Medical Econet Cardio M Plus User manual

Cardio M Plus
Spirometer
Opration Manual

Spirometer Opration Manual
Version 6.1
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Terms of Warranty
-This product is manufactured and passed through strict quality control and
thorough inspection. Compensation standard concerning repair,
replacement, refund of the product complies with “Consumer‟s protection
law” noticed by Ministry of Finance and Economy.
-SPM-300 is warranted by Medical ECONET GmbH to be free from defects
in material and workmanship for one year(Two years in Europe) from date
of purchase.
-Warranty repair or replacement will be made by medical ECONET GmbH
at no charge for warranty period if properly used under normal condition in
accordance with the instructions for use.
-In the event of a malfunction or failure during warranty period, customer
should inform Medical ECONET GmbH of the model name, serial number,
date of purchase and explanation of failure of the defective equipment.

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How to contact us …
The following are telephone numbers and addresses for contacting various service,
product supplies and sales personnel
Product and
Purchase
Inquiry
Medical ECONET GmbH.
Mainstrasse 6c-d D-45768
Marl, Germany
Te l: [phone]
Fax : [phone]
E-mail : [e-mail]
URL : http:// www.medical-econet.com
※In the event of a malfunction or failure, contact Service Dept. of Medical ECONET GmbH
along with the model name, serial number, date of purchase and explanation of failure.

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Definition of Warning, Caution, Note
For special emphasis on agreement, terms are defined as listed below in
operation manual. User should operate the equipment according to all the Warning
and Caution.
Manufacturer or Sales agency takes no responsibility for any kind of damage or
breakdown that is caused by misusage and failure to administer the equipment.
Warning
To inform that it may cause serious injury or death to the patient, property damage,
material losses against the “Warning”sign.
Caution
To inform that it may cause no harm in life but lead to injury against the “Caution”
sign.
Note
To inform that it is not dangerous but important for proper installation, operation, and
maintenance of the equipment.

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Service Requirements
Refer to service for equipment to Medical ECONET GmbH authorized service
personnel. Any attempt to repair equipment under warranty will void that warranty.
It is the responsibility of users requiring service to report the need for service to Medical
ECONET GmbH., or to one of their authorized agents.
Failure on the part of the responsible individual, hospital, or institution using this
equipment to implement a satisfactory maintenance schedule may cause undue
equipment failure and possible health hazards.
If there are any problems with the equipment, please follow the steps below:
Contact the medical ECONET GmbH immediately. After gathering the model name,
Serial Number, date of purchasing and description of the problem contact Bionet
with the information shown below.
Try to solve the problem over the phone with the service department personnel. If
the problem cannot be solved over the phone, the service personnel can came and
fix the problem directly.
Medical ECONET GmbH or local distributor will make available on request circuit
diagrams, component part lists, descriptions, calibration instructions or other
information which will assist your appropriately qualified technical personnel to
repair those parts of equipment which are designated by Bionet as repairable.

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General Precaution on Environment
Do not keep or operate the equipment in the environment listed below.
Avoidplacing in an area
exposed tomoist.Donot
touchtheequipmentwith
wethand
Avoid exposuretodirect
sunlight
Avoidplacing in an area
where thereis ahigh
variation oftemperature.
Operating
temperature ranges
from 10Cto 40C.
Operating humidity
ranges from 30% to
85%.
Avoidin thevicinityof
Electric heater
Avoidplacing in an area
where there is an
excessive humidityrise
orventilationproblem.
Avoidplacing in an area
wherethereisanexcessive
shockorvibration.
Avoid placing in an
area where chemicals
are stored or where
there is danger of gas
leakage.
Avoidbeinginserteddust
andespeciallymetal
materialintothe
equipment
Do notdisjoint or
disassemblethe
equipment.
Medical ECONET GmbH
takes no responsibilityfor
it
Power off when the
equipment is not fully
installed.
Otherwise, equipment
could be damaged.

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General Precaution on Electric Safety
Check the items listed below before operating the equipment.
-Be sure that AC power supply line is appropriate to use. (100 - 240V AC).
-Be sure that the entire connection cable of the system is properly and firmly fixed.
-Be sure that the equipment is completely grounded. (Otherwise, noise could result.)
Note
The equipment should not be placed in the vicinity of electric generator, X-ray,
broadcasting apparatus to eliminate the electric noise during operation.
Otherwise, it may cause incorrect result.
Self-power line and stabile grounding is important for SPM-300.
To use same power source with other electric instruments may cause incorrect
result.
Note
CardioTouch3000S is classified as listed below ;
This equipment conforms to Class I, Type-BF. The equipment should be
grounded to protect the patient from electrical shock.
Do not use the equipment in the vicinity of flammable anesthetics and
solvents.
The equipment conforms to Class A according to IEC/EN 60601-1 (Safety of
Electric Medical Equipment)
This equipment conforms to Class B according to IEC/EN 60601-1-2
(Electromagnetic Compatibility Requirements)
Note
Diagnosis has to be confirmed by the doctor.
Note
Accessory equipment connected to the analog and digital interfaces must be
certified according to the respective IEC standards (e.g. IEC 950 for data
processing equipment and IEC 601-1 for medical equipment). Furthermore all
configurations shall comply with the system standard EN 60601-1-1:1993.
Everybody who connects additional equipment to the signal input part or signal
output part configures a medical system, and is therefore responsible that the
system complies with the requirements of the system standard IEC 601-1-
1:1993. If in doubt, consult the technical service department or your local
representative-Diagnosis has to be confirmed by the doctor.

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Safety Symbols
The International Electro-technical Commission (IEC) has established a set of symbols for
medical electronic equipment which classify a connection or warm of any potential hazards.
The classifications and symbols are shown below.
Save these instructions.
Symbols
Contents
Isolated patient connection. (IEC 601-1-Type BF)
Device part switched off.
Device part switched on.
This symbol identifies a safety note. Ensure you understand the
function of this control before using it. Control function is described in
he appreciate operation manual.
Conductor provides a connection between equipment and the potential
equalization bus bar of the electrical installation
External Signal IN/OUT Port
EKG Signal Input Port
The following symbols are used inside the system :
Identifies the point where the system safety ground is fastened to the
chassis. Protective earth connected to conductive parts of Class I
equipment for safety purposes.

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Table of Contents
1. Install Spirometer 10
1.1 Connect to spirometer handle 11
1.2 Appearance of spirometer handle 12
1.3 Confirm actions of spirometer handle 16
1.4 Put in and put out mouthpiece 16
1.5 Connect the spirometer to the main body 17
2. Use Spirometer 18
1) Enter patient information 19
1.1 Enter ID 20
1.2 Enter NAME 20
1.3 Enter Age 21
1.4 Enter Gender 21
1.5 Enter Height 22
1.6 Enter Weight 22
1.7 Enter Race 22
1.8 Enter Smoke 23
2) FVC (Forced Vital Capacity) TEST 24
3) SVC (Slow Vital Capacity) TEST 36
4) MVV (Maximum Voluntary Ventilation) TEST 38
5) CALIBRATION 40
6) Device Setup 42
3. System Management 48
1) Maintenance and Cleaning 48
2) Regular Check-up 48
3) Trouble shooting 48
4. Specification 50

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1. Install Spirometer
Appearance of Spirometer

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1.1 Connect to Spirometer handle
The picture above shows status where initial screen of the spirometer is selected while
spirometer handle is connected to terminal connected to ⑤external monitor coupling hole
shown in the plan of the back of the main body as shown below.
①②③
④⑤⑥
Plan of the back of the main body
①Grounding terminal: Part connected to external grounding terminal when there is no
protection grounding in a socket.
②Serial cable connection port: Connected part when it is connected to PC or spirometer
handle.
③Power switch: Switch that turns on or off the power.
④Power cable connection port: Part to which AC input power is connected.
⑤LAN cable connection port: Connected part connected when information is entered
through network.

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1.2 Appearance of spirometer handle
1) Plan of the front part of spirometer handle
1. Upper cover: Upper cover that fixes mouthpiece.
2. Upper cover lock: Part that locks upper cover fixing the mouthpiece.
3. Action lamp: Lamp showing action status (green)
4. Connection conductor: Conductor connected to serial cable connection hole of serial
cable in the back of the main body.
5. Power switch: Switch that turns on or off the power.
6. Mouthpiece insertion hole: Hole into which the mouthpiece is inserted.
2
3
4
1
5
6

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2) Plan of left side of spirometer handle
1. Upper cover: Upper cover that fixes mouthpiece.
2. Upper cover lock: Part that locks upper cover fixing the mouthpiece.
3. Connection conductor: Conductor connected to serial cable connection hole in the
back of the main body.
4. Mouthpiece insertion hole: Hole into which the mouthpiece is inserted.
2
3
1
4

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3) Plan of right of spirometer handle
1. Upper cover: Upper cover that fixes the mouthpiece.
2. Power switch: Switch that turns on or off the power.
3. Connection conductor: Conductor connected to serial cable connection hole in the back of the
main body.
4. Mouthpiece insertion hole: Hole into which the mouthpiece is inserted.

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4) Plan of the back of the spirometer handle
1. Upper cover: Upper cover that fixes the mouthpiece.
2. Upper cover lock: Part that locks upper cover fixing the mouthpiece.
3. Power switch: Switch that turns on or off the power.
4. Connection conductor: Conductor connected to serial cable connection hole in the
back of the main body.
5. Mouthpiece insertion hole: Hole into which the mouthpiece is inserted.
2
3
4
1
5
6

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1.3 Confirm actions of spirometer handle
If you turn on power switch in the right side of spirometer handle, the lamp turns green for three
seconds before it blinks at intervals of three seconds and it indicates that the spirometer handle
normally operates.
1.4 Put in and out mouthpiece
Fix disposable mouthpiece in the upper side of the spirometer handle to take measurement.
First, press „Upper cover lock‟ in the upper left side of spirometer handle and open semicircle
upper cover and insert the mouthpiece into a groove made in open side. And then, close the
upper cover again by giving a little pressure. In order to fix the mouthpiece correctly, pipe in the
front side of the spirometer handle should be longer than that in the back side.
※The mouthpiece is disposable.
※Refer to plan of the spirometer handle.
Caution
Please, Don‟t close the upper cover, a condition of pushing down the Cover Lock
Switch.

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1.5 Connect the spirometer to the main body
<Connect the power cable to the spirometer cable>
(1) As the picture above, connect the power cable to the spirometer cable in the main body.
(2) Connect spirometer handle to main body while the power of the main body is off.
(3) Turn on power switch of spirometer handle.
(4) Turn on power switch of main body.
(5) After completion of system initialization, screen such as <spirometer operation screen>
appears on LCD of the main body.

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Select Test Item & Push Rotary
FVC
SVC
MVV
PAT
SETUP
LIST
[10]
CALIB
2. Use Spirometer
Connect spirometer handle to serial cable connection terminal in the back of the main body, and
then turn on power switch of main body, you could see following screen appears
<Initial screen>
Choose one among the two, ECG or SPIRO by turning lottery switch, and then enter each menu
by pressing lottery switch.
If you choose spirometer in initial menu, following initial menu appears on the LCD of the main
body.
< Picture1 > Spirometer initial menu screen
Selected menu item is highlighted and if you choose wanted item by turning lottery encoder and
press lottery encoder, the selected item executes its function. All functions are selected and
excuted through use of items that appear on the screen above and switch and lottery encoder
and touch screen at the bottom of the screen

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Descriptions of each menu are as follows.
1) Enter patient information
Make sure to enter patient‟s personal information because it is necessary to predict pulmonary
functions of patients. Make sure to enter especially the Age, Gender, Height, Weight items that
is ticked.
Enter followings by using lottery switch and keyboard that appears on the LCD.
After you complete entry or if you press „Cancel‟ key while entering information, the screen turns
to the main screen without saving.
If you press “New” key, information that entered in advance is initialized.
Select Test Item & Push Rotary
<Picture> Patient Info main screen
FVC
SVC/VC
MVV
Patient
Info
Calib
Exit
Patient information
ID
: KOR1234
Name
: UNKNOWN
Age
: 33
Gender
: Male
Height
: 170 cm
Weight
: 78 Kg
Race
: Oriental
Smoke
: No
OK
Cancel
New
Select Test Item & Push Rotary
FVC
SVC
MVV
PAT
SETUP
LIST
[10]
CALIB

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1.1 Enter ID
Enter ID number used in the hospital to classify examination result. You can enter the number
consisting of as many as 20 digits of alphabet capital letters and numbers by using lottery switch
and touch. If you select “Enter ID”, letter entry space that consists of alphabet and numbers
appears on the screen.
If you turn the lottery switch to clockwise, cursor moves consecutively from left top to right
bottom. Letters or numbers on which the cursor is placed are highlighted on the screen. If you
press the lottery switch or touch there, the selected letters or numbers are entered.
If you place “OK” on the cursor and press the lottery switch after completing entry, the ID
numbers entered in advance are saved and the letter entry space disappears from the screen. If
you turn the lottery switch to clockwise, the cursor moves to “NAME” entry space.
Edit ID
KOR1234
1
2
3
4
5
6
7
8
9
0
q
w
e
r
t
y
u
i
o
p
a
s
d
f
g
h
j
k
l
‘
z
x
c
v
b
n
m
,
.
/
SFT
CAP
SPACE
i
OK
<ID entry space>
1.2 Enter NAME
Enter NAME in the same way as ID entry.