Burdick E350i Operating Instructions Manual Download Page 58

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Summary of Contents for E350i

Page 1: ...E350i Interpretive Electrocardiograph Operating Instructions US Part No 086215 Issued 4 93 Revised 11 93 I Burdick Inc...

Page 2: ...6 1 11 Disposable Electrodes Sensors 12 Application of Disposable Electrodes 12 Normal Operation 13 Quick Outline Automatic Mode 14 The E350i Menu System 15 Operation by Menu General 18 Patient Data I...

Page 3: ...URDICK E350i Electrocardiographhas been thoroughly tested and inspected prior to shipment from the factory Please inspect your unit upon delivery for any damage that may have occurred in transit If an...

Page 4: ...particular interpretation has been suggested Heart Rate PR Interval P Duration QRS Duration P QRS and T Axis Measurement QT and QT Corrected IMPORTANT Computer assisted interpretation is a valuable to...

Page 5: ...s documentare not binding If any differencesof significance to servicework are encountered between the product and the information contained in this document contact Burdick Inc for confirmation We re...

Page 6: ...ugs in to a connector on the front of the unit as shown in Fig 1 I Power Cable Connector Fig 2 1 key 1 Your BURDICK E350i Electrocardiographis supplied with a 3 conductor power cable Connect the cable...

Page 7: ...or operator adjustment 2 4 OVERLOAD CONDITION INDICATION The BURDICK E350i prints the message OVERLOAD on the electrocardiogramto alert the operator to an overload condition This overload condition ca...

Page 8: ...s are provided for the ONISTANDBY AUTO MAN ImV and STOP functions See below for function of these keys Two keys locatedto the right of the display permit adjustment of the LCD contrast when the MAIN m...

Page 9: ...t Pressing it again will turn it off The use of solid state circuitry throughout virtually eliminateswarm up time AUTO SelectsAutomatic ECG Mode of operation MAN Selects Manual Mode of operation STOP...

Page 10: ...o check the unit for proper operation During this dry run the patient cable will not be connected so you will not get any valid ECG recording only a randomtrace The lead code markingsand any arbitrary...

Page 11: ...re the larger one of the two queueing holes is to the top of the unit 3 Lift the top sheet and feed it into the slot in front of the roller 4 Close the compartmentcover Fig 3 1 Paper Loading Procedure...

Page 12: ...obtained from a patientwho is relaxed both mentally and physically particularly when the electrocardiograph is being used in a non stressor rest environment Assure your patientthat there is no danger...

Page 13: ...sable electrodes are time saving problem solvers and are specificallyrecommendedfor use with the BURDICK E350i They are an affordable efficient alternativeto bulbs plates straps creams and gels These...

Page 14: ...electrode 5 At this time perform any other preparatorytasks to allow the patient a short time to relax and also to give the recorder electrodesystem time to stabilize 6 When the ECG record is complete...

Page 15: ...imit 30 characters Alpha only NOTE Use the soft keys to position the cursor under any desired character you want to change Pressthe desired letter it will replace the previous character To insert INS...

Page 16: ...splayed Pressing YES will initiate the ECG acquisition NO returns user to the Patient Data menu 3 11 THE E350i MENU SYSTEM see also Appendix Section 6 3 The following three sections describe the struc...

Page 17: ...ored Parameters AUTO FRMT 15 MAN FRMT 25 STRS FRMT 1D PAPR 14 MlSC 16 P9 37 Pg 37 pg 39 2 See Table for Options P9 73 P9 35 P9 37 pg 41 3 See Table for Options GROUP 3 STRESS 23 see page 51 The Stress...

Page 18: ...39 2PG 6 CH 15 Pg 39 INTP FRMT 35 PS 69 Note Includes Interpretationand Reason Options Table 2 3 11 3 The Miscellaneous MISC Setup Options From SETUP Menu 1A see page 33 MlSC 16 pg 41 DATE 17 I CONFIG...

Page 19: ...OFT KEY functions are defined by the currentlydisplayed menu as shown in the following sequence of menusand operating parameter options A number printed below a soft key in this manual designatesthe m...

Page 20: ...I MAlN MENU Menu normally used MAIN MENU AUTO MAN STRS PAPER for current selections only formats are NOT stored PAT SETUP FRMT FRMT FRMT STRS ADV in memory I I I I I I I I I I 2 I 1A I I I I I I I 23...

Page 21: ...choices and CLR ALL Clear all patient data 3 NAME menu Letters A Z and Space Replaceletter at the blinkingcursor position initially the leftmost letter with pressed letter As each letter is enteredth...

Page 22: ...2 PATIENT DATA MENU First of Two Screens PATIENT DATA CLR NAME ID AGE SEX HGHT ALL RTN Second Screen PATIENT DATA WGHT MEDI MED2 CLASI CLAS2 CMNT RTN m I Y 3 NAME MENU m mm NAME INS DEL ID RTN...

Page 23: ...SEX menu enter patientage and sex 5 RTN returnsto PATIENT DATA menu 2 DEFAULT ID BLANK 5 AGElSEX menu Digits 0 9 Replace digit at the blinkingcursor position initiallythe leftmost digit with presseddi...

Page 24: ...4 ID MENU AGE I INS DEL SEX RTN 5 AGEISEX MENU AGE SEX MALE INS DEL M F HGHT RTN...

Page 25: ...cted WGHT WEIGHT menu patient weight 7 RTN returns to PATIENT DATA menu 2 DEFAULT HEIGHT BLANK 7 WEIGHT menu Digits0 9 Replace digit at the blinkingcursor position initially the leftmostdigit with pre...

Page 26: ...6 HEIGHTMENU HEIGHT IN c INS DEL WGHT RTN 7 WEIGHT MENU WEIGHT LBS c INS DEL MEDl RTN...

Page 27: ...ocedure same as for Menu 9 above CLASI Access to Clinical Classification patient cardiac diagnosis menus 106 RTN returnsto PATIENT DATA menu 2 All other functions as for Menu 9 MED 1 above 10A MED LIS...

Page 28: ...9 MED MENUS First Medication Entry 1 MEDI MEDLST CLR MED2 RTN I0 MED MENUS Medication Entry 2 MEDLST CLR CLASI RTN 10A MED LIST MENU 1 MED I NONE DIG1 DIUR BETA QUlN PROC RTN...

Page 29: ...o third screen of medications RTN returns to menu 9 DEFAULT blank 10A 3rd Screen UNKN Medication unknown OTH Other medication Selects first screen of medications RTN returns to menu 9 DEFAULT blank FO...

Page 30: ...LlST MENU 2 MED I AM10 DlSO LIDO OANT PSTR STER RTN I I I I I I I I I I I I I I I I I 9 I 10A third screen MED LlST MENU 3 MED 1 UNKN OTH RTN I I I I I I I I I I I I I I I I I 9 I NOTE Repeat 10A all...

Page 31: ...enter a second selection chosen from an identical listingof classifications 11 CMNT physician s comment entry menu Letters A Z and Space Replace letter at the blinking cursor position initially the le...

Page 32: ...FICATION 1or 2 Second Screen CLlN CLASS1 CONG RHEU PER1 RESP END0 PACE RTN I I I I I I I I I I I I I I I I I 2 I CLINICAL CLASSIFICATION 1or 2 Third Screen CLlN CLASS PULE P 1 OP MYOP OTHE CC CLR CLAS...

Page 33: ...ent selections not stored of MAN mode format options STRS FRMT goes to menu 1D for current selections not stored of STRESS format options STRS goes to stress menus 23 23C and 23D for STRESS testing op...

Page 34: ...AN STRS PAPER for current selections only formats are NOT stored PAT SETUP FRMT FRMT FRMT STRS ADV in memory I A SET UP MENU These are SET UP AUTO MAN STRS stored functions retained in memory AMP WRT...

Page 35: ...hen in MANUAL mode Such selections do not modify the default values stored in memory S select desired recordingspeed options 5 25 or 50mmlsec L select gain setting for limb extremity electrodes option...

Page 36: ...tfunctions only not stored S 25 L 10 C 10 ON FRMT RTN IC MANUAL MODE MENU MANUAL MODE ARTF LEADS CUST currentfunctions only not stored S 25 L 10 C 10 ON FRMT RTN ID STRESS MODE MENU STRESS MODE AUTO M...

Page 37: ...ntrols the rate at which the paper passes across the print head AUTO automatic Available speeds SP are 25 or 50 mm per second Toggles between25 50 MAN manual mode Available speeds SP are 5 25 or 50 mm...

Page 38: ...P GAIN MENU Amplitude gain GAIN LIMB 10mmlmv CHEST 10mmlmv 5 10 20 5 10 RTN m 13 WRT MENU Writer Parameter Entry SP AUTO MAN PACER FILT LINE ARTF 25 25 OFF 60Hz ON RTN 14 PAPER MENU PAPER LOAD FRWD RV...

Page 39: ...2 PAGE menu formatfor 2 page 6 channel printouts Page 1 Page2 I v1 II v 2 Ill v3 aVR V4 aVL V5 aVF V6 INTP FRMT menufor set up of interpretationprinting 35 or SEE ALSO IMPORTANT ON OPPOSITE PAGE SPEED...

Page 40: ...n Stress mode 3CH 3 RHY RHYM 4CH 6CH 6CH 25 RTN Disabled when in stress IMPORTANT If interpretationis required the desired interpretationformat must first be established prior to acquisitionof the ECG...

Page 41: ...utputs and lead configurations DATE Date entry menu 17 TIME Time entry menu 19 UNIT Units selection US or Metric 21 FAX SET Setting of Fax Option see menu 37 OPTIONAL FEATURE MNTR selects appropriate...

Page 42: ...FF OFF OFF RTN I6 MISCELLANEOUS MENU MlSC MENU FAX AUX LEAD DATE TIME UNIT SET MNTR OUT CONF RTN LEAD CONFIG I6A LEAD CONFIG STD STD CABR PED RTN I I I I I I I I I I I I I I I I 1 16 1 factory default...

Page 43: ...ight one digit position Beeps if too far to right CNFG accesses CONFIGURATION menu 18 date format choices TlME TlME menu 19 RTN returnsto MlSC menu 16 ERROR if an invalid date is entered and TlME or R...

Page 44: ...I7 DATE MENU DATE 07 21 90 MMIDDNY c CNFG TIME RTN m I8 DATE CONFIGURATION MENU CONFIG DATE MMIDDIYY MDY DMY YMD 1 RTN...

Page 45: ...at CNFG CONFIGURATION menu time format choices See menu 20 below UNITS UNITS menu See menu 21 below RTN returns to MlSC menu 16 ERROR If an illegal time is entered and UNITS or RTN is pressed the BURD...

Page 46: ...0 24HR MM CNFG UNITS RTN I I TIME 04 30 PM 12HR MM AM PM CNFG UNITS RTN m m m 20 TlME CONFIGURATION MENU I CONFIG TIME 24HR MM 12HR 24HR RTN I I I I I I I I I I I I I I I I I 19 I 21 UNITS MENU US Met...

Page 47: ...500TT600 Treadmill in stress menu 30 RTN returns to MlSC menu 16 DEFAULT Selection is M300d 34 AUXILIARY OUTPUT menu Allows operator to select any combinationof leads for a conventional three channel...

Page 48: ...22 MONITORI STRESS SYSTEM SELECT MENU STRESS MONITOR TYPE M300D M300 M300D ERGO TMlLL RTN I factory default setting shown 34 AUX OUT MENU CHI CH2 CH3 II AVF V5 RTN mm factory defaultsetting shown...

Page 49: ...0 RTN returnsto MlSC menu 16 30 STRESS PARAMETERSSET UP menu Accessed from Menu22 by selecting ERGO or TMILL This menu providesfor entry of recording interval and selection of rhythm strip INTERVAL us...

Page 50: ...ONITOR I STRESS SYSTEM SELECT MENU STRESS MONITORTYPE M300D M300 M300D ERGO TMlLL RTN factory default setting shown 30 STRESS PARAMETERS SET UP MENU INTERVAL 00 0 FRMT MANUAL RHYM DEC INC MAN AUTO OFF...

Page 51: ...during the Resting ECG acquisition and Final Report When in this menu the Burdick E350i will enter a slave mode where all commands for operation will be received from the external monitor controller...

Page 52: ...TN Waiting for communications Wait See Warning note Press RTN to exit RTN 23A IN STRESS MENU STRESS MODE LOAD EXIT TEST IN PROGRESS BLOK PAPER STRESS I m NOTE Displays either TEST IN PROGRESS or EXlT...

Page 53: ...e printout function is from the monitor front panelwhile in stress FRMT Access to Format menu 33 BLOK selects blocking filter for enhanced recovery time during defibrillation May be disabled by pressi...

Page 54: ...23C with M300 only STRESS MODE MENU with M300 Monitor only STRESS MENU LOAD EXIT FRMT BLOK PAPER STRESS I I I I I I I I I I I I I I I I I 33 23B 1 I...

Page 55: ...e user wants either a 12 leadauto print or a manual print before entering the Exercise phase the AUTO or MANual hard keys must be used as described above Inthe case of the Ergomed Bike System the oper...

Page 56: ...23D STRESS MODE BIKE TREADMILL MENU TIME 00 00 PHASE REST LOAD EXIT FRMT ADV BLOK BIP PAPER STRS Enter from STRS on MAIN MENU when ERGO Bike or TMILL Treadmill is selected from Menu22...

Page 57: ...Please refer to Menu 230 and related text for information on Printout options 23F BlKE TREADMILL Warm up Phase Used in Warm up Phase priorto commencing exercise FRMT Access to Format menu 33 during s...

Page 58: ...ILL MENU cont TIME 00 00 PHASE STANDING LOAD EXIT FRMT ADV BLOK BIP PAPER STRS 23F WARM UP STRESS MODE BIKE TREADMILL MENU cont TIME 00 00 PHASE WARM UP LOAD EXIT FRMT START ADV BLOK BIP PAPER STRS Cl...

Page 59: ...MILL Recovery Phase Used in Recovery Phase after completionof exercise Clock re starts at zero automatically on entering the Recovery Phase FRMT Access to Format menu 33 during stress test STOP soft k...

Page 60: ...k starts by pressing START key or on command from Bike Press ADV for a maximum exercise level printout system will simultaneously advance to Recovery phase PRINT 23H RECOVERY STRESS MODE BlKE TREADMIL...

Page 61: ...rs can t be viewed or changed in the M300d stress system PAT Patient data entry menu 2 AMP Amplifier gain menu 12 WRT Writer menu 13 AUTO FRMT Auto format menu 33A MAN FRMT Manualformat menu 338 BLF B...

Page 62: ...1401105 SYST DlAST DEL INS RTN FORMAT DURINGSTRESS TEST MENU I m AUTO MAN BLF RHYM This screen if Treadmill or Bike Ergo selected PAT AMP WRT FRMT FRMT ON OFF RTN m AUTO MAN BLF This screen if M300 or...

Page 63: ...mesthe standard3CH lead groups 2 5 seconds of each lead printed in the following format plus a 4th channel 10 sec rhythm trace See also menu 15A 1PG 6CH output format becomes I V1 6channels of 5 secon...

Page 64: ...I I I I 15A 33 1D I NOTE The two keys identified as 3 RHY and RHYM on this display are non active keys These options are not allowed in the Stress Mode If either key is pressed while in this mode a b...

Page 65: ...deletes all current patient demographics NO transfers to the PATIENTDATA menu 2 New or revised patient informationcan now be entered if necessary RTN returns to MAlN menu 1 26A ECG DATA ACQUIRING men...

Page 66: ...O MODE MENU Automatic Operation PATIENT DATA OK CLR YES NO ALL RTN ECG DATA ACQUIRING MENU 26A WAITING FOR GOOD DATA LEAD STATUS OK OVRD QUIT ECG DATA ANALYSIS MENU 26B WAITING FOR ANALYSIS TO COMPLET...

Page 67: ...CG COMPLETE is displayed 28 ECG COMPLETE menu This menu permits changes to the patient demographicsand printout parameters PAT returnsto patient data menu 2 AMP displays amplifier gain menu 12 WRT dis...

Page 68: ...een selected for interpretationformat see Menu 35 in the following Section 3 18 11 should the operator now attempt to change the interpretationformat at this stage by pressingthe AUTO FRMT key in Menu...

Page 69: ...t available on all E350i models 36 FAX MODE Menu Keys No 1 No 2 and No 3 call up telephone numbersas set thru the Fax Setup menu 37 accessed from the MlSC set up menu 16 These can be changedtemporaril...

Page 70: ...X key 36 FAX MENU FAX PHONE NO 1 2345 67891 234 BAUD NO 1 NO2 NO3 DEL SEND 9600 RTN WARNING If unit is powered down switched off prior to FAX transmission the current acquired ECG data will be lost an...

Page 71: ...nters Menu 37A to allow user to pre program up to three Fax numbers 37 A SET FAX NUMBER Menu No 1 2 3 press key to enter number for selections 1 2 and 3 using numerical keypad allows the user to enter...

Page 72: ...UP MENU FAX SETUP DIAL MODEM GRID SET TONE INT YES FAX RTN I I I I I I I I I I I I I 1 1 I I 37A 16 I NON FUNCTIONAL KEY SET FAX NUMBER MENU FAX SET NO 1 BAUD NO1 NO2 NO3 DEL 9600 RTN Toggles 96001720...

Page 73: ...in turn as designated before proceedingwith acquisitionof ECG 25 MANUAL LEADS FORMAT menu LlMB leads I 11 Ill AUG leads aVR aVL aVFj V123 leads Vl V2 V3 1 V456 leads V4 V5 V6 1 6CH EXTR 6 Channel ext...

Page 74: ...re not allowed in the stress mode The following restrictions should be recognized 1 If the user enters Menu 25A Other Manual Lead Formats when in the stress mode and then tries to select NEHB or FRANK...

Page 75: ...y These are the manualformat leads Menu 158 sets the rhythm page leads for the 3 RHYM auto format HARD KEY FUNCTIONS STOP The manual mode will continue printing until the STOP button is pressed It may...

Page 76: ...2 3 4 5 6 II aVF V5 OFF OFF OFF RTN I I I I 1 I I I I I I I I I I I I 25 I Note Same as Menul5B in function but parameters stored separately These are the manualformat leads Menu 158 sets the rhythm...

Page 77: ...e to muscular contractionor tremor to major shifts in the baseline caused by body or electrode movement The figure below is typical of this type of artifact Fig 3 6 Artifact Somatic Tremor and Patient...

Page 78: ...y The frequency of the interferencesignal correspondsto the supply line frequency usually60HZ The result of typical AC interferenceon the ECG is shown below Fig 3 8 Artifact Alternating Current 3 20 4...

Page 79: ...offer guidance to eliminate or reduce the problem 3 20 5 Loose or Broken Leads A brokenwire in the patient lead may cause rapid and erratic trace deflections Similar large amplitude excursions can be...

Page 80: ...equipmentwas subject to extreme mechanicalstress e g after a heavy fall The equipmentwas subject to spillage of liquids The function of the equipment seems to be disturbed Partsof the unit enclosure...

Page 81: ...SECTION 6 APPENDIX 6 0 GENERAL The following pages contain the most commonly used Patient Cable and Lead Arrangements Typical System Configuration Listing and Sample ECG Recordings...

Page 82: ...her with a rubber bandor tape Don t forget to make sure that the proper lead wire is connected to the proper PLACEMENT OF THE CHEST SENSORS Fourthintercostalspace at right I marginofsternum Fourthinte...

Page 83: ...l B u r d c k I n c E350i C o p y r i g h t 1992 Rev 1 26 11 Feb 93 D a t e 11 02 93 T i m e l l 1 3 SYSTEM CONFIGURATION LISTING CURRENT SETTING DEFAULT SETTING Limb Gain Chest Gain Auto Soeed PATENT...

Page 84: ......

Page 85: ...H2 CH3 I V1 V5 RTN STRESSMONTRTYPE ERGO M300D ERGO TMlLL RTN I INTERVAL 00 O FRMT MAN RHYM DEC INC MAN AUTO ONIOFF RTN A 1 STRESS MODE AUTO MAN FRMT FRMT r I I L LEADS CUST 6CH 6CH LIMB AUG V123 V456...

Page 86: ...R CHST OTHR RTN I I GAIN LIMB 20rnmlmv CHEST lOmmlmv 5 10 20 5 10 RTN SPEED AUTO MAN PACER RTR LINE ARTF 25 25 ONIOFF 50Hz ONOFF RTN 12 LEAD 1PG 2PG SPEED 3CH 3tRHY RHYM 4CH 6CH 6CH 25 RTN I 4TH CHANN...

Page 87: ...RTN SPEED AUTO MAN PACER RTR LINE ARTF 1 25 25 ON OFF 50Hz ONOFF RTN I 12 LEAD 4CH II 1PG 2PG SPEED 3CH 3tRHY RHYM 4CH 6CH 6CH 25 RTN I I 4TH CHANNEL II I 11 Ill aVR aVL aVF CHEST RTN 4TH CHANNEL II...

Page 88: ...aVL aVF CHEST RTN I I4yfHAN L V3 I V4 V5 6 LIMB RTN IJ PATIENT DATA Lt LEADS CUST 6CH 6CH LIMB AUG V123 V456 EXTR CHST OTHR RTN I I PATIENT DATA I 1 WGHT MEDl MED2 CLASl CLAS2CMNT ccec RTN STRESS MOD...

Page 89: ...ty commission public service commission or corporation commissionfor information This device is equippedwith a USOC RJ11C connector EQUIPMENTAlTACHMENT LIMITATIONS NOTICE The Canadian Departmentof Com...

Page 90: ...Resting ECG A Auto mode 3 ch format B Auto mode 4 ch format C Auto mode 6 ch format D Median report Stress Mode with M300d Monitor E Warm up phase F Exercise phase G Maximum exercise level H Recovery...

Page 91: ...I QTc 424 1 I Axes I I P 5 2 1 I ORS I 0 I A RESTINGECG AUTO MODE 3 CH FORM1 Name DOE JANE ID 112233445566 D a t e 11 09 53 T l m e l l 5 3 Ape 40 Sex FEMALE H s t 6 5 I N Vat 100 LBS M dl MEDICATION...

Page 92: ...UNKNOWN I I n t e r v a l s I Med2 I P R 158 1 C c l l ISCHEMIA I QT 408 1 Cc12 I QTc 424 1 C Cmnt I Axes I RESTINGECG I P 5 2 1 AUTO MODE 6 CH FORMAT I ORS 10 I PATENTNO 1 2 0 7 5 8 0 BURDICK 007868...

Page 93: ...1 aVF 0 4 0 0 V3 0 4 0 0 V6 0 5 0 0 Stana 0 Speed I 7 Elev 0 0 RPP METS E STRESS MODE WARMUP PHASE Name DOE JANE I D 112233445566 S T Measurements a t 78ms p a r t J 17 29 09 I 1 93 P r o t BRUCE Lev...

Page 94: ...l 2 5 1 1 aVL 0 7 0 3 V2 1 0 0 4 V5 2 6 1 0 BP 1 1 1 1 1 0 1 aVF 2 4 0 6 V3 1 9 0 6 V6 2 4 0 8 Stage 4 Speed 4 2 ZElev 16 0 RPP METS 1 4 G STRESS MODE MAXIMUM EXERCISE LEVEL Name DOE JANE ID 112233445...

Page 95: ...MALE 65 I N Vgt I 0 0 LBS MEDICATION UNKNOWN ISCHEMIA I Vent r a t e 69 1 SINUS RHYTHM I I WITHIN NORMAL L l f l l T S I Durations I I P 102 I SUMMARY NORMAL UNCONFIRHED ANALYSIS I PRS 90 1 I I n t e...

Page 96: ...375 mm Hg to 795 mm Hg Acquisition parameters Standard Leads Standard Leads three channel Cabrera Leads Frequency response Input impedance Electrodeoffset tolerance AID conversion Sampling rate Printo...

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