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DIXION VERTRIEB MEDIZINISCHER GERTE GMBH
Manual Ver: V1.2Release Date: February 2011Part Number: UM01-12-13-V1.2
ECG1012/ECG1012E
xpress
Electroca
rdiograph
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Copyright
Copyright DIXION VERTRIEB MEDIZINISCHER GERTE GMBH 2007-2008. All rights
reserved.
Statement
Dixion Vertrieb medizinischer Gerte GmbH (hereinafter called DIXION) makes no warranty of
any kind with regard to this material, including, but not limited to the implied warranties of
merchantability and fitness for a particular purpose. DIXION assumes no responsibility for any
error that may appear in this document, or for incidental or consequential damage in connection
with the furnishing, performance or use of this material.
No part of this document may be photocopied, reproduced or translated to another language
without prior written consent of DIXION.
All information contained in this publication is believed to be correct. DIXION shall not be
liable for errors contained herein nor for incidental or consequential damages in connection with
the furnishing, performance, or use of this material. This publication may refer to information
and protected by copyrights or patents and does not convey any license under the patent rights
of this company, nor the rights of others. This company does not assume any liability arising out
of any infringements of patents or other rights of third parties.
The information contained in this document is subject to change without notice.
Responsibility of the Manufacturer
DIXION only considers itself responsible for any effect on safety, reliability and performance of
the equipment if:
Assembly operations, extensions, re-adjustments, modifications or repairs are carried out by
persons authorized by DIXION, and
The electrical installation of the relevant room complies with national standards, and
The instrument is used in accordance with the instructions for use.
NOTE: This device is not intended for home use.
WARNING : This device is not intended for treatment.
P/N: UM01-12-13-V1.2.
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Upon request, DIXION may provide, with compensation, necessary circuit diagrams, and other
information to help qualified technician to maintain and repair some parts, which DIXION may
define as user serviceable.
Using This Label Guide
This guide is designed to give key concepts on safety precautions.
WARNING
A WARNING label advises against certain actions or situations that could result in personal
injury or death.
CAUTION
A CAUTIONlabel advises against actions or situations that could damage equipment, produce
inaccurate data, or invalidate a procedure.
NOTE:A NOTE provides useful information regarding a function or a procedure.
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Table of Contents
1 Safety Guidance ................................................................................... 11.1 General Warnings .................................................................................................11.2 General Cautions ..................................................................................................31.3 Preparation and Operation Warnings (For ECG 1012 Express Exercise Test)
........................................................................................................................................51.4 Contraindications (For ECG 1012 Express Exercise Test) ............................6
2 Introduction........................................................................................... 82.1 Function Features ........................................................................................................92.2 List of Symbols ...........................................................................................................10
3 General Information ........................................................................... 133.1 Top Panel .................................................................................................................... 13
3.1.1 LCD Screen ......................................................................................................133.1.1.1 Main Screen of Resting ECG .....................................................................143.1.1.2 Main Screen of Exercise Test (optional) ..................................................153.1.2 Keyboard and Keys .........................................................................................18
3.2 Front Panel .................................................................................................................213.3 Rear Panel .................................................................................................................. 223.4 Right Panel .................................................................................................................233.5 Bottom Panel ..............................................................................................................27
4 Operation Preparations...................................................................... 294.1 Power and Earthing ...................................................................................................294.2 Loading/Replacing Recording Paper......................................................................304.3 Patient Cable and Electrodes Connection for Resting ECG...............................32
4.3.1 Patient Cable Connection ..............................................................................324.3.2 Electrode Connection......................................................................................32
4.4 Patient Cable and Electrodes Connection for Exercise Test ..............................354.4.1 Patient Cable Connection ..............................................................................354.4.2 Electrodes Connection....................................................................................36
4.5 Inspection before Power-On ....................................................................................385 General Operation .............................................................................. 39
5.1 Switching On...............................................................................................................395.2 General operation ......................................................................................................395.3 Enter the Main Screen of Exercise Test (optional)...............................................425.4 Switch Off.................................................................................................................... 43
6 Operation Instructions for Resting ECG .......................................... 446.1 Freeze..........................................................................................................................44
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6.2 Auto Mode................................................................................................................... 466.3 Manual Mode ..............................................................................................................476.4 Rhythm mode .............................................................................................................486.5 R-R mode .................................................................................................................... 486.6 Copy.............................................................................................................................496.7 Setup............................................................................................................................49
6.7.1 Work Mode Setup............................................................................................496.7.2 Filter Setup .......................................................................................................516.7.3 Record Info Setup............................................................................................526.7.4Patient Question Setup...................................................................................566.7.5 Transmission Setup ........................................................................................586.7.6 Patient Information ..........................................................................................596.7.7 Lead Setup .......................................................................................................606.7.8 Display Setup ...................................................................................................616.7.9 Sound Setup.....................................................................................................626.7.10 Date&Time Setup ..........................................................................................636.7.11 More Setup .....................................................................................................64
6.8 File................................................................................................................................686.9 AUTO Mode Record ..................................................................................................75
6.9.1 Example of 6!2+1rhy......................................................................................756.9.2 Example of 3!4+1rhy......................................................................................80
6.10 RHYTHM Mode Record..........................................................................................816.11 MANUAL Mode Record ..........................................................................................826.12 R-R Mode.................................................................................................................. 836.13 ECG Report ..............................................................................................................87
7 Operation Instructions for Exercise ECG (optional) ....................... 897.1 Patient Information.....................................................................................................897.2 Setup............................................................................................................................90
7.2.1 General Information Setup .............................................................................907.2.2 Record Information Setup ..............................................................................957.2.3 Protocol Management.....................................................................................96
7.3 Recommended Operation Steps .............................................................................998 Hint Information................................................................................ 1009 Technical Specifications.................................................................. 10210 Cleaning, Care and Maintenance .................................................. 105
10.1 Cleaning ..................................................................................................................10510.1.1 Cleaning the Main Unit and Patient Cable ..............................................10510.1.2 Clean the Electrodes (For Resting ECG) ................................................105
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10.1.3 Clean the Print Head ..................................................................................10510.2 Disinfection .............................................................................................................10610.3 Care and Maintenance .........................................................................................106
10.3.1 Recharge and Replacement of Battery....................................................10610.3.2 Recording Paper..........................................................................................107
10.3.3 Maintenance of Main Unit, Patient Cable & Electrodes ........................108
11 Warranty and Service Policy ......................................................... 11011.1 Warranty..................................................................................................................11011.2 Service Policy .........................................................................................................110
12 Accessories .................................................................................... 11212.1 Standard Accessories ...........................................................................................11212.2 Optional Accessories ............................................................................................113
13 EMC Information............................................................................. 115
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1 Safety Guidance
In order to use the electrocardiograph safely and effectively, avoiding possible dangers caused
by improper operations, please read through the user manual and be sure to be familiar with allfunctions of the equipment and proper operation procedures before use.
Please pay more attention to the following warning and caution information.
1.1 General Warnings
WARNING :
1. The electrocardiograph is provided for the use of qualified physicians or
personnel professionally trained. They should be familiar with the contents of
this user manual before operation.
2. Only qualified service engineers can install this equipment, and only service
engineers authorized by DIXION can open the shell.
3. The results given by the equipment should be examined with respect to the
overall clinical condition of the patient, and it can not substitute for regularchecking.
WARNING :
4. EXPLOSION HAZARD-Do not use the electrocardiograph in the presence of
flammable anesthetic mixture with oxygen or other flammable agents.
5. SHOCK HAZARD-The power receptacle must be a hospital grade grounded
outlet. Never try to adapt the three-prong plug to fit a two-slot outlet.
6. If the integrity of external protective conductor in installation or arrangement is
in doubt, the equipment should be operated by using a built-in rechargeable
battery.
7. Do not use this equipment in the presence of high static electricity or high
voltage equipment which may generate sparks.
8. This equipment is not designed for direct cardiac application.
WARNING :
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9. Only patient cable and other accessories supplied by DIXION can be used. Or
else, the performance and electric shock protection can not be guaranteed.
10. Be sure that all electrodes have been connected to the patient correctly before
operation.11. Be sure that the conductive parts of electrodes and associated connectors,
including neutral electrode, should not contact with earth or any other
conducting objects.
12. Electrodes with defibrillator protection should be used while defibrillating.
13. Always use electrode gel with reusable electrodes during defibrillation as ECG
recovery will take longer than 10 seconds. DIXION recommends the use of
disposable electrodes at all times.
14. There is no danger for patients to use pacemaker. However, if a pacemaker is
used, the results given by the equipment may be invalid, or lose the clinical
significance.
15. Do not touch the patient, bed, table or equipment while using the ECG together
with a defibrillator or a pacemaker.
16. In order to avoid being burnt, please keep the electrode far away from the radio
knife while using electrosurgical equipment simultaneously.
WARNING :
17. Accessory equipment connected to the analog and digital interfaces must be
certified according to the respective IEC/EN standards (e.g. IEC/EN 60950 for
data processing equipment and IEC/EN 60601-1 for medical equipment).
Furthermore all configurations shall comply with the valid version of the
standard IEC/EN 60601-1-1. Therefore anybody, who connects additionalequipment to the signal input connector or output connector to configure a
medical system, must make sure that it complies with the requirements of the
valid version of the system standard IEC/EN 60601-1-1. If in doubt, consult our
technical service department or your local distributor.
18. The summation of leakage current should never exceed leakage current limits
while several other units are used at the same time.
19. The potential equalization conductor can be connected to that of otherequipment when necessary, to make sure that all these equipment are
connected with the potential equalization bus bar of the electrical installation.
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WARNING :
20. Improper operation may cause the battery to be hot, ignited or exploded, and it
may lead to the declination of batterys capacity. It is necessary to read the user
manual carefully and pay more attention to warning messages.21. Only qualified service engineer authorized by DIXION can open the battery
compartment and replace the battery, and the battery of same model and
specification provided by manufacturer should be used.
22. Danger of explosion -- Do not reverse the anode and cathode when connecting
the battery.
23. Do not heat or splash the battery or throw it into fire or water.
24. When leakage or foul smell is found, stop using the battery immediately. If your
skin or cloth comes into contact with the leakage liquid, cleanse it with clean
water at once. If the leakage liquid splashes into your eyes, do not wipe them.
Irrigate them with clean water first and go to see a doctor immediately.
25. When the batterys useful life is over, contact with the manufacturer or local
distributor for disposal or dispose the battery according to local regulations.
26. Only when the device is off can the battery be Installed or removed.
1.2 General Cautions
CAUTION :
27. Federal (US) law restricts this device to sale by or on the order of a physician.
28. Avoid liquid splash and excessive temperature. The temperature must be kept
between 5and 40 while working, and it should be kept between -20and
55 during transportation and storage.
29. Do not use the equipment in dusty environment with bad ventilation or in the
presence of corrosive.
30. Be sure that there is no intense electromagnetic interference source around the
equipment, such as radio transmitter or mobile phone etc. Attention: large
medical electrical equipment such as electrosurgical equipment, radiological
equipment and magnetic resonance imaging equipment etc. are likely to bring
electromagnetic interference.
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CAUTION :
31. Before use, the equipment, patient cable and electrodes etc. should be checked.
Replacement should be taken if there is any evident defectiveness or aging
symptom which may impair the safety or performance.
32. The following safety checks should be performed at least every 24 months by a
qualified person who has adequate training, knowledge, and practical
experience to perform these tests.
a) Inspect the equipment and accessories for mechanical and functional
damage.
b) Inspect the safety relevant labels for legibility.
c) Inspect the fuse to verify compliance with rated current and breakingcharacteristics.
d) Verify the device functions properly as described in the instructions for
use.
e) Test the protection earth resistance according to IEC/EN 60601: Limit 0.1
ohm.
f) Test the earth leakage current according to IEC/EN 60601: Limit: NC 500
uA, SFC 1000uA.
g) Test the patient leakage current according to IEC/EN 60601: Limit: 10 uA(CF).
h) Test the patient leakage current under single fault condition with mains
voltage on the applied part according to IEC/EN 60601: Limit: 50uA (CF).
The data should be recorded in an equipment log. If the device is not
functioning properly or fails any of the above tests, the device has to be
repaired.
33. Ruptured fuse must only be replaced with that of the same type and rating as
the original.
34. The device and accessories are to be disposed of according to local regulations
after their useful lives. Alternatively, they can be returned to the dealer or the
manufacturer for recycling or proper disposal.
CAUTION :
35. Turn off the power before cleaning and disinfection. If mains supply is used, thepower cord should be drugged out of the outlet. Prevent the detergent from
seeping into the equipment.
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36. Do not immerse the unit or patient cable into liquid under any circumstances.
37. Do not clean the unit and accessories with abrasive fabric and avoid scratching
the electrodes.
38. Any remainder of detergent should be removed from the unit and patient cableafter cleaning.
39. Do not use chloric disinfectant such as chloride and sodium hypochlorite etc.
1.3 Preparation and Operation Warnings (For ECG 1012
Express Exercise Test)
WARNING :
1. Ensure that the electrocardiograph and treadmill have a good grounded state.
2. Always have an emergency termination test every time the treadmill is
connected to the power supply to ensure that the emergency termination button
is under a valid state.
3. In the exercise test process, ensure that there are 2 or above experienced
physicians are absent. One of them takes care of the patients state and is ready
to deal with the emergency at any moment.
4. In the same room equipped with the electrocardiograph for Exercise Test, the
necessary first-aid equipments like defibrillator and blood-pressure meter
should be prepared, and these equipments should be measured and examined
periodically according to relative regulation to ensure their validity. At the sametime, the necessary valid medications should also be prepared.
5. Before defibrillating for the patient, the emergency termination button of the
treadmill should be pressed to avoid hazard brought to the patient or user.
WARNING :
6. Locate the treadmill or bicycle on a horizontal place without any obstacle.
7. Use a special grounded socket to get accurate voltage and current.
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8. Put the power cable far away from treadmill area and calorific surface.
9. Examine the treadmill or bicycle carefully before using it.
10. Do not do any exercise test when the treadmill or bicycle is wet.
11. Do not use this treadmill or bicycle in the open air.
12. The patient to have an exercise test should wear suitable clothes and shoes.
13. During the course of exercise test, do not get on or off the treadmill.
14. Remind every patient to avoid falling down from the treadmill.
15. Do not approach the moving components with the hand, foot or clothes.
16. Before stop running the treadmill, slow its speed to the minimum.
17. Children are prohibited approaching the treadmill or bicycle alone.
18. Do not drop or insert any object into the open part of the treadmill.
19. If any abnormal thing happens with the treadmill, please press down the
emergency termination button on the treadmill to stop test immediately.
1.4 Contraindications (For ECG 1012 Express Exercise Test)
Absolute Contraindications:
1. Acute MI (within 2 days)
2. High-risk unstable angina
3. Uncontrolled cardiac arrhythmia causing symptoms of hemodynamic
compromise
4. Active endocarditis
5. Symptomatic severe aortic stenosis
6. Decompensated symptomatic heart failure
7. Acute pulmonary embolus or pulmonary infarction
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8. Acute noncardiac disorder that may affect exercise performance or be
aggravated by exercise (eg, infection, renal failure, thyrotoxicosis)
9. Acute myocarditis or pericarditis
10. Physical disability that would preclude safe and adequate test performance
11. Inability to obtain consent
Relative Contraindications:
12. Left main coronary stenosis or its equivalent
13. Moderate stenotic valvular heart disease
14. Electrolyte abnormalities
15. Tachyarrhythmias or bradyarrhythmias
16. Atrial fibrillation with uncontrolled ventricular rate
17. Hypertrophic cardiomyopathy
18. Mental impairment leading to inability to cooperate
19. High-degree AV block
Note: The warnings and cautions of Chapter 1.3 and Chapter 1.4 are listed for the
Exercise Test function of ECG 1012 Express.
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2 Introduction
12-channel electrocardiograph gathers 12 leads simultaneously, and carries out visual display
of operation menu, ECG parameters as well as electrocardiogram.
12-channel waves can be viewed on the LCD (liquid crystal display) screen simultaneously,
and it can be recorded by a high-quality thermal recorder.
Manual, auto, rhythm or R-R work mode can be chosen freely.
For ECG 1012 Express, Exercise Test is optional. Exercise Test function of the ECG 1012
Express fits for shadiness coronary heart disease, non-typical angina and labor force
identification, and it also can identity the effect of operation and so on.
Either mains supply or built-in rechargeable Lithium battery can be used as power.
With a high resolution thermal recorder, a 32-bit processor and a huge capacity memorizer,
12-channel electrocardiograph has advanced performance and high reliability, and the compact
size makes it suitable for clinic, hospital and ambulance use.
12-channel electrocardiograph has two models: ECG 1012, ECG 1012 Express.
Configuration: Main unit, power cord, patient cable for Resting ECG, chest electrodes, limb
electrodes, thermal recording paper, fuses, lithium battery.To use Exercise Test function of the ECG 1012 Express, the following accessories should be
included:
RS232 Cable for BP Monitor, BNC External ECG Trigger Cable for BP Monitor, RS232 Cable
for treadmill, Patient cable for Exercise ECG/(America or Europe), Belt, disposable adhesive
electrodes.
Intended use: The intended use of electrocardiograph is to acquire ECG signals from adult and
pediatric patients through body surface ECG electrodes. The
electrocardiograph is only intended to be used in hospitals or healthcarefacilities by doctors and trained healthcare professionals. The cardiogram
recorded by the electrocardiograph can help users to analyze and diagnose
heart disease. However the ECG with measurements and interpretive
statements is offered to clinicians on an advisory basis only.
WARNING : This equipment is intended for use on adult and pediatric patients
only.
WARNING : This equipment is not designed for direct cardiac application.
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WARNING : The results given by the equipment should be examined with
respect to the overall clinical condition of the patient, and it can not
substitute for regular checking.
2.1 Function Features
! Low weight and compact size
! Multi-language support
! 12-lead are gathered and amplified simultaneously, 12-Channel ECG waves are
displayed and recorded simultaneously
! High resolution thermal recorder, recording frequency response "150Hz
! Flexible recording formats
! Big keyboard design, separate number and letter keys for easy operation (For ECG
1012 Express, touch screen is available)
! Auto mode, manual mode, rhythm mode, R-R mode optional
! Convenient system setup and file management operation
! Auto measurement and auto interpretation optional
! Hint information for lead off, lack of paper and low battery capacity etc.
! Built-in rechargeable Lithium battery with high capacity
!
Automatic adjustment of baseline for optimal recording
The following features are only for the Exercise Test function of ECG 1012 Express
(optional)
! Real-time analysis, ST segment and trend are applied while sampling; real-time
displaying and printing for 12-lead simultaneous ECG waveforms;
! ST segment analysis while sampling; ST position is adjustable at any time while
sampling;
! Provide average templates of three rhythm leads in each stage, benefit to observe the
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change of ST segments between every stages
! Automatically form elaborate reports, including Summary Report, ST Scope Report and
Trend Graph Report
! Provide classical exercise protocols; Exercise protocols can be edited and created
! Automatically control and adjust the speed and grade of treadmill or the power of
bicycle
! Support multi-types of treadmills or bicycle
2.2 List of Symbols
External Output
External Input
Equipment or Part of CF Type with Defibrillator Proof
Attention General Warning (See accompanying document)
Potential Equalization
Mains Supply
USB Port
Battery Indicator
Battery Recharging Indicator
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Delete Key
Enter Key
Esc Key
Shift Key
Fn Key
Power On/Off Key
COPY Key
MODE Key
SLEEP/WAKE UP Key
START/STOP Key
Tab Key
UP/DOWN/LEFT/RIGHT Arrow Key
Recycle
Part Number
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Serial Number
Date of Manufacture
Manufacturer
Authorized Representative in the European Community
The symbol indicates that the device complies with the
European Council Directive 93/42/EEC concerning medical
devices.
The symbol indicates that the device should be sent to the
special agencies according to local regulations for separate
collection after its useful life and that this unit was put on themarket after 13 August 2005.
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3 General Information
3.1 Top Panel
Figure 3-1 ECG 1012 Express
Figure 3-2 ECG 1012
3.1.1 LCD Screen
ECG 1012 adopts 320#240 dot single color LCD Screen; ECG 1012 Express adopts 800#600
multicolor LCD Screen.
LCD Screen
Recorder Keyboard
Indicator Lamps
Keyboard
Recorder
LCD Screen
Indicator Lamps
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3.1.1.1 Main Screen of Resting ECG
Figure 3-3 ECG 1012 Express Main Screen
Figure 3-4 ECG 1012 Main Screen
Name Explanation
A Name Patient Name: Within 20 characters
B ID Patient ID: Within 10 characters
F
H
GE
A
P
O N M L K J I
C D
B
DB G
P
O N M L K J
H
I
E F
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3.1.1.2 Main Screen of Exercise Test (optional)
Figure 3-5 ECG 1012 Express Main Screen (For Exercise Test)
L
K
A
V
U T S R Q P O
D
B
C
E GF H
N
I
M
J
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P Setup
Enter System Setup Window. Refer to Chapter 7.2.
When being in test, this item becomes Lead, and press this
key to enter Lead Setup Interface; Refer to Chapter 6.7.7
Q 100Hz EMG Filter: 25Hz, 35Hz or 45HzLowpass Filter: 75Hz, 100Hz or 150Hz
R 10mm/mVGain: 2.5 mm/mV, 5 mm/mV, 10 mm/mV, 20 mm/mV, 10/5
mm/mV or AGC
S Post J: 80ms
Post J is used to set the length after J point of ST segment.
The user can set Post J as 0, 20ms, 40ms, 60ms or 80ms.
Note: J Point is the connection point between the end of
QRS complex and the start of ST segment. It is
the standard point to fix the position of STsegment. Please select the proper option
according to the patients actual ECG wave.
T Hold
Click on this key and the system will not follow the previous
settings to change the speed and grade of treadmill, but keep
the current speed and grade until this key is clicked again.
U Patient Enter Patient Information Interface; Refer to Chapter 7.1.
V ECG waveform Display ECG waveform
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3.1.2 Keyboard and Keys
Figure 3-6 ECG 1012 Express Keyboard
Figure 3-7 ECG 1012 Keyboard
A
B
C
D
E
F
G
I
H
J K L M N O
B
C
D
J K L M N O
E
F
G
I
H
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Name Explanation
PretestPress this key to enter the pretest phase. The length of
pretest phase is not fixed.
Exercise
Press this key to enter the exercise phase. When being in
the exercise phase, press this key to enter the next stage of
the exercise phase.
Recovery
Press this key to enter the recovery phase. When being in
the recovery phase, press this key to enter the next stage of
the recovery phase.
Test EndPress this key to display a prompt dialog-box, and then theuser can decide whether the exercise test should be
terminated.
Enter BP
Press this key to drive the BP monitor to measure blood
pressure values.
Note: If the user directly uses the button on the BP
monitor to drive the BP monitor to measure the
blood pressure, the electrocardiograph can not
get the measuring values.
RecallDuring the exercise test, press this key to recall 10s data
and print out the 12-Lead Report of the recalled 10s data.
12 ldDuring the exercise test, press this key to sample 10s data
and print out the 12-Lead Report of the sampled 10s data.
MediansDuring the exercise test, press this key to print out the
Average Template Report.
Comment
Press this key to display the Comment Dialog-box, andthen the user can enter comments in the Dialog-box. The
entered comments will be displayed in the Summary
Report. Press this key again to exit from the dialog-box.
Speed +/-W
Press Speed W +/- to change the speed of the treadmill
during the exercise phase.
Note: The two keys are available for the user-defined
treadmill protocol only.
A
(optional)
Grade +/-Press Grade +/- to change the grade of the treadmill duringthe exercise phase.
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Note: The two keys are available for the user-defined
treadmill protocol only.
B Function Key Selecting menu functions on screen
C Delete Deleting charactersD Enter Confirming operation
E Tab
Moving cursor
On the Main Screen interface, pressing the Tab key to feed
the recording paper to the next paper marker, (when Paper
Marker is set as Yes)or get to 2.5cm(when Paper Marker
is set as No), pressing the Tab key again to stop feeding.
F Fn Press Fn + X to enter special characters
G Spacebar Inserting spacebar
H ShiftUsed to enter capital letters
Shift + Tab= BackTab
I Esc
Canceling operation
Note:A large polarization voltage may cause baseline
drift. Pressing Esc key in the main screen can
decrease polarization voltage and draw the
baseline to zero quickly.
J Power On/Off Power-on/Power-off
K MODE
Selecting Work mode: Manual, Auto, Rhythm
Note: Only on the Work Mode Setup interface can
R-R mode be selected.
L SLEEP/ WAKE UP Used for resting and wakening electrocardiograph
M COPY Reviewing the last ECG data recorded in the Auto mode
N START/STOP Start/Stop recording
O Arrow Keys
Moving cursor (Up, Down, Left, Right)
In the Manual Mode or Rhythm Mode, press Up/Down to
switch the lead group.
In the Exercise Test System, press Up/Down to switch the
Display Mode, and when the Display Mode is 3#1, press
Left/Right to switch the lead group.
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3.2 Front Panel
Figure 3-8 ECG 1012 Express Front Panel
Figure 3-9 ECG 1012 Front Panel
1) Indicator Lamp
Symbol Name Explanation
A Mains supply
indicator lamp
When the device is powered by mains supply, the
lamp will be lit.
BBattery indicator lamp
When the device is powered by the built-in
rechargeable Lithium battery, the lamp will be lit.
C Battery recharging
indicator lampWhen the battery is recharged, this lamp will be lit.
2) Cable bracket(Optional)
Used for supporting patient cable.
Cable bracket
(Optional)
Cable bracket
(Optional)
A B C
A B C
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3.3 Rear Panel
Figure 3-10 ECG 1012 Express Rear Panel
Figure 3-11 ECG 1012 Rear Panel
Name Explanation
A Mains supply Socket AC SOURCE: alternating current supply socket
BPotential
Equalization
Terminal
Potential equalization conductor provides a connection
between the unit and the potential equalization bus bar of the
electrical installation.
C Handle Part for people to hold
D Heat Emission Hole Path for internal heat emission
A
D
A
D
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3.4 Right Panel
Figure 3-12 ECG 1012 Express Right Panel
Figure 3-13 ECG 1012 Right Panel
Name Explanation
A Patient Cable Socket Connecting patient cable
B Serial Port 1 Connecting PC
C USB Socket 1(Optional) Standard USB socket, connecting PC
DUSB Socket 2(Optional)
Standard USB socket, connecting USB, USB printer
recommended by DIXION
E External Input/Output Socket Connecting external signal device
F Serial Port 2 Reserved
G Net port Standard net port, connecting PC
D
A F
G
C
B E
D
A F
G
C
B E
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1) Patient Cable Socket
: Applied part of type CF with defibrillator proof
: Attention see accompanying document
Definition of corresponding pins:
Pin Signal Pin Signal Pin Signal
1 C2 (input) 6 SH 11 F (input)
2 C3 (input) 7 NC 12 NC
3 C4 (input) 8 NC 13 C1(input)
4 C5 (input) 9 R (input) 14 NC
5 C6 (input) 10 L (input) 15 N or RF (input)
2) Serial port 1
WARNING :
Serial port 1 is 1500V AC isolated intensity and the maximum voltage applied
should not exceed +15V DC.
Definition of corresponding pins:
Pin Signal Pin Signal Pin Signal
1 NC 4 NC 7 NC
2 RxD (input) 5 GND 8 +12V
3 TxD (output) 6 NC 9 NC
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3) Serial port 2
Definition of corresponding pins:
Pin Signal Pin Signal
1 TxD (output) 5 NC
2 RxD (input) 6 +12V
3 NC 7 GND
4 +5V 8 GND
4) External Input/Output Socket
Definition of corresponding pins:
Pin Signal Pin Signal
1 GND 4 GND
2 GND 5 ECG Signal (input)
3 GND 6 ECG Signal (output)
5) USB Socket 1/USB Socket 2 (Optional)
2
1
3
8
5
7
6
4
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Definition of corresponding pins:
Pin Signal Pin Signal
1 VBUS 3 D+
2 D- 4 GND
WARNING : Only the USB equipment recommended by DIXION can be
connected to the USB interface.
WARNING :
! Accessory equipment connected to the analog and digital interfaces must
be certified according to the respective IEC/EN standards (e.g. IEC/EN
60950 for data processing equipment and IEC/EN 60601-1 for medicalequipment). Furthermore all configurations shall comply with the valid
version of the standard IEC/EN 60601-1-1. Therefore anybody, who
connects additional equipment to the signal input or output connector to
configure a medical system, must make sure that it complies with the
requirements of the valid version of the system standard IEC/EN 60601-1-1.
If in doubt, consult our technical service department or your local distributor.
! The summation of leakage current should never exceed leakage current
limits while several other units are used at the same time.
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3.5 Bottom Panel
Figure 3-14 ECG 1012 Express Bottom Panel
Figure 3-15 ECG 1012 Bottom Panel
Name Explanation
A Speaker Hole Path for sound from speaker
B Battery Compartment Compartment for Lithium battery
C Fuse The specification is : AC100V-240V: T1A; 5#20
D Heat Emission Hole Path for internal heat emission
E Label Position for product information label
B
C
E
A
D
D
B E
A
DD
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1) Battery Compartment
The rated voltage and rated capacity of rechargeable Lithium battery pack are
ECG 1012 Express: Rated Voltage: 14.8V; Rated Capacity: 4000mAh/4400mAh
ECG 1012: Rated Voltage: 14.8V; Rated Capacity: 2000mAh/2200mAh/2400mAh
WARNING :
Improper operation may cause the battery to be hot, ignited or exploded, and it
may lead to the decrease of batterys capacity. Therefore, it is necessary to read
the user manual carefully and pay more attention to warning messages.
WARNING :
When leakage or foul smell found, stop using the battery immediately. If theleakage liquid gets to your skin or cloth, cleanse it with clean water at once. If the
leakage liquid gets into your eyes, do not wipe them. Irrigate them with clean
water first and go to see a doctor immediately.
WARNING :
Only qualified service engineer authorized by DIXION can open the battery
compartment and replace the battery, and the battery of same model and
specification provided by manufacturer must be used.
WARNING :
Only when the device is off can the battery be installed or removed.
Note: If the battery has not been used for two or three months or above, recharge
should be done before you use the battery again.
2) Fuse
There are two same fuses installed on the bottom of the main unit. The specification is:
AC100V-240V: T1A; 5#20.
WARNING : Ruptured fuse must only be replaced with the same type and
rating as the original.
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4 Operation Preparations
CAUTION :
Before use, the equipment, patient cable and electrodes should be checked.
Replace it if there is any evident defectiveness or aging which may impair the safety
or performance, and be sure that the equipment is in proper working condition.
4.1 Power and Earthing
WARNING :
If the integrity of external protective conductor in installation or arrangement is
in doubt, the equipment should be powered by the built-in rechargeable battery.
Power Supply
The electrocardiograph can be powered by either mains supply or the built-in rechargeable
lithium battery pack.
! Mains supply
The mains connection socket is on the rear panel of the unit. If mains supply is used,
connect the power cord to the socket first, and then connect the plug of the cord to the
hospital grade outlet.
Rated input voltage: 100V~240V
Rated frequency: 50Hz/60Hz
Rated input power: 70VA
Make sure the mains supply meets the above requirements before power on, and then
press Power ON/OFF key on the keyboard to power on the unit. Then the mains
supply indicator lamp ( ) will be lit.
If the built-in rechargeable battery is weak when mains supply used, it will be
recharged automatically at the same time, and both the mains supply indicator lamp ( )
and the battery recharging indicator lamp ( ) will be lit.
! Built-in rechargeable battery
While using the built-in rechargeable lithium battery pack, turn on the unit by pressing
Power ON/OFFkey on the keyboard and the battery indicator lamp ( ) will be lit.
The battery symbol will be displayed on the LCD screen. Because of the consumption
during storage and transport, the capacity of battery may not be full. If the symbol
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or and the hint information BAT WEAK are displayed, which means the
battery capacity is weak, please recharge the battery first.
When the capacity of battery is full, ECG 1012 can work normally for nearly 2 hours;
about 200 ECG Reports of 3#4+1r can be recorded in the Auto Mode. ECG 1012
Express can work normally for nearly 3.5 hours; about 400 ECG Reports of 3#4+1rhy
can be recorded in the Auto Mode.
Please refer to the maintenance section for how to recharge the battery. During
recharging the battery, electrocardiograph can be powered by mains supply.
WARNING : Potential equalization conductor of the unit should be connected to
the potential equalization bus bar of the electrical installation when
necessary.
4.2 Loading/Replacing Recording Paper
Two kinds of paper can be used as ECG recording paper. One is Rolled thermal paper, another
is folded thermal paper.
Note:When using folded thermal paper, the Paper Roller should be removed.
Note: When using the paper of 216mm width, the two movable parts should beremoved.
Note:The Exit Edge can help the user tear the recording paper.
CAUTION : Be sure that recording paper, especially rolled paper, should be
installed in the central of the recorder, and the edge of paper should
be parallel with the edge of casing in the direction of feeding paper,
in order to avoid paper deviation and the damage to the edge of
paper.
When there is no paper loaded or it reaches the end of paper, hint message Paper Empty will
be given on the screen. Under this circumstance, recording paper should be loaded or replaced
immediately.
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Loading/Replacing Process for Rolled paper:
1) Press the Casing Button downwards with one hand and pull the casing upwards with
another hand to open the recorder.
2) Take out the Paper Roller, and remove remainder paper from the roller if necessary;3) Take off the wrapper of paper roll, and then put through the roller with the papers grid
side facing downward;
4) Place the paper and roller gently in the recorder with the roller pin facing to the groove;
5) Pull about 2cm of paper out from the Exit, and put down the recorder casing;
6) Secure the casing by pressing it firmly.
Loading/Replacing Process for Folded paper:
1) Press the Casing Button downwards with one hand and pull the casing upwards withanother hand to open the recorder.
2) Remove remainder paper in the Paper Tray if necessary;
3) Take off the wrapper of folded paper, and then put it in the Paper Tray with the papers
grid side facing right while putting the free end of paper upright;
4) Pull about 2cm of paper out from the Exit, and put down the recorder casing;
5) Secure the casing by pressing it firmly.
Movable
Part 2
Movabl
e
Casing Button
Paper Tray
Groove
Paper Roller
Casing
Exit
Exit Edge
(Edge for
tearing paper)
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4.3 Patient Cable and Electrodes Connection for Resting ECG
4.3.1 Patient Cable Connection
WARNING : The performance and electric shock protection can be guaranteed
only if original DIXION patient cable and electrodes are used.
Patient cable includes two parts, main cable and lead wires with associated connectors, which
can be distinguished from the color and identifier on the connectors.
Connect Main Cable:Plug the connector of main cable into the patient cable socket on the right side of the unit
according to the direction of arrow on the plug, and then secure it with two screws.
4.3.2 Electrode Connection
Chest Electrode:
Main CableLead Wires
Connector
Screw
Electrode Connectors
Suction Bulb
ElectrodeMetal Cup
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Limb Electrode:
The identifier and color code of electrodes used complies with IEC/EN requirements. In order
to avoid incorrect connections, the electrode identifier and color code are specified in Table
4-1. Moreover the equivalent code according to American requirements is given in Table 4-1
too.
Table 4-1 Electrodes and their identifier and color code
European American
Electrodes Identifier Color code Identifier Color code
Right arm R Red RA White
Left arm L Yellow LA Black
Right leg N or RF Black RL Green
Left leg F Green LL Red
Chest 1 C1 Red V1 Red
Chest 2 C2 Yellow V2 Yellow
Chest 3 C3 Green V3 Green
Chest 4 C4 Brown V4 Blue
Chest 5 C5 Black V5 Orange
Chest 6 C6 Violet V6 Violet
As the following figure shows, the chest electrodes positions on body surface are
C1: Fourth intercostals space at right border of sternum
C2: Fourth intercostals space at left border of sternum
C3: Fifth rib between C2 and C4
C4: Fifth intercostals space on left midclavicular line
C5: Left anterior axillary line at the horizontal level of C4
C6: Left midaxillary line at the horizontal level of C4
Reed
Electrode
Clamp
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The contacting resistance between the patient and the electrode will affect the quality of ECG
greatly. In order to get a high-quality ECG, the skin/electrode resistance must be minimized
while connecting electrodes.
WARNING : Be sure that all electrodes have been connected to the patient
correctly before operation.
WARNING : Be sure that the conductive parts of electrodes and associated
connectors, including neutral electrode, should not contact with earth
or any other conducting objects.Chest electrodes connection:
1) Ensure that the electrodes are clean;
2) Align all lead wires of patient cable to avoid twisting, and connect the associated
electrode connectors to corresponding electrodes according to the color and identifier;
3) Clean electrode area on chest surface with alcohol;
4) Daub the round area of 25mm in diameter on each electrode site with gel evenly;
5) Place a small amount of gel on the brim of chest electrodes metal cup;
6) Place the electrode on chest electrode site and squeeze the suction bulb. Unclench it and
then the electrode is adsorbed on chest. Attach all chest electrodes in the same way.
Limb electrodes connection:
1) Ensure that the electrodes are clean;
2) Align lead wires of patient cable to avoid twisting, and connect the electrode connectors
to corresponding electrodes according to the color and identifier;
3) Clean electrode areas on a short distance above the ankle or wrist with alcohol;
4) Daub the electrode areas on limbs with gel evenly;
C6
C1
C2
C5
C4
C3
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5) Place a small amount of gel on the metal part of limb electrode clamp;
6) Connect the electrode to limb, and be sure that the metal part be placed on the electrode
area above the ankle or wrist. Attach all limb electrodes in the same way.
4.4 Patient Cable and Electrodes Connection for Exercise
Test
4.4.1 Patient Cable Connection
WARNING : The performance and electric shock protection can be guaranteed onlyif original DIXION patient cable is used.
Patient cable includes two parts, main cable and lead wires with associated electrode
connectors. The electrode connectors can be distinguished from the colors and identifiers on
them.
Connect Main Cable:
Plug the connector of main cable into the patient cable socket of the electrocardiograph accordingto the direction of arrow on the plug, and then secure it with two screws.
Main Cable
Lead Wires
Connector
ScrewElectrode Connectors
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4.4.2 Electrodes Connection
The identifier and color code of electrode connector used complies with IEC/EN requirements.
In order to avoid incorrect connections, the electrode connector identifier and color code isspecified in Table 4-2. Moreover the equivalent code according to American requirements is
given in Table 4-2 too.
Table 4-2 Electrodes and their identifier and color code
European American
Electrodes Color code Electrodes Color code
R Red RA White
L Yellow LA Black
N or RF Black RL Green
F Green LL Red
C1 Red V1 Red
C2 Yellow V2 Yellow
C3 Green V3 Green
C4 Brown V4 Blue
C5 Black V5 Orange
C6 Violet V6 Violet
The precordial electrodes positions on body surface are
C1: Fourth intercostals space at right border of sternumC2: Fourth intercostals space at left border of sternum
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C3: Fifth rib between C2 and C4
C4: Fifth intercostals space on left midclavicular line
C5: Left anterior axillary line at the horizontal level of C4
C6: Left midaxillary line at the horizontal level of C4
The extremity electrodes positions on body surface are
The extremity electrodes should be placed below the clavicle or above the crista scapulae, and
just above the spina iliaca superior or the crista iliaca, respectively.
The quality of ECG waveform will be affected by the contacting resistance between the patient
and the electrode. In order to get a high-quality ECG, the skin/electrode resistance must be
minimized while connecting electrodes.
WARNING : Be sure that all electrodes have been connected to the patient
correctly before operation.
WARNING : Be sure that the conductive parts of electrodes and associated
connectors, including neutral electrode, should not contact with earth
or any other conducting objects.
Electrodes connection:
1) Align all lead wires of patient cable to avoid twisting, and connect the disposable electrodes
to the electrode connectors;
2) Clean electrode area on chest surface with 75% alcohol;
3) Attach the disposable electrodes on electrode sites of the chest.
Note: The quality of the electrode and installation will directly influence the quality of
exercise ECG. The wrong placement and usage of electrodes will cause incorrect
analysis results. Please use the qualified electrodes which should be in the validperiod.
CAUTION :
The disposable electrodes should be deserted after used.
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4.5 Inspection before Power-On
In order to avoid safety hazards and get good ECG records, the following inspection procedure
is recommended before power-on and operation.
1) Environment:
! Check and make sure that there is no electromagnetic interference source around the
equipment, especially large medical electrical equipment such as electrosurgical
equipment, radiological equipment and magnetic resonance imaging equipment etc.
Switch off these devices when necessary.
! Keep the examination room warm to avoid muscle action voltages in ECG signal
caused by cold.
2) Power Supply:
! If mains power is used, please check whether the power cord has been connected to
the unit well, and the grounded outlet should be used.
! Recharge the battery first when the battery capacity is weak before use.
3) Patient Cable:
! Check whether the patient cable has been connected to the unit firmly, and keep it faraway from the power cord.
4) Electrodes:
! Check whether all electrodes have been connected to lead wires of patient cable
correctly according to the identifier and color.
! Ensure that the electrodes do not contact with each other.
5) Recording Paper:
! Ensure that there is enough recording paper loaded correctly.
6) Patient:
! The patient should not contact conducting object such as earth, and metal part of bed
etc.
! Ensure the patient is warm and relaxed, and breathes calmly.
WARNING : The electrocardiograph is provided for the use of qualified physicians
or personnel professionally trained, and they should be familiar with
the contents of this user manual before operation.
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5 General Operation
5.1 Switching On
! While using mains supply, firstly connect the power cord, and the mains supply indicator
lamp ( ) is lit. Then press Power ON/OFF key on the keyboard to turn on the unit.
Equipment information, such as manufacturer, device name and version No., will be
displayed on LCD screen after self-test. Then electrocardiograph is ready for examination
and recording.
! While using built-in rechargeable lithium battery, press Power ON/OFF key on the
keyboard directly to turn on the unit, and then the battery indicator ( ) is lit. After
self-test, electrocardiograph is ready for examination and recording.
5.2 General operation
All the operations including ECG recording, parameter setting and file managing can be
implemented by using the keyboard.
For ECG 1012 Express, users can also carry out the operations by using the Touch Screen.
WARNING : Do not touch the LCD screen with such sharp things as pencil or pen;
otherwise, it will be damaged.
Take these general operations required when using System Setup Window for example:
(1) Entering System Setup Window
Press the corresponding Function Key of Setup on the keyboard to enter the System Setup
Window.
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cursor to Cancel and press Enter key to cancel operation.
(4) Inputting characters
Take the Patient Information interface for example:
Press Tab key to move the cursor to Name;
Press Delete key to delete old information;
Press the letter keys or number keys on the keyboard to input patient name and
press Enter key to confirm.
In the File Manage Window, the general operations of selecting ECG files, setting parameters and
inputting characters are same as the content described above.
This System Diagnostics Window is password protected and only the manufacturer authorized
technician can access it.
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5.4 Switch Off
When built-in battery used, after finishing ECG record, press Power ON/OFFkey to display
the information System is shutting down on the screen. After a few seconds, the device
will be off.
When mains supply used, after finishing ECG record, press Power ON/OFFkey to display the
information System is shutting down on the screen. After a few seconds, the device will
be off, and then pull off the plug from the outlet.
Note: When switching off the device, please operate it according to the sequence
above strictly, or else there will be something wrong on the screen.
Note: Do not keep on pressing the Power ON/OFFkey when the device displays the
hint information Halting System on the screen.
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6 Operation Instructions for Resting ECG
6.1 Freeze
Note: For ECG 1012, Freezeis optional.
Users can freeze the ECG wave displaying on the main screen.
Operation Method:
1) Press the corresponding Function Key of Freeze on the keyboard (hereinafter called
Freeze function key) to freeze ECG wave;
2) On the Freeze interface, Press 3x4+1rhy function key can set the style of recording.
3) Press Reviewfunction key to review the ECG wave which has been frozen;
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4) Press Pre Page/Next Pagefunction key to turn the pages;
5) PressPre Sec/Next Secfunction key to view the ECG wave of pre second/ next second;
6) Press Playfunction key to display ECG wave continuously;
7) PressPausefunction key to stop playing ECG wave;
8) Press Return function key toreturn to main screen;
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6.2 Auto Mode
In the Auto mode, the lead groups are switched automatically according to different lead
sequence while recording. When ECG signal of one lead group has been recorded within a certain
time, it will be switched to another lead group automatically and begins to record the ECG signal
of that lead group. 1mV calibration mark will be recorded at the beginning of recording.
Operation Method:
1) Input patient information before recording;
2) Enter Work Mode Setup interface to select Auto mode, and set Auto Display Style, Sample
Mode and Preview;
3) Enter Record Information Setup interface to select Record Control page, and set Record
Style, Record Sequence and Record Mode.
4) Enter Lead Setup interface to set Lead Sequence;
5) After finish setting parameters, exit the System Setup Window;
6) If Preview is set as off, press START/STOP key to begin recording. It will stop
automatically after a full 12-lead ECG is recorded;
7) If Preview is set as on, press START/STOPkey to enter the Preview Window. In Preview
Window, pressing Measure function key can enter the Measure Window, pressing
Diagnosisfunction key can enter the Diagnosis Window, pressing Continuefunction key
can begin recording, and pressing Cancelfunction key can cancel recording.
Note: For ECG 1012, Previewfunction is optional.
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Preview Window
Pressing START/STOP again during the course of recording can stop recording.
Note: Whether in the auto, rhythm, R-R or manual mode, Work Mode can not be
changed during the course of recording. Stop recording before choosing Work
Mode.
6.3 Manual Mode
In the Manual mode, users can determine which lead group needs to be recorded and set the
parameters according to different lead group.
Operation Method:
1) Input patient information before recording;
2) Enter Work Mode Setup interface to select Manual mode, and set Manual Style;
3) Enter Lead Setup interface to set Lead Sequence;
4) After finish setting parameters, exit the System Setup Window;
5) Press UPor DOWN key to select the lead group to be recorded;
6) Press START/STOPkey to begin recording;
7) Press START/STOPkey to stop recording after ECG is recorded.
UP or DOWN key can be pressed to switch the lead group during the course of recording.Pressing START/STOP again during the course of recording can stop recording.
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6.4 Rhythm mode
In the Rhythm mode, users can record 60s rhythm-lead ECG waveform in Single Lead Style or
20s rhythm-lead ECG waveform in Three Lead Style.Operation Method:
1) Input patient information before recording;
2) Enter Work Mode Setup interface to select Rhythm mode, and set Rhythm Style;
3) Enter Lead Setup interface to select rhythm leads;
4) After finish setting parameters, exit the System Setup Window;
5) Press START/STOPkey and the hint information Sampling will be displayed in the
hint information field, at the same time, sampling time will be counted. When the samplingtime reaches 60s in Single Lead Style or 20s in Three Lead Style, it begins to record;
6) It will stop automatically after a full rhythm-lead ECG waveform is recorded.
Pressing START/STOP again during the course of recording can stop sampling or recording.
6.5 R-R mode
In the R-R mode, users can select a lead to record its R-R Histogram, R-R Trend Chart, 180sECG waveform and all the R-R values.
Operation Method:
1) Input patient information before recording;
2) Enter Work Mode Setup interface to select R-R mode;
3) Enter Lead Setup interface to select a lead in the field of Rhythm Lead 1;
4) Enter Recording Information Setup interface to select the style of R-R analysis Report.
5) After finish setting parameters, exit the System Setup Window;
6) Press START/STOP key to begin to count the sampling time. When the sampling
time reaches 180s, it begins to record;
7) It will stop automatically after a full R-R analysis is recorded.
Pressing START/STOP again during the course of recording can stop recording.
Note: In the R-R mode, users can not set speed. The constant speed is 25mm/s.
Because when recording in the R-R mode, the ECG wave is compressed to one
fifth of the original wave, and then 25mm/s is equal to 5mm/s.
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6.6 Copy
Pressing COPYkey can recall the ECG data that was recorded last time. During the course of
recording, pressing START/STOP again can stop recording.Note: After return to the main interface from any other interfaces, the user should not
immediately press START/STOP key to record in the AUTO mode or MANUAL
mode within three seconds. Otherwise, the recorder will not respond.
6.7 Setup
6.7.1 Work Mode Setup
On the Work Mode Setup interface, users can set up Work Mode, Manual Style, Rhythm Style,
Auto Display Style, Sampling Mode and Preview.
(1) Work Mode
Manual:In the Manual mode, users can determine which lead group needs to be recorded and set
the parameters according to different lead group.
Auto: In the Auto mode, the lead groups are switched automatically according to different lead
sequence while recording. When ECG signal of one lead group has been recorded within a certain
time, it will be switched to another lead group automatically and begins to record the ECG signalof that lead group.
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Rhythm:In the Rhythm mode, users can select rhythm leads to record 60s or 20s rhythm wave.
R-R: In the R-R mode, users can select a lead to record its R-R Histogram, R-R Trend Chart,
180s ECG waveform and all the R-R values.
(2) Manual Style
When Manual Style is set as 3 channel, users can record 3 leads ECG wave simultaneously.
When Manual Style is set as 6 channel, users can record 6 leads ECG wave simultaneously.
When Manual Style is set as 12 channel, users can record 12 leads ECG wave simultaneously.
(3) Auto DisplayStyle
When Auto Display Style is set as 3!4, 12 leads are displayed in 4 columns and 3 rows.
When Auto Display Style is set as 3!4+1rhy, 12 leads are displayed in 4 columns and 3 rows,
with one rhythm lead at the bottom of the paper.
When Auto Display Style is set as 3!4+3rhy, 12 leads are displayed in 4 columns and 3 rows,
with three rhythm leads at the bottom of the paper.
When Auto Display Style is set as 6!2, 12 leads are displayed in 2 columns and 6 rows.
When Auto Display Style is set as 6!2+1rhy, 12 leads are displayed in 2 columns and 6 rows,
with one rhythm lead at the bottom of the paper.
When Auto Display Style is set as 12!1, 12 leads are displayed in 12 channels.
(4) Rhythm Style
When Rhythm Style is set as Single Lead, in the Rhythm Work Mode, 60s ECG wave of the
appointed single rhythm lead will be recorded.
When Rhythm Style is set as Three Lead, in the Rhythm Work Mode, 20s ECG wave of every
appointed rhythm lead will be recorded.
(5) Sampling Mode
When Sampling Mode is set as Pre-Sample, 10s ECG data sampled before pressing
START/STOP key will be recorded while recording.
When Sampling Mode is set as Real-time Sample, 10s ECG data sampled from the time of
pressing START/STOP key will be recorded while recording.
When Sampling Mode is set as Trigger Sample, after pressing START/STOP key, if Arrhythmia
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ECG data, including Asystole, Ventricular Fibrillation/Ventricular Tachycardia, 5>PVCS>=3,
Paired PVCS, Bigeminy, Trigeminy, R ON T, single PVC and Missed Beat, are detected during
the course of sampling, recording will be triggered automatically.
When Sampling Mode is set as Periodic Sample, first users should set Total Time and Interval
on the Record Control Setup interface of the Record Info setup. For example, if Interval is set
to 2 minutes, the Total Time set to 24 minutes, by Pressing START/STOP key, it will record
every 2 minutes and totally 12 times.
Note: No saving, copying or transmitting in the Period Sample Mode.
Note: Patient information will not be changed while carrying out the period recording.
Note: Total Timemust be greater than Interval, or else the setting will not be effective.
Note: For ECG 1012, Pre-Sampleand Trigger Sampleare optional.
(6) Preview
When Preview is set as on, users can preview the ECG wave to be recorded.
When Preview is set as off, users can not preview the ECG wave to be recorded.
6.7.2 Filter Setup
(1) AC Filter
AC Filter suppresses AC interference without attenuating or distorting the ECG signal. Select On
to turn on the function and select Offto turn off.
(2) DFT Filter
DFT Filter greatly reduces the baseline fluctuations without affecting the ECG signal. The
purpose of this filter is to keep the ECG signals on the baseline of the printout. The setting value
is the low limit of the frequency range, including 0.05Hz, 0.15Hz, 0.25Hz, 0.5Hz.
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(3) EMG Filter
EMG Filter suppresses disturbances caused by strong muscle tremor. The cutoff frequency is
defined at 25Hz, 35Hzor 45Hz. Select Offto turn off the function.
(4) Lowpass FilterLowpass Filterrestricts the bandwidth of input signal. The cutoff frequency is defined at 150Hz,
100Hzor 75Hz. All the input signals whose frequency is higher than the setting cutoff frequency
will be attenuated.
6.7.3 Record Info Setup
There are three pages on the Record Info Setup interface: Recorder, Record Ctrl and Record Info.
The users can Press F1or F2 function key to switch them.
6.7.3.1 Recorder
(1) Recorder Device
Users can set the Recorder Device as Thermal, DeskJet or LaserJet.
When DeskJet or LaserJet is selected, the user should connect the USB printer recommended byDIXION to the USB Socket 2 of electrocardiograph with specialized cable.
Note: please refer to Chapter 6.13 to see the ECG Report printed by USB printer.
Note: USB printing works only in AUTO Pre-Sample mode, AUTO Real-time Sample
mode, Copy, Freeze, Review and File Manage Window.
Note: Make sure that paper has been installed in USB printer before printing. Paper
Empty may results in error.
Note:The USB printer can not be cancelled by Start/Stop key.
WARNING : It is forbidden to frequently insert and pull out U disk or USB printer.
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(2) Paper Length
Users can set the length of one page of folded paper. 140mm or 295mm is available.
(3) Paper Width
Users can set the width of paper. 210mm or 216mm is available.When the paper of 216mm width is used, the two movable parts in the Paper Tray and Casing of
the recorder should be removed.
(4) Speed
Users can set the paper speed as 5, 6.25, 10, 12.5, 25 or 50mm/s. In the AUTO mode and Rhythm
mode, only 25mm/s and 50mm/s are available. In the R-R mode, only 25mm/s is available.
(5) Gain
Users can set the indicated length of 1mV ECG on the paper.Users can set Gain as 10mm/mV, 20mm/mV, 10/5mm/mV, AGC, 2.5mm/mV or 5mm/mV.
AGC means auto gain control. When ECG signal varies greatly, AGC can be selected to adjust
the gain automatically according to actual signal.
10/5mm/mV means the gain of limb leads is set as 10mm/mV, while the gain of chest leads is set
as 5mm/mV.
(6) Paper Marker
The Paper Marker is used to identify the start point of each page of the paper.When the paper with black markers on the bottom is used and Paper Marker is set as Yes, the
device can identify the start point of each page of the paper while recording.
When Paper Markeris set as No, the device can not identify the start point of each page of the
paper while recording.
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(4) Periodic Sample
The Interval and Total Time can set for Periodic Sample in AUTO mode.
Note: please refer to Chapter 6.7.1 to see the Periodic Sample in Work Mode Setup.
(4) 10-24s Sample
Users can set the time of sampling printing from 10 to 24 seconds, or disable this function.
When the Sample recording function is selected, in the Auto Mode, pressing START/STOP key
on the Main Screen interface, the ECG waves are recorded according to the current setting.
Note: Users should select the function on the Advanced Setup interface.
6.7.3.3 Record Info Setup
(1) Auto Record Info
Auto Record Info includes Patient Info, Position Marker, Analysis, Template, Measure and
Minnesota Code.
When Patient Info, Position Marker, Analysis, Template, Measure or Minnesota Code is
selected, it will be recorded while recording.
WhenPatient Info, Position Marker, Analysis, Template, Measure orMinnesota Code is not
selected, it will not be recorded while recording.
(2) R-R Analysis
R-R Analysisincludes R-R Histogram, R-R Waveform and R-R Interval List.
When R-R Histogram, R-R Waveform or R-R Interval List is selected, it will be recorded
while recording.
When R-R Histogram, R-R Waveform or R-R Interval List is not selected, it will not berecorded while recording.
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Note: Press Space key to select or cancel on the Record Information Setup interface.
Note: The items on the Record Info Setup interface are valid only in the Auto mode, and
Template and Position Marker do not work under the Auto Style of 3!4, 3!4+1rhy
and 3!4+3rhy and the Style of 6x2 and 6x2+1rhy in the Quickly Mode.
Note: To get more information about the above contents, please refer to Chapter 6.9
Auto Mode Record.
6.7.4Patient Question Setup
(1) Gender/Height/Weight/BP/Race/Medication/Ward NO/Doctor/Technician
When Gender, Height, Weight, BP, Race, Medication, Ward NO, Doctor orTechnician is
selected, the item will display on patient information interface.
When Gender, Height, Weight, BP, Race, Medication, Ward NO, Doctor or Technician is
not selected,the item will not display on patient information interface.
(2) ID Hint
In the Auto mode and the rhythm mode, when ID Generate Mode is set as manual, press the
START/STOPkey, if users have not input patient ID before operating, the Hint Information will
pop up to remind users to input patient ID.
(3) Next Patient
In the Auto mode, when the Next Patient is selected, Press START/STOPkey, the system will
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automatically turn into the Next Patient interface after a full ECG wave is recorded. In the Next
Patient interface, pressing Same Patient function key can return to the Main Screen, all the
patient information will keep the same; pressing Next Patient function key can return to the
Main Screen, all the patient information will be cleared except for gender; pressing F3 function
key can switch the Auto Record Style; pressing F4 function key can switch the paper speed, andpressing the F5 can switch the Gain.
On the Next Patient interface, users can print the current ECG Report again, according to the
Auto Style, speed and Gain settings.
In the Auto mode, when Next patient is not selected, the system will not automatically turn into
theNext patient interface.
(4) H/W Unit\BP Unit\User Defined
Not performed.
(5) ID Mode
Users can set the ID Modeas Auto, timeor manual.
When ID Generate Mode is set asAuto,patient ID can be automatically generated. (Patient ID
range: 0~1999, 999,999)
When ID Generate Mode is set astime, patient ID can be automatically generated according tothe system time.
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When ID Generate Mode is set as manual, patient ID can be manually inputted in patient
information. (Only input ASCII code)
NoteWhen the patient ID is generated by system time, it can not be displayed on the MainScreen.
(6) Prompt
When Prompt is set as Unconfirmed, Unconfirmed Report is recorded in the ECG Report.
When Prompt is set asReviewed by, Report Reviewed by is recorded in the ECG Report.
6.7.5 Transmission Setup
Note: To transfer ECG data to PC, SMARTECG-VIEWER software of DIXION must be
installed in PC. Receive ECG Data window in the software should be opened up,
and transfer type should be selected.
(1) Transmission Mode
When Transmission Modeis set as off, ECG data can not be transferred;
When Transmission Modeis set as Ethernet, firstly connect the net port of electrocardiograph
and the net port of PC machine through an Ethernet cable recommended by DIXION. Secondly
open the Receive ECG Data window of SMARTECG-VIEWER software in PC, select the
transfer type Net Trans and press Connect key. Then set the Remote IP and Local IP in
electrocardiograph. In the AUTO mode, ECG data can be transferred through net automatically
after ECG recording is finished.
When Transmission Modeis set as UART, firstly connect the serial port 1 of electrocardiograph
and the serial port of PC machine through a serial cable recommended by DIXION. Then openthe Receive ECG Data window of SMARTECG-VIEWER software in PC, select the transfer
type Serial Trans, set the right PortNum and press Connect key. In the AUTO mode or the
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Rhythm mode, ECG data can be transferred through serial port automatically after ECG
recording is finished.
(2) Remote IP: Users can set Remote IP on Transmission Setup interface.
(3) Local IP: Users can set Local IP on Transmission Setup interface.
(4) Gateway: Users can set Gateway on Transmission Setup interface.
(5) Subnet Mask: Users can set Subnet Mask on Transmission Setup interface.
6.7.6 Patient Information
Note: The patient information can not be set or changed during the course of recording.
Name: Patient Name (ECG 1012: Within 12 characters; ECG 1012 Express: Within 20
characters)
ID: Patient ID (Within 10 characters; Range: 0~1999999999). For detail information, please refer
to Chapter 6.7.4.Age:Patient Age (Range: 0~255)
Gender: Patient Gender (Male/Female/Empty)
Weight (kg):Patient Weight (Range: 0~999)
Height (cm): Patient Height (Range: 0~999)
BP (mmHg): Patient Systolic Blood Pressure/Diastolic Blood Pressure
Race: Patient Race (unknown/ Oriental/ Caucasian/ Black/ Indian
/ Mongolian/ Hispanic/ Asian/ Pacific/ other)
Medications: The medication which patient took previously (Within 20 characters)
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Ward No: Ward Number (Within 10 characters)
Medical: Medical Name (Within 20 characters)
Technician: Technician Name (Within 20 characters)
Note: Please refer to Chapter 5.2 for the method of inputting words on PatientInformation interface.
6.7.7 Lead Setup
(1) Rhythm Lead 1/ Rhythm Lead 2/ Rhythm Lead 3
The rhythm lead can be one of 12 standard leads: $, %, &, aVR, aVL, aVF, V1, V2, V3, V4, V5,
or V6.
In the Auto mode, when Auto Style is set as 3#4+1rhy or 6#2+1rhy, the rhythm lead selected in
Rhythm Lead 1 will be recorded while recording ECG; when Auto Style is set as 3#4+3rhy, 3
rhythm leads selected in Rhythm Lead 1 and Rhythm Lead 2 and Rhythm Lead 3 will be
recorded while recording ECG.In the Rhythm mode, when Rhythm Style is set as Single Lead, 60s waveform of the rhythm lead
selected in Rhythm Lead 1 will be recorded while recording ECG; when Rhythm Style is set as
Three Lead, 20s waveform of every rhythm lead selected in Rhythm Lead 1 and Rhythm Lead 2
and Rhythm Lead 3 will be recorded while recording ECG;
(2) Lead Sequence: Standard/Cabrera
Lead Sequence Lead group 1 Lead group 2 Lead group 3 Lead group 4
Standard $, II, & aVR, aVL, aVF V1, V2, V3 V4, V5, V6
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Cabrera aVL, $, -aVR II, aVF, & V1, V2, V3 V4, V5, V6
6.7.8 Display Setup
(1) Brightness
The brightness of LCD screen
Users can set the brightness within 0~20.
(2) Screen Colors (only for ECG 1012 Express)
The colors of LCD screen
Users can set the screen colors as Monochrome, Option1 or Option 2.
(3) Antialiasing
When Antialiasingis set as On, system will automatically make waveform smooth.
When Antialiasingis set as Off, system will not make waveform smooth.
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6.7.9 Sound Setup
(1) Key Volume
When users press keys on the keyboard, electrocardiograph gives a short beep sound, which is
called Key Beep.