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Jinco Medical Equipment
Jinco Medical Equipment
Appendix
Appendix A: Maintenance and Cleaning ........................................................................................35
Appendix B: Trouble Shooting .......................................................................................................36
Appendix C: Warranty Liabilities ...................................................................................................37
EcgExplorer 500A Computerized ECG workstation
1.2.1 Functions
1.2.2 Features
Eight major functions help you get most from patient’s ECG.
It’s very convenient to measure ECG waves via electronic ruler.
Digital ECG filter to ensure the ECG waves none distortion.
Perfect patient data management enables physicians to freely search, sort,
delete or modify information.
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EcgExplorer 500A Computerized ECG workstation
The Computerized ECG Workstation system is intended for use under the direct supervision of a
licensed health care practitioner.
The reliability of the Computerized ECG Workstation system is dependent upon conformance
with the operation instructions, as detailed in this manual.
The equipment will not cause abnormal operation of a patient’s cardiac pacemaker or other
electronic stimulator.
1.3.1 Definitions
Indicates an imminently hazardous situation which, if not avoided, WILL
DANGER result in death or serious injury.
Indicates a potentially hazardous situation which, if not avoided, COULD
WARNING result in death or serious injury.
Type B equipment.
Class Ⅱ equipment.
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EcgExplorer 500A Computerized ECG workstation
This equipment is not intended for use with high frequency surgical units.
DANGER Disconnect the patient from the device before using the high frequency
surgical unit.
This system is not suitable for intracardiac application and not intended
DANGER for use as vital signs physiological monitors.
DO NOT knead or bend the patient cable and data cable. Or the cable will
WARNING be broken. The connector of the patient cable should not connect to the
earth line or other bare metal parts.
The quality of the electrodes should be in accordance with the
WARNING requirements of ANIS/AAMI EC12-1991.
The used electrodes should be disposed of in accordance with the
WARNING requirements of environment protection.
WARNING The equipment should be grounded to protect the patient from electrical
shock.
Jinco Medical Equipment Company is responsible for the effects on safety,
WARNING reliability and performance of the devices, only if
• Assembly operators, extensions, readjustments, modifications, or
repairs are carried out by Jinco Medical Equipment Company or by
persons authorized by Jinco Medical Equipment Company.
• The equipment is used in accordance with the instructions given in
this manual.
This system should not work in strong electromagnetic environment, such
CAUTION MRI or other kind of strong electromagnetic equipment.
This system should be calibrated annually by an authorized service center.
CAUTION
The minimum signal of test is 10Hz, 20μV (peak to peak) sine. It will
NOTE cause inaccurate result if operation of this system below this amplitude.
NOTE Medical technical equipment must only be used by persons who have
sufficient knowledge, who have received adequate training in the use of
such equipment and who are capable of applying it properly.
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EcgExplorer 500A Computerized ECG workstation
1.4 Specification
(1) Voltage: DC 5.0V (+5%, -10%).
(2) Sample rate: ≥500Hz;
(3) Sample resolution: 12bit;
(4) Lead: 12-lead standard ECG;
(5) Input circuit current: ≤0.1μA;
(6) Input impedance: ≥5 MΩ;
(7) Noise electric level: ≤15μVp-p;
(8) Standard sensitivity: 10mm/mV ±5%;
(9) Anti-polarization voltage: if add ±300mV DC polarization voltage,
the change of sensitivity is not more than ±5%;
(10) CMRR: ≥80 dB;
(11) Frequency response: 1 -75 Hz(+0.4 dB, -3.0 dB)as the benchmark is
10Hz;;
(12) Lower frequency feature: time constant is not less than 3.2s;
(13) Equipment safety type: EcgExplorer 500A ECG acquisition box is
class II, type-BF;
(14) Working environment: Temperature: 5 - 40℃, Relative humidity: ≤
75%, Atmospheric pressure: 700hPa~1060hPa;
(15) Storage environment: Temperature: -40 - 55℃, Relative humidity:
≤93%, Atmospheric pressure: 500 - 1060hPa.
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EcgExplorer 500A Computerized ECG workstation
Put the “Software Installation CD” into CD-ROM. Double click EcgExplorer
500A folder, and then double click the setup.exe to install the software.
Figure 1.5.2-1.
Click “Next”.
Figure 1.5.2-2.
Install to the default location, just click “Next” to continue.
If you want to install the software to other locations, just click “Browse”
button to select another location. And then click “Next” button.
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EcgExplorer 500A Computerized ECG workstation
Figure 1.5.2-3.
Click “Next” to continue.
Figure 1.5.2-4.
Make a checkmark at MIC_ECG_A, click Next.
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EcgExplorer 500A Computerized ECG workstation
Figure 1.5.2-5.
The installation is processing.
Figure 1.5.2-6.
Click Finish.
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EcgExplorer 500A Computerized ECG workstation
Figure 1.5.3-1.
Click “Install Driver” to continue.
Plug into the security key. Right click on My computer icon on the desktop.
Click Properties\Hardware\Device manager, in the universal Serial Bus
controllers, there is GrandDog USB Device. it means the dongle has been
installed successfully.
Figure 1.5.3-2.
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EcgExplorer 500A Computerized ECG workstation
Connect patient cable (Figure 1.5.4-2.) to one port of the acquisition box
(Figure 1.5.4-1.). Connect the other port to the USB port of computer
using USB data cable.
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EcgExplorer 500A Computerized ECG workstation
Figure 1.5.4-5.
Click “No, not this time”, and then click “Next”.
Figure 1.5.4-6.
Mouse click “Install from a list or specific location (Advanced)”, and
then click “Next”,
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EcgExplorer 500A Computerized ECG workstation
Figure 1.5.4-7.
Point and click “Search for the best driver in these locations”. Make
a check mark in the box of “Include this location in the search”.
Click “Browse” button. Select C:\Program files\Jinco Medical
Equipment Co.,Ltd\ECGExplore500A
Workstation\MIC_ECG_Driver\SiUSBXp. Click Open.
Figure 1.5.4-7.
Figure 1.5.4-8.
It will give following information during the process. Click “Continue
Anyway” to continue.
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EcgExplorer 500A Computerized ECG workstation
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EcgExplorer 500A Computerized ECG workstation
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EcgExplorer 500A Computerized ECG workstation
Figure 2.2-1.
¾ Hospital Information
You can fill in the corresponding blank with hospital and department name.
¾ ECG Device Setting
EcgExplorer 500A ECG acquisition box is a USB ECG Device. Click the
dropdown list to select USB ECG Acquisition Box.
¾ Printing Settings
Printer type: select Laser printer or Ink-jet printer;
Paper type: to select A4 or B5 paper;
Long lead option: to set one your desired lead to print;
Make a checkmark before “with grid” means to print ECG waves and grid.
Make a checkmark before “Auto-half gain in case of high QRS” means
print the high QRS waves with half amplitude.
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EcgExplorer 500A Computerized ECG workstation
¾ Analysis
Make a checkmark before “Auto-analysis” means the software will give
interpretation automatically.
Make a checkmark before “Auto-classify” means the software will indicate
each ECG property in the report.
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EcgExplorer 500A Computerized ECG workstation
Wilson System
RA: Right Arm, on the medial side of wrist or lateral side
between the shoulder and elbow.
RL: Right Leg, on the medial side above the ankle.
LA: Left Arm, on the medial side of wrist or the lateral
side between the shoulder and elbow.
LL: Left Leg, on the medial side above the ankle.
C1: Fourth intercostal space at the right border of the
sternum.
C2: Fourth intercostal space at the left border of the
sternum.
C3: On the 5th rib, midway between C2 and C4.
C4: Fifth intercostal space at the left mid-clavicular line.
C5: At the horizontal level of V4 at left anterior axillary
line.
C6: At the horizontal level of V4 at the mid-axillary line.
C7*: At the left posterior axillary line in the 5th intercostal
space.
C8*: At the left scapular line in the 5th intercostal space
C3R*: Opposite C3, on the right side of the thorax.
C4R*: Opposite C4, on the right side of the thorax.
* means Additional standard leads. You can sample the
Additional standard leads ECG with Custom 12 Leads ECG
function.
Frank System
Frank X, Y, Z hookups should be applied on patient for vector ECG
sampling.
RA: Right Arm, on the medial side of wrist or lateral side
between the shoulder and elbow.
RL: Right Leg, on the medial side above the ankle.
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EcgExplorer 500A Computerized ECG workstation
NOTE: It is important that the patient cables are not tangled and the leads are
properly connected. The patient’s arms and legs are totally relaxed. Also,
check that the computer is plugged into a properly grounded socket. For
extremely hairy chests, you should shave the location which leads place on
to ensure good conductivity.
NOTE: If the patient’s skin is dirty, first cleanse with 70% Ethyl Alcohol (Rubbing
Alcohol) and dry the skin completely.
NOTE: A thickness of the ECG baseline or flat line will usually mean the lead is
not conducting properly. Check the right ankle - it is the grounded lead and
is most important to having good conductivity.
NOTE: Ground wire should be properly connected. One end of the ground wire
should be connected with the out cover of the computer. The other end
should be connected with the public ground wire or water pipe.
NOTE: The patient cable should not be kneaded or bent. Or the cable will be
broken. The connector of the patient cable should not get in touch with the
earth line or other bare metal parts.
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EcgExplorer 500A Computerized ECG workstation
Click on icon to start on the main screen and you will see the
igure 3.2-2.
Click “OK” button to follow the wizard to perform the ECG test. The
program will guide you to do the tests step by step.
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EcgExplorer 500A Computerized ECG workstation
Figure 3.2-3.
Click on your desired ECG test from Test items. The right side leads
placement indication will be changed according to your selection.
If you select custom 12 leads ECG, you should label the new leads. Click
dropdown list from C1 to C6 and select proper lead according to your lead
placement.
Click on “Monitor” icon , you will see the yellow ECG strips. At
the beginning of ECG sampling, the ECG strips are yellow color and are
not recorded by computer. Click “Record” icon when you see the
ECG strips are stable. At this time, the ECG strips become green color.
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EcgExplorer 500A Computerized ECG workstation
Figure 3.2-4.
The ECG waves sampling will be ended until the recorded time meet the
setting before. Click Analysis icon to save the recorded ECG and
perform analysis.
Click Speed icon to select a proper speed. You have three options:
12.5mm/s, 25mm/s and 50mm/s.
Click ESC icon to exit to initial screen and not save the recorded
data.
NOTE Only click the Analysis icon , the recorded ECG waves can be saved.
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EcgExplorer 500A Computerized ECG workstation
If you want to perform other ECG items, click ECG item button form left
side initial screen.
Figure 3.2-5.
Click one of you desired ECG test and sample the ECG waves. The
operations of other ECG test items are similar to Standard 12 leads ECG.
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EcgExplorer 500A Computerized ECG workstation
Figure 4.1-1.
Each record will be listed on the corresponding items, and labeled the data
of recording. Double click the record from the Standard 12 leads ECG; you
will see the following screen.
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EcgExplorer 500A Computerized ECG workstation
Figure 4.1-2.
The hart rate and RR interval are displayed on top of each beat with unit of
BPM (Beat Per Minute) and ms (millisecond).
Click this icon to select display method. You have three options: 12
leads per page, 6 leads per page and 3 leads per lead.
If you select 6 leads per page or 3 leads per lead, click this icon to
display remainder leads.
Click Speed icon to select a proper speed. You have three options:
12.5mm/s, 25mm/s and 50mm/s.
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EcgExplorer 500A Computerized ECG workstation
Point and click on the “Ruler” icon and the mouse pointer turns into a small
ruler with a little red cross. When take measurements, put the cross at the
start point, and then click the end point. A box will mark the area you have
measured. The results will be shown in the “Measurement Result” window.
Figure 4.1-3.
Click Data table icon to display the measurement result of each lead
on the right side of the screen.
Figure 4.1-4.
Click Set point icon to set the measurement point. Form this screen
you should click one vertical line and then move the line to the proper
place.
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EcgExplorer 500A Computerized ECG workstation
Figure 4.1-5.
The first vertical line means the start of P wave;
The second vertical line means the end of P wave;
The third vertical line means the start of Q wave;
The fourth vertical line means the start of T wave;
The fifth vertical line means the end of T wave.
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EcgExplorer 500A Computerized ECG workstation
4.3 QT Dispersion
Double click the record from the QTd to perform analysis of QT dispersion.
Figure 4.3-1.
Double click one ECG waves to set as a basement of measurement. The
selected ECG waves will turn green. The first vertical line means the start
of Q waves, and the second vertical line means the end of T wave.
The patient information and the measurements of QT dispersion are listed
on the right side of screen.
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EcgExplorer 500A Computerized ECG workstation
4.4 VCG
Double click the record from the VCG; you will see the following screen.
Figure 4.4-1.
You will see three average waves from left side of the screen. Click and
move each vertical line from the ECG waves to set measurement point.
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EcgExplorer 500A Computerized ECG workstation
4.5 TVCG
Double click the record from the TVCG; you will see the following screen.
Figure 4.5-1.
With this function you can see the consecutive vector ECG on the time
axis.
The top half of the screen shows the X,Y,Z three channels ECG. The
bottom half of the screen shows the “X-Y”, “X-Z” and “Z-Y” three
planes vector ECG. The right of the screen shows the specifications of the
Frontal Plane, Horizontal Plane and Right Plane.
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EcgExplorer 500A Computerized ECG workstation
4.6 VLP
Double click the record from the VLP; you will see the following screen.
Figure 4.6-1.
The left side of the screen list three channel average ECG waves. And the
time domain is displayed besides average ECG waves.
The patient information and specifications are listed on the right side of the
screen.
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EcgExplorer 500A Computerized ECG workstation
Figure 4.6-2.
The patient information and VLP test specifications are listed on the right
side of the screen.
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EcgExplorer 500A Computerized ECG workstation
4.7 HRV
Double click the record from the HRV; you will see the following screen.
Figure 4.7-1.
The top left histogram is R-R interval, the top right histogram is the RR
interval difference.
The bottom part of the screen displays the RR trend.
The patient information and HRV test specifications are listed on the right
side of the screen.
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EcgExplorer 500A Computerized ECG workstation
Figure 4.7-2.
Figure 4.7-3.
The top left picture is Lorenz Plot, and top left is Modified Poincare Plot.
The bottom part of the screen displays the RR trend.
The patient information and HRV test specifications are listed on the right
side of the screen.
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EcgExplorer 500A Computerized ECG workstation
4.8 HFECG
ECG signal visible on a conventional ECG have amplitudes of a millivolt
and are characterized by frequencies less than 100Hz. The ordinarily
invisible components have amplitudes in the microvolt range and are
characterized by frequency from about 150Hz to about 250Hz. Deviation of
these high frequency components from a normal pattern can be indicative
of myocardial ischemia or myocardial infarction.
Double click the record from the HFECG; you will see the following
screen.
Figure 4.8-1.
HFECG is to detect high frequency components of QRS such as notches,
slurs and beadings.
The bottom left corner of the screen shows the statistic data of Notches,
Slurs and Beadings. You can make changes of each value by double click
on that value. You also should fill in the suggestion blank with your
comments.
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EcgExplorer 500A Computerized ECG workstation
Figure 4.9-1.
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EcgExplorer 500A Computerized ECG workstation
Maintenance of Monitor
1. The monitor should be placed 10cm away from wall.
2. When connected the monitor to the power socket, the monitor current
should not over the maximum current of the power supply socket and
also should not over the rated current of the wire.
3. Plug out the power line when cleaning the monitor. Do not use liquid
detergent or organic solvent. You may use slightly wet cloth to clean it.
4. When shut down the power, you should hold the plug and pull out it.
Do not pull the wire.
5. Do not put the monitor at the places such as high voltage, electric field
and other high magnetic field. Put it at the places of good ventilation
and not the hot and wet environment.
6. Use screen saver and shut down the monitor when not using.
7. There are many holes on the cover of the monitor which are used for
ventilation. Do not cover it.
8. Do not place any plants near the monitor because water and dust will
come into monitor.
9. Put the monitor at the stable places.
10. Do not step on the power supply wire.
11. If you have two monitor putted in the same room, you should try to
separate them to prevent noises.
Maintenance of computer
1. Keep the room clean and dry.
2. Open and close the computer using correct method.
3. In case of abnormal closing, perform hard disk scan and modify the
faulty in time.
4. Do not work in the high temperature environment.
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EcgExplorer 500A Computerized ECG workstation
3. Q: The printer does not work even after several minutes after I click the
print button in the software.
A: Check the printer cable connected to the computer. Reinstall the printer
driver.
4. Q: In case of the program abnormally exit, will the patient data will be
lost?
A: The patient data will not be lost. Restart computer and EcgExplorer 500A
software and you can check the data
6. Q: Click on the “Start” icon to sample the ECG waves, but no data for
analysis.
A: Click “Analysis” icon after data sampling, the computer will save the
recorded data and analyze it.
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EcgExplorer 500A Computerized ECG workstation
About Manual
Copyright Jinco Medical Equipment Co., Ltd. All right reserved.
Manual Version: 1.0
Printed in Beijing
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