cardiowise XRCISE STRESS ECHO MED User manual

XRC-
XRCISE
Owner‘s manual
XRCISE STRESS ECHO MED
XRCISE STRESS ECHO MED
XRCISE STRESS ECHO MED
Please read this manual carefully before use and keep it in a safe place for future reference

For further information about cardiowise products please contact:
cardiowise GmbH
Blocksbergstraße 165
66955 Pirmasens
Germany
Phone: [phone]
Fax.: [phone]
E-Mail: [email protected]
http: www.cardiowise.com
Development and production of all devices of the MED series according to the European
Medical Device Directive 93/42/EWG. They thus show the CE marking and the number of the
notified body.
© 2017 by ERGO-FIT GmbH & Co. KG. All rights reserved.
This user manual has been created with greatest possible diligence. Please inform us of any details that do not
correspond to your training device so we can take care of this as quickly as possible.
This document is protected by copyright. All rights originating from this, particularly the right of copying, duplication,
distribution as well as translation and reprint, even copies in extract, are reserved. No part of this manual may be
reproduced, manifold or distributed for any purposes or in any form, by any means, (print, photocopy, microfilm, or any
other information-saving mechanisms) without prior written permission of ERGOFIT GmbH & Co. KG.
Trade marks: ERGO-FIT and the ERGO-FIT Logo are registered trade marks of ERGO-FIT GmbH & Co. KG. POLAR
is a registered trade mark of POLAR Electro GmbH. All other trademarks used/shown in this text are trademarks of
their respective owners and are thus protected.
Technical and optical modifications as well as misprints reserved
.
Version: XRCISE STRESS ECHO MED-20171001-en
Printed in Germany

Dear customer,
Thank you for purchasing an cardiowise training device. You are now the owner of a state-
of-the-art training system that combines highest technical standards with easy-to-use
functionality.
This user manual provides information on several models. This means that you may find
explanations that do not directly apply to your training device.
This user manual contains important information on how to operate and use your training
device. We recommend that you read this user manual carefully before starting with your
workout in order to become familiar with your training device quickly and to understand its
correct and safe operation.
Should you have any further questions that are not answered in this manual, please contact
us. Cardiowise will try to help as quickly as possible.
The cardiowise team can also advice you on compatible ECG equipment.

XRCISE STRESS ECHO MED
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
Table of contents
1 General information ....................................................................................... 1
2 Safety instructions ......................................................................................... 5
3 Quick reference ............................................................................................. 13
4 Intended Use ................................................................................................. 15
5 Transport and Installation .............................................................................. 17
6 Setup ............................................................................................................ 23
7 Operation ....................................................................................................... 35
8 Maintenance ................................................................................................. 45
9 Troubleshooting ............................................................................................ 49
A Appendix ....................................................................................................... 53

XRCISE STRESS ECHO MED
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG 1
Chapter 1 General Information
1.1 XRCISE STRESS ECHO MED at a glance .................................................. 2
1.2 General Information on this Manual .............................................................. 2
1.3 Parts included in the Delivery ........................................................................ 3
1.4 Customer Service .......................................................................................... 3
1.5 Disposal ......................................................................................................... 4

General Information
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
1 General Information
1.1 XRCISE STRESS ECHO MED at a glance
The multifunctional XRCISE STRESS ECHO MED is the combination of an adjustable
examination couch and a tiltable ergometer. It allows for non-invasive cardiological diagnostics
and all conventional ultrasonic examinations. The ergometer can be raised and operates with
a fully electronic eddy current brake controlled by the software.
The 4-key cockpit of the clearly arranged display can be used to select various loading
programs.
The quiet operation, ease of use and the consideration of customer-specific requirements
demonstrate cardiowise‘s focus: High technical standard, optimum workout environment and
precise workout control, combined with user-friendly operation.
However, technology is not the only crucial factor for outstanding workout equipment. The
machines must also meet biomechanical and medical requirements; it has to be developed
by combining technical and electronic expertise with the latest results in sports medicine
Our XRCISE STRESS ECHO MED is composed of:
1. adjustable examination table
1. tiltable ergometer
The lifetime of the XRCISE STRESS ECHO MED is 6 years.
A list of compatible external equipment can be obtained from cardiowise.
1.2 General Information on this Manual
Whether you are already familiar with cardiowise workout equipment or whether you have not
used our machines yet: This manual gives you important information.
You can easily find the information you are looking for by searching the table of contents.
Users who are already familiar with cardiowise equipment might find the Quick Reference
helpful. However, if you are an experienced user and only rely on the Quick Reference please
make sure that you nevertheless review the safety guidelines.
The manual contains many tips and tricks to help you get familiar with your cardio machine
as quickly as possible.
Please always keep the manual at hand to avoid unnecessary and time-consuming calls at
the customer service and to quickly fix problems on your own.
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XRCISE STRESS ECHO MED
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
1.3 Parts included in the Delivery
Please check if all parts are included in the delivery and inform our sales department
immediately of any missing parts.
Please ensure that the following parts are included in your delivery:
1. Examination table with seat, shoulder support, hip support, folding side pad, Paper
role holder
2. Ergometer
3. Manual switch
4. Single open-end wrench SW 19
5. One power cord per machine
Please note that the interface cable is not included in the scope of delivery. It must be
purchased separately.
1.4 Customer Service
Contact our customer service for troubleshooting services, technical support, spare parts
delivery and information.
In case of technical questions and service orders, please call us at:
Head office: Phone: [phone]
or [phone]
or [phone]
Fax: [phone]
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General Information
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
1.5 Disposal
Bei den Geräten handelt es sich um Elektrogeräte nach dem Elektrogesetz. Sie gehören
daher nicht in den Hausmüll, sondern müssen über zertifizierte Unternehmen entsorgt
werden. Informationen über die zuständigen Stellen erhalten Sie unter:
stiftung elektro-altgeräte register (EAR)
Benno-Strauß-Straße 1
D-90763 Fürth
Phone: [phone]
Fax: [phone]
Mail: [e-mail]
Web: www.stiftung-ear.de
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XRCISE STRESS ECHO MED
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG 5
Chapter 2 Safety Instructions
2.1 What You Need to Know When Using your Workout Equipment .................. 6
2.2 Instructions for Safe Operation ..................................................................... 9
2.3 How to Avoid Electric Shocks ....................................................................... 9
2.4 Choosing the Right Place of Installation ..................................................... 10
2.5 What Needs to be Considered in Case of Repair? ....................................... 10
2.6 Things to be Avoided .................................................................................... 10
2.7 Contraindications ........................................................................................... 11

Safety Instructions
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
2 Safety Instructions
Please read the following chapter carefully and respect all safety instructions before you
start using your workout equipment. Please keep this manual in a safe place in order to
pass it over to future owners if you sell your workout device.
For evidence of ownership, please complete the following form:
Model/series __________________________________
Serial number __________________________________
Date of purchase __________________________________
You will need this information in case of warranty.
The following symbols designate important information.
Caution! This warning draws the attention to hazards that could
result in personal injury or death.
Warning! This warning draws attention to hazards that could result in
property damage.
Attention! Attention, Switch off and unplug the machine.
Tip! This hint contains important information and tips to improve
operation.
2.1 What You Need to Know When Using your Workout
Equipment
⊗Carefully read this manual prior to using your product.
⊗Familiarize yourself with the machine before you start your workout.
⊗It´s the owner´s responsibility to inform the users of all warnings and instructions
provided with the equipment.
⊗Please consult your physician before you start using the machine and note the
contraindications (see Chapter 2.7).
⊗Before using the machine please perform a proper function test (see chapter 7.3).
For safety reasons inspect the machine (loose screws, worned parts) and the
power cord for signs of damage before each use. If the machine is damaged do
not use it until it is repaired.
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XRCISE STRESS ECHO MED
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
⊗Warning! Do not exceed the maximum user weight of 200 kg.
⊗Do not place any beverages or food on your training machine.
⊗Before each use, check the device, accessories and cables for damage.
Discontinue use if the device is damaged. Make sure that the pad in the right foot
area - as viewed from the recumbent patient - is intact, since it covers the power
supply. Don‘t operate the table if the pad is loose or defective.
⊗Check whether all locking pins for the adjusting mechanisms and pads are locked
before the patient uses the device
⊗Tighten the pedals and the pedal cranks after 3 to 5 operating hours. Otherwise
there is a risk of injury. Note that the left pedal has a left-handed thread and the
right pedal has a right handed thread.
⊗Do not take your feet off the pedals during training.
⊗The machine is only to be used on instruction of a physician and / or a supervisor.
The machine must not be used without the presence of a supervisor.
⊗During transport, place connecting lines and other lines on top of the table in
order to avoid possible damage due to lose lines. Ensure that the power cords
cannot be driven over.
⊗Do not touch the USB port, RS232 port or audio port or the connection for SPO2
meassurement during the training.
⊗Do not lean on the control panel.
⊗Lock the adjustable feet before using the table. The table may only be tilted if the
adjustable feet are locked, in order to prevent instability and collision of the table
top with the adjustable feet levers.
⊗In order to avoid injuries, talk to the patient before adjusting the seat and maintain
eye contact with the patient while adjusting the seat.
⊗Adjust the seat, hip support, and the head and shoulder support in order to
prevent crushing of the spinal column or other impairments to the patient.
⊗Make sure that third parties do not stand close to moving parts.
⊗Switch off the machine after the workout and disconnect it.
⊗Attention! The following components of the training bike have dangerous nip and
pinch points: drive unit, inclined head-rest and bed, improperly adjusted seat and
seat post, improperly tightened components. This results in increased risk of
injury.
⊗Ensure that the shoulder support is folded up over the full swiveling range. Ensure
that there is sufficient clear space beside the table for this purpose. The reclining
area must not be operated when the support is folded up.
⊗For safety reasons, please leave enough space around the machine for the user
to move safely and to avoid that bystanders are hurt by moving parts:
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Safety Instructions
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
Seen from the access orientation, maintain a clearance of at least the training
space plus 0,6 m. Provide enough space for an emergency disassembly. Adjacent
machines may use the same clearance
⊗Your workout machine is not a toy! Children must be supervised if they are near
the equipment. Children cannot always predict possible hazards. Parents or
other supervisors should always be aware of their responsibility because the
playful and adventurous nature of children may lead to situations that the workout
machine is not intended for..
⊗Please review the additional safety and operational instructions in this manual
All safety instructions in this manual are based on many years of experience and
selfconception.
SPO2-Module
⊗Do not use this module near any MRT or X-ray devices.
⊗Keep the SPO2module away from flammable gases.
⊗Check all components of the SPO2module (finger clip, cables etc.) for damages.
In case of damages do not use the device until it is repaired.
⊗Keep the SPO2module away from any liquid as well as any condensations.
⊗Nail polish or artificial nails can influence the SPO2measurement. Remove nail
polish or artificial nails before using the sensors.
⊗Taking medicine that changes the blood color, the administration of intravascular
dyes or a high concentration of dysfunctional hemoglobin can lead to incorrect
results.
⊗Intense light such as OP lamps, bilirubin lighting, fluorescent lamps, infrared heat
lamps and direct sun light can lead to incorrect SPO2results.
⊗Using third-party parts can cause malfunction and loss of biocompatibility. Only
use original parts and sensors.
⊗Do not use the device if you suffer from edemas, skin irritations or have an open
wound.
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XRCISE STRESS ECHO MED
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
2.2 Instructions for Safe Operation
⊗After delivery, make sure that the machine has not been damaged during
transport. In case of doubt, contact our customer service and do not start the
machine.
⊗Slots and openings on the machine serve as ventilation. Do not cover these
openings, because this can cause the components to overheat.
⊗Always check the power cord for damages before starting the machine.
⊗Switch off the machine after the workout and disconnect it.
⊗Set the device up in an open space for easier operation, and in order to reduce
possible sources of danger due to tilting and pivoting of the table top and due to
the pedal movements.
⊗Connect the protective earth conductors (yellow/green) of the training bike to the
grounding point on the bed.
⊗Equipment of the XRCISE STRESS ECHO MED, series are protected against
harmful ingress of water and solid objects according to IP21.
⊗For XRCISE STRESS ECHO MED the protection guidelines according to EN
60601-1:2006 apply.
⊗If you connect additional devices to the XRCISE STRESS ECHO MED line you
are committed to comply to the system standard EN 60601-1-1.
2.3 How To Avoid Electrical Shocks
⊗Do not use damaged power cords.
⊗Do not unplug by pulling on the cord.
⊗Switch off and unplug the machine before you open it.
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Safety Instructions
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
10
⊗If liquid gets inside the machine, unplug the machine immediately and call the
customer service.
⊗Do not insert any objects in the ventilation slots. This may cause a short circuit.
⊗Ensure that the power cords cannot be driven over.
⊗Don‘t run the supply cable under the machine, neither between the mobile parts
or devices of the machine. The insulation could be damaged unconsciously.
⊗Warning! To avoid electric shocks these devices must only be connected to mains
with protective earth conductors.
2.4 Choosing the Right Place of Installation
⊗The machine can be set up on any level and stable floor. Make sure that it stands
firmly on the floor.
⊗Never put wood, cardboard or similar materials underneath the machine to
compensate for unlevel surface. This increases the risk of accident.
2.5 What Needs to be Considered in Case of Repair?
⊗Electric parts may only be replaced by original parts.
⊗Repairs must be carried out by a qualified technician only. If you do not have the
necessary qualifications, contact cardiowise Service Center. Electrical or
mechanical modifications or alterations performed by unauthorizes personnel
may void the warranty.
⊗Do not open the drive system and control system. This will void the
2.6 Things to be Avoided
⊗Only use the machine for the purposes it was intended for. If you use the
cardiowise for other than the intended purpose, you will be charged for all
damages resulting from this. In this case any warranty is void!
⊗Never use the device in a manner other than that described in the user manual.
Otherwise damage to the device and even damage to health could result.
⊗Never use an damaged machine.
⊗Do not use the machine without electricity.
⊗Never lean on the machine and do not make inappropriate movements. Otherwise
you might fall.
⊗Don‘t pull on the pads while transporting the device. (see Chapter 5.1).
⊗If the training bike has been lowered the adjustment devices may not be used.

XRCISE STRESS ECHO MED
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
Refer to the appendix for a list of the most important safety guidelines. Attach this list
near the machine where it is clearly visible. All users of the machine must familiarize
themselves with the dangers and safety regulations. The manufacturer will not be liable
for personal injury or property damage.
2.7 Contraindications
To avoid overstress of the athlete and subsequent serious diseases of the cardiovascular
system the following contraindications must be observed during performance of an
endurance training, i.e. if one of the following symptoms is already known before the
training is started in no case an endurance training may be performed on the XRCISE
STRESS ECHO MED.
Absolute contraindications:
⊗angina pectoris
⊗cardiac arrhythmia and/or Decompensated heart failure
⊗distress respiratory, sense of oppression
⊗circulatory disorder with rest pain in affected extremeties
⊗hypertonia (constantly raised blood pressure) (in this case, please contact your
doctor)
⊗coronarsklerosis
⊗stress pain in your legs when walking less than 100 m
⊗acute respiratory infections)
⊗feverish infections
⊗circulatory problems, feeling of dizziness
⊗nausea, Vomiting
⊗acute coronary syndrome
⊗acute myocardial infarction
⊗symptomatical severe aortic stenosis
⊗decompensated cardiac insufficiency
⊗acute ulmonary embolism
⊗acute carditis (Myo-, Endo-, Pericarditis)
⊗acute phlebothrombosis of the upper extremeties
⊗acute aortic dissection
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Safety Instructions
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
12
If the following symptoms occur the training must immediately be stopped to avoid an
overstress of the human organism!
⊗distress respiratory, sense of oppression
⊗angina pectoris (chestpain in sudden attacks)
⊗maximum heart rate > 200-age
⊗nausea, emesis
⊗circulatory problems
⊗ilness (heavily tiredness, lassitude, feeling of dizziness)
⊗rapidly decreasing heart rate
⊗rapidly decreasing/increasing blood pressure
⊗main artery disease
⊗moderate cardiac valve diseases
⊗electrolyte imbalance
⊗arterial hypertension (RR > 200/110mmHg)
⊗tachyarrhythmie oder Bradyarrhythmie
⊗hypertrophic-obstructive cardiomyopathy and other forms of outflow tract
obstruction
⊗advanced AV-blockages
⊗anemia
⊗physical and/or mental health problems
⊗arrhythmias

XRCISE STRESS ECHO MED
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG 13
Chapter 3 Quick Reference

Quick Reference
Technical and visual modifications as well as misprints reserved - © 2017 by ERGO-FIT GmbH & Co. KG
3 Quick Reference
After delivery of your cardio machine, please check if the serial number (see name plate)
is identical with the one indicated on the delivery note and if all components listed in
chapter 1.3 („Parts included in the delivery“) are included in the delivery.
After the machine has been plugged in and switched on, the software version is displayed.
Then the main menu will appear.
The control panel provides the PLUS, MINUS, START, STOP and BP buttons in this
order.
The liquid-crystal display (LCD) is illuminated and shows the elapsed training time (min:s),
your heart rate and the oxygen saturation (SPO2), the speed range (1/min) the power
(Watt).
When starting the workout on the machine, the main menu will always appear first. Hold
the PLUS or MINUS button until MANUAL is highlighted and confirm your selection with
START. You are now in the manual mode.
In this mode you can select any workout time and choose any workload level. The workout
parameters will be displayed
.
Press STOP to stop your examination. The workout parameters remain on the display.
Press the STOP button again to return to the main menu. The display will also automatically
return to the main menu after 2 minutes if no action is carried out
Please note!
For workouts in Profile mode also using the oxygen messurement please read the detailed
instructions.
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