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Cardiac Science Cardiac Stress User Manual

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70-00297-01 A
User's Guide
Cardiac Stress Treadmills

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Summary of Contents for Cardiac Science Cardiac Stress

  • Page 1 70-00297-01 A User’s Guide Cardiac Stress Treadmills...
  • Page 2 ’ ARDIAC TRESS READMILLS UIDE 70-00297-01 A...
  • Page 3 For sales and technical support outside the USA, contact your local sales and technical support representative. Liability Notice Failure to follow the conditions set forth below shall limit, to the extent allowed by law, Cardiac Science Corporation responsibility for the safety, reliability, and performance of this equipment: The operator manual must be read in full by each operator before the product is first used.

  • Page 4: Table Of Contents

    Contents Chapter 1: Safety Requirements Safety Terms and Definitions..............1-2 Warnings and Cautions ................. 1-3 Safety Notes................... 1-6 Symbol Definitions................1-7 Cleaning ....................1-9 Disinfection..................1-9 Daily ....................1-9 Weekly .................... 1-9 Periodic ................... 1-9 EMC Declaration Tables ..............1-10 Electromagnetic Emissions ............
  • Page 5 Electrical Testing ................... 4-8 Moving the treadmill ................4-9 Storing the Treadmill................4-10 Troubleshooting .................. 4-11 Appendix A: Specifications Cardiac Stress Treadmills ...............A-2 Power Requirements ................A-3 Speed Vs. Weight Range ................A-4 % Grade vs. Angle Relationship .............A-5 Appendix B: Receiving and Installation Receiving ....................B-2...
  • Page 6 1-10 This user guide contains the user and patient safety requirements, operating instructions and maintenance requirements for the Cardiac Stress treadmills, models ST55, TM55, ST65, and TM65. The user guide is intended for use by trained clinicians working in a clinical setting.

  • Page 7: Safety Terms And Definitions

    Safety Requirements Safety Terms and Definitions The symbols shown below identify potential hazard categories. The definition of each category is as follows: WARNING! This alert identifies hazards that may cause serious personal injury or death. Caution This alert identifies hazards that may cause minor personal injury, product damage, or property damage.

  • Page 8: Warnings And Cautions

    6 feet (2 meters) at the rear. Caution The Cardiac Stress Treadmill should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the Cardiac Stress Treadmill should be observed to verify normal operation in the configuration in which it will be used.
  • Page 9 Safety Requirements Caution Increased risk due to leakage current can result if this equipment is not grounded properly. Caution To avoid potential safety and electrical problems, use parts and accessories that meet specifications as noted in this user guide and the user guide for your stress monitor. Caution When connecting auxiliary equipment approved for use with the monitoring system, be certain the summation leakage current does not exceed local or provincial standards.
  • Page 10 Warnings and Cautions Caution This treadmill is equipped with the rapid deceleration profile, it is specifically designed to come to a rapid stop. This feature requires that attendant(s) are available to support and assist the patient user. Attendants MUST be in a position to support and assist the patient when the belt stops.

  • Page 11: Safety Notes

    Safety Requirements Safety Notes This equipment is classified Class I, Type B, ordinary equipment, not protected against fluid ingress. It is rated for continuous operation. Note: Use of accessories or cables other than those specified, with the exception of accessories or cables sold by the manufacturer as replacement parts for internal components, may result in increased emissions or decreased immunity of the treadmill.

  • Page 12: Symbol Definitions

    Symbol Definitions Symbol Definitions Your treadmill may display one or more of the following symbols and warning labels for your protection. No single product displays all. Attention: Consult accompanying Earth ground (protective) documents Type B equipment— provides adequate protection against electric shock, Off (power disconnected particularly regarding...
  • Page 13 Safety Requirements Mains power Equipotentiality Down Faster Slower Warning Timed fuse (slo-blo) Fragile: Do not lift in this USB Connector location 160-0169-001 Rev A Hertz Volts Amperes Volt Amperes This is the CE marking of conformity indicating that the device having this symbol on its immediate label meets the applicable requirements of the European Medical Device Directive.

  • Page 14: Cleaning

    Cleaning Cleaning Caution Turn off the treadmill and unplug the power cord from the wall outlet before cleaning. Caution Do not let liquid enter the interior of the treadmill. If it does, the equipment must be inspected and tested for safety by an approved technician before it can be used again. Never wipe the deck beneath the belt, even when changing the belt.

  • Page 15: Emc Declaration Tables

    Safety Requirements EMC Declaration Tables This section lists EMC Declaration Tables. The Cardiac Stress Treadmill requires special precautions regarding EMC and must be installed and put into service according to the guidelines of the EMC declaration tables. Portable and mobile RF communications equipment may affect the Cardiac Stress Treadmill and the recommended separation distances in the EMC declaration tables should be observed.

  • Page 16: Electronic Immunity

    EMC Declaration Tables Electronic Immunity Cardiac Stress Treadmills are intended for use in the electromagnetic environment specified below. The customer or user of this equipment must ensure it is used in such an environment. Table 1-2: Guidance and Manufacturer's Declaration - Electromagnetic Immunity...
  • Page 17 Safety Requirements Table 1-2: Guidance and Manufacturer's Declaration - Electromagnetic Immunity IEC 60601 Compliance Electromagnetic Immunity Test test level Level Environment - Guidance Power frequency magnetic Power fields should be at levels frequency (50/ characteristic of a typical 60 Hz) 3 A/m 3 A/m location in a typical...

  • Page 18: Recommended Separation Distances

    Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m. Recommended Separation Distances This section describes recommended separation distances between portable and mobile RF communications equipment and the Cardiac Stress Treadmill. TM 55/65 Treadmill 4.0 70-00297-01 A 1-13...
  • Page 19 Safety Requirements The Cardiac Stress Treadmills are intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the Cardiac Stress Treadmills can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the Cardiac Stress Treadmills as recommended below, according to the maximum output power of the communications equipment.
  • Page 20 Introduction Contents Overview Treadmill Configuration Treadmill Controls Operation Emergency Stop Button Indicators Accessories and Options This chapter describes the Cardiac Science stress treadmills. TM 55/65 Treadmill 4.0 70-00297-01 A...

  • Page 21: Overview

    Introduction Overview The Cardiac Stress Treadmills are heavy-duty medical treadmills designed specifically for stress test applications. Four models are available and can be used with the following cardiac stress testing systems: Treadmill Model Where Used TM55 Quinton Q-Stress Cardiac Stress System...

  • Page 22: Treadmill Configuration

    Treadmill Configuration Treadmill Configuration The following illustration shows a typical treadmill configuration. Figure 2-1: Example of a Treadmill Handle bar Front of hood Walking belt Rear of treadmill TM 55/65 Treadmill 4.0 70-00297-01 A...

  • Page 23: Treadmill Controls

    Introduction Treadmill Controls Power The circuit breaker located on the front of the treadmill hood, controls the power to the treadmill (see item 1 in Figure 2-2). The circuit breaker must be set to ON for the treadmill to run. As long as the treadmill is plugged into a powered socket and the circuit breaker is set to ON, the treadmill is receiving power, even when the monitoring system power is turned off.

  • Page 24: Operation

    Operation Operation All patient data displays on the monitoring system screen. Use the operator manual supplied with the monitoring system for instructions on how to control the treadmill. Emergency Stop Button If the treadmill is equipped with an optional emergency stop button, it is located on the front handle bar.
  • Page 25 Introduction 70-00297-01 A TM 55/65 Treadmill 4.0...

  • Page 26: Chapter 3: Operating The Treadmill

    Operating the Treadmill The stress test monitor controls all treadmill operation. Please read the following treadmill-specific information, then refer to the operator manual supplied with your stress test monitor for operational procedures. TM 55/65 Treadmill 4.0 70-00297-01 A...

  • Page 27: Guidelines For Safe Operation

    Operating the Treadmill Guidelines for Safe Operation Keep the treadmill area clear. Maintain a minimum open space of 1.5 feet (0.5 meter) on each side and 6 feet (2 meters) at the rear. Before using the treadmill, verify that the correct cable connects the treadmill to the monitoring system.

  • Page 28: Instructing The Patient

    Instructing the Patient Instructing the Patient Before each test, describe the complete procedure to the patient: Remind the patient to not use the handrail for support during the exercise unless • absolutely necessary. Explain that gripping the handrail can affect the accuracy of the test measurements.

  • Page 29: Starting The Exercise

    Operating the Treadmill Starting the Exercise To start the exercise: Start the treadmill walking belt while the patient stands on the side of the deck or straddles the walking belt. WARNING! Risk of injury. Do not start the belt while someone is on the treadmill belt. Set the speed and grade to the minimum settings.

  • Page 30: Ending The Exercise

    Ending the Exercise Ending the Exercise Tell the patient when the test is about to end. Decrease the speed and grade gradually to minimum settings. Before stopping the walking belt, tell the patient to grasp the handrail for balance. Stop the walking belt. Tell the patient to hold the handrail and step off to the side.
  • Page 31 Operating the Treadmill 70-00297-01 A TM 55/65 Treadmill 4.0...
  • Page 32 Maintenance/Troubleshooting Contents Daily Visual Inspection Adjustments Belt Tension Belt Tracking Rear Roller Guards Electrical Testing Moving the treadmill Storing the Treadmill 4-10 Troubleshooting 4-11 The treadmill should be visually inspected, cleaned, and adjusted regularly and as needed. TM 55/65 Treadmill 4.0 70-00297-01 A...

  • Page 33: Daily Visual Inspection

    Maintenance/Troubleshooting Daily Visual Inspection Check the following items daily: Inspect the treadmill power cord and walking belt for wear. Check the position of the walking belt; be sure it is not rubbing against the frame. It should be centered on the deck within 0.25 inch of the sides; adjust if necessary. Check the handle bar and optional attachments to be sure they are fastened securely.

  • Page 34: Cleaning

    Cleaning Cleaning Exterior WARNING! Electric shock hazard. Turn off the treadmill and unplug the power cord from the wall outlet before cleaning. Daily Keep the treadmill free of dust and debris. Clean the exterior and walking belt with a damp sponge; do not soak surfaces. Dry all surfaces thoroughly. Caution.

  • Page 35: Adjustments

    Maintenance/Troubleshooting Adjustments Tools Required: Hex wrenches Phillips screwdriver Torque wrench WARNING! Catching of clothing. Secure long hair and loose clothing before using the treadmill or working near the treadmill walking surface or pulleys. Belt Tension Adjust the belt tension whenever the belt slips or moves unsteadily during operation: Use the controls on the monitoring system to start the treadmill at minimum speed and grade, then increase the speed to 2.5 mph.

  • Page 36: Adjustments

    Adjustments Turn both adjustment bolts clockwise 1/4 turn. Test the belt tension as in Step 2. Repeat if necessary until the belt runs smoothly without slipping. If more than three adjustments are necessary, call an authorized technician. Caution. Belt damage. Do not overtighten the walking belt.

  • Page 37: Belt Tracking

    Maintenance/Troubleshooting Belt Tracking Perform this procedure whenever the belt moves to one side or the other. WARNING! Falling hazard. Stay off the belt when adjusting the tracking. Do not touch or grab the walking belt while it is moving. To adjust the belt tracking: Use the controls on the monitoring system to start the treadmill at minimum speed and grade.

  • Page 38: Rear Roller Guards

    Adjustments Rear Roller Guards Check the position of the rear roller guards each time you readjust the belt tracking or the belt tension. The roller guards are located at the rear of the treadmill between the rear roller and the deck (see Figure 4-2).

  • Page 39: Electrical Testing

    Maintenance/Troubleshooting Electrical Testing Electrical testing is to be done by the facility’s biomedical department as required. Check the leakage current of the treadmill periodically—at least every nine months—to be sure it does not exceed local or provincial standards. 70-00297-01 A TM 55/65 Treadmill 4.0...

  • Page 40: Moving The Treadmill

    Moving the treadmill Moving the treadmill WARNING! Moving the treadmill requires two people. To move the treadmill: Set the treadmill to 3 to 5% grade. To avoid electric shock, turn off the treadmill circuit breaker and the monitoring system, then remove the power cord from the power source. Disconnect all cables that are attached to the treadmill or any other equipment which is attached to the treadmill.

  • Page 41: Storing The Treadmill

    Maintenance/Troubleshooting Storing the Treadmill When storing for prolonged periods, cover the treadmill with a dust cover. Do not store in damp areas. WARNING! Falling hazard. Do not store the treadmill on its end as it could fall on someone. Before re-using the treadmill after moving or storage, check the power cord and all attachments to be sure they are undamaged and securely connected, then test the system for proper operation.

  • Page 42: Troubleshooting

    Troubleshooting Troubleshooting If the walking belt does not run, check the monitoring system for an error code. Record the code, if present, then call an authorized technician. If no error message is present, recycle the power by powering the monitoring system off and on again. If this does not eliminate the fault, check the interface cables for proper connection.
  • Page 43 Maintenance/Troubleshooting Use the following table to diagnose problems with the treadmill. Table 4-1: Troubleshooting Guide Problem Possible Cause Remedy Treadmill or monitoring system power cord is not Plug in power cords. plugged in. Interface cable Plug in and secure interface cable. disconnected or damaged Replace if damaged.
  • Page 44 Troubleshooting Table 4-1: Troubleshooting Guide (continued) Problem Possible Cause Remedy Circuit breaker trips Service required. Contact an Power fault. during normal authorized technician. operation. Refer to monitoring system Refer to monitoring system user Error user guide. guide. messages on stress test Service required.
  • Page 45 Maintenance/Troubleshooting 70-00297-01 A TM 55/65 Treadmill 4.0 4-14...
  • Page 46 Specifications Contents Cardiac Stress Treadmills Power Requirements Speed Vs. Weight Range % Grade vs. Angle Relationship This appendix contains specifications for Cardiac Science stress treadmills. TM 55/65 Treadmill 4.0 70-00297-01 A...

  • Page 47: Cardiac Stress Treadmills

    Cardiac Stress Treadmills Cardiac Stress Treadmills have the following specifications: Performance 500 lb (227.3 kg) (with restrictions -- see Maximum Rated Load Speed Vs. Weight graph next page) Belt Speed Range ± 0.2 mph (continuously 0.8 to 9.6 mph (1.3 to 15.4 km/h) adjustable) Grade Range ±...

  • Page 48: Power Requirements

    Power Requirements Power Requirements Listed below are the power requirements for your treadmill Nominal Voltage Range Current Draw Min. Branch Circuit (min - max) / Hertz* (Amps) Amps 100-120 V, 50/60 Hz 20** 200-240 V, 50/60 Hz 10** The nominal voltage range is listed on the serial number name plate, which can be found on the hood under the circuit breaker switch.

  • Page 49: Speed Vs. Weight Range

    Speed Vs. Weight Range The following graph illustrates the relationship between speed and weight for the treadmills 4.8 mph 6.7 mph User Weight Pounds Pounds Speed (mph) Performance Envelope 115V or 230V Operation Figure A-1: Speed vs. Weight graph 70-00297-01 A TM 55/65 Treadmill 4.0...

  • Page 50: Grade Vs. Angle Relationship

    % Grade vs. Angle Relationship % Grade vs. Angle Relationship The following graph and table indicate the relationship between grade and angle. Figure A-2: %Grade vs. Angle Graph Grade Angle Grade Angle Grade Angle Grade Angle Grade Angle (°) (°) (°) (°) (°)
  • Page 51 70-00297-01 A TM 55/65 Treadmill 4.0...
  • Page 52 Receiving and Installation Contents Receiving Installation Notice Site Requirements Installation Testing the Treadmill This section describes the receiving and installation procedures. TM 55/65 Treadmill 4.0 70-00297-01 A...

  • Page 53: Receiving

    Receiving When the carrier delivers your order, verify that the number of items received equals the number listed on the freight bill or express receipt. Inspect the containers for damage. Itemize discrepancies and damage on the waybill and have the agent sign it. Failure to describe external evidence of loss adequately may result in the carrier refusing to honor your claim.

  • Page 54: Site Requirements

    Site Requirements Site Requirements The treadmill requires a dedicated AC power line (refer to “Power Requirements” on page -3). To ensure electrical safety, the treadmill is equipped with a three-wire power cord and three-pronged plug. To maintain ground reliability, the plug must be connected to an equivalent receptacle.

  • Page 55: Installation

    Installation If you choose to install your treadmill without the assistance of your representative, follow the procedure given below: Tools Hex wrench (supplied in kit) Procedure To install the treadmill: Ensure that the handrail gaskets have been placed in their proper location (see Figure B-1).
  • Page 56 Installation Plug the cable for the optional Emergency Stop Button, if present, into the connector on the front of the hood (see Figure B-1). Note: If the optional Emergency Stop Button is present, it must remain connected and secured at all times. It should be disconnected only by an authorized technician. (High Voltage units only) Plug the female end of the power cord into the connector on the front of the treadmill hood.

  • Page 57: Connecting To The Monitoring System

    Connecting to the Monitoring System To connect the treadmill to the monitoring system: Be sure the treadmill and the monitoring system are disconnected from the power source. Inspect the monitoring system interface cable connector, located on the front of the hood (see Figure B-2).
  • Page 58 Connecting to the Monitoring System Check the circuit breaker switch on the treadmill hood to be sure it is set to ON. Test the treadmill as described below by using the controls on the monitoring system. TM 55/65 Treadmill 4.0 70-00297-01 A...

  • Page 59: Testing The Treadmill

    Testing the Treadmill WARNING! Falling hazard. DO NOT permit anyone to stand on the treadmill when it is started. To test the treadmill: Connect the treadmill power cord to the correct power outlet. Turn on treadmill power. Start the walking belt from the monitoring system: the treadmill starts running immediately at low speed.

  • Page 60: Glossary

    Grade Incline, or slope, of the treadmill deck measured in percent grade. Monitoring System A device that receives ECG signals from a patient and displays and/or records them for review. Used with cardiac stress treadmills for exercise testing. Protocol The specific treadmill workload sequence used for a particular stress test.
  • Page 61 70-00297-01 A TM 55/65 Treadmill 4.0...
  • Page 62 Cardiac Science Corporation • 3303 Monte Villa Parkway, Bothell, WA 98021 USA • 425.402.2000 • US toll-free 800.426.0337 • Fax: 425.402.2001 • info@cardiacscience.com Orders and Customer Care (US and International) • 425.402.2000 • US toll-free 800.426.0337 • Fax: 425.402.2001 • care@cardiacscience.com Technical Support •...

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