ergoline ers2 User manual

Manual
ers. 2
ergoline Rehabilitation System
Operator‘s Manual
201000414000 • Version 2014-04-15 / Rev 00 • English

ergoline GmbH
Lindenstrasse 5
72475 Bitz
Germany
Phone: [phone] - 0
Fax: [phone] - 128
e-mail: [e-mail]
http: www.ergoline.com
This manual was written with the utmost care. Should you still find details that do
not correspond with the system, please let us know and we will correct the issue
as soon as possible.
We reserve the right to modify the design and technical features of the device
and are not bound by the information and illustrations provided in this manual. All
trademarks appearing in this document are trademarks of their respective owners.
Their protection is acknowledged.
No part of this manual may be reprinted, translated, or reproduced without the
manufacturer's written permission.
This manual is not subject to any change order service.
Please contact the manufacturer for the most recent version.

ergoline GmbH
Lindenstrasse 5
72475 Bitz
Germany
Phone: [phone] - 0
Fax: [phone] - 128
e-mail: [e-mail]
http: www.ergoline.com
This manual was written with the utmost care. Should you still find details that do
not correspond with the system, please let us know and we will correct the issue
as soon as possible.
We reserve the right to modify the design and technical features of the device
and are not bound by the information and illustrations provided in this manual. All
trademarks appearing in this document are trademarks of their respective owners.
Their protection is acknowledged.
No part of this manual may be reprinted, translated, or reproduced without the
manufacturer's written permission.
This manual is not subject to any change order service.
Please contact the manufacturer for the most recent version.
|3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CE Marking Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
License Terms ........................................................ 7
Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Intended Audience .................................................... 8
Stylistic Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Safety Information .................................................... 8
General Information .................................................. 8
Denitions .......................................................... 9
Safety Notices ....................................................... 9
System Requirements .................................................11
Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Intended Use ....................................................... 12
Ers 2 System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
An overview of the key performance features of the software ............... 13
System Conguration ................................................ 14
Starting the Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Patient Data > General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Personal Data ....................................................... 19
Contact Data ....................................................... 21
Physician ...........................................................21
Patient Data > Medical .......................................22
Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Examinations .......................................................23
Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Findings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Patient Data > Protocols
Bicycle ....................................................26
Creating a Protocol ..................................................26
Selecting the Protocol Type ...........................................27
Protocol Type ‘SpO2-controlled’. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Protocol Type ‘Interval HR-controlled‘ ...................................28
Protocol Type ‚Custom‘ ...............................................29
Editing a Protocol ...................................................30
Activating a Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Deleting a Protocol ..................................................30
Saving a Protocol as Default ........................................... 31
Loading a Default Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Contents

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Patient Data > Protocols
Treadmill. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Creating a Protocol ..................................................32
Selecting the Protocol Type ...........................................33
Protocol Type ‘HR-controlled’. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Protocol Type ‚Custom‘ ...............................................34
Editing a Protocol ...................................................35
Activating a Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Deleting a Protocol ..................................................35
Saving a Protocol as Default ........................................... 36
Loading a Default Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Management
Groups ....................................................37
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Creating Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Selecting the Group Type .............................................38
Adding Patients to a Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Deleting Patients from a Group ........................................39
Editing a Group .....................................................39
Management > Protocols
Bicycle ....................................................40
Saving the Default Protocol ...........................................40
Selecting the Protocol Type ...........................................40
Protocol Type ‘SpO2-controlled‘. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Protocol Type ‘Interval HR-controlled‘ ...................................42
Protocol Type ‚Custom‘ ...............................................43
Editing the Default Protocol ...........................................44
Activating the Default Protocol ........................................44
Deleting the Default Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Management > Protocols
Treadmill. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Saving the Default Protocol ...........................................45
Selecting the Protocol Type ...........................................45
Protocol Type ‘HR-controlled‘. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Protocol Type ‚Custom‘ ............................................... 47
Editing the Default Protocol ...........................................48
Activating the Default Protocol ........................................48
Deleting the Default Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

4|
Patient Data > Protocols
Treadmill. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Creating a Protocol ..................................................32
Selecting the Protocol Type ...........................................33
Protocol Type ‘HR-controlled’. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Protocol Type ‚Custom‘ ...............................................34
Editing a Protocol ...................................................35
Activating a Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Deleting a Protocol ..................................................35
Saving a Protocol as Default ........................................... 36
Loading a Default Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Management
Groups ....................................................37
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Creating Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Selecting the Group Type .............................................38
Adding Patients to a Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Deleting Patients from a Group ........................................39
Editing a Group .....................................................39
Management > Protocols
Bicycle ....................................................40
Saving the Default Protocol ...........................................40
Selecting the Protocol Type ...........................................40
Protocol Type ‘SpO2-controlled‘. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Protocol Type ‘Interval HR-controlled‘ ...................................42
Protocol Type ‚Custom‘ ...............................................43
Editing the Default Protocol ...........................................44
Activating the Default Protocol ........................................44
Deleting the Default Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Management > Protocols
Treadmill. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Saving the Default Protocol ...........................................45
Selecting the Protocol Type ...........................................45
Protocol Type ‘HR-controlled‘. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Protocol Type ‚Custom‘ ............................................... 47
Editing the Default Protocol ...........................................48
Activating the Default Protocol ........................................48
Deleting the Default Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
|5
Training ...................................................49
Monitoring .........................................................49
Assigning a Patient ..................................................49
Removing a Patient ..................................................50
Assigning a Device ...................................................50
Removing a Device. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Switching Devices ...................................................50
Starting a Training Session . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Ending a Training Session ............................................. 51
Changing from the Training Phase to the Recovery Phase (RP) ............... 51
Suspending Heart-Rate Control during a Training ......................... 51
Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Patient Analysis .....................................................52
Editing the Borg Value. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Editing Eort .......................................................52
ECG Display ........................................................53
Measuring Blood Pressure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Adding Blood-Pressure Readings .......................................53
Marking the ECG ....................................................54
Turning the ECG Pump On. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Turning the ECG Pump O ............................................54
Training View .......................................................54
Selecting the Training Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Management .......................................................56
Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Analysis ...................................................57
Patient Analysis .....................................................57
Overview - Trend ....................................................58
Analyzing the Training Sessions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Editing / Deleting a Training Session ....................................59
Training Details. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Overview - Compare .................................................60
Training - Single . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Analyzing the Training Sessions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Training - Compare ..................................................63
Analyzing the Training Sessions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Tools ......................................................64
Karvonen Formula ...................................................64
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

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6|
|7
CE Marking inforMation
The product ERS 2 system bears the CE marking CE-0123 (notified body TÜV SÜD
Produkt Service GmbH, Ridlerstrasse 65, 80339 München, Germany) indicating its
compliance with the provisions of the Council Directive 93/42/EEC about medical
devices and fulfills the essential requirements of Annex I of this directive.
The product ERS 2 system has been assigned to class IIa in accordance with Annex
IX of the Directive 93/42/EEC.
The product fulfills the requirements of the standard EN 60601-1 “Medical Electri-
cal Equipment, Part 1: General Requirements for Safety“ as well as of the standard
DIN EN 62304 “Medical Device Software“.
Magnetic and electrical fields are capable of interfering with the proper perfor-
mance of the device. For this reason make sure that all external devices operated
in the vicinity of the equipment comply with the relevant EMC requirements.
X-ray equipment, MRI devices, radio systems, cellular telephones, etc. are possible
sources of interference as they may emit higher levels of electromagnetic radi-
ation. Keep the equipment away from these devices and verify its performance
before use.
LiCEnsE tErMs
By installing the software, you accept the following terms:
Subject of this agreement is the granting of a license to use the software program
and the product documentation.
Ergoline GmbH grants you the personal, non-exclusive and non-transferable right
to use the software and documentation. The software and the accompanying
documentation are protected by copyright. The licensee shall comply with the
provisions of copyright law.
Ownership and all other rights to the software are retained by Ergoline GmbH. You
are not entitled to transfer the software to another computer via network or data
channel. The program and the accompanying product documentation shall not be
modified, copied or, in an altered version, merged with other software and made
accessible to third parties.
The licensee is liable to the licenser for any damage arising from the breach of the
copyright or infringement of the conditions of this agreement.
Introdu CtIon

8|
rEvision History
Revision: 1.0
Date: 2014-04-15
Comments: Applies to software version 1.0 and later
intEndEd audiEnCE
This manual is geared for clinical professionals. Clinical professionals are expected
to have working knowledge of medical procedures, practices, and terminology as
required for completing these examinations.
styListiC ConvEntions
Control keys (soft keys and hard keys) are emphasized by different styles, e.g.,
Start training or [ Create ].
safEty inforMation
General Information
This manual is an integral part of the device. It should be available to the equip-
ment operator at all times. Close observance of the information given in the man-
ual is a prerequisite for proper equipment performance and correct operation and
ensures patient and operator safety. Please note that information pertinent to
several chapters is given only once. Therefore, read the manual once in its entire-
ty. Also observe the information given in the enclosed separate user manuals (e.g.,
the PC and ergometer user manuals).
To ensure maximum patient safety, the specified measuring accuracy, and inter-
ference-free operation, we recommend using only original accessories available
through Ergoline GmbH. The user is responsible if accessories from other manu-
facturers are used.
Ergoline GmbH is responsible for the effects on safety, reliability, and perfor-
mance of the equipment, only if
· assembly operations, extensions, readjustments, modifications, or repairs are
carried out by Ergoline GmbH or persons authorized by Ergoline GmbH
· the device is used in accordance with the instructions given in this manual.
The warranty does not cover damage resulting from the use of unsuitable acces-
sories and consumables from other manufacturers.
Always consult with Ergoline GmbH if you intend to connect equipment not men-
tioned in this manual.
Parts and accessories must comply with the applicable IEC 60601 safety stan-
dards and/or the configured system must comply with the collateral standard IEC
60601-1-1 "Safety requirements for medical electrical systems".

8|
rEvision History
Revision: 1.0
Date: 2014-04-15
Comments: Applies to software version 1.0 and later
intEndEd audiEnCE
This manual is geared for clinical professionals. Clinical professionals are expected
to have working knowledge of medical procedures, practices, and terminology as
required for completing these examinations.
styListiC ConvEntions
Control keys (soft keys and hard keys) are emphasized by different styles, e.g.,
Start training or [ Create ].
safEty inforMation
General Information
This manual is an integral part of the device. It should be available to the equip-
ment operator at all times. Close observance of the information given in the man-
ual is a prerequisite for proper equipment performance and correct operation and
ensures patient and operator safety. Please note that information pertinent to
several chapters is given only once. Therefore, read the manual once in its entire-
ty. Also observe the information given in the enclosed separate user manuals (e.g.,
the PC and ergometer user manuals).
To ensure maximum patient safety, the specified measuring accuracy, and inter-
ference-free operation, we recommend using only original accessories available
through Ergoline GmbH. The user is responsible if accessories from other manu-
facturers are used.
Ergoline GmbH is responsible for the effects on safety, reliability, and perfor-
mance of the equipment, only if
· assembly operations, extensions, readjustments, modifications, or repairs are
carried out by Ergoline GmbH or persons authorized by Ergoline GmbH
· the device is used in accordance with the instructions given in this manual.
The warranty does not cover damage resulting from the use of unsuitable acces-
sories and consumables from other manufacturers.
Always consult with Ergoline GmbH if you intend to connect equipment not men-
tioned in this manual.
Parts and accessories must comply with the applicable IEC 60601 safety stan-
dards and/or the configured system must comply with the collateral standard IEC
60601-1-1 "Safety requirements for medical electrical systems".
|9
safEty inforMation
General Information
Operate the equipment only with power cords certified for the country of use.
All publications reflect the equipment specifications and standards on the safety
of medical electrical equipment valid at the time of printing. All rights are re-
served for devices, circuits, techniques, software programs, and names appearing
in this manual.
No part of this manual may be reprinted without written permission from
Ergoline GmbH.
© 2013 Ergoline GmbH, Lindenstrasse 5, 72475 Bitz, Germany.
Definitions
The safety information in this manual is classified as follows:
Danger
indicates an imminent hazard. If not avoided, the hazard will result in death or se-
rious injury.
Warning
indicates a hazard. If not avoided, the hazard can result in death or serious injury.
Caution
indicates a potential hazard. If not avoided, the hazard may result in minor injury
and/or product/property damage.
Safety Notices
Explosion Hazard
The ERS 2 system is not designed for use in areas of rooms used for medical purpos-
es where an explosion hazard may occur. Potentially explosive atmospheres may
result from the use of flammable anesthetics, skin cleansing agents or disinfec-
tants. Furthermore, great care must be exercised when the system is used in an
oxygen-enriched atmosphere. The atmosphere is considered to be oxygen-enriched
when the room air contains more than 25% of oxygen or nitrous oxide.
Shock Hazard
Before use, verify that the equipment is in correct working order and operating
condition. Check the cables and connectors, in particular, for signs of damage. Re-
place damaged cables and connectors immediately, before use.
Do not expose the equipment to direct sunlight to prevent system components from
reaching inadmissible, high temperatures. The equipment has no additional protec-
tion against the ingress of humidity.

10 |
safEty inforMation
Safety Information
Shock Hazard
When disconnecting the device from the power line, remove the plug from the wall
outlet first, before disconnecting the cable from the device.
Do not use multiple portable socket outlets (MPSO) to connect devices to the power
line.
If a printer is operated in the patient environment, the printer must comply with
IEC 60601 requirements or it must be a modified printer with additional protective
earth conductor (potential equalization).
All devices of a system must be connected to the same electric circuit. Devices that
are not connected to the same circuit must be electrically isolated when operated,
e.g., by means of an isolated RS232 interface (not required in the USA).
Devices may be connected to other devices or to parts of systems only when it has
been made certain that there is no danger to the patient, the operators, or the en-
vironment as a result.
In those instances where there is any element of doubt concerning the safety of
connected equipment, the user must contact the manufacturers concerned or oth-
er informed experts as to whether there is any possible danger to the patient, the
operator, or the environment as a result of the proposed combination of equipment.
Standard IEC 60601-1-1/EN60601-1-1 must be complied with in all cases.
All bicycle ergometers and treadmills connected to the system must meet
IEC60601-1 requirements.
Liquids must not be allowed to enter the devices. If liquids have entered the devices,
the ERS 2 system must be checked by a service technician before being used again
Do not open any of the devices. There are no user-replaceable components inside
the devices.
Do not insert objects of any kind into the device. They may touch live components
and you might suffer an electric shock, cause fire, or damage the device.
Warning
Patient Hazard — For stress-test examinations, a defibrillator and a pacemaker,
regularly checked for proper functioning, must be readily accessible at all times.
Patient Hazard, Interpretation Hazard — A qualified physician must overread all
computer-generated records.
Patient Hazard — The operator must be trained in the use of the device.
Patient Hazard, Equipment Damage — Do not modify the ERS 2 system in any way.

10 |
safEty inforMation
Safety Information
Shock Hazard
When disconnecting the device from the power line, remove the plug from the wall
outlet first, before disconnecting the cable from the device.
Do not use multiple portable socket outlets (MPSO) to connect devices to the power
line.
If a printer is operated in the patient environment, the printer must comply with
IEC 60601 requirements or it must be a modified printer with additional protective
earth conductor (potential equalization).
All devices of a system must be connected to the same electric circuit. Devices that
are not connected to the same circuit must be electrically isolated when operated,
e.g., by means of an isolated RS232 interface (not required in the USA).
Devices may be connected to other devices or to parts of systems only when it has
been made certain that there is no danger to the patient, the operators, or the en-
vironment as a result.
In those instances where there is any element of doubt concerning the safety of
connected equipment, the user must contact the manufacturers concerned or oth-
er informed experts as to whether there is any possible danger to the patient, the
operator, or the environment as a result of the proposed combination of equipment.
Standard IEC 60601-1-1/EN60601-1-1 must be complied with in all cases.
All bicycle ergometers and treadmills connected to the system must meet
IEC60601-1 requirements.
Liquids must not be allowed to enter the devices. If liquids have entered the devices,
the ERS 2 system must be checked by a service technician before being used again
Do not open any of the devices. There are no user-replaceable components inside
the devices.
Do not insert objects of any kind into the device. They may touch live components
and you might suffer an electric shock, cause fire, or damage the device.
Warning
Patient Hazard — For stress-test examinations, a defibrillator and a pacemaker,
regularly checked for proper functioning, must be readily accessible at all times.
Patient Hazard, Interpretation Hazard — A qualified physician must overread all
computer-generated records.
Patient Hazard — The operator must be trained in the use of the device.
Patient Hazard, Equipment Damage — Do not modify the ERS 2 system in any way.
|11
safEty inforMation
Safety Information
Warning
Risk of Poisoning — Observe all information provided by the manufacturers of
chemical products required for the use and care of the devices. Always keep these
chemical products in their original containers to avoid any confusion which may
have severe consequences.
RF Interference — Known RF sources, such as cell phones, radio or TV stations, and
two-way radios, may cause unexpected or adverse operation of the ERS 2 system.
Check the performance before each use.
Caution
Equipment Damage — Before connecting the device to the power line, check that
the voltage and frequency ratings of your power line match the values indicated on
the device nameplate.
Equipment Damage — Make sure that viruses, malware, etc. do not infect your PC
(check USB sticks for viruses before connecting them).
Equipment Damage — Do not set up the PC or the ergometers in the direct vicinity of
a window. Rain, humidity, and sunlight may damage the equipment.
Loss of Data — Back up the program directory and the database directory (as deter-
mined during installation) every day to avoid loss of data.
Equipment Damage — Set up the device in a location which affords sufficient ven-
tilation. The ventilation openings must not be obstructed. The ambient conditions
stated in the user manual must be ensured at all times.
Equipment Configuration — The PC should not be used adjacent to, or stacked with,
other equipment. If adjacent or stacked use is necessary, the equipment or system
should be tested to verify normal operation in the configuration in which it is being
used.
systEM rEquirEMEnts
Processor x86 or x64 processor with 2 gigahertz (GHz) minimum
RAM 1 gigabyte (GB) RAM (32 bit), 2 gigabyte (GB) RAM (64 bit)
Hard drive recommended: minimum storage capacity of 250GB
Graphics card with 1 or 2 monitor outputs, depending on configuration
Monitor(s) 1920 x 1080 pixels
Input devices keyboard, mouse
Interfaces 1 USB interface for connection of the hardware key,
1 USB interface for connection of a printer,
1 to 16 serial interfaces for connection of the ergometers
Printer ink jet or laser printer with USB connector
Operating system Windows XP, Windows Vista, Windows 7

12 |
EquipMEnt syMboLs
The symbols that you will find on the PC and on the ergometer are explained in
the corresponding user manuals. Text labels explain the function of all symbols
displayed on the screen.
Double-click the icon to start the program.
intEndEd usE
The ERS 2 system automatically controls up to 16 ergometers (bicycles or tread-
mills) and offers individual training protocols. Each phase of the training protocol
is documented, providing the therapist/physician with up-to-date information
about the patient's status, performance data, and training progress at any time.
The ergometers used must be medical ergometers that meet IEC 60601-1-1 re-
quirements. Both bicycle ergometers and treadmills are supported.
The ERS 2 system is only designed for operation in rooms used for medical purpos-
es. It is intended for use in rehabilitation centers, cardiology offices and fitness
centers with medical cardiac programs.
The ERS 2 system is intended to be used only by trained operators under the direct
supervision of a licensed health care practitioner on adult and pediatric patients.
Parts and accessories must comply with the applicable safety standards of the IEC
60601 series and/or the system configuration must comply with the requirements
of the standard IEC 60601-1-1 for medical electrical equipment.
Ers 2 systEM
Introduction
The role of exercise therapy as part of the rehabilitation of cardiac patients in
the follow-up treatment phase II is viewed positively by most experts, based on
decades of favorable experience.
In recent years, various studies have been able to show the positive impact of
exercise therapy on coronary patients (KELLERMANN et al., 1967; HELLERSTEIN,
1973; KÖNlG et al., 1977; HOLLMANN et al., 1983; ROST et al., 1991, among others).
Through constant advancement of new diagnostic and therapeutic methods, there
has additionally been a fundamental transformation of the rehabilitation process
of cardiology patients in the past few years. Along with the phases of early mobi-
lization and exercise therapy, sports therapy has also taken on greater importance
today. "Early mobilization" refers to passive and active mobilization as soon as
permitted by the patient's clinical condition.
"Exercise therapy" is medically indicated and prescribed movement which is
planned and regulated by the specialist therapist, monitored together with the
physician, and performed with the patient alone or in a group.

12 |
EquipMEnt syMboLs
The symbols that you will find on the PC and on the ergometer are explained in
the corresponding user manuals. Text labels explain the function of all symbols
displayed on the screen.
Double-click the icon to start the program.
intEndEd usE
The ERS 2 system automatically controls up to 16 ergometers (bicycles or tread-
mills) and offers individual training protocols. Each phase of the training protocol
is documented, providing the therapist/physician with up-to-date information
about the patient's status, performance data, and training progress at any time.
The ergometers used must be medical ergometers that meet IEC 60601-1-1 re-
quirements. Both bicycle ergometers and treadmills are supported.
The ERS 2 system is only designed for operation in rooms used for medical purpos-
es. It is intended for use in rehabilitation centers, cardiology offices and fitness
centers with medical cardiac programs.
The ERS 2 system is intended to be used only by trained operators under the direct
supervision of a licensed health care practitioner on adult and pediatric patients.
Parts and accessories must comply with the applicable safety standards of the IEC
60601 series and/or the system configuration must comply with the requirements
of the standard IEC 60601-1-1 for medical electrical equipment.
Ers 2 systEM
Introduction
The role of exercise therapy as part of the rehabilitation of cardiac patients in
the follow-up treatment phase II is viewed positively by most experts, based on
decades of favorable experience.
In recent years, various studies have been able to show the positive impact of
exercise therapy on coronary patients (KELLERMANN et al., 1967; HELLERSTEIN,
1973; KÖNlG et al., 1977; HOLLMANN et al., 1983; ROST et al., 1991, among others).
Through constant advancement of new diagnostic and therapeutic methods, there
has additionally been a fundamental transformation of the rehabilitation process
of cardiology patients in the past few years. Along with the phases of early mobi-
lization and exercise therapy, sports therapy has also taken on greater importance
today. "Early mobilization" refers to passive and active mobilization as soon as
permitted by the patient's clinical condition.
"Exercise therapy" is medically indicated and prescribed movement which is
planned and regulated by the specialist therapist, monitored together with the
physician, and performed with the patient alone or in a group.
|13
Ers 2 systEM
Introduction
"Sports therapy" is an exercise therapy measure which uses appropriate sports
means to compensate for and regenerate disrupted physical, mental, and social
functions, prevent secondary injuries, and promote health-oriented behavior. It is
based on laws of biology and includes, in particular, pedagogical, psychological
and sociotherapeutic methods and aims to achieve lasting health literacy.
Ergometer training is used in this case, particularly in the areas of early mobili-
zation and exercise therapy within the scope of inpatient and increasingly also in
outpatient rehabilitation in order to increase the performance capacity of cardio-
vascular patients.
As studies have been able to show, the performance capacity and thus also the
quality of life can be significantly improved even in patients with heart failure by
selecting an appropriate form of training (interval training).
The increased requirements with regard to efficient work but also quality as-
surance and complete documentation ("efficiency monitoring") of the training
performed with all acquired data can, however, only be met by an appropriately
designed ergometer training system.
The development of the new ergoline ERS 2 rehabilitation system was able to
draw on the experience of more than 250 installed ergoline rehabilitation sys-
tems. Through intensive collaboration with many users, therapists, sports scien-
tists, and physicians, a new, modular system for controlled ergometer training was
developed which meets all of the requirements listed. The PC software controls
the patients' entire predefined training protocols, simultaneously documents all
relevant data (e.g., ECG, heart rate, training data) and thus frees therapists from
routine tasks, allowing them to focus on patient care. But even with the training
device itself, the ergoselect Reha ergometer, the focus is on the patient. Op-
tions for modular expansion and upgrades allow the equipment to be adapted
to increasing demands (e.g., automatic blood-pressure measurement, options for
adjusting the saddle, etc.).
An overview of the key performance features of the software
· Control of up to 16 ergometers or treadmills
· Clear display and intuitive operation
· Integrated patient and analysis database
· Admission of new patients possible even while a training session is in progress
· The most important data of all patients are always visible
· Access at any time to all relevant additional information
(even while a training session is in progress)
· Patient data, diagnosis, previous examinations
· ECG trends
· Training sessions stored earlier
· Comparison with other training sessions of the same patient
· Acquisition of the patient's complete diagnosis allows optimal creation, monitor-
ing, and adaptation of individual training protocols

14 |
Ers 2 systEM
An overview of the key performance features of the software
· Comprehensive individual training protocols for each patient
· Constant load
· Constant pulse
(the software controls the ergometer load such
that the patient’s heart rate is constantly
kept at a defined level)
· Interval training
· Universal warmup and recovery phase definition
· The therapist can change the training parameters directly at any time
· Group training (all patients start at the same time)
· Individual training (patients come when desired and train as long as desired)
· Immediate printout of a patient’s current ECG is possible at any time
Quality assurance
· Full documentation of the complete training session
· Storage of all data recorded during the training session
· Full-disclosure ECG
(the ECGs of all patients and all training sessions are stored)
System Configuration
The central component of the ERS 2 system is a PC with an MS Windows operat-
ing system and special software which runs the training programs. The training
ergometers are connected to the PC system via control lines. All data are shown
on 1 or 2 large TFT monitors; up to eight patients can be displayed and monitored
on each monitor. For ECG monitoring, the ergometers are equipped with sin-
gle-channel ECG amplifiers, whose signals are transmitted to the PC via the serial
interfaces. In addition, automatic blood-pressure measurement can be integrated
in the training protocols if the ergometers are equipped accordingly.
Printer
CD burner (archive)
17" TFT monitor
up to 16 ergometers
adaptor
PC system

14 |
Ers 2 systEM
An overview of the key performance features of the software
· Comprehensive individual training protocols for each patient
· Constant load
· Constant pulse
(the software controls the ergometer load such
that the patient’s heart rate is constantly
kept at a defined level)
· Interval training
· Universal warmup and recovery phase definition
· The therapist can change the training parameters directly at any time
· Group training (all patients start at the same time)
· Individual training (patients come when desired and train as long as desired)
· Immediate printout of a patient’s current ECG is possible at any time
Quality assurance
· Full documentation of the complete training session
· Storage of all data recorded during the training session
· Full-disclosure ECG
(the ECGs of all patients and all training sessions are stored)
System Configuration
The central component of the ERS 2 system is a PC with an MS Windows operat-
ing system and special software which runs the training programs. The training
ergometers are connected to the PC system via control lines. All data are shown
on 1 or 2 large TFT monitors; up to eight patients can be displayed and monitored
on each monitor. For ECG monitoring, the ergometers are equipped with sin-
gle-channel ECG amplifiers, whose signals are transmitted to the PC via the serial
interfaces. In addition, automatic blood-pressure measurement can be integrated
in the training protocols if the ergometers are equipped accordingly.
Printer
CD burner (archive)
17" TFT monitor
up to 16 ergometers
adaptor
PC system
|15

16 |

16 |
| 17
starting tHE prograM
Start the program by
double-clicking the icon.
The initial screen is displayed.
ManagEMEnt
training
anaLysis
Configuration
Exit
ManagEMEnt
In the Management window, you will find
the patient database with these tabs:
patiEnts
groups
protoCoLs
From some of the tabs you can access
further sub-categories which will be ex-
plained in detail on the following pages.

18 |
ManagEMEnt
patiEnts
This is a list of all patients stored in the
database with their name, ID, and SSN
(social security number).
The Find function allows you to conve-
niently access any patient in the data-
base. Entering the first characters of a
patient name or of the ID (highlighted
yellow) is sufficient. The search function
returns all patients matching the search
criteria.
With [ Create ] you can add a patient to
the database.
If you double-click an existing entry in
the list or click the entry (highlighted
blue) and then the [ Edit ] button, the
window Patient Data - General - Perso-
nal Data opens.

18 |
ManagEMEnt
patiEnts
This is a list of all patients stored in the
database with their name, ID, and SSN
(social security number).
The Find function allows you to conve-
niently access any patient in the data-
base. Entering the first characters of a
patient name or of the ID (highlighted
yellow) is sufficient. The search function
returns all patients matching the search
criteria.
With [ Create ] you can add a patient to
the database.
If you double-click an existing entry in
the list or click the entry (highlighted
blue) and then the [ Edit ] button, the
window Patient Data - General - Perso-
nal Data opens.
| 19
patiEnt data > gEnEraL
pErsonaL data
· Patient Data
At this point in the program, patients are
added to the database. Type the patient's
personal data such as last name and first
name in the appropriate text boxes.
Mandatory fields are identified with an
asterisk *. You can activate the text box-
es by clicking them or you can press the
TAB key [ ] to navigate between the
fields.
If boxes are left blank or are only partial-
ly filled, they turn red when you click the
[ Save ] button.
A warning will be displayed. Check all
entries and make changes where appro-
priate. Confirm by clicking [ Save ].
The patient's picture can be added with
the [ Camera ] (web cam) or with the
[ File ] button (as a BMP, PNG, JPG, or GIF
file). With the [ Delete ] button, you can
remove the picture.
The date of birth is entered in the form
of digits, separated by blanks or periods
(DD [ space bar ], MM [ space bar ], YYYY).
With the drop-down arrow you open
the menu for selection of the gender
(male or female). As an alternative, you
can place the cursor in the text box and
type the initial letter(s) of the word (for
example, m for male).
Weight and height can be entered di-
rectly into the appropriate boxes. You
can use the arrow buttons or the
keys [ ] [ ] on the keyboard to increase
or decrease the value.
Add options to ethnicity and language
via the button. Enter a designation
(name) and click [ OK ]. When you click
the arrow button , you can insert an
option from the drop-down list. Each
new entry will be appended to the list.

20 |
patiEnt data > gEnEraL
pErsonaL data
· Chip Card
Via Standard [ Write ] you save the data
to the chip card. Via Extended [ View ] you
can review the entered data once more.
With [ Format ] you prepare data for their
first use or delete the data on the chip
card.
· Remark
Remarks concerning the patient or par-
ticular conditions can be entered in
this text box. After you click the [ Save ]
button, the entries will be saved to the
database. With [ Close ], your entries will
be discarded.
A warning will be displayed. Click [ Yes ] to
save the entries, or click [ No ] to exit the
menu without saving.
New entries are always adopted via the
button. If the entry already exists in
the list, a warning will be displayed: The
input is not unique. This prevents double
entries in the database.
With the [ Close ] button you always exit
the current level and return to the parent
menu.
Click the [ Exit ] button to return to the
initial screen.