Quinton Q-Stress 4.6 User guide
Q-Stress 4.6
System Installation Instructions
REF 70-00261-03-ENG Rev A1
Contents
Scope 1
Hardware Connections 3
System Installation on a Stress Cart 7
Adjustment of Top Surface Height 9
Install the Writing Surface and Paper Tray 11
Component Placement 13
Connect the Exercise Device 18
Install Software 18
Manufactured by Mortara Instrument, Inc., Milwaukee, Wisconsin U.S.A.
CAUTION: Federal law restricts this device to sale by or on the order of a physician.
Copyright © 2014. All rights reserved.
By Mortara Instrument, Inc.
7865 N. 86th Street
Milwaukee, WI 53224 U.S.A.
Tel: 1.800.231.7437
Fax: 1.414.354.4760
www.mortara.com
Service: 1.888.667.8272
E-mail: techsup[email protected]
Information in this document is subject to change without notice. Names and data used in the examples are fictitious
unless otherwise noted.
CE Mark Declaration
The CE marking of conformity indicates that the device having this symbol on its immediate label meets the
applicable requirements of the European Medical Device Directive.
Trademark Information
Quinton, Burdick, HeartCentrix‚ Mortara, Q-Exchange, and QStress are trademarks or registered trademarks of
Mortara Instrument, Inc. All other product and company names are trademarks or registered trademarks of their
respective companies.
1
Scope
This document describes the assembly of a Stress system. It is designed to be used as a whole for the installation
process or in part as a troubleshooting tool for ensuring correct connection, configuration, and functioning of the
Stress system.
Because the Stress system can be purchased in different configurations and with different options, your system’s
feature set may be different from the feature set shown in this document.
Read all instructions before you begin the installation process. Follow the instructions in the order given.
If you have any questions regarding execution of these instructions, contact technical support at:
1.888.667.8272
SCOPE
2
3
Hardware Connections
Caution. The following cautions apply:
The computer, monitor, preamp, and printer must be plugged into the isolation transformer. The preamp
and printer must be plugged into the A outlets and the computer and monitor (or computer and power strip
on units equipped with the optional external hard disk) must be plugged into the B outlets.
*Connect the optional external hard drive to the Stress system using a power strip. Refer to the instructions
provided with the external hard drive for proper connection.
*Do not plug any other components into the power strip on units equipped with the optional external hard
disk.
The isolation transformer must be plugged into a dedicated circuit.
The treadmill must be plugged into a dedicated circuit.
*You cannot connect both a laser printer and an optional external hard drive on the same system.
If the preamp is mounted on the treadmill handrail, it should be mounted perpendicular to the treadmill
belt to avoid damaging the unit when the treadmill is inclined.
Use of an uninterruptable power supply (optional)
If you use an uninterruptable power supply (UPS), insert it between the isolation transformer and the computer
and monitor. See the system configuration block diagram (Figure 1).
WARNING! Electronic interference.
The preamp can be mounted on the treadmill handrail, placed on the floor, or located in another
convenient spot. It should be installed in a location that removes the patient cable from close proximity
to power cords, transformers, or other power lines connected devices to minimize noise pick-up.
System configuration
The block diagram (Figure 1) shows a typical configuration and suggested locations for plugging in the various
system hardware components. Your system will be similar but may not be identical to the configuration shown. If
you have questions about connecting components, contact technical support.
WARNING! Electronic interference.
Grounding reliability can be achieved only when equipment is connected to a properly-grounded
receptacle. Ensure that the isolation transformer is connected to this type of electrical outlet.
HARDWARECONNECTIONS
4
Figure 1: Stress system components
Note: There is a power switch on the front of the computer that must be pressed to boot up the computer. Turn off
the computer by shutting down Windows.
Use the QRS Sync to connect a blood pressure monitor to the system (rather than one of the Analog Outputs).
Make a note of which ports are used to connect the treadmill, ergometer, and blood pressure monitor. You will need
this information to configure the Stress software.
Attach the service card and plastic sleeve to the video cable using the supplied wire ties.
The HASP® (or dongle) attaches to the computer’s parallel port.
Caution. Improper voltage.
The ergometer exercise device may not be self switching. Refer to the ergometer user guide for proper
voltage adjustment setting.
Caution. Treadmill communication.
Power Management should be disabled for USB ports to prevent USB ports from being powered down.
This is beneficial for maintaining communication with the treadmill.
To configure Q-Stress with USB power management disabled, select Power Options, then Advanced
settings, then USB settings and set USB selective suspend setting = Disabled.
HARDWARECONNECTIONS
5
Computer and Preamp II connections
Po
r
t Connect to
1 AC Power
2 Mouse (PS/2)
3 Keyboard (PS/2)
4 COM1 (Serial)
Blood pressure monitor (optional)
Note: Record connections to COM ports for use in system setup.
5 Monitor (VGA)
6 HASP and Printer (Parallel)
7 Mouse, Printer, Treadmill, External Drive (USB)
8 Network (NIC)
9 COM 2 (Serial)
Available
10 COM 4 (Serial)
Preamp II (required)
11 COM 3 (Serial)
TM-series treadmill, erogmeter
Note: Record connections to COM ports for use in system setup.
12 Analog output
13 QRS Sync
Note: Connect the QRS Sync to the blood pressure monitor,
rather than an Analog Output. See Taking Accurate Blood
Pressure Measurements on page C-1 of the User’s Guide for
details.
14 To computer
Note: The 9 pin serial cable connected to this socket plugs into
COM4 on the PC.
15 DC Power
HARDWARECONNECTIONS
6
7
System Installation on a Stress Cart
The steps below show how to place Stress system components on a Q-Stress cart. If you are not placing your system
on a cart, you can use these steps for instructions on connecting the different components.
Figure 2: Example of a Q-Stress cart
Caution. Unstable workstation.
For best balance, place the system equipment on the cart as shown in Figure 2.
SYSTEMINSTALLATIONONASTRESSCART
8
9
Adjustment of Top Surface Height
Follow the instructions below to change the height of the top surface. Be aware that some of the screws are located
in awkward positions. The pictures below show the top surface changed from the higher to the lower height.
Step
1 Remove the monitor mount by pulling the mount
straight up and then toward you (make sure you
remove the lock bolt first.)
2 1. Remove the mounting hardware from the top
surface:
2. Four screws from the monitor mount
3. Two or three screws (depending on position of
risers) connecting the risers to the base (these
must be removed from inside of the cart.
3 Remove the top surface from the cart
ADJUSTMENTOFTOPSURFACEHEIGHT
10
Step
4 Turn the top surface over and lay it on the cart (or
a flat area). Remove the screws connecting each
riser to the top surface
5 Rotate each riser 90 degrees and fasten back to
the top surface.
6 Turn the top surface so the risers are on the
bottom and lined up with the holes on top of the
cart. Replace on cart. Reattach the four screws
that hold the monitor to the cart.
7 Reattach the screws that hold the risers to the cart
(you will need to work from under the cart).
8 Reattach the monitor holder and monitor to the
cart.
11
Install the Writing Surface and Paper Tray
Follow these instructions to install the optional writing surface and chart recorder paper tray on the Q-Stress cart.
Step
1 Place the writing surface brackets into the slots on
the right side of the cart.
2 Attach the chart recorder paper tray to the left side
of the cart.
Attach the paper tray flush with the cart for storing.
INSTALLTHEWRITINGSURFACEANDPAPERTRAY
12
13
Component Placement
Follow the instructions below for placement of system equipment.
Note: The equipment for your system may be different from that show.
Step
1 Place the strap (found in accessory box 1) through
the holes in the bottom of the cart.
2 Place the computer tower through the strap and on
to the cart. Secure the tower with the strap.
If a mounting bracket is included with the PC / cart,
secure the tower with the mounting bracket. Put
the bracket on top of the PC and hook it onto the
side of the shelf as shown.
3. For a laser printer:
On the under side of the printer place the 4 rubber
feet as shown.
COMPONENTPLACEMENT
14
4 Place the laser printer or chart recorder on top of
the cart.
Note: Follow printer manufacturer’s instructions to
set up the printer.
5 Plug the four component AC power cables into the
transformer. (See Figure 1 on page 4 for
appropriate plug placement.)
6 While holding the four AC cables, place the
transformer on the bottom of the cart.
7 Connect an AC cable to the transformer.
Connect the third standard length AC cable to the
computer tower. Connect the longest AC cable to
the pre-amp.
Route the two of the standard length AC cables to
the top of the cart for the monitor and chart
recorder.
Note: Make sure the preamp is 3 feet or farther
away from the isolation transformer. Electro-
magnetic interference could cause noisy ECG
signals.
8 Depending on the type of printer:
•Connect the USB cable and the power cord to
the printer.
Or
•Connect the parallel cable to the chart
recorder.
COMPONENTPLACEMENT
15
Step
9 Route and connect the printer cable to the
upper left USB port on the computer. Also
plug the video monitor into the video port.
Route the mouse and keyboard cables
through the hole on the top of the cart;
through the hole in the shelf below and plug
into the computer.
10 Place the monitor face down on a soft, clean,
flat surface. Attach the universal bracket to
the rear of the monitor. Tighten the screws
securely.
Caution! Be careful not to scratch or damage
the LCD screen.
Attach bracket to back of monitor here
COMPONENTPLACEMENT
16
Step
11 Route the monitor video and power cables through
the monitor post up through the cable hole.
12 Place the monitor arm on the cart and engage the
hooks.
Caution! A minimum of 6 arm hooks should be
engaged.
COMPONENTPLACEMENT
17
Step
13 Secure the monitor mounting post by fastening the
security bolt in the hole that lines up with the pen
nut on the cart. Attach the power and monitor
cables to the monitor.
14 Connect the preamp interface cable from the
preamp to the high speed serial port (COM4) on
the computer.
Note: Be sure to use the correct port.
Install the preamp using the instructions provided
with the preamp.
15 The hardware assembly and connection is now
complete.
See Connect the Exercise Device on page 18 for
directions to attach a treadmill or ergometer.
18
Connect the Exercise Device
Treadmill
Connect the treadmill to the computer via the Serial cable provided (recommended) or USB
cable. No further preparation is needed.
Ergometer
Use the instructions that came with your exercise device to connect it to the Stress computer.
Install Software
SeeQ‐Stress4.6SoftwareInstallationandUpgradeInstructions(REF70‐00260‐03)toinstalltheStress
applicationandsupportingsoftwareandconfiguretheoperatingsystem.
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