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Operation Manual

ergometrics er900L

Art-Nr: 475.043

Version: 12/01B

Summary of Contents for ergometrics er900

Page 1: ...Operation Manual ergometrics er900L Art Nr 475 043 Version 12 01B...

Page 2: ...ted after prior written consent by the manufacturer This Operation Manual is not registered for automatic update in case of eventual alterations Information regarding the latest version is available f...

Page 3: ......

Page 4: ...Version 12 01 Operation Manual er900L Art Nr 475 043...

Page 5: ...2 5 Requirements for Operating Personnel 8 2 6 Safety and Device Protecting Features 9 2 7 Measurement Accuracy Verification 9 2 7 1 Routine Control of the Blood Pressure Measurement Unit 9 2 7 2 Per...

Page 6: ...e use of Program 9 24 6 3 Preparations for control by ECG or PC 25 6 4 Starting the Ergometry 25 6 4 1 Starting Ergometry with Internal Control 25 6 4 2 Starting an ECG or PC Controlled Ergometry 25 6...

Page 7: ...9 2 Cleaning the Blood Pressure Cuff 56 Appendix A Interfaces 57 A 1 Input and Output Pin Specifications 57 Appendix B Monitor Program 70 B 1 Additional Settings in the Monitor Program 70 B 1 1 Setti...

Page 8: ...observed and instructed This allows the ergometric process to be performed with the highest level of safety The display integrated into the console provides the operator continuously with current meas...

Page 9: ...d via special statements by the operating com pany e g for supervision and obligatory registrations internal maintenance plans test ing intervals 1 1 Comments by the Manufacturer for the Operating Com...

Page 10: ...Electromagnetic compatibility 1 3 Warranty Regulation ergoline GmbH is only then responsible for the safety and reliability of this device when all revisions enhancements repairs and service to the de...

Page 11: ...uch for medical treatment b Application under outdoor conditions is not permitted c In case the ergometer is not being used according to above conditions and if be cause of that any injuries or seriou...

Page 12: ...onal 2 4 Normative Notices 2 4 1 Notice for EMC electromagnetic compatibility The EMC test was done with a interference level of 3V m The device should not be used in areas with a higher level The dev...

Page 13: ...ities are cause for re certification 2 7 1 Routine Control of the Blood Pressure Measurement Unit The automatic blood pressure measurement unit in the console of the ergometer must be approved and rec...

Page 14: ...Operation Manual er900L Operation Manual 10 Version 12 01 Art Nr 475 043 Ergometer Type er900L 2 8 Identification plate Labelling Safety Notices label with serial number...

Page 15: ...d on the support intended for via screws supplied 5 Connect blood pressure cuff according to 4 3 2 at the measurement head 6 Connect mains cable according to 4 3 1 at the power inlet 3 2 Scope of Deli...

Page 16: ...900 424 016 Polar chest belt 200 205 2 arm rest with support right 200 206 Handle right with mounting right 200 209 leg rest attachable left right only for couch width 60 cm 200 207 Swivelling arrest...

Page 17: ...elements and Connections Putting into Operation 1 3 2 5 4 6 7 8 9 10 11 1 Power connector fuse and main power switch 2 Couch and seat adjustment 3 Mains power switch 4 Shoulder support 5 Handle with m...

Page 18: ...ngs 8 RETURN to confirm and store entries 9 PROGR key to call up and make temporary modifications to ergometric programs 10 PWC to call up definable PWC values subsequent to an ergometric process 1 3...

Page 19: ...s 4 3 1 Power Connection 1 Make sure that the unit power switch is in the off position not depressed When using an ergoline utility cart with suction device connect the unit s power plug to one of the...

Page 20: ...1 Digital RS 232 interface connector for PC or ECG 2 Analog interface for analog control and analog data transfer to ECG 3 Fiber optic connector for ear finger clip or HR input from and ECG The inter...

Page 21: ...gometer Type er900L 4 4 Power on Sequence Mains power switch The unit will subsequently execute a self test At the end of the self test the main menu will appear as below P 000 W r 000 min HF 000 min...

Page 22: ...No 9 Pulse Steady State Special program for pulse steady state training A selected heart rate will be maintained stable over the entire training period With Circulation Monitoring Blood pressure and h...

Page 23: ...blood pressure reading current heart rate in case of continuous HR signal t 00 min duration of the ergometry in min S 000 mmHg systolic value of the last blood pressure reading the mea surement may be...

Page 24: ...data are exported to another system ECG PC or external printer and printed there OFF The printer is turned off This setting is only valid for the current stress test and will revert to INT as soon as...

Page 25: ...ent may comfortably take his place 2 Position the shoulder and headrests C such that they are outside the backrest area 3 If there are leg rests B remove them or at least the one on the side that the...

Page 26: ...per arm in order to prevent slipping during the ergometry test however not extremely tight Apply cuff directly on skin i e you must not use an intermediate layer out of cloth paper The cuff should not...

Page 27: ...and select the appropriate program for the pa tient with the numeric keypad 2 Enter the patient s weight The ergometer needs this information to calculate exact PWC values PROG x Wt xxx HR xxx S xxx...

Page 28: ...can withstand the ergometric session without danger Here also all other parameters may be altered for a specific ergometric session Always enter the maximum heart rate HR for program 0 specific to the...

Page 29: ...dance with the appropriate operator s instructions for ergometry Start the ergometric ses sion with the ECG or PC 6 4 Starting the Ergometry 6 4 1 Starting Ergometry with Internal Control 1 Check to s...

Page 30: ...ement Immediately after starting the ergometer the quiescent blood pressure measurement will be taken It is important that the patient remains absolutely calm during this measurement as the filter par...

Page 31: ...he internal printer or passed over the RS 232 interface to an ECG for documenting there Proceeding to the n th load increment The load will be incremented by the programmed n th load increment as soon...

Page 32: ...sure data The resulting blood pressure data are either printed by the internal printer or passed over the RS 232 interface to an ECG for documenting there Concluding ergometry Ergometry is terminated...

Page 33: ...ial load Po 50 watt maximum load Pmax 999 watt blood pressure measurement interval 01 min load interval 01 min load change per interval 25 watt The PWC values to be ascertained were predifined for hea...

Page 34: ...mains absolutely calm during this measurement as the filter parameters for the blood pressure during stress are established by this measurement Artefacts during this measurement may lead to false resu...

Page 35: ...low buttons on the measurement head are provided for management of the monitor program Both of these buttons are at the upper right portion of the keypad and have the following basic functions Call up...

Page 36: ...OAD CHANGE XXX W MONITOR V XXX TEST ADJUST TORQUE ADJUST OUTPUT TEST M 5 Va 5 XX V 0 2 5 Vd 5 XX V 0 3 24 V 2X X V 6V LOAD EXT 000 W TEST M U TD XXX 020 150 U DMS XXX 050 250 S XXXmmHg D XXXmmHg ADJUS...

Page 37: ...ZERO XXX W ADJUST LOAD INPUT MM SET CODE 000 W MONITOR V XXX ECG TYPE TRANSM SPEED LANGUAGE P1 P5 P9 M P2 P6 P10 P3 P7 P11 P4 P8 P12 MONITOR V XXX CONTR RPM CONTR INT EXT RESERVE CONTR INT EXT MM INT...

Page 38: ...pha numeric keypad move the cursor to the menu item ADJUST CLOCK Call up this subprogram by pressing the button MONITOR again Use the numeric keypad to enter the cor rect time and date The cursor will...

Page 39: ...phanumeric keypad move the cursor to the menu item mmHg kPa Call up this subprogram by pressing the button MONITOR again Use the arrow keys in the alphanumeric keypad to move the cursor to the desired...

Page 40: ...l duration is determined as follows Press the button MONITOR The monitor main menu will appear in the display Using the arrow keys in the alphanumeric keypad move the cursor to the menu item ECG RECOR...

Page 41: ...main menu will appear in the display Using the arrow keys in the alphanumeric keypad move the cursor to the menu item LANGUAGE Call up this subprogram by pressing the button MONITOR again Use the arro...

Page 42: ...ble at any time Press the button MONITOR The monitor main menu will appear in the display Using the arrow keys in the alphanumeric keypad move the cursor to the menu item CONTR RPM CONTR RPM is a main...

Page 43: ...for the following parameters Setting of ECG Type Type selection for an attached ECG unit for data transmission TRANSM SPEED ECG specific TRANSM SPEED selection Toggle between internal and external lo...

Page 44: ...al interface modes Therefore for mixed control operations only programs 0 through 7 or 9 may be used since program 8 will be used for switching the control type The monitor program can be used to esta...

Page 45: ...e arrow keys may be used to move to any field desired The display will scroll automatically when the up per or lower display margins are reached Close data entry with the RETURN key Now program 0 is c...

Page 46: ...ection Select the desired program to be modified 1 8 in the field Program No Now you can set the individual parameters The significance of the parameters for this special analysis program are describe...

Page 47: ...ressure readings are to be made PWC heart rate value at which a PWC value is to be determined PWC value see appendix TRAININGSIND see appendix LOAD STEPS twelve load steps may be programmed individual...

Page 48: ...e low The cursor will automatically skip to the next field when entry is complete for the current field Complete entry must be made in each field in accordance with the number of char acter positions...

Page 49: ...e exceeded Interv BPM Interval at which blood pressure readings are to be made PWC heart rate value at which a PWC value is to be determined see ANNEX D 1 TRAININGIND see ANNEX D 2 LOAD STEP Twelve lo...

Page 50: ...nd can certainly be changed Structure of Programs weak patients approx 45kg body weight strong patients active sports men and heavy laborers moderately strong patients especially women normally strong...

Page 51: ...ameters The patient specific alarm parameter should then be entered when the program is called up In general eight programs with differing load characteristics are adequate to serve various patient gr...

Page 52: ...ct blood pressure measurement intervals as short as reasonable in or der to guarantee the best possible surveillance over the patient s circulatory condition The program will calculate three standard...

Page 53: ...rint out of the loaded data with every blood pressure measurement Calculation of standard increments via 2 3 free load increments subsequently stressing with 3 standard load increments to reach the ma...

Page 54: ...ometry The ergometer works toward attaining this maximum heart rate Program 0 will try to reach the maximum heart rate by using three standard load incre ments You should therefore set the maximum hea...

Page 55: ...1 01 min desired PWC value PWC 130 130 130 130 130 PWC 150 150 150 150 150 Trainingsind J N Load increments Step 1 Step 2 Load interval min Load interval min Load change watt Load change watt Step 3 S...

Page 56: ...can also be overwritten and individually adapted to the wishes and needs of the user Program Flow Classify the patient as belonging to a particular patient group Select the appropriate program 1 8 If...

Page 57: ...ted pro gram e g program 8 to minimum or maximum values i e 0 or 999 so that all auto matic control functions are turned off Then you can enter the actually desired values for this specific ergometry...

Page 58: ...ue stable until an additional alarm parameter is exceeded or the training session is manually ended by the operator Program Flow Patient for pulse steady state training select program 9 Possible chang...

Page 59: ...nt is already tired before the actual training phase has been reached Program 9 is purely a training program Parameters must be selected that reflect the requirements of this mode of operation as oppo...

Page 60: ...Cleaning the Blood Pressure Cuff The blood pressure cuff may also be cleaned with a mild soapsuds For disinfection of the cuff only alcoholic disinfectants may be used Other disinfectants or the use o...

Page 61: ...te of control variations using a variety of control protocols with a combination of analog and digital signals These protocols permit the ergometer s connection to practically all ECG units on the mar...

Page 62: ...rity None Handshake None Hardware Connection ergometrics er900 Interface ECG Type P1 Software Version V 243 Interface for digital data transfer from er900 to PC or ECG with internal control of er900 V...

Page 63: ...ol of load and blood pressure measurements as well as the monitoring of alarm param eters is handled internally from the console of the ergometer DATE 14 06 91 TIME 08 23 LOAD watt 000 HR pulse min XX...

Page 64: ...tal data transfer from er900 to PC or ECG with internal control of er900 Pin 1 Transmit Output Pin 2 GND Pin 3 Pin 4 Pin 5 Receive Input Baud rate 2400 4800 Baud Protocol Format ASCII Start bit 1 Data...

Page 65: ...LOAD watt XXX DATE 14 06 91 TIME 08 28 SYSTOLE mmHg XXX DIASTOLE mmHg XXX HR pulse min XXX DATE 14 06 91 TIME 08 29 SYSTOLE mmHg XXX DIASTOLE mmHg XXX HR pulse min XXX DATE 14 06 94 TIME 0829 P max wa...

Page 66: ...00 Interface ECG Type P3 Software Version V 243 Interface for digital data transfer from er900 to PC or ECG with con trol via PC or ECG Baud rate 2400 4800 Baud Protocol Format ASCII Start bit 1 Data...

Page 67: ...nt S CR At the end of blood the pressure measurement the preset load previous X command will be applied Start of ergometry with load preset previous X s CR command Each load increment requires another...

Page 68: ...for digital data transfer from er900 to an ECG with analog control via the ECG Voltages Pin 1 Transmit Output Pin 2 GND Pin 3 NC Pin 4 CTS Pin 5 Receive Input Digital logic low logic high Transmit Out...

Page 69: ...at all values in the data string are set to 000 Control flow with P4 Remark NR xx SYST xxx mmHg DIAST xxx mmHg PULSE xxx min CR LF measurement no diastolic value systolic value heart rate value Start...

Page 70: ...5 3 V 3 V Baud rate 2400 4800 Baud Protocol Format ASCII Start bit 1 Data bits 8 Stop bits 1 Parity None Handshake None Hardware Connection ergometrics er900 Interface ECG Type P5 Software Version V 2...

Page 71: ...4 LOAD watt XXX HR pulse min XXX SYSTOLE mmHg XXX DIASTOLE mmHg XXX TORQUE n min XXX TIME 08 27 LOAD watt XXX HR pulse min XXX SYSTOLE mmHg XXX DIASTOLE mmHg XXX TORQUE n min XXX TIME 08 27 LOAD watt...

Page 72: ...Baud rate 2400 4800 Baud Protocol Format ASCII Start bit 1 Data bits 8 Stop bit 1 Parity None Handshake None Hardware connection Software Version V 243 Interface for digital data transfer from er900 t...

Page 73: ...t of quiescent blood pressure measurement with subse quent start of ergometry with initial load Po s CR Start of ergometer with the initial load Po without a prior Po quiescent blood pressure measurem...

Page 74: ...P9 M P2 P6 P10 P3 P7 P11 P4 P8 P12 Press the MONITOR key The monitor main menu will appear in the display Use the arrow keys in the alphanumeric key pad to move the cursor to the menu item ECG TYPE Ca...

Page 75: ...d a particular ECG device the baud rate is already fixed The baud rate is 4800 for interface modes P1 P2 and P10 You only need to alter the baud rate when a value of 2400 is required instead of 4800 P...

Page 76: ...d pressure measurements and data transfer over the RS 232 interface Some interface modes are based upon external load control and others do not permit external load control see Appendix A Press the MO...

Page 77: ...Press the MONITOR key The monitor main menu will appear in the dis play Use the arrow keys in the alphanumeric key pad to move the cursor to the menu item TEST Call up this subprogram by pressing the...

Page 78: ...PWC Trainingsind J N Load increments Step 1 Step 2 Load interval min Load interval min Load change watt Load change watt Step 3 Step 4 Load interval min Load interval min Load change watt Load change...

Page 79: ...sorted tables To arrive at a standard PWC values for the following heart rates were calculated HR 130 min HR 150 min HR 170 min These values establish what performance a patient in the assorted age gr...

Page 80: ...y sessions of the patient over a period of time These values are very good indicators of the patient s training progress The training indicator is calculated by the computer as follows training indica...

Page 81: ...uous heart rate input is indeed absolutely necessary If the ECG device used supports a QRS trigger output this can be connected to the ergometer There are two possible connections see appendix C eithe...

Page 82: ...Operation Manual er900L Operation Manual 78 Version 12 01 Art Nr 475 043 Ergometer Type er900L Appendix E HR Recording...

Page 83: ...0 kg Seat adjustment servo continuously adjustable for body sizes 1 20m to 2 10m Lean angle adjustment servo continuously adjustable within a range of 0 to 45 Display 1x LCD Display 4 lines 20 char 1...

Page 84: ...tion Manual 80 Version 12 01 Art Nr 475 043 Ergometer Type er900L Appendix F Technical Data RPM independent range in accordance with DIN 13405 RPM independent range er900L F 2 The Speed correlated Cap...

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