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Norav Medical PC-ECG 1200 User Manual

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Norav Users Guide
PC-ECG 1200
NV-54/PCECG1200
Revision 2111303
21.12.2023

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Summary of Contents for Norav Medical PC-ECG 1200

  • Page 1: Norav Users Guide Pc-Ecg 1200

    Norav Users Guide PC-ECG 1200 NV-54/PCECG1200 Revision 2111303 21.12.2023...
  • Page 2 Any action for breach of warranty shall be commenced within one (1) year of said breach or be forever barred. Any repairs made to the product that are not covered by the warranty shall be billed to the customer. For service or technical support contact your local supplier or Norav Medical. NV-54/PCECG1200...

  • Page 3: Table Of Contents

    Norav Users Guide PC-ECG 1200 ......................1 INTRODUCTION ..........................4 Manual Organization ................................4 Document Conventions ............................... 4 Indications for Use of the PC-ECG 1200 ........................... 6 Contraindications for Use and Adverse Effects ......................... 7 OVERVIEW ............................7 Package Contents ................................7 Programs ....................................

  • Page 4: Introduction

    Manual Organization This manual explains in detail how to install and use the PC-ECG 1200. At the beginning of each application chapter, there is a Quick Start section, which is a brief explanation of how to carry out a study, including the keyboard short-cuts for the main functions.
  • Page 5 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 5 of 53 No.: 54/PCECG1200 211130 21.12.2023 Abbreviations and Acronyms Abbreviation Meaning Blood pressure Electrocardiogram Heart Rate Variability Identification Late Potential LQTS Long QT Syndrome METS Metabolic Stress Estimation...

  • Page 6: Indications For Use Of The Pc-Ecg 1200

    Contains MIC certified RF module. Contains FCC certified RF module. FCC ID: Indications for Use of the PC-ECG 1200 ECG Intended Use ECG is intended to disclose either normal condition or patterns of arrhythmia, myocardial ischemia, rate abnormalities, or features of prognostic value in adults and pediatric populations in the following cases: ...

  • Page 7: Contraindications For Use And Adverse Effects

    QT Analysis is useful in the assessment of long QT syndrome (LQTS). QT analysis is also used to measure QT dispersion, a measure of the homogeneity of ventricular repolarization. The PC-ECG 1200 contains the Heart Rate Variability software. The clinical significance of Heart Rate Variability measures should be determined by a physician. The PC-ECG 1200 contains Late Potential software.

  • Page 8: Programs

    Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 8 of 53 No.: 54/PCECG1200 211130 21.12.2023  • Software key (if optional software is included) Programs Each program has a specific purpose. Resting ECG Records and measures short ECG tests on patients in resting position (up to 10 seconds)

  • Page 9: Safety Warnings And Precautions

    (IEC/EN 60950-1, or its national variants). Also, the use of additional protective earth ground or an isolation transformer is required for the electric power circuit to which the PC-ECG 1200 System is connected to satisfy the IEC/EN 60601-1 safety standard. •...
  • Page 10 The PC-ECG 1200 controls exercise machines. Any treadmill used with the PC-ECG 1200 must contain a manual control to allow the user to stop the operation of the treadmill in case of emergency.

  • Page 11: Classification Of Equipment

    21.12.2023 • Power supply - The PC-ECG 1200 uses mains power supply (unless connected via the USB port). The wireless PC-ECG 1200W transmitter uses battery power supply. PC-ECG 1200WR receiver uses Power supply via USB port. The wireless Blue-ECG, NR-1207-E and NR- 1207-3 uses battery power supply.

  • Page 12: Maintenance

    Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 12 of 53 No.: 54/PCECG1200 211130 21.12.2023 MAINTENANCE • The device is not waterproof. Never immerse any part of the equipment including device, cables or leadwires in any liquid. Maintain in a dry place.
  • Page 13 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 13 of 53 No.: 54/PCECG1200 211130 21.12.2023 Before cleaning any part of the equipment, disconnect the equipment from the power supply and disconnect the device from any other equipment or external devices.

  • Page 14: Software Installation

    Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 14 of 53 No.: 54/PCECG1200 211130 21.12.2023 • Take care not to let fluid “pool” around connection pins. If this should happen, blot dry with a soft, lint-free cloth.

  • Page 15: Installing Or Updating Pc-Ecg 1200 Software

    • Follow the instructions on-screen. After you have completed installation, a group icon called PC-ECG 1200 is added to the desktop. Double-click the group icon to display the following program icons: Icons are displayed only for those programs for which you have purchased the license.

  • Page 16: Installing Model 1200S And Model 1200M

     Acquisition box  Patient cable  USB cable  PC-ECG 1200 software installation package on CD or USB flash drive.  Software license key (if optional software is included) Patient Cable USB Cable To Connect Via USB • Connect the A-type connector of the USB cable to the PC.

  • Page 17: Installing Model 1200Hr

     Patient leads  Built-in USB cable  PC-ECG 1200 software installation package on CD or USB flash drive.  Software license key (if optional software is included). To Connect Via USB • Connect the USB A-type connector of the USB cable to the PC.
  • Page 18  Antenna  1200WR receiver  PC-ECG 1200 software installation package on CD or USB flash drive.  Software license key (if optional software is included). 1200W Battery Installation Step 1 Insert the first battery and slide it to the right.

  • Page 19: Installing Models Nr-1207-E And Nr-1207-3

     SD memory card (for NR-1207-3 model only).  Bluetooth USB adaptor  USB extension cable  PC-ECG 1200 software installation package on CD or USB flash drive.  Software license key (if optional software is included). NV-54/PCECG1200 Revision 2111303...
  • Page 20 Click Done, once paired. Register the Blue-ECG device in the Resting ECG software application Launch Resting ECG software from the PC-ECG 1200 desktop folder. In the software, go to Setup > Environment and select Bluetooth device. Click OK to apply changes and exit the application.

  • Page 21: Connecting An Exercise Device

    Configure the Stress ECG software (in setup Environment/Advance tab): in Cards panel select the Analog Control option. Adjust the control voltage range in Settings. Cabling The connection cables may be purchased from Norav Medical distributors. ACCESSORIES INSTALLATION Installation of the Tango M2 Automatic BP Unit Verify Correct Cables...
  • Page 22 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 22 of 53 No.: 54/PCECG1200 211130 21.12.2023 Used to communicate with the stress system. This connection enables the stress system to prompt Tango M2 when it needs a BP measurement, and allows the Tango M2 BP reading to be transferred to the stress system’s display and reports.

  • Page 23: Patient Preparation

    Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 23 of 53 No.: 54/PCECG1200 211130 21.12.2023 Connect the Computer Connection Cable (USB or RS232) To use the RS232 connection: connect the RS232-C-FF cable between the RS-232 connector on the rear panel of the Tango M2 to COM port on the back of the stress system PC.

  • Page 24: Resting Ecg

    Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 24 of 53 No.: 54/PCECG1200 211130 21.12.2023 RESTING ECG Screen Blood view and pressure Diagnosis Measurements records About this Heart Patient System input and remarks information archive...
  • Page 25 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 25 of 53 No.: 54/PCECG1200 211130 21.12.2023 Quick Start To Perform a New Test Hook up the Patient a. Prepare the skin b. Connect electrodes This application uses the standard 10-electrode cables with all Norav ECG modules, or optional 14-electrode cable with the 1200HR module for 15/16-lead ECG acquisition, or optional 5-electrode cable with NR-1207-E / NR-1207-3 modules for Derived 12-lead ECG acquisition.
  • Page 26 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 26 of 53 No.: 54/PCECG1200 211130 21.12.2023 mid-axillary line in straight line with V4R and V5R, right side of chest Pediatric lead placement with 10-electrode cable Electrode...
  • Page 27 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 27 of 53 No.: 54/PCECG1200 211130 21.12.2023 4-th intercostal space, right sternal edge 4-th intercostal space, left sternal edge midway between V2 and V4 5-th intercostal space, mid-clavicular line...
  • Page 28 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 28 of 53 No.: 54/PCECG1200 211130 21.12.2023 AAMI Lead Electrode Placement right forearm or wrist left forearm or wrist left lower leg, proximal to ankle right lower leg, proximal to ankle...
  • Page 29 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 29 of 53 No.: 54/PCECG1200 211130 21.12.2023 Ctrl “+” / Ctrl “-” ECG traces Zoom In /Zoom Out or Ctrl and mouse wheel Ctrl “0” or mouse right button...

  • Page 30: Stress Ecg

    Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 30 of 53 No.: 54/PCECG1200 211130 21.12.2023 ECG Screen View and Filters panel The screen view panel opens on click the button. Patient Information panel To enter the patient details, open the patient information panel by click the icon.
  • Page 31 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 31 of 53 No.: 54/PCECG1200 211130 21.12.2023 To Lock Screen Window Borders If you want to keep the display in its present format: Click Setup > View tab.
  • Page 32 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 32 of 53 No.: 54/PCECG1200 211130 21.12.2023 RA – just below the right clavicle LA – just below the left clavicle LL – on the left lower edge of the rib cage RL –...
  • Page 33 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 33 of 53 No.: 54/PCECG1200 211130 21.12.2023 Open saved study Stop the treadmill in emergency Toolbar Overview Main Toolbar This toolbar is displayed during the start-up. Use it to open an existing test or to begin a new one.
  • Page 34 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 34 of 53 No.: 54/PCECG1200 211130 21.12.2023 Stress Test Commands This toolbar is displayed at the start of a new test. Change the Sw itch to Previous...
  • Page 35 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 35 of 53 No.: 54/PCECG1200 211130 21.12.2023 Freezes the current stage in the protocol. Click Freeze the again to release the stage and continue with the current stage protocol.
  • Page 36 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 36 of 53 No.: 54/PCECG1200 211130 21.12.2023 Post Processing Options Toolbar When the test is complete you can review it using the Post Processing Options Toolbar. To do this...
  • Page 37 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 37 of 53 No.: 54/PCECG1200 211130 21.12.2023 • Click on main menu button or press the F1 keyboard key. • The Stress working screen and patient data entry screen are displayed.
  • Page 38 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 38 of 53 No.: 54/PCECG1200 211130 21.12.2023 At the end of the test protocol, or after clicking icon (F4), the display switches automatically to the Review Screen, and the post- processing information is displayed.

  • Page 39: Late Potential Signal Averaging

    Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 39 of 53 No.: 54/PCECG1200 211130 21.12.2023 LATE POTENTIAL SIGNAL AVERAGING (This option is available with the L1 license) Quick Start To Start a New Test •...
  • Page 40 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 40 of 53 No.: 54/PCECG1200 211130 21.12.2023 X+ left side of the chest X- right side of the chest Y+ low er side of the chest Y- upper side of the chest...
  • Page 41 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 41 of 53 No.: 54/PCECG1200 211130 21.12.2023 View > Displays the setup dialog box and allows the user to Set preferences Ctrl+T Setup tailor operation preferences. Displays software version number. Also displays To display Help >...
  • Page 42 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 42 of 53 No.: 54/PCECG1200 211130 21.12.2023 (This option is available with the M1 license) This option enables long-term recording and storage to disk. The user decides which leads and at which sample rate to show on screen and save to disk.

  • Page 43: Heart Rate Variability (Hrv)

    Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 43 of 53 No.: 54/PCECG1200 211130 21.12.2023 Offline printing. Determine the time range to be printed. Print results File > Print A 10 sec segment containing original leads I, II, V1...V6 and calculated leads III, aVR, aVL, aVF is...
  • Page 44 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 44 of 53 No.: 54/PCECG1200 211130 21.12.2023 Time and frequency domain analysis is designed for short studies in which one or more time segments are measured, as in a Tilt study.
  • Page 45 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 45 of 53 No.: 54/PCECG1200 211130 21.12.2023 • Click OK. To Print an ECG • Click the Print ECG button on the toolbar or select Print ECG from the file menu.

  • Page 46: Measurements/ Interpretation (Means)

    Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 46 of 53 No.: 54/PCECG1200 211130 21.12.2023 max RR Longest R-R period min RR Shorter R-R period Average RR Average of interval in active interval SDNN Standard deviation of all R-R periods in interval...
  • Page 47 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 47 of 53 No.: 54/PCECG1200 211130 21.12.2023 The application has four view formats: • Measurements Table (default display) • ECG Averages • QRS Signal • Caliper To Print Reports •...
  • Page 48 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 48 of 53 No.: 54/PCECG1200 211130 21.12.2023 Tabular Screen The Tabular screen displays calculations of the QRS parameters in all the leads in a tabular format. Original calculations or changes performed in the other screens (Averages, QRS, or Caliper) are displayed in a tabular format and can be printed out.
  • Page 49 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 49 of 53 No.: 54/PCECG1200 211130 21.12.2023 Caliper Display Toolbar of Caliper Display Next/previous Save Remarks Measurements page of rhythm table Return to Show record main Reset...
  • Page 50 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 50 of 53 No.: 54/PCECG1200 211130 21.12.2023 View > View To Display Displays the QRS averages on screen. Format > QRS Averages Averages To Display View > View QRSs in All the Displays the QRSs in all the channels on screen.

  • Page 51: Technical Specifications

    Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 51 of 53 No.: 54/PCECG1200 211130 21.12.2023 (Averages and QRS screens) Vertical To choose between vertical displays of 5, 10, 20, ------------- Resolution and 40 mm/mV. Select Name of...

  • Page 52: Troubleshooting

    Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 52 of 53 No.: 54/PCECG1200 211130 21.12.2023 1x AA alkaline Battery 2 x AA alkaline or NiMH rechargeable or NiMH rechargeable Battery Operation Up to 40 hours with alkaline...
  • Page 53 Document Norav Users Guide PC-ECG 1200 Title: Document Document Rev.: Document Date: Page 53 of 53 No.: 54/PCECG1200 211130 21.12.2023 Noisy ECG A noisy ECG signal on one or Check the connection of the appropriate leads Signal on Leads more of the leads may be caused due to poor on the patient Make sure the electrodes are applied OK on the patient.

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