ECG1012ECG1012Express User Manual-V1.2

8/12/2019 ECG1012ECG1012Express User Manual-V1.2

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DIXION VERTRIEB MEDIZINISCHER GERTE GMBH

Manual Ver: V1.2Release Date: February 2011Part Number: UM01-12-13-V1.2

ECG1012/ECG1012E

xpress

Electroca

rdiograph


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Copyright

Copyright DIXION VERTRIEB MEDIZINISCHER GERTE GMBH 2007-2008. All rights

reserved.

Statement

Dixion Vertrieb medizinischer Gerte GmbH (hereinafter called DIXION) makes no warranty of

any kind with regard to this material, including, but not limited to the implied warranties of

merchantability and fitness for a particular purpose. DIXION assumes no responsibility for any

error that may appear in this document, or for incidental or consequential damage in connection

with the furnishing, performance or use of this material.

No part of this document may be photocopied, reproduced or translated to another language

without prior written consent of DIXION.

All information contained in this publication is believed to be correct. DIXION shall not be

liable for errors contained herein nor for incidental or consequential damages in connection with

the furnishing, performance, or use of this material. This publication may refer to information

and protected by copyrights or patents and does not convey any license under the patent rights

of this company, nor the rights of others. This company does not assume any liability arising out

of any infringements of patents or other rights of third parties.

The information contained in this document is subject to change without notice.

Responsibility of the Manufacturer

DIXION only considers itself responsible for any effect on safety, reliability and performance of

the equipment if:

Assembly operations, extensions, re-adjustments, modifications or repairs are carried out by

persons authorized by DIXION, and

The electrical installation of the relevant room complies with national standards, and

The instrument is used in accordance with the instructions for use.

NOTE: This device is not intended for home use.

WARNING : This device is not intended for treatment.

P/N: UM01-12-13-V1.2.


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Upon request, DIXION may provide, with compensation, necessary circuit diagrams, and other

information to help qualified technician to maintain and repair some parts, which DIXION may

define as user serviceable.

Using This Label Guide

This guide is designed to give key concepts on safety precautions.

WARNING

A WARNING label advises against certain actions or situations that could result in personal

injury or death.

CAUTION

A CAUTIONlabel advises against actions or situations that could damage equipment, produce

inaccurate data, or invalidate a procedure.

NOTE:A NOTE provides useful information regarding a function or a procedure.


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Table of Contents

1 Safety Guidance ................................................................................... 11.1 General Warnings .................................................................................................11.2 General Cautions ..................................................................................................31.3 Preparation and Operation Warnings (For ECG 1012 Express Exercise Test)

........................................................................................................................................51.4 Contraindications (For ECG 1012 Express Exercise Test) ............................6

2 Introduction........................................................................................... 82.1 Function Features ........................................................................................................92.2 List of Symbols ...........................................................................................................10

3 General Information ........................................................................... 133.1 Top Panel .................................................................................................................... 13

3.1.1 LCD Screen ......................................................................................................133.1.1.1 Main Screen of Resting ECG .....................................................................143.1.1.2 Main Screen of Exercise Test (optional) ..................................................153.1.2 Keyboard and Keys .........................................................................................18

3.2 Front Panel .................................................................................................................213.3 Rear Panel .................................................................................................................. 223.4 Right Panel .................................................................................................................233.5 Bottom Panel ..............................................................................................................27

4 Operation Preparations...................................................................... 294.1 Power and Earthing ...................................................................................................294.2 Loading/Replacing Recording Paper......................................................................304.3 Patient Cable and Electrodes Connection for Resting ECG...............................32

4.3.1 Patient Cable Connection ..............................................................................324.3.2 Electrode Connection......................................................................................32

4.4 Patient Cable and Electrodes Connection for Exercise Test ..............................354.4.1 Patient Cable Connection ..............................................................................354.4.2 Electrodes Connection....................................................................................36

4.5 Inspection before Power-On ....................................................................................385 General Operation .............................................................................. 39

5.1 Switching On...............................................................................................................395.2 General operation ......................................................................................................395.3 Enter the Main Screen of Exercise Test (optional)...............................................425.4 Switch Off.................................................................................................................... 43

6 Operation Instructions for Resting ECG .......................................... 446.1 Freeze..........................................................................................................................44


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6.2 Auto Mode................................................................................................................... 466.3 Manual Mode ..............................................................................................................476.4 Rhythm mode .............................................................................................................486.5 R-R mode .................................................................................................................... 486.6 Copy.............................................................................................................................496.7 Setup............................................................................................................................49

6.7.1 Work Mode Setup............................................................................................496.7.2 Filter Setup .......................................................................................................516.7.3 Record Info Setup............................................................................................526.7.4Patient Question Setup...................................................................................566.7.5 Transmission Setup ........................................................................................586.7.6 Patient Information ..........................................................................................596.7.7 Lead Setup .......................................................................................................606.7.8 Display Setup ...................................................................................................616.7.9 Sound Setup.....................................................................................................626.7.10 Date&Time Setup ..........................................................................................636.7.11 More Setup .....................................................................................................64

6.8 File................................................................................................................................686.9 AUTO Mode Record ..................................................................................................75

6.9.1 Example of 6!2+1rhy......................................................................................756.9.2 Example of 3!4+1rhy......................................................................................80

6.10 RHYTHM Mode Record..........................................................................................816.11 MANUAL Mode Record ..........................................................................................826.12 R-R Mode.................................................................................................................. 836.13 ECG Report ..............................................................................................................87

7 Operation Instructions for Exercise ECG (optional) ....................... 897.1 Patient Information.....................................................................................................897.2 Setup............................................................................................................................90

7.2.1 General Information Setup .............................................................................907.2.2 Record Information Setup ..............................................................................957.2.3 Protocol Management.....................................................................................96

7.3 Recommended Operation Steps .............................................................................998 Hint Information................................................................................ 1009 Technical Specifications.................................................................. 10210 Cleaning, Care and Maintenance .................................................. 105

10.1 Cleaning ..................................................................................................................10510.1.1 Cleaning the Main Unit and Patient Cable ..............................................10510.1.2 Clean the Electrodes (For Resting ECG) ................................................105


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10.1.3 Clean the Print Head ..................................................................................10510.2 Disinfection .............................................................................................................10610.3 Care and Maintenance .........................................................................................106

10.3.1 Recharge and Replacement of Battery....................................................10610.3.2 Recording Paper..........................................................................................107

10.3.3 Maintenance of Main Unit, Patient Cable & Electrodes ........................108

11 Warranty and Service Policy ......................................................... 11011.1 Warranty..................................................................................................................11011.2 Service Policy .........................................................................................................110

12 Accessories .................................................................................... 11212.1 Standard Accessories ...........................................................................................11212.2 Optional Accessories ............................................................................................113

13 EMC Information............................................................................. 115


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12-Channel Electrocardiograph User Manual

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1 Safety Guidance

In order to use the electrocardiograph safely and effectively, avoiding possible dangers caused

by improper operations, please read through the user manual and be sure to be familiar with allfunctions of the equipment and proper operation procedures before use.

Please pay more attention to the following warning and caution information.

1.1 General Warnings

WARNING :

1. The electrocardiograph is provided for the use of qualified physicians or

personnel professionally trained. They should be familiar with the contents of

this user manual before operation.

2. Only qualified service engineers can install this equipment, and only service

engineers authorized by DIXION can open the shell.

3. The results given by the equipment should be examined with respect to the

overall clinical condition of the patient, and it can not substitute for regularchecking.

WARNING :

4. EXPLOSION HAZARD-Do not use the electrocardiograph in the presence of

flammable anesthetic mixture with oxygen or other flammable agents.

5. SHOCK HAZARD-The power receptacle must be a hospital grade grounded

outlet. Never try to adapt the three-prong plug to fit a two-slot outlet.

6. If the integrity of external protective conductor in installation or arrangement is

in doubt, the equipment should be operated by using a built-in rechargeable

battery.

7. Do not use this equipment in the presence of high static electricity or high

voltage equipment which may generate sparks.

8. This equipment is not designed for direct cardiac application.

WARNING :


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9. Only patient cable and other accessories supplied by DIXION can be used. Or

else, the performance and electric shock protection can not be guaranteed.

10. Be sure that all electrodes have been connected to the patient correctly before

operation.11. Be sure that the conductive parts of electrodes and associated connectors,

including neutral electrode, should not contact with earth or any other

conducting objects.

12. Electrodes with defibrillator protection should be used while defibrillating.

13. Always use electrode gel with reusable electrodes during defibrillation as ECG

recovery will take longer than 10 seconds. DIXION recommends the use of

disposable electrodes at all times.

14. There is no danger for patients to use pacemaker. However, if a pacemaker is

used, the results given by the equipment may be invalid, or lose the clinical

significance.

15. Do not touch the patient, bed, table or equipment while using the ECG together

with a defibrillator or a pacemaker.

16. In order to avoid being burnt, please keep the electrode far away from the radio

knife while using electrosurgical equipment simultaneously.

WARNING :

17. Accessory equipment connected to the analog and digital interfaces must be

certified according to the respective IEC/EN standards (e.g. IEC/EN 60950 for

data processing equipment and IEC/EN 60601-1 for medical equipment).

Furthermore all configurations shall comply with the valid version of the

standard IEC/EN 60601-1-1. Therefore anybody, who connects additionalequipment to the signal input connector or output connector to configure a

medical system, must make sure that it complies with the requirements of the

valid version of the system standard IEC/EN 60601-1-1. If in doubt, consult our

technical service department or your local distributor.

18. The summation of leakage current should never exceed leakage current limits

while several other units are used at the same time.

19. The potential equalization conductor can be connected to that of otherequipment when necessary, to make sure that all these equipment are

connected with the potential equalization bus bar of the electrical installation.


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WARNING :

20. Improper operation may cause the battery to be hot, ignited or exploded, and it

may lead to the declination of batterys capacity. It is necessary to read the user

manual carefully and pay more attention to warning messages.21. Only qualified service engineer authorized by DIXION can open the battery

compartment and replace the battery, and the battery of same model and

specification provided by manufacturer should be used.

22. Danger of explosion -- Do not reverse the anode and cathode when connecting

the battery.

23. Do not heat or splash the battery or throw it into fire or water.

24. When leakage or foul smell is found, stop using the battery immediately. If your

skin or cloth comes into contact with the leakage liquid, cleanse it with clean

water at once. If the leakage liquid splashes into your eyes, do not wipe them.

Irrigate them with clean water first and go to see a doctor immediately.

25. When the batterys useful life is over, contact with the manufacturer or local

distributor for disposal or dispose the battery according to local regulations.

26. Only when the device is off can the battery be Installed or removed.

1.2 General Cautions

CAUTION :

27. Federal (US) law restricts this device to sale by or on the order of a physician.

28. Avoid liquid splash and excessive temperature. The temperature must be kept

between 5and 40 while working, and it should be kept between -20and

55 during transportation and storage.

29. Do not use the equipment in dusty environment with bad ventilation or in the

presence of corrosive.

30. Be sure that there is no intense electromagnetic interference source around the

equipment, such as radio transmitter or mobile phone etc. Attention: large

medical electrical equipment such as electrosurgical equipment, radiological

equipment and magnetic resonance imaging equipment etc. are likely to bring

electromagnetic interference.


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CAUTION :

31. Before use, the equipment, patient cable and electrodes etc. should be checked.

Replacement should be taken if there is any evident defectiveness or aging

symptom which may impair the safety or performance.

32. The following safety checks should be performed at least every 24 months by a

qualified person who has adequate training, knowledge, and practical

experience to perform these tests.

a) Inspect the equipment and accessories for mechanical and functional

damage.

b) Inspect the safety relevant labels for legibility.

c) Inspect the fuse to verify compliance with rated current and breakingcharacteristics.

d) Verify the device functions properly as described in the instructions for

use.

e) Test the protection earth resistance according to IEC/EN 60601: Limit 0.1

ohm.

f) Test the earth leakage current according to IEC/EN 60601: Limit: NC 500

uA, SFC 1000uA.

g) Test the patient leakage current according to IEC/EN 60601: Limit: 10 uA(CF).

h) Test the patient leakage current under single fault condition with mains

voltage on the applied part according to IEC/EN 60601: Limit: 50uA (CF).

The data should be recorded in an equipment log. If the device is not

functioning properly or fails any of the above tests, the device has to be

repaired.

33. Ruptured fuse must only be replaced with that of the same type and rating as

the original.

34. The device and accessories are to be disposed of according to local regulations

after their useful lives. Alternatively, they can be returned to the dealer or the

manufacturer for recycling or proper disposal.

CAUTION :

35. Turn off the power before cleaning and disinfection. If mains supply is used, thepower cord should be drugged out of the outlet. Prevent the detergent from

seeping into the equipment.


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36. Do not immerse the unit or patient cable into liquid under any circumstances.

37. Do not clean the unit and accessories with abrasive fabric and avoid scratching

the electrodes.

38. Any remainder of detergent should be removed from the unit and patient cableafter cleaning.

39. Do not use chloric disinfectant such as chloride and sodium hypochlorite etc.

1.3 Preparation and Operation Warnings (For ECG 1012

Express Exercise Test)

WARNING :

1. Ensure that the electrocardiograph and treadmill have a good grounded state.

2. Always have an emergency termination test every time the treadmill is

connected to the power supply to ensure that the emergency termination button

is under a valid state.

3. In the exercise test process, ensure that there are 2 or above experienced

physicians are absent. One of them takes care of the patients state and is ready

to deal with the emergency at any moment.

4. In the same room equipped with the electrocardiograph for Exercise Test, the

necessary first-aid equipments like defibrillator and blood-pressure meter

should be prepared, and these equipments should be measured and examined

periodically according to relative regulation to ensure their validity. At the sametime, the necessary valid medications should also be prepared.

5. Before defibrillating for the patient, the emergency termination button of the

treadmill should be pressed to avoid hazard brought to the patient or user.

WARNING :

6. Locate the treadmill or bicycle on a horizontal place without any obstacle.

7. Use a special grounded socket to get accurate voltage and current.


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8. Put the power cable far away from treadmill area and calorific surface.

9. Examine the treadmill or bicycle carefully before using it.

10. Do not do any exercise test when the treadmill or bicycle is wet.

11. Do not use this treadmill or bicycle in the open air.

12. The patient to have an exercise test should wear suitable clothes and shoes.

13. During the course of exercise test, do not get on or off the treadmill.

14. Remind every patient to avoid falling down from the treadmill.

15. Do not approach the moving components with the hand, foot or clothes.

16. Before stop running the treadmill, slow its speed to the minimum.

17. Children are prohibited approaching the treadmill or bicycle alone.

18. Do not drop or insert any object into the open part of the treadmill.

19. If any abnormal thing happens with the treadmill, please press down the

emergency termination button on the treadmill to stop test immediately.

1.4 Contraindications (For ECG 1012 Express Exercise Test)

Absolute Contraindications:

1. Acute MI (within 2 days)

2. High-risk unstable angina

3. Uncontrolled cardiac arrhythmia causing symptoms of hemodynamic

compromise

4. Active endocarditis

5. Symptomatic severe aortic stenosis

6. Decompensated symptomatic heart failure

7. Acute pulmonary embolus or pulmonary infarction


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8. Acute noncardiac disorder that may affect exercise performance or be

aggravated by exercise (eg, infection, renal failure, thyrotoxicosis)

9. Acute myocarditis or pericarditis

10. Physical disability that would preclude safe and adequate test performance

11. Inability to obtain consent

Relative Contraindications:

12. Left main coronary stenosis or its equivalent

13. Moderate stenotic valvular heart disease

14. Electrolyte abnormalities

15. Tachyarrhythmias or bradyarrhythmias

16. Atrial fibrillation with uncontrolled ventricular rate

17. Hypertrophic cardiomyopathy

18. Mental impairment leading to inability to cooperate

19. High-degree AV block

Note: The warnings and cautions of Chapter 1.3 and Chapter 1.4 are listed for the

Exercise Test function of ECG 1012 Express.


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2 Introduction

12-channel electrocardiograph gathers 12 leads simultaneously, and carries out visual display

of operation menu, ECG parameters as well as electrocardiogram.

12-channel waves can be viewed on the LCD (liquid crystal display) screen simultaneously,

and it can be recorded by a high-quality thermal recorder.

Manual, auto, rhythm or R-R work mode can be chosen freely.

For ECG 1012 Express, Exercise Test is optional. Exercise Test function of the ECG 1012

Express fits for shadiness coronary heart disease, non-typical angina and labor force

identification, and it also can identity the effect of operation and so on.

Either mains supply or built-in rechargeable Lithium battery can be used as power.

With a high resolution thermal recorder, a 32-bit processor and a huge capacity memorizer,

12-channel electrocardiograph has advanced performance and high reliability, and the compact

size makes it suitable for clinic, hospital and ambulance use.

12-channel electrocardiograph has two models: ECG 1012, ECG 1012 Express.

Configuration: Main unit, power cord, patient cable for Resting ECG, chest electrodes, limb

electrodes, thermal recording paper, fuses, lithium battery.To use Exercise Test function of the ECG 1012 Express, the following accessories should be

included:

RS232 Cable for BP Monitor, BNC External ECG Trigger Cable for BP Monitor, RS232 Cable

for treadmill, Patient cable for Exercise ECG/(America or Europe), Belt, disposable adhesive

electrodes.

Intended use: The intended use of electrocardiograph is to acquire ECG signals from adult and

pediatric patients through body surface ECG electrodes. The

electrocardiograph is only intended to be used in hospitals or healthcarefacilities by doctors and trained healthcare professionals. The cardiogram

recorded by the electrocardiograph can help users to analyze and diagnose

heart disease. However the ECG with measurements and interpretive

statements is offered to clinicians on an advisory basis only.

WARNING : This equipment is intended for use on adult and pediatric patients

only.

WARNING : This equipment is not designed for direct cardiac application.


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WARNING : The results given by the equipment should be examined with

respect to the overall clinical condition of the patient, and it can not

substitute for regular checking.

2.1 Function Features

! Low weight and compact size

! Multi-language support

! 12-lead are gathered and amplified simultaneously, 12-Channel ECG waves are

displayed and recorded simultaneously

! High resolution thermal recorder, recording frequency response "150Hz

! Flexible recording formats

! Big keyboard design, separate number and letter keys for easy operation (For ECG

1012 Express, touch screen is available)

! Auto mode, manual mode, rhythm mode, R-R mode optional

! Convenient system setup and file management operation

! Auto measurement and auto interpretation optional

! Hint information for lead off, lack of paper and low battery capacity etc.

! Built-in rechargeable Lithium battery with high capacity

!

Automatic adjustment of baseline for optimal recording

The following features are only for the Exercise Test function of ECG 1012 Express

(optional)

! Real-time analysis, ST segment and trend are applied while sampling; real-time

displaying and printing for 12-lead simultaneous ECG waveforms;

! ST segment analysis while sampling; ST position is adjustable at any time while

sampling;

! Provide average templates of three rhythm leads in each stage, benefit to observe the


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change of ST segments between every stages

! Automatically form elaborate reports, including Summary Report, ST Scope Report and

Trend Graph Report

! Provide classical exercise protocols; Exercise protocols can be edited and created

! Automatically control and adjust the speed and grade of treadmill or the power of

bicycle

! Support multi-types of treadmills or bicycle

2.2 List of Symbols

External Output

External Input

Equipment or Part of CF Type with Defibrillator Proof

Attention General Warning (See accompanying document)

Potential Equalization

Mains Supply

USB Port

Battery Indicator

Battery Recharging Indicator


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Delete Key

Enter Key

Esc Key

Shift Key

Fn Key

Power On/Off Key

COPY Key

MODE Key

SLEEP/WAKE UP Key

START/STOP Key

Tab Key

UP/DOWN/LEFT/RIGHT Arrow Key

Recycle

Part Number


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Serial Number

Date of Manufacture

Manufacturer

Authorized Representative in the European Community

The symbol indicates that the device complies with the

European Council Directive 93/42/EEC concerning medical

devices.

The symbol indicates that the device should be sent to the

special agencies according to local regulations for separate

collection after its useful life and that this unit was put on themarket after 13 August 2005.


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3 General Information

3.1 Top Panel

Figure 3-1 ECG 1012 Express

Figure 3-2 ECG 1012

3.1.1 LCD Screen

ECG 1012 adopts 320#240 dot single color LCD Screen; ECG 1012 Express adopts 800#600

multicolor LCD Screen.

LCD Screen

Recorder Keyboard

Indicator Lamps

Keyboard

Recorder

LCD Screen

Indicator Lamps


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3.1.1.1 Main Screen of Resting ECG

Figure 3-3 ECG 1012 Express Main Screen

Figure 3-4 ECG 1012 Main Screen

Name Explanation

A Name Patient Name: Within 20 characters

B ID Patient ID: Within 10 characters

F

H

GE

A

P

O N M L K J I

C D

B

DB G

P

O N M L K J

H

I

E F


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3.1.1.2 Main Screen of Exercise Test (optional)

Figure 3-5 ECG 1012 Express Main Screen (For Exercise Test)

L

K

A

V

U T S R Q P O

D

B

C

E GF H

N

I

M

J


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P Setup

Enter System Setup Window. Refer to Chapter 7.2.

When being in test, this item becomes Lead, and press this

key to enter Lead Setup Interface; Refer to Chapter 6.7.7

Q 100Hz EMG Filter: 25Hz, 35Hz or 45HzLowpass Filter: 75Hz, 100Hz or 150Hz

R 10mm/mVGain: 2.5 mm/mV, 5 mm/mV, 10 mm/mV, 20 mm/mV, 10/5

mm/mV or AGC

S Post J: 80ms

Post J is used to set the length after J point of ST segment.

The user can set Post J as 0, 20ms, 40ms, 60ms or 80ms.

Note: J Point is the connection point between the end of

QRS complex and the start of ST segment. It is

the standard point to fix the position of STsegment. Please select the proper option

according to the patients actual ECG wave.

T Hold

Click on this key and the system will not follow the previous

settings to change the speed and grade of treadmill, but keep

the current speed and grade until this key is clicked again.

U Patient Enter Patient Information Interface; Refer to Chapter 7.1.

V ECG waveform Display ECG waveform


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3.1.2 Keyboard and Keys

Figure 3-6 ECG 1012 Express Keyboard

Figure 3-7 ECG 1012 Keyboard

A

B

C

D

E

F

G

I

H

J K L M N O

B

C

D

J K L M N O

E

F

G

I

H


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Name Explanation

PretestPress this key to enter the pretest phase. The length of

pretest phase is not fixed.

Exercise

Press this key to enter the exercise phase. When being in

the exercise phase, press this key to enter the next stage of

the exercise phase.

Recovery

Press this key to enter the recovery phase. When being in

the recovery phase, press this key to enter the next stage of

the recovery phase.

Test EndPress this key to display a prompt dialog-box, and then theuser can decide whether the exercise test should be

terminated.

Enter BP

Press this key to drive the BP monitor to measure blood

pressure values.

Note: If the user directly uses the button on the BP

monitor to drive the BP monitor to measure the

blood pressure, the electrocardiograph can not

get the measuring values.

RecallDuring the exercise test, press this key to recall 10s data

and print out the 12-Lead Report of the recalled 10s data.

12 ldDuring the exercise test, press this key to sample 10s data

and print out the 12-Lead Report of the sampled 10s data.

MediansDuring the exercise test, press this key to print out the

Average Template Report.

Comment

Press this key to display the Comment Dialog-box, andthen the user can enter comments in the Dialog-box. The

entered comments will be displayed in the Summary

Report. Press this key again to exit from the dialog-box.

Speed +/-W

Press Speed W +/- to change the speed of the treadmill

during the exercise phase.

Note: The two keys are available for the user-defined

treadmill protocol only.

A

(optional)

Grade +/-Press Grade +/- to change the grade of the treadmill duringthe exercise phase.


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Note: The two keys are available for the user-defined

treadmill protocol only.

B Function Key Selecting menu functions on screen

C Delete Deleting charactersD Enter Confirming operation

E Tab

Moving cursor

On the Main Screen interface, pressing the Tab key to feed

the recording paper to the next paper marker, (when Paper

Marker is set as Yes)or get to 2.5cm(when Paper Marker

is set as No), pressing the Tab key again to stop feeding.

F Fn Press Fn + X to enter special characters

G Spacebar Inserting spacebar

H ShiftUsed to enter capital letters

Shift + Tab= BackTab

I Esc

Canceling operation

Note:A large polarization voltage may cause baseline

drift. Pressing Esc key in the main screen can

decrease polarization voltage and draw the

baseline to zero quickly.

J Power On/Off Power-on/Power-off

K MODE

Selecting Work mode: Manual, Auto, Rhythm

Note: Only on the Work Mode Setup interface can

R-R mode be selected.

L SLEEP/ WAKE UP Used for resting and wakening electrocardiograph

M COPY Reviewing the last ECG data recorded in the Auto mode

N START/STOP Start/Stop recording

O Arrow Keys

Moving cursor (Up, Down, Left, Right)

In the Manual Mode or Rhythm Mode, press Up/Down to

switch the lead group.

In the Exercise Test System, press Up/Down to switch the

Display Mode, and when the Display Mode is 3#1, press

Left/Right to switch the lead group.


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3.2 Front Panel

Figure 3-8 ECG 1012 Express Front Panel

Figure 3-9 ECG 1012 Front Panel

1) Indicator Lamp

Symbol Name Explanation

A Mains supply

indicator lamp

When the device is powered by mains supply, the

lamp will be lit.

BBattery indicator lamp

When the device is powered by the built-in

rechargeable Lithium battery, the lamp will be lit.

C Battery recharging

indicator lampWhen the battery is recharged, this lamp will be lit.

2) Cable bracket(Optional)

Used for supporting patient cable.

Cable bracket

(Optional)

Cable bracket

(Optional)

A B C

A B C


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3.3 Rear Panel

Figure 3-10 ECG 1012 Express Rear Panel

Figure 3-11 ECG 1012 Rear Panel

Name Explanation

A Mains supply Socket AC SOURCE: alternating current supply socket

BPotential

Equalization

Terminal

Potential equalization conductor provides a connection

between the unit and the potential equalization bus bar of the

electrical installation.

C Handle Part for people to hold

D Heat Emission Hole Path for internal heat emission

A

D

A

D


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3.4 Right Panel

Figure 3-12 ECG 1012 Express Right Panel

Figure 3-13 ECG 1012 Right Panel

Name Explanation

A Patient Cable Socket Connecting patient cable

B Serial Port 1 Connecting PC

C USB Socket 1(Optional) Standard USB socket, connecting PC

DUSB Socket 2(Optional)

Standard USB socket, connecting USB, USB printer

recommended by DIXION

E External Input/Output Socket Connecting external signal device

F Serial Port 2 Reserved

G Net port Standard net port, connecting PC

D

A F

G

C

B E

D

A F

G

C

B E


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1) Patient Cable Socket

: Applied part of type CF with defibrillator proof

: Attention see accompanying document

Definition of corresponding pins:

Pin Signal Pin Signal Pin Signal

1 C2 (input) 6 SH 11 F (input)

2 C3 (input) 7 NC 12 NC

3 C4 (input) 8 NC 13 C1(input)

4 C5 (input) 9 R (input) 14 NC

5 C6 (input) 10 L (input) 15 N or RF (input)

2) Serial port 1

WARNING :

Serial port 1 is 1500V AC isolated intensity and the maximum voltage applied

should not exceed +15V DC.


Pin Signal Pin Signal Pin Signal

1 NC 4 NC 7 NC

2 RxD (input) 5 GND 8 +12V

3 TxD (output) 6 NC 9 NC


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3) Serial port 2


Pin Signal Pin Signal

1 TxD (output) 5 NC

2 RxD (input) 6 +12V

3 NC 7 GND

4 +5V 8 GND

4) External Input/Output Socket



1 GND 4 GND

2 GND 5 ECG Signal (input)

3 GND 6 ECG Signal (output)

5) USB Socket 1/USB Socket 2 (Optional)

2

1

3

8

5

7

6

4


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1 VBUS 3 D+

2 D- 4 GND

WARNING : Only the USB equipment recommended by DIXION can be

connected to the USB interface.

WARNING :

! Accessory equipment connected to the analog and digital interfaces must

be certified according to the respective IEC/EN standards (e.g. IEC/EN

60950 for data processing equipment and IEC/EN 60601-1 for medicalequipment). Furthermore all configurations shall comply with the valid

version of the standard IEC/EN 60601-1-1. Therefore anybody, who

connects additional equipment to the signal input or output connector to

configure a medical system, must make sure that it complies with the

requirements of the valid version of the system standard IEC/EN 60601-1-1.

If in doubt, consult our technical service department or your local distributor.

! The summation of leakage current should never exceed leakage current

limits while several other units are used at the same time.


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3.5 Bottom Panel

Figure 3-14 ECG 1012 Express Bottom Panel

Figure 3-15 ECG 1012 Bottom Panel

Name Explanation

A Speaker Hole Path for sound from speaker

B Battery Compartment Compartment for Lithium battery

C Fuse The specification is : AC100V-240V: T1A; 5#20

D Heat Emission Hole Path for internal heat emission

E Label Position for product information label

B

C

E

A

D

D

B E

A

DD


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1) Battery Compartment

The rated voltage and rated capacity of rechargeable Lithium battery pack are

ECG 1012 Express: Rated Voltage: 14.8V; Rated Capacity: 4000mAh/4400mAh

ECG 1012: Rated Voltage: 14.8V; Rated Capacity: 2000mAh/2200mAh/2400mAh

WARNING :

Improper operation may cause the battery to be hot, ignited or exploded, and it

may lead to the decrease of batterys capacity. Therefore, it is necessary to read

the user manual carefully and pay more attention to warning messages.

WARNING :

When leakage or foul smell found, stop using the battery immediately. If theleakage liquid gets to your skin or cloth, cleanse it with clean water at once. If the

leakage liquid gets into your eyes, do not wipe them. Irrigate them with clean

water first and go to see a doctor immediately.

WARNING :

Only qualified service engineer authorized by DIXION can open the battery

compartment and replace the battery, and the battery of same model and

specification provided by manufacturer must be used.

WARNING :

Only when the device is off can the battery be installed or removed.

Note: If the battery has not been used for two or three months or above, recharge

should be done before you use the battery again.

2) Fuse

There are two same fuses installed on the bottom of the main unit. The specification is:

AC100V-240V: T1A; 5#20.

WARNING : Ruptured fuse must only be replaced with the same type and

rating as the original.


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4 Operation Preparations

CAUTION :

Before use, the equipment, patient cable and electrodes should be checked.

Replace it if there is any evident defectiveness or aging which may impair the safety

or performance, and be sure that the equipment is in proper working condition.

4.1 Power and Earthing

WARNING :

If the integrity of external protective conductor in installation or arrangement is

in doubt, the equipment should be powered by the built-in rechargeable battery.

Power Supply

The electrocardiograph can be powered by either mains supply or the built-in rechargeable

lithium battery pack.

! Mains supply

The mains connection socket is on the rear panel of the unit. If mains supply is used,

connect the power cord to the socket first, and then connect the plug of the cord to the

hospital grade outlet.

Rated input voltage: 100V~240V

Rated frequency: 50Hz/60Hz

Rated input power: 70VA

Make sure the mains supply meets the above requirements before power on, and then

press Power ON/OFF key on the keyboard to power on the unit. Then the mains

supply indicator lamp ( ) will be lit.

If the built-in rechargeable battery is weak when mains supply used, it will be

recharged automatically at the same time, and both the mains supply indicator lamp ( )

and the battery recharging indicator lamp ( ) will be lit.

! Built-in rechargeable battery

While using the built-in rechargeable lithium battery pack, turn on the unit by pressing

Power ON/OFFkey on the keyboard and the battery indicator lamp ( ) will be lit.

The battery symbol will be displayed on the LCD screen. Because of the consumption

during storage and transport, the capacity of battery may not be full. If the symbol


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or and the hint information BAT WEAK are displayed, which means the

battery capacity is weak, please recharge the battery first.

When the capacity of battery is full, ECG 1012 can work normally for nearly 2 hours;

about 200 ECG Reports of 3#4+1r can be recorded in the Auto Mode. ECG 1012

Express can work normally for nearly 3.5 hours; about 400 ECG Reports of 3#4+1rhy

can be recorded in the Auto Mode.

Please refer to the maintenance section for how to recharge the battery. During

recharging the battery, electrocardiograph can be powered by mains supply.

WARNING : Potential equalization conductor of the unit should be connected to

the potential equalization bus bar of the electrical installation when

necessary.

4.2 Loading/Replacing Recording Paper

Two kinds of paper can be used as ECG recording paper. One is Rolled thermal paper, another

is folded thermal paper.

Note:When using folded thermal paper, the Paper Roller should be removed.

Note: When using the paper of 216mm width, the two movable parts should beremoved.

Note:The Exit Edge can help the user tear the recording paper.

CAUTION : Be sure that recording paper, especially rolled paper, should be

installed in the central of the recorder, and the edge of paper should

be parallel with the edge of casing in the direction of feeding paper,

in order to avoid paper deviation and the damage to the edge of

paper.

When there is no paper loaded or it reaches the end of paper, hint message Paper Empty will

be given on the screen. Under this circumstance, recording paper should be loaded or replaced

immediately.


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Loading/Replacing Process for Rolled paper:

1) Press the Casing Button downwards with one hand and pull the casing upwards with

another hand to open the recorder.

2) Take out the Paper Roller, and remove remainder paper from the roller if necessary;3) Take off the wrapper of paper roll, and then put through the roller with the papers grid

side facing downward;

4) Place the paper and roller gently in the recorder with the roller pin facing to the groove;

5) Pull about 2cm of paper out from the Exit, and put down the recorder casing;

6) Secure the casing by pressing it firmly.

Loading/Replacing Process for Folded paper:

1) Press the Casing Button downwards with one hand and pull the casing upwards withanother hand to open the recorder.

2) Remove remainder paper in the Paper Tray if necessary;

3) Take off the wrapper of folded paper, and then put it in the Paper Tray with the papers

grid side facing right while putting the free end of paper upright;

4) Pull about 2cm of paper out from the Exit, and put down the recorder casing;

5) Secure the casing by pressing it firmly.

Movable

Part 2

Movabl

e

Casing Button

Paper Tray

Groove

Paper Roller

Casing

Exit

Exit Edge

(Edge for

tearing paper)


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4.3 Patient Cable and Electrodes Connection for Resting ECG

4.3.1 Patient Cable Connection

WARNING : The performance and electric shock protection can be guaranteed

only if original DIXION patient cable and electrodes are used.

Patient cable includes two parts, main cable and lead wires with associated connectors, which

can be distinguished from the color and identifier on the connectors.

Connect Main Cable:Plug the connector of main cable into the patient cable socket on the right side of the unit

according to the direction of arrow on the plug, and then secure it with two screws.

4.3.2 Electrode Connection

Chest Electrode:

Main CableLead Wires

Connector

Screw

Electrode Connectors

Suction Bulb

ElectrodeMetal Cup


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Limb Electrode:

The identifier and color code of electrodes used complies with IEC/EN requirements. In order

to avoid incorrect connections, the electrode identifier and color code are specified in Table

4-1. Moreover the equivalent code according to American requirements is given in Table 4-1

too.

Table 4-1 Electrodes and their identifier and color code

European American

Electrodes Identifier Color code Identifier Color code

Right arm R Red RA White

Left arm L Yellow LA Black

Right leg N or RF Black RL Green

Left leg F Green LL Red

Chest 1 C1 Red V1 Red

Chest 2 C2 Yellow V2 Yellow

Chest 3 C3 Green V3 Green

Chest 4 C4 Brown V4 Blue

Chest 5 C5 Black V5 Orange

Chest 6 C6 Violet V6 Violet

As the following figure shows, the chest electrodes positions on body surface are

C1: Fourth intercostals space at right border of sternum

C2: Fourth intercostals space at left border of sternum

C3: Fifth rib between C2 and C4

C4: Fifth intercostals space on left midclavicular line

C5: Left anterior axillary line at the horizontal level of C4

C6: Left midaxillary line at the horizontal level of C4

Reed

Electrode

Clamp


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The contacting resistance between the patient and the electrode will affect the quality of ECG

greatly. In order to get a high-quality ECG, the skin/electrode resistance must be minimized

while connecting electrodes.

WARNING : Be sure that all electrodes have been connected to the patient

correctly before operation.

WARNING : Be sure that the conductive parts of electrodes and associated

connectors, including neutral electrode, should not contact with earth

or any other conducting objects.Chest electrodes connection:

1) Ensure that the electrodes are clean;

2) Align all lead wires of patient cable to avoid twisting, and connect the associated

electrode connectors to corresponding electrodes according to the color and identifier;

3) Clean electrode area on chest surface with alcohol;

4) Daub the round area of 25mm in diameter on each electrode site with gel evenly;

5) Place a small amount of gel on the brim of chest electrodes metal cup;

6) Place the electrode on chest electrode site and squeeze the suction bulb. Unclench it and

then the electrode is adsorbed on chest. Attach all chest electrodes in the same way.

Limb electrodes connection:

1) Ensure that the electrodes are clean;

2) Align lead wires of patient cable to avoid twisting, and connect the electrode connectors

to corresponding electrodes according to the color and identifier;

3) Clean electrode areas on a short distance above the ankle or wrist with alcohol;

4) Daub the electrode areas on limbs with gel evenly;

C6

C1

C2

C5

C4

C3


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5) Place a small amount of gel on the metal part of limb electrode clamp;

6) Connect the electrode to limb, and be sure that the metal part be placed on the electrode

area above the ankle or wrist. Attach all limb electrodes in the same way.

4.4 Patient Cable and Electrodes Connection for Exercise

Test

4.4.1 Patient Cable Connection

WARNING : The performance and electric shock protection can be guaranteed onlyif original DIXION patient cable is used.

Patient cable includes two parts, main cable and lead wires with associated electrode

connectors. The electrode connectors can be distinguished from the colors and identifiers on

them.

Connect Main Cable:

Plug the connector of main cable into the patient cable socket of the electrocardiograph accordingto the direction of arrow on the plug, and then secure it with two screws.

Main Cable

Lead Wires

Connector

ScrewElectrode Connectors


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4.4.2 Electrodes Connection

The identifier and color code of electrode connector used complies with IEC/EN requirements.

In order to avoid incorrect connections, the electrode connector identifier and color code isspecified in Table 4-2. Moreover the equivalent code according to American requirements is

given in Table 4-2 too.

Table 4-2 Electrodes and their identifier and color code

European American

Electrodes Color code Electrodes Color code

R Red RA White

L Yellow LA Black

N or RF Black RL Green

F Green LL Red

C1 Red V1 Red

C2 Yellow V2 Yellow

C3 Green V3 Green

C4 Brown V4 Blue

C5 Black V5 Orange

C6 Violet V6 Violet

The precordial electrodes positions on body surface are

C1: Fourth intercostals space at right border of sternumC2: Fourth intercostals space at left border of sternum


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C3: Fifth rib between C2 and C4

C4: Fifth intercostals space on left midclavicular line

C5: Left anterior axillary line at the horizontal level of C4

C6: Left midaxillary line at the horizontal level of C4

The extremity electrodes positions on body surface are

The extremity electrodes should be placed below the clavicle or above the crista scapulae, and

just above the spina iliaca superior or the crista iliaca, respectively.

The quality of ECG waveform will be affected by the contacting resistance between the patient

and the electrode. In order to get a high-quality ECG, the skin/electrode resistance must be

minimized while connecting electrodes.

WARNING : Be sure that all electrodes have been connected to the patient

correctly before operation.

WARNING : Be sure that the conductive parts of electrodes and associated

connectors, including neutral electrode, should not contact with earth

or any other conducting objects.

Electrodes connection:

1) Align all lead wires of patient cable to avoid twisting, and connect the disposable electrodes

to the electrode connectors;

2) Clean electrode area on chest surface with 75% alcohol;

3) Attach the disposable electrodes on electrode sites of the chest.

Note: The quality of the electrode and installation will directly influence the quality of

exercise ECG. The wrong placement and usage of electrodes will cause incorrect

analysis results. Please use the qualified electrodes which should be in the validperiod.

CAUTION :

The disposable electrodes should be deserted after used.


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4.5 Inspection before Power-On

In order to avoid safety hazards and get good ECG records, the following inspection procedure

is recommended before power-on and operation.

1) Environment:

! Check and make sure that there is no electromagnetic interference source around the

equipment, especially large medical electrical equipment such as electrosurgical

equipment, radiological equipment and magnetic resonance imaging equipment etc.

Switch off these devices when necessary.

! Keep the examination room warm to avoid muscle action voltages in ECG signal

caused by cold.

2) Power Supply:

! If mains power is used, please check whether the power cord has been connected to

the unit well, and the grounded outlet should be used.

! Recharge the battery first when the battery capacity is weak before use.

3) Patient Cable:

! Check whether the patient cable has been connected to the unit firmly, and keep it faraway from the power cord.

4) Electrodes:

! Check whether all electrodes have been connected to lead wires of patient cable

correctly according to the identifier and color.

! Ensure that the electrodes do not contact with each other.

5) Recording Paper:

! Ensure that there is enough recording paper loaded correctly.

6) Patient:

! The patient should not contact conducting object such as earth, and metal part of bed

etc.

! Ensure the patient is warm and relaxed, and breathes calmly.

WARNING : The electrocardiograph is provided for the use of qualified physicians

or personnel professionally trained, and they should be familiar with

the contents of this user manual before operation.


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5 General Operation

5.1 Switching On

! While using mains supply, firstly connect the power cord, and the mains supply indicator

lamp ( ) is lit. Then press Power ON/OFF key on the keyboard to turn on the unit.

Equipment information, such as manufacturer, device name and version No., will be

displayed on LCD screen after self-test. Then electrocardiograph is ready for examination

and recording.

! While using built-in rechargeable lithium battery, press Power ON/OFF key on the

keyboard directly to turn on the unit, and then the battery indicator ( ) is lit. After

self-test, electrocardiograph is ready for examination and recording.

5.2 General operation

All the operations including ECG recording, parameter setting and file managing can be

implemented by using the keyboard.

For ECG 1012 Express, users can also carry out the operations by using the Touch Screen.

WARNING : Do not touch the LCD screen with such sharp things as pencil or pen;

otherwise, it will be damaged.

Take these general operations required when using System Setup Window for example:

(1) Entering System Setup Window

Press the corresponding Function Key of Setup on the keyboard to enter the System Setup

Window.


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cursor to Cancel and press Enter key to cancel operation.

(4) Inputting characters

Take the Patient Information interface for example:

Press Tab key to move the cursor to Name;

Press Delete key to delete old information;

Press the letter keys or number keys on the keyboard to input patient name and

press Enter key to confirm.

In the File Manage Window, the general operations of selecting ECG files, setting parameters and

inputting characters are same as the content described above.

This System Diagnostics Window is password protected and only the manufacturer authorized

technician can access it.


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5.4 Switch Off

When built-in battery used, after finishing ECG record, press Power ON/OFFkey to display

the information System is shutting down on the screen. After a few seconds, the device

will be off.

When mains supply used, after finishing ECG record, press Power ON/OFFkey to display the

information System is shutting down on the screen. After a few seconds, the device will

be off, and then pull off the plug from the outlet.

Note: When switching off the device, please operate it according to the sequence

above strictly, or else there will be something wrong on the screen.

Note: Do not keep on pressing the Power ON/OFFkey when the device displays the

hint information Halting System on the screen.


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6 Operation Instructions for Resting ECG

6.1 Freeze

Note: For ECG 1012, Freezeis optional.

Users can freeze the ECG wave displaying on the main screen.

Operation Method:

1) Press the corresponding Function Key of Freeze on the keyboard (hereinafter called

Freeze function key) to freeze ECG wave;

2) On the Freeze interface, Press 3x4+1rhy function key can set the style of recording.

3) Press Reviewfunction key to review the ECG wave which has been frozen;


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4) Press Pre Page/Next Pagefunction key to turn the pages;

5) PressPre Sec/Next Secfunction key to view the ECG wave of pre second/ next second;

6) Press Playfunction key to display ECG wave continuously;

7) PressPausefunction key to stop playing ECG wave;

8) Press Return function key toreturn to main screen;


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6.2 Auto Mode

In the Auto mode, the lead groups are switched automatically according to different lead

sequence while recording. When ECG signal of one lead group has been recorded within a certain

time, it will be switched to another lead group automatically and begins to record the ECG signal

of that lead group. 1mV calibration mark will be recorded at the beginning of recording.

Operation Method:

1) Input patient information before recording;

2) Enter Work Mode Setup interface to select Auto mode, and set Auto Display Style, Sample

Mode and Preview;

3) Enter Record Information Setup interface to select Record Control page, and set Record

Style, Record Sequence and Record Mode.

4) Enter Lead Setup interface to set Lead Sequence;

5) After finish setting parameters, exit the System Setup Window;

6) If Preview is set as off, press START/STOP key to begin recording. It will stop

automatically after a full 12-lead ECG is recorded;

7) If Preview is set as on, press START/STOPkey to enter the Preview Window. In Preview

Window, pressing Measure function key can enter the Measure Window, pressing

Diagnosisfunction key can enter the Diagnosis Window, pressing Continuefunction key

can begin recording, and pressing Cancelfunction key can cancel recording.

Note: For ECG 1012, Previewfunction is optional.


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Preview Window

Pressing START/STOP again during the course of recording can stop recording.

Note: Whether in the auto, rhythm, R-R or manual mode, Work Mode can not be

changed during the course of recording. Stop recording before choosing Work

Mode.

6.3 Manual Mode

In the Manual mode, users can determine which lead group needs to be recorded and set the

parameters according to different lead group.

Operation Method:


2) Enter Work Mode Setup interface to select Manual mode, and set Manual Style;

3) Enter Lead Setup interface to set Lead Sequence;


5) Press UPor DOWN key to select the lead group to be recorded;

6) Press START/STOPkey to begin recording;

7) Press START/STOPkey to stop recording after ECG is recorded.

UP or DOWN key can be pressed to switch the lead group during the course of recording.Pressing START/STOP again during the course of recording can stop recording.


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6.4 Rhythm mode

In the Rhythm mode, users can record 60s rhythm-lead ECG waveform in Single Lead Style or

20s rhythm-lead ECG waveform in Three Lead Style.Operation Method:


2) Enter Work Mode Setup interface to select Rhythm mode, and set Rhythm Style;

3) Enter Lead Setup interface to select rhythm leads;


5) Press START/STOPkey and the hint information Sampling will be displayed in the

hint information field, at the same time, sampling time will be counted. When the samplingtime reaches 60s in Single Lead Style or 20s in Three Lead Style, it begins to record;

6) It will stop automatically after a full rhythm-lead ECG waveform is recorded.

Pressing START/STOP again during the course of recording can stop sampling or recording.

6.5 R-R mode

In the R-R mode, users can select a lead to record its R-R Histogram, R-R Trend Chart, 180sECG waveform and all the R-R values.

Operation Method:


2) Enter Work Mode Setup interface to select R-R mode;

3) Enter Lead Setup interface to select a lead in the field of Rhythm Lead 1;

4) Enter Recording Information Setup interface to select the style of R-R analysis Report.


6) Press START/STOP key to begin to count the sampling time. When the sampling

time reaches 180s, it begins to record;

7) It will stop automatically after a full R-R analysis is recorded.

Pressing START/STOP again during the course of recording can stop recording.

Note: In the R-R mode, users can not set speed. The constant speed is 25mm/s.

Because when recording in the R-R mode, the ECG wave is compressed to one

fifth of the original wave, and then 25mm/s is equal to 5mm/s.


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6.6 Copy

Pressing COPYkey can recall the ECG data that was recorded last time. During the course of

recording, pressing START/STOP again can stop recording.Note: After return to the main interface from any other interfaces, the user should not

immediately press START/STOP key to record in the AUTO mode or MANUAL

mode within three seconds. Otherwise, the recorder will not respond.

6.7 Setup

6.7.1 Work Mode Setup

On the Work Mode Setup interface, users can set up Work Mode, Manual Style, Rhythm Style,

Auto Display Style, Sampling Mode and Preview.

(1) Work Mode

Manual:In the Manual mode, users can determine which lead group needs to be recorded and set

the parameters according to different lead group.

Auto: In the Auto mode, the lead groups are switched automatically according to different lead

sequence while recording. When ECG signal of one lead group has been recorded within a certain

time, it will be switched to another lead group automatically and begins to record the ECG signalof that lead group.


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Rhythm:In the Rhythm mode, users can select rhythm leads to record 60s or 20s rhythm wave.

R-R: In the R-R mode, users can select a lead to record its R-R Histogram, R-R Trend Chart,

180s ECG waveform and all the R-R values.

(2) Manual Style

When Manual Style is set as 3 channel, users can record 3 leads ECG wave simultaneously.



(3) Auto DisplayStyle

When Auto Display Style is set as 3!4, 12 leads are displayed in 4 columns and 3 rows.

When Auto Display Style is set as 3!4+1rhy, 12 leads are displayed in 4 columns and 3 rows,

with one rhythm lead at the bottom of the paper.


with three rhythm leads at the bottom of the paper.

When Auto Display Style is set as 6!2, 12 leads are displayed in 2 columns and 6 rows.


with one rhythm lead at the bottom of the paper.

When Auto Display Style is set as 12!1, 12 leads are displayed in 12 channels.

(4) Rhythm Style

When Rhythm Style is set as Single Lead, in the Rhythm Work Mode, 60s ECG wave of the

appointed single rhythm lead will be recorded.

When Rhythm Style is set as Three Lead, in the Rhythm Work Mode, 20s ECG wave of every

appointed rhythm lead will be recorded.

(5) Sampling Mode

When Sampling Mode is set as Pre-Sample, 10s ECG data sampled before pressing

START/STOP key will be recorded while recording.

When Sampling Mode is set as Real-time Sample, 10s ECG data sampled from the time of

pressing START/STOP key will be recorded while recording.

When Sampling Mode is set as Trigger Sample, after pressing START/STOP key, if Arrhythmia


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ECG data, including Asystole, Ventricular Fibrillation/Ventricular Tachycardia, 5>PVCS>=3,

Paired PVCS, Bigeminy, Trigeminy, R ON T, single PVC and Missed Beat, are detected during

the course of sampling, recording will be triggered automatically.

When Sampling Mode is set as Periodic Sample, first users should set Total Time and Interval

on the Record Control Setup interface of the Record Info setup. For example, if Interval is set

to 2 minutes, the Total Time set to 24 minutes, by Pressing START/STOP key, it will record

every 2 minutes and totally 12 times.

Note: No saving, copying or transmitting in the Period Sample Mode.

Note: Patient information will not be changed while carrying out the period recording.

Note: Total Timemust be greater than Interval, or else the setting will not be effective.

Note: For ECG 1012, Pre-Sampleand Trigger Sampleare optional.

(6) Preview

When Preview is set as on, users can preview the ECG wave to be recorded.

When Preview is set as off, users can not preview the ECG wave to be recorded.

6.7.2 Filter Setup

(1) AC Filter

AC Filter suppresses AC interference without attenuating or distorting the ECG signal. Select On

to turn on the function and select Offto turn off.

(2) DFT Filter

DFT Filter greatly reduces the baseline fluctuations without affecting the ECG signal. The

purpose of this filter is to keep the ECG signals on the baseline of the printout. The setting value

is the low limit of the frequency range, including 0.05Hz, 0.15Hz, 0.25Hz, 0.5Hz.


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(3) EMG Filter

EMG Filter suppresses disturbances caused by strong muscle tremor. The cutoff frequency is

defined at 25Hz, 35Hzor 45Hz. Select Offto turn off the function.

(4) Lowpass FilterLowpass Filterrestricts the bandwidth of input signal. The cutoff frequency is defined at 150Hz,

100Hzor 75Hz. All the input signals whose frequency is higher than the setting cutoff frequency

will be attenuated.

6.7.3 Record Info Setup

There are three pages on the Record Info Setup interface: Recorder, Record Ctrl and Record Info.

The users can Press F1or F2 function key to switch them.

6.7.3.1 Recorder

(1) Recorder Device

Users can set the Recorder Device as Thermal, DeskJet or LaserJet.

When DeskJet or LaserJet is selected, the user should connect the USB printer recommended byDIXION to the USB Socket 2 of electrocardiograph with specialized cable.

Note: please refer to Chapter 6.13 to see the ECG Report printed by USB printer.

Note: USB printing works only in AUTO Pre-Sample mode, AUTO Real-time Sample

mode, Copy, Freeze, Review and File Manage Window.

Note: Make sure that paper has been installed in USB printer before printing. Paper

Empty may results in error.

Note:The USB printer can not be cancelled by Start/Stop key.

WARNING : It is forbidden to frequently insert and pull out U disk or USB printer.


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(2) Paper Length

Users can set the length of one page of folded paper. 140mm or 295mm is available.

(3) Paper Width

Users can set the width of paper. 210mm or 216mm is available.When the paper of 216mm width is used, the two movable parts in the Paper Tray and Casing of

the recorder should be removed.

(4) Speed

Users can set the paper speed as 5, 6.25, 10, 12.5, 25 or 50mm/s. In the AUTO mode and Rhythm

mode, only 25mm/s and 50mm/s are available. In the R-R mode, only 25mm/s is available.

(5) Gain

Users can set the indicated length of 1mV ECG on the paper.Users can set Gain as 10mm/mV, 20mm/mV, 10/5mm/mV, AGC, 2.5mm/mV or 5mm/mV.

AGC means auto gain control. When ECG signal varies greatly, AGC can be selected to adjust

the gain automatically according to actual signal.

10/5mm/mV means the gain of limb leads is set as 10mm/mV, while the gain of chest leads is set

as 5mm/mV.

(6) Paper Marker

The Paper Marker is used to identify the start point of each page of the paper.When the paper with black markers on the bottom is used and Paper Marker is set as Yes, the

device can identify the start point of each page of the paper while recording.

When Paper Markeris set as No, the device can not identify the start point of each page of the

paper while recording.


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(4) Periodic Sample

The Interval and Total Time can set for Periodic Sample in AUTO mode.

Note: please refer to Chapter 6.7.1 to see the Periodic Sample in Work Mode Setup.

(4) 10-24s Sample

Users can set the time of sampling printing from 10 to 24 seconds, or disable this function.

When the Sample recording function is selected, in the Auto Mode, pressing START/STOP key

on the Main Screen interface, the ECG waves are recorded according to the current setting.

Note: Users should select the function on the Advanced Setup interface.

6.7.3.3 Record Info Setup

(1) Auto Record Info

Auto Record Info includes Patient Info, Position Marker, Analysis, Template, Measure and

Minnesota Code.

When Patient Info, Position Marker, Analysis, Template, Measure or Minnesota Code is

selected, it will be recorded while recording.

WhenPatient Info, Position Marker, Analysis, Template, Measure orMinnesota Code is not

selected, it will not be recorded while recording.

(2) R-R Analysis

R-R Analysisincludes R-R Histogram, R-R Waveform and R-R Interval List.

When R-R Histogram, R-R Waveform or R-R Interval List is selected, it will be recorded

while recording.

When R-R Histogram, R-R Waveform or R-R Interval List is not selected, it will not berecorded while recording.


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Note: Press Space key to select or cancel on the Record Information Setup interface.

Note: The items on the Record Info Setup interface are valid only in the Auto mode, and

Template and Position Marker do not work under the Auto Style of 3!4, 3!4+1rhy

and 3!4+3rhy and the Style of 6x2 and 6x2+1rhy in the Quickly Mode.

Note: To get more information about the above contents, please refer to Chapter 6.9

Auto Mode Record.

6.7.4Patient Question Setup

(1) Gender/Height/Weight/BP/Race/Medication/Ward NO/Doctor/Technician

When Gender, Height, Weight, BP, Race, Medication, Ward NO, Doctor orTechnician is

selected, the item will display on patient information interface.

When Gender, Height, Weight, BP, Race, Medication, Ward NO, Doctor or Technician is

not selected,the item will not display on patient information interface.

(2) ID Hint

In the Auto mode and the rhythm mode, when ID Generate Mode is set as manual, press the

START/STOPkey, if users have not input patient ID before operating, the Hint Information will

pop up to remind users to input patient ID.

(3) Next Patient

In the Auto mode, when the Next Patient is selected, Press START/STOPkey, the system will


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automatically turn into the Next Patient interface after a full ECG wave is recorded. In the Next

Patient interface, pressing Same Patient function key can return to the Main Screen, all the

patient information will keep the same; pressing Next Patient function key can return to the

Main Screen, all the patient information will be cleared except for gender; pressing F3 function

key can switch the Auto Record Style; pressing F4 function key can switch the paper speed, andpressing the F5 can switch the Gain.

On the Next Patient interface, users can print the current ECG Report again, according to the

Auto Style, speed and Gain settings.

In the Auto mode, when Next patient is not selected, the system will not automatically turn into

theNext patient interface.

(4) H/W Unit\BP Unit\User Defined

Not performed.

(5) ID Mode

Users can set the ID Modeas Auto, timeor manual.

When ID Generate Mode is set asAuto,patient ID can be automatically generated. (Patient ID

range: 0~1999, 999,999)

When ID Generate Mode is set astime, patient ID can be automatically generated according tothe system time.


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When ID Generate Mode is set as manual, patient ID can be manually inputted in patient

information. (Only input ASCII code)

NoteWhen the patient ID is generated by system time, it can not be displayed on the MainScreen.

(6) Prompt

When Prompt is set as Unconfirmed, Unconfirmed Report is recorded in the ECG Report.

When Prompt is set asReviewed by, Report Reviewed by is recorded in the ECG Report.

6.7.5 Transmission Setup

Note: To transfer ECG data to PC, SMARTECG-VIEWER software of DIXION must be

installed in PC. Receive ECG Data window in the software should be opened up,

and transfer type should be selected.

(1) Transmission Mode

When Transmission Modeis set as off, ECG data can not be transferred;

When Transmission Modeis set as Ethernet, firstly connect the net port of electrocardiograph

and the net port of PC machine through an Ethernet cable recommended by DIXION. Secondly

open the Receive ECG Data window of SMARTECG-VIEWER software in PC, select the

transfer type Net Trans and press Connect key. Then set the Remote IP and Local IP in

electrocardiograph. In the AUTO mode, ECG data can be transferred through net automatically

after ECG recording is finished.

When Transmission Modeis set as UART, firstly connect the serial port 1 of electrocardiograph

and the serial port of PC machine through a serial cable recommended by DIXION. Then openthe Receive ECG Data window of SMARTECG-VIEWER software in PC, select the transfer

type Serial Trans, set the right PortNum and press Connect key. In the AUTO mode or the


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Rhythm mode, ECG data can be transferred through serial port automatically after ECG

recording is finished.

(2) Remote IP: Users can set Remote IP on Transmission Setup interface.

(3) Local IP: Users can set Local IP on Transmission Setup interface.

(4) Gateway: Users can set Gateway on Transmission Setup interface.

(5) Subnet Mask: Users can set Subnet Mask on Transmission Setup interface.

6.7.6 Patient Information

Note: The patient information can not be set or changed during the course of recording.

Name: Patient Name (ECG 1012: Within 12 characters; ECG 1012 Express: Within 20

characters)

ID: Patient ID (Within 10 characters; Range: 0~1999999999). For detail information, please refer

to Chapter 6.7.4.Age:Patient Age (Range: 0~255)

Gender: Patient Gender (Male/Female/Empty)

Weight (kg):Patient Weight (Range: 0~999)

Height (cm): Patient Height (Range: 0~999)

BP (mmHg): Patient Systolic Blood Pressure/Diastolic Blood Pressure

Race: Patient Race (unknown/ Oriental/ Caucasian/ Black/ Indian

/ Mongolian/ Hispanic/ Asian/ Pacific/ other)

Medications: The medication which patient took previously (Within 20 characters)


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Ward No: Ward Number (Within 10 characters)

Medical: Medical Name (Within 20 characters)

Technician: Technician Name (Within 20 characters)

Note: Please refer to Chapter 5.2 for the method of inputting words on PatientInformation interface.

6.7.7 Lead Setup

(1) Rhythm Lead 1/ Rhythm Lead 2/ Rhythm Lead 3

The rhythm lead can be one of 12 standard leads: $, %, &, aVR, aVL, aVF, V1, V2, V3, V4, V5,

or V6.

In the Auto mode, when Auto Style is set as 3#4+1rhy or 6#2+1rhy, the rhythm lead selected in

Rhythm Lead 1 will be recorded while recording ECG; when Auto Style is set as 3#4+3rhy, 3

rhythm leads selected in Rhythm Lead 1 and Rhythm Lead 2 and Rhythm Lead 3 will be

recorded while recording ECG.In the Rhythm mode, when Rhythm Style is set as Single Lead, 60s waveform of the rhythm lead

selected in Rhythm Lead 1 will be recorded while recording ECG; when Rhythm Style is set as

Three Lead, 20s waveform of every rhythm lead selected in Rhythm Lead 1 and Rhythm Lead 2

and Rhythm Lead 3 will be recorded while recording ECG;

(2) Lead Sequence: Standard/Cabrera

Lead Sequence Lead group 1 Lead group 2 Lead group 3 Lead group 4

Standard $, II, & aVR, aVL, aVF V1, V2, V3 V4, V5, V6


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Cabrera aVL, $, -aVR II, aVF, & V1, V2, V3 V4, V5, V6

6.7.8 Display Setup

(1) Brightness

The brightness of LCD screen

Users can set the brightness within 0~20.

(2) Screen Colors (only for ECG 1012 Express)

The colors of LCD screen

Users can set the screen colors as Monochrome, Option1 or Option 2.

(3) Antialiasing

When Antialiasingis set as On, system will automatically make waveform smooth.

When Antialiasingis set as Off, system will not make waveform smooth.


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6.7.9 Sound Setup

(1) Key Volume

When users press keys on the keyboard, electrocardiograph gives a short beep sound, which is

called Key Beep.

Documents

ECG1012ECG1012Express User Manual-V1.2