Schiller CARDIOVIT CS-104 User Manual
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Schiller CARDIOVIT CS-104 User Manual

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CARDIOVIT CS-104
User Guide

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Summary of Contents for Schiller CARDIOVIT CS-104

  • Page 1 CARDIOVIT CS-104 User Guide...
  • Page 2 Sales and Service Information The SCHILLER sales and service centre network is worldwide. For the address of your local distributor, contact your nearest SCHILLER subsidiary. In case of difficulty a complete list of all distributors and subsidiaries is provided on our Internet site: http://www.schiller.ch...

  • Page 3: Table Of Contents

    1.19.2 Symbols Found on the Device and Recorder ........... 20 Introduction ..........23 Overview..................23 Configurations ................24 2.2.1 CARDIOVIT CS-104 ................. 24 2.2.2 CARDIOVIT CS-104 System ..............24 2.2.3 CARDIOVIT CS-104 Spiro ................ 24 Options and Features ..............24 Installation ..................25 Networking Overview..............26 ECG Recorders ................26 2.6.1...
  • Page 4 PC Based Installations................29 Power Supply................30 2.8.1 CARDIOVIT CS-104 (Trolley) ..............30 2.8.2 CARDIOVIT CS-104 Resting and CS-104 Spiro (PC Based)....30 2.8.3 Power Supply for ECG Recorders ............30 2.8.4 Isolating the Mains Supply ................ 30 Location ..................30 2.10...
  • Page 5 CARDIOVIT CS-104 User Guide Recording an ECG ........46 Placing the Electrodes..............46 4.1.1 Electrode Identification and Colour Code..........46 4.1.2 Basics......................47 4.1.3 Standard 12-lead..................48 4.1.4 Exercise ECG.................... 49 4.1.5 Right Precordial (C4r) ................50 4.1.6 Balanced ....................51 4.1.7...
  • Page 6 CARDIOVIT CS-104 Exercise ECG Recording ......70 Safety Notes ................. 70 Emergency Stop ................70 Settings to Check Before Taking an Exercise Test ...... 71 7.3.1 Ergo Device and BP unit................71 7.3.2 Protocols ....................71 7.3.3 Default J-point, Target HR Calculation ............. 72 Exercise Test Procedure ..............
  • Page 7 CARDIOVIT CS-104 User Guide Exercise ECG ................99 8.4.1 Summary....................99 8.4.2 Editing the Results in the Step Table ............102 8.4.3 ST Measuring J point ................102 8.4.4 Average View ..................103 8.4.5 Rhythm View - Continuous (Single Lead Rhythm)........105 8.4.6...
  • Page 8 11.3.3 Units......................122 11.3.4 Patient ID System ................... 122 11.4 Connectivity ................123 11.4.1 SCHILLER Server................... 123 11.4.2 SCHILLER Update Server (SUS) ............123 11.5 Import / Export ................125 11.5.1 Import...................... 125 11.5.2 Export...................... 125 11.5.3 GDT /SEMA2 ..................126 11.6...
  • Page 9 CARDIOVIT CS-104 User Guide User Management ........137 12.1 Defining the Privileges for a User Role........138 12.2 Defining a New User..............138 12.3 Deleting or Editing a User............138 ECG Recorders ...........139 13.1 MS-12 blue .................. 139 13.1.1 Control Button ..................139 13.1.2 Switching the Unit On................
  • Page 10 17.3 MS-12 USB................. 157 17.4 FT-1 .................... 157 Technical Specification ......158 18.1 CARDIOVIT CS-104 System ............158 18.2 Requirements for PC Based Installations ........159 18.2.1 CARDIOVIT CS-104 ................159 18.3 ECG Recorders ................159 18.3.1 MS-12 USB ..................... 159 18.3.2 MS-12 blue....................
  • Page 11 CARDIOVIT CS-104 User Guide Annex - Installation ........164 19.1 Installations using the MS-12 USB ..........164 19.2 Installation Notes and Requirements........... 164 19.3 Installation ................... 165 19.4 Exercise ECG and BP Unit ............166 19.4.1 Procedure to Connect the USB-232 Serial Adapter........ 166 19.4.2 USB to RS-232 Serial Adapter..............
  • Page 12 CARDIOVIT CS-104 Page 12...

  • Page 13: Safety Notes

    Characterisation of Patients  The CARDIOVIT CS-104 is intended to be used for adult and paediatric patients.  The CARDIOVIT CS-104 is intended to be used as a spirometry system for adult and paediatric patients able to understand test instructions...

  • Page 14: Contraindications

    – for outdoor use. Responsibility of the User  The CARDIOVIT CS-104 with the MS-12 ECG Recorder or SpiroScout must only be used by qualified physicians or trained medical personnel.  The numerical and graphical results and any interpretation given must be examined with respect to the overall clinical condition of the patient and the general recorded data quality.

  • Page 15: Safety-Conscious Operation

     Do not place any liquids on the unit.  Only use the original SCHILLER patient cable and only use accessories and disposables recommended or supplied by SCHILLER. Use of other than recommended or supplied parts may result in injury, inaccurate information and/ or damage to the unit.

  • Page 16: Maintenance

     There is no danger when using this device simultaneously with electrical stimulation equipment.  If the device is part of a medical system, only the original SCHILLER patient cable must be used with, and connected to, the CARDIOVIT CS-104.

  • Page 17: Extra Precautions For Spirometry

     Only use power cords provided by the dealer to ensure safety and EMC compli- ance.  The CARDIOVIT CS-104 unit must be connected to an approved power source as shown on the specification label.  The power cords must not be damaged. Applied pressure, heat, and stress can damage the power cord.

  • Page 18: Network Security

    SCHILLER makes no warranty of merchantability or fitness for a particular purpose with respect to the product or parts thereof. SCHILLER assumes no liability for the loss of data saved on the computer or on the device. The owner is solely responsible for the data backup.

  • Page 19: Additional Statements

     Any changes or modifications to this equipment not expressly approved by SCHILLER may cause harmful radio frequency interference and void your authority to operate this equipment.  Within the 5150 to 5250 MHz band (5 GHz radio channels 34 to 48) the module type cB-0941 is restricted to indoor operations to reduce any potential for harmful interference to co-channel MSS operation.

  • Page 20: Safety Symbols And Pictograms

    Symbols Found on the Device and Recorder Type Label The following is a typical label found on the ECG recorder. MS-12 USB IP protection class Type reference and serial number Manufacturing date CARDIOVIT CS-104 Trolley Label TYPE CARDIOVIT CS-104 Page 20...
  • Page 21 Equipment/components and accessories no longer required must be disposed of in a municipally approved collection point or recycling center. Alternatively, you can return the equipment to your supplier or SCHILLER for disposal. Improper disposal can harm the environment and human health.
  • Page 22 ECG data. The user can take the following measures to solve this problem: • Increase the distance between the disturbed device and the CARDIOVIT CS-104. A minimum distance of 25 cm must be kept between the device and a pacemaker.

  • Page 23: Introduction

    Overview 2 Introduction Overview The CARDIOVIT CS-104 a 12-lead ECG device intended to acquire ECG signals from body surface electrodes, and record, analyse and display ECGs for diagnosis in adult and paediatric patients. Dependent on configuration and options (see next page), spirometry can be included.

  • Page 24: Configurations

    • Installed on a PC. – Resting ECG (including Resting rhythm) – MS-12 blue or MS-12 USB or FT-1 streamer – Network connection with SCHILLER Server 2.2.2 CARDIOVIT CS-104 System • Installed on a trolley with PC and 21’ monitor (see previous page) –...

  • Page 25: Installation

    Full details of the Spirometry option and operating instructions are detailed in the CARDIOVIT CS-104 Spiro User Guide. Installation Installation of the CARDIOVIT CS-104 is normally carried out by SCHILLER staff on site. The installation procedure of the Software on a PC is detailed in the Annex (see para.

  • Page 26: Networking Overview

    Any recordings already opened, or new recordings taken local- ly, are stored and then synchronised with the server when again connected. ECG Recorders There are three ECG recorders available with the CARDIOVIT CS-104 as follows: • MS-12 blue • MS-12 USB •...

  • Page 27: Ms-12 Usb Ecg Recorder

    MS-12 blue ECG Recorder The MS-12 blue ECG Recorder is a wireless device that communicates with the CARDIOVIT CS-104 program using wireless bluetooth. This recorder is battery has a monitor screen for MS-12 blue settings and ECG display. The following is included in the MS-12 blue package: –...

  • Page 28: Ft-1 Streamer

    Introduction ECG Recorders CARDIOVIT CS-104 2.6.3 FT-1 Streamer The FT-1 Streamer communicates with the program via a USB cable connected directly to the PC. When attached to the CS-104, the FT-1 acts as an ECG amplifier and all recording functions are carried out by the CS-104. The message ‘Ready for streaming’...

  • Page 29: Switching On/Off And Opening The Program

    Switching On/Off and Opening the Program Switching On/Off and Opening the Program 2.7.1 CARDIOVIT CS-104 System (Trolley) Switching the Unit On The system is switched on with the push button switch on the back panel. The program is opened when the unit is switched on.

  • Page 30: Power Supply

    2.8.4 Isolating the Mains Supply • To isolate the power supply to the CARDIOVIT CS-104 or the PC, and the MS-12 USB remove the mains plug from the wall socket. • To isolate the power supply to the MS-12 blue battery charger or to an external power supply for the Laptop PC, remove the mains plug to the charger from the wall socket.

  • Page 31: Locking The Wheels Of The Trolley

    Introduction CARDIOVIT CS-104 User Guide Locking the Wheels of the Trolley 2.10 2.10 Locking the Wheels of the Trolley The wheels of the unit have spring-loaded braking mechanisms to lock the wheels and prevent the unit from moving during use.

  • Page 32: Software Overview

    This means that when initially opened, the program is entered directly and the login screen is not displayed. To enable this function, the same user name must be defined in SCHILLER Server as set for PC login, and the single log-on op- tion must be set in system settings (see para.

  • Page 33: Workflow Screens And Main Menu

    The Workflow screens are entered by: • Clicking the relevant icon on the Home screen, or • Selecting the Workflow from the main menu by clicking on the SCHILLER icon top left of the screen. • The initial screen when the program is opened, home screen tabs and main menu selections, can be defined in system settings (see para.

  • Page 34: Main Menu

    Software Overview Home Screen CARDIOVIT CS-104 3.3.1 Main Menu Home Screen Main menu Displays the home screen (see above). Home screen Patient Search Patient search Recording search In this screen you can: Recorder • Search for a patient (by Patient ID, patient name, date of birth, or visit ID) Worklist •...

  • Page 35: Screen Layout

    Software Overview CARDIOVIT CS-104 User Guide Screen Layout Screen Layout The following display is from the patient search screen. Other screens will be different but the general layout remains constant for all screens. Side bar icons to define actions when Quick Search: Enter search criteria (or part of) and click selected.

  • Page 36: Side Bar And Bottom (Main) Icons

    Software Overview Screen Layout CARDIOVIT CS-104 3.4.1 Side Bar and Bottom (Main) Icons Side bar icons are provided in every screen and will vary according to the screen Patient search (server) displayed, user privileges, the number of icons set for display in system settings and the action defined (see para.

  • Page 37: Selecting / Displaying The Recording Device

    MS-12 USB Device 2 MS-12 blue Device 1 Cancel Connection with the Server (if Networked) Connection to the SCHILLER Server is indicated in the top right of the screen Hovering over the symbol will indicate the server connection, for example: Connected to: https://schillerserver.stmary.com:8181/SemaServer...

  • Page 38: Offline

    Software Overview Connection with the Server (if Networked) CARDIOVIT CS-104 3.6.1 Offline When connection to the server is lost for whatever reason, a cross appears . and on login offline mode is indicated: Station offline User name*: Password: Login Exit...

  • Page 39: Recordings

    Recordings Recordings The CARDIOVIT CS-104 can record Resting ECG, Resting Rhythm ECG, Exercise ECG, and Spiro recordings. All patient recordings are displayed in the recordings column. If the device is licensed for ‘analyse all’, all recordings can be analysed. If this option is not licensed, only resting, resting rhythm, exercise and spiro recordings can be analysed.

  • Page 40: Display Configuration

    Software Overview Display Configuration CARDIOVIT CS-104 Display Configuration In each screen side and bottom icons can be defined. The icons available will depend Main menu on the screen displayed and different functions are given for search and recording Home screen view screens.

  • Page 41: Home Screen And Main Menu Options

    Software Overview CARDIOVIT CS-104 User Guide Recording and Patient Search 3.8.1 Home Screen and Main Menu Options When the Edit actions is selected in the Home screen is clicked, the options in the Home screen and the main menu are defined:...

  • Page 42: Search Options

    Software Overview Recording and Patient Search CARDIOVIT CS-104 3.9.1 Search Options The search options are defined in system setting (see para. 11.7.1, Quick Search, page 128) and following options can be set, Patient ID, Visit ID, Last name, first name, Date of birth.

  • Page 43: Barcode Reader

    • The Patient ID must be entered to register a patient on the system. All other fields are optional (and can be entered at a later date as necessary). • When auto ID is requested for the patient ID, the SCHILLER standard Patient ID generator is used. SCHILLER uses the universally unique identifier (UUID) standard.

  • Page 44: Visit Data

    Software Overview 3.10 Patient Data CARDIOVIT CS-104 Gender Male, Female, undefined, or other Ethnicity Select between: – American Indian / Alaska native – Asian – Black / African American – Caucasian – Hispanic – Native Hawaiian / Pacific Islander – Oriental –...

  • Page 45: Recording-Specific Data

    Software Overview CARDIOVIT CS-104 User Guide Recording-Specific Data 3.11 3.11 Recording-Specific Data When a recording is open and the recording details button is clicked , extra patient/visit and recording information is detailed. The side bar icons are user set. If the recording detail icon or any other icons are not displayed, they can be set for display by clicking edit icons (see para.

  • Page 46: Recording An Ecg

    Recording an ECG Placing the Electrodes CARDIOVIT CS-104 4 Recording an ECG  Ensure that neither the patient nor the leading parts of the patient connection nor the electrodes (including the neutral electrodes) come in contact with other persons or conductive objects, even when these are earthed.

  • Page 47: Basics

    ECG signal and ensure the highest quality ECG recording. Therefore, please note the following points: 1. Only use electrodes that are recommended by SCHILLER AG. 2. Ensure that the patient is warm and relaxed before you start the recording.

  • Page 48: Standard 12-Lead

    Recording an ECG Placing the Electrodes CARDIOVIT CS-104 4.1.3 Standard 12-lead C2 Yellow C3 Green C4 Brown C5 Black C6 Violet C1 Red R Red L Yellow F Green N Black IEC Label AHA Label Electrode Placement C1 white / red V1 brown / red ...

  • Page 49: Exercise Ecg

    Recording an ECG CARDIOVIT CS-104 User Guide Placing the Electrodes 4.1.4 Exercise ECG C1 Red C2 Yellow L Yellow R Red C3 Green R Red L Yellow C4 Brown C5 Black C6 Violet F Green N Black F Green N Black...

  • Page 50: Right Precordial (C4R)

    Recording an ECG Placing the Electrodes CARDIOVIT CS-104 4.1.5 Right Precordial (C4r) C2 Yellow C3 Green C5 Black C6 Violet C1 Red C4r Brown R Red L Yellow N Black F Green IEC Label AHA Label Electrode Placement C1 white / red V1 brown / red ...

  • Page 51: Balanced

    Recording an ECG CARDIOVIT CS-104 User Guide Placing the Electrodes 4.1.6 Balanced C7 (C5 Black) C8 (C2 Yellow) C9 (C6 Violet) C4r Brown C3r Green C1 Red L Yellow R Red F Green N Black IEC label AHA label Positioning C7 (C5 white / black) V7 (V5 brown / orange) ...

  • Page 52: Left Posterior C7-C9

    Recording an ECG Placing the Electrodes CARDIOVIT CS-104 4.1.7 Left Posterior C7-C9 If an acute coronary occlusion is strongly suspected, it is recommended to also register posterior chest wall leads (C7–C9) C4 Brown C7 (C1 Red) C5 Black C8 (C2 Yellow)

  • Page 53: Nehb Leads

    Recording an ECG CARDIOVIT CS-104 User Guide Placing the Electrodes 4.1.8 Nehb Leads The Nehb leads are bipolar chest leads. They are of special interest for the diagnosis of changes in the posterior ventricle wall. Three leads are arranged in the form of a triangle, also called the “small cardiac triangle”.

  • Page 54: Paediatric

    Recording an ECG Placing the Electrodes CARDIOVIT CS-104 4.1.9 Paediatric C2 yellow C7 red C3r green C5 black C6 purple C4r brown R red L yellow N black F green IEC label AHA label Electrode placement C4r white / brown V4 brown / blue ...

  • Page 55: Right Precordials (C3R-C6R)

    Recording an ECG CARDIOVIT CS-104 User Guide Placing the Electrodes 4.1.10 Right Precordials (C3r-C6r) Since the treatment of an infarction might depend on the influence of the right ventricle, it is suggested to perform additional recordings with right precordial leads in the case of an acute infarction of the right ventricle's inferior wall (Circulation 2007).

  • Page 56: Standard With C4R

    Recording an ECG Placing the Electrodes CARDIOVIT CS-104 4.1.11 Standard with C4r ACC/AHA guidelines recommend examining patients suffering from a myocardial infarction with inferior ST elevation for possible RV ischaemia or RV infarction; this examination should be performed with a right precordial C4r lead.

  • Page 57: Frank Leads X, Y, Z

    Recording an ECG CARDIOVIT CS-104 User Guide Placing the Electrodes 4.1.12 Frank Leads X, Y, Z The orthogonal lead configuration is based on the theory of the heart as centre of a three-dimensional system of coordinates:  lateral axis X ...

  • Page 58: Entering A Recording Screen

    Recording an ECG Entering a Recording Screen CARDIOVIT CS-104 Entering a Recording Screen 4.2.1 From the Patient Search Screen Patient already Registered Search for the patient (see para. 3.8.1, Home Screen and Main Menu Options, page and highlight to select.

  • Page 59: From The Recorder Screen

    Recording an ECG CARDIOVIT CS-104 User Guide Entering a Recording Screen 4.2.2 From the Recorder Screen Patient already Registered Enter the Patients ID and press return. The patient data is populated and a recording can be made as previously stated.

  • Page 60: Hookup Screen, Electrode Placement And Check

    Recording an ECG Hookup Screen, Electrode Placement and Check CARDIOVIT CS-104 Hookup Screen, Electrode Placement and Check Click the Hookup icon in the ECG screen to display the electrode screen in the left section of the screen. Electrode placement graphic is displayed in the left area of the screen and the electrode status is shown in the bottom right information field of the screen.

  • Page 61: Electrode Check

    Recording an ECG CARDIOVIT CS-104 User Guide Electrode Check Electrode Check In the hookup screen, the following is checked and indicated on the bottom of the screen: • Excessive noise (signal noise too high) due to poor electrode contact or mains in- terferences (mains filter not activated) •...

  • Page 62: Standard Or Cabrera Lead Sequence

    Recording an ECG Standard or Cabrera Lead Sequence CARDIOVIT CS-104 Standard or Cabrera Lead Sequence Standard or Cabrera Lead Sequence is defined in system settings (see para. 11.11, ECG, page 132). 4.5.1 Selecting the Lead Configuration The lead display is displayed and selected in the top right corner.

  • Page 63: Filter

    Recording an ECG CARDIOVIT CS-104 User Guide Filter Filter The filter is designed to help reduce muscle artefact. Toggle the filter with the Filter icon to set the low pass cut-off frequencies to 150 Hz, 40 Hz, 25 Hz, or Off. The Low pass cut frequency is displayed in the icon.

  • Page 64: Saving A Recording

    Recording an ECG 4.10 Saving a Recording CARDIOVIT CS-104 4.10 Saving a Recording Click Store recording to save the recording. Store recording 4.11 Discarding a Recording Click Discard to return to the ECG acquisition screen without saving the recording. Discard Confirmation that the recording is not to be saved is requested.

  • Page 65: Resting Ecg Recording

    Resting ECG Recording CARDIOVIT CS-104 User Guide Procedure 5 Resting ECG Recording Procedure To take an auto mode recording: 1. Prepare the patient and connect the electrodes (see para. 4.1, Placing the Elec- trodes, page 46). 2. Enter the Recording screen (see para.

  • Page 66: Etm Sport (Option)

    Resting ECG Recording Procedure CARDIOVIT CS-104 After approximately 10 seconds the result is displayed and the recording can be reviewed and analysed see para. 8.1, General Analysis Settings and Options, page 82) If a high resistance electrode, lead off or incorrect electrode placement is detected when an auto recording is requested, a message is given to indicate this.

  • Page 67: Rhythm Ecg Recording

    Rhythm ECG Recording CARDIOVIT CS-104 User Guide Procedure 6 Rhythm ECG Recording Procedure 1. Prepare the patient and connect the electrodes (see para. 4.1, Placing the Elec- trodes, page 46). 2. Enter the Recording screen (see para. 4.2, Entering a Recording Screen, page...

  • Page 68: Arrhythmia (Option)

    Rhythm ECG Recording Procedure CARDIOVIT CS-104 Click Start to commence rhythm recording. Search Manual event Stop • The recording will continue until the defined duration has elapsed. • All settings, pacemaker display, blood pressure entry, filter, etc, are the same as for resting ECG (see previous pages).

  • Page 69: Events

    Rhythm ECG Recording CARDIOVIT CS-104 User Guide Events Events 6.2.1 Manual Events To register an event click the manual event button. • If defined for display in the bottom line shown as Manual event • If defined in the side line shown as...

  • Page 70: Exercise Ecg Recording

    Exercise ECG Recording Safety Notes CARDIOVIT CS-104 7 Exercise ECG Recording Safety Notes  Do not use the ergo device if the earth connection is suspect or if the mains cable is in any way damaged.  A stress test may only commence when the operating instructions of the ergometer have been read and understood.

  • Page 71: Settings To Check Before Taking An Exercise Test

    Test 7.3.1 Ergo Device and BP unit Click the SCHILLER icon the top left of the screen to display the main menu and select Settings. Scroll through the settings and select Exercise ECG > Ergo devices. – Define/ confirm the ergo device –...

  • Page 72: Default J-Point, Target Hr Calculation

    Exercise ECG Recording Exercise Test Procedure CARDIOVIT CS-104 7.3.3 Default J-point, Target HR Calculation Check / Define settings as required. @J-Point Resting ECG Scale Target HR Max. load calculation Time Rhythm ECG General after seconds Scale Step timer Remaining Events...

  • Page 73: Starting An Exercise Test

    Exercise ECG Recording CARDIOVIT CS-104 User Guide Exercise Test Procedure 7.4.1 Starting an Exercise Test  Danger of Injury. During the test the patient must be under constant observation. If a treadmill is used the emergency stop switch must be accessible at all times to both the patient and the person conducting the test.
  • Page 74 Exercise ECG Recording Exercise Test Procedure CARDIOVIT CS-104 Start the Test 2. If a warm-up phase is defined in the protocol, click the warm-up icon Warm-up – The test will start with the warm-up phase as defined in the protocol –...

  • Page 75: During The Test

    Exercise ECG Recording CARDIOVIT CS-104 User Guide During the Test During the Test The following is an example of the screen during an exercise ECG when using a bicycle ergometer Trend: Trend: Individual lead ST Lead and J-point. Amplitude Click to redefine •...

  • Page 76: Test Control Buttons

    Exercise ECG Recording During the Test CARDIOVIT CS-104 7.5.1 Test Control Buttons The test control button on the bottom of the screen are as follows: Hold / Pause (treadmill) Hold current stage. The button changes to Resume and the step counter is stopped (but total work counter continues) until the stage is resumed.
  • Page 77 Exercise ECG Recording CARDIOVIT CS-104 User Guide During the Test Current Load and percentage of tar- • Current load in Watts (bicycle) or speed and elevation (treadmill). • Percentage of the current load to the target load (must have patient height, weight and birth date entered) •...

  • Page 78: Trend Graphs

    Diastolic: Cancel 7.5.5 • SpO measurements are taken either entered manually or taken by an SpO vice attached to the unit or incorporated in an BP unit (for example the SCHILLER BP-200 with SpO option). Manually entering an SpO Measurement measurements are entered manually by clicking on the SpO icon.

  • Page 79: Arrhythmia (Option)

    Exercise ECG Recording CARDIOVIT CS-104 User Guide During the Test 7.5.6 Arrhythmia (option) When the Arrhythmia option is enabled, an extra field is given to display the Ventricular Ectopic Beat Rate (VEBR). This gives the number of ventricular ectopic beats over the last minute.

  • Page 80: Treadmill (Speed And Elevation) Control

    Exercise ECG Recording Ending the Test CARDIOVIT CS-104 Add event (00:01:09 Rhythm event type 1 Rhythm event type 2 Dr Smiths special event Enter any text or click the arrow to the side to select predefined events (see note), and click OK.
  • Page 81 Exercise ECG Recording CARDIOVIT CS-104 User Guide Ending the Test Directly enter the Recovery stage - The recovery stage is entered directly and a load applied, or treadmill speed and control button displays Recovery elevation set, according to the recovery stage of the protocol. The protocol stage states Recovery and the total recovery time shown in the information box.

  • Page 82: Ecg Recording Analysis

    ECG Recording Analysis General Analysis Settings and Options CARDIOVIT CS-104 8 ECG Recording Analysis General Analysis Settings and Options Recordings are opened from the patient search or recording search. The type of recording is identified in the column by text and/or recording type icon.

  • Page 83: Reports - Printing A Recording Or Generating A Pdf File

    ECG Recording Analysis CARDIOVIT CS-104 User Guide General Analysis Settings and Options 8.1.2 Reports - Printing a Recording or Generating a PDF File Print or generate a PDF file as follows: Select PDF / Select Print - When selected you are prompted to define one data Select PDF option (from the data options displayed).

  • Page 84: Rejecting A Recording

    ECG Recording Analysis General Analysis Settings and Options CARDIOVIT CS-104 8.1.4 Rejecting a Recording • The Reject button must be set in display configuration (for all types of recording) (see para. 3.8, Display Configuration, page 40). If a recording needs to be rejected for poor quality, after the administration of drugs...

  • Page 85: Resting Ecg Recordings

    ECG Recording Analysis CARDIOVIT CS-104 User Guide Resting ECG Recordings Resting ECG Recordings 8.2.1 Data Views and Functions Click a view / function icon to display and select: Rhythm 1 This view shows all leads over the entire recording. Rhythm 2 This view displays all leads in two columns contiguously.

  • Page 86: Ecg Filter

    ECG Recording Analysis Resting ECG Recordings CARDIOVIT CS-104 8.2.2 ECG Filter The filter is designed to help reduce muscle artefact. The cut-off frequencies and filter settings are defined in system settings (see para. 11.11.3, Display Filter, page 132). Click the LP Filter icon to toggle the filter between the defined frequencies.

  • Page 87: Changing The Rhythm Leads (Rhythm And Average Views)

    ECG Recording Analysis CARDIOVIT CS-104 User Guide Resting ECG Recordings 8.2.6 Changing the Rhythm leads (Rhythm and Average Views) Click the Lead designation to select the rhythm lead displayed. 8.2.7 Measurement Table Select Measurements to display averaged ECG measurements in tabular form.

  • Page 88: Changing The Global Measurement Points

    ECG Recording Analysis Resting ECG Recordings CARDIOVIT CS-104 8.2.9 Changing the Global Measurement Points Select Re-measure (in the side bar or on the HR and measurements box) to display the remeasure and measurement interval screen. The highlighted lead is selected in the top left of the screen. All other leads are greyed for reference.

  • Page 89: Measurement Interval And Heart Rate

    ECG Recording Analysis CARDIOVIT CS-104 User Guide Resting ECG Recordings 8.2.10 Measurement Interval and Heart Rate The RR interval and HR is displayed in the lower section of the screen with the measurement area highlighted blue. The interval can be adjusted (see para.

  • Page 90: Interpretation

    ECG Recording Analysis Resting ECG Recordings CARDIOVIT CS-104 8.2.11 Interpretation The interpretation is displayed below the heart rate and measurements. The user that entered the interpretation, the date, and if the interpretation has been validated or not is given in the header bar of the interpretation. If the interpretation has been generated...
  • Page 91 ECG Recording Analysis CARDIOVIT CS-104 User Guide Resting ECG Recordings Editing ETM Sport Diagnosis and Displaying Diagnosis Criteria The view and function icons are user set and must be defined for display in the Resting Analysis screen. To define the icons available (see para.

  • Page 92: Lvh

    ECG Recording Analysis Resting ECG Recordings CARDIOVIT CS-104 The ETM interpretation is shown in the interpretation and is colour coded in the ETM screen. The interpretation changes when any criteria is edited: Normal ECG in athletes (statement None of the criteria are observed.
  • Page 93 ECG Recording Analysis CARDIOVIT CS-104 User Guide Resting ECG Recordings Romhilt-Estes point score system Diagnostic >5 points; Probable 4 points: ECG Criteria Points Voltage Criteria (any of): – R or S in limb leads ≥20 mm – S in V or V ≥30 mm...

  • Page 94: Vector Cardiogram

    ECG Recording Analysis Resting ECG Recordings CARDIOVIT CS-104 8.2.14 Vector Cardiogram Vector cardiograms and measurements can be displayed when leads Frank, or standard + X, Y, Z have been taken on the original recording. With the vector option, X, Y, Z leads can be calculated to enable vector cardiograms to be generated from a standard 12 lead recording.

  • Page 95: Full Visual Comparison

    ECG Recording Analysis CARDIOVIT CS-104 User Guide Resting ECG Recordings 8.2.15 Full Visual Comparison Select Visual comparison to compare the current recording with an older Resting ECG recording taken with the same patient. The intervals, axes and interpretation are displayed at the side.

  • Page 96: Resting Rhythm Recordings

    ECG Recording Analysis Resting Rhythm Recordings CARDIOVIT CS-104 Resting Rhythm Recordings 8.3.1 Rhythm Screens View Click the Rhythm 1 icon or Rhythm 2 icon to display all leads as single column or two columns resp. The scale adjusts automatically for the length of the recording and is displayed on the bottom.

  • Page 97: Full Disclosure View

    ECG Recording Analysis CARDIOVIT CS-104 User Guide Resting Rhythm Recordings 8.3.2 Full Disclosure View Click Rhythm icon to display a single channel over the entire recording (full disclosure). The lead is selected in the side bar with the lead selection: Measurement tool (see para.

  • Page 98: Events View

    ECG Recording Analysis Resting Rhythm Recordings CARDIOVIT CS-104 8.3.4 Events View Click the events icon in the side bar to view all events. Heartrate trend Time Type Description Additional info. Manual events Time Description No interpretation Click to add interpretation Click on an event to display the ECG trace where the event occurred.

  • Page 99: Exercise Ecg

    ECG Recording Analysis CARDIOVIT CS-104 User Guide Exercise ECG Exercise ECG 8.4.1 Summary Select the Summary icon Double clicking in the step will enter the ECG step view (to display the last 10 seconds of the selected stage). 123-79-SWT 29.02.2017 17:14...
  • Page 100 ECG Recording Analysis Exercise ECG CARDIOVIT CS-104 Test Summary The test summary in upper section gives the following: Protocol The protocol name. Ergo and BP device Hardware used for the test. Rest HR and BP The resting heart rate and blood pressure taken before the test commences.
  • Page 101 ECG Recording Analysis CARDIOVIT CS-104 User Guide Exercise ECG Step Table The step table gives an overview of the complete test with the following information for each stage: The blood pressure measured during the stage or taken over from the previously entered BP.

  • Page 102: Editing The Results In The Step Table

    ECG Recording Analysis Exercise ECG CARDIOVIT CS-104 8.4.2 Editing the Results in the Step Table Values that can be edited are highlighted and can be edited/added for every stage of the test. The following values can be edited: • Heart rate •...

  • Page 103: Average View

    ECG Recording Analysis CARDIOVIT CS-104 User Guide Exercise ECG 8.4.4 Average View Click the average icon Average 1 or Average 2 . The averaged view displays the averaged complexes for all leads and all stages of the test. Average view 1 displays the leads in one column (more exercise stages displayed).
  • Page 104 ECG Recording Analysis Exercise ECG CARDIOVIT CS-104 Isoelectric and Reference curve Isoelectric lines and reference curves can also be displayed in the average view. These are set in system settings (see para. 11.14, Exercise ECG, page 133). When selected, the reference curves are superimposed in blue on the average complexes and the isoelectric line, in grey.

  • Page 105: Rhythm View - Continuous (Single Lead Rhythm)

    ECG Recording Analysis CARDIOVIT CS-104 User Guide Exercise ECG 8.4.5 Rhythm View - Continuous (Single Lead Rhythm) Click the Continuous (Rhythm) icon to display the rhythm ECG for each step. The scale adjusts automatically for the length of the recording and is displayed on the bottom.

  • Page 106: Rhythm View - Full Disclosure

    ECG Recording Analysis Exercise ECG CARDIOVIT CS-104 Events Manual events are displayed, edited, deleted and new events defined to all rhythm views as described in the Rhythm recording section (see para. 8.3.3, Events, page 97). Notes: • The events that are shown/not shown can be defined in system settings (see para.

  • Page 107: Rhythm View - Step

    ECG Recording Analysis CARDIOVIT CS-104 User Guide Exercise ECG 8.4.7 Rhythm View - Step Click the Step view icon 1 or Step view icon 2 The waveform displays the last 10 seconds of the selected stage and the averaged complex for every lead and the ST elevation and slope. View 1 displays the leads in one column (more exercise stages displayed).

  • Page 108: Step Averages

    ECG Recording Analysis Exercise ECG CARDIOVIT CS-104 8.4.8 Step Averages Click the Step average icon or step sequential icon to display the averaged complexes of the last 10 seconds of the ECG of the selected stage. The averaged ST elevation and slope are also given.

  • Page 109: St Table View

    ECG Recording Analysis CARDIOVIT CS-104 User Guide Exercise ECG 8.4.10 ST Table View Click the ST Table view icon to display the ST measurements for every lead and every step. 123-79-SWT ST amplitude [mm] Jones Fred | 49 years | Undefined 8.4.11...

  • Page 110: Worklist

    Work items are fetched via the SCHILLER Server. The Worklist Screen From the home screen or main menu, select Worklist. The worklist screen is shown:...

  • Page 111: Downloading Work Items

    Worklist CARDIOVIT CS-104 User Guide Downloading Work Items Downloading Work Items The side bar and bottom icons are user set; the fetch icon and can be set for display in the side function bar or the bottom action bar (see para. 3.4.1, Side Bar and Bottom (Main) Icons, page 36).

  • Page 112: Performing A Worklist Item

    Worklist Performing a Worklist Item CARDIOVIT CS-104 Performing a Worklist Item Highlight the work item. The patient details are displayed in the top area of the screen. Click the recording button at the bottom of the screen. The acquisition screen is entered for the recording type defined.

  • Page 113: Importing And Exporting Recordings

    • The import / export function is only available when allowed in the user privileges. 10.1 Importing Recordings Click the SCHILLER icon, top left of the screen, to display the main menu options Main menu and select Import. Home screen Enter the directory from where the recording(s) are located and click Start import.

  • Page 114: Exporting Recordings

    10.2 Exporting Recordings CARDIOVIT CS-104 10.2 Exporting Recordings Click the SCHILLER icon to display the main menu options and select Export. Main menu Search for patient(s) by ID, name, data of birth, etc. Home screen Select recording(s) to be exported.

  • Page 115: Log File

    Importing and Exporting Recordings CARDIOVIT CS-104 User Guide Exporting Recordings 10.2 Masking Masking is giving an anonymous patient name. The name can be anonymised but part of a name can also be defined to help identify the patient (part masking - see following).

  • Page 116: 11 System Settings

    11.1 Overview The settings defined here will vary according to the privileges assigned to the user. Click the SCHILLER icon, top left of the screen, to display the main menu and select Main menu Settings. Scroll through the settings to display all settings.

  • Page 117: Setting Types

    System Settings CARDIOVIT CS-104 User Guide Overview 11.1 11.1.2 Setting Types Settings are indicated in the setting field and defined as follows: • System - system setting (requires restart) • Global - setting applies to all users/devices • Device settings •...

  • Page 118: Changing The User Password

    11.1.4 Changing the User Password The password is initially set in the SCHILLER Server. The user, can reset his/her password after login as required or for security reasons. To change the user password click the password icon and enter your current user ID and password.

  • Page 119: General

    System Settings CARDIOVIT CS-104 User Guide General 11.2 11.2 General 11.2.1 Station Device ID The Device ID defines the name and identity of the device / software. Department and Institute These option fields are entered to define the area to which the device / software belongs.

  • Page 120: Layout

    System Settings 11.2 General CARDIOVIT CS-104 11.2.4 Layout Screen Size This define the default layout of the program, select between: • Normal - optimal size centred • Full screen - the program occupies the full monitor • Maximised - the program occupies the complete screen: the top and bottom control and icon bars continue to be displayed.

  • Page 121: Medication

    System Settings CARDIOVIT CS-104 User Guide General 11.2 11.2.8 Medication Define here the medication options that will be available for selection in the patient / recording data screen. Use a new line for each entry. 11.2.9 Simulation Data Check the simulation box to activate simulation mode. This means that when an ECG or a spiro screen is entered, simulated fake data is displayed.

  • Page 122: Regional

    The following ID formats are available: • None - the patient ID is entered in any format required. • SCHILLER standard - a patient ID generator is automatically used to define the Patient ID. SCHILLER uses the universally unique identifier (UUID) standard.

  • Page 123: Connectivity

    When the Test server connection button is clicked, the program pings the server to check the connection. When connection is established, a message is displayed to that effect. An overview of the SCHILLER Server is given in the SCHILLER Server communication guide.
  • Page 124 System Settings 11.4 Connectivity CARDIOVIT CS-104 When Update is clicked, the program is downloaded from the SUS: Update Name v. 4.1.3 1001709834 Date 17.03.2017 11.54 Download Cancel When the program has been downloaded you are prompted to install. Start Update Update file downloaded successfully.

  • Page 125: Import / Export

    System Settings CARDIOVIT CS-104 User Guide Import / Export 11.5 11.5 Import / Export The settings here apply to GDT, SEMA2 and SEMA XML format import / export only. Standalone import/export of general recordings and rescue recordings is described earlier in this book (see para.

  • Page 126: Gdt /Sema2

    Device ID The device ID identifies CARDIOVIT CS-104 in the system to enable communication between CARDIOVIT CS-104 and the remote system. The ID must be unique in the system and can be any combination of up to four characters. Because all information is assigned using these IDs, it is essential that all IDs be unique, especially in the case of multiple devices (for example 2 ECG devices from the same manufacturer).

  • Page 127: Interpretation

    System Settings CARDIOVIT CS-104 User Guide Interpretation 11.6 11.6 Interpretation 11.6.1 General Attach Interpretation only if validat- Check the box to include only validated interpretations (in reports and printout). Use Automatic Interpretation Check the box to create an interpretation automatically for new resting ECGs 11.6.2...

  • Page 128: Search

    System Settings 11.7 Search CARDIOVIT CS-104 11.7 Search 11.7.1 Quick Search Select the search fields: • Patient ID • Visit ID • Last name • First name • Date of birth 11.7.2 Limit This setting defines the maximum number of results displayed when a search is initiated in the Patient Search screen, Recording Search screen and the Worklist Select a number of patients / recordings or work items to display between 5 and 5000.

  • Page 129: Licenses

    This screen details the host ID and license key number. It also details all options that are active. If more options are required after initial installation, contact SCHILLER with the Host ID on this page to receive a new license key to enable the options.

  • Page 130: Pdf

    System Settings 11.10 Reports CARDIOVIT CS-104 11.10.4 Here the Default export path, PDF name and PDF conformance are defined. Export Directory and File name Enter the location where the PDF file that is generated will be stored. Click the Browse icon to define the location as required.

  • Page 131: Formats

    System Settings CARDIOVIT CS-104 User Guide Reports 11.10 11.10.5 Formats In this page the formats available for the report / printout are selected. Print / PDF settings can be set for the following type of recordings: • Resting • Resting Rhythm ECG.

  • Page 132: Ecg

    System Settings 11.11 ECG CARDIOVIT CS-104 11.11 Here the general ECG settings for acquisition and view are defined. Specific settings for different recording types are defined following. 11.11.1 General Lead Sequence Standard or Cabrera Rhythm lead 1, 2 and 3...

  • Page 133: Resting Ecg

    System Settings CARDIOVIT CS-104 User Guide Resting ECG 11.12 11.12 Resting ECG 11.12.1 Scale Define the default scales (amplitude and speed) for rhythm and average complexes. 11.13 Rhythm ECG 11.13.1 General (Rhythm Length) Define the default length for rhythm recordings. Check the Show recording time dialog box to display the duration dialog before a recording is made.

  • Page 134: Scale

    System Settings 11.14 Exercise ECG CARDIOVIT CS-104 Max. load calculation Select between: • Max step load - The current load within the work phase. • Time - The current load of the step is taken as the max. load if the elapsed time within the step is greater / equal than the configured x second.

  • Page 135: Protocols

    System Settings CARDIOVIT CS-104 User Guide Exercise ECG 11.14 11.14.6 Protocols Select the protocols from the list that will be available when an exercise test is entered. The protocol on the top of the list will be the default (note that when an exercise test has started the protocol cannot be changed).

  • Page 136: Spirometry

    Replace all steps No. of steps Initial load(W) Load delta (W) Step duration (min) Work Recover Generate Cancel 11.15 Spirometry See CARDIOVIT CS-104 Spiro User Guide. Page 136...

  • Page 137: 12 User Management

    12 User Management This section is for standalone installations only. When the CS-104 is networked with the SCHILLER server, user management is managed from the Server. • User Roles are defined by the system with specific privileges and individual users are assigned a user role.

  • Page 138: Defining The Privileges For A User Role

    User Management 12.1 Defining the Privileges for a User Role CARDIOVIT CS-104 12.1 Defining the Privileges for a User Role In the Roles column highlight the user Role. Click the edit button In the privileges column – Define the privileges for the group.

  • Page 139: 13 Ecg Recorders

    ECG Recorders CARDIOVIT CS-104 User Guide MS-12 blue 13.1 13 ECG Recorders 13.1 MS-12 blue 13.1.1 Control Button The unit is controlled by the button on the top of the unit. The button has two functions depending on how long it is pressed:...

  • Page 140: Switching Off From The Electrode (Recording) Ecg Screen

    ECG Recorders 13.1 MS-12 blue CARDIOVIT CS-104 13.1.5 Switching off from the Electrode (recording) ECG Screen Press and hold the control button for 3 - 4 seconds. The off icon is displayed with time line progress displayed. At the end of the time-out period, the off icon is displayed flashing in the middle of the screen for a few moments and the unit is switched off.

  • Page 141: Electrode Screen

    ECG Recorders CARDIOVIT CS-104 User Guide MS-12 blue 13.1 13.1.7 Electrode Screen From the main menu (previous page), highlight the electrode icon and press the control button for 1.5 seconds. The electrode screen is displayed: As the electrodes are placed on the patient, the electrode indication changes to a circle to indicate that connection has been made.

  • Page 142: Bluetooth Screen

    ECG Recorders 13.1 MS-12 blue CARDIOVIT CS-104 13.1.8 Bluetooth Screen From the main menu (previous page), highlight the Bluetooth icon and press the control button for approximately 1.5 seconds. The Bluetooth screen is displayed: 13.1.9 Pairing Highlight the Bluetooth connect icon and press the control button for approximately 1.5 seconds.

  • Page 143: Battery Capacity

    When the batteries are exhausted, recording stops and pairing is lost. The SCHILLER logo scrolls across the screen for several minutes to indicate that data transmission has stopped and the batteries must be exchanged.

  • Page 144: Ms-12 Blue Bluetooth Pairing Procedure

    ECG Recorders 13.1 MS-12 blue CARDIOVIT CS-104 13.1.14 MS-12 blue Bluetooth Pairing Procedure Note: The bluetooth pairing procedure is for the MS-12 blue unit only. The MS-12 USB unit is connected to the PC by a cable assembly that does not require pairing.
  • Page 145 ECG Recorders CARDIOVIT CS-104 User Guide MS-12 blue 13.1 7. If the numbers are the same on the PC and the MS-12 blue unit, confirm connection as follows: – On the MS-12 blue (with the tick box highlighted as shown), press the control button for approximately 1.5 seconds.

  • Page 146: Ms-12 Usb Recorder

    ECG Recorders 13.2 MS-12 USB Recorder CARDIOVIT CS-104 13.2 MS-12 USB Recorder 13.2.1 Function Button The MS-12 USB ECG Recorder has a central function button Function Button The function button indicates its status of the MS-12 USB ECG Recorder as follows: White Outline and Unlit MS-12 USB is not connected to the PC, or the PC is switched off.

  • Page 147: Ft-1 Streamer

    ECG Recorders CARDIOVIT CS-104 User Guide FT-1 Streamer 13.3 13.3 FT-1 Streamer On/off key Thermal printer and paper tray LCD touch screen The FT-1 Streamer communicates with the program via a USB cable connected directly to the PC. When attached to the CS-104, the FT-1 acts as an ECG amplifier and all recording functions are carried out by the CS-104.

  • Page 148: Cleaning And Disinfection

    Only clean the device and cable with a damp cloth slightly moistened (not wet) on the surface only. If liquid does penetrate the unit, switch it off immediately and send it to SCHILLER for testing  The patient cable and other cable assemblies must not be exposed to excessive mechanical stress.

  • Page 149: Cleaning Interval

    Cleaning and Disinfection CARDIOVIT CS-104 User Guide Cleaning Interval 14.2 14.2 Cleaning Interval The recording device comes into contact with the patient, and it is recommended that it is cleaned after each use. Any visible soiling must be cleaned immediately.

  • Page 150: Cleaning Cable Assemblies

    Cleaning and Disinfection 14.4 Cleaning Cable Assemblies CARDIOVIT CS-104 14.4 Cleaning Cable Assemblies Before cleaning, inspect the cable for damage as detailed above. Wipe the equipment with a cloth slightly moistened (not wet) with one of the approved solutions listed below.

  • Page 151: Cleaning Materials That Must Not Be Used

    • Aldehyde (2-4%) • Ethanol (50%) • all products that are suitable for PC/ABS plastic 14.6.2 Recommended SCHILLER recommends the following for disinfecting the unit: • Bacillol® 30 Tissues • Bacillol® 30 Foam • Mikrozid® liquid • Mikrozid® wipes Page 151...

  • Page 152: Non-Admissible Disinfectants

    Cleaning and Disinfection 14.6 Disinfection CARDIOVIT CS-104 14.6.3 Non-admissible Disinfectants Never use products containing the following: • Organic solvents • Ammonia-based detergent • Abrasive cleaning agents • 100% alcohol, Virex, Sani-Master • Sani-Cloth, Ascepti or Clorox wipes • HB Quat •...

  • Page 153: 15 Maintenance

    15 Maintenance The following maintenance schedule and general maintenance procedures detailed apply to the CARDIOVIT CS-104 device and the ECG recorders that are available with the CARDIOVIT CS-104. • Maintenance work not described in this section may only be accomplished by a qualified technician authorised by SCHILLER AG.

  • Page 154: Safety And Functional Checks

     A recurrent test must be carried out at a minimum of every two years by a certified authority according to the CARDIOVIT CS-104 service handbook. 15.4 Tests After Defibrillation Return the unit to an authorised SCHILLER facility for Recurrent test and test after repair according to IEC / EN62353.t 15.5 Decommissioning...

  • Page 155: Inspection Report

    Maintenance CARDIOVIT CS-104 User Guide Inspection Report 15.7 15.7 Inspection Report This page can be copied and used as a unit maintenance reference sheet. 15.7.1 Every Six Months Inspection Visual Inspection page 153  Device casing not broken  ...

  • Page 156: 16 Trouble Shooting

    (see para. 4.8, Filter, page 63)  Ensure mains filter is correct for mains supply (see para. 11.11.2, Power Line, page 132)  If the trace is still noisy call your local SCHILLER representative. Control icons, buttons or • Options not licensed, ...

  • Page 157: Accessories And Disposables

    SCHILLER. Failure to do so may endanger life and invalidate the guarantee. Your local representative stocks all the disposables and accessories available for the CARDIOVIT CS-104. A full list of all SCHILLER representatives can be found on the SCHILLER website (www.schiller.ch). 17.1...

  • Page 158: 18 Technical Specification

    Technical Specification 18.1 CARDIOVIT CS-104 System CARDIOVIT CS-104 18 Technical Specification 18.1 CARDIOVIT CS-104 System Dimensions • Trolley: 1400 x 631 x 590 mm • With Monitor on support arm: 1600 x 631 x 590 Weight • Trolley: 24 kg •...

  • Page 159: Requirements For Pc Based Installations

    • Illuminated light blue indicating PC connection (and data transmission). Status and function Button • Blinking light blue indicating button is active. Patient Input (applied part) Fully floating and isolated, defibrillation protected (only with original SCHILLER patient cable), type CF. Patient cable • Replaceable Electrodes •...

  • Page 160: Ms-12 Blue

    • 90 x 58 x 20 mm Weight • 118 gm with batteries, 60 gm without batteries Screen • OLED Patient input (applied part) Fully floating and isolated, defibrillation protected (only with original SCHILLER pa- tient cable), type CF. Patient cable • Replaceable Electrodes • 10 Automatic cable test •...

  • Page 161: Standards

    Technical Specification CARDIOVIT CS-104 User Guide Standards 18.5 18.5 Standards Safety standard IEC/EN 60601-1 IEC/EN 60601-1-25 IEC/EN 60601-1-2 Classification (IEC 60601-1) Applied Part Protection IP20 Protection Class Conformity/classification CE/IIa in accordance with directive 93/42/EEC 18.6 Environmental Conditions Environmental conditions (operating) •...

  • Page 162: Log Information

    Technical Specification 18.8 Log Information CARDIOVIT CS-104 18.8 Log Information Click the Log icon to display program history data. This is for service personnel only. 18.9 End of Life Disposal At the end of unit life, do not dispose in household waste. MS-12 USB units must be disposed of in a municipally approved collection point or recycling center for electrical waste.

  • Page 163: Measures To Prevent Electromagnetic Interferences

    Technical Specification CARDIOVIT CS-104 User Guide Measures to Prevent Electromagnetic Interferences 18.10 18.10 Measures to Prevent Electromagnetic Interferences The user can help avoid electromagnetic disturbances by keeping the minimum distance between portable and mobile HF telecommunication devices (transmitters) and the MS-12 blue/MS-12 USB Recorder. The distance depends on the output performance of the communication device, as indicated below.

  • Page 164: 19 Annex - Installation

    Licensing The software license key is generated on http://lic.schiller.ch/ and requires an Activation key supplied by SCHILLER and a Host ID (a unique code generated from the computer hardware). Ensure that you have your activation key before installation. Page 164...

  • Page 165: Installation

    The license key will unlock the license related application options. Host ID Enter license key 5. Make a note of the Host ID and the Activation key provided by SCHILLER. 6. Open the SCHILLER License generator http://lic.schiller.ch/ and select Open SCHILLER Licenser.

  • Page 166: Exercise Ecg And Bp Unit

    Note: The options displayed and the privileges given are dependent on the user logged in. For networked installations the users and privileges are defined in the SCHILLER Server. For standalone installations, Users are defined in system settings (see user guide).
  • Page 167 Annex - Installation CARDIOVIT CS-104 User Guide Exercise ECG and BP Unit 19.4 Checking the Ports Assigned for the USB to RS-232 Serial Adapter The following procedure is an outline only and will vary according to operating system. To check the ports allocated for the USB-RS-232 Serial Adapter proceed as follows.

  • Page 168: Usb To Rs-232 Serial Adapter

    Annex - Installation 19.4 Exercise ECG and BP Unit CARDIOVIT CS-104 19.4.2 USB to RS-232 Serial Adapter USB converter box for connection of an exercise ergo device and/or blood pressure unit, includes the USB lead. Power Indicator COM2 COM3 COM1...

  • Page 169: Connection Overview

    Annex - Installation CARDIOVIT CS-104 User Guide Connection Overview 19.5 19.5 Connection Overview Wireless (bluetooth) PC or laptop (or communication to PC installed in Trolley) MS-12 blue Patient hooked up to MS-12 unit USB connector of PC / laptop MS-12 USB...
  • Page 170 Annex - Installation 19.5 Connection Overview CARDIOVIT CS-104 Page 170...

  • Page 171: 20 Index

    Index CARDIOVIT CS-104 User Guide 20 Index Accessories and Disposables Hookup Screen, Electrode Placement Safety ............and Check ........... Arrhythmia Safety Symbols ................Search Patient or Recording .... Selecting Standard or Cabrera Lead Sequence ..........Importing and Exporting ....
  • Page 172 Index CARDIOVIT CS-104 Page 172...

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