2-Lead ECG Monitoring and Transmission August 2010 9650-1218-01 Rev.
The issue date or revision level for this operation guide is shown on the front cover. ZOLL and E Series are registered trademarks of ZOLL Medical Corporation. 12SL is a trademark of General Electric Company. Bluetooth is a registered trademark of Bluetooth SIG, Inc. All other trademarks and registered trademarks are property of their respective owners. Copyright © 2010 by ZOLL Medical Corporation. All rights reserved.
12-LEAD ECG MONITORING AND TRANSMISSION General Information ECG leads are a defibrillation-protected Type CF patient connection. Product Description ZOLL E Series® with the 12-lead ECG Monitoring option provides simultaneous 12-lead ECG acquisition, storage, transmission, and optional ECG analysis using the GE Marquette™ 12SL™ ECG Analysis Program.
E Series - 12 Lead ECG Monitoring Option Insert WARNINGS • Before use, carefully read the E Series Operator's Guide and these operating instructions. • Always ensure that the patient is kept motionless during 12-lead ECG signal acquisition and analyses. Use of the device to acquire ECG signals from moving or shaking patients may produce erroneous 12-lead interpretation results. • The E Series 12SL option is not intended for use with neonatal patients.
How to Use This Manual Electrode Placement Depending on local usage, ECG lead wires are marked with certain labels. Refer to the following table for labels and color codes for the different lead sets.
E Series - 12 Lead ECG Monitoring Option Insert 3. 4. Locate the second intercostal space on the patient’s right side, lateral to and just below the “Angle of Louis.” Move your finger down two more intercostal spaces to the fourth intercostal space which is the V1 position. Note: When placing electrodes on female patients, always place leads V3-V6 under the breast rather than on the breast. For AED units, the 12 Lead softkey is third from the left.
How to Use This Manual mode; see the E Series Configuration Guide for more information.) Lead Group Setting Filter Lead Grp Dial Type Settings Enter Note: When the E Series is turned off for more than 10 seconds, all settings are restored to their default settings. Retur n Once the settings screen is displayed, press the Settings softkey again to scroll through and highlight the different available selections. Press the Enter softkey to select the setting that is highlighted.
E Series - 12 Lead ECG Monitoring Option Insert Press the Dial Type softkey to toggle between both types of dialing modes. Press the Enter softkey to save the highlighted dial mode and return to the 12 Lead Monitor menu. If you want to return to the 12 Lead Monitor menu without saving the highlighted dial mode, press the Return softkey.
12-Lead Reports through all of its unidentified records to find the patient's information. Patient Age To set the patient age, press the Age softkey, to display the keypad. Use the scroll keys to select a number, then press the Commit ( ) key to enter the digit in the Age field (both scroll keys and the Commit key are on top of the unit). Repeat for each digit (up to 3 digits). Press the Return softkey to save the highlighted age and return to the Patient Information screen.
E Series - 12 Lead ECG Monitoring Option Insert . CAUTION Transmission of 12-lead ECG data via cellular phones can be less reliable than transmission via landline connections. A strong signal and stationary transmission improves the transmission’s success rate. Follow the directions provided with your cellular phone.
12-Lead Reports NIBP SpO2% ----- kPa CO2 - --- II x1.5 96 ECG For direct FAX only: If you need to abort the transmission, press the Abort softkey. Note that if you turn the selector switch to another mode of operation (DEFIB or PACER), the transmission is automatically aborted. --24 m m Hg --- RR MANUAL DIAL 1 2 3 4 5 6 7 8 9 * 0 # + , wx ‹‹‹ ››› The Retry screen is displayed whenever one of these things occur: • The transmission is complete.
E Series - 12 Lead ECG Monitoring Option Insert 12-Lead ECG Waveforms CAUTION The 12SL analysis results can be affected by poor ECG data quality. If poor data quality is flagged by the system, the interpretation statements are preceded by the statement, “Poor data quality, interpretation may be adversely affected.” If this message prints, the analysis results may be invalid. Check for a LEADS OFF condition or other sources of noise, correct the condition, and re-acquire.
12-Lead Reports 2x6 Format (Direct FAX Report Only) The 2x6 Format prints all 12-lead ECG data recorded during the first 5 second interval. The 2x6 format inhibits printing of the 12SL analysis and the lead II rhythm strip normally printed on the FAX page. The stripchart always prints in the 4x3 format. In order to FAX using the 2x6 format, set the 12 LEAD FAX FORMAT configuration option to 2x6, and the Auto Transmit After 12 Lead configuration option to Yes.
E Series - 12 Lead ECG Monitoring Option Insert Patient Information DEVICE ID: 00000000000 RECORDED: 16:09:27 31 MAY 05 Normal sinus rhythm Normal ECG *** Unconfirmed *** PATIENT NAME : JOE SMITH PATIENT ID: 200505311609 PATIENT AGE: 60 PATIENT SEX: Male Vent. Rate : PR interval QRS Duration: 60 166 ms 82 ms QT/QTc 358 / 358 ms P-R-T axes 54 43 47 Measurements Matrix You can configure the unit to print out a measurements matrix, which consists of measurements for each segment of each lead.
12-Lead Reports Reviewing an ECG ECG data can be viewed in three different ways: • ECG Strip — The unit displays a 12-lead strip with 10 seconds of ECG data, in four staggered 2.5 second segments. For more information, see “4x3 Format” on page 10. • Interpretation — The unit displays the results of interpretation of the ECG recording by the 12SL program. • Measurements — The unit displays measurements based on all 12 leads.
E Series - 12 Lead ECG Monitoring Option Insert 14. Visually inspect ECG cable snaps for corrosion, particularly on the retaining wire inside the snap. 15. Enter System Utilities mode (page 17) and verify that the Bluetooth device(s) to be used appears on the list of paired devices, and check that the proper device is set as the default. If the correct device does not appear, pair the device as described on page 17. 16. Perform a PING test on all Bluetooth devices to be used (page 19).
Transmission Setup: Sending Reports to a ZOLL Data Relay Server Via Dial Up Networking Transmission Setup: Sending Reports to a ZOLL Data Relay Server Via Dial Up Networking Note: This option requires configuration and setup by ZOLL personnel. When the E Series unit transmits 12-lead ECG reports using the ZDR server method (see page 8), it uses a Bluetooth-capable cellular phone that supports Dial Up Networking.
E Series - 12 Lead ECG Monitoring Option Insert You will then be asked to confirm your server information. System Configuration System Configuration ZDR SERVER LIST Confirm Ser ver Information ZDR Ser ver1 1 1 Add Record Edit Record Delete Record Name: IP Address: Port No.: Password: ZDR Server 1 12.107.33.90 1234 pencil Retur n 4. To edit an existing record, press the Edit Record softkey. To delete a record, press the Delete Record softkey. Press Return to return to the previous menu. 5.
Pairing Bluetooth-Capable Phones with the E Series Unit for DUN Operation 4. To edit an existing record, press the Edit Record softkey. To delete a record, press the Delete Record softkey. Press Return to save the information and return to the previous menu. 5. To add a new entry to the list, press the Add Record softkey. You will be prompted for a contact name, transmission type, recipient address or phone number, and ZOLL Data Relay server name if applicable.
E Series - 12 Lead ECG Monitoring Option Insert 2. Press the Bluetooth softkey. Note: Some mobile devices will only remain in discoverable mode for a short amount of time, and then automatically disable this mode; check your device’s documentation for more information. Bluetooth Utilities 4. The unit will search for devices for about 20 seconds, and then show a list of discovered nearby devices.
Pairing Bluetooth-Capable Phones with the E Series Unit for DUN Operation • Enter ISP Login Password (optional): Enter the login password, if your carrier requires this feature. If your carrier does not require a password, leave the field blank and press Next. You will be asked to confirm your device selections. If the PING test is successful, the message PING Test Passed appears. Press Return to return to the Bluetooth Utilities menu. Bluetooth Utilities Select Recipient Bluetooth Utilities Card.
E Series - 12 Lead ECG Monitoring Option Insert Troubleshooting The troubleshooting section is intended to help you identify and correct problems that arise during operation. If trouble persists after consulting this information, contact the ZOLL Technical Service Department for problems relating to the E Series unit. ZOLL Technical Service Department (USA) Phone: (800) 348-9011 (UK) Phone: +44-192-584-6400 (Other locations) Contact your local ZOLL distributor.
Bluetooth Transmission via Dial Up Networking Symptom Recommended Action Bluetooth Transmission via Dial Up Networking 12-lead report will not transmit; the UPLOAD ABORTED, PHONE CONNECT FAILED messages are displayed consecutively. • • • Verify that your Bluetooth device is turned on. • Check to see if the Bluetooth device is waiting for an acceptance of a connect request from the E Series. (Use the auto-accept function on the device, if available.
E Series - 12 Lead ECG Monitoring Option Insert Symptom While attempting to pair a Bluetooth device with the E Series unit, the NO DEVICES FOUND message is displayed. Recommended Action • • Verify that your Bluetooth device is turned on. • Verify that the correct device from the list of discovered devices has been selected. • • Verify that your Bluetooth device is in discoverable mode. Verify that your Bluetooth device is within 30 feet of the E Series unit.
Direct FAX Transmission Symptom Recommended Action Direct FAX Transmission Unsuccessful transmission to a FAX machine (e.g., transmission stops before completion, signal disappears, etc.) • • • • • • Check modem connection to E Series. FAX BUSY message is displayed. • Receiving phone line is being used. The E Series automatically attempts to transmit until the transmission is successful or the E Series operator presses the Abort softkey. FAX ERROR message is displayed.
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Modem APPENDIX A: Modem and Phone Setup The E Series with 12-lead option may include a modem for transmitting 12-lead ECG information to remote locations via landline or cellular phone. This section describes how to connect your E Series for phone transmission. Modem • When included, the E Series with 12-lead option ships with a cellular-ready PC card modem (domestic units only) installed in the front PCMCIA slot on top of the unit. Note: Do not attempt to insert the modem into the rear slot.
E Series - 12 Lead ECG Monitoring Option Insert Class 2 Class 1 Telephone Company Requirements The following regulations apply to modems used within the United States and Canada. FCC Regulations • The FCC has established rules that permit this device to be directly connected to the telephone network, using a standardized jack. Do not use this equipment on a party line or coin line. • Malfunctioning equipment may cause damage to the telephone network.
FCC Rules and Regulations - Part 68 FCC Rules and Regulations - Part 68 This equipment complies with Part 68 of the FCC Rules. On the back of the modem card is a label that contains, among other information, the FCC Registration Number and ringer equivalency number (REN) for this equipment. You must, upon request, provide this information to your telephone company.
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