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Operation Manual

ergometrics er900L

Art-Nr: 475.043 

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Version:  12/01B

Содержание ergometrics er900

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

Страница 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...

Страница 3: ......

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

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

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

Страница 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...

Страница 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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