBRILLATION, LEAD OFF WILL BE DISPLAYED AND AN ACOUSTIC
ALARM GIVEN.
viii
AA
A
AA
TT
T
TT
-1-1
-1
-1-1
Manual ECG Recording (internal printer only)
Prepare skin, hook up patient.
ShorShor
Shor
ShorShor
t Ft F
orm Instructionsorm Instructions
t F
orm Instructions
t Ft F
orm Instructionsorm Instructions
Automatic ECG Recording with external printer
connected and switched on:
Prepare skin, hook up patient.
Switch unit on, press ON
Press AUTO to record and
print externally
with external printer NOT connected or
switched off:
To record and print on internal printer:
Prepare skin, hook up patient.
For AUTO Format 1 press
For Auto Format 2 press and then
Press COPY for additional copies.
Switch unit on, press ON
Press MAN START
Change lead group with
Press STOP to stop the printout.
Electrode hook-up check
Press
electrode dc offsets.
Best results are obtained when the electrode voltage
readings (right column) are between +50mV and -50mV.
Filter On/Off
Press
System Configuration
Press
settings.
for print-out of
to switch the (Myogram) filter On / Off.
to print system
ENGLISH
AT-1 User Guide Art. No. 2.510171 g
1
IntroductionIntroduction
Introduction
IntroductionIntroduction
2
IntroductionIntroduction
Introduction
IntroductionIntroduction
NOTE:NOTE:
NOTE:
NOTE:NOTE:
The ECG unit is a 3-channel ECG recorder with all (12) ECG signals simultaneously processed to
provide instant ECG recordings. Three automatic recording modes - two for the internal printer
and one for the external printer - can be individually preset to enable one button ECG
recording of preferred print formats.
Individual lamps are provided to give power, paper error, filter, lead group and lead off
indications. In addition, any detected disturbance (i.e. loose electrode or end of paper),
gives an audible alarm and the corresponding indicator lamp flashes.
The ECG unit includes the following features:
• Low weight and compact dimensions
• Printout from integrated quality thermal printer - OR - from external A4 inkjet printer
• Built-in rechargeable battery for mains-independent use - 2 hours normal use on one
battery charge
• Simple one key operation for main functions
• Automatic or manual recording modes
• Selectable printing formats - external and internal printer
• Choice of 10 languages (AT-1) and 9 languages (AT-1 smartprint) for printing.
• Interpretation program option (including measurements) for children and adults
The only difference between AThe only difference between A
The only difference between A
The only difference between AThe only difference between A
smarsmar
tprint has a connector for an external ink-jet printertprint has a connector for an external ink-jet printer
smar
tprint has a connector for an external ink-jet printer
smarsmar
tprint has a connector for an external ink-jet printertprint has a connector for an external ink-jet printer
makes it possible to generate printouts in A4 size.makes it possible to generate printouts in A4 size.
makes it possible to generate printouts in A4 size.
makes it possible to generate printouts in A4 size.makes it possible to generate printouts in A4 size.
TT
-1 and A-1 and A
T
-1 and A
TT
-1 and A-1 and A
TT
-1 smar-1 smar
T
-1 smar
TT
-1 smar-1 smar
tprint is that Atprint is that A
tprint is that A
tprint is that Atprint is that A
, which, which
, which
, which, which
TT
-1-1
T
-1
TT
-1-1
ENGLISH
AT-1 User Guide Art. No. 2.510171 g
3
Modes of OperationModes of Operation
Modes of Operation
Modes of OperationModes of Operation
Automatic Mode
a.without external printer connected or printer switched off
Automatic Mode provides a printout giving 10 seconds of ECG recording of all 12 leads with a
choice of 2 different formats (only for S version).
The following can be programmed freely for each of the 2 formats before recording:
• Lead Format
• Chart Speed
• With the optional interpretation program installed it is also possible to select the
measurement table, average cycles with optional markings and interpretation
statements for the printout.
For further information see paragraph `Automatic Mode (ECG) Settings` on page 26.
b. with external printer connected and switched on
Only one Automatic Mode format possible. Other details as above.
For further information see paragraph `Automatic Mode (ECG) Settings` on page 30.
4
Modes of OperationModes of Operation
Modes of Operation
Modes of OperationModes of Operation
Manual Mode
Manual Mode provides a real-time printout of 3 selected leads and is only possible on the
internal thermal printer.
The following can be freely selected before or during recording:
• Lead Group
• Chart Speed
• Sensitivity
• Myogram Filter
For further information see paragraph `Manual Mode` on page 8.
ENGLISH
AT-1 User Guide Art. No. 2.510171 g
5
Automatic ModeAutomatic Mode
Automatic Mode
Automatic ModeAutomatic Mode
a.without external printer connected or printer switched off
automatic modeautomatic mode
In
automatic mode, a full 12-lead ECG is printed in one of two predefined formats with selectable
automatic modeautomatic mode
sensitivity. These formats (see Settings) are selected by the user to suit his specific needs and
requirements.
When the AUTO GAIN key
very large waveform amplitudes and sets the sensitivity for the extremity and/or precordial leads
accordingly to reduce the overlapping of traces.
To start the automatic ECG recording in Format 1, press the AUTO START key:
To start the automatic recording in Format 2, press the ALT key followed by the AUTO START
key:
Depending upon which option is included, the printout gives the following:
• ECG recording of all leads in either Standard or Cabrera format according to selection
• Sensitivity
• Heart Rate
6
is pressed before recording in automatic mode, the unit detects
+
Automatic ModeAutomatic Mode
Automatic Mode
Automatic ModeAutomatic Mode
• Speed
• Filter Settings
• Interpretation statements (with option C)
• Average Cycles (with options M, C)
• Intervals (with options M, C)
• Axes (with options M, C)
• Detailed Measurement Table (with options M, C)
To obtain an extra printout of the ECG recording in Format 1, simply press the COPY key:
To obtain an extra printout of the second format, press the ALT key followed by the COPY key:
ENGLISH
Note:The Auto mode settings for the two formats are detailed in the paragraph entitled
' Automatic Mode (ECG) Settings` on page 26.
with external printer
b.
With the external printer connected and switched on, only one Auto Mode format (selectable)
is available.
TT
o staro star
T
TT
For further information see paragraph `Automatic Mode (ECG) Settings` on page 30.
t the automatic ECG recording in Automatic Mode, press the AUTO STt the automatic ECG recording in Automatic Mode, press the AUTO ST
o star
t the automatic ECG recording in Automatic Mode, press the AUTO ST
o staro star
t the automatic ECG recording in Automatic Mode, press the AUTO STt the automatic ECG recording in Automatic Mode, press the AUTO ST
-
ART kART k
ART k
ART kART k
AT-1 User Guide Art. No. 2.510171 g
ey:ey:
ey:
ey:ey:
7
Manual ModeManual Mode
Manual Mode
Manual ModeManual Mode
Manual modeManual mode
Manual mode provides a real-time ECG printout of 3 selected leads with full control of parameter
Manual modeManual mode
selection. This is only possible on the internal thermal printer.
To start the manual recording of a real-time ECG, press the MAN START Printout key
To stop the manual recording (printout) press the STOP key
The printout provides you with the following:
• Three (selected) leads with lead identification.
• On the lower edge, the chart speed and filter settings (if on).
• At the top, the heart rate as current average of 4 beats, trace sensitivity.
The following can be freely chosen during or before the recording:
Lead Groupby means of the LEAD FORWARD
and LEAD BACKWARD key
8
Manual ModeManual Mode
Manual Mode
Manual ModeManual Mode
The following lead groups are selectable:
•I, II, IIIaVR, aVL, aVF
(Cabrera: aVL, I, -aVR / II, aVF, III)
•V1, V2, V3/V4, V5, V6
Chart SpeedSelect speed 5, 25 or 50 mm/s by means of the SPEED keys:
SensitivitySelect 5, 10 or 20 mm/mV by means of the SENSITIVITY keys:
Myogram FilterSwitch the filter ON or OFF with the FILTER key:
25 Hz or 35 Hz is displayed on the bottom line of the printout when the filter is
switched on.
RecenteringTo re-centre the ECG traces, press the 1mV key
ENGLISH
AT-1 User Guide Art. No. 2.510171 g
9
LL
ocation & Pocation & P
L
ocation & P
LL
ocation & Pocation & P
Location
Do not keep or operate the apparatus in a wet, moist, or dusty environment. Also, avoid exposure to
direct sunlight or heat from other sources. Do not allow the unit to come into contact with acidic
vapours or liquids, as such contact may cause irreparable damage. The unit should not be placed
near X-ray or diathermy units, large transformers or motors. The unit must be placed on a flat surface
and must not be operated in areas where there is any danger of explosion.
Power Supply
The mains connection is on the rear of the unit. The mains indicator lamp on the keyboard is always lit
when the unit is connected to the mains supply. The unit can either be operated from the mains supply
or from the built-in rechargeable battery. The power source is indicated by the respective indicator
lamp. When battery capacity is limited, the battery symbol flashes on and off.
To recharge the battery, connect the apparatus to the mains supply by means of the supplied power
cable. A totally discharged battery needs less than 15 hours to be fully recharged (60% in less than 3
hours, 90% in less than 7 hours). A fully charged battery gives approximately 2 hours of normal use. The
unit can remain connected to the mains supply without any danger of damage to either the battery or
the unit.
owerower
ower
owerower
10
Switching On and OffSwitching On and Off
Switching On and Off
Switching On and OffSwitching On and Off
The AT-1 is switched on with the green ON key
and off by means of the red OFF key
The unit is automatically switched off after 5 minutes (30 seconds if battery capacity is limited)
if no key is pressed and the patient cable is not connected.
Potential Equalisation
If the AT-1 is used in conjunction with other patient connected equipment, we recommend that
the potential equalisation stud on the rear of the unit is connected to the building common
ground with the yellow/green ground cable (Part-no. 2.310005). When working from an
emergency vehicle, the vehicle common ground can be used.
WARNING !WARNING !
WARNING !
WARNING !WARNING !
THE UNIT MUST BE GROUNDED WHEN THE EXTERNAL PRINTER IS CONNECTED.
ENGLISH
AT-1 User Guide Art. No. 2.510171 g
11
KK
eyboardeyboard
K
eyboard
KK
eyboardeyboard
12
KK
eyboardeyboard
K
eyboard
KK
eyboardeyboard
ENGLISH
AT-1 User Guide Art. No. 2.510171 g
13
SettingsSettings
Settings
SettingsSettings
Each parameter is set by means of a code. This code comprises a combination of keys starting with the
followed by two or three numbers. The setting is confirmed with the
the keyboard is dedicated to the programming function.
Note:The Alternative (ALT) function is only active for 4 seconds. If a programming key is
not pressed within 4 seconds, the unit reverts to standard mode. The ALT key must
again be pressed to activate the programming mode.
STOPSTOP
STOP key. As soon as the
STOPSTOP
ALAL
TT
AL
T key is pressed,
ALAL
TT
ALAL
AL
ALAL
TT
T key
TT
The setting is remembered and the keyboard released for other functions when the
setting has been confirmed, it is stored in the memory even when the unit is switched off.
Example
If you want to set the language on your ECG unit to English, the key sequence given in the table (see page 18),
is
ALAL
T - 0 - 2 - 2 - STOPT - 0 - 2 - 2 - STOP
AL
T - 0 - 2 - 2 - STOP
ALAL
T - 0 - 2 - 2 - STOPT - 0 - 2 - 2 - STOP
On the following pages the programmable parameters and the programming sequences are described in detail.
..
.
..
STOPSTOP
STOP key is pressed. Once a
STOPSTOP
14
Settings (cont.)Settings (cont.)
Settings (cont.)
Settings (cont.)Settings (cont.)
The defined formats and settings for your unit can be checked as follows:
A printout of the defined settings will be produced and gives the following information,
depending on the installed software.
ALAL
T - 0 - 1 - any numberT - 0 - 1 - any number
AL
T - 0 - 1 - any number
ALAL
T - 0 - 1 - any numberT - 0 - 1 - any number
ENGLISH
Unit designationUnit designation
Unit designationSoftware version, Software option installed (C = Interpretation)
Unit designationUnit designation
and interpretation version
Serial numberSerial number
Serial numberSerial number of the unit
Serial numberSerial number
AT-1 User Guide Art. No. 2.510171 g
15
Settings (cont.)Settings (cont.)
Settings (cont.)
Settings (cont.)Settings (cont.)
LeadsLeads
LeadsStandard (S) or Cabrera (C)
LeadsLeads
ECG FormatECG Format
ECG FormatLong (ooo), Short (o) or Suppressed (-)
ECG FormatECG Format
M ECGM ECG
M ECGAverage cycles as defined in auto ECG recording setup (e.g. 4 *
Interpretation settings:N/A:+/-‘normal/abnormal’ is written (+) or suppressed (-)
Interpretation settings:Interpretation settings:
3 (25 mm/s) + 2)
U:+/-‘unconfirmed report’ is written (+) or suppressed (-)
A30:+/-patient age is assumed to be < 30 (-) or >30 (+)
S: +/-low (-) or high (+) sensitivity
16
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