Cardiart 8108 View & Plus
Cardiart 8108 View & Plus
Cardiart 8108 View & Plus
Technologies
User Manual
0843
www.bplmedicaltechnologies.com Follow us on
Responsibility of the Manufacturer
BPL considers itself responsible for any defects on safety, reliability and performance
of the equipment as specified only if:
- The electrical, other installation and the environment in the installation room
are met as per the safety, regulatory and statutory requirements mentioned in this
manual and
Caution
- Use of accessories other than those recommended by BPL may compromise product
performance
Notice
- The information in this document is subject to change without notice.
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Operating Manual
CARDIART 8108 VIEW / VIEW PLUS
Version: 2.0
This monitor has been compiled to the users of CARDIART 8108 VIEW / VIEW PLUS in
installation, operation and routine maintenance
Specifications and Operating Characteristics are subject to change without notice for
improvements.
Copyright:
11th KM,
Bannerghatta Road,
Arekere,
Bangalore - 560 076
Contact Details
BPL Medical Technologies Pvt. Ltd. BPL Medical Technologies Pvt. Ltd.
11th KM Bannerghatta Road, BPL Works, Palakkad, 0843
Arekere, Bangalore – 560076 Kerala – 678007
www.bplmedicaltechnologies.com EC REP
OBELIS S.A
Bd. Général Wahis 53
1030 Brussels, Belgium
Email:mail@obelis.net
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Content
Chapter 1 Safety Guidance 1
1.1 Intended Use 1
1.2 Warnings and Cautions 1
1.2.1 Safety Warnings 1
1.2.2 Battery Care Warnings 2
1.2.3 General Cautions 3
1.2.4 Cleaning & Disinfection Cautions 3
1.3 List of Symbols 4
Chapter 2 Introduction 6
2.1 Top Panel 6
2.2 Keyboard and Keys 7
2.3 Rear Panel 8
2.4 Right Panel 9
2.5 Bottom Panel 11
2.6 Function Features 12
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7.7 ECG Reports 41
7.7.1 ECG Reports in the Auto Mode 41
7.7.1.1 Examples of 6×2+1rhy 41
7.7.1.2 Example of 3×4+1rhy 41
7.7.2 ECG Reports in the Rhythm Mode 43
7.7.3 ECG Reports in the Manual Mode 44
7.7.4 ECG Reports in the R-R Mode 45
7.7.5 ECG Reports Printed by the USB Printer 47
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9.7.8 Inputting Extra Question 75
9.8 Date & Time Setup 75
9.8.1 Setting Current Date/Current Time 76
9.8.2 Setting Date Mode 76
9.8.3 Setting Time Mode 76
9.8.4 Setting Period Interval and Period Duration 76
9.8.5 Setting Power-Off Time 76
9.8.6 Setting LCD Off Time 76
9.9 More Setup 77
9.9.1 Choosing a Language 77
9.9.2 Setting Pacemaker Detection Sensitivity 77
9.9.3 Setting Save Option 78
9.9.4 Entering Institution 78
9.9.5 Restoring Default Settings 78
9.9.6 Setting Extern Input/Extern Output 79
Chapter 14 Accessories 88
14.1 Standard Accessories 88
14.2 Optional Accessories 88
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Chapter 1
Safety Guidance
This chapter provides important safety information related to the use of 8108 VIEW.
The intended use of 8108 VIEW is to acquire ECG signals from adult and paediatric patients through body
surface ECG electrodes. The electrocardiograph is only intended to be used in hospitals or healthcare facilities
by doctors and trained healthcare professionals. The cardiogram recorded by the electrocardiograph can help
users to analyze and diagnose heart disease. However, the interpreted ECG with measurements and interpretive
statements is only intended to be used on adult patients and is offered to clinicians on an advisory basis only.
In order to use the electrocardiograph safely and effectively, and avoid possible dangers caused by improper
operation, please read through the user manual and be sure to be familiar with all functions of the equipment
and proper operation procedures before use.
Please pay more attention to the following warning and caution information.
NOTE: The pictures and interfaces in this manual are for reference only.
WARNING :
1. The electrocardiograph is intended to be used by qualified physicians or personnel professionally trained. They
should be familiar with the contents of this user manual before operation.
2. Only qualified service engineers can install this equipment, and only service engineers authorized by the
manufacturer can open the shell.
3. The results given by the equipment should be examined based on the overall clinical condition of the patient,
and they can not substitute for regular checking.
5. EXPLOSION HAZARD - Do not use the electrocardiograph in the presence of flammable anesthetic mixtures
with oxygen or other flammable agents.
6. SHOCK HAZARD - The power receptacle must be a hospital grade grounded outlet. Never try to adapt the three-
prong plug to fit a two-slot outlet.
7. If the integrity of the external protective conductor is in doubt, the equipment should be powered by a built-in
rechargeable battery.
8. Do not use this equipment in the presence of high static electricity or high voltage equipment which may
generate sparks.
9. This equipment is not designed for internal use or direct cardiac application.
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10. Only the patient cable and other accessories supplied by the manufacturer can be used. Or else, the
performance and electric shock protection cannot be guaranteed.
11. Make sure that all electrodes are connected to the patient correctly before operation.
12. Ensure that the conductive parts of electrodes and associated connectors, including neutral electrodes, do
not come in contact with earth or any other conducting objects.
14. If reusable electrodes with electrode gel are used during defibrillation, ECG recovery will take more than 10
seconds. The manufacturer recommends the use of disposable electrodes at all times.
15. Electrodes of dissimilar metals should not be used; otherwise it may cause a high polarization voltage.
16. There is no danger for patients to use pacemakers. However, if a pacemaker is used, the results given by the
equipment may be invalid, or lose the clinical significance.
17. Do not touch the patient, bed, table or the equipment while using the ECG together with a defibrillator or a
pacemaker.
18. In order to avoid being burnt, please keep the electrodes far away from the radio knife while using
electrosurgical equipment.
19. Accessory equipment connected to the analog and digital interfaces must be certified according to the
respective IEC/EN standards (e.g. IEC/EN 60950 for data processing equipment and IEC/EN 60601-1 for medical
equipment). Furthermore all configuration shall comply with the valid version of the standard IEC/EN 60601-1-1.
Therefore anybody, who connects additional equipment to the signal input or output connector to configure a
medical system, must make sure that it complies with the requirements of the valid version of the system
standard IEC/EN 60601-1-1. If in doubt, consult our technical service department or your local distributor.
20. The summation of leakage current should never exceed leakage current limits while several other units are
used at the same time.
21. The potential equalization bar can be connected to that of other equipment when necessary. Make sure that
all these devices are connected to the potential equalization terminal.
22. The EQUIPMENT is protected against malfunctions caused by electrosurgery according to the clause
36.202.101 in the standard IEC60601-2-25.
23. The disposable electrodes can only be used for one time.
WARNING :
1. Improper operation may cause the battery to be hot, ignited or exploded, and it may lead to the decrease
of the battery capacity. It is necessary to read the user manual carefully and pay more attention to warning
messages.
2. Only qualified service engineers authorized by the manufacturer can open the battery compartment and
replace the battery, and batteries of the same model and specification should be used.
3. Danger of explosion -- Do not reverse the anode and the cathode when installing the battery.
5. When leakage or foul smell is found, stop using the battery immediately. If your skin or cloth comes into
contact with the leakage liquid, cleanse it with clean water at once. If the leakage liquid splashes into your eyes,
do not wipe them. Irrigate them with clean water first and go to see a doctor immediately.
6. The device and accessories are to be disposed according to local regulations after their useful lives.
Alternatively, they can be returned to the dealer or the manufacturer for recycling or proper disposal. Batteries
are hazardous waste. Do NOT dispose of them together with house-hold garbage. At the end of their
lives hand the batteries over to the applicable collection points for the recycling of waste batteries. For more
2
detailed information about recycling of this product or battery, please contact your local Civic Office, or the shop
where youpurchased the product.
7. Only when the device is off can the battery be installed or removed.
CAUTION :
1. Avoid liquid splash and excessive temperature. The temperature must be kept between 5 ºC and 40 ºC during
operation, and it should be kept between -20 ºC and 55 ºC during transportation and storage.
2. Do not use the equipment in a dusty environment with bad ventilation or in the presence of corrosive.
3. Make sure that there is no intense electromagnetic interference source around the equipment, such as
radio transmitters or mobile phones etc. Attention: large medical electrical equipment such as electrosurgical
equipment, radiological equipment and magnetic resonance imaging equipment etc. is likely to bring
electromagnetic interference.
4. Before use, the equipment, patient cable and electrodes etc. should be checked. Replacement should be taken
if there is any evident defectiveness or aging symptom which may impair the safety or the performance.
5. The following safety checks should be performed at least every 24 months by a qualified person who has
adequate training, knowledge, and practical experience to perform these tests.
a) Inspect the equipment and accessories for mechanical and functional damage.
c) Inspect the fuse to verify compliance with the rated current and breaking characteristics.
d) Verify that the device functions properly as described in the instructions for use.
e) Test the protection earth resistance according to IEC/EN 60601-1: Limit: 0.1 ohm.
f) Test the earth leakage current according to IEC/EN 60601-1: Limit: NC 500 A, SFC 1000A.
g) Test the enclosure leakage current according to IEC/EN 60601-1: Limit: NC 100A, SFC 500A.
h) Test the patient leakage current according to IEC/EN 60601-1: Limit: NC a.c. 10A, d.c. 10A; SFC a.c. 50A,
d.c. 50A.
i) Test the patient auxiliary current according to IEC/EN 60601-1: Limit: NC a.c. 10A, d.c. 10A; SFC a.c.
50A, d.c. 50A.
j) Test the patient leakage current under single fault condition with mains voltage on the applied part
according to IEC/EN 60601-1: Limit: 50A (CF).
The data should be recorded in an equipment log. If the device is not functioning properly or fails any of the
above tests, the device has to be repaired.
6. Ruptured fuse must only be replaced with that of the same type and rating as the original.
7. Federal (U.S.) law restricts this device to sale by or on the order of a physician.
CAUTION :
1. Turn off the power before cleaning and disinfection. If the mains supply is used, the power cord should be
dragged out of the outlet. Prevent the detergent from seeping into the equipment.
2. Do not immerse the unit or the patient cable into liquid under any circumstances.
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3. Do not clean the unit and accessories with abrasive fabric and avoid scratching the electrodes.
4. Any remainder of detergent should be removed from the unit and the patient cable after cleaning.
List of Symbols
External output
External input
Potential equalization
Mains Supply
Battery indicator
Delete key
Enter key
Esc key
Shift key
Fn key
MODE key
4
RESET key
1mV/COPY key
START/STOP key
Tab key
Recycle
Part Number
Serial Number
Manufacturer
Date of Manufacture
This symbol indicates that the device complies with the European Council
Directive 93/42/EEC concerning medical devices
0843
The symbol indicates that the device should be sent to the special agencies
according to local regulations for separate collection after its useful life and
that this unit was put on the market after 13 August 2005.
It indicates that the device should be sent to the special agencies according
to local regulations for separate collection after its useful life
Rx only (U.S.) Federal (U.S.) Law restricts this device to sale by or on the order of a
physician
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Chapter 2
Introduction
The 6-channel electrocardiograph gathers ECG signals of 12 leads simultaneously. It displays the operation
menu, ECG parameters as well as electrocardiograms.
The 6-channel ECG waves can be viewed on the LCD screen and printed out by using a high-quality thermal
recorder.
8108 VIEW can be powered by the mains supply or a built-in rechargeable lithium battery.
With a high resolution thermal recorder, a 32-bit processor and a large-capacity memorizer, the 6-channel
electrocardiograph has advanced performance and high reliability. The compact size makes it suitable for clinic
and hospital uses.
The 6-channel electrocardiograph has three models. One adopts 192×64 dot single color LCD screen; other
adopts 320×240 dot single color LCD screen; and another adopts 640×480 dot multicolor TFT LCD screen.
Configuration: main unit, power cord, patient cable, chest electrodes, limb electrodes, disposable electrodes,
alligator clips, thermal recorder paper, fuses and lithium battery.
WARNING :
1. This equipment is intended for use on adult and pediatric patients only.
2. This equipment is not designed for internal use or direct cardiac application.
3. The results given by the equipment should be examined based on the overall clinical condition of the patient,
and they can not substitute for regular checking.
Indicators
From left to right on the
top panel: A, B, C. Keyboard
Figure 2-1
Indicators
From left to right on the Keyboard
top panel: A, B, C.
Figure 2-2
Indicator
A
B (1, 2, 3)
C
D N
E
M
C
G L
H I J K
Name Explanation
A Function Key Selecting menu functions on the screen (Pressing F1, F2, F3 or F4
can move the cursor)
B Indicator 1 indicates that the device is powered by the mains supply
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D Esc Power on / off D Esc Canceling operation
E Tab Pressing Tab can move the cursor forward, and pressing Shift + Tab
can move the cursor backward.
F Space: adding a space between typed characters
Note: Only on the Work Mode Setup interface can the R-R mode be
selected.
H RESET Draw the baseline to zero quickly in the case of baseline drift
I 1mV/COPY In the AUTO mode, pressing the 1mV/Copy key can print the ECG
report which was printed out last time.
In the Manu mode, pressing the 1mV/Copy key can insert a 1mV
calibration mark in the printing course.
J START/STOP Start/Stop printing reports
K Fn Inputting special characters. Press Fn + a to type è.
L Shift Inputting a capital letter. Press Shift + p to type a capital P.
M Enter Confirming operation
N Delete Deleting characters
A C
B
Name Explanation
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C AC SOURCE: alternating current supply socket
Mains Supply Socket
D
C
A B E F
Figure 2-5 Right Panel
Name Explanation
A Patient Cable Socket Connecting to the patient cable
B Serial Port 1 Connecting to a PC
8 7 6 5 4 3 2 1
15 14 13 12 11 10 9
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Pin Signal Pin Signal Pin Signal
1 C2 / V2 6 SH 11 F / LL
2 C3 / V3 7 NC 12 C1 / V1 or NC
3 C4 / V4 8 NC 13 C1 / V1
4 C5 / V5 9 R / RA 14 RF (N) /RL or NC
5 C6 / V6 10 L / LA 15 RF (N) / RL
Note: The left side of “/” is European standard; and the right side is American standard.
2) Serial Port 1
WARNING :
The isolated intensity of serial port 1 is 1500V AC and the maximum voltage appliedshould not exceed +15V DC.
1 2 3 4 5
6 7 8 9
Definitions of corresponding pins:
2 1
4 3
6
WARNING : Only the USB equipment recommended by the manufacturer can be connected to the USB
interface.
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WARNING :
1. Accessory equipment connected to the analog and digital interfaces must be certified according to the
respective IEC/EN standards (e.g. IEC/EN 60950 for data processing equipment and IEC/EN 60601-1 for medical
equipment). Furthermore all configuration shall comply with the valid version of the standard IEC/EN 60601-1-1.
Therefore anybody, who connects additional equipment to the signal input or output connector to configure a
medical system, must make sure that it complies with the requirements of the valid version of the system
standard IEC/EN 60601-1-1. If in doubt, consult our technical service department or your local distributor.
2. The summation of leakage current should never exceed leakage current limitswhile several other units are used
at the same time.
A E
B D
Figure 2-6 Bottom Panel
Name Explanation
A Speaker Hole Path for sound from speaker (optional)
B Battery Compartment Compartment for lithium battery
C Heat Emission Hole Path for internal heat emission
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1) Battery Compartment
The rated voltage and the rated capacity of the rechargeable lithium battery are as follows: Rated Voltage: 14.8V;
Rated Capacity: 2200mAh.
WARNING :
1. Improper operation may cause the battery to be hot, ignited or exploded, and it may lead to the decrease
of the battery capacity. Therefore, it is necessary to read the user manual carefully and pay more attention to
warning messages.
2. When leakage or foul smell is found, stop using the battery immediately. If your skin or cloth comes into
contact with the leakage liquid, cleanse it with clean water at once. If the leakage liquid splashes into your eyes,
do not wipe them. Irrigate them with clean water first and go to see a doctor immediately.
3. Only qualified service engineers authorized by the manufacturer can open the battery compartment and
replace the battery, and batteries of the same model and specification must be used.
4. Only when the device is off can the battery be installed or removed.
Note: If the battery has not been used for two months or more, you should recharge it before using it again.
2) Fuse
There is a fuse installed on the bottom of the main unit. The specification is T1AL250VP Ø5×20.
WARNING : Ruptured fuse must only be replaced with that of the same type and rating as th original.
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Chapter 3
About 8108 VIEW Application
The following sections provide an overview of the main operations and functions in the 8108 VIEW application.
To select Patient, press the function key F1 below Patient. To select , press the function key F5 below
.
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3.2 Entering Data
1. When the main interface1 is displayed, press the function key F1 below Patient to open the Patient
Information window.
2. Press Tab or Shift + Tab to move the cursor to the Name textbox.
4. Press the letter or number keys on the keyboard to input patient name. Press Fn and a letter key to input the
special character in the top right corner of the key. Press Shift and a number key to input the special character
in the top right corner of the key. Press Shift and a letter key to input a capital letter. For example, press Fn + a to
input è, press Shift + 3 to input #, and press Shift + a to input a capital A.
5. Press Enter to confirm, or press Tab or Shift + Tab to move the cursor to the OK button, and then press Enter to
confirm.
6. Press Esc to cancel the operation, or press Tab or Shift + Tab to move the cursor to the Cancel button, and then
press Enter to cancel the operation.
1. Press Tab or Shift + Tab to move the cursor to the Work Mode item.
3. Press Enter to confirm, or press Tab or Shift + Tab to move the cursor to the OK button, and then press Enter to
confirm.
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4. Press Esc to cancel the operation, or press Tab or Shift + Tab to move the cursor to the Cancel button, and then
press Enter to cancel the operation.
OR
1. Press F1, F2, Tab or Shift + Tab to move the cursor to the Work Mode item.
3. After setup, press Enter to confirm, or press Esc to display a hint to prompt you to save these modifications.
After you turn on the device, the main interface1 pops up. Press the function key F5 below to open
the main interface2.
B C D C
E
F
A
L K J I H
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P O N
B E F
G
D
L K J I H
P O N
Name Explanation
A Name Patient Name: within 12/ 10 characters.
B ID Patient ID: within 10 characters
C Hint Information Including Lead Off, No Paper, Paper Error, Battery Weak, Modu Error,
Demo, Sampling, Analyzing, Recording, Learning, Transmitting,
Transmit Fail, Detecting, Memory Full, Overload, U Disk, USB Printer,
Testing
D Heart Rate MANU, AUTO, RHYT or R-R
E Net port Actual Heart Rate
F Current Time Refer to Section 9.8, “Date & Time Setup”
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H Press the function key F5 below to open the main
interface2
I EMG Filter: 25Hz, 35Hz or 45Hz Lowpass Filter: 75Hz, 100Hz or
100Hz 150Hz
P Press the function key F1 below Setup to display the System Setup
Setup interface. For details, please refer to Chapter 9, “System Setup”.
If Next Patient is set to On, in the AUTO mode, press the START/STOP key to print ECG reports, and the system
will automatically open the main interface3 after a complete ECG report is printed.
On the main interface3, pressing the function key F1 below Same can return to the main interface1, and all
the patient information will keep the same; pressing the function key F2 below Next can return to the main
interface1, all the patient information will be cleared, and patient ID will be refreshed.
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On the main interface3, you can print the previous ECG report again according to the set style, paper speed and
gain which are shown on the bottom of the interface. Pressing the function key F3 can switch the auto style,
pressing the function key F4 can switch the paper speed, and pressing the function key F5 can switch the gain.
When the main interface2 is displayed, press the function key F1 below Setup to open the System Setup
interface.
Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor to Pat. Question on the System Setup interface, and
then press Enter to open the Patient Question interface.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Next Patient item, and then press F1 or F2 to
select On.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Next Patient item, and then press F3 or F4 to select
On.
When the main interface1 is displayed, press the function key F5 below to open the main interface2.
When the main interface2 is displayed, press the function key F1 below Setup to open the System Setup
interface.
OR
On the System Setup interface, press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor to a button, and then
press Enter to open the setup interface related to the button.
On the System Setup interface, press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor. When the cursor is on
Work Mode, press Enter to display the Work Mode Setup interface.
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Item
Option
OR
1. On the Work Mode Setup interface, press Tab or Shift + Tab to move the cursor among different setup menus.
3. Press Enter to confirm, or press Tab or Shift + Tab to move the cursor to the OK button, and then press Enter to
confirm.
4. Press Esc to cancel the operation, or press Tab or Shift + Tab to move the cursor to the Cancel button, and then
press Enter to cancel the operation.
OR
1. On the Work Mode Setup interface, press F1, F2, Tab or Shift + Tab to move the cursor among different setup
menus.
3. Press Enter to confirm, or press Esc to display a hint to prompt you to save these modifications.
When the main interface1 is displayed, press the function key F5 below to display the main interface2.
Press the function key F2 below File to open the File Manage interface1.
1. Press the function key F5 below to display the File Manage interface2. Then press the function key
F5 below to return to the File Manage interface1.
2. Or press F1, F2, Shift + F1 or Shift + F2 to highlight a file on the File Manage interface1, and then press the
function key F4 below Select to select the file and display the File Manage
interface3. For 8108 VIEW, press Esc to return to the File Manage interface1. OR, press Esc or the function key F5
below to return to the File Manage interface1.
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3. Press Esc on the File Manage interface1 to return to the main interface1.
A B C D E
F G H I
J K L M N
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Figure 3-13 File Manage Interface3
OR
A B C D E
F G H I
J K L M O
Name Explanation
A Press the function key F1 below to highlight a
file.
B
Press the function key F2 below to highlight a
file.
C Trans All Press the function key F3 below Trans All to transmit all the
files to the PC.
D Select Press the function key F4 below Select to open the File
Manage
E Press the function key F5 below to display the
File Manage interface2..
F Del All Press the function key F1 below Del All to delete all the
files.
G AllToUSB Press the function key F2 below AllToUSB to copy all the
files into the ECGDATA folder of the U disk.
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M Trans Press the function key F4 below Trans to transmit the
selected file to the PC.
N Preview For 8108 VIEW, press the function key F5 below Preview to
preview the selected file.
O
For 8108 VIEW, press the function key F5 below to
return to the File Manage interface1.
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Chapter 4
Operation Preparations
CAUTION :
Before use, the equipment, patient cable and electrodes should be checked. Replace them if there is any evident
defectiveness or aging which may impair the safety or the performance, and make sure that the equipment is in
proper working condition.
WARNING :
If the integrity of the external protective conductor is in doubt, the equipment should be powered by the built-in
rechargeable battery.
Power Supply
The electrocardiograph can be powered by either the mains supply or the built-in rechargeable lithium battery.
• Mains Supply
The mains socket is on the rear panel of the unit. If the mains supply is used, connect the power cord to the
socket first, and then connect the power cord to the hospital grade outlet.
Make sure that the mains supply meets the above requirements before power-on, and then press on the
keyboard to power on the unit. Then the mains supply indicator ( ) will be lit.
If the built-in rechargeable battery is weak when the mains supply is used, it will be recharged automatically at
the same time. Both the mains supply indicator ( ) and the battery recharging indicator ( ) will be lit.
When the built-in rechargeable lithium battery is used, turn on the unit by pressing on the keyboard.
Then the battery indicator ( ) will be lit and the battery symbol will be displayed on the LCD screen. Because
of the consumption during the storage and transport course, the battery capacity may not be full. If the symbol
and the hint information Battery Weak are displayed, which means the battery capacity is weak, please
recharge the battery first.
When the battery is fully charged, the electrocardiograph can work normally about 6 hours, and print about 280
ECG reports of 3×4+1rhy in the AUTO mode. Please refer to the maintenance section for how to recharge the
battery. When the battery is being recharged, the electrocardiograph can be powered by the mains supply.
WARNING : Potential equalization bar of the unit should be connected to the potential equalization
terminal of the electrical installation when necessary.
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4.2 Loading/Replacing Recorder Paper
Note: The exit edge can help you tear the recorder paper.
CAUTION : Make sure that the recorder paper is installed in the center of the recorder, and the paper
edge is parallel with the casing edge in the direction of advancing paper, in order to avoid
paper deviation or damage to the paper edge.
When the recorder paper runs out or is not loaded, or the casing is not closed properly, the hint message No
Paper appears on the screen. Then you should load or replace the recorder paper immediately.
Casing
Paper Tray
Casing Button
1. Press the casing button downwards with one hand and pull the casing upwards with the other hand to open
the recorder.
3. Take off the wrapper of the new folded paper, and then put it in the paper tray.
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Note: If the paper with paper markers is used, make sure that the markers are on the bottom.
4. Pull the paper out with the grid side facing the thermal print head, and shut the recorder casing.
1) When the 6-channel electrocardiograph is powered by the mains supply or a built-in rechargeable lithium
battery, press on the keyboard to turn on the unit.
2) After the main interface1 is displayed, press the function key F5 below to open the main interface2.
On the main interface2, press the function key F1 below Setup to open the System Setup interface.
3) Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor to Record on the System Setup interface, and then
press Enter to open the Record Setup interface.
4) For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Paper Marker item on the Record Setup
interface, and then press F1 or F2 to select an option.
5) OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Paper Marker item on the Record Setup interface,
and then press F3 or F4 to select an option.
6) Press Enter to confirm, and then the System Setup interface appears. Then press Esc or the function key F5
below to return to the main interface1. For details of the paper marker, please refer to Section 9.3.2,
“Selecting Paper Marker”.
Before printing, if Paper Marker is set to Style1 or Style2, you can press to advance the recorder
paper to the next paper marker; if Paper Marker is set to No, you can
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press to advance the paper for about 2cm. Pressing again can stop advancing the
paper.
Before attaching the electrodes, greet the patient and explain the procedure. Explaining the procedure decreases
the patient’s anxiety. Reassure the patient that the procedure is painless. Privacy is important for relaxation.
When possible, prepare the patient in a quiet room or area where others can’t see the patient. Make sure that the
patient is comfortable. The more relaxed the patient is, the less the ECG will be affected by noise.
Thorough skin preparation is very important. The skin is a poor conductor of electricity and frequently creates
artifact that distorts the ECG signals. By performing methodical skin preparation, you can greatly reduce the
possibility of the noise caused by muscle tremor and baseline drift, ensuring high-quality ECG waves. There is
natural resistance on the skin surface due to dry, dead epidermal cells, oils and dirt.
1 Shave hair from electrode sites, if necessary. Excessive hair prevents a good connection.
3 Dry the skin with a gauze pad to increase capillary blood flow to the tissues and to remove the dead, dry skin
cells and oils.
WARNING : The performance and electric shock protection can be guaranteedonly if original patient
cable and electrodes of the manufacturer are used.
The patient cable includes the main cable and lead wires which can be connected to electrodes.
Main Cable
Lead Wires
Screw
Electrode Connector
Connecting to the
Electrocardiograph
Connect the patient cable to the patient cable socket on the right side of the main unit, and then secure them
with two screws.
Align all lead wires of the patient cable to avoid twisting, and connect the lead wires to the electrodes or the
alligator clips. Firmly attach them.
26
4.5 Attaching Electrodes to the Patient
The identifiers and color codes of electrode connectors used comply with IEC/EN requirements. In order to avoid
incorrect connection, the identifiers and color codes are specified in Table 4-1. Moreover the equivalent code
according to American requirements is given in Table 4-1 too.
Table 4-1 Electrode Connectors and Their Identifiers and Color Codes
European American
Electrode Connectors Identifier Color code Identifier Color code
Right arm R Red RA White
Left arm L Yellow LA Black
Right leg N or RF Black RL Green
Left leg F Green LL Red
Chest 1 C1 White/Red V1 Brown/Red
Chest 2 C2 White/Yellow V2 Brown/Yellow
Chest 3 C3 White/Green V3 Brown/Green
Chest 4 C4 White/Brown V4 Brown/Blue
Chest 5 C5 White/Black V5 Brown/Orange
Chest 6 C6 White/Violet V6 Brown/Violet
Two types of electrode can be used, one is the reusable electrodes, and the other is the disposable electrodes.
Reusable electrodes include limb electrodes and chest electrodes, as the following figures show.
Suction Bulb
Electrode
Reed
Clamp
Limb Electrode
As the following figure shows, the positions of chest electrodes on the body surface are
27
C5: Left anterior axillary line at the horizontal level of C4
C1
C4
C2
C6
C3
C5
2) Align all lead wires of the patient cable to avoid twisting, and connect the lead wires to the corresponding
electrodes according to the colors and identifiers;
3) Clean the electrode area on the chest surface with 75% alcohol;
4) Daub the round area of 25mm in diameter on each electrode site with gel evenly;
5) Place a small amount of gel on the brim of chest electrode’s metal cup;
6) Place the electrode on the chest electrode site and squeeze the suction bulb. Unclench it and the electrode is
adsorbed on the chest;
2) Align all lead wires of the patient cable to avoid twisting, and connect the lead wires to the corresponding
electrodes according to the colors and identifiers;
3) Clean the electrode area which is a short distance above the ankle or the wrist with 75% alcohol;
5) Place a small amount of gel on the metal part of the limb electrode clamp;
6) Connect the electrode to the limb, and make sure that the metal part is placed on the electrode area above the
ankle or the wrist;
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Disposable electrodes must be used together with alligator clips. The electrodes’ positions on the body surface
are shown in the following table and figures.
LA L Left deltoid
RL N or RF Above the right ankle (Alternate placement, upper leg as close to
torso as possible)
LL F Above the left ankle (Alternate placement, upper leg as close to torso
as possible)
V1 C1 Fourth intercostal space at the right border of the sternum
V1
V4
V2
V6
V3
V5
8) Align all lead wires of the patient cable to avoid twisting, and connect the alligator clips to the lead wires.
9) Clean the electrode areas on the body surface with 75% alcohol.
10) Attach the disposable electrodes to the electrode positions on the body surface.
29
11) Clip the disposable electrodes with the alligator clips.
The quality of ECG waveform will be affected by the contacting resistance between the patient and the electrode.
In order to get a high-quality ECG, the skin-electrode resistance must be minimized while connecting electrodes.
WARNING :
1. Make sure that all electrodes are connected to the patient correctly before operation.
2. Ensure that the conductive parts of electrodes and associated connectors, including neutral electrodes, do not
come in contact with earth or any other conducting objects.
CAUTION :
The disposable electrodes can only be used for one time.
In order to avoid safety hazards and get good ECG records, the following inspection procedure is recommended
before power-on and operation.
1) Environment:
• Make sure that there is no electromagnetic interference source around the equipment, especially large
medical electrical equipment such as electrosurgical equipment, radiological equipment, magnetic
resonance imaging equipment etc. Switch off these devices when necessary.
• Keep the examination room warm to avoid muscle tremor voltages in ECG signals caused by cold.
2) Power Supply:
• If the mains supply is used, please check whether the power cord is connected to the unit well. The
grounded three-phase outlet should be used.
• When the battery capacity is low, recharge the battery before use.
3) Patient Cable:
• Make sure that the patient cable is connected to the unit firmly, and keep it far away from the power cord.
4) Electrodes:
• Make sure that all electrodes are connected to lead wires of the patient cable correctly.
• Ensure that the chest electrodes do not contact.
5) Recorder Paper:
6) Patient:
• The patient should not come into contact with conducting objects such as earth, metal parts etc.
• Ensure that the patient is warm and relaxed, and breathes calmly.
WARNING :
The electrocardiograph is intended to be used by qualified physicians or personnel professionally trained, and
they should be familiar with the contents of this user manual before operation.
30
Chapter 5
Switching On the Electrocardiograph
• When the mains supply is used, connect the power cord, and the mains supply indicator (~) is lit. Then press
on the keyboard to turn on the unit. The equipment information such as the device name, the
version number will be displayed on the LCD screen after self-test. Then the electrocardiograph is ready for
use.
• When a built-in rechargeable lithium battery is used, press on the keyboard directly to turn on the
unit, and then the battery indicator ( ) is lit. The equipment information such as the device name, the
version number will be displayed on the LCD screen after self-test. Then the electrocardiograph is ready for
use.
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Chapter 6
Entering Patient Information
After the electrocardiograph is switched on, the main interface1 appears.
1. By default, the system generates the patient ID automatically. The range of the patient ID is 0 ~ 1999, 999,
999.
2. Or the system can generate the patient ID according to the current time.
2) Press the function key F1 below Setup to open the System Setup interface.
3) Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor. When the cursor is on Pat. Question, press Enter to
open the Patient Question interface. The cursor is on the ID Mode item.
4) For 8108 VIEW, press F1 or F2 to select Time. OR, press F3 or F4 to select Time.
6) Press Esc or the function key F5 below to return to the main interface1. Then the system will
generate the patient ID according to the time that you press the START/STOP key to print an ECG report.
2) Press the function key F1 below Setup to open the System Setup interface.
3) Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor. When the cursor is on Pat. Question, press Enter
toopen the Patient Question interface. The cursor is on the ID Mode item.
6) Press Esc or the function key F5 below to return to the main interface1.
7) Press the function key F1 below Patient to open the Patient Information window. Press Tab or Shift + Tab to
move the cursor. When the cursor is in the ID textbox, enter the patient ID manually.
Note: In the AUTO or RHYT mode, when ID Mode is set to Manu and ID Hint is set to On, if you do not input the
patient ID, the hint will pop up to remind you to input the patient ID when you press the START/STOP key.
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6.2 Entering Other Information
When the main interface1 is displayed, press the function key F1 below Patient to open the Patient Information
window.
3. OR, press Tab or Shift + Tab to move the cursor to the Next or Prev button, and then press Enter to turn the
page.
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Chapter 7
Printing ECG Reports
There are four modes to print ECG reports.
In the AUTO mode, the lead groups are switched automatically according to the lead sequence during the
printing course. After the ECG signals of one lead group are printed within a certain time, the system switches to
print ECG signals of another lead group automatically. A 1mV calibration mark will be printed at the beginning of
ECG reports.
In the Manual mode, you should switch the lead group manually. You can determine the lead group to be
displayed and printed.
In the RHYT mode, you can print 60s rhythm-lead ECG waveform of one lead in the Single Lead style or 20s
rhythm-lead ECG waveform of three leads in the Three Lead style. In the R-R mode, you can select a lead to print
its 180s ECG waveform, R-R histogram and R-R trend chart.
Operation Method:
1. When the main interface1 is displayed, press the MODE key to select the AUTO mode. Press F2 to switch the
gain. Press F3 to select a paper speed. Press F4 to set the EMG filter and the Lowpass filter.
2. To set Auto Style, Sample Mode, Record Sequence, Sample Time, Rhythm Lead1/2/3, or Lead Sequence
(Optional)
When the main interface1 is displayed, press the function key F5 below to open the main interface2.
Press the function key F1 below Setup to display the System Setup interface and the cursor is on Work Mode.
Press Enter to open the Work Mode Setup interface.
2) Press Tab or Shift + Tab to move the cursor to the Auto Style item, and then press F1
or F2 to select a style.
, Press F1, F2, Tab or Shift + Tab to move the cursor to the Auto Style item, and then press F3 or F4 to select a
style.
3) Press Tab or Shift + Tab to move the cursor to the Sample Mode item, and then press F1 or F2 to select a
sampling mode. Press F1, F2, Tab or Shift + Tab to move the cursor to the Sample Mode item, and then
press F3 or F4 to select a sampling mode. For details of the sampling mode, refer to Section 9.1.5, “Specifying
Sampling Mode”.
4) Press Tab or Shift + Tab to move the cursor to the Record Sequence item, and then press F1 or F2 to select
a recording sequence. ,Press F1, F2, Tab or Shift + Tab to move the cursor to the For details of the recording
sequence, please see Section 9.1.6, “Specifying Recording Sequence”.
5) If you set Sample Mode to 6×2 adjust, press Tab or Shift + Tab to move the cursor to the Sample Time
textbox, and then enter the sampling time within 10-24s.
34
OR
7) On the System Setup interface, press F1, F2, F3, F4, Tab or Shift + Tab to move the
cursor. When the cursor is on Lead, press Enter to open the Lead Setup interface.
8) Press Tab or Shift + Tab to move the cursor to the Rhythm Lead1/2/3 item, and then press F1 or F2 to select a
lead. OR ,Press F1, F2, Tab or Shift + Tab to move the cursor to the Rhythm Lead1/2/3 item, and then press F3 or
F4 to select a lead.
9) Press Tab or Shift + Tab to move the cursor to the Lead Sequence item, and then press F1 or F2 to select a
sequence. Press F1, F2, Tab or Shift + Tab to move the cursor to the Lead Sequence item, and then press F3 or F4
to select a sequence.
OR
35
After setup, press Esc or the function key F5 below to exit the System Setup interface.
3. Press the START/STOP key to print an ECG report. It will stop automatically after printing a complete ECG report
of 12 leads. Or press the START/STOP key again to stop printing the report.
Operation Method:
1. When the main interface1 is displayed, press the MODE key to select the MANUAL mode. Press F2 to switch the
gain. Press F3 to select a paper speed. Press F4 to set the EMG filter and the Lowpass filter.
When the main interface1 is displayed, press the function key F5 below to open the main interface2.
Press the function key F1 below Setup to display the System Setup interface and the cursor is on Work Mode.
Press Enter to open the Work Mode Setup interface.
2) Press Tab or Shift + Tab to move the cursor to the Manual Style item, and then press F1 or F2 to select a style.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Manual Style item, and then press F3 or F4 to
select a style.
OR
Work Mode Setup Interface
4) On the System Setup interface, press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor. When the cursor is
on Lead, press Enter to open the Lead Setup interface.
36
5) Press Tab or Shift + Tab to move the cursor to the Rhythm Lead1/2/3 item, and then press F1 or F2 to select a
lead. OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Rhythm Lead1/2/3 item, and then press F3 or
F4 to select a lead.
After setup, press Esc or the function key F5 below to exit the System Setup interface.
1. When the main interface1 is displayed, press the MODE key to select the RHYT mode. Press F2 to switch the
gain. Press F3 to select a paper speed. Press F4 to set the EMG filter and the Lowpass filter.
When the main interface1 is displayed, press the function key F5 below to open the main interface2.
Press the function key F1 below Setup to display the System Setup interface and the cursor is on Work Mode.
Press Enter to open the Work Mode Setup interface.
2) Press Tab or Shift + Tab to move the cursor to the Rhythm Style item, and then press F1 or F2 to select a style.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Rhythm Style item, and then press F3 or F4 to select
a style.
37
3) Press Enter to confirm.
4) On the System Setup interface, press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor. When the cursor is
on Lead, press Enter to open the Lead Setup interface.
5) Press Tab or Shift + Tab to move the cursor to the Rhythm Lead1/2/3 item, and then press F1 or F2 to select a
lead. OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Rhythm Lead1/2/3 item, and then press F3 or
F4 to select a lead.
6) Press Tab or Shift + Tab to move the cursor to the Lead Sequence item, and then press F1 or F2 to select a
sequence. OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Lead Sequence item, and then press F3
or F4 to select a sequence.
Lead Setup Interface
OR
38
Lead Setup Interface
After setup, press Esc or the function key F5 below to exit the System Setup interface.
3. Press the START/STOP key and the hint information Sampling will be displayed on the LCD screen, and the
sampling time will be counted. When the sampling time reaches 60s in the Single Lead style or 20s in the Three
Lead style, it begins to print an ECG report.
4. It will stop automatically after printing a complete report of rhythm-lead ECG waveforms. Or press the START/
STOP key again to stop printing the report.
Operation Method:
1. When the main interface1 is displayed, press the function key F5 below to open the main interface2.
Press the function key F1 below Setup to display the System Setup interface and the cursor is on Work Mode.
Press Enter to open the Work Mode Setup interface.
Lead Setup Interface
OR
Lead Setup Interface
3) On the System Setup interface, press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor. When the cursor is
on Lead, press Enter to open the Lead Setup interface.
4) Press Tab or Shift + Tab to move the cursor to the Rhythm Lead1 item, and then press F1 or F2 to select a
lead. OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Rhythm Lead1 item, and then press F3 or F4 to
select a lead.
39
Lead Setup Interface
OR
Lead Setup Interface
After setup, press Esc or the function key F5 below to exit the System Setup interface.
2. When the main interface1 is displayed, press F2 to switch the gain. Press F4 to set the EMG filter and the
Lowpass filter.
3. Press the START/STOP key to begin to count the sampling time. When the sampling time reaches 180s, it
begins to print an ECG report.
4. It will stop automatically after a complete R-R analysis report is printed, or press the START/STOP key to stop
printing the report.
Note: In the R-R mode, you cannot set the speed. The constant speed is 25mm/s, because in the R-R mode,
the ECG wave length is compressed to one third of the original wave length.
Note: To transmit ECG data to the PC, the Smart ECG Viewer software of the manufacturer must be installed in
the PC. You should log into the Smart ECG Viewer software before transmission.
1. Connect the RS232 socket of the PC to the RS232 socket of the electrocardiograph with an RS232 cable.
2. Or if the PC has no RS232 socket, connect the USB socket of the PC to the RS232 socket of the
electrocardiograph by using the RS232-USB assembly. For details of the RS232-USB assembly, please refer to
Section 8.2.1, “Transmitting Files Through the Serial Port”.
3. Select the transmission mode. For details on selecting the transmission mode, please see Section 8.2.1,
“Transmitting Files Through the Serial Port”.
5. In the AUTO or RHYT mode, ECG data will be transmitted through the serial port automatically after an ECG
report is printed out.
40
7.5.2 Transmitting ECG Data Through the Net Port
1. Connect the PC to the electrocardiograph with an Ethernet cable recommended by the manufacturer.
2. Set the transmission mode and the IP address. For details on setting the transmission mode and the IP address,
please see Section 8.2.2, “Transmitting Files Through the Net Port”.
4. In the AUTO or RHYT mode, ECG data will be transmitted through the net port automatically after an ECG report
is printed out.
In the AUTO mode, pressing the 1mV/Copy key can print the ECG report which was printed out last time. Pressing
the START/STOP key can stop printing the ECG report.
Note: After an ECG report is printed out in the AUTO mode, if you press the function key or the MODE key, no
copy printing can be carried out until the next ECG report is printed in the AUTO mode.
(a)
41
(b)
The above figures (a) and (b) show the ECG reports in the AUTO mode. Template is set to On,
and Auto Style is set to 6×2+1rhy.
Note: The version number in the ECG reports is just for reference. The real version number can be found on
the screen of the electrocardiograph when you turn on the device.
Figure (b) shows: Patient Information, Measure Information, Minnesota Code, Diagnosis Information, Average
Template, Report Reviewed by, Doctor Name, Current Date and Current Time, 0.15Hz (DFT Filter), 100Hz
(Lowpass Filter), AC50 (50Hz AC Filter), 25mm/s (Paper Speed), 10mm/mV (Gain), V1.0 (Version number). Patient
Information includes:
ID, Name, Age, Gender, Height, Weight, BP, Race, Medication, Ward NO, Tel (Extra Information)
HR (Heart Rate)
P Dur----P wave duration: the average P-wave duration from several selected dominant beats; PR int----P-R
interval: the average P-R interval from several selected dominant beats; QRS Dur----QRS complex duration: the
average QRS complex duration from several selected
dominant beats;
QT/QTC int----Q-T interval: the average Q-T interval from several selected dominant beats /
Normalized QT interval;
P/QRS/T axis----Dominant direction of the average integrated ECG vectors; RV5/SV1 amp----The maximum
value of the amplitude of R and R’ wave from the average beat of lead V5 / The maximum absolute value of the
amplitude of S and S’ wave from the
RV6/SV2 amp----The maximum value of the amplitude of R and R’ wave from the average beat of lead V6 / The
maximum absolute value of the amplitude of S and S’ wave from the average beat of lead V2.
Diagnosis Information:
Average Template:
Average template shows the average value of 10s sampled ECG signals of every lead. The broken lines on the
template are position markers. They respectively mark the start and end points of the P wave and the QRS wave,
and the end point of the T wave.
42
The above figure shows the ECG report in the AUTO mode. Auto Style is set to 3×4+1rhy. The ECG report
includes:
60 (Heart Rate)
The above figure shows the ECG report in the RHYT mode, and Rhythm Style is set to Three
Lead.
Gender: Male, Age: 25 years, Height: 167cm, Weight: 64kg, BP: 112/78mmHg
The above figure shows the ECG report in the MANU Mode, and Manual Style is set to 6- channel.
Gender: Male, Age: 25 years, Height: 167cm, Weight: 68kg, BP: 121/89mmHg
10mm/mV (Gain)
60 (Heart Rate)
44
7.7.4 ECG Reports in the R-R Mode
(a)
(b)
45
The above figures (a) and (b) show the ECG reports in the R-R mode.
Patient Information (Name, ID, Gender, Age, Height, Weight, BP, Ward NO, Race, Medications, Technician)
Measure Time
HR (Heart Rate)
RR Histogram
RR Trend Chart
II (Lead name)
46
7.7.5 ECG Reports Printed by the USB Printer
As the above figure shows, the ECG report printed by the USB printer includes:
Name, BP, Age, Gender, Weight, Height, Race, Medications, Ward No, Technician;
Heart Rate, P duration, PR interval, QRS duration, QT/QTC interval, P/QRS/T axis, RV5/SV1 amplitude, RV5+SV1
amplitude, RV6/SV2 amplitude;
Minnesota Code;
Diagnosis Information;
Doctor Name;
1. When the main interface1 is displayed, press the function key F5 below to open the main
interface2. Press the function key F1 below Setup to open the System Setup interface.
2. Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor. When the cursor is on More, press Enter.
3. Press Tab or Shift + Tab to move the cursor to the Save Option item.
6. On the System Setup interface, press Esc or the function key F5 below to return to the main
interface1.
When the main interface1 is displayed, press the function key F5 below to open the main interface2.
Press the function key F2 below File to open the File Manage interface1.
1. Press the function key F5 below to display the File Manage interface2. Then press the function key
F5 below to return to the File Manage interface1.
2. Or press F1, F2, Shift + F1 or Shift + F2 to highlight a file on the File Manage interface1, and then press the
function key F4 below Select to select the file and display the File Manage interface3. OR , press Esc to return
to the File Manage interface1. OR, Press Esc or the function key F5 below to return to the File Manage
interface1.
3. When the File Manage interface1 is displayed, press Esc to return to the main interface1.
48
Figure 8-1 File Manage Interface1
Figure 8-2 File Manage Interface2
8-3 File Manage Interface3
Figure 8-4 File Manage Interface1
49
Figure 8-5 File Manage Interface2
Figure 8-6 File Manage Interface3
If there is no file on the File Manage interface, the following dialog box will pop up when you press function keys.
CAUTION :
1. When files are being printed, transmitted, deleted or copied, you can not turn off the electrocardiograph.
2. Do not cut off the mains supply directly when no battery is installed in the device, or else, the stored data may be lost.
8108 VIEW and variants can accommodate 50 / 100/ 200 files. You can input special password to enable the storage
upgrade function, which can extend the storage to 200.
1. To transmit files to the PC, the Smart ECG Viewer software of the manufacturer mus be installed in the
PC. You should log into the Smart ECG Viewer software before transmission.
2. If necessary, you can press Esc to cancel the operation during the course of transmitting all the files.
CAUTION :
It is forbidden to connect or disconnect a U disk or a USB printer during the transmission course.
1. Connect the RS232 socket of the PC to the RS232 socket of the electrocardiograph with an RS232 cable.
2. Or if the PC has no RS232 socket, connect the USB socket of the PC to the RS232 socket of the electrocardiograph by
using the RS232-USB assembly.
50
Figure 8-7 RS232-USB Assembly
Note: If you don’t connect the RS232 socket of the electrocardiograph to the PC, or you do not log into Smart
ECG Viewer before transmission, the following hint will pop up.
Note: If you don’t select a transmission mode before transmission, the following hint will pop up.
1) When the main interface1 is displayed, press the function key F5 below to open the main interface2.
2) Press the function key F1 below Setup to open the System Setup interface.
3) Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor. When the cursor is on Transmission, press Enter to
open the Transmission Setup interface.
6) Press Esc or the function key F5 below to return to the main interface1.
5. Press the function key F5 below to open the main interface2. Press the function key F2 below File to
display the File Manage interface1.
51
6. Press the function key F3 below Trans All to transmit all the files to the PC.
7. Or press F1, F2, Shift + F1 or Shift + F2 to highlight a file, and then press the function key F4 below Select
to select the file and open the File Manage interface3. Press the function key F4 below Trans to transmit the
selected file to the PC.
1. Connect the PC to the electrocardiograph with an Ethernet cable recommended by the manufacturer.
Note: If you don’t connect the net port of the electrocardiograph to the PC, or you do not log into Smart ECG
Viewer before transmission, the following hint will pop up.
Note: If you don’t set the transmission mode before transmission, the following hint willpop up.
1) When the main interface1 is displayed, press the function key F5 below to open the main interface2.
2) Press the function key F1 below Setup to open the System Setup interface.
3) Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor. When the cursor is on Transmission, press Enter to
open the Transmission Setup interface.
5) Press Tab or Shift + Tab to move the cursor to the Remote IP item. Set the REMOTE IP item to the local IP of
Smart ECG Viewer.
6) Press Tab or Shift + Tab to move the cursor to the Local IP item. Set the first three sections of the Local IP item
to the first three sections of the local IP of Smart ECG Viewer. The last section of the LOCAL IP item can be set at
random, but it can’t be the same as the last section of the local IP of Smart ECG Viewer.
7) Press Tab or Shift + Tab to move the cursor to the Gateway item. Set the first three sections of the Gateway
item to the first three sections of the local IP of Smart ECG Viewer. The last section of the Gateway item must be
set to 001. Subnet Mask must be set to 255.255.255.000.
For example, view the local IP on the System Setting interface of the Smart ECG Viewer software.
52
On the Transmission Setup interface, select Ethernet. Set the REMOTE IP item to the local IP of Smart ECG Viewer.
Set the first three sections of the Local IP and Gateway items to the first three sections of the local IP of Smart
ECG Viewer. The last section of the LOCAL IP item can be set at random, but it can’t be the same as the last section
of the local IP of Smart ECG Viewer. The last section of the Gateway item must be set to 001. Subnet Mask must
be set to 255.255.255.000.
Transmission Setup Interface
OR
Transmission Setup Interface
4. Press the function key F5 below to open the main interface2. Press the function key F2 below File to
display the File Manage interface1.
5. Press the function key F3 below Trans All to transmit all the files to the PC.
53
6. Or press F1, F2, Shift + F1 or Shift + F2 to highlight a file, and then press the function key F4 below Select
to select the file and open the File Manage interface3. Press the function key F4 below Trans to transmit the
selected file to the PC.
1) When the main interface1 is displayed, press the function key F5 below to open the main interface2.
2) Press the function key F2 below File to open the File Manage interface1. Press the function key F5 below
to display the File Manage interface2.
3) Press the function key F2 below AllToUSB to copy files from 8108 VIEW to the ECGDATA folder of the U disk.
Or press the function key F3 below USBToECG to copy files from the ECGDATA folder of the U disk to 8108 VIEW.
1) When the main interface1 is displayed, press the function key F5 below to open the main interface2.
2) Press the function key F2 below File to open the File Manage interface1.
3) Press F1, F2, Shift + F1 or Shift + F2 to highlight a file, and then press the function key F4 below Select to
select the file and open the File Manage interface3.
4) Press the function key F3 below To USB to copy the selected file from 8108 VIEW to the
If the U disk is not connected well, the hint U disk is not ready! will be displayed on the LCD screen of the
electrocardiograph, and then you should connect the U disk again. If it fails to copy files, the hint file copying
fails! will pop up. After the electrocardiograph successfully copy files, the hint file copying succeeds! will be
displayed.
During the copying course, if there are cognominal files in the U disk and the electrocardiograph, the following
hint (a or b) will pop up. Press Enter to close the hint. You should remove all cognominal files from the U disk or
the electrocardiograph, and then continue to copy files.
(a)
(b)
CAUTION :
It is forbidden to connect or disconnect a U disk or a USB printer during the copying course.
54
Notes:
1. If necessary, you can press Esc to cancel the operation during the copying course.
2. Please insert the U disk or the SD card reader that the manufacturer recommends.
3. Only the U disk with the capacity of 1GB or below is supported. Please set the format to FAT when
formatting the U disk.
4. In order to protect the U disk, you should insert the U disk after power-on, and pull out the U disk
before power-off.
Patient Information Window
OR
You can edit the patient information in the Patient Information window.
1. Press Tab or Shift + Tab to move the cursor to a textbox, and then enter information.
2. Press Tab or Shift + Tab to move the cursor to an item, and then press F1 or F2 to select an option.
3. OR, press Tab or Shift + Tab to move the cursor to the Next or Prev button, and then press Enter to turn the
page.
4. Press Enter to confirm, or press Tab or Shift + Tab to move the cursor to the OK button, and then press Enter to
confirm.
5. Press Esc to cancel the operation, or press Tab or Shift + Tab to move the cursor to the Cancel button, and then
press Enter to cancel the operation.
For details on inputting data, please refer to Section 3.2, “Entering Data”.
2) Press the function key F2 below File to open the File Manage interface1.
3) Press the function key F5 below to display the File Manage interface2.
4) Press the function key F1 below Del All to display the following hint, press Tab or Shift + Tab to move the
cursor to the OK button, and then press Enter to delete all the files from the electrocardiograph.
1) When the main interface1 is displayed, press the function key F5 below to open the main interface2.
2) Press the function key F2 below File to open the File Manage interface1.
3) Press F1, F2, Shift + F1 or Shift + F2 to highlight a file, and then press the function key F4 below Select to
select the file and open the File Manage interface3.
4) Press the function key F2 below Delete to display the following hint, press Tab or Shift + Tab to move the
cursor to the OK button, and then press Enter to delete the selected file from the electrocardiograph.
Notes:
2. For 8108 VIEW, ECG data of the first 4 seconds or so is displayed on the preview interface. OR, ECG data of the
first 9 seconds or so is displayed on the preview interface.
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Figure 8-8 Waveform Preview Interface
If you want to view the average template of the selected file, press the function key F2 below Template to display
the template preview interface, as the following figure shows.
Figure 8-9 Template Preview Interface
If you want to view the measure information of the selected file, press the function key F3 below Measure to
open the measure preview interface, as the following figure shows.
Figure 8-10 Measure Preview Interface
The measure preview interface shows patient name, patient ID, and measure information including heart rate, P
duration, PR interval, QRS duration, QT/QTC interval, P/QRS/T axis, RV5/SV1 amplitude, RV5+SV1 amplitude, and
RV6/SV2 amplitude. If you want to view the diagnosis information of the selected file, press the function key F4
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below Diagnosis to display the diagnosis preview interface, as the following figure shows.
Figure 8-11 Diagnosis Preview Interface
The diagnosis preview interface shows patient name, patient ID, minnesota code and diagnosis information.
1. When the main interface1 is displayed, press the function key F5 below to open the main
interface2.
2. Press the function key F2 below File to open the File Manage interface1.
3. Press F1, F2, Shift + F1 or Shift + F2 to highlight a file, and then press the function key F4 below Select to
select the file and open the File Manage interface3.
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Chapter 9
System Setup
After you turn on the device, the main interface1 pops up. Press the function key F5 below to open the
main interface2. Then press the function key F1 below Setup to open the System Setup interface.
Figure 9-1 System Setup Interface
OR
Figure 9-2 System Setup Interface
After setup, press Esc or the function key F5 below to return to the main interface1.
When the cursor is on Work Mode on the System Setup interface, press Enter to open the Work Mode Setup
interface.
On the Work Mode Setup interface, you can set Work Mode, Manual Style, Rhythm Style, Auto Style, Sample
Mode, Record Sequence and Sample Time.
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Figure 9-3 Work Mode Setup Interface
OR
Figure 9-4 Work Mode Setup Interface
After setup, press Enter to confirm. Then the System Setup interface appears.
For 8108 VIEW, if you press Esc to exit the Work Mode Setup interface after setup, a hint will pop up to prompt
you to save these modifications (optional).
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Work Mode item on the Work Mode Setup
interface, and then press F1 or F2 to select an option.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Work Mode item on the Work Mode Setup interface,
and then press F3 or F4 to select an option.
Manual: In the MANU mode, you can select 3-channel ECG waves or 6-channel ECG waves to be displayed and
printed.
Auto: In the AUTO mode, the lead groups are switched automatically according to the lead sequence during the
printing course. After the ECG signals of one lead group are printed within a certain time, the system switches to
print ECG signals of another lead group automatically.
Rhythm: In the RHYT mode, you can select rhythm leads to print 60s or 20s rhythm-lead ECG waveform.
R-R: In the R-R mode, you can select a lead to print its 180s ECG waveform, R-R histogram and
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Manual Style item on the Work Mode Setup
interface, and then press F1 or F2 to select 3 channel or 6 channel.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Manual Style item on the Work Mode Setup
interface, and then press F3 or F4 to select 3 channel or 6 channel.
When Manual Style is set to 3 channel, ECG waves of 3 leads are displayed and printed simultaneously in the
MANUAL mode.
When Manual Style is set to 6 channel, ECG waves of 6 leads are displayed and printed simultaneously in the
MANUAL mode.
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9.1.3 Specifying Rhythm Style
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Rhythm Style item on the Work Mode Setup
interface, and then press F1 or F2 to select Single Lead or Three Lead.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Rhythm Style item on the Work Mode Setup
interface, and then press F3 or F4 to select Single Lead or Three Lead.
When Rhythm Style is set to Single Lead, in the RHYT mode, 60s ECG waves of the appointed single rhythm lead
will be printed.
When Rhythm Style is set to Three Lead, in the RHYT mode, 20s ECG waves of three appointed rhythm leads will
be printed.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Auto Style item on the Work Mode Setup
interface, and then press F1 or F2 to select an option.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Auto Style item on the Work Mode Setup interface,
and then press F3 or F4 to select an option.
When Auto Style is set to 3×4, ECG waves of 12 leads are printed in 4 groups of 3.
When Auto Style is set to 3×4+1r, ECG waves of 12 leads are printed in 4 groups of 3, and ECG waves of the
rhythm lead selected in the Rhythm Lead1 item are on the bottom of the ECG reports.
When Auto Style is set to 3×4+3r, ECG waves of 12 leads are printed in 4 groups of 3, and ECG waves of the
three rhythm leads selected in the Rhythm Lead1/2/3 item are on the bottom of the ECG reports.
When Auto Style is set to 6×2, ECG waves of 12 leads are printed in 2 groups of 6.
When Auto Style is set to 6×2+1r, ECG waves of 12 leads are printed in 2 groups of 6, and ECG waves of the
rhythm lead selected in the Rhythm Lead1 item are on the bottom of the ECG
reports.
When Auto Style is set to 6×2 adjust, ECG waves of 12 leads are printed in 2 groups of 6. 6×2 adjust means
that the printing time can be adjusted according to Sample Time, which is different from the above styles. For
example, when Sample time on the Work Mode Setup interface is set to 12s, each lead group is printed for
about 6 seconds in this style.
Note: The ECG reports of the 6×2 adjust style can only be printed, and can not be saved or transmitted. 6×2
adjust only supports the real-time sampling mode.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Sample Mode item on the Work Mode Setup
interface, and then press F1 or F2 to select an option.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Sample Mode item on the Work Mode Setup
interface, and then press F3 or F4 to select an option.
When Sample Mode is set to Pre-Sample, 10s ECG data sampled before pressing the START/STOP key will be
printed out.
When Sample Mode is set to Real-time Sample, 10s ECG data sampled from the time of pressing the START/
STOP key will be printed out.
When Sample Mode is set to Period Sample, first you should set Period Interval and Period Duration on the
Date & Time Setup interface. For example, if Period Interval is set to 2 minutes, and Period Duration is set to 24
minutes, after pressing the START/STOP key, the printing will be performed every two minutes and come to 12
times.
Notes:
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1. There is no saving, copying or transmitting in the Period Sample mode.
2. ID and patient information will not be changed while carrying out the period printing.
3. Period Duration must be an integral multiple of Period Interval, or else the settings will not be effective.
When Sample Mode is set to Trigger Sample, after pressing the START/STOP key, if Arrhythmia ECG data,
including Asystole, Ventricular Fibrillation/Ventricular Tachycardia, 5>PVCS>=3, Paired PVCS, Bigeminy,
Trigeminy, R ON T, single PVC and Missed Beat, is detected during the learning course, printing will be triggered
automatically.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Record Sequence item on the Work Mode
Setup interface, and then press F1 or F2 to select Sequential or Simultaneous.
For 8108 VIEW, press F1, F2, Tab or Shift + Tab to move the cursor to the Record Sequence item on the Work
Mode Setup interface, and then press F3 or F4 to select Sequential or Simultaneous.
When Record Sequence is set to Sequential, the lead group is printed one by one in a certain sequence. The start
time of a lead group is just the end time of the previous lead group, as the following figure shows.
When Record Sequence is set to Simultaneous, all leads are printed simultaneously. The start time of each group
is the same. All the start time is 0s, as the following figure shows.
Press Tab or Shift + Tab to move the cursor to the Sample Time textbox on the Work Mode Setup interface, and
then enter the sampling time. The range of the sampling time is 10-24s. The sampling time is only valid in the
auto style of 6×2 adjust.
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9.2 Filter Setup
Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor to Filter on the System Setup interface, and then press
Enter to open the Filter Setup interface.
On the Filter Setup interface, you can set AC Filter, EMG Filter, DFT Filter, and Lowpass Filter.
Figure 9-5 Filter Setup Interface
OR
Figure 9-6 Filter Setup Interface
After setup, press Enter to confirm. Then the System Setup interface appears. For 8108 VIEW, if you press Esc to
exit the Filter Setup interface after setup, a hint will pop up to prompt you to save these modifications (optional).
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the AC Filter item on the Filter Setup interface.
Press F1 or F2 to select Off or On.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the AC Filter item on the Filter Setup interface. Press F3
or F4 to select Off or On.
AC Filter suppresses AC interference without attenuating or distorting the ECG signals. Select On to turn on the
function and select Off to turn it off.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the EMG Filter item on the Filter Setup interface.
Press F1 or F2 to select an option.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the EMG Filter item on the Filter Setup interface. Press
F3 or F4 to select an option.
EMG Filter suppresses disturbances caused by strong muscle tremor. The cutoff frequency can be set to 25Hz,
35Hz or 45Hz. Select Off to turn off the function.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the DFT Filter item on the Filter Setup interface.
Press F1 or F2 to select an option.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the DFT Filter item on the Filter Setup interface. Press
F3 or F4 to select an option.
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DFT Filter greatly reduces the baseline fluctuations without affecting the ECG signals. The purpose of this filter is
to keep the ECG signals on the baseline of the printout. The setting value is the low limit of the frequency range,
including 0.05Hz, 0.15Hz, 0.25Hz, 0.32Hz, 0.5Hz, and 0.67Hz.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Lowpass Filter item on the Filter Setup
interface. Press F1 or F2 to select an option.
OR, press F1, F2, Tab or Shift + Tab move the cursor to the Lowpass Filter item on the Filter Setup interface.
Press F3 or F4 to select an option.
Lowpass Filter restricts the bandwidth of input signals. The cutoff frequency can be set to 150Hz, 100Hz or
75Hz. All the input signals whose frequency is higher than the set cutoff frequency will be attenuated.
Note: Only when EMG Filter is set to Off, can the setting of Lowpass Filter be effective.
Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor to Record on the System Setup interface, and then
press Enter to open the Record Setup interface.
On the Record Setup interface, you can set Record Device, Paper Marker, Patient Info, Speed, Gain, Template,
Measure, Minnesota Code, Analysis and Position Marker.
Figure 9-7 Record Setup Interface
OR
Figure 9-8 Record Setup Interface
After setup, press Enter to confirm. Then the System Setup interface appears. For 8108 VIEW, if you
press Esc to exit the Record Setup interface after setup, a hint will pop up to prompt you to save these
modifications(optional).
Note: The Patient Info, Template, Measure, Minnesota Code, Analysis, and Position Marker items are valid
only in the AUTO mode.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Record Device item on the Record Setup
interface. Press F1 or F2 to select an option.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Record Device item on the Record Setup interface.
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Press F3 or F4 to select an option.
You can set Record Device to Thermal, HP2468, HP2568, HP4368 or HP2015.
HP2468, HP2568, HP4368 and HP2015 are the types of the USB printer, when HP2468, HP2568, HP4368 or
HP2015 is selected, you should connect the corresponding USB printer to USB socket 2 of the electrocardiograph
with a special cable. Press the START/STOP key to print ECG reports by using the USB printer.
Notes:
1. During the USB printing, pressing the START/STOP key again can not stop printing ECG reports.
2. USB printing only works in the auto real-time sampling mode, auto pre-sampling mode, and auto trigger
sampling mode. It also supports copy printing, and file printing in the AUTO mode on the File Manage interface.
3. Make sure that paper is installed in the USB printer before printing. Error may occur if no paper is loaded in the
USB printer.
CAUTION :
1. In order to protect the USB printer, you should connect the USB printer after power-on, and disconnect the USB
printer before power-off.
2. It is forbidden to frequently connect or disconnect the U disk or the USB printer after power-on.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Paper Marker item on the Record Setup
interface, and then press F1 or F2 to select an option.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Paper Marker item on the Record Setup interface,
and then press F3 or F4 to select an option.
Paper Marker is used to identify the paper style. When the paper with black markers on the bottom is used and
Paper Marker is set to Style1 or Style2,
1) In the AUTO or RHYT mode, the device rolls back the recorder paper to the start point of each page at the
beginning of the printing course, and it advances the paper to the next paper marker at the end of the printing
course.
2) Before printing, you can press the Space key to advance the recorder paper to the next paper marker.
When Paper Marker is set to Style1, only the paper with black markers around the bottom left corner of each
page can be used, which is shown in the following figure.
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Note: The
side with
black markers
should be on
the bottom.
When Paper Marker is set to Style2, only the paper with black markers in the bottom right corner of each page
can be used, which is shown in the following figure.
Note: The style of the loaded thermal paper should consist with the set paper style; otherwise the advance of the
paper may be blocked.
1) The device does not roll back the recorder paper to the start point of each page at the beginning of the
printing course, and it does not advance the paper to the next paper marker at the end of the printing course.
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2) Before printing, you can press the Space key to advance the paper for about 2cm.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Patient Info item on the Record Setup
interface, and then press F1 or F2 to select Off or On.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Patient Info item on the Record Setup interface, and
then press F3 or F4 to select Off or On.
In the AUTO mode, when Patient Info is set to On, the patient information will be printed in the ECG reports.
In the AUTO mode, when Patient Info is set to Off, the patient information will not be printed in the ECG reports.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Speed item on the Record Setup interface, and
then press F1 or F2 to select an option.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Speed item on the Record Setup interface, and then
press F3 or F4 to select an option.
In the Manu mode, you can set Speed to 5mm/s, 6.25mm/s, 10mm/s, 12.5mm/s, 25mm/s or 50mm/s. In the
AUTO and RHYT modes, only 25mm/s and 50mm/s are available. In the R-R mode, only 25mm/s is available.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Gain item on the Record Setup interface, and
then press F1 or F2 to select an option.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Gain item on the Record Setup interface, and then
press F3 or F4 to select an option.
You can set the indicated height of 1mV ECG on the paper.
You can set Gain to 10mm/mV, 20mm/mV, 10/5mm/mV, AGC, 2.5mm/mV or 5mm/mV.
AGC means auto gain control. When ECG signals vary greatly, AGC can be selected to adjust the gain
automatically according to actual signals.
10/5mm/mV means that the gain of limb leads is set to 10mm/mV, while the gain of chest leads is set to 5mm/
mV.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Template item on the Record Setup interface,
and then press F1 or F2 to select Off or On.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Template item on the Record Setup interface, and
then press F3 or F4 to select Off or On.
In the AUTO mode, when Template is set to On, average template will be printed in the ECG reports.
In the AUTO mode, when Template is set to Off, average template will not be printed in the ECG reports.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Measure item on the Record Setup interface,
and then press F1 or F2 to select Off or On.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Measure item on the Record Setup interface, and
then press F3 or F4 to select Off or On.
In the AUTO mode, when Measure is set to On, the measure information will be printed in the
ECG reports.
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In the AUTO mode, when Measure is set to Off, there will be no measure information in the ECG
reports.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Minnesota Code item on the Record Setup
interface, and then press F1 or F2 to select Off or On.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Minnesota Code item on the Record Setup
interface, and then press F3 or F4 to select Off or On.
In the AUTO mode, when Minnesota Code is set to On, Minnesota Code will be printed in the ECG reports.
In the AUTO mode, when Minnesota Code is set to Off, Minnesota Code will not be printed in the ECG reports.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Analysis item on the Record Setup interface,
and then press F1 or F2 to select Off or On.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Analysis item on the Record Setup interface, and
then press F3 or F4 to select Off or On.
In the AUTO mode, when Analysis is set to On, the auto diagnosis information will be printed in the ECG reports.
In the AUTO mode, when Analysis is set to Off, the auto diagnosis information will not be printed in the ECG
reports.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Position Marker item on the Record Setup
interface, and then press F1 or F2 to select Off or On.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Position Marker item on the Record Setup interface,
and then press F3 or F4 to select Off or On.
In the AUTO mode, when Position Marker is set to On, the position marker will be printed while printing
template, and the time ruler will be printed on the bottom of ECG reports, which indicates whether Record
Sequence is Sequential or Simultaneous. For details of the recording sequence, please refer to Section 9.1.6,
“Specifying Recording Sequence”.
In the AUTO mode, when Position Marker is set to Off, the position marker and the time ruler will not be printed
in the ECG reports.
Note: To get more information about the above contents, please refer to Section 7.7, “ECG Reports”.
Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor to Lead on the System Setup
interface, and then press Enter to open the Lead Setup interface.
On the Lead Setup interface, you can set Rhythm Lead1/2/3 and Lead Sequence.
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Figure 9-9 Lead Setup Interface
OR
Figure 9-10 Lead Setup Interface
After setup, press Enter to confirm. Then the System Setup interface appears. For 8108 VIEW, if you press Esc to
exit the Lead Setup interface after setup, a hint will pop up to prompt you to save these modifications(optional)
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Rhythm Lead1/2/3 item on the Lead Setup
interface, and then press F1 or F2 to select an option.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Rhythm Lead1/2/3 item on the Lead Setup
interface, and then press F3 or F4 to select an option.
The rhythm lead can be one of 12 standard leads: , , <?>, aVR, aVL, aVF, V1, V2, V3, V4, V5, or V6.
In the AUTO mode, when Auto Style is set to 3×4+1r or 6×2+1r, the rhythm lead selected in the Rhythm Lead1
item will be printed in the ECG reports; when Auto Style is set to 3×4+3r, 3 rhythm leads selected respectively in
the Rhythm Lead1/2/3 item will be printed in the ECG reports.
In the RHYT mode, when Rhythm Style is set to Single Lead, 60s waveform of the rhythm lead selected in the
Rhythm Lead1 item will be printed in the ECG reports; when Rhythm Style is set to Three Lead, 20s waveform of
three rhythm leads selected respectively in the Rhythm Lead1/2/3 item will be printed in the ECG reports.
In the R-R mode, the R-R analysis report of the rhythm lead selected in the Rhythm Lead1 item will be printed.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Lead Sequence item on the Lead Setup
interface, and then press F1 or F2 to select Standard or Cabrera.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Lead Sequence item on the Lead Setup interface,
and then press F3 or F4 to select Standard or Cabrera.
Lead Sequence Lead group 1 Lead group 2 Lead group 3 Lead group 4
Standard I,II,III aVR, aVL, aVF V1, V2, V3 V4, V5, V6
Cabrera aVL , I , -aVR II, aVF, III V1, V2, V3 V4, V5, V6
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9.5 Transmission Setup
Note: To transmit ECG data to the PC, the Smart ECG Viewer software of the manufacturer must be installed in
the PC.
Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor to Transmission on the System Setup interface, and
then press Enter to open the Transmission Setup interface.
On the Transmission Setup interface, you can set Transmission Mode, Remote IP, Local IP, Gateway and Subnet
Mask.
Figure 9-11 Transmission Setup Interface
OR
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Transmission Mode item, and then press F1 or
F2 to select Off, Ethernet or UART.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Transmission Mode item, and then press F3 or F4 to
select Off, Ethernet or UART.
When Transmission Mode is set to Off, ECG data can not be transmitted.
When Transmission Mode is set to Ethernet, first connect the net port of the electrocardiograph to the net
port of the PC by using an Ethernet cable recommended by the manufacturer. Log into the Smart ECG Viewer
software. Then set all the items on the Transmission Setup interface. In the AUTO or RHYT mode, ECG data can
be transmitted through the net port automatically after ECG reports are printed.
When Transmission Mode is set to UART, first connect serial port 1 of the electrocardiograph to the serial port
of the PC by using a serial cable recommended by the manufacturer. Log into the Smart ECG Viewer software. In
the AUTO or RHYT mode, ECG data can be transmitted through the serial port automatically after ECG reports are
printed.
To Set Remote IP
To Set Local IP
Set the first three sections of the Local IP item to the first three sections of the local IP of Smart ECG Viewer. The
last section of the LOCAL IP item can be set at random, but it can’t be the same as the last section of the local IP
of Smart ECG Viewer.
To Set Gateway
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Set the first three sections of the Gateway item to the first three sections of the local IP of Smart ECG Viewer. The
last section of the Gateway item must be set to 001.
You can set Subnet Mask on the Transmission Setup interface. Subnet Mask must be set to 255.255.255.000.
After setup, press Enter to confirm. Then the System Setup interface appears. For 8108 VIEW, if you press Esc to
exit the Transmission Setup interface after setup, a hint will pop up to prompt you to save these modifications
(optional).
Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor to Display&Sound on the System Setup interface, and
then press Enter to open the Display&Sound Setup interface.
On the Display&Sound Setup interface, you can set Brightness, Display Colors, Antialising, Key Volume, Hint
Volume, QRS Volume and Notify Volume.
Figure 9-13 Display & Sound Setup Interface
OR
Figure 9-14 Display & Sound Setup Interface
OR
Figure 9-15 Sound Setup Interface
After setup, press Enter to confirm. Then the System Setup interface appears.
For 8108 VIEW, if you press Esc to exit the Display&Sound Setup interface after setup, a hint will pop up to
prompt you to save these modifications(optional).
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9.6.1 Setting Brightness (Optional)
Press Tab or Shift + Tab to move the cursor to the Brightness progress bar on the Display&Sound Setup
interface, and then press F3 or F4 to adjust the brightness of the LCD screen. You can set the brightness within
0~20.
Press Tab or Shift + Tab to move the cursor to the Display Colors item on the Display&Sound Setup interface,
and then press F1 or F2 to select Option1 or Option2.
Press Tab or Shift + Tab to move the cursor to the Antialising item on the Display&Sound Setup interface, and
then press F1 or F2 to select Off or On.
When Antialising is set to On, the system will automatically make the waveform smooth.
When Antialising is set to Off, the system will not make the waveform smooth.
When you press keys on the keyboard, the electrocardiograph gives a short sound. When Key Volume is set to
Off, there is no sound when you press keys.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Key Volume item on the Display&Sound Setup
interface, and then press F1 or F2 to select an option. You can set Key Volume to Low, Medium, High or Off.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Key Volume item on the Sound Setup interface, and
then press F3 or F4 to select On or Off.
When the electrocardiograph displays a hint such as Lead Off, Overload, Battery Weak etc., there is a sound.
When Hint Volume is set to Off, there is no hint sound.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Hint Volume item on the Display&Sound
Setup interface, and then press F1 or F2 to select an option. You can set Hint Volume to Low, Medium, High or
Off.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Hint Volume item on the Sound Setup interface, and
then press F3 or F4 to select On or Off.
When an R wave is detected, there is a sound to simulate a heartbeat. When QRS Volume is set to Off, there is no
sound when an R wave is detected.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the QRS Volume item on the Display&Sound
Setup interface, and then press F1 or F2 to select an option. You can set QRS Volume to Low, Medium, High or
Off.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the QRS Volume item on the Sound Setup interface,
and then press F3 or F4 to select On or Off.
After a complete ECG wave is printed, the electrocardiograph gives a short sound. When Notification Volume is
set to Off, there is no notification sound.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Notification Volume item on the
Display&Sound Setup interface, and then press F1 or F2 to select an option. You can set Notification Volume to
Low, Medium, High or Off.
OR, press F1, F2, Tab or Shift + Tab move the cursor to the Notification Volume item on the Sound Setup
interface, and then press F3 or F4 to select On or Off.
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9.7 Patient Question
Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor to Pat. Question on the System Setup interface, and
then press Enter to open the Patient Question interface.
Figure 9-16 Patient Question Setup Interface
OR
Figure 9-17 Patient Question Setup Interface
After setup, press Enter to confirm. Then the System Setup interface appears.
For 8108 VIEW, if you press Esc to exit the Patient Question interface after setup, a hint will pop up to prompt
you to save these modifications (optional).
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the ID Mode item on the Patient Question
interface, and then press F1 or F2 to select a mode.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the ID Mode item on the Patient Question interface, and
then press F3 or F4 to select a mode.
When ID Mode is set to Auto, the patient ID can be automatically generated. The patient ID range is 0~1999, 999,
999.
When IDMode is set to Time, the patient ID can be automatically generated according to the time that you press
the START/STOP key to print an ECG report.
When ID Mode is set to Manu, you can enter the patient ID manually on the Patient Information interface.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the ID Hint item on the Patient Question interface,
and then press F1 or F2 to select On or Off.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the ID Hint item on the Patient Question interface, and
73
then press F3 or F4 to select On or Off.
In the AUTO or RHYT mode, when ID Mode is set to Manu and ID Hint is set to On, if you do not input the patient
ID, the hint will pop up to remind you to input the patient ID when you press the START/STOP key.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to an item on the Patient Question interface, and
then press F1 or F2 to select On or Off.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to an item on the Patient Question interface, and then
press F3 or F4 to select On or Off.
When Gender, Height, Weight, BP, Race, Medication, Ward NO, Doctor or Technician is set to On, the items will
be displayed in the Patient Information window.
When Gender, Height, Weight, BP, Race, Medication, Ward NO, Doctor or Technician is set to Off, these items
will not be displayed in the Patient Information window.
For 8108 VIEW press Tab or Shift + Tab to move the cursor to the H/W Unit item on the Patient Question
interface, and then press F1 or F2 to select cm/kg or inch/lb..
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the H/W Unit item on the Patient Question interface,
and then press F3 or F4 to select cm/kg or inch/lb..
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the BP Unit item on the Patient Question interface,
and then press F1 or F2 to select mmHg or kpa.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the BP Unit item on the Patient Question interface, and
then press F3 or F4 to select mmHg or kpa.
When BP is set to kpa, two extra edit boxes will be displayed in the Patient Information window for inputting
decimal fraction.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Next Patient item on the Patient Question
interface, and then press F1 or F2 to select Off or On.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Next Patient item on the Patient Question
interface, and then press F3 or F4 to select Off or On.
When Next Patient is set to On, in the AUTO mode, press the START/STOP key to print an ECG report, and the
system will automatically open the main interface3 after a complete ECG report is printed.
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Figure 9-18 Main Interface3
OR
Figure 9-19 Main Interface3
On the main interface3, pressing the function key F1 below Same can return to the main interface1, all the
patient information will keep the same; pressing the function key F2 below Next can return to the main
interface1, all the patient information will be cleared, and the patient ID will be refreshed; pressing the function
key F3 can switch the auto style, pressing the function key F4 can switch the paper speed, and pressing the
function key F5 can switch the gain.
On the main interface3, you can print the previous ECG report again, according to the settings of the auto style,
speed and gain which are shown on the bottom of the interface.
When Next Patient is set to Off, in the AUTO mode, the system will not display the main interface3 after a
complete ECG report is printed.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Prompt item on the Patient Question interface,
and then press F1 or F2 to select Reviewed by or Unconfirmed Report.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Prompt item on the Patient Question interface, and
then press F3 or F4 to select Reviewed by or Unconfirmed Report.
When Prompt is set to Reviewed by, if Doctor on the Patient Question interface is set to On, and the doctor
name is input in the Patient Information window, the doctor’s name is printed on the bottom of ECG reports.
When Prompt is set to Unconfirmed Report, Unconfirmed Report is printed on the bottom of ECG reports, and
doctor name will not be printed on the bottom of ECG reports.
Press Tab or Shift + Tab to move the cursor to the Extra Question textbox on the Patient Question interface, and
then manually input extra information such as Tel, which will be displayed in the Patient Information window.
Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor to Date & Time on the System
Setup interface, and then press Enter to open the Date&Time interface.
On the Date&Time Setup interface, you can set Current Date, Current Time, Date Mode,
Time Mode, Period Interval, Period Duration, Power Off and LCD Off.
Figure 9-20 Date&Time Setup Interface
75
OR
Figure 9-21 Date&Time Setup Interface
After setup, press Enter to confirm. Then the System Setup interface appears. For 8108 VIEW, if you press Esc
to exit the Date&Time Setup interface after setup, a hint will pop up to prompt you to save these modifications
(optional).
Press Tab or Shift + Tab to move the cursor to the Current Date or Current Time textbox on the Date&Time
Setup interface, and then input the date or time manually.
The current date and time will be printed in the ECG reports.
For 8108 VIEW , press Tab or Shift + Tab to move the cursor to the Date Mode item on the
Date&Time Setup interface, and then press F1 or F2 to select DD-MM-YYYY, MM-DD-YYYY or YYYY-MM-DD.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Date Mode item on the Date&Time Setup interface,
and then press F3 or F4 to select DD-MM-YYYY, MM-DD-YYYY or YYYY-MM-DD.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Time Mode item on the Date&Time Setup
interface, and then press F1 or F2 to select 24 hours or 12 hours.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Time Mode item on the Date&Time Setup interface,
and then press F3 or F4 to select 24 hours or 12 hours.
Note: After setup, press Enter to confirm. Then the new setup will become effective.
Press Tab or Shift + Tab to move the cursor to the Period Interval and Period Duration textboxes on the
Date&Time Setup interface, and then input the period interval and the period duration manually.
Note: Period Duration must be an integral multiple of Period Interval, or else the settings will not be effective.
In the AUTO mode, when Sample Mode is set to Period Sample on the Work Mode Setup interface, if Period
Interval is set to 2 minutes, Period Duration is set to 24 minutes, after pressing the START/STOP key, the
printing will be performed every two minutes and come to 12 times.
Press Tab or Shift + Tab to move the cursor to the Power Off textbox on the Date&Time Setup interface, and
then input the power-off time manually.
When Power Off is set to 000 Minutes, this function will not be effective.
Notes:
1. Power-off time is counted from the time when you last press the keys on the keyboard.
2. Only when the device is powered by the built-in rechargeable lithium battery, can the set automatic power-off
time be effective.
76
Press Tab or Shift + Tab to move the cursor to the LCD Off textbox on the Date&Time Setup interface, and then
input the LCD off time manually.
When LCD Off is set to 000 Minutes, this function will not be effective.
Note: LCD Off time is counted from the time when you last press the keys on the keyboard.
Press F1, F2, F3, F4, Tab or Shift + Tab to move the cursor to More on the System Setup interface, and then press
Enter to open the More Setup interface.
On the More Setup interface, you can set Language, Pacemaker Detection Sensitivity, Save Option, Institution,
Default, Extern Input and Extern Output.
Figure 9-22 More Setup Interface
OR
Figure 9-23 More Setup Interface
After setup, press Enter to confirm. Then the System Setup interface appears. For 8108 VIEW, if you press Esc to
exit the More Setup interface after setup, a hint will pop up to prompt you to save these modifications (optional).
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Language item on the More Setup interface,
and then press F1 or F2 to select a language.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Language item on the More Setup interface, and
then press F3 or F4 to select a language.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Pacemaker Detection Sensitivity item on the
More Setup interface, and then press F1 or F2 to select Low or High.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Pacemaker Detection Sensitivity item on the More
Setup interface, and then press F3 or F4 to select Low or High.
When Pacemaker Detection Sensitivity is set to High, the pacemaker signals are easy to be detected.
When Pacemaker Detection Sensitivity is set to low, the pacemaker signals are not easy to be detected.
For more information about the detectable parameter ranges, please refer to Appendix 1, “Technical
77
Specifications”.
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Save Option item on the More Setup interface,
and then press F1 or F2 to select Off or On.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Save Option item on the More Setup interface, and
then press F3 or F4 to select Off or On.
When Save Option is set to On, ECG data in the AUTO or RHYT mode will be saved into the flash memory of the
device automatically after an ECG report is printed out.
When Save Option is set to Off, ECG data will not be saved into the flash memory of the device.
Note: In the period sampling mode and in the auto style of 6×2 adjust, the ECG data will not be saved.
Press Tab or Shift + Tab to move the cursor to the Institution textbox on the More Setup interface, and then
manually input the institution name. For 8108 VIEW, the range is within 20 characters. (Or 10 characters
optional.)
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Default item on the More Setup interface, and
then press F1 or F2 to select No or Yes.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Default item on the More Setup interface, and then
press F3 or F4 to select No or Yes.
If Default is set to Yes, the system restores the default settings shown in the following table.
Setup Default
1 Work Mode Auto
2 Sample Mode Real-time Sample
3 Sample Time 10s
4 AC filter On
5 EMG filter Off
6 DFT filter 0.67Hz
7 Lowpass filter 100Hz
8 Gain 10mm/mV
9 Speed 25mm/s
10 Measure On
11 Analysis On
12 Transmission Mode Off 12 Transmission Mode Off
14 Rhythm Lead 1 II
15 Rhythm Lead 2 V1
16 Rhythm Lead 3 V5
18 Antialising Off
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19 QRS Volume Off
23 ID Mode Auto
24 ID hint/Gender/Height/Weight/BP On
25 Race/Medication/Ward Off
NO/Doctor/Technician/Next Patient
27 BP/Unit mmHg
28 Prompt Reviewed By
33 Save Option On
For 8108 VIEW, press Tab or Shift + Tab to move the cursor to the Extern Input or Extern Output item on the
More Setup interface, and then press F1 or F2 to select Off or On.
OR, press F1, F2, Tab or Shift + Tab to move the cursor to the Extern Input or Extern Output item on the More
Setup interface, and then press F3 or F4 to select Off or On.
The extern input and output sockets are equipped in the electrocardiograph, through which the
electrocardiograph can receive signals from the external equipment, and send signals to the external equipment.
79
Chapter 10
Switching Off the Electrocardiograph
When the built-in battery is used, press the key for 1 second or more to display the hint System is shutting
down… on the screen. Then the device will be off a few seconds later.
When the mains supply is used, press the key for 1second or more to display the hint System is shutting
down… on the screen. Then the device will be off a few seconds later. Remove the plug from the wall outlet.
Notes:
1. When switching off the device, please follow the above sequence strictly, or else there will be something
wrong on the screen.
2. Do not press the key when the device displays the hint information System is shutting down… on the
screen.
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Chapter 11
Hint Information
Hint information and the corresponding causes provided by the electrocardiograph are listed in Table 11-1.
81
Chapter 12
Troubleshooting
1. Operating Problems
Q1: I was trying to select a file from the file list on the File Manage interface, but the file was in the middle of the
long list. Is there any way to make the selection faster?
A1: Actually, the system provides a method for fast moving: pressing Shift + F1 or Shift + F2 can move the cursor
up or down in the file list very fast.
Q2: I was just about to input the age when I suddenly realized that I had entered the Name textbox
unintentionally, can I just go back without pressing Tab for a whole circle?
A2: As a matter of fact, the system does take such unintentionalities into consideration by providing Shift + Tab
as the way back, which is just as what the Microsoft Windows operating system does.
Q3: I want to save the ECG data without any printing, could it be possible?
A3: Yes, in the AUTO mode, set Auto Style to Off on the Work Mode Setup interface, set Patient Info, Template,
Minnesota code, Measure and Diagnosis to Off on the Record Setup
interface, and then return to the main interface, and press START/STOP to activate the sampling. The ECG data
will be collected and saved without printing. In the same way, if the transmission settings have been configured,
the ECG data could be transmitted to the PC without printing.
Q4: The screen of 8108 VIEW is too shiny. Could it be possible to weaken the brightness of the screen?
A4: There is a setup item named brightness on the Display & Sound Setup interface, you can press F3 or F4 to
change the value, which would lead to the change of the brightness of the screen of 8108 VIEW, for details,
please refer to Section 9.6.1, “Setting Brightness”.
Q5: I want to input the patients’ phone number on the Patient Information window, but there is no such item.
Can I add it manually?
A5: Yes, there is a customized item of patient information. It works in this way: first input the name of the item in
the Extra Question textbox on the Patient Question interface, e.g.: “Tel”. Then return to the main interface, and
open the Patient Information window, the Tel item will be displayed on this interface. Now it’s possible to input
the phone number of the patient in the Tel textbox. For details, please refer to Section 9.7.8 “Inputting Extra
Question” and Section 3.2 “Entering Data”.
2. Printing Problems
A1: If it happened for the first time, it might be the result of an inappropriate placement of the paper. In this case,
please open the paper casing, pull the paper out of the paper tray, tear the pages with rumples, and then put the
paper in the paper tray again, adjust the position of the paper carefully and close the casing.
If it happened several times, it might have something to do with your operating. If Paper Marker is set to Style1
or Style2, and the printing course is often stopped manually in the AUTO or RHTY mode, it may cause paper-
jam sometimes because of the back-rolling of the thermal recorder. In this case, if the manual termination of the
printing course in the AUTO or RHTY mode happens frequently, Paper Marker on the Record Setup interface
should be set to No, which brings no back-rolling at the beginning of the printing course.
If none of the above-mentioned situations is applicable, there might be some problem with the printing module.
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Please contact the manufacturer or the local distributor for further disposal.
Q2: The hint Paper Error is displayed on the screen, what should I do?
A2: It might be the result of unsuccessful detection of the paper markers, first open the paper casing so as to clear
the error information, and then check whether the paper marker is on the bottom of the paper. Reload the paper
in the paper tray. If it doesn’t work, change the paper. If the problem still exists, please contact the manufacturer
or the local distributor for further disposal.
Q3: The hint No Paper is displayed on the screen, what should I do?
A3: Check whether the paper runs out, or the paper marker is just facing the paper maker detection window on
the thermal printing head, as the following figure shows.
Reload the paper in the paper tray, close the paper casing firmly. If the problem still exists, please contact the
manufacturer or the local distributor for further disposal.
Q4: I want to print the hospital name in the report, but I can’t find the place to enter it, where is it?
A4: Please open the More Setup interface, and move the cursor to the Institution textbox, and then input the
hospital name. The content you inputted in this textbox will be printed in the report. For details, please refer to
Section 9.9.4, “Entering Institution”.
Q5: I pressed the START/STOP key, but the ECG didn’t start printing, what’s wrong with it?
A5: Please check whether there is any error information displayed on the screen.
If the hint No Paper or Paper Error is shown on the screen, please deal with it according to the above-mentioned
measures.
If the hint Transmitting… is shown on the screen, which means that the ECG is transmitting the data to the PC,
please wait a few seconds. You can start the printing after the data has been transmitted.
If none of the above-mentioned information is shown on the screen, please check whether Sample Mode is set
to Pre-Sample on the Work Mode Setup interface. If it is so, the system will not respond to the START/STOP key
unless 10s data has been collected. In this case, all you have to do is to wait a few seconds, and then you are able
to start the printing by pressing the START/STOP key again.
If the problem still exists, please contact the manufacturer or the local distributor for further disposal.
3. Transmitting Problems
Q1: The ECG doesn’t respond to any keys after a long time of transmitting. It transmits nothing for there is no new
data appearing on the interface of the PC software. What should I do?
A1: Some error may occur during the transmission course, for example, the connection between the ECG and the
net cable may loosen. In this case, please restart the ECG. If it doesn’t work, please restart the PC.
If the problem still exists, please contact the manufacturer or the local distributor for further disposal.
83
4. Main Unit Problems
Q1: After power-on, the ECG stays on the logo interface and doesn’t open the main interface. I have reset the
machine several times, but there is no better change.
A1: The reason for this problem might be: there is a key pressed down, without springing up. Find that key, and
make it spring up, the problem should be solved.
Q2: I was doing the examination when the machine suddenly gave out a sound and displayed the
A2: The corresponding leads are not connected well. Please find out which lead is off by checking the Lead Name
area on the main interface (please refer to Section 3.4, “About the Main Interface”). Those leads whose name is
highlighted are off. Please check whether the electrodes of the corresponding leads are connected to the patient
skin well, and then make sure that the patient cable socket is connected to the patient cable firmly.
If none of the above-mentioned measures take effect, please contact the manufacturer or the local distributor for
further disposal.
84
Chapter 13
Cleaning, Care and Maintenance
13.1 Cleaning
CAUTION :
Turn off the power before cleaning and disinfection. The mains supply must be switched off if it is in use.
The surfaces of the main unit and the patient cable can be wiped with a clean soft cloth damped in soapy water
or non-caustic neutral detergent. After that, remove detergent remainder with a clean dry cloth.
Remove the remainder gel from the electrodes with a clean soft cloth first. Take suction bulbs and metal cups of
chest electrodes apart, and take clamps and metal parts of limb electrodes apart. Clean them in warm water and
make sure there is no remainder gel. Dry the electrodes with a clean dry cloth or air dry naturally.
Dirty and soiled thermal print head will deteriorate the printing definition. So it should be cleaned at least once a
month regularly.
Open the recorder casing and remove the paper. Wipe the print head gently with a clean soft cloth damped in
75% alcohol. For stubborn stain, soak it with a little alcohol first and wipe it off with a clean soft cloth. After air
dried, load the recorder paper and shut the recorder casing.
CAUTION :
1. Prevent the detergent from seeping into the main unit while cleaning. Do not immerse the unit or the patient
cable into liquid under any circumstances.
2. Do not clean the unit and accessories with abrasive fabric and avoid scratching the electrodes.
13.2 Disinfection
To avoid permanent damage to the equipment, disinfection can be performed only when it is considered as
necessary according to your hospital’s regulations. Before disinfection, clean the equipment first. Then wipe the
surfaces of the unit and the patient cable with hospital standard disinfectant.
CAUTION :
85
13.3.1 Recharge and Replacement of Battery
1) Capacity Identification
Current capacity of the rechargeable battery can be identified according to the battery symbol in the top right
corner of the LCD screen.
: Full capacity
: Capacity is low, and the hint information Battery Weak is displayed on the LCD screen. The battery
should be recharged immediately.
2) Recharge
The 6-channel electrocardiograph is equipped with the recharge control circuit together with the built-in
rechargeable lithium battery. When the unit is connected to the mains supply, the battery will be recharged
automatically. Then the battery recharging indicator ( ) and the mains supply indicator ( ) will be lit at
the same time. During the recharging course, the symbol flashes in the top right corner of the LCD screen.
After the battery is fully recharged, the symbol stops flashing, and the battery recharging indicator ( ) is
black Because of the capacity consumption during the storage and transport course, the battery capacity is not
full when it is used for the first time. Battery recharge should be considered before the first use.
3) Replacement
When the useful life of the battery is over, or foul smell and leakage are found, please contact the manufacturer
or the local distributor for replacement.
WARNING :
1. Only qualified service engineers authorized by the manufacturer can open the battery compartment and
replace the battery. The battery of the same model and specification provided by the manufacturer must be used.
2. Danger of explosion -- Do not reverse the anode and the cathode when installing the battery.
3. When the battery’s useful life is over, contact the manufacturer or the local distributor for disposal or dispose
of the battery according to local regulations.
Note: Recorder paper provided by the manufacturer should be used. Other paper may shorten the life of the
thermal print head. The deteriorated print head may lead to illegible ECG reports and block the advance
of the paper.
Storage Requirements:
• Recorder paper should be stored in a dry, dark and cool area, avoiding excessive temperature, humidity and
sunshine.
• Do not put the recorder paper under fluorescence for a long time.
• Make sure that there is no polyvinyl chloride or other chemicals in the storage environment, which will lead
to color change of the paper.
• Do not overlap the recorder paper for a long time, or else the ECG reports may
trans-print each other.
The following safety checks should be performed at least every 24 months by a qualified person who has
adequate training, knowledge, and practical experience to perform these tests.
86
a) Inspect the equipment and accessories for mechanical and functional damage.
c) Inspect the fuse to verify compliance with the rated current and breaking characteristics.
d) Verify that the device functions properly as described in the instructions for use.
e) Test the protection earth resistance according to IEC/EN 60601-1: Limit: 0.1 ohm.
f) Test the earth leakage current according to IEC/EN 60601-1: Limit: NC 500A, SFC 1000A.
g) Test the enclosure leakage current according to IEC/EN 60601-1: Limit: NC 100A, SFC 500A.
h) Test the patient leakage current according to IEC/EN 60601-1: Limit: NC a.c. 10A, d.c. 10A; SFC a.c. 50A, d.c. 50A.
i) Test the patient auxiliary current according to IEC/EN 60601-1: Limit: NC a.c. 10A, d.c. 10A; SFC a.c. 50A, d.c.
50A.
j) Test the patient leakage current under single fault condition with mains voltage on the applied part according
to IEC/EN 60601-1: Limit: 50A (CF).
The leakage current should never exceed the limit. The data should be recorded in an equipment log. If the device
is not functioning properly or fails any of the above tests, the device has to be repaired.
WARNING :
Failures on the part of the responsible individual hospital or institution employing the use of this
equipment to implement a satisfactory maintenance schedule may cause undue equipment failures and possible
health hazards.
1) Main Unit
• Put the dustproof coat on the main unit after use and prevent shaking it violently when moving it to another
place.
• Prevent any liquid from seeping into the equipment; otherwise the safety and the performance of the
electrocardiograph can not be guaranteed.
2) Patient Cable
• Integrity of the patient cable, including the main cable and lead wires, should be checkedregularly. Make sure
that it is conductible.
• Do not drag or twist the patient cable with excessive stress while using it. Hold the connector plug instead of
the cable when connecting or disconnecting the patient cable.
• Align the patient cable to avoid twisting, knotting or crooking in a closed angle while using it.
• Store the lead wires in a big wheel to prevent any people from stumbling.
• Once damage or aging of the patient cable is found, replace it with a new one immediately.
3) Reusable Electrodes
• Electrodes must be cleansed after use and make sure there is no remainder gel on them.
• Keep suction bulbs of chest electrodes away from sunshine and excessive temperature.
• After long-term use, the surfaces of electrodes will be oxidized because of erosion and other causes. By this
time, electrodes should be replaced to achieve high-quality ECG records.
CAUTION :
The device and accessories are to be disposed of according to local regulations after their useful lives.
Alternatively, they can be returned to the dealer or the manufacturer for recycling or proper disposal. 87
Chapter 14
Accessories
WARNING :
Only the patient cable and other accessories supplied by the manufacturer can be used. Or else, the performance
and electric shock protection can not be guaranteed. Table 14-1 Standard Accessory List
Accessory
Power cord
Precordial suction electrode
Limb clamp electrode
ECG Cable
Quick reference card
Thermal recording paper
Fuse
Rechargeable Lithium Battery
Paper roller
Screw driver
User manual
ECG Gel
14.2 Optional Accessories
Table 14-2 Optional Accessory List
88
Grounding Wire MS1-20016
Smart ECG Viewer MS9-38952
MS9-38953
Smart ECG Viewer Software Key M17-47116 (TINY-SPRO)
M17-47194 (USB)
RS232 download Cable MS2-20117
Ethernet download cable MS2-20096
External Ink-jet Printer (HP2568) M18-052192
U disk M50-078204
SD Card (1G) M18-052199
SD Card Reader M17-047324
ECG bag MS1R-110351-A0
MT-202 Trolley MS9-107403
12V Vehicle-carried Inverter M21-64056
89
Appendix 1
Technical Specifications
A1.1 Safety Specifications
90
Mains Supply Operating Voltage = 100V-240V~
Operating Frequency = 50Hz/60Hz
Input Power = 70VA
Built-in Lithium Battery Pack Rated voltage = 14.8V
Rated capacity = 2500mAh
2500mAh, the electrocardiograph can work normally for nearly 5 hours
and it can continually print about 1.5 hours in the Manu mode or prinit
about 300 ECG reports of 3×4+1rhy in the Auto mode.
.
Charge mode: Constant current/voltage
Charge current (standard) = 0.28 C5A (600mA)
Charge voltage (standard) = (16.8-0.1V)
Necessary Charge time: 5 hours
Cycle life 300 times
Power Consumption 70VA (max)
Fuse T1AL250VP Ø5×20
Recording
Recorder Thermal dot-matrix recorder
Printing Density 8 dots per mm / 200 dots per inch (amplitude axes)
40 dots per mm / 1000 dots per inch (time axes, @ 25 mm/s)
Recorder Paper Folded thermal paper: 110mm×140mm×144pages
Effective Width 104mm
Paper Speed 5mm/s, 6.25mm/s, 10mm/s, 12.5mm/s, 25mm/s, 50mm/s (±3%)
Accuracy of data: ±5% (x-axis), ±5%(y-axis)
HR Recognition
Technique Peak-peak detection
HR Range 30 BPM ~300 BPM
Accuracy ±1 BPM
ECG Unit
Leads 12 standard leads
Acquisition Mode simultaneously 12 leads
A/D Resolution 24 bits
Time Constant 3.2s
Frequency Response 0.05Hz ~ 150Hz (-3dB)
Gain 2.5, 5, 10, 20, 10/5, AGC (mm/mV)
Input Impedance 50M W(10Hz)
Input Circuit Current
0.01 A
Input Voltage Range <±5 mVpp
Calibration Voltage 1mV±2%
DC Offset Voltage ±600mV
Noise
12.5μVp-p
Multichannel crosstalk 0.5mm
Filter AC Filter: On/Off
DFT Filter: 0.05Hz / 0.15Hz / 0.25Hz / 0.32Hz / 0.5Hz /
0.67Hz
EMG Filter: 25Hz/35Hz/45Hz/OFF
LOWPASS Filter:150Hz/100Hz/75Hz
91
CMRR 115dB
Sampling Frequency 1000 Hz
Pacemaker Detection
Amplitude ±2 to ±700 mV
Width 0.1 to 2.0 ms
Sampling Frequency 10,000 /sec/channel
External Input/Output (Optional)
Input 100k ; Sensitivity 10mm/V±5%;
Single ended
Output
100 ; Sensitivity 1V/mV±5%;
Single ended
Note: Test the accuracy of input signal reproduction according to the methods described in clause 4.2.7.2 in ANSI/
AAMI EC11:1991/(R) 2001, and the result complies with the clause 3.2.7.2 in ANSI/AAMI EC11:1991/(R) 2001.
92
Appendix 2
EMC Information
Guidance and manufacture’s declaration – electromagnetic emissionsfor all EQUIPMENT and SYSTEMS
Guidance and manufacture’s declaration – electromagnetic immunity – for all EQUIPMENT and SYSTEMS
93
Voltage dips, short <5% UT <5% UT Mains power quality
interruptions and (>95% dip in UT) (>95% dip in UT) should be that of a typical
voltage variations for 0.5 cycle for 0.5 cycle commercial or hospital
on power supply environment. If the user of
input lines 40% UT 40% UT the 8108 VIEW
IEC 61000-4-11 (60% dip in UT) (60% dip in UT) Electrocardiograph
for 5 cycles for 5 cycles requires continued
operation during power
70% UT 70% UT mains interruptions, it is
(30% dip in UT) (30% dip in UT) recommended that the
for 25 cycles for 25 cycles 8108 VIEW
Electrocardiograph be
<5% UT <5% UT powered from an
(>95% dip in UT) (>95% dip in UT) uninterruptible power
for 5 sec for 5 sec supply or a battery.
NOTE UT is the a.c. mains voltage prior to application of the test level.
Guidance and manufacture’s declaration – electromagnetic immunity – for EQUIPMENT and SYSTEMS that are
not LIFE-SUPPORTING
94
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects and people.
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which the
8108 VIEW Electrocardiograph is used exceeds the applicable RF compliance level above, the 8108 VIEW
Electrocardiograph should be observed to verify normal operation. If abnormal performance is observed,
additional measures may be necessary, such as reorienting or relocating the 8108 VIEW Electrocardiograph.
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m. performance
is observed, additional measures may be necessary, such as reorienting or relocating the 8108 VIEW
Electrocardiograph. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Recommended separation distances between portable and mobile RF communications equipment and the
EQUIPMENT or SYSTEM – for EQUIPMENT or SYSTEM that are not LIFE-SUPPORTING
Recommended separation distances between portable and mobile RF communications equipment and the
8108 VIEW Electrocardiograph
The 8108 VIEW Electrocardiograph is intended for use in an electromagnetic environment in which radiated
RF disturbances are controlled. The customer or the user of the 8108 VIEW Electrocardiograph can help
prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and the 8108 VIEW Electrocardiograph as recommended below,
according to the maximum output power of the communications equipment.
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in
metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the
maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects and people.
95
Appendix 3
Abbreviation
Abbr English
LCD Liquid Crystal Display
BP Blood Pressure
ECG Electrocardiogram/Electrocardiograph
HR Heart Rate
aVF Left Foot Augmented Lead
aVL Left Arm Augmented Lead
aVR Right Arm Augmented Lead
LA Left Arm
LL Left Leg
RA Right Arm
RL Right Leg
ID Identification
AC Alternating Current
USB Universal Serial Bus
AGC Auto Gain Control
96
WARRANTY CERTIFICATE
BPL Medical Technologies Private Limited, warrants to the purchaser
of the equipment that it is free from all defects in material and
workmanship. BPL provides warranty for 12 months from the date of
installation or 18 months from the date of invoice whichever is earlier,
to the following equipment as per BPL warranty policy given overleaf:
OWNER/EQUIPMENT DETAILS
DATE OF INSTALLATION:
IMPORTANT NOTE:
The warranty registration card is enclosed with this user manual. The warranty will
be strictly as per BPL warranty policy given overleaf. You are requested to fill up the
warranty registration card send it to the company address given below within one
month from the date of purchase. The service provider will assist you in filling up the
form and sending the card to us. This is to ensure that the service provider is in touch
with you. Hence, properly secure the user manual having warranty card.
1. Qualification
To qualify for this warranty
a) The equipment must be purchased directly from BPL or an authorised dealer, stockist, distributor or agent and
serviced by BPL authorised dealer/service centre.
b) The warranty certificate given overleaf must be completed by the dealer or purchaser at the time of delivery of
the equipment (Read important Note overleaf).
2. Term
The term of the warranty shall be within a period of 12 months from the date of installation or 18 months from
the date of purchase/invoice, whichever is earlier to the first owner. The warranty will be valid only on receipt of
warranty registration cards by BPL within one month from the date of purchase.
Any additional warranty, if purchased is valid only after written communication from the BPL Medical Technologies
on extended warranty
4 . Extent of Warranty
This warranty is the entire written warranty given by BPL for BPL equipment and no dealer or his agent or distribu-
tor or stockist or employee is authorized to alter any terms of this warranty and no dealer or his agent or distributor
or stockist or employee is authorized to make any oral warranty on BPL’s behalf.
BPL reserves the right to add any improvements or change of design of any model at any time with no obligation
to make the same changes on units previously sold.
5. Warranty Service
To obtain warranty service, the complete equipment with accessories must be presented at the owner’s expenses
to any authorized BPL service centre. However, field service can be availed of within the Municipal limits of towns
where BPL authorized service centres are situated.
7. Limitation
This warranty shall not apply :
a) To the accessories (they are warranted for only 3 months from the date of purchase). b) To any defects caused by
misuse, negligence or insufficient care.
c) To repairs or replacement required as a result of accidents or fluctuations in AC mains supply voltage.
d) If any equipment has been modified or altered by anyone other than BPL service centre/ authorised dealer. e) If
any equipment has not been operated in accordance with the operating instructions.
f) If any equipment has been assembled, disassembled, adjusted or repaired by anyone other than an BPL Service
centre/authorised dealer.
g) If damage or deterioration has been caused by insect droppings or rat bite. h) To insignificant defects which do
not affect the function of the instrument. i) To body scratches or aesthetic defacing
INSTALLATION REPORT
CUSTOMER NAME & ADDRESS: Supplied by
(Dealer Name/Code)
Invoice /Bill No.
Date
Model Number Serial Number
INSPECTION REPORT:
PARAMETER REMARKS
AC Mains
L-N Voltage Volts
Volts
L-GND Voltage
Volts
N-GND Voltage
Stabilizer/any other
regulating device connected
Generator availability
Working condition of all the YES NO
functions
Accessories availability as YES NO
per list
Demonstration to customer YES NO
Tips on user maintenance to YES NO
the product
Details provided on after YES NO
sales service & consumables
availability
Engineer's remarks (if any)
Customer Remarks:
21
100
CUSTOMER SATISFACTION SURVEY
Model Date of
Purchase
Serial No.
1 APPEARANCE 10%
3 FEATURES 30%
4 DELIVERY 30%
Signature
1.
2.
101
102
CUSTOMER SATISFACTION SURVEY
Model Date of
Purchase
Serial No.
1 APPEARANCE 10%
3 FEATURES 30%
4 DELIVERY 30%
Signature
1.
2.
103
104
CUSTOMER SATISFACTION SURVEY
Model Date of
Purchase
Serial No.
1 APPEARANCE 10%
3 FEATURES 30%
4 DELIVERY 30%
Signature
1.
2.
105
106
108
SALES OFFICES
Ahmedabad : BPL Medical Technologies Pvt. Limited, 313, “ Samaan” Complex, 3rd Floor
Opp. Mansi Apt, Near Satellite Area, Ahmedabad - 380 015,
PH : 079 - 40031471
Bangalore : BPL Medical Technologies Pvt. Limited, 11th KM, Bannerghatta Road,
Arakere, Bangalore - 560 076, PH : 080-26484388 / 26484314 / 26484350
Bhopal : BPL Medical Technologies Pvt. Limited, 215, 2nd Floor, M.P.Nagar, Zone 1
Bhopal(M.P.) 462011, PH : 0755 - 4059311
Chandigarh : BPL Medical Technologies Pvt. Limited, Plot No: E-110, Industrial Area, Phase-VII,
SAS Nagar, Mohali-160055, Punjab, PH : 0172-4626572 / 4626573
Chennai : BPL Medical Technologies Pvt. Ltd, New No. 46/1, Old No. 151/1
“Archway Apartments”, Eldams Road, Teynampet, Chennai 600018,
PH : 044 -24333074
Cochin : BPL Medical Technologies Pvt. Limited, No. 35 - 261, Milma Dairy -
Methanam Road Koonamthai, Edapally North PO, Kochi-682 024,
PH : 0484-4014406/2558418
Hyderabad : BPL Medical Technologies Pvt. Limited, C/o. M/s. Crystal Marketing Corporation,
B-3, IDA Uppal, Uppal, Hyderabad – 500 039, PH : 040-27208855
Jaipur : BPL Medical Technologies Pvt. Limited, A-654 Ground floor, Royal Paradise,
Calgiri hospital road, Opp Malviya Nagar Police Station and Rungta Hospital,
Malviya Nagar, Jaipur- 302017, PH : 0141-2525933
Kolkata : BPL Medical Technologies Pvt. Limited, 108A, Maulana Abul Kalam Azad Sarani
Phool Bagan, Kolkata - 700 054, PH : 033 - 23648951/ 23648952
Mumbai : BPL Medical Technologies Pvt. Limited, 207, INIZIO, Cardinal Gracious Road, Near Procter &
Gamble Plaza, Chakala Naka. Andheri (East), Mumbai: 400 099, PH: 022 - 61046000
New Delhi : BPL Medical Technologies Pvt. Limited, 304, Ashok Bhavan, 93, Nehru Place,
New Delhi - 110 019, PH : 011 - 30865001/ 30865005
Factory : BPL Medical Technologies Pvt. Limited, BPL Works, Kootupatha Junction,
Chandranagar P.O, Palakkad - 678 007, PH : 0491 - 2573100,
Tin No.32090277093
Visit us at : www.bplmedicaltechnologies.com
Contact Service Call Center on
Toll Free Number: 1800 - 425-2355
109
110
Our reach, quick response time
and easy availability of spares
and consumables make us more
accessible anywhere, anytime.
Always close to you
Toll Free: 1800-4252355
Head Office
Factory
0843
111
© 2014 BPL Medical Technologies Private Limited. All rights reserved. BPL Medical Technologies Private Limited reserves the right to make changes in product
features, specifications, aesthetics and/or to discontinue the same at any time without notice or obligation