Cardioline DELTA 1 Plus User manual
CARDIOLINE®
DELTA
1
Plus
USER
MANUAL
ENGLISH
VERSION
Number
—Ú
mad
dl
cd
ed
e
人
owen!
4.1
4.2
5.1
5.2
6.1
6.2
6.3
.
6.4
48
M
and
name
of
chapters
General
notices
The
electrocardiographic
examination
Preparing
the
patient
Electrode
application
Interferences
and
artefacts
A.C.
interference
Muscolar
tremor
Base
line
drift
Unit
parts
Control
keyboard
Text
entry:
|
version
Liguid
crystal
display
Base
version
|
version
Error
messages
Base
version
|
version
Preliminary
procedure
A.C.
operation
Battery
operation
Battery
charge
Paper
loading
Performing
an
ECG
Connecting
the
patient
Operative
instructions:
base
version
Auxiliary
programs
Menu:
base
version
Setup
Charge
battery
Autotest
Set
heading
Set
clock
Index
Page
50
91
51
51
52
52
53
54
55
97
58
59
59
60
62
62
63
64
64
64
64
65
66
66
67
69
70
71
72
73
74
74
Number
and
10.
11.
11.1
11.2
11.3
11.4
11.5
12.
12.1
12.2
12.3
13.
12.1
14.
15.
title
of
chapters
Operative
instructions:
|
version
Menu:
|
version
System
setup
Functions
Test
menu
Service
setup
СРЛ
The
serial
&
I/O
interface
Analogical!
signal
input
Analogical
signal
output
Digital
communication
Special
notices
Use
with
defibrillator
Specifications
Standard
accessories
Page
75
78
80
82
83
84
84
86
86
86
87
41
41
89
90
49
CAUTION:
Federal
law
restricts
this
device
to
sale
by
or
on
the
order
of
a
physician.
This
manual
is
an
integral
part
of
the
instrument
and
describes
its
normal
use.
It
should
always
be
kept
close
to
the
equipment.
Observance
of
the
manual
is
a
prerequisite
for
proper
instrument
performance
and
correct
operation
and
ensures
patient
and
operator
safety
depending
on
these
factors.
The
symbol
(1)
denotes
:
observe
the
operating
instructions
!
It
serves
as
an
indicator
for
basically
important
facts
to
be
noted
when
operating
the
instrument.
According
to
the
prescribed
International
Regulations
(see
chapter
14.
Specifications)
the
equipment
described
in
this
manual
is
not
to
be
used
in
presence
of
an
flammable
anestetic
solution
with
air
or
oxygen. The
equipment
case
io
not
protected
against
water
infiltration.
The
equipment
has
been
developed,
according
to
the
conditions
of
use,
for
a
continuous
operation.
The
instrument
is
not
designed
for
operation
in
oxygen-enriched
atmospheres
and/or
in
zones
of
risk
where
explosion
hazards
may
exist.
The
prospective
measures
of
class
|
are
effective
only
if
such
instruments
are
connected
to
power
outlet
sockets
with
grounding
contact.
Cables
and
plugs
which
are
damaged
must
be
replaces
immediately.
Extension
cords,
in
particular
those
with
multiple
connectors,
should
not
be
used.
Instruments
into
which
liquids
have
penetrated
must
be
immediately
cleaned
and
checked
by
an
authorized
service
technician.
Patient
safety,
maintenance
of
the
specified
measuring
accuracy,
and
interference-free
operation
can
only
be
guaranteed
when
the
patient
cables,
electrodes,
transducers,
and
probes
described
in
this
manual
are
used.
For
cleaning
and
disinfection,
line
power
operated
instruments
must
be
separated
from
the
power
line.
In
the
case
that
the
equipment
described
in
this
manual
could
provide
suggestions
for
interpretation
or
diagnosis,
these
suggestions
must
always
be
checked
and
validated
by
a
specialist
physician.
Remco
Italia
S.p.A.
cannot
be
responsible
for
the
accuracy
of
the
automatic
diagnosis
or
interpretation
given
by
the
unit.
Remco
Italia
considers
itself
responsible
for
the
effect
on
safety,
reliability,
and
performance
of
the
equipment
only
if:
+
assembly
operations,
extensions,
readjustments,
modifications
or
repairs
are
carried
out
by
Remco
Italia
or
by
personnell
authorized
by
Remco
Italia;
。
the
electrical
installation
of
the
relevant
room
complies
with
the
applicable
international
and
local
requirements;
*
the
instrument
is
used
in
accordance
with
the
instructions
for
use.
Further
details
and
information,
please
contact:
REMCO
ITALIA
SPA
Strada
Rivoltana
Nuova
53
S.
Pedrino
di
Vignate
(MI)
Tel.
+39(0)2-950518.1
Fax
+39(0)2-9566013
50
General
notices
1.
The
electrocardiographic
examination
1.1
Preparing
the
patient
1.2
Electrode
application
M
[
This
chapter
will
not
deal
with
clinical
or
scientific
subjects,
which
are
not
within
our
competence,
but
it
will
just
give
some
practical
and
useful
suggestions
to
shorten
the
execution
times
and
make
the
most
of
the
technical
characteristic
of
the
instruments.
Patient
must
be
lying
relaxedly
on
a
comfortable
bed
that
does
not
force
him/her
into
unnatural
position,
likely
to
cause
disturbances
such
as
“muscular
tremors”.
Patient’s
chest,
legs
and
forearms
must
be
uncovered
ad
ail
metal
objects
such
as
watches,
bracelets
and
so
on,
must
be
removed.
Patient
must
not
be
cold,
as
this
too
may
cause
“muscolar
tremors”.
All
possible
contacts
with
any
metallic
obiect
(i.e.
bed
frame)
must
be
avoided,
to
prevent
A.C.
interferences.
Skin
at
electrode
application
points
must
be
throughly
cleaned
with
detergent
hypo
allergic
solution.
Reassure
the
patient
as
to
the
harmlessness
of
the
examination.
Most
of
the
disturbances
which
may
influence
the
ECG
trace
(base
line
stability,
A.C.
interference,
tremors
due
to
poor
electrode/skin
contacts)
depend
on
the
accuracy
of
this
operation.
Patient’s
skin
must
be,
therefore,
prepared
as
carefully
as
possible,
as
mentioned
in
the
previous
paragraph
:
a
sufficient
quantity
of
“conductive
gel”
should
be
laid
on
both
the
inside
surface
of
the
electrode
and
the
application
points.
Rub
patient’s
skin
throughly
(particularly
if
it
is
thick
or
dry)
so
that
conductive
gel
may
be
fully
absorbed
in
order
to
ensure
a
good
electrical
conduction
between
subcutaneous
tissues
and
electrode.
Limb
electrodes
must
be
secured
to
patient’s
legs
and
arms
via
the
rubber
straps,
which
should
be
tightened
sufficiently
but
not
excessively,
to
prevent
electrodes
from
moving
too
easily.
As
far
as
precordial
(or
chest)
electrodes
are
concerned,
we
recommend
the
suction
type.
Care
must
be
taken
that
the
patient
nor
any
of
the
conductive
parts
connected
with
the
patient
(connectors,
electrodes)
come
in
contact
with
other
conductive
parts.
Wash
electrodes
with
water
after
every
application
to
ensure
good
conductivity
and
long
lasting
performances.
Avoid
the
use
of
alcohol
or
other
liquids
as
conductors
instead
of
conductive
gel
as
they
tend
to
evaporate
and
dry
off
quickly,
originating
unstable
ECG
traces
and/or
artifacts
.
51
1.3
Disturbances
and
artifacts
Picture
no.
1
shows
an
electrocardiogram
recorded
under
normal
conditions.
(Picture
1)
The
main
alterations
you
may
meet
with, are
the
following
:
-
A.C.
interfereces
-
muscolar
tremor
-
base
line
drift.
1.3.1
A.C.
Interference
This
disturbance
(picture
2)
is
distinguished
by
a
saw-toothed
vibration
of
constant
width
and
frequency
(typically
the
A.C.
50-60
Hz
frequency)
superimposed
on
the
recording.
{Picture
2)
Causes
can
be
schematically
identified
as
follows
:
a)
presence
of
strong
eleciro-magnetic
fields
caused
by
instruments
operating
in
the
vicinity
(i.e.
:
X-rays,
radar
therapy,
and
so
on)
b)
presence
of
electro-magnetic
fields
caused
by
neon
lamps,
electrical
transmission
lines,
etc.
c)
poor
earth
connection
d)
power
supply
cable
and
patient
cable
crossing
each
other
e)
breaking
of
one
of
patient
cable
leads.
In
this
case
A.C.
interference
is
of
10
mm
or
more
and
it
appears
exclusively
in
that
part
of
the
trace
regarding
the
broken
lead.
The
cause
of
trouble
should
be
identified
and
removed
quickly;
if
this
should
not be
possible,
insert
the
special
filter
to
eliminate
ail
50
or
60
Hz
52
1.3.2
Muscolar
tremor
In
this
case
(picture
3)
an
irregular
and
unsteady
saw-toothed
line
is
superimposed
on
the
electrocardiographic
recording.
OVO
UN
(Picture
3)
Causes
can
be
schematically
identified
as
follows
:
a)
restless
patient:
either
cold
or
uncomfortable,
or
unwillinglcontracting
muscles
b)
pathologies
(i.e.
Parkinson's
disease)
c)
poor
electrode/skin
contact,
typically
caused
by
a
mechanical
friction
of
the
electrode
on
the
skin.
The
phenomenon
general'y
appears
together
with
shiftings
of
the
base
line.
The
cause
of
troubles
should
be
quickly
identified
and
removed;
if
this
should
not
be
possible,
insert
the
special
low-pass
filter
to
attenuate
muscular
tremors.
See,
for
inserting
the
filter,
“Control
keyboard”.
53
1.3.3
Base
line
drift
This
disturbance
(picture
4)
features
notable
trace
shiftings
with
respect
to
paper
central
line.
|
CARDIOLINE
DELTAL
09:23
21-АР
ーー
トロ
本
きど
-
‘Loma
GV Ἡ-
“HAN
一
“HR
60-
voL
CARDIOLINE
basso
TOmm7mV
H
MAN
가
(Picture
4)
Causes
can
be
schematically
identified
as
follows
:
poor
electrode/skin
contact
(conductive
gel,
or
other)
loose
rubber
straps
presence
of
metal
particles
between
electrode
and
skin
false
contact
between
patient
cable
and
electrode
:
this
normally
appears
as
violent
trace
oscillations
from
one
end
of
the
writing
space
to
the
other.
осо
=
+
Q
==
Insert
the
DRIFT
filter
to
reduce
the
baseline
drift.
See
for
the
filter
insert
"Menu"
To
reset
base
line
position,
in
Manual
mode,
press
shortly
the
INST
key.
Should
disturbances
persist
even
after
you
have
checked
and/or
removed
the
above
listed
causes,
we
recommend
that
you
call
our
authorized
after
sale
service.
See
the
chapters
about
MENU
for
the
filter
insertion.
54
2.
Unit
parts
A.C.
inlet
Grounding
Mains
ON/OFF
switch
Paper
housing
Liquid
crystal
display
(LCD)
START/STOP
key
Mains
operation
led
Control
keyboard
Interface
port
RS
232
and
auxiliary
inputs-outputs
(optional)
Input
socket
for
patient
cable
Mains
and
fuses
data
sticker
1
2
3
4
5
6
7
8
9
1
1
a o
BANGER
WARNING
For
continued
fire
hazard,
type
and
rar
o:
PLUS
Legenda:
~@»
Communication
bidirectional
connector
(Input/Output)
= 2
ON/OFF
switch
CV
Alternate
power
supply
indicator
led
Eguipotentiality
19!
Isolation
according
to
safety
regulations
Observe
the
operating
instructions
!
E
|
$
©
0
O)
“uke
INPUT
>
|
DATA
K
10
3
1
|
и
X
=,
NT
\
PATIENT
CABLE
CONNECTION
i
ON
OFF
ELECTRICALLY
ISOLATED
\
i
„E
\
之
ко
—
56
3.
Control
keyboard
B
DIGITAL
ECG
FILTER
Press
this
key
to
insert,
sequentially,
the
three
muscular
filters
of
increasing
strength
(MF1,
MF2
&
MF3);
CAUTION:
inserting
MF2
and
MF3
could
cause
changes
in
the
tracing
amplitude
and
shape.
Press again
when
reached
MF3
to
set
muscular
filters
off.
SPEED
Press
this
key
to
change
paper
speed
(6.25,
12.5,
25,
50
mm/sec.).
This
key
is
active
in
the
following
modes
:
a)
always
while
not
recording
b)
in
MANUAL
mode
even
during
recording
Please
note,
in
AUTO
mode,
this
key
is
not
active
during recording.
SENS
Press
this
key
to
change
amplitude
setting
(5
-
10
-
20
mm/mV).
This
key
ts
active
in
the
following
modes
:
a)
always
while
not
recording
b)
in
MANUAL
mode
even
while
recording.
Please
note,
in
AUTO
mode,
this
key
is
not
active
during recording.
CALIB
Pressing
this
key
will
insert
a
calibration
signal
in
manual
mode
only
(1
mV).
INST
Pressing
this
key
in
manual
mode
will
speed
up
centering
of
the
traces
if
drift
has
occurred.
<
LEAD
Press
this
key
to
change
leads,
in
MANUAL
mode,
and
passing
to
the
previous
lead
(or
group
of
leads).
>
LEAD
Press
this
key
to
change
leads,
in
MANUAL
mode,
and
passing
to
the
following
lead
(or
group
of
leads).
FEED
Press
this
key
to
skip
a
page,
when
using
Z-fold
paper,
or
to
make
the
paper
run
free
until
the
key
is
released,
when
using
roll
paper.
57
9
-
TEXT
Disabled
key
in
the
base
version
of
Delta
1
Plus.
In
the
|
version
this
key
allows
the
Patient
Data
entry
before
recording
the
ECG.
10-
MODE
Press
this
key
to
select
the
operating
modes
AUTO
1,
AUTO
2
or
MANUAL
and
AUTO
ARRHYTHMIAS
and
AUTO
CP/I
in
the
|
version.
11-
COPY
Pressing
this
key
will
print
a
copy
of
the
stored
ECG.
12-
FREEZE
Disabled
key
in
the
base
version
of
Delta
1
Plus.
In
the
|
version
this
key
is
used
to
freeze
and
store
the
ECG
in
the
memory
without
recording
it
on
paper,
for
a
late
analysis
or
printout.
13-
MENU
With
the
printer
not
working,
press
this
key
to
enter
the
MENU.
14-
START/STOP
Press
this
key
to
start
recording
orto
stop
it.
This
same
key
is
active
during
MENU
displaying
as
ENTER
key.
There
is
a
particular
use
of
the
keys
in
the
situations
of
text
entry,
only
in
the
|
version
of
Delta
1
Plus.
The
START/STOP
key
in
this
case
gives
an
‘Enter
command
if
used
alone,
while
used
with
the
FEED
key
(which
becomes
a
Caps
Letter
key)
confirms
the
present
entry
and
passes
to
the
following
one.
For
the
other
12
keys
there
are
indicated
three
letters’
each.
This
means
that
pressing
once,
the
key
wiil
give
the
first
letter,
twice
the
second
and
the
third
time
the
third
one.
There
are
some
special
characters
(such
as
DEL,
SPACE,
',
.,,,/,-),
forselecting
these
ones
keep
pressed
the
FEED
key
and
press
the
desired
key.
A
little
example.
Press
TEXT
for
entering
the
patient
data.
Select,
with
the
>LEAD
key
to
clear
the
present
data.
The
unit
asks
FIRST
NAME.
For
entering
EDWARD
proceed
as
follows.
-
Press
the
SPEED
key
twice,
then
the
START/STOP
key;
-
Press
the
SPEED
key
once,
then
the
START/STOP
key;
-
Press
the
TEXT
key
twice,
then
the
START/STOP
key;
-
Press
the
FILTER
key
once,
then
the
START/STOP
key;
-
Press
the
<LEAD
key
three
times,
then
the
START/STOP
key;
-
Press
the
SPEED
key
once,
then
the
START/STOP
key;
-
Keep
pressed
the
FEED
key
and
press
the
START/STOP
key
for
confirming
the
first
name.
The
unit
asks
LAST
NAME.
For
entering
SMITH
proceed
as
follows.
-
Press
the
>LEAD
key
once,
then
the
START/STOP
key;
-
Press
the
INST
key
once,
then
the
START/STOP
key;
-
Press
the
SENS
key
three
times,
then
the
START/STOP
key;
-
Press
the
>LEAD
key
twice,
then
the
START/STOP
key;
-
Press
the
SENS
key
twice,
then
the
START/STOP
key;
-
Keep
pressed
the
FEED
key
and
press
the
START/STOP
key
for
confirming
the
last
name.
The
unit
asks
then
ID
(Identification
Code),
BIRTH
DATE
(to
be
entered
DD/MM/YYYY),
AGE,
WEIGHT,
HEIGHT,
SEX
(to
be
selected
only
with
the
START/STOP
key).
58
3.1
Text
entry:
|
version
4.
Display
4.1
Base
version
Besides
the
usual
messages
appearing
on
the
liquid
crystal
display
(LCD),
i.e.,
speed,
leads,
filters,
HR,
etc.;
the
LCD
will
indicate
other
messages
which
are
explained
below.
COVER
OPEN
PAPER
EMPTY
DELTA
1
CONNECTING
PATIENT
OL
VOL
SUPPLY
FAILURE
The
paper
housing
coveris
not
closed
properly.
The
unit
will
not
operate.
There
is
no
paper
in
the
unit.
The
unit
will
not
operate.
The
unit
is
mains operated
and
it
has
not
been
used
for
approximately
three
minutes
with
the
STANDBY
MODE
option
enabled
(see
9.1
Setup); press
START/STOP
to
restart
the
unit.
This
message
appears
while
the
patient
is
being
connected;
it
will
disappear
after
a
few
seconds
and
the
patient's
heart
rate
willappear.
Overload
signal;
this
warning
will
appear
if
the
patient
cable
is
not
connected
or
if
periphera!
electrodes
are
disconnected.
V(chest
leads)Overload;
this
warning
will
appear
if
one
or
more
chest
electrodes
are
disconnected.
The
ECG
tracing
will
then
follow
automatically.
This
message
indicates
that
the
batteries
are
recharging
while
the
unit
is
operating
with
AC
line
power.
This
message
appears
when
the
power
supply
has
been
lost
during
battery
recharge
(i.e.
the
AC
cable
is
disconnected).
4.1
|
version
On
the
Delta
1
Plus
|
LCD
are
displayed
contemporariy
many
informations.
For
detecting
and
understanding
these
informations,
please
refer
to
the
following
scheme.
1
2
MND
STD
Cha
[HD
25
10
---
их
y
и
之
:
x
A
/
!
へ
1.
RECORDING
PROGRAMS
In
this
zone
the
name
of
the
recording
mode
is
displayed,
together
with
its
characteristics.
Also
in
this
zone
are
displayed
the
Status
messages
of
the
printer
(i.e.
PAPER
EMPTY,
COVER
OPEN,
etc).
2.
MEMORY
STATUS
This
zone
is
about
the
buffer
memory
status.
This
information
may
be:
-
blank
space:
memory
is
empty;
-
E:
an
ECG
10
sec.
trace
is
in
memory;
-
|:
together
with
the
ECG
trace,
also
the
Measures
and
the
Interpretation
are
in
memory.
3.
BATTERY
STATUS
This
zone
is
about
the
accumulators
status.
This
information
may
be:
-
blank
space:
the
unitis
working
on
mains;
-
С:
the
unit
is
working
on
mains
and
is
automatically
recharging
the
accumulators;
the
unit
is
working
on
batteries,
this
symbol
shows
that
the
battery
is
still
well
charged;
the
unit
is
working
on
batteries,
this
symbol
shows
that
the
battery
is
getting
discharged;
the
unit
is
working
on
batteries,
this
symbol
shows
that
the
battery
is
going
out
of
power.
+
E
분
60
4.
ECG
TRACE
In
this
zone
the
indicated
number,
with
connected
patient,
indicates
the
Heart
Rate,
the
presence
of
the
flashing
little
heart
shows
the
detection
of
ECG
signal;
the
absence
of
the
input
signal
is
displayed
with
three
lines.
The
OL
message
means
saturation
on
peripheral
leads
input
circuits.
The
VOL
message means
saturation
on
chest
leads
input
circuits.
The
message
INS
means
that
the
unit
is
trying
to
center
the
trace
on
paper
(selection
made
by
the
user
with
the
INST
key,
or
automatically
made
at
the
end
of
an
OL
situation).
AUTORANGE
Here
is
indicated,
with
a
millivolt
symbol,
the
activation,
from
Setup,
of
the
autorange
on
chest
leads.
SENSITIVITY
Here
is
indicated
the
selected
recording
sensitivity.
SPEED
Here
is
indicated
the
selected
recording
speed.
FILTERS
In
this
zone
the
codes
of
the
filters
in
use
are
displayed.
-
H
Notch
Filter
-
D
Drift
Filter
-
MI
Muscular
Filter
40
Hz
-
M2
Muscular
Filter
30
Hz
-
M3
Muscular
Filter
25
Hz
BATTERY
CHARGER
BATTERY
OUT
OF
ORDER
BATTERY
LOW
BATTERY
ALREADY
FULL
BATTERY
ALREADY
CHARGED
This
message
appears
when
the
battery
is
being
charged.
This
message
appears
when
the
battery
is
defective;
call
your
Official
Cardioline
Service represeniative.
This
message
appears
when
the
battery
is
low.
To
recharge
batteries,
see
section
9.3.
This
message
appears
when
the
battery
has
reached
full
charge;
it
is
therefore
useless
to
leave
the
unit
on
to
recharge
the
battery
(tur?
unit
off).
This
message
appears
when
the
battery
has
already
been
recharged
and
has
reached
fuil
charge;
itis
therefore
useless
to
recharge
the
battery
(turn
unit
off).
The
following
messages
might
appear
under
normal
operating
conditions
and
are
designed
to
aid
in
the
servicing
and
maintenance
of
your
unit;
when
these
messages
appear,
you
should
simply
press
START/STOP
and
the
unit
will
operate
normally.
-
CHECKING
ROM
-
STARTUP
ERROR
-
PRESS
START
If
the
problem
persists,
call
your
Cardioline
Service
representative.
The
following
are
all
malfunction
messages:
-
INTERNAL
ERROR
1
-
INTERNAL
ERROR
2
-
PRINTER
ERROR
1
-
BAD
TEMPERATURE
-
BAD
SETUP
MEMORY
-
DS
1287
DON'T
STORE
SETUP
If
pressing
START/STOP
does
not
solve
the
problem,
try
turning
OFF
the
unit
for
a
few
seconds.
If
the
problem
persists,
call
your
Cardioline
Service
representative.
62
5.
Error
messages
5.1
Base
version
5.1
|
version
In
particular
conditions
of
not
perfect
functioning,
the
unit
informs
the
user
with
a
group
of
messages,
Error
or
Notice
messages.
These
messages
are
composed
by
a
description
and
a
code.
Some
of
these
messages
are:
E0009:
CLOCK
BAD
CHECK
E0011...0012:
BATTERY
DAMAGED
E0020:
PARAMS
BAD
CHECK
E0021:
BATTERY
OUT
E0022:
CPU
MALFUNCTION
E0023:
PRINTER
ALARM
1
E0024:
PRINTER
ALARM
2
E1500...1599:
APPL.
ERROR
Press
START/STOP
and
the
unit
will
inform
the
user,
with
another
message,
if
itis
possible
to
continue
working.
In
case
the
message
CALL
ASSISTANCE
is
displayed,
take
note
of
the
code
and
the
description
of
the
error
and
contact
the
closest
Cardioline
Authorised
Technical
Service
Center.
63
6.
Preliminary
procedure
6.1
AC
operation
Before
connecting
the
unit
to
AC
power,
please
check
that
the
voltage
on
the
back
plate
conforms
with
your
local
voltage.
If
not,
contact
your
Cardioline
dealer
immediately
and
do
not
attemptto
connect
the
unitto
AC
power.
If
the
voltage
matches,
connect
the
unit
using
the
AC
cable
provided
with
the
unit;
the
AC
cable
is
a
three
pin
connector
with
built-in
grounding
for
stable
and
correct
grounding
of
the
unit;
your
AC
outlet,
of
course,
must
have
a
grounded
socket
as
described
in
the
international
safety
regulations
CEI
and/or
IEC.
Use
witha
non-grounded
AC
outletis
not
recomended
and
may
cause
AC
interference.
After
connecting
the
unit
to
AC
outlet,
press
the
power
switch
to
turn
on
unit
(see
section
2.
Unit
parts):
the
unit
will
perform
a
self
test.
Once
completed
the
test,
Delta
1
Plus
is
ready
to
use.
6.2
Battery
operations
Turn
on
the
power
switch;
the
unit
will
perform
a
self
test,
once
completed,
it
is
ready
for
use.
With
batteries
at full
charge,
the
unit
will
work
for
two
hours
of
continuous
use
without
connection
with
mains.
6.3
Recharging
the
battery
There
are
two
ways
to
recharge
the
battery
:
1)
Automatic
recharge:
the
battery
recharges
during
norma!
operation.
However,
we
recomend
on
a
monhly
basic,
recharging
the
battery
overnight
or
for
eight
hours
without
using
it.
Simply
connect
unit
to
AC
power
and
turn
unit
on.
2)
Forced
recharge:
this
operation
is
not
necessary
under
normal
conditions
and
should
be
perfomed
only
when
the
battery
is
completely
discharged.
For
this
operation,
please
refer
to
section
9.2
or
11.2
(according
to
the
version
in
your
possess).
Note
:
Batteries
can
be
charged
approximately
500
times
without
loss
in
perfor-
mance.
IMPORTANT:
(1)
Batteries
are
considered
consommables
therefore
they
are
notcoveredby
warranty.
During
battery
operation
the
base
version
of
Delta
1
Plus
will
switch
off
automatically
after
about
3
minutes
of
non-use;
while
in
the
|
version
it
is
possible
to
select
to
enable
the
automatic
switch
off
after
5
or
10
minutes
of
non-use,
or
to
disable
it
(see
chapter
11.1
System
Setup).
64
6.4
Paper
loading
To
load
the
paper
please
follow
these
simple
instructions
:
1)
open
the
paper
holder
cover
until
vertical;
2)
place
the
pack
of
paper
in
the
holder
as
in
fig.
1;
make
sure
that
the
black
cue
mark
(the
little
black
square)
on
the
edge
of
the
paper,
is
on
the
bottom
side
of
the
paper
and
that
the
printed
side
is
not
showing.
3)
Slide
the
paper
under
the
printer
roller
and
push
it
in,
as
Straight
as
possible,
for
about
an inch
(2.5
cm.).
The
best
way
to
do
this
is
to
push
on
the
paper
edges
with
two
fingers,
(not
in
the
middle).
The
paper
should
now
be
completely
around
the
roller.
4)
Close
the
paper
cover;
the
paper
will
advance
to
the
first
black
cue
mark.
if
the
paper
does
not
advance,
it
has
not
been
pushed
far
enough
around
the
roller;
repeat
steps
3
and
4.
Fig.
1
Fig.
2
If
the
printed
side
is
not
showing,
the
paper
has
been
inserted
upside
down;
repeat
steps
1
through
4
making
sure
the
paper
has
been
flipped
to
the
correct
side.
If
the
black
cue
mark
is
not
at
the
bottom,
the
unit
will
not
function
properly;
repeat
steps
1
through
4
making
sure
the
black
cue
mark
in
the
correct
position.
Note
:
for
safe
and
problem-free
use
of
the
unit,
use
only
Cardioline
paper.
Use
of
any
other
paper
will
render
the
warranty
void.
65
7.
Performing
an
ECG
7.1
Connecting
the
patient
The
Delta
1
Plus
can
be
supplied
with
different
patient
cables,
depending
on
geographical
distribution.
The
US
color
coded
patient
cable
is
part
number
895.0586.
The
European
standard
color
coded
cable
is
part
number
895.0585.
Connect
the
cable
in
its
socket
on
the
right
of
the
unit
(See
section
2.
Unit
parts).
Position
and
EUROPEAN
standard
colors
of
peripheral
electrodes
Position
and
U.S.A.
standard
colors
of
peripheral
electrodes
ーー
一
一 ~
六
[|
;
ho
4
가오
TR
lí
一
一
一
ーー,
i
ga
/
5
x
É
un.
!
/
ss,
n
Red
고
,
"4
X
Yellow
White
/
p
”,
9
|
則
Black
Жк
и
M
há
of
A
시
и
.
Ад
πα
고
,
RA
Por
|
3
LA
RA
a
=>
TA
LA
E
7
Sa.
|
nat
Å
|
|
Black
Green
Green
Red
RL
LL
AL
LL
Hook
up
the
patient
following
instructions
in
section
1.2;
the
unit
is
a
CF
type
device
and
is
designed
to
be
used
for
direct
cardiac
applications.
If
you
are
connecting
other
instruments
to
the
Delta
1
Plus,
make
sure
that
the
units
comply
with
medical
safety
standards;
furthermore,
all
units
should
share
a
common
grounding
(i.e.,
all
units
should
be
connected
to
AC
outlets
and
have
3
pin
plug).
Once
the
connection
has
been
made,
please
refer
to
the
operative
instructions
regarding
the
version
of
Delta
1
Plus
in
your
possess.
66
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