Model 7600 and 7800 Operation Manual Rev 12 March 2017

TABLE OF CONTENTS

TABLE OF CONTENTS 1.0 USER RESPONSIBILITY ... 1 2.0 MANUAL REVISION HISTORY ... 2 3.0 WARRANTY ... 3 4.0 INTRODUCTION ... 4 5.0 SAFETY ... 5 5.1 Electrical ... 5 5.2 Explosion ... 6 5.3 Patient Connections ... 6 5.4 MRI... 7 5.5 Pacemakers ... 7 5.6 Electrosurgery Protection ... 7 5.7 Defibrillation Protection ... 7 5.8 Signal Amplitude ... 7 5.9 EMC ... 7 5.10 Accessories ... 8 5.11 Description of Symbols Used ... 11 6.0 MONITOR DESCRIPTION ... 12 6.1 Intended Use ... 13 6.2 Patient Population ... 13 6.3 Contraindications ... 13 6.4 Classification (in accordance with ANSI/AAMI ES60601-1:2005) ... 13 6.5 Controls and Indicators ... 14 6.6 Display ... 15 6.7 Alarm Messages ... 15 6.8 Programmable Touch Keys ... 15 6.9 Menu Structure... 16 6.10 Rear Panel ... 17 6.11 Fuse Ratings ... 17 6.12 Rear Panel Description ... 18 7.0 MONITOR SETUP ... 19 7.1 Monitor Installation ... 19 7.2 To Set Up the Instrument for Operation ... 19 7.3 Setting the Date and Time ... 20 7.4 Setting the QRS and Alarm Volume ... 20 7.5 Setting the Alarm Limits... 20 7.6 Setting the Trace Speed ... 20 7.7 Default Settings ... 21 8.0 SYNCHRONIZED OUTPUT (TRIGGER) ... 22 8.1 The Synch Pulse ... 22 8.2 Trigger Mark ... 22 8.3 Polarity Lock (P-Lock) ... 22

Model 7600/7800 Operation Manual

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TABLE OF CONTENTS 9.0 ECG MONITORING ... 23 9.1 Safety Considerations... 23 9.2 Patient Connections ... 24 9.3 ECG Electrodes ... 25 9.4 Impedance Measurement (Model 7800 Only) ... 26 9.5 ECG Waveform Amplitude (Size)... 27 9.6 ECG Notch Filter... 27 9.7 Lead Selection ... 28 9.8 Low Signal Message ... 29 9.9 Pacemaker ... 29 9.10 Alarm Limits ... 30 10.0 SYSTEM INTERLOCK OPERATION ... 31 10.1 X-Ray Status Messages (Model 7800 Only)... 31 11.0 ECG DATA STORAGE AND TRANSFER ... 32 11.1 ECG Data Transfer Using the USB Port (Model 7800 Only) ... 32 11.2 USB Port... 32 12.0 RECORDER OPERATION ... 33 12.1 Changing Paper ... 33 12.2 Recorder Modes... 34 12.3 Recorder Speed ... 35 12.4 Sample Printouts ... 35 13.0 ALARM MESSAGES ... 36 13.1 Reminder Signals ... 36 13.2 Patient Alarms ... 36 13.3 Technical Alarms ... 37 13.4 Informatory Messages ... 37 14.0 MONITOR TESTING... 38 14.1 Internal Test... 38 14.2 ECG Simulator ... 38 15.0 TROUBLESHOOTING ... 40 16.0 MAINTENANCE AND CLEANING... 41 16.1 The Monitor ... 41 16.2 Patient Cables ... 41 16.3 Preventive Maintenance... 41 17.0 ACCESSORIES ... 42 18.0 DISPOSAL ... 43 18.1 WEEE Directive 2012/19/EU ... 43 18.2 RoHS Directive 2011/65/EU... 43 18.3 Standard of the Electronics Industry of the People’s Republic of China SJ/T11363-2006 ... 43 19.0 SPECIFICATIONS ... 44

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Model 7600/7800 Operation Manual

USER RESPONSIBILITY 1.0 USER RESPONSIBILITY This product will perform in conformity with the description contained in this Operation Manual and accompanying labels and/or inserts, when assembled, operated, maintained and repaired in accordance with the instructions provided. This product must be checked periodically. A defective Product should not be used. Parts that are broken, missing, plainly worn, distorted or contaminated should be replaced immediately. Should such repair or replacement become necessary, Ivy Biomedical Systems, Inc. recommends that a telephone call or written request for service advice be made to Ivy Biomedical Systems, Inc.’s Service Department. This product or any of its parts should not be repaired other than in accordance with instructions provided by Ivy Biomedical Systems, Inc.’s trained personnel. The product must not be altered without the prior written approval of Ivy Biomedical Systems, Inc.’s Quality Assurance Department. The user of this Product shall have the sole responsibility for any malfunction which results from improper use, faulty maintenance, improper repair, damage or alteration by anyone other than Ivy Biomedical Systems, Inc. CAUTION: US Federal law restricts this device to sale by or on the order of a licensed medical practitioner.

Ivy Biomedical Systems, Inc. 11 Business Park Drive Branford, Connecticut 06405 USA (203) 481-4183  (800) 247-4614  FAX (203) 481-8734 www.ivybiomedical.com e-mail: [email protected]

Model 7600/7800 Operation Manual

1

MANUAL REVISION HISTORY 2.0 MANUAL REVISION HISTORY

Revision 00 01

Date August 11, 2011 March 13, 2012

02

May 7, 2012

03

June 4, 2012

04 05

June 5, 2012 September 28, 2012

06

January 31, 2013

07

November 20, 2013

08 09

December 9, 2013 March 9, 2015

10

September 2, 2015

11 12

June 8, 2016 March 1, 2017

Description Initial Release of Model 7600 Operation Manual Changed title to Model 7600/7800 Operation Manual. Added model 7800 description, specifications etc. to Operation Manual. Revised Operation Manual to comply with IEC 60601-1 3rd edition. Added Patient Population and Contraindications statements to Monitor Description section of the Operation Manual. Revised Power/Standby symbol and added IPX1 statement. Added warning statement regarding reducing the possibility of a tripping hazard to the Monitor Setup section of the Operation Manual. Increased Operating Environment and Storage Environment Temperature Range. Updated China RoHS table and Warning and Caution symbols. Corrected typographical errors in sections 7.3 and 7.4. Updated EMC Guidance and Manufacturer’s Declaration on pages 8, 9 and 10. Added EAC symbol to User Responsibility section on page 1. Updated all references to WEEE Directive to 2012/19/EU. Revised all references to fuse rating and type to T .5A, 250V. Revised all references to fuse rating and type to T 0.5AL, 250V. Revised sections 6.10 and 6.12. Revised section 19.0 to include additional regulatory standards.

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Model 7600/7800 Operation Manual

WARRANTY

3.0 WARRANTY

All products manufactured by Ivy Biomedical Systems, Inc. under normal use, are warranted to be free from defects in material and workmanship and to operate within published specifications, for a period of 13 months from date of original shipment. All accessories such as patient cables and lead wires, supplied by Ivy Biomedical Systems, Inc. under normal use, are warranted to be free from defects in material and workmanship and to operate within published specifications, for a period of 90 days from date of original shipment. If an examination by Ivy Biomedical Systems, Inc. discloses such product(s) or component part(s) to have been defective, then Ivy’s obligation is limited at Ivy’s option, to repair or replacement. When a product or products need to be returned to the manufacturer for repair or examination, contact service personnel at Ivy Biomedical Systems to obtain a Return Material Authorization number (RMA #) and the correct packing instructions: Service / Tech Support: Telephone: (203) 481-4183 or (800) 247-4614 Fax: (203) 481-8734 E-mail: [email protected] All products being returned for warranty repair shall be shipped prepaid to: Ivy Biomedical Systems, Inc Attn: Service Department 11 Business Park Drive Branford, CT 06405 USA Ivy will send the shipment of the repaired or replacement product to customer at Ivy’s expense.

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INTRODUCTION

4.0 INTRODUCTION This manual provides information on the correct use of the Model 7600/7800 Cardiac Trigger monitor. It is up to the user to ensure that any applicable regulations regarding the installation and operation of the monitor are observed. The Model 7600/7800 is ME EQUIPMENT (Medical Electrical Equipment) that is intended to monitor patients under medical supervision. The Model 7600/7800 monitor must be operated by trained and qualified medical personnel only. Using This Manual We recommend that you read this manual before operating the equipment. This manual is written to include all options. If your monitor does not include all options, menu selections and display data for those options will not appear on your monitor. Use the Monitor Description section for general descriptions of controls and displays. For details on the use of each option, refer to the section of the manual dealing with the appropriate option. Boldface type is used in text to refer to the labeling on user controls. Brackets [ with the programmable touch keys.

] surround menu selections used

Manufacturer’s Responsibility The manufacturer of this equipment is responsible for the effects on safety, reliability, and performance of the equipment only if: •

Assembly operations, extensions, re-adjustments, or repairs are carried out by persons authorized by the manufacturer

•

The electrical installation complies with all applicable regulations

•

The equipment is used in accordance with the instructions in this manual

Incorrect operation or failure of the user to maintain the monitor in accordance with proper maintenance procedures relieves the manufacturer or his agent from all responsibility for consequent non-compliance, damage, or injury.

Ivy Biomedical Systems, Inc. 11 Business Park Drive Branford, Connecticut 06405 (203) 481-4183 or (800) 247-4614 Fax (203) 481-8734 E-mail: [email protected] This manual explains how to set up and use the Model 7600/7800. Important safety information is located throughout the manual where appropriate. READ THE ENTIRE SAFETY INFORMATION SECTION BEFORE YOU OPERATE THE MONITOR.

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Model 7600/7800 Operation Manual

SAFETY 5.0 SAFETY

5.1 Electrical This product is intended to be operated from a mains power source of 100-120V~ or 200-230V~, 50/60 Hz and a maximum ac power consumption of 45VA. WARNING: To avoid risk of electric shock, this equipment must only be connected to a supply mains with protective earth. Connect the monitor only to a three-wire, grounded, hospital grade receptacle. The three-conductor plug must be inserted into a properly wired three-wire receptacle; if a three-wire receptacle is not available, a qualified electrician must install one in accordance with the governing electric code. WARNING: Do not under any circumstances remove grounding conductor from the power plug. WARNING: The power cable supplied with this equipment provides for this protection. Do not attempt to defeat this protection by modifying the cable or by using ungrounded adapters or extension cables. The power cord and plug must be intact and undamaged. To disconnect the equipment from the mains power; unplug the power cord. WARNING: Do not connect to an electrical outlet controlled by a wall switch or dimmer. WARNING: If there is any doubt about the integrity of the protective ground conductor arrangement, do not operate the monitor until the ac power source protective conductor is fully functional. WARNING: For power interruptions exceeding 30 seconds, the monitor must be turned on manually by pressing the Power On/Standby switch. When monitor power is restored, the monitor will return to manufacturer's DEFAULT settings. (An option is available which will allow monitor to use the last used or STORED settings.) WARNING: To avoid unacceptable RISK caused by power interruptions, connect the monitor to an appropriate medical-grade uninterruptable power source (UPS). WARNING: Do not place the monitor in any position that may cause it to fall on the patient. Do not lift the monitor by the power supply cord or patient cable. WARNING: Carefully route monitor cables (patient cables, power cords, etc.) to reduce the possibility of a tripping hazard. WARNING: Do not position the monitor in a way that would cause difficulty to the operator to disconnect it from the power source. WARNING: Electric shock hazard! Do not remove covers or panels. Refer service to trained and qualified service personnel.

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SAFETY

WARNING: Disconnect the monitor from its power source when serviced. Refer service to trained and qualified service personnel. WARNING: All replaceable parts should be replaced by trained and qualified service personnel. WARNING: To avoid electrical shock, disconnect the monitor from its power source before changing fuses. Replace fuse only with same rating and type: T 0.5AL, 250V. WARNING: Do not clean monitor while it is plugged into a power source. WARNING: If unit is accidentally wet, immediately disconnect the monitor from its power source. Discontinue use until dry and then test unit for proper operation before reuse on a patient. WARNING: This unit uses a common isolation path for the ECG leads and Electrodes. Do not allow the ECG leads and/or Electrodes to come in contact with other conductive parts including earth ground. Do not connect any non-isolated accessories to the ECG input when connected to a patient, as this may compromise the safety of the unit. When attached to other devices, ensure that the total chassis leakage currents of all units do not exceed 300 μA. WARNING: The synchronized output pulse is not designed to synchronize a defibrillator discharge or a cardioversion procedure. WARNING: To ensure proper monitor ventilation, do not use the monitor without the bottom cover feet or the optional bottom cover mounting plate. WARNING: Do not modify this equipment without authorization of the manufacturer.

5.2 Explosion WARNING: Explosion hazard! Do not use this equipment in the presence of flammable anesthetics or other flammable substance in combination with air, oxygen-enriched environment or nitrous oxide.

5.3 Patient Connections Patient connections are electrically isolated. For all connections use isolated probes. Don’t let patient connections contact other conductive parts, including earth ground. See instructions for patient connections in this manual. Carefully route patient cables to reduce the possibility of patient entanglement or strangulation. Leakage current is limited internally by this monitor to less than 10 μA. However, always consider cumulative leakage current that can be caused by other equipment used on the patient at the same time as this monitor. To ensure that the leakage current protection remains within the specifications, use only the patient cables specified in this manual. This monitor is supplied with protected lead wires. Do not use cables and leads with unprotected

6

Model 7600/7800 Operation Manual

SAFETY lead wires having exposed conductors at the cable end. Unprotected lead wires and cables may pose an unreasonable risk of adverse health consequences or death. Line isolation monitor transients may resemble actual cardiac waveforms and thus inhibit heart rate alarms. To minimize this problem, ensure proper electrode placement and cable arrangement. If an alarm condition occurs while the alarms are set to off, neither visual nor audio alarms will be present.

5.4 MRI The Model 7600/7800 should not be used within the magnetic field during Magnetic Resonance Imaging.

5.5 Pacemakers WARNING – PACEMAKER PATIENTS: Rate meters might continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely on rate meter ALARM SIGNALS. Keep pacemaker PATIENTS under close surveillance. See the SPECIFICATIONS section in this manual for disclosure of the pacemaker pulse rejection capabilities of this instrument. AV sequential pacemaker pulse rejection has not been evaluated; do not rely on pacemaker rejection with patients with dual chamber pacemakers.

5.6 Electrosurgery Protection This equipment is protected against electrosurgery potentials. To avoid the potential of electrosurgery burns at monitoring sites, ensure proper connection of the electrosurgery return circuit as described by the manufacturer’s instructions. If improperly connected, some electrosurgery units might allow energy to return through the ECG electrodes.

5.7 Defibrillation Protection This equipment is protected up to 360 J defibrillator discharge. The monitor is internally protected to limit current through the electrodes to prevent injury to the patient and damage to the equipment as long as the defibrillator is used in conformance with the manufacturer’s instructions. Use only Ivy specified accessories (see Accessories).

5.8 Signal Amplitude WARNING: The minimum patient physiological “R-wave” signal amplitude is 0.5 mV. The use of the Model 7600/7800, below the above amplitude value, may cause inaccurate results.

5.9 EMC This equipment has been certified to be protected to emissions and immunity according to IEC-60601-1-2.

Electromagnetic Compatibility IEC 60601-1-2:2007 CAUTION: Medical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the Operation Manual. CAUTION: Portable and mobile RF communications equipment can affect medical electrical equipment.

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SAFETY WARNING: The Model 7600/7800 should not be used adjacent to or stacked with other equipment. However, if adjacent or stacked use is necessary, the Model 7600/7800 should be observed to verify normal operation in the configuration in which it will used.

5.10 Accessories WARNING: The use of accessories other than those specified below may result in increased emissions or decreased immunity of the equipment. Ivy P/N 590432 590433 590435 590442 590446 590447 590451 590452 590436

Description Low Noise, Four Lead ECG Patient Cable, 10 ft. Long, Colors: White, Green, Red, Black Set of Four Shielded Lead Wires, 24 Inches Long, Colors: White, Green, Red, Black Set of Four Radiotranslucent Lead Wires, 30 Inches Long, Colors: White, Green, Red, Black Set of Four Radiotranslucent Lead Wires, 36 Inches Long, Colors: White, Green, Red, Black Low Noise, Four Lead ECG Patient Cable, 10 ft. Long, IEC Colors: Red, Black, Green, Yellow Set of Four Shielded Lead Wires, 24 Inches Long, IEC Colors: Red, Black, Green, Yellow Set of Four Radiotranslucent Lead Wires, 30 Inches Long, IEC Colors: Red, Black, Green, Yellow Set of Four Radiotranslucent Lead Wires, 36 Inches Long, IEC Colors: Red, Black, Green, Yellow Radiotranslucent ECG electrodes, Box of 40 (10 pouches of 4 electrodes)

Guidance and manufacturer’s declaration – Electromagnetic emissions The Model 7600/7800 monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the Model 7600/7800 should ensure that it is used in such an environment. Emissions test Compliance Electromagnetic environment - guidance RF emissions Group 1 The Model 7600/7800 uses RF energy only for its CISPR 11 Radiated Class B internal function. Therefore, their RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF emissions Class B The Model 7600/7800 is suitable for use in all CISPR 11 Conducted establishments other than domestic and those directly connected to the public low-voltage power Harmonic emissions Class A supply network that supplies buildings used for IEC 61000-3-2 domestic purposes. Voltage fluctuations/ Class A flicker emissions IEC 61000-3-3

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Model 7600/7800 Operation Manual

SAFETY

Guidance and manufacturer’s declaration – Electromagnetic immunity The Model 7600/7800 monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the Model 7600/7800 should ensure that it is used in such an environment. Immunity test IEC 60601 test Compliance level Electromagnetic environment – level guidance Electrostatic ±6 kV contact ±9 kV contact Floors should be wood, concrete, discharge (ESD) or ceramic tile. If floors are ±8kV air ±12kV air covered with synthetic material, IEC 61000-4-2 the relative humidity should be at least 30%. Electrical fast ±2 kV for power ±3 kV for power Mains power quality should be Transient/burst supply lines supply lines that of a typical commercial or IEC 61000-4-4 hospital environment. ±1 kV for ±1.5 kV for input/output lines input/output lines Surge ±1 kV differential ±1.5 kV Mains power quality should be IEC 61000-4-5 mode differential mode that of a typical commercial or hospital environment. ±2 kV common ±3 kV common mode mode Voltage dips, short <5 % U T <5 % U T Mains power quality should be interruptions, and (>95 % dip in U T ) (>95 % dip in U T ) that of a typical commercial or voltage variations for 0.5 cycle for 0.5 cycle hospital environment. If the user on power supply of the Model 7600/7800 requires input lines 40 % U T 40 % U T continued operation during power mains interruptions, it is (60 % dip in U T ) for (60 % dip in U T ) IEC61000-4-11 recommended that the Model 5 cycles for 5 cycles 7600/7800 be powered from an uninterruptible power supply. 70 % U T 70 % U T (30 % dip in U T ) for (30 % dip in U T ) 25 cycles for 25 cycles

Power frequency (50/60 Hz) magnetic field IEC 61000-4-8

<5 % U T (>95 % dip in U T ) for 5 sec cycle 3 A/m

Model 7600/7800 Operation Manual

<5 % U T (>95 % dip in U T ) for 5 sec cycle 10 A/m

Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.

9

SAFETY Guidance and manufacturer’s declaration – Electromagnetic immunity The Model 7600/7800 monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the Model 7600/7800 should ensure that it is used in such an environment. Immunity test IEC 60601 test Compliance Electromagnetic environment – guidance level level Portable and mobile RF communications equipment should be used no closer to any part of the Model 7600/7800, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance Conducted RF IEC 61000-4-6

3 Vrms 150 kHz to 80 MHz

5 Vrms

Radiated RF IEC 61000-4-3

3 V/m 80 MHz to 2.5 GHz

10 V/m

d = 1.2

p

d = 1.2

p

80 MHz to 800 MHz

d = 2.3

p

800 MHz to 2.5 GHz

Where p is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey a, should be less than the compliance level in each frequency range b Interference may occur in the vicinity of the equipment marked with the following symbol:

NOTE 1 – At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 – These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radios, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, and electromagnetic site survey should be considered. If the measured field strength in the location in which the Model 7600/7800 is used exceeds the applicable RF compliance level above, the Model 7600/7800 should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the Model 7600/7800. b Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 3 V/m.

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Model 7600/7800 Operation Manual

SAFETY 5.11 Description of Symbols Used

Consult instructions for use

Warning

Type CF Applied Part, Defibrillator proof

Caution

Equipotential ground connector

RoHS Compliant

Fuse type / rating

Output Signal

Protective earth (Ground)

Input Signal

Earth (Ground)

Input / Output Signal

Power On/Standby

Manufacturer

Date of Manufacture

Alarm Mute

WEEE Compliant

∼

Alternating Current

Electric shock hazard: Do not remove covers or panels. Refer service to qualified service personnel.

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MONITOR DESCRIPTION 6.0 MONITOR DESCRIPTION The Model 7600/7800 is an easy-to-use Cardiac Trigger Monitor that features a bright color touch screen LCD display. The Model 7600/7800 displays two simultaneous ECG vectors and the patient’s heart rate. The Trigger ECG vector (top ECG waveform) can be selected from Leads I, II III or Auto. The Second ECG vector (bottom ECG waveform) can be selected from Leads I, II or III. In addition, high and low heart rate alarm limits can be adjusted to bracket the patient’s heart rate so that a violation of these limits produces an audible and visual indication of the violation. The Model 7600/7800 color display includes dual ECG traces, large heart rate numbers and alphanumeric characters for other data, alarm messages, menus and user information. •

The Model 7600/7800 monitor is intended primarily for use on patients in applications requiring precision R-wave synchronization such as timed imaging studies.

•

The Model 7600/7800 includes an AUTO lead select feature (Trigger lead only). When selected, this feature will determine which lead (I, II or III) provides the best quality ECG signal and, thus, a more reliable cardiac trigger.

•

The Model 7600/7800 has an electrically isolated RS-232 micro-D connector that provides two-way communications between the monitor and the external console for the transfer of ECG data.

•

The Model 7600/7800 is available with different options; not all options are included in all monitors. An optional integral recorder is available. Set up of recorder functions is made through the monitor touch screen menus.

•

The Model 7600/7800 is suitable for use in presence of electrosurgery.

•

The Model 7600/7800 is not intended for use with any other physiological monitoring unit.

•

The Model 7600/7800 is restricted to use on one patient at a time.

Model 7800 Only:

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•

The Model 7800 has special hardware and software that allows for the measurement of skin to electrode impedance.

•

The Model 7800 provides two Ethernet channels from a single RJ45 connector. The first channel provides two way communications between the monitor and the CT console for the transfer of ECG data, trigger timing data and the receipt of patient identification information. The second channel provides ECG data to the CT Gantry display. These functions will only operate when the Model 7800 is electrically connected to a CT console and CT gantry capable of displaying ECG data.

•

The Model 7800 has a USB drive that allows the operator to store and retrieve ECG data on a USB memory stick device.

•

The Model 7800 has an Auxiliary 9-pin D-subminiature connector that provides a customized interface for specific installations.

Model 7600/7800 Operation Manual

MONITOR DESCRIPTION 6.1 Intended Use The Ivy Biomedical Model 7000 Series Cardiac Trigger Monitors are simple-to-use instruments for monitoring ECG and Heart Rate. They are designed for use in the ICU, CCU and operating room conditions. They can sound an alarm when HR falls outside of preset limits. They provide an output pulse, synchronized to the R-wave for use in applications requiring precision R-wave synchronization.

6.2 Patient Population The Model 7000 Series Cardiac Trigger Monitor is intended to perform ECG monitoring and R-wave pulse detection on adult, geriatric, pediatric and neonatal patients. R-Wave synchronization is typically used for gating nuclear scanners, CT scanners, or other imaging devices.

6.3 Contraindications The Model 7000 Series is limited to use by trained and qualified medical professionals. This device is not intended for use as life support equipment or for performing cardiac diagnostics. The product is not intended for use in home care monitoring or for use in an MRI environment.

6.4 Classification (in accordance with ANSI/AAMI ES60601-1:2005) Protection against electric shock:

Class 1.

Degree of protection against electric shock:

Type CF applied part. Defibrillator proof: ECG

Degree of protection against harmful ingress of water:

Ordinary Equipment IPX1 per IEC-60529

Methods of Maintenance and Cleaning:

See Maintenance and Cleaning section of this manual

Degree of safety of application in the presence of a flammable anesthetic mixture with air or oxygen or nitrous oxide:

Equipment not suitable for use in the presence of a flammable anesthetic mixture

Mode of operation:

Continuous

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MONITOR DESCRIPTION 6.5 Controls and Indicators Basic Keys

When the monitor is plugged into an ac power source, the Power On/Standby switch, when pressed, provides power to the monitor’s electronic circuits. Press this key again to disconnect power from the monitor’s electronic circuits. WARNING: To disconnect the monitor from mains power, unplug the ac power cord.

The Alarm Mute switch disables the audible alarms. Press this key again to return the alarms to normal function.

Heart Rate (BPM)

Measure Impedance Touch Key (Model 7800 Only) 4-Lead ECG Simulator RA, RL, LL, LA

Impedance Readings in kΩ (Model 7800 Only)

Dual, Simultaneous ECG Waveforms with Lead Selection

XRAY Status (Model 7800 Only)

6-Pin ECG Patient Cable Connector

Power On/Standby Switch (Basic Key) Model 7800 shown

Mains Power LED Indicator

14

Alarm Mute Switch (Basic Key)

Programmable Touch Keys

Model 7600/7800 Operation Manual

MONITOR DESCRIPTION 6.6 Display HEART RATE: Displayed in large numerals in beats per minute (BPM) on the upper part of the screen. ECG: Dual simultaneous ECG waveforms are displayed across the screen moving from left to right. The trigger ECG trace is displayed on the top and the second ECG trace is displayed on the bottom. SETUP: Selections are made through the touch screen menus. Lead selects are displayed to the right of their respective traces. Filter ON/OFF is displayed on the upper right hand corner of the display. Alarm limits are displayed directly under the heart rate. Impedance Measurement (Model 7800 Only): Displays the measured value of the impedance between the patient’s skin and each individual ECG electrode (RA, LA, LL, RL). Impedance measurements are located at the upper left hand corner of the display. XRAY Status (Model 7800 Only): Displays the status of the CT Scanner X-ray. The XRAY status message is located in the upper left hand corner of the display. Displayed messages are either: XRAY OFF, XRAY ON, or XRAY DISCONNECT.

6.7 Alarm Messages ALARM MUTE:

A REMINDER SIGNAL indicating that the audible alarms have been turned off. Note: ALARM MUTE is equivalent to AUDIO OFF.

The following alarm indications are displayed in reverse video. Alarm indications appear on the center of the screen and flash once per second. LEAD OFF:

A TECHNICAL ALARM indicating that a lead has become detached. The LEAD OFF alarm message will appear within 1 second of detection.

CHECK LEAD:

A TECHNICAL ALARM indicating that an imbalance between leads has been detected. The CHECK LEAD alarm message will appear within 1 second of detection.

HR HIGH:

A PATIENT ALARM indicating that the high heart rate limit has been exceeded for three seconds.

HR LOW:

A PATIENT ALARM indicating that the low heart rate limit has been exceeded for three seconds.

ASYSTOLE:

A PATIENT ALARM indicating that the interval between heartbeats has exceeded six seconds.

WARNING: The monitor powers on with audible alarms paused for 30 seconds. Other configuration options are available upon request.

6.8 Programmable Touch Keys Pressing a programmable touch key will display other menu levels or activate an appropriate function. Menu functions are described in the Menu Structure.

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MONITOR DESCRIPTION 6.9 Menu Structure MEASURE IMPEDANCE MAIN MENU: DISPLAY

ECG

OPTIONS

MENU

MENU

MENU

TRIGGER

SIZE

Date/Time

AUTO

10 MM/MV

FREEZE

PRINT DIRECT

QRS VOL OFF

NEXT SECOND

FILTER

LEAD I

ON

↑

ALARM VOL MEDIUM

SPEED

P-LOCK

↓

REC MODE

CLEAR

25 MM/SEC

ON

DIRECT

MEMORY

Alarm Limits TEST

PACER DET

MODE

COPY TO

MENU

ON

LOW

ADULT

USB DRIVE

MAIN

MAIN

↑

MAIN

MAIN

MENU

MENU

MENU

MENU

↓ HIGH SIM RATE

↑

USB

OFF

MENU ↓

FINE TUNE ↓

KEY SELECTIONS FINE TUNE ↑ INTERNAL TEST OFF MAIN MENU

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DISPLAY MENU Trigger: Lead I – II – III – AUTO Second: Lead I – II – III Speed: 25mm/s and 50mm/s ECG MENU Size: 5, 10, 20, 40mm/mV Filter: On, Off P-Lock: On, Off Pacer Detect: On, Off

OPTIONS MENU QRS Volume: Off, Low, High Alarm Volume: Low, Medium, High Recorder Mode: Direct, Timed, Delay Mode: Adult, Ped/Neo

Model 7800 Only Selections: Measure Impedance USB Menu

Model 7600/7800 Operation Manual

MONITOR DESCRIPTION 6.10 Rear Panel

4-Lead ECG Simulator RA, RL, LL, LA

9-Pin micro-D RS-232

BNC Connector SYNCHRONIZED OUTPUT

¼” Stereo Jack ECG OUTPUT 9-pin D-subminiature AUXILIARY (Model 7800 Only)

RJ45 Connector ETHERNET (Model 7800 Only) Serial Number Label

PEQ Ground

Power Entry Module Mains Power Input

Fuses (Behind Panel) Model 7800 shown

6.11 Fuse Ratings The fuses are located behind the cover of the power entry module. To replace the fuses, unplug the ac power cord. Remove the power entry module cover and replace the fuse(s) only with same rating and type: T 0.5AL, 250V.

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