Burdick E350i User manual

E350i Interpretive Electrocardiograph
Operating Instructions (US) - Part No.086215
Issued: 4-93
Revised: 1 1 -93
I Burdick, Inc.

BURDICK E350i Operating Instructions Manual CONTENTS:
Section
1
1.o
1.1
1.2
1.3
Section 2
2.0
2.1
2.2
2.3
2.4
2.5
2.6
Section 3
3.0
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
3.9
3.10
* 3.11
3.12
3.13
3.14
3.15
3.16
3.17
3.18
3.19
3.20
3.21
3.22
Section 4
4.0
4.1
General Description Page
Foreword 2
lnspection 2
General Description 2
Accessories 4
Connectionsand Controls
Power Connection 5
ConnectionFunctions 5
Grounding 6
ECG Paper 6
OverloadCondition Indication 6
Controls
- Locationand Function 7
Back-up Battery 8
Operation
OperatingModes 9
Suggestionsfor FirstTime Operation 9
PaperLoading 10
PatientEnvironment 11
Equipment Location 11
PatientPreparation 11
PatientCable and LeadArrangement (seealso6.1) 11
Disposable Electrodes(Sensors)
- 12
Applicationof DisposableElectrodes 12
Normal Operation 13
Quick Outline
- Automatic Mode 14
The E350i Menu System 15
Operationby Menu (General) 18
PatientData Input(Demographics) 18
Setup Menus(Operating Parameters) 32
The Stress System Environment 48
Operationwith Bikeand Treadmill 54
FormatMenus (in Stress) 60
OperationinAuto Mode 64
Operationin Manual Mode 72
Artifacts
- Causeand Recognition 76
Operationwith Filter 79
Pacemaker Mark Enhancement 79
Maintenance
PreventiveMaintenance
Cleaningand Disinfecting
Section 6 Appendix
6.0 Appendix - General 81
6.1 PatientCable and Lead Arrangement 82
6.2 SystemConfigurationListing 83
6.3 Flow Chartsfor NormalOperation 84
6.4 Addendum
- FCC and Canadian D. of C. Information 89
6.5 Sample ECG Recordings 90
Section 7 Technical Data (Specifications)
* See pages 16 and 17for page locationreferencesof specific menus.

SECTION I
GENERAL DESCRIPTION
BURDICK E350i ELECTROCARDIOGRAPH
Patient Cable
Connector
Fig. 1 .I The Burdick E350iElectrocardiograph
1.0 FOREWORD
Your BURDICK E350i Electrocardiographis designedand manufacturedto provideconsistently
accuratediagnostic recordswith maximumdefinition and fidelity. Itis intendedfor usewith quality
ECGsupplies, such as those offered by Burdickfor the BURDICK E350i.The use of inferior
quality supplies may adverselyaffect the reliability of your electrocardiographand the
electrocardiogramsproducedby it. The useof supplies not to Burdickspecifications may also give
poor results.
1 .I INSPECTION
Your new BURDICK E350iElectrocardiographhas been thoroughly testedand inspected priorto
shipment from the factory. Please inspectyour unitupon deliveryfor any damage that may have
occurred intransit. Ifany damage is evident, contactthe shipping agent and makea concealed
damage report promptly.
Be sureto check the accessoriesfurnished against the listof standard accessoriesfor your unit.
Any shortageof parts should be reported to your Burdickdealer.
1.2 GENERAL DESCRIPTION
The BURDICK E350iis a multi-channelinterpretiveelectrocardiographthat employsa thermal-
array print headto producehigh-definitionECGrecordsin a choiceof 3,4 or 6-channelformats.
Inaddition to its resting ECGcapabilities it can be used ina stress systemenvironment in
conjunctionwith the ERGOMED~8401840L Ergometeror with the BURDICKT500 or T600
Treadmills.

Thefollowing featuresare included: (Fax transmissioncapability isan optionalfeature)
* Computerizeddiagnostic interpretationand reason statements
* Choiceof full automaticor manual operation
* Choiceof 3, 4 or 6 channel printoutformat in Auto mode
* Simple LCD displayfor operatorprompts
* Fixed keyoperation of functions
* Dependablesoft key menu selection
* Pre-setparametersstored inon-board memory
* Standard patient demographic input
* Analog outputsfor 3-channelscope
* Three paperspeeds in Manualmode - 5,25and 50mmlsec.
* Two paperspeeds in Auto mode - 25 and 50mmlsec.
* Overloadcondition indicator
The BurdickAnalysis Program:
The analysisprogramusedfor generatingthe suggesteddiagnoseswas developed by the
Glasgow Royal Infirmary underthe directionof Prof. PeterW. MacFarlane.This automatic analysis
is based upona clinicallydevelopedand tested program. The analysis criteria have beentested
on populationscomprising hospital patientsand volunteers. The programsimultaneously analyzes
10 seconds of ECGdata for each of 12 leadswhich is usedto derive the interpretivefindings. The
diagnostic interpretationsare supported by:
* Reasonstatements explainingwhy a particular interpretation has been suggested.
* HeartRate, PR Interval, P Duration, QRS Duration, P, QRS and T Axis Measurement,
QT and QT Corrected.
IMPORTANT
Computer assisted interpretationisa valuabletoolwhen used properly. However, no
automated interpretationis completely reliableand interpretationsshould be reviewed by a
qualified physician before treatment or non-treatmentof any patient.
OperatingModes
The unit hastwo modesof operation:automatic and manual. Inthe AUTO mode itcan acquire
recordingsof a conventional 12-leadECG in 3,
4 or 6 - channelformat from all leads. When in this
modethe instrumentwill automaticallysequence through the leads inthe previouslyselected
format, and stop when complete.
InMAN (Manual) mode any desired leadformat, including Pediatric, Frank and Nehb lead
configurations,may be determined manually by the operator. For manual operationthe operator
selectsthe desired lead group and observesthese leadscontinuouslyon the printoutuntila new
leadgroup isselected or the acquisitionis haltedby pressingSTOP.
Patient Data: Personalizedpatientdata can be enteredfor each recording, including:
Patientname and Patient ID number (upto 12digits).
Patientage, sex, height and weight.
Two medicationsand two clinical classificationsselected from pre-programmed lists.
Will also accept additional specific physician'scomment.

Performanceand Fitnessfor Use
Burdickinstrumentsand equipmentare designedand manufacturedusing only proven quality
components and technologyand are exhaustivelytested to ensuresafe and dependable
performanceunder normal operating conditions. However,after prolonged usage, normalwear
and tear can resultin performancedeteriorationand component failure.
We strongly recommend usingonly Burdickauthorizedservice representativesfor all serviceand
repairsand the use of only genuine Burdick replacementparts. Economicalservice contractsare
availableto helpyou maintainyour equipmentinoptimumoperatingcondition.
Forfacilities with their own BiomedicalService Staffs, Burdickalso offerstraining classesthat
enable your peopleto become expertsateffectively maintaining Burdickinstruments.
The contentsof this documentare not binding. Ifany differencesof significanceto servicework
are encounteredbetweenthe productand the informationcontained in this document, contact
Burdick, Inc.for confirmation.
We reservethe rightto modifythe specificationsand/or performanceof this productwithout
amending thisdocument or advising the user.
1.3 ACCESSORIES
Please referto the Supplement 086215-2 for a listingof both standardaccessoriesand
availableoptional accessoriesand consumable supplies
Checkthat all the standard accessorieshave been included. If any itemsare missing,contact
your Burdickrepresentative. For additional or replacement accessories contactyour dealer.
NOTE: Your BURDICK E350i Electrocardiographisdesignedand manufacturedto produce
accuratediagnostic recordsof the highestquality and definition. It is intendedfor usewith quality
ECGsupplies; its reliabilityand performanceare directly affected by the suppliesyou use.
Use only Burdickthermally responsivechemical ECG paper or an approvedequivalent.

SECTION 2
2.0 POWER CONNECTION
CONNECTIONS AND CONTROLS
Key:
1 Power Cable (Mains) Connector
2 Potential EqualizationConnector
3 MonitorConnector
- M300d or M300
4 Treadmill and ErgometerConnector("Modem")
5 Mains PowerSwitch (on side of housing)
6
FAXconnector (if installed - optional)
Fig. 2.1, Back Panelof BURDICK E350i
2.1 CONNECTION FUNCTIONS(refer Fig. 2.1 above)
PatientCable Connector (see Fig. 1
.I)
The patient cable plugs into a connectoron the front of the unit as shown in Fig. 1 .I.
Power CableConnector (Fig. 2.1; key 1)
Your BURDICK E350i Electrocardiographis suppliedwith a 3-conductor power cable. Connect
the cable to the powerjack on the back panelof the unit and to a properly maintainedand
grounded electrical mainsoutlet.
CAUTION: The unit must only be operated at the voltage and frequency specified.
PotentialEqualization Connector (Fig. 2.1 ; key 2)
Provisionis madefor a potentialequalizationcable for those situationswhere regulationsrequire
its use.
MonitorConnector (Fig. 2.1; key 3)
Forconnection to analogldigital monitor.

TreadmillIErgometerBikeConnector (Fig. 2.1; key 4)
Forconnectionto ERGOMETER 8401840L or T500TT600 Treadmill.
Mains Power Switch (Fig. 2.1 ; key 5)
Usedfor operatingon mainspower to switch the uniton (I), or off (0)
FAX Connector(Fig. 2.1; key 6)
Usedonly when thisoptionalfeature is installed
2.2 GROUNDING
Maximum patientand operator safety is ensuredwhen the BURDICK E350i is properly grounded
as describedabove under Section 2.1. A Potential EqualizationConnector isalso provided.
2.3 ECG PAPER
The chemistryand thermal characteristicsof BurdickECG paper matchesthe specification
tolerancesof the unit's Thermal Array Print Head. These characteristicsensurethe optimum
trace quality. The use of non-approvedsupplies may also invalidateyour warranty. The following
BurdickECG paper is recommended:
007868 [US only] RecordingPaperfor ThermalArray Printer,Z-Fold, , 8-112 x I lin.,
RedGrid, 200 Sheets per package
NOTE: The ThermalArray Print Heademployed in the BURDICK E350iis pre-adjustedat the
factory for optimumtrace performance. No provisionismade for operator adjustment.
2.4 OVERLOADCONDITIONINDICATION
The BURDICK E350i printsthe message "OVERLOAD"on the electrocardiogramto alert the
operatorto an overloadcondition. This overloadconditioncan be caused by electrode
polarizationfrom a defibrillator pulse. When such a conditionoccurs, the waveform on the
electrocardiogramwill notprovidea true indicationof patientcardiac activity.
The BURDICK E350i providesa blockfilter (BLOK) key in the manual mode. When enabled this
allows a faster recoverytime from overloads causedby defibrillation. The (BLOK) key should
only be pressedAFTER patientdefibrillationand the ensuing overload condition occurs. A
message
"Block FilterActive" will appear on the printout to alert the operatorthat the blockfilter
has beenenabled. The blockfilter may be disabledat any time by again pressingthe (BLOK)
key, or itwill bedisabledautomaticallyafter a period of 30 seconds.
IMPORTANT: The blockfilter shouldonly be usedfor enhanced recoverytime during
defibrillationto confirm presenceof cardiac activity; it
should not be considereda diagnostic
qualitywaveform. Care must betaken by the operator not to misinterpretthe patient'scondition
duringan overloadconditionwhen the blockfilter isenabled..

2.5 CONTROLS - LOCATION & FUNCTION
DISPLAYIFRONTPANEL
Fig. 2.2 LCD Display and Front Panel
The display is a 2-line x 40 characterliquid crystal display (LCD). Eight (8) soft keys are located
adjacentto the bottom edge ofthe display. The specific function ofthese keys isdesignatedby
whatever menu iscurrently being displayed. There isalso a full alphanumeric keyboard; the
numerals
1 thru 9 and 0 sharing the top row of keyson the conventionalinternationaltypewriter
style key board. Five separate, discrete membraneswitchesare providedfor the ONISTANDBY;
AUTO; MAN; ImVand STOP functions. See below for function of these keys.
Two keys locatedto the right of the display permitadjustmentof the LCDcontrast when the MAIN
menu isdisplayed. A masterswitchon the side panelof the unit is normally left in the ON (I)
positionexcept for maintenancepurposes. The ONISTANDBY switch on the front paneltoggles
the Electrocardiographon or off. All other keys on the front panel, both discrete and soft, are only
active as dictated bythe currently displayed menuwhich liststhe requisite functions of the active
keys.
NOTE: There is noshift key on the E350i keypad.Alpha or numericfunctions
are enabled solely by the softwareas required by each menu.

NOTE: Usea firm and consistenttouchwhen pressingthe control keys. Never use a pen or
pencilto activatethe key pads, otherwise the paneloverlay may be irreparablydamaged.
A
short "beep" indicatesyour input is accepted and the displaywill change accordingly. A long beep
indicatesan invalid input, usually when the wrong key is pressed.
INDIVIDUALCONTROL FUNCTIONS:
This section describes the purposeand function of the dedicatedkeyson the control panel.
ONlSTBY (Standby) Pressingthis buttonwill apply powerto the instrument. Pressingitagain
will turn itoff. The useof solid state circuitrythroughoutvirtually
eliminateswarm-up time.
AUTO SelectsAutomatic ECG Modeof operation.
MAN Selects Manual Modeof operation.
STOP
Calibrationtest signal. Printsstandard
I mV input pulse.
(10mmdeflection at x10 gain) - in Manual Modeonly.
2.6 BACK-UP BATTERY
Permitsoperator to halt acquisition of ECGor printoutat any point in
manual or automatic mode.
The BURDICK E350iis equipped with a long-life 3-volt Lithiumbattery for memory back-up. When
this battery isdischarged, it should be replacedonly by a qualifiedtechnician or service
representative. Please referto the Service Manualand observe the necessaryprecautionsstated
inthat publication.

SECTION 3
3.0 OPERATINGMODES
OPERATION
The BURDICK E350iprovidesfor two modes of operation;Automatic and Manual. Instructions
for preparationand operationin both modes are given.
Noticeto Service Personnel
Restrictedaccess service menus are programmedin Englishonly.
3.1 SUGGESTIONS FOR FIRSTTIME OPERATION
Beforeusingyour new BURDICK E350ion a patient, it isadvisableto first operate the unit and
familiarizeyourselfwith the controlsand sequenceof operation. Thiswill also afford an
opportunityto checkthe unitfor properoperation. Duringthis dry run, the patientcablewill not be
connected,so you will notgetany valid ECG recording, only a randomtrace. The lead code
markingsand any arbitrary patientdemographicsentered by the operatorwill be recorded on the
paper. The presence and properappearanceof these markingsgenerally indicatescorrect
functioningof the instrumentand valid ECGtraceswill be recordedwhen the patient cable and
appropriateelectrodesare subsequentlyconnectedto a patient.
Pay particularattentionto the pre-setparametersand how to set them properly(see 3.14 The
Setup Menus). Then you are readyto try a dry run. Go through the procedurein bothAUTO and
MANUAL modes.

3.2 PAPER LOADING r
Loadingyour BURDICK E350iis a simple operation.
Check that the ECG paper isthe correcttype for use in
your unitto ensureoptimumtrace quality. Use only
Burdickthermally responsivepaper 007868, or an
approvedequivalent.
NOTE: The useof incorrecttype of paper may
causedamageand may also invalidateyour warranty.
1 Remove Z-fold paper from packageand open the
paper compartmentdoor on the top of the housing.
2 Placethe new stack of paper intothe compartment
as shown in Fig.3.1; makesure the larger one of the
two queueing holesisto the top of the unit.
3 Liftthe top sheet and feed it intothe slot in front of
the roller.
4 Closethe compartmentcover.
Fig.3.1 Paper LoadingProcedure
To advancethe paper to the start of the next sheet, readyfor use, proceedas follows:
1) Make sure the unit is plugged inand that the main power switchon the back of
the unitisON. Pressthe ONISTANDBY keyon the front panelto turn the uniton.
The MAlNmenu(1) will be displayed.
2) Pressthe PAPER ADV soft keyon MAlN menu; the paperwill
advanceto the start of the next sheet and stop.
NOTE: Inthe event of a paperjam, the display will automaticallychange
tothe PAPER LOAD Menu#14 (see also Section 3.14, page 37).

3.3 THE PATIENT ENVIRONMENT
With the Burdick E350i's extremesensitivity, the minutevoltagesof the heartcan be recorded,
providing accurate informationon which to basethe diagnosis.
NOTE: Sincethe electrocardiographpicks upthe minutevoltages readily,the same unitwill also
tend to registerany artifactsthat may be present, such as muscletremors andAC interference.
Theseartifacts, if present, can usuallybeeliminatedor minimized bycarefullyreadingand
following the instructionsgiven in this manual.
3.4 EQUIPMENT LOCATION
Locatethe Electrocardiographand the patientas far removedas possiblefrom extraneous
equipment cords, buildingelectricalwiring, and any other likelysource of electricalinterference.
3.5 PATIENT PREPARATION
A high quality ECG is more readilyobtainedfrom a patientwho is relaxedboth mentallyand
physically, particularlywhen the electrocardiograph is being used in a non-stressor rest
environment. Assure your patientthat there is no danger or pain involved inthe procedure.
Explainthat hislherfull cooperationwill assist in the productionof a valuablediagnostic record.
Makeyour patientcomfortableon a cot, small bed, or a well-padded table large enough to support
botharms and legs and allow for complete relaxation. Supportthe patient's headwith a pillow.
Avoid discomfortby protectingthe patientfrom cold, drafts and any other disturbingfactors.
3.6 PATIENT CABLE AND LEADARRANGEMENT.
For informationon the more commonly used patient cable and lead arrangements, please refer to
the Appendix, Section
6, at the backofthis manual.
3.6.1 For Optimum Quality
To ensureboth OPTIMUM RECORDINGQUALITY and MINIMUM RECORDINGTIME, connect
patientto the Burdick E350ielectrocardiograph
PRIOR to energizing the unit.

3.7 DISPOSABLEELECTRODES [Sensors]
The disposableelectrodes included inthe accessory package that camewith your BURDICK
E350iElectrocardiographare designed to be usedwith this instrument. Never mix electrodes
with those of another manufactureror mix reusableand disposableelectrodes. This can result in
considerablebaselinedriftingor blockingandcan impairthe built-indefibrillatorprotection.
Fig. 3.2, DisposableElectrodes
Disposableelectrodesare time-savingproblemsolvers and are specificallyrecommendedfor use
with the BURDICK E350i. They are an affordable,efficient alternativeto bulbs, plates,straps,
creamsand gels. These electrodesutilizea highlyconductiveadhesiveand offer a cost-effective
mediumfor quick, stable and dependably consistent ECGsignals.
3.8 APPLICATION OF DISPOSABLE ELECTRODES
1. Remove individualelectrodesfrom the package liner card and positionon patient.
2. Firstapply the limb positionelectrodes,preferably locatingthem on the inside and generally
hairlessareas ofthe arms and legs.
Fig. 3.3. Disposable ElectrodeApplied to Limb

NOTE: Forvery hairy patients,any one of the followingtechniques may be employedto ensure
good contactand adhesion of the electrodes.
a) Spread the hair betweenthumb and forefinger; apply the electrodeto the
exposed skin.
b) Use a water dampened towelette to moistenthe skin area to enhancethe
adhesive tack priorto applyingthe electrode.
c) If methodsa) and b) do notwork, shaving may be necessary. Inany case,
the electrode may be reappliedto the shaved area without significant loss oftack.
3. Nextapply the electrodesto the chest area (positionsV1 through V6).
See Section6.1 for diagramshowing the correct electrode placement.
4.
Attach alligator adapter clips to the apex of each electrode.
5.
At this time performany other preparatorytasks to allow the patient a short time to relax
and also to give the recorder-electrodesystemtime to stabilize.
6. When the ECG record is completed,simply removeand discardthe electrodes.
There is no clean up.
IMPORTANT
Never mix sensors with those of another manufactureror mix reusable
and disposable sensors.This can result in baselinedrifting or blocking.
3.9 NORMALOPERATION
The following sequenceof steps is required prior to normal operation:
a) ConnectAC powercord to the Burdick E350i.
b) PlugAC cord into suitable grounded mains outlet.
CAUTION: The unit must only be operated from a supply at the voltage
and frequency specified.
c) Set main power switch on right side of the unitto ON (I) position
d) Press ON-STBY key on main control panelto ON position.
e) The unitwill now display MAIN menu and is readyfor operation.

3.10 QUICK OUTLINE - AUTOMATIC MODE [see alsoAppendix 6.31
Step-by Step ECGAcquisition inAuto Mode:
Important: To ensure both OPTIMUM RECORDINGQUALITY and MINIMUM RECORDING
TIME, connect patientto the BURDICK E350ielectrocardiographPRIOR to energizingthe unit.
a) Turn on MainsPower Switch locatedat rightside of unit(press
I)
b) PressONISTBY key on keypadto bring up LCD Main menudisplay
C) Presskey PAT (Patient) on Main menu. Patient Data menuwill be displayed.
PATIENTDATA MENU(TwoScreens)
-----------------------------------------------*---------------------------------
PATIENTDATA: CLR
NAME ID AGE SEX HGHT ALL
>>>> RTN
(SecondScreen)
PATIENT DATA:
WGHT MEDI MEDP CLASI CLASP CMNT
<<<< RTN
------------------------------------------------.-----------------------------
d) Press NAME;then enter patient's name from keypad
- limit30 characters,Alpha only.
NOTE: Usethe soft keys to positionthe cursor under any desiredcharacteryou want to change.
Pressthe desired letter; itwill replacethe previouscharacter.
To insert(INS) text or characters into existing text, movethe cursorto the characterwhich you
want to moveto the right. Then press INSkeyand enter the character(s) to be inserted.
To deletetext or charactersfrom existing text, movethe cursor to the first characterto be deleted.
Press DEL once to erasethat character. To delete additionalcharactersto the rightof the cursor,
press DEL repeatedly until all the desired characters have been erased.
e) Press ID#;enter patient ID#usingthe numeric keys (limit
12 digitqnumericonly). You
may usethe insertandlordelete keysas required.
r)
PressAGEISEX; enter patient'sage (numeric keys). Use insertand delete keys as
needed.

g) Pressappropriate soft key M (male) or
F (female) to enter sex of patient.
h)
PressHGHT (height) to input patient'sheight, using numeric keysand insertand delete
as required.
i) PressWGHT (weight) to input patient'sweight, again using numericand insertand delete
keys as necessary.
j)
PressMED 1 (Medication 1). User must enter desired medicationby usingthe MEDLST
{Medication List
- pg 26) keyto select from the list of 14 medicationclassificationsoffered
inthe unit'smemory. Press MED 2 (Medication2) and select from same options as MEDI.
k)
PressCLAS 1to select ClinicalClassificationfrom programmed list in similar manner.
Repeatfor CLAS 2.
1)
PressCMNT (Physician Comment). UsingAlpha keys, operator may input upto 3 lines x
34 charactersof free text. Use insertand delete keys as needed; the CLR (Clear) key
will clear all textfrom the displayedline of copy.
m) Press RTN (return) key to get back to Patient Data menu. The user may review or edit
any of the Patient Datafields by pressingthe appropriate soft key. Enter the edit data,
then press RTN againto returnto the Patient Data menu. The CLR ALL (ClearAll) key
will eraseALL current patient demographics.
n) PressAUTO key; a review menu "PatientDataOK?" will be displayed.
PressingYES will initiatethe ECG acquisition; NO returns user to the PatientData menu.
3.11 THE E350i MENUSYSTEM (seealsoAppendix - Section 6.3)
The followingthree sectionsdescribethe structure of the display menu systemused in operating
the BurdickE350i. This is presentedas follows:
Section 3.1 1 .I The PrimaryMenuStructure (Table
1)
Section 3.11.2 The Auto FormatOptions (Table 2)
Section 3.11.3 The MiscellaneousSetup Options (Table 3)
DefaultValues:
By definition the default values and settingsstated in this manualfor each menu display
(whereapplicable) are the factory pre-set values programmed into the unit. These are
the values that will appearwhen the unit isfirst powered up and will be utilizedin
subsequentlyacquired ECGs unless modified bythe user.
These should notbe confused with any other arbitrary values pre-selectedby the user
(also sometimesreferredto as defaultvalues) and stored in the unit's memoryfor any
specific ECGor group of ECGs. These may or may notagree with the factory pre-set
defaultvalues.
System Configuration Listing (see Appendix 6.2 for sample):
A listingof all Currentand Defaultsettings in the System Configurationmay beobtained
in tabulated printoutform, when in the MAIN menu, by pressingthe hard key "S".
Those parameterslistedonly under the Defaultcolumn do notallow a currentsetting and
must bechangedvia the Setup menu if so required.

3.1 1.1 The Primary Menu Structure - with page location references [see also Appendix 6.31
>
Turn On - MAINMENU (1) seepages 19 and33
Current Use Only
Unstored Parameters AUTO FRMT
(1 B) W 35
MANFRMT (1 C) ~35
STRS FRMT(1D) w 35
GROUP 1 PAT(2) seepage 21
PatientDataInput
Current Use Only
NAME (3) pg 21 WGHT (7) P9 25
ID#(4) pg23 MEDS(9-10) P9 27
AGWSEX (5) pg 23 CLAS(10B) Pg 31
HGHT (6) pg 25 CMNT (11) pg 31
GROUP 2 SETUP (1 A) seepage 33
Set UpParameters:
AMP (12)
User-SelectedDefault WRT (13)
Stored Parameters AUTO FRMT(15)
MAN FRMT(25)
STRSFRMT (1D)
PAPR (14)
MlSC (16)
P9 37
Pg 37
pg 39 -2See Table for Options
P9 73
P9 35
P9 37
pg 41 -3See Table for Options
GROUP 3 STRESS(23) see page 51
The StressEnvironment:
STRS FRMT (33) pg 61
Current Use Only
PAT (2) ~g 21
AMP (12) ~g 37
WRT (1 3) Pi7 37
AUTO FRMT (33A) P9 63
MAN FRMT(338) P9 63
BASELINE FILTER
BACKGROUND RHYM(Ergo
& Tmill)
GROUP4
Recordingand Printout: MANUALMODE(24)
page 73
MAN LEADS FORMAT(25) pg 73-75
AUTO MODE (26) page 65
Current Use Only
AUTO INPROGRESS(27)
pg 67
ECG COMPLETE(28) Pg 67
PAT (2) Pg 27
AMP (12) Pg 37
WRT (13) Pg 37
AUTO FRMT(33A) Pg 63
FAX OPTIONS [if installed - optional] pg 69-71
COPY OPTIONS Pg 67
Table 1
16

3.11.2 The AUTO FORMAT Options - withpage location references
FromSETUP Menu (IA) see page 33
AUTO FRMT (1 5)
> 12LEAD (15)
see pages 39-41
> 3CH(15) Pg 39
> 3 + RHYTHM (15) Pg 39
> RHYM (158) PC~ 41
> 4CH(15A) Pg 39
> IPG 6CH (15) Pg 39
> 2PG 6 CH (15) Pg 39
> INTP FRMT(35) * PS 69
* Note: IncludesInterpretationand ReasonOptions
Table
2
3.11.3.The Miscellaneous(MISC) Setup Options
>
FromSETUP Menu (1A) see page 33
MlSC (16) pg 41
>
DATE (1 7) I CONFIGDATE (1 8)
Pg 43
> TIME (19) 1 CONFIGTIME (20) Pg 45
> UNITS (US - MetricOptions) (21) Pg 45
> FAX SET (37and 37A) ** Pg 71
> STRESS SYSTEM & MNTR SELECT (22) pg 49
> AUX OUT (34) pg 47
> LEAD CONFIG (16A) ~g 41
** FAXoption if installed
Table
3

3.12 OPERATION BY MENU
When the unit isturned on the MAlNmenu isdisplayed. All the system parameters(writer
speed, time, format, .etc.) are saved in battery-backedRAM and restoredon power-up. Dateand
time are setto the current dateltime by meansof a battery poweredclock.
HARD KEY FUNCTIONS:
ONISTBY (Standby) Pressingthis buttonwill apply powerto the instrument. Pressingit again
will turn itoff.
AUTO keyallowsthe operatorto commenceautomatic acquisitionof ECGdataat any timeonce
the parametersare satisfactorilyset. Goesdirectlyinto PATIENT DATA OK? menu.
MANual key initiatesmanually controlled acquisitionof ECGdata. Goes into PATIENT DATA
OK? menu.
ImV Calibrationtest signal. Printsstandard I mV input pulse.(lOmmdeflection at XI gain) - in
Manual Modeonly.
STOP Permitsoperatorto haltacquisition of ECG or printoutat any point in manual or automatic
mode.
SOFT KEYfunctionsare defined by the currentlydisplayedmenu as shown inthe
following sequence of menusand operating parameter options. A number printed below
a soft key in this manual, designatesthe menu accessed by pressingthat particular key.
Ifa second number is shown in parentheses,this meansthe input isalso retainedin
memoryat the indicated menufor referencepurposes.
Example: RTN
3.13 PATIENT DATA INPUT (Demographics):
The following menusare usedfor entering the individualpatientdemographics.
1 MAlNMENU
On power upthis menuwill bedisplayed.
PAT = PATIENTDATA menu(patient demographics).
THEFOLLOWINGKEYSARENOTUSEDFOR PATIENTDATA - FORREFERENCEONLY:
SETUP
= Menu(IA) is only used during setup (see Section 3.14, page 33)
AUTO FRMT; MAN FRMT;STRS FRMT; = Formatmenus (see pages 34,35,39,61,73.)
STRS = Beginstresstesting under controlfrom the Monitor-Controller. Ifthe M300d
Monitoris selectedat Menu 22, but no monitor isactuallyconnected, the unit will display
the message screen shown opposite. (see also page50)
PAPER ADV = Advance paperto start ofthe next sheet.

#I
MAlN MENU
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Menunormally used
MAIN MENU: AUTO MAN STRS PAPER for current selections only,
formats are NOTstored
PAT SETUP FRMT FRMT FRMT STRS
ADV inmemory
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1A
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