Schiller CARDIOVIT AT-2 User Manual

Schiller CARDIOVIT AT-2 User Manual

6-channel electrocardiograph
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AT-2
6-Channel Electrocardiograph
6-Kanal-Elektrokardiograph
Electrocardiographe à 6 canaux

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Summary of Contents for Schiller CARDIOVIT AT-2

  • Page 1 AT-2 6-Channel Electrocardiograph 6-Kanal-Elektrokardiograph Electrocardiographe à 6 canaux...
  • Page 2 March 96, June 2000, May 2001, August 2001 Associated Documents Guide to the SCHILLER Interpretation and Measurement Program E/ D/ F Article Number 2. 510 179 SCHILLER AG Altgasse 68 6341 Baar, Switzerland Phone: ++ 41 41 766 42 42 Fax: ++ 41 41 761 08 80 www.schiller.ch...
  • Page 3 Austria Tel.: + 43 732 709 90 Fax : + 43 732 757 000 SCHILLER Medical S.A, BP 50, 19, Avenue de la Gare, F-67162 Wissembourg / Cedex, France France Tel.: +33 3 88 63 36 00 Fax : +33 3 88 94 12 82...
  • Page 4 Only dispose of the battery in official recycling centres or municipally approved areas. Alternatively, used batteries can be returned to Schiller AG for disposal. Unit Disposal Instructions Units no longer required can be returned to Schiller AG for disposal. Alternatively dispose of the unit in municipally approved recycling centres.
  • Page 5 Remove the fuse panel and replace the fuse(s). Click back the fuse panel. Intended Use The CARDIOVIT AT-2 is a 6-channel ECG recorder with all (12) ECG signals simultaneously processed to provide instant ECG recordings. Two automatic recording modes can be individually preset to enable one button ECG...
  • Page 6 Terms of Warranty The SCHILLER AT-2 is warranted against defects in material and manufacture for the duration of one year (as from date of purchase). Excluded from this guarantee is damage caused by an accident or as a result of improper handling. The warranty entitles free replacement of PHYSICIAN‘S RESPONSIBILITY...
  • Page 7 GAMMA RADIATION STERILISATION. DO NOT USE SOLVENT CLEANERS USE ONLY ACCESSORIES AND OTHER PARTS RECOMMENDED OR SUPPLIED BY SCHILLER AG. USE OF OTHER THAN RECOMMENDED OR SUPPLIED PARTS MAY RESULT IN INJURY INACCURATE INFORMATION AND/ OR DAMAGE TO THE UNIT.
  • Page 9: Table Of Contents

    Potential Equalisation ........... 7 RECORDING AN ECG IN MANUAL MODE ..... 33 KEYBOARD ................ 8 CARE & MAINTENANCE ..........35 Care of your CARDIOVIT AT-2 ........35 INDICATORS ..............10 Self-test ..............35 12 Monthly Check ............36 GENERAL SETTINGS ............11 Cleaning the Print Head ..........
  • Page 10: Introduction

    Introduction MAINS AND POTENTIAL EQUALISATION CONNECTORS PAPER RELEASE CATCH PATIENT CABLE CONNECTOR LEAD INDICATORS POWER INDICATORS SYSTEM INDICATORS Page 2 CARDIOVIT AT-2 8.2001...
  • Page 11 Introduction The CARDIOVIT AT-2 is a 6-channel ECG recorder. All ECG signals are simultaneously processed to provide instant ECG recordings. Two automatic recording modes can be individually preset to enable one button ECG recording of preferred print formats . Individual lamps are provided to give power, paper error, filter, lead group and lead off indications.
  • Page 12: Operation Modes

    Automatic Recording Automatic Recording statements for the printout. in Format 1 in Format 2 Pages 31 to 32 Pages 31 to 32 For further information see paragraph 12 lead printout "Settings for Automatic Mode". Page 4 CARDIOVIT AT-2 8.2001...
  • Page 13: Manual Mode

    START Pages 33 and 34 • Sensitivity Leads, Speed, • Myogram Filter Sensitivity Myogram filter Pages 18 + 33 For further information see paragraph "ECG Recording in Continuous printout of 6 leads Manual Mode". STOP CARDIOVIT AT-2 Page 5 8.2001...
  • Page 14: Location & Power

    (60% in less than 3 hours, 90% in less than 7 hours). A fully charged battery lasts approximately 6 hours of normal use. The unit can remain connected to the mains supply without any danger of damage to either the battery or the unit. Page 6 CARDIOVIT AT-2 8.2001...
  • Page 15: Basic Information

    Basic Information Switching On and Off The CARDIOVIT AT-2 is switched on by means of the green key and off by means of the red key. The unit is switched off after 5 minutes (30 seconds if battery capacity is limited) if no key is pressed and the patient cable is not connected.
  • Page 16: Keyboard

    Keyboard AUTO aVR aVL aVF COPY START BEEP V2 V3 V5 V6 AUTO LEAD OFF GAIN mm/mV mm/mV mm/mV START aVF III V4 V5 PAPER STOP FILT mm/s mm/s mm/s V5 V6 FILTER V8 V9 Page 8 CARDIOVIT AT-2 8.2001...
  • Page 17 Use this key also Switch myogram filter (muscle tremor filter) for baseline recentering FILT on or off Key for initiation of setups and selection of second format for printout Lead group selector (forward) Lead group selector (backward) CARDIOVIT AT-2 Page 9 8.2001...
  • Page 18: Indicators

    V5 V6 mode only aVF III Indicator lamp for selected lead group in manual mode only V2 V4 V5 V4 V5 V6 Indicator lamp for selected lead group in manual mode only V7 V8 V9 Page 10 CARDIOVIT AT-2 8.2001...
  • Page 19: General Settings

    Start programming / CONFIRM SETTING Switch to numerical keyboard On the following pages the programmable parameters and the programming sequences are described in detail. STOP NOTE THAT THE SETTINGS ARE ALWAYS CONFIRMED BY PRESSING THE KEY. CARDIOVIT AT-2 Page 11 8.2001...
  • Page 20: Defaults

    0.05 Hz 0.05 Hz Mains Filter Setting 50 Hz (USA - 60Hz) 50 Hz (USA - 60Hz) Myogram Filter Setting 35 Hz, OFF 35 Hz, OFF Interpretation Settings N/A: - U: + A30: - S: - Page 12 CARDIOVIT AT-2 8.2001...
  • Page 21 Enabled (+) or Suppressed (-) Marks Enabled (+) or Suppressed (-) Interpretation Enabled (+) or Suppressed (-) Selected Rhythm leads Leads selected for R1, R2 resp. Automatic Centering Enabled (+) or Suppressed (-) Printout of signals Sequential or Simultaneous CARDIOVIT AT-2 Page 13 8.2001...
  • Page 22 A30: +/- (patient age is assumed to be < 30 (-) or >30 (+); +/- (low (-) or high (+) sensitivity) To reset the unit to the basic default settings, proceed as follows: Reset Setup Entry Key Sequence Action Reset to default base settings. Page 14 CARDIOVIT AT-2 8.2001...
  • Page 23: Language

    Swedish STOP American Italian Spanish Portuguese Confirm the selection by pressing STOP. Note: Once selected, the language remains active. However, when the unit is reset to the default settings, the default language will be English. CARDIOVIT AT-2 Page 15 8.2001...
  • Page 24: Baseline Filter

    The set value is the lower limit of the frequency range and is normally set to 0.05 Hz. The settings 0.15 and 0.30 Hz should only be used when absolutely necessary, as the possibility exists that they could affect the original ECG signal, especially the ST segments. Confirm the selection by pressing STOP. Page 16 CARDIOVIT AT-2 8.2001...
  • Page 25: Mains Filter

    Set the mains filter in accordance with the frequency of your local mains supply as follows: Mains Filter Entry Key Sequence Filter Setting Confirm Mains Filter 50 Hz Press Mains Filter 60 Hz STOP Mains Filter off CARDIOVIT AT-2 Page 17 8.2001...
  • Page 26: Myogram Filter

    (marked on printout with –) Confirm the selection by pressing STOP. An ECG recorded in auto mode is stored unfiltered. It is therefore possible to print the stored ECG either with or without passing the myogram filter. Page 18 CARDIOVIT AT-2 8.2001...
  • Page 27: Defining Lead Sequence & Printout

    Standard Lead Sequence Cabrera Lead Sequence Press Simultaneous Print STOP Sequential Print Auto-Centering ON Auto-Centering OFF Confirm the selection by pressing STOP. The selectable lead groups for the AT-2 are: Lead Groups Standard Cabrera -aVR CARDIOVIT AT-2 Page 19 8.2001...
  • Page 28: Acoustic Qrs Indication

    Auto-Centering OFF ECG traces are set to a fixed baseline position and may possibly overlap. Acoustic QRS Indication BEEP The acoustic QRS indication can be switched on or off at any time by pressing the key. Page 20 CARDIOVIT AT-2 8.2001...
  • Page 29: Time / Date

    General Settings Time / Date CHANGE TIME / DATE Time: HHMMSS beep Date: DDMMYY beep Wintertime to Summertime (+1 Hr) Summertime to Wintertime (-1 Hr) CARDIOVIT AT-2 Page 21 8.2001...
  • Page 30: Settings For Automatic Mode

    Chart speed is 25 mm/s Chart speed is 50 mm/s Leads are printed in format 4 x 3 + 1 Rhy Confirm the selection by pressing STOP. Note: Lead selection for the rhythm lead is defined on page 27. Page 22 CARDIOVIT AT-2 8.2001...
  • Page 31: Average Cycles

    The average complexes are printed out in two groups of six leads with two rhythm leads at a chart speed of 50 mm/s. Confirm the selection by pressing STOP. Note: Lead selection for the 2 rhythm leads is defined on page 27. CARDIOVIT AT-2 Page 23 8.2001...
  • Page 32: Measurements And Markings

    QRS as well as end of T wave) are omitted. Reference markings (beginning and end of P wave and QRS as well as end of T wave) are added to ECG cycles. Confirm the selection by pressing STOP. Page 24 CARDIOVIT AT-2 8.2001...
  • Page 33: Interpretation

    Confirm Press Interpretation is omitted. STOP Interpretation is printed. Confirm the selection by pressing STOP. Full details of the interpretation option are given in the SCHILLER ECG Measurement and Interpretation booklet (art. no. 2.510 179). CARDIOVIT AT-2 Page 25 8.2001...
  • Page 34: Interpretation Settings

    'Normal/abnormal' is not printed 'Normal/abnormal' is printed. 'Unconfirmed report' is not printed. 'Unconfirmed report' is printed. Press STOP Patient age is assumed to be < 30 Patient age is assumed to be > 30 Low sensitivity High sensitivity Page 26 CARDIOVIT AT-2 8.2001...
  • Page 35: Selecting Rhythm Leads

    Setup Rhythm Lead 2 The 2 rhythm leads are defined as follows: Precordial Leads Extremity Leads Entry Key Sequence Lead Confirm Entry Key Sequence Lead Confirm Press Press STOP STOP Confirm the selection by pressing STOP. CARDIOVIT AT-2 Page 27 8.2001...
  • Page 36: Patient Cable Connections

    The CARDIOVIT AT-2 is CF rated. The patient connection is fully isolated and defibrillation protected. Protection against defibrillation voltage is however only ensured, if the original SCHILLER patient cable (Part-no.
  • Page 37 C3 between, and equidistant to, C4 and C2 • C6 on left midaxillary line on the same level as C4 • C5 between, and equidistant to, C4 and C6 Following these simple guidelines will ensure good results every time. CARDIOVIT AT-2 Page 29 8.2001...
  • Page 38: Standard Leads

    White C2 - YELLOW White/Red Brown/Red RIGHT ARM - RED LEFT ARM - YELLOW White/Yellow Brown/Yellow White/Green Brown/Green White/Brown Brown/Blue White/Black Brown/Orange White/Violet Brown/Violet Yellow Black Green RIGHT LEG - BLACK LEFT LEG - GREEN Page 30 CARDIOVIT AT-2 8.2001...
  • Page 39: Recording An Ecg In Automatic Mode

    5 mm/mV to reduce the overlapping of traces. AUTO START To start the automatic ECG recording in Format 1, simply press To start the automatic recording in the second format, press followed by AUTO START CARDIOVIT AT-2 Page 31 8.2001...
  • Page 40 Detailed Measurement Table (Interpretation option only) Interpretation (Interpretation option only) COPY • To obtain an extra printout of the ECG recording in Format 1, simply press COPY • To obtain an extra printout of the second format, press followed by Page 32 CARDIOVIT AT-2 8.2001...
  • Page 41: Recording An Ecg In Manual Mode

    II, aVF, III, V2, V4, V5 V4, V5, V6, V7, V8, V9 mm/s mm/s mm/s • Chart Speed (by means of the keys) mm/mV mm/mV mm/mV • Sensitivity (by means of the keys) • Filter see page 18. CARDIOVIT AT-2 Page 33 8.2001...
  • Page 42 To re-centre the ECG traces, press the key during operation. STOP Finish the recording by pressing the key. WARNING: AFTER HEAVY ARTEFACTS OR LEAD OFF, THE INDICATION OF THE HEART RATE MAY NOT BE RELIABLE. Page 34 CARDIOVIT AT-2 8.2001...
  • Page 43: Care & Maintenance

    To disinfect, wipe the cable with any standard hospital disinfectant. The casing of the CARDIOVIT AT-2 should be cleaned with a soft cloth on the surface only. DISCONNECT THE UNIT BEFORE CLEANING.DO NOT, UNDER ANY CIRCUMSTANCES, IMMERSE THE APPARATUS INTO A CLEANING LIQUID OR STERILIZE WITH HOT WATER, STEAM, OR AIR.
  • Page 44: 12 Monthly Check

    • With a tissue dampened with alcohol, gently rub the print head to remove the ink residue. If the printhead is badly soiled, the colour of the grid ink will show on the tissue. Page 36 CARDIOVIT AT-2 8.2001...
  • Page 45 After the paper has been replaced, the printout is restarted by pressing COPY or MAN START or AUTO START. A step-by-step description of how to change the paper is given on the next page. CARDIOVIT AT-2 Page 37 8.2001...
  • Page 46: Replacing The Recording Paper

    • Press the STOP key to transport the paper to the start position. SCHILLER can only guarantee perfect printouts when SCHILLER original chart paper or chart paper of the same quality is used. Page 38 CARDIOVIT AT-2 8.2001...
  • Page 47: Trouble Shooting

    Check if mains cable is plugged in. Indicator Lamp is not lit Call your local SCHILLER dealer if problem is still present. CHECK ELECTRODE CONTACT. As much as possible, ensure that patient is relaxed and warm. Activate myogram filter to reduce "Noisy"...
  • Page 48: Ordering Information

    User Guide (English / German / French) 2.510 199 User Guide (Italian / Spanish / Portuguese) 2.510 200 Software (C) Interpretation 5. 020002 Guide to the Interpretation and Measurements Programs 2.510179 (English /German / French) Page 40 CARDIOVIT AT-2 8.2001...
  • Page 49: Technical Data

    Printing Process High-resolution thermal print head, 8 dots per mm Recording Tracks 6 channels, positioned at optimal width on 200 mm, automatic baseline adjustment Automatic Lead Programs 6 channel representation of 12 simultaneously acquired standard leads CARDIOVIT AT-2 Page 41 8.2001...
  • Page 50 ECG Storage: Memory for 10 s, 12-lead ECG Circular input memory for 10 s, 12-lead ECG. Frequency Range of Digital Recorder: 0 to 150 Hz (IEC) 0 to 150 Hz (AHA) Page 42 CARDIOVIT AT-2 8.2001...
  • Page 51 The stored ECGs can be printed with or without filter. Line Frequency Filter: Distortion-free suppression of superimposed 50 or 60 Hz sinusoidal interferences by means of an adaptive digital filter. Patient Input: Fully floating and isolated, defibrillation protected. Patient Leakage Current: <5 µA CARDIOVIT AT-2 Page 43 8.2001...
  • Page 52 Temperature, Operating: 10° to 40° C Temperature, Storage: -10° to 50° C Relative humidity: 25 to 95% (non condensing) Atmospheric pressure: 700 to 1060 hPa Control Panel: Rubber keys Technical data subject to change without notice. Page 44 CARDIOVIT AT-2 8.2001...
  • Page 53 Technical Data Available Configurations The CARDIOVIT AT-2 is available in two versions: Standard Version: Unit with ECG recording and printout capabilities. Version C: Unit with additional ECG Interpretation program (including measurements). CARDIOVIT AT-2 Page 45 8.2001...
  • Page 54 Page 46 CARDIOVIT AT-2 8.2001...

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