Go To Table Of Contents OPERATION MANUAL Version 8.0.1 Part Number: 3-100-1021 Style B Revision 8.0.
Go To Table Of Contents IQmark Digital ECG Operation Manual TABLE OF CONTENTS A WORD OF THANKS ................................................................................................. III PRECAUTIONS ............................................................................................................ V I. GENERAL INFORMATION ............................................................................... 1 A. B. C. D. DESCRIPTION ..........................................................
IQmark Digital ECG Operation Manual Serial Comparison ............................................................................................... 30 RR Variability Report Review .............................................................................. 31 APPENDIX ................................................................................................................ 33 A. B. C. H. I. OPERATIONS AT A GLANCE ...................................................................................
Go To Table Of Contents IQmark Digital ECG Operation Manual A Word of Thanks Thank you for purchasing the IQmark Digital ECG. Midmark has used the latest microelectronic and computer software technology to develop a compact, lowmaintenance and high-quality ECG system. Our goal is to enable healthcare professionals to provide quality and efficient patient care.
Go To Table Of Contents IQmark Digital ECG Operation Manual Physician’s Responsibility The interpretations provided by the Midmark IQmark Digital ECG are for the exclusive use of licensed physicians or personnel under their direct supervision. Not all ECG abnormalities can be detected by computerized / automated ECG analysis algorithm. The suggested interpretation, including numerical and graphical results, should be examined with respect to the patient’s overall clinical condition.
Go To Table Of Contents IQmark Digital ECG Operation Manual Precautions Read the following precautions to ensure proper operation of this instrument. 1. Familiarize yourself thoroughly with the operations and procedures of the instrument prior to use. 2. Installation and maintenance of the instrument: Install and keep the instrument away from splashing water. Do not install the instrument where humidity, ventilation, direct sunlight or air containing dust, salt, sulfur, etc. might affect it.
Go To Table Of Contents IQmark Digital ECG Operation Manual other than the OTS OS specified. Future releases of currently approved operating systems should not be used until Midmark has had an opportunity to test the ECG with them. Before updating your operating system, contact Midmark for the latest OTS operating systems information. CAUTION: Replace the patient cable with Midmark patient cables equipped with built-in defibrillation protection. Contact Midmark for cable replacement.
Go To Table Of Contents IQmark Digital ECG Operation Manual I. General Information A. Description Figure 1-0 The IQmark Digital ECG (serial-type - with On/Off switch) Figure 1-1 The IQmark Digital ECG (USB-type - without On/Off switch) NOTE: This manual is intended for IQmark Diagnostic Workstation users. If you are using your IQmark Digital ECG through an EMR, please contact Midmark Support Services for assistance with installation, setup and operation.
Go To Table Of Contents IQmark Digital ECG Operation Manual ECG device, it features fully integrated PC technology and a host of advanced diagnostic features. NOTE: There are two types of IQmark Digital ECG acquisition modules: a serial (COM) port type and a USB port type, both are designed for use with a Microsoft-based computer. The serial-type ECG module requires batteries and has a power switch, indicated by ; the USB-type ECG module does not require batteries and does not have a power switch.
Go To Table Of Contents IQmark Digital ECG Operation Manual high-speed networks, use the serial port versions of the IQmark Digital ECG and connect to client devices via COM port mapping. Setting up any application in a network environment typically requires special access rights and knowledge of the network. Please have your system administrator install and configure the IQmark Diagnostic Workstation to your office environment.
Go To Table Of Contents IQmark Digital ECG Operation Manual IQpath for Citrix ICA if you are using Citrix software on your clients and servers. These software products are provided separately and may be obtained by contacting Midmark at (800) MIDMARK (643-6275).
Go To Table Of Contents IQmark Digital ECG Operation Manual To use the ECG device in this configuration, install IQmark Diagnostic Workstation on the terminal server and configure the server to map to the COM port on the client terminal. System administrators should configure the terminal server for COM port mapping as described in the document entitled Setup Manual: Midmark Products over Thin Client Environments. D.
Go To Table Of Contents IQmark Digital ECG Operation Manual II. System Installation NOTE: Please call Midmark Support Services before installing and seting up your IQmark Digital ECG. Computers today are more complex than ever, coming with wide variations of software and hardware options, making your computer almost unique. Midmark wants to make sure that your ECG device is installed and configured as quickly and easily as possible. Please call 1-800624-8950, ext.
Go To Table Of Contents IQmark Digital ECG Operation Manual 2. For the serial-type ECG module, slide out and remove the battery door underneath the module and install 2 AA batteries. Be sure to follow the battery positions indicated. Replace the battery compartment door. For the USB-type ECG module, no batteries are required. 3. Attach the patient cable to the 15-pin connector on the ECG acquisition module. Patient Cable Connection Figure 2.0 IQmark Digital ECG Acquisition Module. C.
Go To Table Of Contents IQmark Digital ECG Operation Manual display area. Place the mouse pointer on the blank portion of the Taskbar on the bottom of the screen, then right-click and select Properties. Check the Auto-hide the taskbar box to hide the taskbar when it is not in use; to display the taskbar when it is hidden, move your mouse cursor over the area where your taskbar is normally set, and it will reappear.
Go To Table Of Contents IQmark Digital ECG Operation Manual E. Configuring the IQmark Digital ECG Through the IQmark Configuration program, you can customize IQmark Diagnostic Workstation and the IQmark Digital ECG for your operation. If you are using the database on your local and network computers, the configuration program also enables you to set your default database.
Go To Table Of Contents IQmark Digital ECG Operation Manual Configuring for Serial-Type ECG Module If you have a serial-type ECG module, you can select the serial port for the ECG module in the configuration screen. Click Serial Port to open the following dialog box: NOTE: The default serial communications port is COM 1. Click Auto Detect to find the port that the ECG module is connected to; the ECG module must be connected to an available serial port on the computer.
Go To Table Of Contents IQmark Digital ECG Operation Manual Database Settings IQmark Diagnostic Workstation uses the local database by default. If using a network database, you can set the default to be either the local or network by clicking Database Settings on the IQmark Configuration screen. Select a network database as the default by checking the Enable Network Database box then clicking Network. Refer to the IQmark Diagnostic Workstation Operation Manual for more details.
Go To Table Of Contents IQmark Digital ECG Operation Manual Click Manage Lists; you can add, edit, or delete any item in the Medications, History Statements, ECG/Holter Statements and Race Categories lists. Select the ECG Statements tab to view the default ECG statements. These statements will be available when editing the ECG interpretations online.
Go To Table Of Contents IQmark Digital ECG Operation Manual The IQmark Default List is the default list installed with IQmark Diagnostic Workstation. To enter the names of doctors and technicians who use IQmark Diagnostic Workstation, select the User Names tab and click Add. You can type in a user’s name and define the user as a physician, technician, or both. Click OK to close the List Management utility.
Go To Table Of Contents IQmark Digital ECG Operation Manual Default Interpretation And Acquisition Display Settings Item Settings Comments Sweep Speed 10 mm/sec 25 mm/sec 50 mm/sec 100 mm/sec Default setting is 25 mm/sec. Sweep Speed setting only applies to real time ECG display. The ECG report only prints at 25mm/sec scale, except if a 2-Page Format is selected. See Printer Format Settings.
Go To Table Of Contents IQmark Digital ECG Operation Manual Disable Interpretation On/Off Default is Off (cleared). If On (checked), the ECG will not produce any diagnostic statements and the interpretation portion of the report, ECG Review and Edit screen will be blank. Disable Quick Edit On/Off Default is Off (cleared) If On (checked), the software defaults to free text entry method for adding any diagnostic statements, instead of the Quick Edit feature of the Add a Statement dialog box.
Go To Table Of Contents IQmark Digital ECG Operation Manual Click the Printer Format Settings tab of the ECG Settings dialog box to select the default ECG report format, as shown below: ECG Report Printer Format Settings Item Printer Format Settings Settings Comments 6 x 2 format 12-lead with 3-lead rhythm format (3x4+3) 12-lead format (12x1) 12-lead plus single rhythm format (3x4+1) 2-Page Format Default setting is 12-lead plus single rhythm format.
Go To Table Of Contents IQmark Digital ECG Operation Manual Click RR Variability Settings tab of the ECG Settings dialog box to preset the default test duration and report format, as shown below: RR Variability Settings Item RR Duration RR Print Speed Settings Comments 30 sec 60 sec 90 sec 120 sec 150 sec 180 sec 210 sec 240 sec 360 sec Default setting is 90 sec. 5 mm/sec 10 mm/sec 25 mm/sec Default setting is 25 mm/sec. This setting defines the print scale of the ECG tracings for RR test.
Go To Table Of Contents IQmark Digital ECG Operation Manual Click the Configuration tab of the ECG Settings dialog box to access the ECG Configuration settings. Most of the settings on this screen are controlled by the IQmark Configuration Settings and therefore cannot be changed, except the line frequency and COM port auto detection for ECG module. You can make changes to these settings on either screen. Click OK on the ECG Settings dialog box if you want to save any changes you made.
Go To Table Of Contents IQmark Digital ECG Operation Manual III. Operation WARNING The IQmark Digital ECG module has been designed and tested to meet IEC 60601-2-25 and AAMI EC11 defibrillation protection standards. In the event of defibrillation, follow the instructions on your defibrillator and adhere to all warnings and cautions. A. Introductory Notes This manual describes how to use the various IQmark Digital ECG features in the operational sequence most new operators will follow.
Go To Table Of Contents IQmark Digital ECG Operation Manual Instructions for Performing ECG Acquisition NOTE: Please refer to the Quick Reference User’s Guide – Performing a 12-lead Resting ECG Test for more detailed instructions. Patient Position The patient should be placed comfortably in a supine position. Any variation should be noted on the ECG report. Electrodes When using disposable electrodes, check to ensure the electrode is fresh and sticky.
Go To Table Of Contents IQmark Digital ECG Operation Manual C. Starting the Program Start the ECG test through IQmark Diagnostic Workstation by double-clicking on the IQmark Workstation icon on the desktop: NOTE: For a detailed description of diagnostic functions available through IQmark Diagnostic Workstation, please see the IQmark Diagnostic Workstation Operation Manual. D.
Go To Table Of Contents IQmark Digital ECG Operation Manual Opening Screen Buttons Acquire an ECG before entering patient demographics or selecting a patient. Register a new patient. Refer to the product’s Operation Manual for a description of the patient details required for specific tests. View a list of patients previously entered into the database; selecting a patient from the list enables you to access, edit, add and delete data that patient’s records and view data from previous tests.
Go To Table Of Contents IQmark Digital ECG Operation Manual NOTE: The green LED on the ECG module will light when the module is on. Serial-type ECG module with a power switch: If the module is not on, manually turn it on by pressing . USB-type ECG module: IQmark Diagnostic Workstation will turn it on as needed. E. Testing a New Patient To register new patients, click New Patient on the opening screen. The Patient Data Entry screen appears, enabling you to enter data that is pertinent to your patient.
Go To Table Of Contents IQmark Digital ECG Operation Manual Live ECG When the patient is prepared, calm and comfortable, initiate ECG data acquisition by clicking New Test on the menu bar on the Patient Data screen. The New Test dialog box appears, on which you can select the test type to run. Click the ECG icon in the left-hand portion of the dialog box. Enter the names of the technician conducting the test and the requesting physician.
Go To Table Of Contents IQmark Digital ECG Operation Manual The live ECG screen displays the results of the 12-channel ECG in the three-by-four (3x4) leads display format. This format can be changed by using the Settings function. Your facility’s name, the date, time and the patient’s heart rate appear at the top of the screen. The ECG tracings are in the center of the screen moving from left to right. Below the moving tracings are the sweep speed, gain, and filter settings.
Go To Table Of Contents IQmark Digital ECG Operation Manual Acquire This option is only available if the Display Real-time ECG Tracing setting is disabled. Click on this button to start new acquisition of ECG data. A message Acquiring ECG will display on the screen. Collects ECG data for RR Variability analysis. A preset duration between 30 and 360 seconds of ECG data may be collected in 30-second increments. Start RR Setting Stop data collection by clicking Start RR again.
Go To Table Of Contents IQmark Digital ECG Operation Manual latest report collected will be displayed with the format reflecting the method of collection (i.e., Analyze or Start RR). ECG Report Review Measurements Diagnostic Statements Gain Reports collected using the Analyze function are displayed on the Report Review screen with ECG data traces from each of the patient leads. You can click on any part of the ECG tracings to zoom in to view in 2X magnification.
Go To Table Of Contents IQmark Digital ECG Operation Manual To modify diagnostic statements, either edit the statements directly in the text box, or click Add (enter new diagnostic statements) or Clear/Add (clear all statements and add new ones from a pre-established list); clicking either will open the Add a Statement dialog box: In the top box, begin typing the abbreviation of a statement and the statement itself (e.g.
Go To Table Of Contents IQmark Digital ECG Operation Manual Click View 2x in the ECG Report Review (Details) screen to magnify the 12-lead ECG tracings on the left to 2x zoom. Click the same button again and ECG tracings are displayed with 4x magnification. Click Calipers to select between Simple Calipers or P-QRS-T Calipers.
Go To Table Of Contents IQmark Digital ECG Operation Manual You can view and edit the diagnostic statements from this screen by clicking Edit Diagnosis. The Edit Diagnostic Statements dialog box appears; refer to Editing Diagnostic Statements section above for details. Serial Comparison This feature enables you to compare up to four ECGs from the same patient. If the patient has more than one ECG report, click Serial Comparison on the Report Review screen and the Select ECG Reports dialog box appears.
Go To Table Of Contents IQmark Digital ECG Operation Manual RR Variability Report Review If a report was collected using the Start RR function, then the ECG data is displayed on the Report Review screen as shown: The diagnostic results for the RR Variability analysis are displayed in text boxes on the upper-right portion of this screen and cannot be edited. You can view the patient’s ECG tracing from the entire data collection period (30-360 seconds) by clicking the <<< | >>> arrows above the traces.
Go To Table Of Contents IQmark Digital ECG Operation Manual You can also review the data collected during the RR Variability analysis in RR Trend and RR Histogram formats by clicking the Show Graphs button. On both the resting ECG and RR Variability Report Review screens, there are fields labeled Technician and Reviewed By.
Go To Table Of Contents IQmark Digital ECG Operation Manual Appendix A. Operations at a Glance A condensed guide to using the Midmark IQmark Digital ECG with new patients. 1) Start IQmark Diagnostic Workstation. 2) Select New Patient from the opening screen. For returning patient, select Patient List and search by patient’s last name or ID. 3) Complete the fields on the Patient Data screen as accurately as possible. You must enter a name or ID number to perform a test.
Go To Table Of Contents IQmark Digital ECG Operation Manual B. Troubleshooting Guide This Troubleshooting Guide provides a list of solutions and recommendations to problems you might encounter with the IQmark Digital ECG. Before calling Midmark Support Services, please refer to the following table for help. Error messages are displayed at the center or at the bottom right corner of the screen.
Go To Table Of Contents IQmark Digital ECG Operation Manual Error Message/Problem Troubleshooting Guide Recommendation/Possible Solution ECG MODULE NOT RESPONDING! Message appears after starting a new ECG test. No ECG tracing is displayed on the screen. The program cannot communicate with the ECG module because it is not on, not connected to the computer, or is connected to the wrong port.
Go To Table Of Contents IQmark Digital ECG Operation Manual Error Message/Problem SERIAL PORT ERROR! EXIT. Message appears after starting a new ECG. No ECG trace is displayed on the screen. Details button does not work in the ECG Report Review screen. Incorrect diagnostic interpretation. No error message and no ECG trace on Live ECG screen. Prints slowly when printing live ECG tracing or printing automatically after analysis.
Go To Table Of Contents IQmark Digital ECG Operation Manual Error Message/Problem ECG signal quality problems such as a low amplitude, wandering baseline, noisy signal, etc. All other operational problems. Troubleshooting Guide Recommendation/Possible Solution For a good signal quality, the patient must be properly prepped; the lead placements correct and the electrodes and lead wires firmly secured. See Section III-B, Preparation for best practices.
Go To Table Of Contents IQmark Digital ECG Operation Manual C. Maintenance and Storage of the ECG Module Preventative Inspection A preventative inspection should occur prior to each use of the ECG module to verify that there is no visible damage to the unit that may cause it to malfunction. Visual inspection should include the module and all cables for signs of damage and deterioration, including but not limited to cracks, cuts, discoloration or oxidation.
Go To Table Of Contents IQmark Digital ECG Operation Manual In case you experience signal disturbance, distortion or interruptions, stop the procedure and localize the source of the problem and correct before continuing. At the end of the procedure, gently disconnect the ECG clips from the electrodes. o Do not remove the patient cable from the ECG module. All cables should be stored in big loops. Tight coiling must be avoided. Also avoid heat sources and direct sunlight.
Go To Table Of Contents IQmark Digital ECG Operation Manual E. Radio and Television Interference This equipment generates and uses radio-frequency energy. If not installed and used properly in strict accordance with the manufacturer’s instructions, it may cause interference to radio and television reception.
Go To Table Of Contents IQmark Digital ECG Operation Manual Guidance and manufacturer’s declaration – electromagnetic emissions The IQmark Digital ECG is intended for use in the electromagnetic environment specified below. The customer or the user of the IQmark Digital ECG should assure that it is used in such an environment. Emissions Test Compliance Electromagnetic environment – guidance RF emissions Group 1 The IQmark Digital ECG uses RF energy only for CISPR 11 its internal function.
Go To Table Of Contents IQmark Digital ECG Operation Manual Guidance and manufacturer’s declaration – electromagnetic immunity The IQmark Digital ECG is intended for use in the electromagnetic environment specified below. The customer or the user of the IQmark Digital ECG should assure that it is used in such an environment.
Go To Table Of Contents IQmark Digital ECG Operation Manual Guidance and manufacturer’s declaration – electromagnetic immunity The IQmark Digital ECG is intended for use in the electromagnetic environment specified below. The customer or the user of the IQmark Digital ECG should assure that it is used in such an environment.
Go To Table Of Contents IQmark Digital ECG Operation Manual Recommended separation distances between portable and mobile RF communications equipment and the IQmark Digital ECG The IQmark Digital ECG is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
Go To Table Of Contents IQmark Digital ECG Operation Manual G. Customer Support For immediate help diagnosing problems with this product, refer to the online Help or Appendix B, Troubleshooting Guide. Otherwise, contact Midmark Support Services at (800) 624-8950, ext. 2 between 6:30 AM- 4:30 PM, Pacific Standard Time.
Go To Table Of Contents IQmark Digital ECG Operation Manual H. Safety and International Symbols The following symbols are used on Midmark products. These symbols appear on products when applicable. Refer to this directory for details concerning the symbols used on equipment. Symbol ! Description ATTENTION Refer to manual for instructions Year manufactured 1998 Battery Orientation This device uses 2 AA alkaline batteries. The icon indicates the orientation of batteries to be installed.
Go To Table Of Contents IQmark Digital ECG Operation Manual I. Glossary ARCHIVING DATABASE DIALOG BOX ECG ELECTROCARDIOGRAM ELECTRODES IQMARK DIAGNOSTIC WORKSTATION IQMARK DIGITAL ECG PORT SERIAL PORT UNIVERSAL SERIAL BUS (USB) PORT Moving either an original file or a copy into storage where it can be accessed at a later date for review. A collection of data arranged into methodically organized categories.
Go To Table Of Contents IQmark Digital ECG Operation Manual IV. IQmark Digital ECG Service Manual A. Introduction The Midmark IQmark Digital ECG is a PC-based diagnostic instrument that converts any Windows-based personal computer to a 12-lead electrocardiograph with interpretative and data storage capabilities.
Go To Table Of Contents IQmark Digital ECG Operation Manual Patient 10- Leadwire Patient Cable with Defib Protection 8-Channel A/D Converter Figure 5-1 Lead Off Detector Pacemaker Detector DC-DC Power Circuit ECG Buffer Amplifiers Instrumentation Amplifiers Filters and Gain amplifiers Microcontroller Isolated Serial Interface PC System System Block Diagram 10-Leadwire Patient Cable The IQmark Digital ECG uses the special Midmark 10-Leadwire patient cable for its 12lead ECG data acquisition.
Go To Table Of Contents IQmark Digital ECG Operation Manual The following table lists the positive and negative inputs for each channel. Channel Number CH0 CH1 CH2 CH3 CH4 CH5 CH6 CH7 Positive Input LA LL V6 V5 V4 V3 V2 V1 Negative Input RA RA Wilson Center Wilson Center Wilson Center Wilson Center Wilson Center Wilson Center The Wilson Center is a reference point combined with the three limb leads.
Go To Table Of Contents IQmark Digital ECG Operation Manual Isolated Serial Interfaces To provide the maximum safety for the patient, the IQmark Digital ECG hardware and the PC are isolated with an optical coupler and/or isolated DC to DC converters. The serial signal sent out by the PIC microcontroller is coupled optically to the PC system either through the RS232 or USB interface. There is no electrical connection between the patient and the PC system. The isolation circuit can withstand up to 1000Volts.
Go To Table Of Contents IQmark Digital ECG Operation Manual C. System Maintenance and Obtaining Service The IQmark Digital ECG is a portable device and requires little maintenance. To ensure the best performance of the device, the following procedures are recommended: 1. Keep the patient cable clean. 2. Do not unplug the patient cable from the IQmark Digital ECG hardware. 3.
Go To Table Of Contents Midmark Diagnostics Group 1125 W. 190th Street Gardena, California 90248 Technical Support: 1-800-624-8950, Option 2 www.midmark.
