Cardico306 - Operation Manual (ENG) - (1048)

Electrocardiograph with Analysis
Operation Manual
Attention to users
Thank you for choosing the digital electrocardiograph with analysis model Kenz Cardico 306.
For proper and safe operation, please read this operation manual thoroughly before operating the device. Please
note that it is unsafe to start using the device before reading the whole manual.
Indications of use
The Kenz Cardico 306 is a digital interpretive electrocardiograph. The Kenz Cardico 306 can be used as diagnostic
aid. However, the system is not intended to replace diagnosis by a physician or medical specialist. For routine adult
or child ECG analysis, particularly when a cardiologist is not immediately available, and to aid in referring patients for
immediate follow-up, the Cardico 306 can strongly assist physician for prompt diagnosis.
Kenz Cardico 306 helps to save physician’s precious time by providing routine ECG report for physicians to review
the patient information, tracing, measurements and analysis on the report.
It is also important to note that computerized ECG analysis should not be used for prescribing patient treatment or
non-treatment without reviewed by a physician or medical specialist.
The device is protected against malfunction caused by electrosurgery.
i Operation Manual for Cardico 306

1. General warnings and cautions
1.1 Specific warnings
(1) Defibrillation
During defibrillation, it is important not to touch the patient and not to place the defibrillator electrodes
in contact with those of the electrocardiograph.
The patient cable model PC-201 or PC-109 must be used to ensure the safety. Please note that the
use of any other patient cable is unsafe. If the patient is connected to this ECG unit using other patient
cable during defibrillation, the ECG unit will shut out some of the power delivery from the patient to the
ECG unit. During the defibrillation, the display symbol of over load appears on the display.
DO NOT use any gel electrodes during defibrillation.
(2) Use of electrosurgery device
Should electrosurgery device be used, it is necessary to disconnect the patient cable from the device.
It is important to take precautions to reduce risks of burns and injury of the patient.
(3) Patient with cardiac pacemaker or other electrical stimulators
Take precautions to avoid risks of hazard due to the operation of a cardiac pacemaker or other electri-
cal stimulators.
(4) When pacemaker pulse is input in the device, ECG waveform distortion may occur. If there is any
ECG waveform distortion, the message "OL" will appear on display. (IEC 60601-2-51:2003 51.109.1)
(5) The device cannot be used for direct cardiac application.
(6) The device is not suitable for use in the presence of a FLAMMABLE ANESTHETIC MIXTURE WITH
AIR or OXYGEN or NITROUS OXIDE.
1.2 Installation
(1) Do not install the device where it may be affected by humidity, ventilation, direct sun light and air con-
taining dust, salt sulfur, etc.
(2) Prevent the device from tilting and protect it from possibility of vibration or shock and be careful when
transporting it.
(3) Do not install the device in a chemical storage area or where gas is generated.
(4) Check voltage and frequency of the power source prior to use.
(5) Electrically ground the device properly prior to use.
(6) Install the device as far as possible from the mains and from any sources of static electricity. The ECG
signal can present electromagnetic type disturbances if the device is situated close to a high voltage
source or the mains.
(7) Avoid installation of the device close to other clinical-therapeutic instruments. For example, X-ray and
ultrasound instrument, etc. This could be a source of considerable interference to the ECG signals.
1.3 Before operation

(1) Ensure that the instrument operates properly.
(2) Ensure that it is properly grounded and the cable connection is safe.
(3) When using with other devices, request the assistance of a specialist.
(4) If the power cable is damaged (e.g., its core is exposed or broken), ask your dealer for replacement.
The continued use could cause fire or electric shock.
(5) When a stand is used, fix ECG securely to the stand dedicated for ECG device. If any item other than
the dedicated ECG stand is inevitably used, ensure that the item is stable enough to support the
weight of ECG. Failure to follow these instructions could cause ECG to fall or tumble, resulting in
injury.
(6) If the electrocardiograph is hand carried, please hold the unit firmly and do not touch the buttons and
the display. Attention must be paid not to drop the unit.
(7) If the electrocardiograph is carried in a bag, please take precaution to prevent the electrocardiograph
from hitting anything in order to avoid causing damage to the device.
(8) If the electrocardiograph is powered from the AC power source, please used a medical standard 3-pin
plug. If the 3-pin plug cannot be provided, use the optional grounding wire to ground the unit. Use bat-
tery if grounding cannot be made or noise interference occurs.
(9) When using an AC drive, verify that the rated AC power is being supplied to the unit. The AC drive will
not operate normally if the voltage is too low, possibly causing a switchover to the DC drive.
ii
1.4 During Operation
(1) Observe the patient and device closely. If any abnormality is found, proper action, which includes
stopping the operation of the device, should be immediately taken for the safety of the patient.
(2) Make sure that the patient does not touch the device or any other electric devices, for example, high-
frequency (HF) surgical equipment to reduce the hazard of burns of the patient in the event of defect
in the HF surgical neutral electrode connection.
(3) If the device is used simultaneously with other electrical medical equipment, the equipment should be
kept at a sufficient distance from the electrodes of the device. It is important to be aware of the risk of
leakage current to the patient when several equipments are interconnected.
(4) Make sure that conductive parts of electrodes and electrocardiograph input connector of the device
should not contact with other conductive parts including earth.
(5) 1mV calibration wave can be input and printed by pressing 1mV button, however, it does not perform
calibration for the whole configuration of the machine.
(6) If the integrity of external protective grounding is in doubt, the device shall be operated from its inter-
nal electrical power source (battery).
(7) Please make sure that the operator does not touch the USB connecter or LAN connecter and the
patient at the same time.
1.5 Cleaning the device after use

(1) Turn off the power of the device according to the specified procedures.
(2) Hold the plug properly to unplug the cables.
(3) Keep the device clean to ensure trouble-free operation.
Use a piece of cloth soaked with some alcohol to clean the device and electrode.
Note that the device cannot be sterilized.
Do not use xylene and petrol related liquid for cleaning the device.
1.6 Regular testing of the device and the patient cable

To ensure a correct functioning of the device, it is necessary to periodically check the device by our autho-
rized service personnel.
Calibration of the Chart Speed : Every year
Recording Sensitivities : Every year
Cleaning of the printing system and the paper sensor : Every year
The following method is recommended to check the recording sensitivity. Input the external step-function
voltage having amplitude with 1mV±0.01mV and confirm that each trace of I, II, V1 – V6 leads is within
1mV±5%.
Check the patient cable and connectors every month by using an ECG simulator.
1.7 The caution and warning statements for operator

DANGER: Possible explosion hazard if used in the presence of flammable anesthetic.
CAUTION: Electric shock hazard. Do not dismantle cases of ECG. Refer servicing to qualified service
personnel. Grounding continuity should be checked periodically.
WARNING: For continued protection against fire hazard, replace only with same type and rating of fuse.
1.8 Disposable of the device

In case of disposing the device, follow the applicable national rules and regulations of disposal of medical
equipment.
In case of disposing the recyclable battery, follow the applicable national rules and regulations concerning
the environmental issues.
1.9 Connection with other devices

All the equipments connected to the device shall comply with the respective IEC standard. (e.g., Medical
equipment shall comply with IEC 60601-1 and personal computer shall comply with IEC 60950.) The sys-
tem connected to all these equipments shall comply with IEC 60601-1-1.
According to the definition of IEC 60601-1-1 specification, the distant between the patient and all the non-
medical equipment shall not be lesser than 1.5 meters. Otherwise, an isolation transformer shall be used
with the equipment.
It should be confirmed that other devices in the patient environment do not have a connector compatible
with the patient cable.
iii Operation Manual for Cardico 306

1.10 Others
(1) In case of any malfunction, call Kenz authorized technical service personnel and describe the problem
precisely.
(2) Do not make any modification on the device.
(3) Use only the specified standard accessories for ECG. Use of any other accessories may cause prob-
lems.
(4) Use only the specified standard AC power cable, LAN cable and USB cable.
(5) During transportation, hold the ECG device firmly. When using an ECG trolley, fix the ECG device on
the trolley properly and make sure that the trolley has sufficient robustness to withstand weight of the
ECG device. Accidental drop or fall may cause injury.
(6) Do not use knife or any sharp-pointed object to scratch or press on the touch panel, otherwise, it may
damage the touch panel.
(7) If the ECG device is hand carried, please hold the unit firmly and do not touch the buttons and the dis-
play. Attention must be paid not to drop the unit.
Regarding the Signs

A list of signs used in this device.
Sign Description Sign Description
Caution Mode Selection Key

Refer to enclosed documents Refer to "Operation Panel"
(Operation Manual) (page 3).
Freeze Key
Defibrillation-proof type CF
Refer to "Operation Panel"
applied part
(page 3).
Power Key
USB USB connector Refer to "Operation Panel"
(page 3).
Feed Key
DC IN DC input connector Refer to "Operation Panel"
(page 3).
Copy Key
LAN LAN terminal Refer to "Operation Panel"
(page 3).
Calibration Key
PATIENT ECG input section Refer to "Operation Panel"
(page 3).
Lead Selection Key

BATTERY Charging battery Refer to "Operation Panel"
(page 3).
Instrumentation Key
Direct current Refer to "Operation Panel"
(page 3).
Start/Stop Key
Paper magazine open Refer to "Operation Panel"
(page 3).
Battery Level Lamp

Refer to "Operation Panel" Helpful tip
(page 3).
Charging Lamp
Refer to "Operation Panel" Important information
(page 3).
Function Key
Refer to "Operation Panel"
(page 3).
iv
Table of Contents
Chapter 1 Introduction Chapter 7 Save and Transmit the ECG
ECG Examination Using Cardico 306 .... 1 Data
Confirmation of Accessories ........ 1 Filling the ECG Data .................... 26
Names of Each Part ....................... 2 Saving into Internal Memory
Main Body ..........................................2 (Filing) ........................................... 26
Operation Panel .................................3 Automatic Filing .............................. 26
Examination Screen ...................... 4 Manual Filing ................................... 27
Printed Recording paper ............... 5 Transmit Data to Personal
Computer ...................................... 27
Chapter 2 Preparation Connecting to the Personal Computer ... 27
Precaution for Installation ............ 6 Automatic Transmission .................. 28
Connecting the Cables .................. 6 Manual Transmission ...................... 28
Setting the Battery ......................... 7 Searching the ECG Data ............. 29
Precautions for Using the Battery ......7 Data Management ........................ 30
Charging the Battery ..........................8 Using an External Printer ............ 32
Using an External Printer .............. 9 Setting the External Printer ............. 32
Turning the Power ON and OFF .... 10 Print Formats from External Printer ... 32
Loading the ECG Recording Paper ..... 10
Initial Settings (For Dealers) ....... 11 Chapter 8 Function Settings
Setting Procedures ..........................11 Setting Procedures ...................... 33
Setting Details ..................................11 Setting Details .............................. 34
Attaching Electrodes to the Patient .... 14
Long-Term Mode .............................14 Chapter 9 Troubleshooting
Error Message List ...................... 42
Chapter 3 Enter the Patient Information Troubleshooting .......................... 44
Patient Information ...................... 15
Enter the Patient Information ..... 15 Chapter 10 Appendix
Importing Patient Information from Consumable Parts ....................... 47
External Software ........................ 17 Options ......................................... 47
EMC Standards ............................ 48
Chapter 4 ECG Examination: Specifications: Cardico 306 ........ 52
Auto Mode / Pre-check Mode Maintenance and Inspection ....... 53
Pre-settings .................................. 18 Cleaning .......................................... 55
Operation Procedures ................. 19
Resting ECG:
Auto Mode / Pre-check Mode ..........19
Post-Stress ECG:
Auto Mode / Pre-check Mode ..........20
Chapter 5 ECG Examination:

Manual Mode
Pre-settings .................................. 21
Operation Procedures ................. 21

Long-Term Mode <Arrhythmia
Analysis / Autonomic Nervous
System>
Arrhythmia Analysis .................... 22
Pre-settings ......................................22
Operation Procedures ......................23
Autonomic Nervous System Test .. 24
Pre-settings ......................................24
Operation Procedures ......................25
v Operation Manual for Cardico 306

ECG Examination Using Cardico 306
Chapter 1 Introduction
Chapter 1
This section describes information which essential for operating Cardico 306.
ECG Examination Using Cardico 306
Introduction
The examination can be carried out with the following four modes using Cardico 306.
The recorded examination results can be saved in the internal memory or USB memory, and can be sent to a personal com-
puter for review with the "Kenz ECG data management software CVS-03" (optional).
z Auto Mode : Record and analyze the ECG at rest and after stress test with simple operations.
z Pre-Check Mode : Cardico 306 monitors the occurrence of arrhythmia. If arrhythmia is detected, recording and analysis
are performed automatically.
z Manual Mode : The printing speed, sensitivity and recording lead are set manually, and the data recorded.
z Long-Term Mode : "Arrhythmia Analysis" and "Autonomic Nervous System Test" can be performed in this mode. Either
test can be recorded and analyzed with the set lead.
With the arrhythmia analysis, the data is recorded with the set lead and then analyzed (ventricular pre-
mature contraction, supraventricular premature contraction, and atrial fibrillation).
With Automatic Nervous System Test, the data is recorded with the set lead, and then analyzed (RR
trend, RR histogram, RR interval measurement value output).
By using the freeze function with the auto mode, the waveforms displayed on the screen can be stopped and con-
firmed before recording and analyzing the data.
Confirmation of Accessories
Part Name Type Quantity
Limb electrode CR-3000 (containing 4 pieces) 1
Chest electrode CE-10 blue (containing 6 pieces) 1
Patient cable
PC-109 1
ECG cream 1
AC adaptor
AC cable AC adaptor :
JMW128KA1800F08 1
AC cable :
KP-4819D KS-31A GTCE 3x1.0 2.1m
Operation manual This document 1
Operation manual in multiple languages,

CD-R 1
Physician’s criteria guide
Paper spool 1
Use the accessories designated by Suzuken.
1
Names of Each Part
Main Body
z Top side
6
1
3
4
z Bottom side
1 Display (Touch Panel) • If multiple USB memory media are con-

The ECG waveform is displayed on this screen. nected, data should be saved only to the
Press the buttons displayed on the screen to operate USB memory medium which was connected
Cardico 306. to the USB hub first.
Do not press the display with force or touch it • Only the following devices and memory
with a sharp object such as a pin. The display media should be connected to this unit via
could be damaged. the USB hub: USB memory medium (1
2 ECG Input Connector only), USB keyboard, Epson inkjet printer
Connector for the enclosed patient cable. (ESC/P-R driver compatible). Connecting
other devices and media is not recom-
3 USB Connector mended.
Connector for the USB memory or external printer. Moreover, when multiple devices/media are
• Pay attention to the connector orientation connected to the USB hub, be sure to check
when connecting. Do not force the connec- the hub’s power consumption condition.
tor in. If using bus power, operation may be dis-
• If a USB hub is connected, do not connect abled due to insufficient power. In that case,
multiple USB memory media. Moreover, do the use of a self-powered USB hub is rec-
not use any storage media other than a USB ommended.
memory.
Consult with the Kenz authorized service person-
• When the USB memory medium is con- nel for information on compatible printers.
nected, use care to prevent it from being
bumped or snagged by something (cloth- 4 Operation Panel
ing, etc.), as this could damage the Use this panel to operate Cardico 306.
USB medium and the connector.
2 Operation Manual for Cardico 306

Names of Each Part
5 Paper Magazine Open Button 8 LAN Connector

Press this button to open the cover of the paper maga- Connector for the LAN cable. Data can be sent to a per-
Chapter 1
zine. sonal computer (*) via LAN.
6 Paper Magazine Cover (*): Personal computer in which dedicated application
Set the paper under this cover. "Kenz ECG data management software CVS-03"
(optional) is installed, and which is located in the
7 DC Input Connector
same LAN network.
Connector for the enclosed AC adaptor.
9 Battery Cover
Introduction
The battery is set under this cover.
• Consult with Kenz authorized dealer and
request for a battery replacement.
Operation Panel
1 2 3 4 5
6 7 8 9 10 11 12
1 Battery Level Lamp 6 Power Key (On: , Off: )

Indicates the battery level when operating with the Press this key to the turn power ON and OFF.
battery. Hold down the key for a second or more to turn the power
OFF.
Lamp Orange
Green Orange 7 Feed Key
status flicker
Press this key to feed the ECG recording paper.
Battery 8 Copy Key
High Medium Low
level Press this key to print the waveform or analysis results of
the test just preformed. To print multiple copies, wait for
2 Charging Lamp the printing to finish, and then press the Copy Key again.
Indicates the charging state when changing the bat-
9 Calibration Key
tery.
Press this key to apply a 1mV calibration wave during the
Lamp status Green Orange Manual Mode.
10 Lead Selection Key
Charging state Fully charged Charging
Press this key to switch the lead displayed on the screen.
During the Manual Mode, the printed lead will also
3 Function Key
switch.
Press this key to display the [FUNCTION MENU] screen
for setting Cardico 306’s operations. 11 Instrumentation Key
Auto Mode, Pre-check Mode, Long-Term Mode
4 Mode Selection Key
(Arrhythmia Analysis, Autonomic Nervous System Test):
Each time this key is pressed, the recording mode will
Instrumentation is applied on the dis-
switch among Auto, Pre-check, Manual and Long-Term.
played waveform.
5 Freeze Key Manual Mode: Instrumentation is applied on the wave-
Press this key to freeze the waveform displayed on the form being recorded or displayed.
screen. This is convenient for checking the waveform.
Drawing of the waveform will resume when the key is
12 Start/Stop Key (Start: , Stop: )
pressed again.
Press this key to start or stop the test.
3
Examination Screen
1 2 3 4
7 8 9 10
1 Mode Name Display/Sub-menu Key 4 Heart Rate Synchronization and Heart Rate
The current test mode, ECG type (rest/stress), recording 5 Time
time and recording channel are indicated.
6 Waveform Display Area
The sub-menu for each test mode appears when
pressed. 7 Recording Speed
The setting can be changed when pressed.
2 Patient Information
The ID input as the patient information is displayed. 8 Sensitivity
The patient information input screen appears when If pressed during the Manual Mode, the settings can be
pressed. changed.
3 Message Display Area 9 Muscle Filter
The current test status and ECG status, etc., are dis- The muscle filter settings can be changed when pressed.
played with text. 10 Message Area
Displays LEAD OFF (disconnected electrode) and
PAPER EMPTY (out-of-paper) messages.

Printed Recording paper
Printed Recording paper
Chapter 1
z Recording example (Auto Mode)
Introduction
z Recording example (Long Term Mode <Arrhythmia Analysis>)
Paper printing format and waveform recording time (Auto Mode)
Unit: second
Recording channel
Recording time 3ch 4ch (3ch + Arrhythmia)
Real waveform Arrhythmia Real waveform Arrhythmia
10 seconds 2.5 10 2.5 10
20 seconds 5 20 5 20
* If freeze recording is performed in the Auto Mode, the recording time is 5 seconds for the Real waveform and 10
seconds for the arrhythmia waveform regardless of the recording channel or recording time settings.
5
Chapter 2 Preparation
This section explains the preparations required before using Cardico 306.
Precaution for Installation

In order to prevent noise interference from the surroundings where you install and use Cardico 306, pay attention to the fol-
lowing points and always ground with a ground pin of power plug.
z Avoid using the ECG near computers, radios, fluorescent lights or high-voltage electronic products as these can cause
static noise.
z Keep the room temperature within the ambient temperature range.
Electrical light wiring
Electrostatic
induction from Space which is not too wide to
lamp or wiring Magnetic induction pick up hum noise
from
electrical light wiring
Leakage
Cardico 306 current
Magnetic induction
Ground pin
Leakage current : Current unintentionally leaks from Cardico 306 and causes AC interference.
Electrostatic induction : Passes through the air to the human body, and causes AC interference.
Magnetic induction : Lines of magnetic force or generated when electricity flows, and causes AC interference.
Connecting the Cables

Connect the enclosed AC adaptor, AC cable and patient cable as shown in the illustration.
Pay attention to the orientation of each connector, and connect securely.

Setting the Battery
Caution
z Always use the AC adaptor and AC cable enclosed with the ECG. Using other products could damage the ECG.
z Connect the AC cable to a 3-pin earthed plug to ensure proper grounding.
z Do not connect the grounding cable to the water pipe.
Chapter 2
z Do not connect the grounding cable to the gas pipe, as it is dangerous.
Check the following matters after connecting.

• Is each cable properly connected?
• Is the cable connector properly tightened and not loose?
Preparation
• Are any of the cables entangled?
• Is the patient cable too close to the AC adaptor or AC cable?
• Is the pin of the patient cable connected to the corresponding electrode?
Setting the Battery

By using the battery, Cardico 306 can be used in an environment which does not have an AC power supply. A fully charged
battery can be used for approximately two hours of continuous operation.
• Always charge the battery after purchasing Cardico 306. Due to the features of the battery, it will fully charge to
100% level from the third and following charge.
• When [FUNCTION MENU] - [PRE-SET] - [06. INITIAL RECORDING MODE] - [AUTO POWER OFF] is set to [ON],
the automatic power off function will activate and automatically turn the power OFF if Cardico 306 is not operated for
five minutes.
Precautions for Using the Battery

If the battery is improperly handled, the user or patient could be injured, the battery fluid could leak and cause fires or abnor-
mal heating, or the battery could rupture.
Danger
z The battery is designed for use in this ECG. Do not use other batteries for this ECG, or use this ECG’s battery
for other products.
z Do not dispose the battery into the fire or heat up the battery.
z Do not dismantle the battery, or modify the battery.
z When the fluid leaks from the battery and enters the eye, clean the eye immediately without rubbing the eye,
then counsel a physician immediately.
Warning
z Do not strike the battery. Do not use the battery that has been struck very hard. This could cause electric shock,
fire, or breakage of the battery pack.
z The battery capacity can become low even if it is not used and kept for a long period of time. Use the ECG at
least once a month to check the battery condition.
z If large quantity of power is consumed in short time or if the battery is used until it runs out, the consumption
and deterioration of the battery is accelerated.
z Since rechargeable battery is a consumable item, its rechargeable capability deteriorates over long hours of
use. In this case, replace the battery with a new one. Consult with Kenz authorized dealer and request for a bat-
tery replacement.
z The battery operation time is affected by the ambient temperature; it may be shortened when the temperature is
low.
z For disposal of the battery, ask a specialized company or Kenz authorized dealer.
7
The following actions will shorten the battery life
• Leaving a charged battery in the ECG, and not using it.
• Using or storing this ECG in a hot automobile, where it may be subject to direct sunlight, or where it is hot.
• Battery life
The battery is a consumable part. The operation time will gradually shorten over use, and at some point use will be
disabled. If the battery level drops immediately after charging, or if the ECG cannot be operated with just the battery,
refer to the precautions for use given in this manual. If the performance does not improve, the battery may be spent.
Consult with Kenz authorized dealer.
• Memory effect
Due to the battery’s features, if the battery is charged before it is completely discharged, a "memory effect" which
decreases the next battery charge level will occur.
If the memory effect occurs and the battery operation time is reduced, restore the battery performance by com-
pletely discharging and charging the battery three to four times. Completely discharge the battery in the following
manner.
1) Set [FUNCTION MENU] - [PRE-SET] - [06. INITIAL RECORDING MODE] - [AUTO POWER OFF] to [OFF].
2) Start the ECG with battery operation, and leave it until the battery is discharged.
If the battery level is not recovered even when the above method is tried, the battery is probably spent. Consult with
Kenz authorized dealer in this case.
Caution
z The battery used in this product can be replaced only by a Kenz authorized dealer. Consult with Kenz autho-
rized dealer and request for a battery replacement.
Charging the Battery

Charging will start automatically when the AC power is connected to Cardico 306 after setting the battery.
The battery will be fully charged in 8.5 hours maximum.
In case of disposing the device, follow the applicable national rules and regulations of disposal of medical equipment.
In case of disposing the recyclable battery, follow the applicable national rules and regulations concerning the environmental
issues.
This symbol mark is for EU countries only.

This symbol mark is according to the directive 2006/66/EC Article 20 Information for end-users and Annex II.
This symbol means that batteries and accumulators, at their end-of-life, should be disposed of separately from your
household waste.
In the European Union there are separate collection systems for used batteries and accumulators.
Please contact an authorized representative of the manufacturer for information concerning the decommissioning of
your equipment.

Using an External Printer

Connect the Epson inkjet printer (ESC/P-R driver compatible) to Cardico 306 with an A-B type USB cable.
An external printer is not required when using only Cardico 306’s built-in thermal printer.
Chapter 2
Preparation
Refer to "Using an External Printer" (page 32) for details on using the external printer.
9
Turning the Power ON and OFF
Press the Power key on the operation panel to turn the power ON.
Hold down the Power key for a second or more to turn the power OFF.
Loading the ECG Recording Paper

1 Press the [Paper Magazine Open] button. 4 Close the paper magazine cover.
The paper magazine cover will open.
5 Press on the operation panel.

2 Insert the paper spool into the roll of The paper will be fed out.
paper.
3 Load the paper with paper spool into

Cardico 306.
Set the paper with the Kenz logo (print side) facing
downward.
Pull out the end of the paper, and adjust the position to
the paper guide line.

Initial Settings (For Dealers)

Complete the environmental settings required for using Cardico 306.
Setting Procedures
1 Press on the operation
4 Press [06. INITIAL RECORDING MODE].
panel.
Chapter 2
The [FUNCTION MENU] screen will appear.
2 Press [PRE-SET].
Preparation
5 Refer to "Setting Details" (page 11), and
change the settings according to the
usage environment.
6 When finished with the settings, press

3 Press [NEXT]. [MENU].
The setting conditions are saved.
Setting Details
Menu name Item Details
LANGUAGE ENG (*) Language used for display and printout is set to English.
The specific model of
Cardico 306 may featured
the limited language. RUS Language used for display and printout is set to Russian.
THIN (*) Baseline is printed with a thin line.

BASELINE THICKNESS
THICK Baseline is printed with a thick line.
STD.12LEADS (*) The data is recorded with the standard 12 leads.
CABRERA The data is recorded with the Cabrera lead.

RECORDING ORDER
The data is printed out in the lead order which can be pasted onto
MEDICAL RECORD
a A4 size or letter size paper.
ON The heart rate sync sound is activated.

H.R. SOUND
OFF (*) The heart rate sync sound is inactivated.
11
ON (*) The key is activated.

KEY INPUT SOUND
OFF The key is inactivated.
STD (*) Pacemaker detection is activated with standard sensitivity.

PACEMAKER
HIGHLY SENSITIVE Pacemaker detection is activated with high sensitivity.
DETECTION
OFF Pacemaker detection is inactivated.
ON (*) Filter to suppress hum noise is activated.

AC FILTER
OFF Filter to suppress hum noise is inactivated.
ON (WEAK) Filter (low) to compensate baseline is activated.
DRIFT FILTER ON (STD) (*) Filter (high) to compensate baseline is activated.
OFF Filter to compensate baseline is inactivated.
OFF (*) Muscle filter is inactivated.

MUSCLE FILTER
SETUP (POWER OFF) Settings at power OFF are restored at next power ON.
AUTO (*) Initial mode at power ON is Auto Mode.
MANUAL Initial mode at power ON is Manual Mode.

INITIAL MODE
Initial mode at power ON is Long-Term Mode (either Arrhythmia
LONG-TERM
Analysis or Autonomic Nervous System Test).
If operation is suspended for five minutes while operating with bat-

ON (*)
AUTO POWER OFF tery, power is automatically turned OFF.
OFF Automatic power OFF is inactivated.
50Hz (*) Power frequency is set to 50Hz.

FREQUENCY
60Hz Power frequency is set to 60Hz.
CONTRAST
- Screen contrast (brightness) is adjusted.
ADJUSTMENT
HOSPITAL NAME - Institution registered. (Up to 32 characters.)
cm (*) Length unit is set to cm.

LENGTH
inch Length unit is set to inch.
kg (*) Body weight unit is set to kg.

WEIGHT
lb. Body weight unit is set to lb.
Format for displaying and printing date is set.

MMDDYY (*)
(MM: Month, DD: Day, YY: Year)
DATA FORMAT
DDMMYY (DD: Day, MM: Month, YY: Year)
YYMMDD (YY: Year, MM: Month, DD: Day)
Patient information reference site is set to FILING DATA.

FILING DATA (*) The FILING DATA save location is set with [10. CONDITION IN
REFERENCE POINT FILING MODE] - [MEDIUM OF FILING].
Patent information reference site is set to "ECG Data Viewer Soft-

CVS
ware CVS-03".

ID fixed character string is input (digits fixed) (A fixed value up to

ID FIX DIGITS
29 characters long can be set.)
I V1
II (*) V2
Arrhythmia lead for displaying and printing in Auto Mode, Pre-
Chapter 2
III V3
RYTHM LEAD check Mode and Manual Mode is set, and lead for displaying and
aVR V4 printing in Long-Term Mode is set.
aVL V5
aVF V6
Preparation
1-ch II (*)
3CH SPARE LEADS 2-ch aVF (*) Random lead combinations and 3-ch spare leads can be set.
3-ch V5 (*)
OFF (*) External printer is inactivated.
When operation mode in Auto Mode or Long-Term Mode, data is

AUTO/LONG-TERM
printed out with external printer. Built-in thermal printer is inacti-
PRINTING
vated.
EXTERNAL PRINTING Filing data is printed with external printer. Built-in thermal printer is
FILING DATA PRINTING
inactivated.
The Auto Mode and Long-Term Mode data and filing data are
AUTO/LONG + FILE
printed with the external printer. Built-in thermal printer is inacti-
PRINT
vated.
PORTRAIT (*) Data is printed in the longitudinal direction.

PRINT FORMAT
LANDSCAPE Data is printed in the horizontal direction.
PINK (*) The grid color is printed in pink.
BLUE The grid color is printed in blue.
GREEN The grid color is printed in green.

GRID COLOR
ORANGE The grid color is printed in orange.
MONOCHROME The grid color is printed in black.
OFF The grid is not printed.
ON The ECG waveforms and analysis results are printed on one sheet.
1 SHEET The ECG waveforms and analysis results are printed on separate
OFF (*)
sheets.
A4 SIZE (*) The data is printed on A4 paper.

PAPER SIZE
LETTER SIZE The data is printed on Letter size paper.
(*) : Default setting
13
Attaching Electrodes to the Patient
1 Check the patient’s condition.
• Is the bed wide enough?
• Is the patient relax?
2 Attach the limb electrodes and chest elec-

trodes as shown in the illustration. Red Yellow
• Wipe the electrode contact positions with alcohol.
• Wipe the electrode clean of sebum, and apply ECG R: Right arm L: Left arm
Cream.
• Do not mix old and new electrodes, or use

different types of electrodes.
• Attach the electrodes so that they do not
electrically contact each other (especially Black Green
on the chest).
N(RF): Right leg F: Left leg
By using the "Kenz-Gelect" (optional), the ECG

cream does not have to be applied on the elec-
trode at each examination.
Lead
Attachment position Code
color
Fourth intercostals space on

Red C1
the right edge of sternum.
Fourth intercostals space on

Yellow C2
the left edge of sternum.
Mid-point of line connecting

Green C3
V2 and V4.
Fifth intercostals space on

Brown C4
the left mid-clavicular line.
Left anterior axillary line at

Black C5
the horizontal level of V4.
Left mid-axillary line at the

Purple C6
horizontal level of V4.
Long-Term Mode
• For the Arrhythmia Analysis, always attach the limb electrodes (right and left arms, and right and left legs) and the C1 elec-
trode.
• For the Autonomic Nervous System Test, always attach the limb electrodes (right and left arms, and right and left legs).
Regardless of the operation mode, if noise is superimposed on the waveform, attach all electrodes.

Patient Information
Chapter 3 Enter the Patient

Information
This section explains the methods of inputting the patient’s name, height and weight, etc.
Patient Information
Item Input conditions
ID Up to 30 alphanumeric characters
Chapter 3
AGE 0 to 199
SEX Male or Female
BP 0 to 300 (SYS/DIA)
HEIGHT 0 to 999
Enter the Patient Information

WEIGHT 0 to 999
NAME Up to 32 alphanumeric characters
CONDITION Enter with touch keys
MEDICATION Enter with touch keys

1 Press [PATIENT DATA]. 3 Enter the ID with the touch keys.
Press [OK].
The PATIENT DATA screen will appear.

[SHIFT] : Switches the alphabet between upper-
2 Press [ID]. case and lowercase.
[SIGN] : Switches the code input key display.
[SP] : Inputs a space.
[CLR ALL] : Erases all entered characters.
[CLR ONE] : Erases the character at the right end.
[-] : Enters a hyphen.
[OK] : Confirms the input information, and
returns to the PATIENT DATA screen.
15
4 Press [AGE]. 7 Press [Ht].
Enter the patient’s age with the touch Enter the patient’s height with the
keys. touch keys.
[C]: Erases the entered value.

8 Press [Wt].
5 Press [SEX]. Enter the patient’s weight with the
Press either [M] (Male) or [F] (Female). touch keys.
6 Press [B.P.]. 9 Press [NAME].

Enter the systolic blood pressure with Enter the patient’s name with the
the touch keys. touch keys.
Press [ ]. Press [OK].
Enter the diastolic blood pressure
with the touch keys.
10 Press [NEXT].
[ ]/[ ]: Switches the input target.
The input screen shifts to set analysis conditions.

Importing Patient Information from External Software
11 Press [CONDITION]. 13 Press [MEDICATION] on the Step 11

screen.
14 Press the selected medication.

Press [OK].
12 Press the target analysis conditions.
Chapter 3
Press [OK].
[CLEAR]: Erases all entered details.
15 When finished entering all the informa-

tion, press [OK] on the Step 11 screen.
This completes input of the patient information.
[CLEAR]: Erases all entered details.
Importing Patient Information from External

Software
The patient’s information can be imported from filing data or the optional "Kenz ECG data management software CVS-03".
1 Perform Steps 1 to 3 of "Enter the Patient 3 Check the imported data, and press [OK].
Information" (page 15).
2 Press [IMPORT].
The patient data with the same ID as the input ID will

be imported from the filing data or "Kenz ECG data
management software CVS-03".
17
Auto Mode /
Pre-check Mode
This section explains the "Auto Mode" which automatically performs the steps from waveform recording to analysis, and the "Pre-
check Mode" which automatically records and analyzes when arrhythmia is detected.
Pre-settings
Set the ECG leads to be displayed and printed, and the recording time, etc.
1 Press on the operation panel, 3 Change the settings, and press [RET].
and set the operation mode to [AUTO] or
[PRE-CHECK].
2 Press the sub-menu key.
DISPLAY • PRINT FORMAT :

Select the number of display and printout the
ECG leads from the following items.
• 12CH DISP • 3CH PRT
(12 channel display, 3 channel printout)
RECORDING TIME : Select the recording time (10
seconds/20 seconds).
PRINT POINT/VALUE :
• POINT : Prints the ECG data recognition
point.
• VALUES : Prints the ECG data measured
value.
POST : Records after stress test is applied.
The data can be compared with
recorded prior post stress test data.
FILING : Saves the ECG data.
SEND : Transfer the last ECG data to per-
sonal computer installed with "Kenz
ECG data management software
CVS-03" (optional).

Operation Procedures
Resting ECG: Auto Mode / Pre-check Mode
1 Press on the operation panel,

and set the operation mode to [AUTO] or
[PRE-CHECK].
To stop and check the waveforms, press and
then .
Chapter 4
Recording starts, and [MEMORIZING] appears at the
ECG Examination: Auto Mode / Pre-check Mode

message display area. When the recording is com-
pleted, the analysis results will be displayed and auto-
matically saved. The screen will then return to the
waveform display screen.
• In the Pre-Check Mode, recording automati-
cally starts when arrhythmia is detected. If
arrhythmia is not detected and 30-second
elapsed, then automatically resume stand-by
screen.
• Recording can be interrupted by pressing
while recording.
• [DIAGNOSIS (Diagnosis)], [VALUES (Mea-

sured Valued) and [ECG (Waveform)] keys dis-
played at the bottom of the screen can be
pressed to review the each measured value
while the analysis result are displaying on the
screen.
19
Post-Stress ECG: Auto Mode / Pre-check Mode
Once the resting ECG is taken, stress is applied on the patient to record. The changes in the ECG waveform can be com-
pared Pot-Stress ECG to the resting ECG.
The post-stress ECG can also be taken after the pre-check.
1 Perform the "Resting ECG: Auto Mode / 5 Perform the "Resting ECG: Auto Mode /
Pre-check Mode" (page 19), and record Pre-check Mode" (page 19) again, and
the resting ECG. record the post-stress ECG.
2 Apply exercise stress on the patient. 6 Press [QUIT] to end the post-stress
recording.
4 Press [POST].

Pre-settings

Manual Mode
This section explains the "Manual Mode" in which the ECG examination are performed manually.
Pre-settings
Set the type of waveform to be displayed and printed, and the recording time, etc.
and set the test mode to [MANUAL].
DISPLAY • PRINT FORMAT :

Select the number of display and print leads
from the following selection.
Chapter 5
(12 leads display, 3 leads printout)
ECG Examination: Manual Mode

1 Press on the operation panel,
and set the operation mode to [MANUAL].
2 Set the recording speed and sensitivity as

needed.
• Recording starts, and [RECORDING] appears at the

message display area.
• The recording speed and sensitivity can be changed
while recording.
• The recording leads can be changed by pressing
or on the operation panel. The
following type of screen may appear depending on
the selected number of channels.
<When 3ch is selected>
3 Press on the operation panel. [I II III] → [aVR aVL aVF] → [V1 V2 V3] → [V4 V5 V6]
→ [SPARE] → …
<When 4ch is selected>
[I II III ARRHY] → [aVR aVL aVF ARRHY] → [V1 V2
V3 ARRHY] → [V4 V5 V6 ARRHY] → [SPARE
ARRHY] → …
* ARRHY refers to arrhythmia lead. The arrhythmia
lead follows the [FUNCTION MENU] - [PRE-SET] -
[0.6 INITIAL RECORDING MODE] settings.
21
Long-Term Mode
<Arrhythmia Analysis /
Autonomic Nervous System>
The Long-Term Mode has two functions: Arrhythmia Analysis and Autonomic Nervous System Test.
Arrhythmia Analysis
This section explains the methods of performing the arrhythmia analysis.
Set [FUNCTION MENU] - [PRE-SET] - [04. CONDITION IN LONG-TERM MODE] - [MODE] to [ARRHY ANALY-
SIS] before starting the arrhythmia analysis.
Pre-settings
Set the analysis time.
and set the operation mode to [LONG-
TERM ARRHY ANALYSIS].
ANALYSIS TIME :
Select the arrhythmia analysis time from
the following selection.
1 min, 2 min, 3 min, 4 min, 5 min, CON-
TINUE
When [CONTINUE] is selected, the recording
will continue until is pressed again.
Note that the analysis will be performed for up

to five minutes, and will not be included in the
analysis target after that.
The data can be filed for up to 15 minutes.

Arrhythmia Analysis
If [GRAPH], displayed at the lower right of the screen,
1 Press on the operation panel, is pressed during the analysis, the [VPC] or [SVPC]
and set the operation mode to [LONG- trend graph appears. Select the type of graph to dis-
TERM ARRHY ANALYSIS]. play by pressing [VPC] or [SVPC] at the bottom of the
screen.
The analysis starts, and "ANALYZING" appears at the

message display area. The analysis will stop and the
analysis results will appear when the set analysis time
elapses or when is pressed.
Chapter 6

ECG Examination: Long-Term Mode <Arrhythmia Analysis / Autonomic Nervous System>
23
Autonomic Nervous System Test
This section explains the methods of performing the Autonomic Nervous System Test.
Set [FUNCTION MENU] - [PRE-SET] - [04. CONDITION IN LONG-TERM MODE] - [MODE] to [A.N.S. TEST]
before starting the Autonomic Nervous System Test.
Pre-settings
Set the analysis time.
and set the operation mode to [A.N.S.
TEST].
DATA FOR ANALYSIS :

Set whether to perform the analysis
with "TIME" or "H.R. (heart rate)".
OBJECT HEART RATE/TIME :
• If [DATA FOR ANALYSIS] is set to
[TIME], select the analysis time from
the following selection.
1 min, 2 min, 3 min
• If [DATA FOR ANALYSIS] is set to
[H.R.], select the heart rate from the
following selection.
100 beats, 200 beats, 300 beats,
400 beats, 500 beats

Autonomic Nervous System Test
If [GRAPH], displayed at the lower right of the screen,
1 Press on the operation panel, is pressed during the analysis, the [R-R] trend graph
and set the operation mode to [LONG- will appear.
TERM A.N.S. TEST].
The analysis starts, and "MEASURING" appears at the

message display area. The analysis stops and the
analysis results appears when the set analysis time
elapses or when is pressed.
Chapter 6

ECG Examination: Long-Term Mode <Arrhythmia Analysis / Autonomic Nervous System>
25
Chapter 7 Save and Transmit
the ECG Data
This section explains the methods of filing the recorded data.
Filling the ECG Data

z Saving (Filing)
The recorded data can be saved in Cardico 306’s internal memory (up to 200 sets of ECG data), or on a USB memory (*)
connected to Cardico 306.
The USB memory for saving the data must be connected to Cardico 306 and set up before use. Perform [FUNCTION] -
[PRE-SET] - [08. SYSTEM] - [EXTERNAL MEMORY SETUP] to setup the USB memory.
* : As a guide, about 5,000 sets of ECG data can be stored on a 2GB USB memory. The USB memory capacity is recom-
mended up to 32GB.
z ECG Data Transmission
The data recorded with this ECG can be transferred to a personal computer.
z Searching Memory Data
By designating the search conditions, selected data can be searched for in the recorded data saved in Cardico 306’s inter-
nal memory or the connected USB memory.
z Other functions
• Print : The saved recorded data can be selected and printed out with Cardico 306’s thermal printer or an exter-
nal printer.
• Copy : The recorded data in Cardico 306’s internal memory can be copied to the USB memory or vice versa.
Caution
z To prevent lost data, the internal memory data should be periodically saved to an external memory. Further-
more, to prevent the external memory data from being lost, it should be periodically copied to a personal
computer as a backup measure.
• Delete : The saved recorded data can be deleted.

• XML Export : The saved recorded data can be exported in XML format. The exported XML data can be used with a
commercially-available XML Viewer Software.
• Send : The recorded data can be transferred to a personal computer installed with "Kenz ECG data management
software CVS-03".
Saving into Internal Memory (Filing)

The data can be saved into the internal memory automatically after recording (automatic filing) or manually saved.
To enable automatic filing, set [FUNCTION MENU] - [PRE-SET] - [10. CONDITION IN FILING MODE] - [AUTO FILING] to
[ON] or [ON (CONFIRM)].
Automatic Filing
z When [FUNCTION MENU] - [PRE-SET] - [10. CONDITION IN FILING MODE] - [AUTO FILING] is set to [ON]
When the ECG examination is performed, the processes from analysis to saving are executed automatically in the follow-
ing order.
Standby screen → Record → Analysis → Analysis Result display → Save (Filing) → Standby screen
z When [FUNCTION MENU] - [PRE-SET] - [10. CONDITION IN FILING MODE] - [AUTO FILING] is set to [ON (CONFIRM)]
The process stops at the Analysis Results display screen, and the recorded data is saved when [FILING] is pressed.

Transmit Data to Personal Computer
Manual Filing
When [FUNCTION MENU] - [PRE-SET] - [10. CONDITION IN FILING MODE] - [AUTO FILING] is set to [OFF], the recorded
data will not be saved after analysis. Perform the following steps to save the recorded data.
1 Perform the ECG Examination. 3 Press [FILING].
2 When the analysis is finished, press the

sub-menu key.
4 When the message [FILING DO YOU

WANT TO PROCEED?] appears, check
the ID No. and test time, and press [YES].
The recorded data will be saved.
5 When the message [FILING COMPLETED]

appears, press [CONFIRM].
6 When the sub-menu screen appears,

press [RET].
The Test Standby screen will appear.
Transmit Data to Personal Computer

The recorded data is sent to a personal computer via a LAN network.
Connecting to the Personal Computer
Chapter 7
Save and Transmit the ECG Data
z Connect Cardico 306 to the LAN via a hub.

z Install the dedicated application "Kenz ECG data management software CVS-03" (optional) into the personal computer.
Refer to the operation manual of ECG data management software for details on installing the software and using the appli-
cation.
• Always use a hub even if only one ECG is being connected.

• Use a Kenz-designated LAN cable. (Cat 5 or more)
27
Automatic Transmission
z When [FUNCTION MENU] - [PRE-SET] - [11. PC COMMUNICATION] - [AUTO TRANSMISSION] is set to [ON]
When the ECG examination is performed, the processes from analysis to transmit the recorded data to the personal com-
puter are executed automatically.
Standby screen → Record → Analysis → Analysis Result display → Send Data to Personal Computer → Standby screen
z When [FUNCTION MENU] - [PRE-SET] - [11. PC COMMUNICATION] - [AUTO TRANSMISSION] is set to [ON (CON-
FIRM)]
The process stops at the Analysis Results display screen, and the recorded data is transmit to the personal computer
when [SEND] is pressed.
Manual Transmission
When [FUNCTION MENU] - [PRE-SET] - [11. PC COMMUNICATION] - [AUTO TRANSMISSION] is set to [OFF], the
recorded data will not be transmit to the personal computer after analyzing. Perform the following steps to transmit the
recorded data to the personal computer.
1 Perform the ECG examination. 4 When the message [SEND DO YOU WANT
TO PROCEED?] appears, check the ID No.
2 When the analysis is completed, press and test time, and press [YES].
the sub-menu key. The recorded data will be transmit to the personal com-
puter.
5 When the message [SEND COMPLETED]

appears, press [CONFIRM].
6 When the sub-menu screen appears,

press [RET].
The Standby screen will appear.
3 Press [SEND].

Searching the ECG Data
Searching the ECG Data

The recorded data saved in Cardico 306’s internal memory or USB memory can be searched.
1 Press on the operation panel. 4 Set the conditions of the data to be

searched.
2 To search Cardico 306’s internal memory, Press [SEARCH].
[DATE] : Specify the examination date.
press [MANAGE INT DATA]. [ID] : Specify the patient ID.
To search the USB memory, press [MAN- [TRANSMISSION] : Specify whether the data has
AGE EXT MEMORY]. already been sent.
[DISP ALL] : All of the saved data is searched.
The search conditions are as fol-
lows in this case:
• [DATE]: 1/1/00 to 12/31/99
(When [DATA FORMAT] is set
to [MM/DD/YY])
• [ID]: Not specified
• [TRANSMISSION]: ALL
3 Press [FIND].
The search results will be displayed.
A list of the recorded data can be printed by
pressing on the operation panel

while the above screen is displayed.
Chapter 7
29
Data Management
The following procedures can be performed by selecting random data in the memory.
• Printing with built-in thermal printer or external memory
• Copying to other memory medium
• Deleting of data
• Transmit data to personal computer

To select all data
2 Press [MANAGE INT DATA] (Cardico 306’s 1) Press the sub-menu key.
internal memory) or [MANAGE EXT MEM-
ORY] (USB memory).
2) Press [SELECT ALL DATA].
3 Select the recorded data.
To select ECG data

1) Press [S] / [T] and highlight the
target data No.
Press [SPCF/CLR].
To cancel selection of all data, touch [CLEAR

ALL DATA].
4 After selecting the required data, press

[SEL].
• The data will be selected, and the patient

information (ID, SEX, DATA, etc.) display
fields will be highlighted.
• To cancel the selection, select the target data
again, and press [SPCF/CLR].
[LAST] : The previous List screen is displayed.

[NEXT] : The next List screen is displayed.

Data Management
5 Press the selected operation key. 6 Press [YES] when the confirmation mes-
sage appears.
<Example when [PRN] is pressed>
[PRN] : The selected data is printed with Cardico

306’s thermal printer or external printer.
[EXTERNAL SAVE] : The selected data is processed.
This appears if [MANAGE INT DATA] is
selected on the [FUNCTION MENU]
screen. The selected internal memory
data is copied to the USB memory.
* The data is copied into the USB memory
connected to the ECG.
[INTERNAL SAVE] :
This appears if [MANAGE EXT MEM-
ORY] is selected on the [FUNCTION
MENU] screen. The selected USB mem-
ory data is copied to the internal memory.
* The data is copied into the Cardico 306’s
internal memory.
[DEL] : The selected data is deleted.
* Before deleting data, verify that the data
has been saved.
[SEND] : The selected data is transmitted to a per-
sonal computer installed with "Kenz ECG
data management software CVS-03" on
the same LAN network. The ECG data
management software must be started up
on the personal computer before select-
ing [SEND].
[EXPORT] : The selected data is saved in the USB
memory in XML format.
[RET] : The recording data selection screen
appears.
Chapter 7
31
Refer to "Using an External Printer" (page 9) for details on connecting this ECG and the external printer.
Setting the External Printer

Set [FUNCTION MENU] - [PRE-SET] - [06. INITIAL RECORDING MODE (6/6)] - [EXTERNAL PRINTING] to [AUTO/LONG-
TERM PRINTING], [FILING DATA PRINTING], or [AUTO/LONG-TERM + FILE PRINTING]. Set the printing method on the
same setting screen.
Refer to "Initial Settings (For Dealers)" (page 13) for details on setting the printing method.
Print Formats from External Printer

Sheet Orien-
Mode Type Printing Contents Format
No. tation
Approx. 5 sec. × 2-row
1 1
(Coordinate phase)
2 Landscape 6ch × 2-row 5 sec. × 2-row (Real time) 1
3 10 sec. × 2-row (Coordinate phase) 2
4 ECG 10 sec. × 2-row (Real time) 2
6 7 sec. × 1-row (Real time) 1
Portrait 12ch × 1-row
8 14 sec. × 1-row (Real time) 2
9 Landscape Dominant 1
Auto mode Analysis result
10 Portrait 3-lead × 4-row 1
Approx. 2.5 sec. × 4-row
11 1
Landscape 3ch × 4-row (Coordinate phase)
12 1 sheet Approx. 2.5 sec. × 4-row (Real time) 1
13 3.5 sec. × 6-row (Coordinate phase) 1
Portrait 6ch × 2-row
14 3.5 sec. × 6-row (Real time) 1
15 Measured value Landscape 1
16 (Waveform) Portrait 1
17 Detailed value Landscape
18 (Arrhythmia) Portrait
19 Compressed Landscape 1 min. × 2-row (2min./page)
1ch
20 ECG Portrait 2 min. × 1-row (2min./page)
Arrhythmia
21 analysis Landscape
Analysis result Values, Graph * Graph displayed for the first 5 min. 1
22 Portrait
23 Compressed Landscape 1 min. × 2-row (2min./page)
1ch
24 ECG Portrait 2 min. × 1-row (2min./page)
25 Automatic Measuring Landscape
Values, Graph * Graph displayed for the first 5 min. 1
26 nerve result Portrait
27 Landscape 43-line ×10-row/page
All values RR values
28 Portrait 59-line ×7-row/page
29 Landscape 45 data/page
Filing Filing list
30 Portrait 30 data/page

Setting Procedures
Chapter 8 Function Settings

This section explains the methods of setting the functions of Cardico 306 and the various settings.
Setting Procedures
1 Press on the operation panel. 4 Change the settings according to the
required display and printing setting.
When complete the settings, press
2 Press [PRE-SET].
[MENU].
<Example: [01. DISPLAY PRINT FORMAT] setting
screen>
3 Press the selected setting menu.
5 Press [RET] to return to the previous

screen.
[LAST] : The previous List screen is displayed.

[NEXT] : The next List screen is displayed.
The setting screen will appear.
Chapter 8
Function Settings
33
Setting Details
Menu item Details
Set the number of leads for the waveforms displayed on the

01. DISPLAY PRINT FORMAT
screen and printed out on the ECG recording paper.
02. CONDITION IN AUTO MODE Set the operation of Cardico 306 for the Auto Mode.
03. ANALYSIS RESULT Set the analysis results preferences.
04. CONDITION IN LONG-TERM MODE Set the operation of Cardico 306 for the Long-Term Mode.
05. POST STRESS TEST Set the post-stress ECG recording preferences.
Set Cardico 306’s basic functions such as display language

06. INITIAL RECORDING MODE
and operational sounds, and the operation during recording.
07. DATE AND TIME Set the date and time.
08. SYSTEM Initialize the system, and perform save or import.
09. SELF TEST Set the self-testing.
10. CONDITION IN FILING MODE Set the recorded data save preferences (filing, XML file).
Set the data transmission and communication with a personal

11. PC COMMUNICATION
computer.
01. DISPLAY PRINT FORMAT

Setting value Details
4CH DISPLAY • 3CH PRINTING Display: 4 leads Printout: 3 leads
12CH DISPLAY • 4CH PRINTING (*) Display: 12 leads Printout: 4 leads

Setting Details
02. CONDITION IN AUTO MODE

Setting item Setting value Details
ON (*) ECG waveforms are printed after recording.

ECG RECORDING
OFF ECG waveforms are not printed after recording.
10 s (*) Waveforms are recorded for 10 seconds.

RECORDING TIME
20 s Waveforms are recorded for 20 seconds.
REAL TIME (*) Waveforms are printed in real-time.

PRINT STYLE
COORDINATE PHASE Waveforms are printed with same phase.
ON (*) Lead change separator lines are printed.

WAVE SEPARATOR
OFF Lead change separator lines are not printed.
ECG + ANALYSIS (*) Waveform data and analysis results are copied.
CONTENTS OF COPY ECG Only waveform data are copied.
ANALYSIS REPORT Only analysis results are copied.
ON (*) Noise/electrode check is activated.

NOISE/ELECTRODE CHECK
OFF Noise/electrode check is inactivated.
OFF Baseline position is not adjusted automatically.
Baseline position is automatically adjusted. Middle

value of maximum and minimum value is posi-
BASELINE CENTER
tioned to overlap baseline so that waveforms do not
BASELINE AUTO ADJUSTMENT
overlap.
Using the output drawing range to the fullest, the

AUTO ADJUST (*) position is balanced and positioned so that wave-
forms do not overlap.
ON (*) The sensitivity is automatically adjusted.

AUTO SENSITIVITY The data is displayed and printed with the input
OFF
sensitivity.
The sensitivity is automatically adjusted for each

EACH LEAD (*)
lead.
AUTO SENSITITVITY-UNIT
The sensitivity is automatically adjusted for each
ECG GROUP
lead group.
Recording is started automatically without P wave-

ON
QUICK START form start.
OFF (*) P waveform start is performed.

Chapter 8

Function Settings
35
03. ANALYSIS RESULT
ON (*) The analysis report is recorded.

ANALYSIS REPORT
OFF The analysis report is not recorded.
ON (*) The analysis result is displayed and printed.

DIAGNOSIS
OFF The analysis result is not displayed and printed.
ON (*) The grade is judged.

GRADE JUDGEMENT
OFF The grade is not judged.
The Minnesota Code is printed when "ANALYSIS

ON
REPORT" is [ON] and "DIAGNOSIS" is [ON].
MINNESOTA CODE
The Minnesota Code is not printed when "ANALY-
OFF (*)
SIS REPORT" is [ON] and "DIAGNOSIS" is [ON].
A comment is printed when "ANALYSIS REPORT"

ON (*)
is [ON] and "DIAGNOSIS" is [ON].
COMMENTS
A comment is not printed in the analysis report or
OFF
analysis results.
The point recognition wave and measurement

OFF (*)
value are not printed after analysis.
POINT The point recognition wave is printed after analysis.

PRINT POINT/VALUE The value measured from the point recognition
VALUES
wave is printed after analysis.
The point recognition wave and measurement

POINT + VALUES
value are printed after analysis.
AVERAGING (*) The averaged heart rate is used for analysis.

ANALYSIS METHOD One beat from the 10-second ECG waveform is
DOMINANT
selected for analysis.
TRACING PRIORITY (*) Quality of printing is priority.

PRINT QUALITY
SPEED PRIORITY Speed of printing is priority.
Analysis results are printed in standard order (dom-

STD (*) inant waveform, measured value, diagnosis, diag-
nosis comment).
ANALYSIS PRINT ORDER
Analysis results are printed in order of measured
MES VAL, ANLY PRTY value, diagnosis, diagnosis comment, and domi-
nant waveform.
The arrhythmia lead waveform is printed.

ON (*)
ARRHYTHMIA WAVE PRT (Recording speed: fixed to 12.5 mm/s)
OFF The arrhythmia lead waveform is not printed.

Setting Details
04. CONDITION IN LONG-TERM MODE

Arrhythmia analysis mode is enabled when select-

ing the operation mode.
ARRHY ANALYSIS (*)
The setting items for arrhythmia analysis are dis-
played.
MODE
Autonomic Nervous System Test mode is enabled
when selecting the operation mode.
A.N.S. TEST
The setting items for the Autonomic Nervous Sys-
tem Test are displayed.
<When [MODE] - [ARRHY ANALYSIS] is selected>
1 min (*)
2 min The monitoring interval of arrhythmia analysis can

be set.
3 min When [CONTINUE] is set, the test will continue
ANALYSIS TIME
4 min
until it is stopped by pressing on the
5 min operation panel.
CONTINUE
ON (*) The arrhythmia analysis is performed.

ARRHY ANALYSIS
OFF Only the full disclosure is recorded.
The full disclosure is recorded for the time set with

ON (*)
RECORD COMPRESSED ECG "ANALYSIS TIME".
OFF The full disclosure is not recorded.
The analysis results are printed if "ARRHY ANALY-

ON (*)
ANALYSIS REPORT SIS" is set to "ON".
OFF The arrhythmia analysis results are not printed.
V1 (*)
V2
V3
V4
V5
V6 The main induction and the induction for saving

SUB-INDUCTION
I data are selected. Chapter 8
II
III
aVR
aVL
Function Settings
aVF
37
<When [MODE] - [A.N.S. TEST] is selected>
The volume of analysis object data is separated by

TIME (*)
time.
DATA FOR ANALYSIS
The volume of analysis object data is separated by
H.R.
heart rate.
100 beats (*)
200 beats
When [H.R.] is set for [DATA FOR ANALYSIS], the
OBJECT HEART RATE 300 beats
heart rate used as the separator is set.
400 beats
500 beats
1 min
When [TIME] is set for [DATA FOR ANALYSIS], the
OBJECT TIME 2 min
analysis time used as the separator is set.
3 min (*)
ON (*) The full disclosure is recorded.

RECORD COMPRESSED ECG
OFF The full disclosure is not recorded.
ON (*) The analysis results are displayed and printed.

ANALYSIS REPORT
OFF The analysis results are not displayed or printed.
ON The RR interval measurement is recorded.

PRINT R-R VALUES
OFF (*) The RR interval measurement is not recorded.

Setting Details
05. POST STRESS TEST

POSTSTRESS ON Post-stress ECG recording is activated.

(AUTO RECORD) OFF (*) Post-stress ECG recording is inactivated.
30 s
1 min
2 min
3 min
4 min
5 min
Valid when [POSTSTRESS (AUTO RECORD)] is
6 min set to [ON]. The time to automatically record the
<AUTO RECORDING TIME> post-stress ECG can be set up to ten times.
7 min
1ST TIME to 10TH TIME
When is pressed, the set time is
8 min
sorted in ascending order.
9 min
10 min
15 min
20 min
30 min
60 min
06. INITIAL RECORDING MODE

Refer to "Setting Details" (page 11).
07. DATE AND TIME

Input the current date and time. Refer to Step 6 in "Enter the Patient Information" (page 16) for details on inputting the infor-
mation.
08. SYSTEM
Setting item Details
PRINT OUT PRE-SET The details of Pre-setting condition is printed out.
The details of Pre-setting condition is initialized.

Chapter 8
INITIALIZE PRE-SET Note that the power frequency, institution name, date and
time, and PC communication settings are not initialized.
The environmental setting data saved with "SAVING PRE-

SET" is imported from the USB memory.
READ PRE-SET
Connect a USB memory containing the environmental set-
tings into the USB connector beforehand.
Function Settings
The environmental setting data is saved in the USB memory.

SAVING PRE-SET The saved environmental settings can be read with "READ
PRE-SET".
Cardico 306’s firmware can be upgraded.

VERSION UPGRADE An authorized dealer informs when firmware
upgrade is necessary.
EXTERNAL MEMORY SETUP Set up an external USB memory.
39
09. SELF TEST
Setting item Details
A self-diagnosis test of the following items is executed. Per-

form this test during periodic inspections.
SELF TEST • Thermal printer check
• LCD screen check
• Key/alarm sound check
Proper operation of the operation panel keys can be con-

firmed on LCD screen.
KEY CHECK
If the key name appears on the screen when the operation
panel screen is pressed, the key is functioning properly.
A list of diagnosis statements is printed out based on lan-

PRINT DIAGNOSTIC STATEMENT
guage setting.
A list of diagnosis comments is printed out based on lan-

PRINT COMENTS
guage setting.
Select the simulator wave to be displayed and printed.

When using the simulator wave, "SIMULATOR WAVE" will be
displayed and printed during recording and printing of the
analysis results.
• OFF : Simulator wave is not output. (Default setting)
SIMULATOR WAVE • 1 : Simulator wave for normal ECG (HR = 60) is output.
• 2 : Simulator wave for VPC ECG (HR = approx. 60) is
output.
The [SIMULATOR WAVE] setting is reset to [OFF]

when Cardico 306 power is turned OFF.
10. CONDITION IN FILING MODE

Recorded data is not automatically saved after

OFF
analysis.
Recorded data is automatically saved after analy-

AUTO FILING ON (*)
sis.
Screen to confirm saving of recorded data appears

ON (CONFIRM)
after analysis.
Recorded data is saved in Cardico 306’s internal

INT MEMORY (*)
MEDIUM OF FILING memory.
EXT MEMORY Recorded data is saved in USB memory.
MANUAL (*) Recorded data can be manually deleted.

MEMORY CLEAR The oldest recorded data is deleted when full mem-
AUTO
ory.
If [AUTO FILING] is [ON] and [MEDIUM OF FIL-

ON ING] is set to [EXT MEMORY], XML format data is
XML EXPORT output to USB memory.
OFF (*) XML format data is not output to USB memory.
Underscore (_) is used as delimiter for file name

_ (*)
DELIMITER elements (**).
˜ Tilde (˜) is used as delimiter for file name elements.

Setting Details
Underscore (_) is used as delimiter for date ele-

_
DATE DELIMITER ment in file name.
OFF (*) Date element in file name is not delimited.
ID Specifies the details of the file name elements 1 to

4.
DATE The default values are as follow.
ELEMENT 1: ID (Patient ID)
ELEMENT 1 to 4
TIME ELEMENT 2: DATE (Examination date)
ELEMENT 3: TIME (Examination time)
ELEMENT 4: TEST TYPE IDENTIFIER (Examina-
TEST TYPE IDENTIFIER tion mode identifying character)
Set the examination mode identifier for the resting

REST RST
ECG (REST).
Set the examination mode identifier for the post-

POST PST
stress ECG (POST).

(**) : The XML file name is automatically generated with up to four pieces of information (elements) including date and time.
11. PC COMMUNICATION
The ECG data is not automatically transmit to the

OFF (*)
personal computer (**).
The ECG data is automatically transmit to the per-

ON
AUTO TRANSMISSION sonal computer (**) after analysis is finished.
A screen to confirm whether to transmit the

ON (CONFIRM) recorded data to the personal computer (**)
appears after analysis is finished.
C306 IP ADDRESS 192.168.000.050 The IP address for Cardico 306 is set.
RECEIVER IP ADDRESS 192.168.000.001 The personal computer (**) IP address is set.
SUBNET MASK 255.255.255.000 The sub-net mask is set.
DEFAULT GATEWAY 000.000.000.000 The default gateway is set.
PORT NUMBER 51200 The port No. for Cardico 306 is set.

(**) : Personal computer installed "Kenz ECG data management software CVS-03" and located on the same LAN network.
Chapter 8
Function Settings
41
Chapter 9 Troubleshooting
Error Message List
Error message displays on the screen of Cardico 306 showing situations and conditions during operation.
z Messages for ECG recording
Message ECG status
An electrode has dislocated. Check the connection and contact of leads and
LEAD OFF
electrodes with lead number displayed.
High frequency noise has entered the ECG because of an unstable electrode,
INTERFERENCE
etc.
MANDATORY START The key on the operation panel was pressed twice consecutively
while an electrode was dislocated.
OL The ECG amplifier is saturated causing distortion in the ECG waveform.
z Messages for the built-in printer
Message ECG status
• The ECG paper is not set when starting recording or printing.

PAPER EMPTY
• Cardico 306 ran out of ECG paper during recording or printing.
This appears when the paper has been set and Cardico 306 is ready to pro-
PRESS START/STOP
ceed to the next stop.
The built-in printer’s printer head has abnormally overheated.
PRT HEAD ERROR If this message appears, turn Cardico 306’s power OFF and wait
for a while. If the problem is not resolved, contact your dealer.
z Messages for data communication
Message ECG status
Import of the patient information from the personal computer failed. Check the
CAN NOT IMPORT LAN cable connection, IP address for data sending and data reception status of
the personal computer.
The data could not be transmit to the personal computer because of a commu-
nication error. Check the LAN cable connection (confirm the standard for LAN
cable (page 27)), IP address for data sending and data reception status of the
COMMUNICATION ERROR personal computer.
To save data after an error display, select [FILING] at Step 3 (page 18, page 22)
and the page 27 screen, then save the data by performing a manual filing oper-
ation.
Transmission of the data to the personal computer failed. Check the connected
ERROR WHEN TRANSMITTING
LAN network environment.
A message to ask if overwrite or not appears, when there are same name ECG
DO YOU WANT TO OVERWRITE?
files or XML files on the computer.

Error Message List
z Messages regarding external printer
Message ECG status
OUT OF INK Displays when the external printer is out of ink. Replace the ink cartridge.
OUT OF PAPER Displays when the printer is out of paper. Replenish the paper supply.
COMMUNICATION ERROR HAS Displays when a communication error occurs. Check the connection to the
OCCURRED external printer.
z Messages for the memory
Message ECG status
SYSTEM ERROR An error occurred when writing to or reading from the memory.
The memory capacity was exceeded when saving the data. Delete or transmit
MEMORY FULL ECG data in memory, and take ECG examination for the same patient again.
Please refer to Chapter 7 Save and Transmit ECG data.
The memory is full. Delete or transmit ECG data in memory. Or, ECG data can-
MEMORY IS FULL
not be saved once memory is completely full.
NO DATA IS SELECTED The designated data was not found. Select ECG data to further process.
Displays when the external memory has not been properly recognized, or when
the external memory is not connected.
Verify that the external memory is connected.
EXTERNAL MEMORY NOT If connected, perform the external memory setup and environment setting pro-
RECOGNIZED cedure by selecting [08. SYSTEM]-[EXTERNAL MEMORY SETUP].
All external memory data is deleted when an [EXTERNAL MEM-

ORY SETUP] occurs.
z Messages for rechargeable battery
Message ECG status
RECHARGE BATTERY The battery level is very low.
z Messages for setting
Message ECG status
An inconsistent setting data is found in the setting detail. Check set data and
PRE-SET ERROR
conditions.
z Other messages
Message ECG status
[1] or [2] is selected for [FUNCTION MENU] - [PRE-SET] - [09. SELF TEST] -
[SIMULATOR WAVE].
SIMULATOR WAVE
The [SIMULATOR WAVE] setting is reset to [OFF] when Cardico 306
power is turned OFF.
Chapter 9
The external printer is not connected even though printing is set to external
CHECK PRINTER STATUS
printer.
Troubleshooting
43
Troubleshooting
When trouble occurs, refer to the following flow chart and check the state.
The power does not turn ON
Is the AC power supply available? – NO → Check power source and a breaker.
↓ YES
Are the AC adaptor and AC cable properly

– NO → Properly connect the AC adaptor and AC cable.
connected?
↓ YES
Replace the AC adaptor or AC cable if it is damaged or bro-

Is the AC adaptor or AC cable normal? – NO →
ken.
↓ YES
If this does not resolve the problem, contact a

Kenz authorized dealer.
Nothing appears on the screen
• Check the power output.

Is the ECG’s power ON? – NO → • Connect the AC adaptor and AC cable again.
• Replace the AC adaptor and AC cable.
↓ YES

• The battery powered time is extremely short

even when the battery is fully charged
• The ECG does not operate even when the bat-
tery is fully charged
↓ YES
Connect the AC adaptor and AC cable, and charge the bat-

Is the battery properly charged? – NO→ tery until the charge lamp changes from orange to green. (It
can take 8.5 hours for the battery to fully charge.)
↓ YES


Troubleshooting
The ECG waveform does not display
Are the electrodes clean? – NO → Wipe any rust or dirt off the electrode.
↓ YES
Wipe the skin at the electrode attachment location with

Is the patient’s skin clean? – NO →
alcohol.
↓ YES
Are the patient cable pins and electrodes

– NO → Properly connect the cable pins and electrodes.
properly connected?
↓ YES
Are electrodes clean without damage? – NO → Clean electrodes or replace with a new electrode.
↓ YES
If the patient cable connector or pins are rusted or dirty,

Is the patient cables clean without damage? – NO →
replace it with a new patient cable.
↓ YES

• The LEAD OFF message appears.

• The displayed heart rate is abnormal.
Are the electrodes clean? – NO → Wipe any rust or dirt off the electrode.
↓ YES
Wipe the skin at the electrode attachment location with

Is the patient’s skin clean? – NO →
alcohol.
↓ YES
If the patient cable connector or pins are rusted or dirty,

Are the patient cables clean? – NO →
replace it with a new patient cable.
↓ YES
Is the ECG electrodes clean without damage? – NO → Clean and replace with a new electrode.
↓ YES

Chapter 9
Troubleshooting
45
• The ECG recording paper does not stop at the
correct position.
• Data is not printed on the ECG recording paper.
Is the designated ECG recording paper in use? – NO → Use the designated ECG recording paper.
↓ YES
• Is the ECG recording paper properly set?

• Is the ECG recording paper meandering or – NO → Set the ECG recording paper properly.
crumpled paper edge?
↓ YES
Is the paper sensor (*) clean? – NO → Clean the surface of the paper sensor (*).
↓ YES
If this does not resolve the problem, contact a * : Contact the Kenz authorized dealer for details on the
Kenz authorized dealer. paper sensor’s position.
There are dead pixels (sections not printed,

uneven printing) on the output ECG recording
paper.
Clean the printer head (*) if there are any scraps of paper
Is the printer head (*) clean? – NO →
stuck on it, etc.
↓ YES
If this does not resolve the problem, contact a * : Contact the Kenz authorized dealer for details on the
Kenz authorized dealer. printer head’s position.
The date and time are reset (initialized)
If Cardico 306 has been in use for more than five years,
Has Cardico 306 been in use for less than five
– NO → etc, the lithium battery for backup must be replaced.
years?
Contact the Kenz authorized dealer for replacement.
↓ YES

The keys on the operation panel do not work
• Operate the key with the correct procedure, or check the

operation in this manual.
Are the keys enabled for operation? – NO →
• Perform [09. SELF TEST] [KEY CHECK], and confirm
that the keys function.
↓ YES


Consumable Parts
Chapter 10 Appendix
Chapter 10
Consumable Parts
Appendix
Order the following consumable parts when necessary.
Type Part No. Part code
Kenz ECG recording paper R80 × 30R-C
Gelect S 25 pieces
For limbs
Gelect S 100 pieces
Kenz-Gelect
Gelect 24 pieces
For chest
Gelect 100 pieces
Kenz ECG cream 70 g × 2 pieces
Handling the ECG Paper

Precautions for storing the ECG paper
• The ECG paper will discolor if subject to temperatures exceeding 70°C. Store the paper in a cool, dry place (tempera-
ture: 30°C or less, humidity: 65% or less) regardless of whether the paper is new or used.
• Use an opened package of ECG paper as quickly as possible.
• Do not store the ECG paper in a polyvinyl folder or under a desk mat. (Do not contact the paper against vinyl products.)
• Do not let the ECG paper come in contact with carbon type ECG paper.
• Do not let the ECG paper come in contact with non-carbon paper.
• Do not let the ECG paper come in contact with wet-type diazo copy paper.
The following handling methods will discolor the paper
• Writing on the ECG paper with highlighter pen
• Rubbing the paper with an eraser
• Securing the paper with vinyl tape or Scotch tape. (Use double-sided tape to fix the ECG paper.)
• Gluing the paper with solvent-based adhesive. (Use water-based glue.)
• Leaving the paper exposed to direct sunlight for long periods of time.
Options
Purchase the following parts if necessary.
Suzuken specified item:
• Carrying Case
• Mobile Cart (Trolley)
• Patient Cable Hanger
• Kenz ECG data management software CVS-03
Commercially available general-purpose item:
• USB Hub
• LAN Cable
• USB Memory Medium
• Epson Inkjet Printer (ESC/P-R driver compatible)
• USB Keyboard
47
EMC Standards
Malfunction due to EMC
Cardico 306 conforms to the safety standards, IEC60601-1-2 (2007). However, if there is any strong electromagnetic wave,
magnetic field, or static electricity exceeding the limits around Cardico 306, noise may be included in the ECG waveform or
Cardico 306 may malfunction.
In this case, take the necessary actions as shown below:
Effect of radiated electromagnetic wave:
The use of a cell phone may cause Cardico 306 to malfunction.
Switch OFF the cell phone in an institution where medical devices are used.
Effect of burst and conducted electromagnetic wave:
High-frequency noise from other equipment may enter Cardico 306 via the power outlet. Identify the noise source. If it is
the equipment that can be stopped, please stop using it. If it is the equipment that cannot be stopped, please use a noise
eliminator or take similar measures to eliminate the noise.
Effect of static electricity:
Electrostatic discharge might cause Cardico 306 to malfunction in a dry room, e.g., during the winter season. Humidify the
room or fully discharge both the operator and patient before using Cardico 306.
Effect of electric current surge (lightning):
If lightning occurs in the neighborhood, excessive voltage may come to Cardico 306. Whenever the situation is consid-
ered dangerous, remove the power cable from the AC outlet.
Guidance for EMC
This guidance shows the performance of Cardico 306 for EMC (electromagnetic compatibility). Please be aware of the follow-
ing information before use:
Compatibility with electromagnetic emission

Cardico 306 is designed for use in the following electromagnetic environment.
Check your operating environment.
Emissions test Compliance Electromagnetic environment – guidance
The equipment uses RF energy only for its internal function. Therefore,
RF emissions CISPR11 Group 1 its RF emissions are very low and are not likely to cause any interfer-
ence in nearby electronic equipment.
The equipment must emit electromagnetic energy in order to perform its

RF emissions CISPR11 Class B
intended function. Nearby electronic equipment may be affected.
Harmonic Emissions
Class A The equipment is suitable for use in all establishments including domes-
IEC 61000-3-2
tic establishments and those directly connected to the public low voltage
Voltage fluctuations / power supply network that supplies buildings used for domestic pur-
Flicker emissions Complies poses.
IEC 61000-3-3

EMC Standards
Compatibility with electromagnetic immunity [1]

Cardico 306 is designed for use in the following electromagnetic environment.
Chapter 10
Check your operating environment.
Electromagnetic environment –
Immunity test IEC 60601 test level Compliance level
guidance
Floors should be wood, concrete or ceramic

Electrostatic
± 6 kV contact ± 6 kV contact tile. If floors are covered with synthetic mate-
Appendix
discharge (ESD)
± 8 kV air ± 8 kV air rial, the relative humidity should be at least
IEC 61000-4-2
30%.
Electrical fast
± 2 kV for power supply lines ± 2 kV for power supply Main power should be that of a typical com-
transient/burst
± 1 kV for input/output lines lines not applicable mercial or hospital environment.
IEC 61000-4-4
Surge ± 1 kV differential mode ± 1 kV differential mode Mains power should be that of a typical com-
IEC 61000-4-5 ± 2 kV common mode ± 2 kV common mode mercial or hospital environment.
<5% Ut (>95% dip in Ut) for <5% Ut (>95% dip in Ut)

Mains power should be that of a typical com-
Voltage dips, short 0.5 cycles for 0.5 cycles
mercial or hospital environment. If the user
Interruptions and 40% Ut (60% dip in Ut) for 5 40% Ut (60% dip in Ut)
of the Cardico 306 requires continued opera-
voltage variations cycles for 5 cycles
tion during power mains interruptions, it is
on power supply 70% Ut (30% dip in Ut) for 70% Ut (30% dip in Ut)
recommended that the Cardico 306 be pow-
input lines 25 cycles for 25 cycles
ered from an uninterruptible power supply or
IEC 61000-4-11 <5% Ut (>95% dip in Ut) for <5% Ut (>95% dip in Ut)
a batter.
5x for 5 x
Power frequency Power frequency magnetic fields should be

(50/60 Hz) at levels characteristics of a typical location
3 A/m 3 A/m
magnetic field in a typical commercial or hospital environ-
IEC 61000-4-8 ment.
Ut is the AC mains voltage prior to application of the test level.
49
Compatibility with electromagnetic immunity [2]
Cardico 306 is designed for use in the following electromagnetic environment. Check your operating environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic environment – guidance
Portable and mobile RF communications equipment

should be used no closer to any part of the Cardico
306, including cables, than the recommended separa-
tion distance calculated from the equation applicable
to the frequency of the transmitter.
Recommended separation distance:
d = 1.2√P
d = 1.2√P 80 MHz to 800 MHz
Conducted RF 3 Vrms 3 Vrms d = 2.3√P 80 MHz to 2,5 GHz
IEC 61000-4-6 150 kHz to 80 MHz where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter
Radiated RF 3 V/m 3 V/m manufacturer and d is the recommended separation
IEC 61000-4-3 80 MHz to 2,5 GHz distance in meters (m).
Field strengths from fixed RF transmitters, as deter-
mined by an electromagnetic site survey, should be
less than the compliance level in each frequency
range.
Interference may occur in the vicinity of equipment
marked with the following symbol:
• At 80 MHz and 800 MHz, the higher frequency range applies.

• There guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structure, objects, and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephone
and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be pre-
dicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF trans-
mitters, and electromagnetic site survey should be considered. If the measured field strength in the
location in which the Cardico 306 is used exceeds the applicable RF compliance level above, the
Cardico 306 should be observed to verity normal operation. If abnormal performance is observed,
additional measures may be necessary, such as re-orienting or relocating the Cardico 306.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 10 V/m.

EMC Standards
Recommended separation distance between Cardico 306 and a cell phone or any other mobile RF communication
device
Chapter 10
Cardico 306 is intended for use in the electromagnetic environment where radiated RF disturbance is controlled. When
Cardico 306 is used, electromagnetic disturbance can be prevented by controlling the following recommended maximum dis-
tance between Cardico 306 and a cell phone or any other mobile RF communication device (transmitter):
Separation distance (m) based on transmitter’s frequency

Rating (W) of maximum
Appendix
output power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
d = 1.2√P d = 1.2√P d = 2.3√P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation dis-
tance 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.
• At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
• These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects and people.
Interference by radio knife

Cardico 306 is protected from operation failure resulting from the following specified combinational use with a radio knife:
Incision mode IEC 60601 test level Conforming level Electromagnetic environment – guidance
When the radio knife generates high-frequency

energy, the noise level in the ECG waveform dis-
Test in cut mode Output power: 300 W Output power: 300 W played/recorded on Cardico 306 increases. How-
ever, within 10 seconds after the generation of
high-frequency energy has stopped, the previous
level will be resumed.
When ECGs during a period including the occur-

Test in coag mode Output power: 100 W Output power: 100 W
rence of high-frequency energy are used for anal-
ysis, an effective analysis result may not be
obtained.
51
Specifications: Cardico 306
Items Description
<Input>
Input Impedance 10 MΩ or more
Leads Standard 12 leads and Cabrera leads (Leads acquisition: Coordinate phase or
Real time)
Patient Input One patient
Common Mode Rejection 100 dB or more
Polarization Voltage ± 500 mV or more
Frequency Response 0.05 to 150 Hz, within -3 dB to +0.5 dB
Time Constant 3.2 sec. or more
Filter Digital filter, hum noise · drift (weak/normal), Muscle (35/25 Hz)
A/D Conversion 12 bit (4.88 µV/digit)
Sampling Rate 10000 sampling/sec.
<Display>
Display System 5.7-inch STN liquid crystal monochrome display with backlight, 320 × 240 dots
ECG Display 4/12-Lead
<Built-in thermal printer>
Recording Type Thermal Array (8 dot/mm)
Recording Sensitivity 2.5, 5, 10, 20 mm/mV, Auto selection
Recording Speed 5, 10, 12.5, 25, 50 mm/sec.
ECG Paper Roll paper (80 mm in width)
<Safety>
Safety Class I, Type CF
Water Proof Protection Non water proof device (IPXO)
Flammable Anaesthetic Not applicable
Mode of Operation Continuous operation
<Power Source>
Rated Power Supply 100 to 240 VAC, 50 to 60 Hz, 90 VA
Rechargeable Battery 12 VDC, Nickel-Metal Hydride battery FDK model: 10HR-AAU
<Size>
Dimension 266 mm (W) × 173 mm (D) × 75 mm (H)
Weight Approx. 1.5 kg (including the rechargeable battery)
<Operating Environment>
Temperature 10 to 40°C
Humidity 25 to 95% RH (Without dew condensation)
Pressure 700 to 1060 hPa
<Transportation and Storage Environment>
Temperature -20 to 60°C
Humidity 20 to 95% RH (Without dew condensation)
Pressure 700 to 1060 hPa
<Communication Port>
LAN port IEEE 802.3u 100BASE-TX × 1
USB port 1 (USB 2.0 compatible)
These specifications are subject to change for quality improvement without notice.

Maintenance and Inspection
Chapter 10
To ensure the safe use of Cardico 306 by preventing malfunctions and accidents, periodical checks must be carried out at a
specific interval (about every six months) in addition to the daily checks. Check that Cardico 306 operates normally, and
replace any consumable parts at that time.
Contact your Kenz authorized dealer if Cardico 306 or accessories should fail.
z Recording table for daily checks
Appendix
Check item Description Result
Display
1 Is the display damaged or dirty?
(touch panel)
Main unit 2 Key Are the operation keys damaged or dirty?
3 Printer Is the printer damaged or dirty?
4 Connectors Are the connectors damaged or dirty?
1 Power supply Does the ECG start up when the power is turned ON?
2 Display Are the waveforms and items displayed on the LCD screen?
Operation Does waveform recording begin when recording is started?
3 Recording
Is the recording operation performed efficiently?
4 Date and time Are the date and time correct?
1 AC adaptor Is the AC adaptor or AC cable damaged or dirty?
2 Lead cable Is any lead cable damaged or dirty?

Accessories
3 Electrodes Are any of the electrodes damaged, rusted or dirty?
4 ECG paper Is the ECG paper dirty, etc.?
Others 1 Others Are the optional parts correctly connected?
Remarks
Date/time Checked
Model Cardico 306
of check by
53
z Recording table for periodic checks
Check item Description Result
Display Is the display damaged or dirty?

1
(touch panel) Is the display visibility degraded by dead pixels?
Main unit 2 Key Are the operation keys damaged or dirty?
3 Printer Is the printer damaged or dirty?
4 Connectors Are the connectors damaged or dirty?
1 Power supply Does the ECG start up when the power is turned ON?
2 Display Are the waveforms and items displayed on the LCD screen?
Does waveform recording begin when recording is started?

Operation 3 Recording
Is the recording operation performed efficiently?
4 Date and time Are the date and time correct?
5 Touch panel Do the keys properly respond when pressed?
1 AC adaptor Is the AC adaptor or AC cable damaged or dirty?
2 Lead cable Is any lead cable damaged or dirty?

Accessories
3 Electrodes Are any of the electrodes damaged, rusted or dirty?
4 ECG paper Is the ECG paper dirty, etc.?
Others 1 Others Are the optional parts correctly connected?
Remarks
Date/time Checked
Model Cardico 306
of check by

Cleaning
Chapter 10
z Cleaning Cardico 306
Periodically clean the main body of Cardico 306.
To clean the main unit, wet a piece of soft cloth such as gauze with water or warm water, squeeze out the excess water,
and wipe the unit lightly. Wipe the unit again with a dry cloth when done.
• Wipe the touch panel of Cardico 306 with the enclosed screen cleaning cloth.
• Dry-wipe the connectors of the patient cables.
Appendix
• Infiltration of water, etc., into Cardico 306 from the clearances can result in damage.
• Do not use thinner, benzene or industrial alcohol to clean Cardico 306. These substances can damage
the surface finish.
z Cleaning the Electrodes

Wipe the ends of the electrode and ECG input cables with gauze which has been wetted with either detergent diluted with
warm water, or with ethyl alcohol, then allow them to thoroughly dry. Allowing the electrode and cable ends to dry with
ECG cream still adhered to them, or leaving them in a wet condition, could prevent the ECG from being recorded correctly.
Do not use thinner, benzene or industrial alcohol to clean Cardico 306. These substances can damage the
surface finish.
55
0 4 5 9
It is prohibited to duplicate or reproduce this document without permission. 2020.11 KV.A2.*.(*).* 1048

Cardico306 - Operation Manual (ENG) - (1048)

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Cardico306 - Operation Manual (ENG) - (1048)

Uploaded by

Copyright:

Available Formats

Electrocardiograph with Analysis

i Operation Manual for Cardico 306

1.3 Before operation

1.5 Cleaning the device after use

1.6 Regular testing of the device and the patient cable

1.7 The caution and warning statements for operator

1.8 Disposable of the device

1.9 Connection with other devices

iii Operation Manual for Cardico 306

Regarding the Signs

Sign Description Sign Description

Caution Mode Selection Key

Lead Selection Key

Battery Level Lamp

Chapter 5 ECG Examination:

Chapter 6 ECG Examination:

v Operation Manual for Cardico 306

ECG Examination Using Cardico 306

Limb electrode CR-3000 (containing 4 pieces) 1

Chest electrode CE-10 blue (containing 6 pieces) 1

Operation manual This document 1

Operation manual in multiple languages,

Use the accessories designated by Suzuken.

1 Display (Touch Panel) • If multiple USB memory media are con-

2 Operation Manual for Cardico 306

5 Paper Magazine Open Button 8 LAN Connector

1 Battery Level Lamp 6 Power Key (On: , Off: )

4 Operation Manual for Cardico 306

Printed Recording paper

Paper printing format and waveform recording time (Auto Mode)

Recording time 3ch 4ch (3ch + Arrhythmia)

Real waveform Arrhythmia Real waveform Arrhythmia

10 seconds 2.5 10 2.5 10

Precaution for Installation

Connecting the Cables

Pay attention to the orientation of each connector, and connect securely.

6 Operation Manual for Cardico 306

Check the following matters after connecting.

Setting the Battery

Precautions for Using the Battery

Charging the Battery

This symbol mark is for EU countries only.

8 Operation Manual for Cardico 306

Using an External Printer

Loading the ECG Recording Paper

5 Press on the operation panel.

3 Load the paper with paper spool into

10 Operation Manual for Cardico 306

Initial Settings (For Dealers)

6 When finished with the settings, press

THIN (*) Baseline is printed with a thin line.

STD.12LEADS (*) The data is recorded with the standard 12 leads.

CABRERA The data is recorded with the Cabrera lead.

ON The heart rate sync sound is activated.

ON (*) The key is activated.

STD (*) Pacemaker detection is activated with standard sensitivity.

ON (*) Filter to suppress hum noise is activated.

ON (WEAK) Filter (low) to compensate baseline is activated.

DRIFT FILTER ON (STD) (*) Filter (high) to compensate baseline is activated.

OFF Filter to compensate baseline is inactivated.

OFF (*) Muscle filter is inactivated.

AUTO (*) Initial mode at power ON is Auto Mode.

1 Press on the operation panel,