Cardiac Science Cardiac Stress User manual

Cardiac Stress Treadmills
User’s Guide
70-00297-01 A

CARDIAC STRESS TREADMILLS USER’SGUIDE
70-00297-01 A

70-00297-01 A TM 55/65 Treadmill 4.0
ii
Cardiac Science Corporation
3303 Monte Villa Parkway
Bothell, WA 98021, USA
[phone] (USA and Canada)
[phone]
[email protected]
www.cardiacscience.com
MDSS GmbH
Schiffgraben 41
D-30175 Hannover
Germany
EC REP
Copyright © 2008 Cardiac Science Corporation. All rights reserved.
Notice: Due to rapid changes in computer technology, the specifications provided in this manual are subject to
change without notice.
Federal law restricts this device to sale by or on the order of a physician.
Trademarks
Quinton, Burdick, Q-Stress, and Quest are trademarks or registered trademarks of Cardiac Science Corporation.
All other product and company names are trademarks or registered trademarks of their respective companies.
For sales and technical support outside the USA, contact your local sales and technical support representative.
Liability Notice
Failure to follow the conditions set forth below shall limit, to the extent allowed by law, Cardiac Science
Corporation responsibility for the safety, reliability, and performance of this equipment:
The operator manual must be read in full by each operator before the product is first used.
Assembly operations, extensions, readjustments, modifications, or repairs must be carried out only by personnel
trained or authorized by Cardiac Science Corporation.
The electrical wiring within the treadmill’s setting and the electrical installation of the treadmill must comply
with the applicable local or provincial requirements.
The equipment must be used in accordance with the instructions for use.

70-00297-01 A iii
Contents
Contents
Chapter 1: Safety Requirements
Safety Terms and Definitions................................................................. 1-2
Warnings and Cautions ......................................................................... 1-3
Safety Notes........................................................................................... 1-6
Symbol Definitions................................................................................ 1-7
Cleaning ................................................................................................ 1-9
Disinfection..................................................................................... 1-9
Daily ............................................................................................... 1-9
Weekly ............................................................................................ 1-9
Periodic........................................................................................... 1-9
EMC Declaration Tables ..................................................................... 1-10
Electromagnetic Emissions ............................................................ 1-10
Electronic Immunity ..................................................................... 1-11
Recommended Separation Distances ............................................. 1-13
Chapter 2: Introduction
Overview ............................................................................................... 2-2
Treadmill Configuration........................................................................ 2-3
Treadmill Controls ................................................................................ 2-4
Power .............................................................................................. 2-4
Operation .............................................................................................. 2-5
Emergency Stop Button......................................................................... 2-5
Indicators............................................................................................... 2-5
Accessories and Options......................................................................... 2-5
Chapter 3: Operating the Treadmill
Guidelines for Safe Operation................................................................ 3-2
Instructing the Patient ........................................................................... 3-3
Starting the Exercise............................................................................... 3-4
Emergency Stop Button (option)..................................................... 3-4
Ending the Exercise................................................................................ 3-5

70-00297-01 A
iv
Contents
Chapter 4: Maintenance/Troubleshooting
Daily Visual Inspection..........................................................................4-2
Cleaning ................................................................................................4-3
Exterior ...........................................................................................4-3
Interior............................................................................................4-3
Disinfection.....................................................................................4-3
Adjustments...........................................................................................4-4
Belt Tension....................................................................................4-4
Belt Tracking...................................................................................4-6
Rear Roller Guards..........................................................................4-7
Electrical Testing ...................................................................................4-8
Moving the treadmill .............................................................................4-9
Storing the Treadmill...........................................................................4-10
Troubleshooting .................................................................................. 4-11
Appendix A: Specifications
Cardiac Stress Treadmills .......................................................................A-2
Power Requirements ..............................................................................A-3
Speed Vs. Weight Range ........................................................................A-4
% Grade vs. Angle Relationship.............................................................A-5
Appendix B: Receiving and Installation
Receiving ...............................................................................................B-2
Installation Notice .................................................................................B-2
Site Requirements ..................................................................................B-3
Installation.............................................................................................B-4
Tools ...............................................................................................B-4
Procedure ........................................................................................B-4
Connecting to the Monitoring System ...................................................B-6
Testing the Treadmill ............................................................................B-8
Glossary

TM 55/65 Treadmill 4.0 70-00297-01 A 1-1
1Safety Requirements
Contents
◆Safety Terms and Definitions 1-2
◆Warnings and Cautions 1-3
◆Safety Notes 1-6
◆Symbol Definitions 1-7
◆Cleaning 1-9
◆EMC Declaration Tables 1-10
This user guide contains the user and patient safety requirements, operating instructions
and maintenance requirements for the Cardiac Stress treadmills, models ST55, TM55,
ST65, and TM65. The user guide is intended for use by trained clinicians working in a
clinical setting. It is expected that the clinician will instruct the patient in the proper use of
the treadmill and its accessories. Before using the treadmill, read the user guide carefully,
noting the safety requirements in this chapter.
There are no user-serviceable parts in the treadmill. Any attempt by non-authorized
personnel to service the equipment may void the warranty. Upon request, we will provide
a technical document containing block-level theory of operation, troubleshooting, removal
and replacement instructions (by module), maintenance, and other information that will
assist appropriately-trained personnel to repair those parts of the equipment designated as
repairable.
!
Caution. Use only approved equipment.
Accessory equipment connected to analog, digital, or power interfaces must be either
equipment offered for sale by Cardiac Science Corporation or equipment that, when
connected to such interfaces, maintains the safety and specified performance of the overall
system and the individual devices. For example, such safety is maintained if the individual
equipment and overall system complies with relevant safety requirements found in
International Electrotechnical Commission (IEC) standards.

70-00297-01 A TM 55/65 Treadmill 4.0
1-2
Safety Requirements
Safety Terms and Definitions
The symbols shown below identify potential hazard categories. The definition of each
category is as follows:
!
WARNING!
This alert identifies hazards that may cause serious personal injury or death.
!
Caution
This alert identifies hazards that may cause minor personal injury, product damage, or
property damage.

TM 55/65 Treadmill 4.0 70-00297-01 A 1-3
Warnings and Cautions
Warnings and Cautions
Before operating any treadmill, ensure the following warnings and cautions are understood
and followed.
!
WARNING!
The treadmill must be on an appropriate, dedicated electrical circuit with a power rating that
meets the electrical specification on the treadmill serial number label. Nothing else should
be connected to the circuit.
!
WARNING!
As long as the treadmill is plugged into a powered outlet and the treadmill circuit breaker is
set to ON, the treadmill is receiving power, even when the monitoring system is turned off.
Do not place hands beneath the treadmill while it is plugged in.
!
Caution
Read this manual in full before operating the treadmill.
!
Caution
Before each use of this equipment, check the power receptacle for signs of damage. Do not
operate the equipment if the integrity of these items is in question.
!
Caution
Be sure the connection for the optional Emergency Off switch is secure. Test the switch to
verify proper operation. Do not operate the equipment if the integrity of these items is in
question.
!
Caution
Keep the treadmill area clear. Maintain a minimum open space of 1.5 feet (0.5 meter) on each
side and 6 feet (2 meters) at the rear.
!
Caution
The Cardiac Stress Treadmill should not be used adjacent to or stacked with other
equipment. If adjacent or stacked use is necessary, the Cardiac Stress Treadmill should be
observed to verify normal operation in the configuration in which it will be used.
!
Caution
Do not operate this equipment in the presence of flammable anesthetic mixtures.
!
Caution
Regularly inspect cables and treadmill belts for wear or damage. Do not operate the
equipment if the integrity of these items is in question.

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1-4
Safety Requirements
!
Caution
Increased risk due to leakage current can result if this equipment is not grounded properly.
!
Caution
To avoid potential safety and electrical problems, use parts and accessories that meet
specifications as noted in this user guide and the user guide for your stress monitor.
!
Caution
When connecting auxiliary equipment approved for use with the monitoring system, be
certain the summation leakage current does not exceed local or provincial standards.
!
Caution
Failure to follow these guidelines can produce a serious or possibly fatal electrical shock
hazard. Consult a qualified electrician as required.
!
Caution
Patients and clinicians should secure long hair and loose clothing before using and/or
operating the treadmill.
!
Caution
Do not start the treadmill when someone is standing on the belt.
!
Caution
Keep speed and grade at the lowest settings when getting on and off the treadmill belt.
!
Caution
Never place chairs or other objects on treadmills.
!
Caution
Be aware of a moving treadmill belt.
!
Caution
Allow sufficient room for patients to maneuver around the system and to safely mount and
dismount the treadmill.
!
Caution
Patients should wear shoes when using the treadmill.
Rapid Deceleration
If you have purchased the Rapid Deceleration option:

TM 55/65 Treadmill 4.0 70-00297-01 A 1-5
Warnings and Cautions
!
Caution
This treadmill is equipped with the rapid deceleration profile, it is specifically designed to
come to a rapid stop. This feature requires that attendant(s) are available to support and
assist the patient user. Attendants MUST be in a position to support and assist the patient
when the belt stops.

70-00297-01 A TM 55/65 Treadmill 4.0
1-6
Safety Requirements
Safety Notes
This equipment is classified Class I, Type B, ordinary equipment, not protected against
fluid ingress. It is rated for continuous operation.
Note: Use of accessories or cables other than those specified, with the exception of
accessories or cables sold by the manufacturer as replacement parts for internal
components, may result in increased emissions or decreased immunity of the treadmill.
Note: Keep the area underneath and around the treadmill clear. Make sure cables are clear
of the treadmill.
The following are safety guidelines for operating the treadmill.
Ensure the patient understands the proper treadmill mount and dismount procedure.
Properly train new staff.

TM 55/65 Treadmill 4.0 70-00297-01 A 1-7
Symbol Definitions
Symbol Definitions
Your treadmill may display one or more of the following symbols and warning labels for
your protection. No single product displays all.
Attention: Consult
accompanying
documents
Earth ground (protective)
Off (power disconnected
from mains)
Type B equipment—
provides adequate
protection against
electric shock,
particularly regarding
allowable leakage
current; reliability of the
protective earth
connection (when
present)
On (power connected to
mains)
Type BF equipment—
contains an F-type
isolated patient applied
part providing a high
degree of protection
against electric shock
Alternating current Type BF equipment with
defibrillation protection
High voltage
Type CF equipment—
contains an F-type
isolated patient applied
part and provides a
degree of protection
against electric shock
higher than that for type
BF equipment regarding
allowable leakage
currents
Earth ground (functional) Type CF equipment with
defibrillation protection
Replace fuse only as
marked Fuse

70-00297-01 A TM 55/65 Treadmill 4.0
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Safety Requirements
This is the CE marking of conformity indicating that the device having this symbol on its
immediate label meets the applicable requirements of the European Medical Device
Directive.
Mains power Equipotentiality
Down Up
Faster Slower
Warning T Timed fuse (slo-blo)
USB Connector Fragile: Do not lift in this
location
Hz Hertz V Volts
AAmperes VAVoltAmperes
160-0169-001 Rev A

TM 55/65 Treadmill 4.0 70-00297-01 A 1-9
Cleaning
Cleaning
!
Caution
Turn off the treadmill and unplug the power cord from the wall outlet before cleaning.
!
Caution
Do not let liquid enter the interior of the treadmill. If it does, the equipment must be
inspected and tested for safety by an approved technician before it can be used again.
Never wipe the deck beneath the belt, even when changing the belt. Wiping can damage
the wax finish.
Do not use detergents or cleaning agents on any part of the deck.
Disinfection
If it is necessary to disinfect the treadmill, follow the procedures established by your
institution.
Do not use liquids on the deck surface.
Daily
Keep the treadmill free of dust and debris. Clean the exterior and walking belt with a
damp sponge; do not soak surfaces. Dry all surfaces thoroughly.
Weekly
Elevate the treadmill to maximum grade and vacuum the floor under it to prevent excess
dust and dirt from interfering with operation.
Periodic
Depending upon the treadmill environment, dust and or lint can accumulate under the
hood. Periodic internal cleaning by an authorized technician is recommended (see Service
Manual).

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Safety Requirements
EMC Declaration Tables
This section lists EMC Declaration Tables.
The Cardiac Stress Treadmill requires special precautions regarding EMC and must be
installed and put into service according to the guidelines of the EMC declaration
tables.
Portable and mobile RF communications equipment may affect the Cardiac Stress
Treadmill and the recommended separation distances in the EMC declaration tables
should be observed.
Electromagnetic Emissions
Cardiac Stress Treadmills are intended for use in the electromagnetic environment
specified below. The customer or user of this equipment must ensure it is used in such an
environment.
Table 1-1: Guidance and Manufacturer's Declaration - Electromagnetic Emissions
Emissions Test Compliance
Electromagnetic Environment -
Guidance
RF emissions
CISPR 11 Group 1
The Cardiac Stress Treadmills use RF
energy only for its internal function.
Therefore, its RF emissions are very low
and are not likely to cause any
interference in nearby electronic
equipment.
RF emissions
CISPR 11 Class A
The Cardiac Stress Treadmills are
suitable for use in all establishments
other than domestic and those directly
connected to the public low-voltage
power supply network that supplies
buildings used for domestic purposes.
Harmonic emissions
IEC 61000-3-2 Class A
Voltage fluctuations/
flicker emissions
IEC 61000-3-3
Complies
Note: Tests verified with shielded input/output cables only.

TM 55/65 Treadmill 4.0 70-00297-01 A 1-11
EMC Declaration Tables
Electronic Immunity
Cardiac Stress Treadmills are intended for use in the electromagnetic environment
specified below. The customer or user of this equipment must ensure it is used in such an
environment.
Table 1-2: Guidance and Manufacturer's Declaration - Electromagnetic Immunity
Immunity Test
IEC 60601
test level
Compliance
Level
Electromagnetic
Environment - Guidance
Electrostatic
discharge (ESD)
IEC 61000-4-2
+ 6kV contact
+ 8 kV air
+ 6kV contact
+ 8 kV air
Floors should be wood,
concrete or ceramic tile. If
floors are covered with
synthetic material, the relative
humidity should be at least
30%.
Electrical fast
transient/burst
IEC 61000-4-4
+2 kV for
power supply
lines
+1 kV for
input/output
lines
+2 kV for
power supply
lines
+1 kV for
input/output
lines
Mains power quality should
be that of a typical
commercial or hospital
environment
Surge
IEC 61000-4-5
+ 1 kV
differential
mode
+2 kV
common
mode
+ 1 kV
differential
mode
+2 kV
common
mode
Mains power quality should
be that of a typical
commercial or hospital
environment
Voltage dips,
short
interruptions
and voltage
variations on
power supply
input lines
IEC 61000-4-11
<5% UT
(>95% dip in
UTfor 0.5
cycle
<40% UT
(>60% dip in
UTfor 5 cycle
<70% UT
(>30% dip in
UTfor 25 cycle
<5% UT
(>95% dip in
UTfor 5 sec
<5% UT
(>95% dip in
UTfor 0.5
cycle
<40% UT
(>60% dip in
UTfor 5 cycle
<70% UT
(>30% dip in
UTfor 25 cycle
<5% UT
(>95% dip in
UTfor 5 sec
Mains power quality should
be that of a typical
commercial or hospital
environment. If the user of the
ST/TM55 or ST/TM65 requires
continued operation during
power mains interruptions, it
is recommended that the ST/
TM55 or ST/TM65 be powered
from an uninterruptible
power supply or a battery.

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Safety Requirements
Power
frequency (50/
60 Hz)
Magnetic field
IEC 61000-4-8
3 A/m 3 A/m
Power frequency magnetic
fields should be at levels
characteristic of a typical
location in a typical
commercial or hospital
environment
Note: UTis the A.C. mains voltage prior to application of the test level.
Note: Tests verified with shielded input/output cables only.
Table 1-3: Guidance and Manufacturer's Declaration - Electromagnetic Immunity
Immunity Test
IEC 60601
test level
Compliance
Level
Electromagnetic Environment -
Guidance
Conducted RF
IEC 61000-4-6
3 Vrms
150 kHz to
80 MHz
3 V
Portable and mobile RF
communications equipment
should be used no closer to any
part of the ST/TM55 or ST/TM65,
including cables, than the
recommended separation distance
calculated from the equation
applicable to the frequency of the
transmitter.
Recommended separation
distance:
150 kHz to 80 MHz:
Table 1-2: Guidance and Manufacturer's Declaration - Electromagnetic Immunity
Immunity Test
IEC 60601
test level
Compliance
Level
Electromagnetic
Environment - Guidance
d1.2 P=

TM 55/65 Treadmill 4.0 70-00297-01 A 1-13
EMC Declaration Tables
Recommended Separation Distances
This section describes recommended separation distances between portable and mobile RF
communications equipment and the Cardiac Stress Treadmill.
Radiated RF
IEC 61000-4-3
3 V/m
80 MHz to
2.5 GHz
3 V/m
80 MHz to 800 MHz:
800 MHz to 2.5 GHz:
where P is the maximum output
power rating of the transmitter in
watts (W) according to the
transmitter manufacturer and d is
the recommended separation
distance in meters (m).
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey,a
should be less than the
compliance level in each
frequency range.bInterference
may occur in the vicinity of
equipment marked with the
following symbol:
Note: At 80 MHz and 800 MHz, the higher frequency range applies.
Note: These guidelines may not apply in all situations. Electromagnetic
propagation is affected by absorption and reflection from structures, objects and
people.
Note: Tests were verified with shielded input/output cables only.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/
cordless) telephones and land mobile radios, amateur radio, AM and FM radio
broadcast and TV broadcast cannot be predicted theoretically with accuracy. To
assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in
the location in which the ST/TM55 or ST/TM65 is used exceeds the applicable RF
compliance level above, then the ST/TM55 or ST/TM65 should be observed to verify
normal operation. If abnormal performance is observed, additional measures may
be necessary, such as reorienting or relocating the ST/TM55 or ST/TM65.
bOver the frequency range 150 kHz to 80 MHz, field strengths should be less than 3
V/m.
Table 1-3: Guidance and Manufacturer's Declaration - Electromagnetic Immunity
Immunity Test
IEC 60601
test level
Compliance
Level
Electromagnetic Environment -
Guidance
d1.2 P=
d2.3 P=

70-00297-01 A TM 55/65 Treadmill 4.0
1-14
Safety Requirements
The Cardiac Stress Treadmills are intended for use in an electromagnetic environment in
which radiated RF disturbances are controlled. The customer or the user of the Cardiac
Stress Treadmills can help prevent electromagnetic interference by maintaining a
minimum distance between portable and mobile RF communications equipment
(transmitters) and the Cardiac Stress Treadmills as recommended below, according to the
maximum output power of the communications equipment.
Table 1-4: Recommended Separation Distances
Rated maximum
output power of
transmitter
(W)
Separation distance according to frequency of
transmitter (m)
150 kHz to
80 MHz
80 MHz to
800 MHz
800 MHz to
2.5 GHz
0.01 0.12 0.12 0.23
0.1 0.380.380.73
11.21.22.3
10 3.8 3.8 7.3
100 12 12 23
Note: For transmitters rated at a maximum output power not listed above, the
recommended separation distance d in meters (m) can be estimated using the
equation applicable to the frequency of the transmitter, where P is the maximum
output power rating of the transmitter in watts (W) according to the transmitter
manufacturer.
Note: At 80 MHz and 800 MHz, the higher frequency range applies.
Note: These guidelines may not apply in all situations. Electromagnetic
propagation is affected by absorption and reflection from structures, objects and
people.
Note: Tests were verified with shielded input/output cables only.
d1.2 P=d1.2 P=d2.3 P=

TM 55/65 Treadmill 4.0 70-00297-01 A 2-1
2Introduction
Contents
Overview 2-2
Treadmill Configuration 2-3
Treadmill Controls 2-4
Operation 2-5
Emergency Stop Button 2-5
Indicators 2-5
Accessories and Options 2-5
This chapter describes the Cardiac Science stress treadmills.