Ergometer Operation Manual Type er900L Contents Table of Contents EC Declaration of Conformity Table of Contents....................1 Foreword ......................4 Introduction ....................... 5 Comments by the Manufacturer for the Operating Company ......... 5 Product Relevant Regulations ................6 Warranty Regulation .................... 6 Safety Notices ....................
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Ergometer Operation Manual Type er900L Contents Operation ......................18 The Computer - Your Helper ................18 The Display Unit ....................19 5.2.2 Displayed Parameters and their Meanings ............19 The Printer ......................20 5.3.1 Configuration of Printer ..................20 5.3.2 Printed Parameters ...................
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Ergometer Operation Manual Type er900L Contents Structure of Programs ..................46 General Structure of Programs 1-8 ..............46 8.1.1 Factory Settings ....................46 8.1.2 Creating Your Own Load Program ..............47 Systematic Setup of Programs ................48 8.2.1 Setup of Automatic Load Program 0 ..............48 8.2.2 Setup of the Fully Programmable Load Programs 1-8 ........
It can also be used as a reference. We hope that you are successful in your work with the ergometrics er900L ergometer. We always welcome your constructive remarks and improvement suggestions with regard to the unit as well as to this handbook.
Ergometer Operation Manual Type er900L Introduction Introduction Within this Operation Manual, important comments to ensure the safety and to avoid potential damage are labelled with following symbols: Warning ! Describes a potential dangerous situation. Failure to comply may lead to death or serious injuries, or may cause dam- age to the equipment or to the environment.
- EC-Directive 93/42/EEC concerning medical products of June, the 14th 1993 - EC-Directive 89/336/EEC concerning „Electromagnetic compatibility“ Warranty Regulation ergoline GmbH is only then, responsible for the safety and reliability of this device when: " all revisions, enhancements, repairs and service to the device are carried out by ergoline authorized personnel, e.g.
Ergometer Operation Manual Type er900L Safety Notices Safety Notices Safety Complying to the safety comments protects from potential injuries and prevents im- proper application of the ergometer. Each operator of this ergometer as well as per- sonnel which is in charge of installation, maintenance, examination or repair of this ergometer, must have read and fully understood the contents of this Operation Manual prior to operating or do any work on this device.
It is necessary to ensure that no dangerous ground currents occur as a result of attaching the ergometer to other devices. Device specifications of the ergometrics er900L are in the appendix to this manual. Direct your questions to your dealer or to ergoline’s service department. Es-...
(see page II in this operators Manual) 2.7.3 Load Unit Inspection EC-Directive 93/42/EEC operator regulations requires qualified technical maintenance of the load unit at two years intervals. This is to be performed by an ergoline authorized service technician. Version: 12/01 er900L Operation Manual...
Ergometer Operation Manual Type er900L Installation Installation This section describes the required installation steps in order to establish operational readiness. The steps described are also required at initial installation after delivery of the device. Installation steps 1) Mount the locking castors. 2) Fix paper roll holder and fix crepe paper roll.
Ergometer Operation Manual Type er900L Installation Accessories Order No. Description 100.948 Thermal paper roll (1 Set = 10 pieces) 200.194 Cuff for ergometry, adults 200.199 Cuff for ergometry, adults (connecting hose 2 m) 200.230 Cuff for ergometry, long version for strong arms 200.231 Cuff for ergometry, special (strong arms/connecting hose2 m) 200.200...
Ergometer Operation Manual Type er900L Putting into Operation Putting into Operation Check the mains fuse at the respective workstation prior to putting into operation the device. Minimal fuse value: 16A. Operating elements and Connections Power connector, fuse and main power switch Couch and seat adjustment Mains power switch Shoulder support...
Ergometer Operation Manual Type er900L Putting into Operation Measurement head 4.2.1 Keyboard 11 BLOOD PRESS. I/0 to initiate or stop blood LCD-Display pressure measurement ( at Paper Ejection Slot anytime possible) Numeric Keypad 12 START to manually initiate a blood START to start the ergometric pressure measurement, can...
When using an ergoline utility cart with suction device, connect the unit’s power plug to one of the white outlets on the utility cart. The ergometer can then be switched on and off together with the suction device.
Ergometer Operation Manual Type er900L Putting into Operation 4.3.3 Signal Connections 1) Digital RS-232 interface connector for PC or ECG 2) Analog interface for analog control and analog data transfer to ECG. 3) Fiber-optic connector for ear/finger clip or HR input from and ECG The interface pin configuration as well as related technical data are in the appendix of this Operation Manual.
Ergometer Operation Manual Type er900L Putting into Operation Power on Sequence Mains power switch The unit will subsequently execute a self-test. At the end of the self-test the main menu will appear as below: P = 000 W = 000 /min. HF= 000 /min.
Ergometer Operation Manual Type er900L Operation Operation The Computer - Your Helper The half-leaning/leaning ergometer er900L was designed so that ergometric processes could be conducted simply - quickly - exactly - safely. In order to achieve this, the computer is an indispensable aid. The integrated and espe- cially designed blood pressure module for the ergometric process, makes computer monitoring of the patient and his blood pressure condition largely autonomous.
Ergometer Operation Manual Type er900L Operation The Display Unit 5.2.2 Displayed Parameters and their Meanings P = 000 W = 000 /min. HF = 000 /min. = 00 min. S = 000 mmHg D = 000 mmHg PROG 0 BP OFF PR.
Ergometer Operation Manual Type er900L Operation The Printer 5.3.1 Configuration of Printer The printer may be configured in any one of three modes. This is done by pressing the brown key „Printer“ (13). The status of the printer can be read from the lower right corner of the display.
Ergometer Operation Manual Type er900L Ergometry process Ergometry Process General Preparations 6.1.1 Preparing the Patient As support for getting on or off the ergometer, the patient may only use hand grip (A). The arm rest (D) and the hand grip (C) must not be used as support for getting on/off the ergometer and must not be strained with the whole body weight.
Ergometer Operation Manual Type er900L Ergometry process 7. Applying the Blood Pressure cuff : * Feel for the position of arteria brachialis and position microphone (identified by the red tab) precisely above arteria brachialis (E). * Apply the airless cuff tightly at upper arm in order to prevent slipping during the ergometry test, however not extremely tight.
Ergometer Operation Manual Type er900L Ergometry process Preparation of the Ergometer (ECG Type P1 or P2) These preparation instructions are only applicable to usage of the ergom- eter in conjunction with interface modes ECG-Type P1 or P2, See Appen- dix A. The ergometer can only be controlled by its own program in these modes.
Ergometer Operation Manual Type er900L Ergometry process 6.2.2 Entries Peculiar to the use of Program 0 When using program 0, the maximum heart rate (HR) should always be entered spe- cific to the individual patient. Since this value serves as the target frequency for load- ing, it must be specifically adapted to the age and health of the patient.
Ergometer Operation Manual Type er900L Ergometry process Preparations for control by ECG or PC The ergometer must be specifically configured to the controlling ECG-Type or PC, see Appendix. The ECG or PC is then in total control of the ergometry. Any entries that may have been made on the ergometer are therefore nullified.
Ergometer Operation Manual Type er900L Flowchart for complete Ergometry Process This ergometric process flow description is only valid for use of the ergom- eter under internal control. When control is exercised by an ECG or PC refer to the documentation for those devices. Legend: = input via operating = action via...
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Ergometer Operation Manual Type er900L Second blood pressure measurement under stress Blood pressure will be measured again at the programmed interval. The measured blood pressure data and the current load data will either be printed by the internal printer or passed over the RS-232 interface to an ECG for documenting there. Advancing to the second load increment The load will be incremented by the programmed second load increment as soon as data has been output.
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Ergometer Operation Manual Type er900L Ergometry process First blood pressure measurement during recovery Blood pressure measurements continue to be taken during the recovery phase at the set interval. Output of measured blood pressure data The resulting blood pressure data are either printed by the internal printer or passed over the RS-232 interface to an ECG for documenting there.
Ergometer Operation Manual Type er900L Ergometry process Ergometric Protocol An ergometric protocol is recorded during the ergometric session. The protocol is either produced by the internal printer or by an ECG. Picture below shows such a protocol as documented by the internal printer. Program parameters were: heart rate max.
Ergometer Operation Manual Type er900L Ergometry process Manual Control of Ergometry session If necessary, the ergometry session , i.e. the load program may be manually controlled via the measurement head . That is done by starting a suitable ergometry program, and then interrupting the auto- matic sequence of the program at the desired instant by pressing the key „STOP“.
Configuration General The ergometrics er900L ergometer has numerous setup options to allow the operator to adapt the device optimally. The most important configuration support is the monitor program. The monitor program allows the operator to use a set of menus to modify parameters.
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Ergometer Operation Manual Type er900L Configuration ACTIVATE PROGRAM MONITOR V.XXX PROGRAM No ACTIVATE PROGRAM Max.HEARTFREQ. HR < XXX ADJUST CLOCK Max.Syst. S < XXXmmHg mmHg - kPa ADJUST CLOCK ACTIVATE PROGRAM YEAR MONTH max.Diast. D < XXXmmHg HOUR START LOAD Po = XXX W MINUTE XX MAX.
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Ergometer Operation Manual Type er900L Configuration LOAD INT - EXT ZERO LOAD EXT [ * ] SET CODE . . . MONITOR V.XXX ADJUST LOAD INPUT LOAD - ZERO = XXX W LOAD INT/EXT ADJUST LOAD INPUT ZERO LOAD ADJUST LOAD INPUT ECG RECORD LOAD EXT SET CODE .
Ergometer Operation Manual Type er900L Configuration Base Settings 7.3.1 Date and Time The system has an integrated real-time clock that can be set by the monitor program. This clock is set correctly when the unit is delivered but may require re-setting, for ex- ample when changing from winter time to summer time.
Ergometer Operation Manual Type er900L Configuration 7.3.2 Select Unit for Pressure Display It is possible to select either mmHg or the SI unit kPa for use in the printed output. Proceed as follows: " Press the button „MONITOR“ $ $ $ $ $ MONITOR V.XXX The monitor main menu will appear in the...
Ergometer Operation Manual Type er900L Configuration 7.3.3 ECG Start Pulse Duration (only for remote start of ECG) The ergometer has a remote start output with which an ECG device can be triggered (provided that the ECG device has a corresponding input). The feature programmed below determines the period during which the remote start signal is applied to the out- put.
Ergometer Operation Manual Type er900L Configuration 7.3.4 Select LANGUAGE The language used in the display and on the print-outs may be selected. There are two versions of software available, each with three languages. The available languages are: German (GER), French (FRZ), English (ENG), or Spanish (ESP), Italian (ITA), Dutch (DUT).
Ergometer Operation Manual Type er900L Configuration 7.3.5 RPM Control Sometimes, it may be necessary for the patient to discontinue pedaling for one reason or another. Normally, when the RPM value drops below the minimum value (30 RPM), this will lead to an abort of the load program since a defined load is no more present. Now it is possible to turn off RPM control for these special applications.
Some of these parameters are code protected and should not be modified by the op- erator due to safety considerations. Notify your authorized dealer or the ergoline ser- vice department if you wish to alter any one of these protected parameters.
Defining an Ergometry Program The operator may select from 10 different ergometric programs when using the ergometrics er900L. Of these 10 programs, eight are fully programmable, one pro- gram offers automatic loading and one program is for pulse-steady-state training. Ergometric program definition is only possible when the ergometer is controlled internally, i.e.
Ergometer Operation Manual Type er900L Configuration 7.4.1 Setup of Automatic Program 0 Automatic program 0 is for the fully automated testing of patients with unknown circula- tion condition, in particular, weak patients. The ergometer’s control computer uses this program to test the patient’s circulation response across two or three different but spe- cific load increments.
Ergometer Operation Manual Type er900L Configuration 7.4.2 Definition of Programs 1-8 The operator has the choice of eight stress programs that are freely programmable to specific requirements on the ergometrics er900. In these eight programs, all control and alarm parameters are fully selectable. As with programs 0 and 9, the setup accom- plished with the monitor program represents a basic setup that can still be changed for any specific ergometry run at the beginning of that particular ergometry.
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Ergometer Operation Manual Type er900L Configuration The meaning of the various training parameters : max. Heartfreq = alarm parameter, when reached will cause program termination max. Systole = alarm parameter, when reached will cause program termination max. Diastole = alarm parameter, when reached will cause program termination Start Load = load value with which the system begins stressing the patient.
Ergometer Operation Manual Type er900L Configuration 7.4.3 Definition of Program 9 for Pulse-Steady-State Training Program 9 offers pulse-steady-state training capability. A continuously available heart rate input is prerequisite for this program. Heart rate input can be accomplished in various ways. You can attach an ear/finger clip, a pulse monitor (such as the Polar Pacer) or connect a QRS trigger output from an ECG device being used (see Annex E to this operator’s manual).
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Ergometer Operation Manual Type er900L Configuration The meaning of the various training parameters: max. Heartfreq. This is the pulse-steady-state limit for heart rate that is to be used in this training. When this limit is reached, the ergometer will take over complete load control to ensure that the patient’s heart rate remains stable at this level (by lowering and raising the load automatically).
Die Programs 1-8 can be individually programmed for the testing of various patient groups such that at the push of a button the right program is at hand. Programs 1-4 have been pre-programmed with sample programs by ergoline prior to delivery. These programs are only exemplary and can certainly be changed.
Ergometer Operation Manual Type er900L Structure of Programs 8.1.2 Creating Your Own Load Program Programs 1-8 were intended to be programmed from the monitor program, as de- scribed in this manual, for various pre-defined patient groups. This allows you to select the appropriate program for a patient at the touch of a button.
Ergometer Operation Manual Type er900L Structure of Programs Systematic Setup of Programs 8.2.1 Setup of Automatic Load Program 0 Except for initial load and maximum load values, program 0 does not permit any load settings from the operator. Individual load increments are not programmable. The load- ing process is determined automatically by the ergometer during the ergometry pro- cess and is only dependent upon the circulation response of the patient.
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Ergometer Operation Manual Type er900L Structure of Programs Program flowchart: Patients with unknown circulatory conditions select program 0 If necessary, change circulation alarm parameters Start program (quiescent blood pressure measurement) Print-out of resulting data Load program start at Po Print-out of the loaded data with every blood pressure measurement Calculation of standard increments via 2-3 free load increments, subsequently stressing with 3 standard load increments to reach the max.
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Ergometer Operation Manual Type er900L Structure of Programs Pay attention to the execution of the program when programming. The base values that were entered via the monitor program are not necessarily those that are appropriate for a given patient. When programming you should only enter upper limit values that apply to the largest possible group of patients.
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Ergometer Operation Manual Type er900L Structure of Programs Program Listing Program No.: 0 maximum heart rate 1/min. maximum Systole mmHg (kPa) maximum Diastole mmHg (kPa) initial load watt maximum load Pmax watt blood press. measurement interv. INTERV.BDM = min. desired PWC value Trainingsind.
Ergometer Operation Manual Type er900L Structure of Programs 8.2.2 Setup of the Fully Programmable Load Programs 1-8 Programs 1-8 serve to provide the user with a stress program spectrum that will ac- commodate the patient groups that are to undergo ergometry. Every parameter in these eight programs is freely definable and will be upheld by the ergometer unless an alarm parameter is exceeded or a manual change is made to ergometry by the operator.
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Ergometer Operation Manual Type er900L Pay attention to the execution of the program when programming. Determine the pa- rameters for the various patient groups before you begin to program. Select alarm and load parameters according to average strength characteristics of patient groups. Se- lect parameter values such that most individuals in the group require no parameter changes and those that may become necessary are minor.
Ergometer Operation Manual Type er900L Structure of Programs 8.2.3 Setup of Program 9, Steady-Pulse (Heart & Circulation Training) Program 9 is for pulse-steady-state training. The ergometer increments the load from the outset of training according to your parameters. Upon reaching the maximum heart rate setting, instead of causing program termination, the unit switches over to pulse- steady-state control.
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Ergometer Operation Manual Type er900L Structure of Programs Pay attention to the execution of the program when programming. Since program 9 is a pure training program, alarm parameters (except for heart rate) should be chosen that any danger to the patient is remote. Select a warm-up load parameter (used until reaching the max.
Ergometer Operation Manual Type er900L Cleaning Cleaning The unit, blood pressure cuff and related accessories should be regularly cleaned, if required, daily. Important !! Be sure to disconnect the power cord prior to cleaning the unit. Cleaning the Unit Use a soft cloth moistened with a mild cleanser to wipe off the unit as needed. Ensure that the cloth is not fully saturated.
PC or ECG is possible via these interfaces. These same interfaces also capable of trans- ferring information to external devices (PC or ECG). ergoline provides a wide palette of control variations using a variety of control protocols with a combination of analog and digital signals.
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Ergometer Operation Manual Type er900L Appendix A: Interfaces ergometrics er900 Interface ECG Type P1 Software Version V.243 Interface for digital data transfer from er900 to PC or ECG with internal control of er900 Voltages: logic low logic high Transmit Output (Pin 1) >+7 V <-7 V Receive Input (Pin 5)
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Ergometer Operation Manual Type er900L Appendix A: Interfaces Transmission Protocol : DATE 14.06.91 TIME 08.23 Protocol of quiescent LOAD (watt) HR (pulse/min) state SYSTOLE(mmHg) XXX DIASTOLE(mmHg) TORQUE (n/min) TIME 08.24 Protocol of first load LOAD (watt) HR (pulse/min) step SYSTOLE(mmHg) DIASTOLE(mmHg) •...
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Ergometer Operation Manual Type er900L Appendix A: Interfaces ergometrics er900 Interface ECG Type P2 Software Version V.243 Interface for digital data transfer from er900 to PC or ECG with internal control of er900 Voltages: logic low logic high Transmit Output (Pin 1) >+7 V <-7 V Receive Input (Pin 5)
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Ergometer Operation Manual Type er900L Appendix A: Interfaces Transmission Protocol DATE 14.06.91 TIME 08.23 Protocol of LOAD (watt) HR (pulse/min) quiescent state SYSTOLE(mmHg) XXX DIASTOLE(mmHg) LOAD (watt) Load rep., begin increm. Load rep., end increm. LOAD (watt) TORQUE (n(min) TIME 08.24 Protocol of first load step LOAD (watt)
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Ergometer Operation Manual Type er900L Appendix A: Interfaces ergometrics er900 Interface ECG Type P3 Software Version V.243 Interface for digital data transfer from er900 to PC or ECG with con- trol via PC or ECG Voltages: logic low logic high Transmit Output (Pin 1) >+7 V <-7 V...
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Ergometer Operation Manual Type er900L Appendix A: Interfaces Transmission Protocol : Command from PC Response Description (ECG) from er900 X <CR> Preamble for transmission of the load target value. The load value must follow this command in a three digit format (one digit per character).
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Ergometer Operation Manual Type er900L Appendix A: Interfaces ergometrics er900 Interface ECG Type P4 Software Version V.243 Interface for digital data transfer from er900 to an ECG, with analog control via the ECG Voltages: Digital logic low logic high Transmit Output (Pin 1) >+7V <-7V Receive Input (Pin 5)
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Ergometer Operation Manual Type er900L Appendix A: Interfaces Transmission Protocol: In contrast to purely digital transmission, ECG type P4 protocol always responds, upon demand, with a standardized data record. The string consists of 54 alphanumeric char- acters with „Carriage Return“ and „Line Feed“ as line delimiters. The RS-232 will only accept the „S“<CR>...
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Ergometer Operation Manual Type er900L Appendix A: Interfaces ergometrics er900 Interface ECG Type P5 Software Version V.243 Interface for digital data transfer from er900 to PC or ECG Voltages : logic low logic high Transmit Output (Pin 1) >+7 V <-7 V Receive Input (Pin 5) >+3 V...
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Ergometer Operation Manual Type er900L Appendix A: Interfaces Transmission Protocol: DATE 14.06.91 TIME 08.23 Protocol of quiescent LOAD (watt) HR ((pulse/min) state SYSTOLE(mmHg) XXX DIASTOLE(mmHg) TORQUE (n/min) TIME 08.24 Protocol of first load LOAD (watt) HR (pulse/min) step SYSTOLE(mmHg) DIASTOLE(mmHg) •...
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Ergometer Operation Manual Type er900L Appendix A: Interfaces ergometrics er900 Interface ECG Type P10 Software Version V.243 Interface for digital data transfer from er900 to PC or ECG. The ergometer control is done via PC or ECG Voltages: logic low logic high Transmit Output (Pin 1) >+7 V <-7 V...
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Ergometer Operation Manual Type er900L Appendix A: Interfaces Transmission Protocol : Command from PC Response Description (ECG) from er900 W xxx <CR> Sets a load target of xxx watts. L xxx <CR> Sets load increment to xxx watts per minute. (The load will be increased in 1 watt steps over the period of one minute.) A xxx <CR>...
Ergometer Operation Manual Type er900L Appendix B: Monitor Program B.1 Additional Settings in the Monitor Program B.1.1 Setting the ECG Type Setting the ECG type determines the manner in which the interface is handled. Descriptions of the various possible modes can be found in appendix C. Press the „MONITOR“...
Ergometer Operation Manual Type er900L Appendix B: Monitor Program B.1.2 Setting the Baud Rate Use of the RS-232 interface requires that the transmission rate of data sent and received (baud rate) be established. For some modes of operation this baud rate is fixed and with others it must be selected.
Ergometer Operation Manual Type er900L Appendix B: Monitor Program B.1.2 Switching Between Internal and External Load Control This setting is determines control of the load. Internal control means that the ergometer’s internal program will determine the load. External means that the load will be controlled by the device connected to the analog interface.
Ergometer Operation Manual Type er900L Appendix B: Monitor Program B.1.4 Hardware Diagnostics This program can check the hardware in the event that an error in the system should occur. You can check for operating voltages being within their tolerances and, when necessary, check to see if the blood pressure measurement system has a leak, and also check it for correct display.
Ergometer Operation Manual Type er900L Appendix C: Program Listing Program Listing Program No.: ____ maximum heart rate 1/min. maximum Systole mmHg (kPa) maximum Diastole mmHg (kPa) initial load watt maximum load Pmax watt blood press. measurement interv. INTERV.BDM = min. desired PWC value Trainingsind.
Ergometer Operation Manual Type er900L Appendix D: Indicators PWC Values D.1.1 What is a PWC Value? The PWC (Physical Work Capacity) value is an index of the physical power of a patient at a given heart rate. Empirically derived values for men and women in various age groups are used as objectives.
Ergometer Operation Manual Type er900L Appendix D: Indicators Training Indicator The system can calculate and print a training indicator when ergometry is complete. These training indicators are reflective of the entire circulation response to the performance invoked by ergometry. This value however only has relevance when it is compared to values from multiple ergometry sessions of the patient over a period of time.
E.2. Pulse Monitor Ergoline offers a pulse monitor, type Polar, that can be used for heart rate input to the ergom- eter without an ECG. The receiver of the pulse monitor is connected to the opto-input of the ergometer. The QRS impulse is then radio transmitted from the chest strap to the ergometer.
Ergometer Operation Manual Type er900L Appendix F: Specification F.1 Technical Data Type : ergometrics 900L Operation mode: continuous operation Power supply: 115 V / 230 V ~/ 50 Hz / 60 Hz Power rating: 210 VA Braking principal: computer controlled eddy current brakes with torque regulation (RPM independent in accordance with DIN 13405) Load range: 20 .
Ergometer Operation Manual Type er900L Appendix F: Technical Data F.2: The Speed-correlated Capacity of Brake Power Control RPM independent range in accordance with DIN 13405 RPM independent range er900L er900L Operation Manual Version: 12/01 Art-Nr: 475.043...
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