REF 9502-036-50 Ambulatory X-12 Operator’s Manual ______________________________________________________________________________ CAUTION: Federal law restricts this device for sale to and use by or on the order of a physician.
® Copyright© 2001 by Mortara Instrument, Inc. 7865 N. 86th Street Milwaukee, Wisconsin 53224 This document contains confidential information that belongs to Mortara Instrument, Inc. No part of this document may be transmitted, reproduced, used, or disclosed outside of the receiving organization without the express written consent of Mortara Instrument, Inc. Mortara is a registered trademark of Mortara Instrument, Inc. Ambulatory X12 is a trademark of Mortara Instrument, Inc.
Technical Support and Service Following are telephone numbers and addresses for contacting various technical support and service personnel. Mortara Instrument, Inc. 7865 N. 86th St. Milwaukee, WI 53224 Telephone Number: 414-354-1600 Toll-free Telephone Number: 800-231-7437 Toll-free Service Number: 888-MORTARA Fax: 414-354-4760 E-mail address: sales@mortara.
Notices Manufacturer’s Responsibility Mortara Instrument, Inc., is responsible for the effects on safety, and performance only if • Assembly operations, extensions, re-adjustments, modifications or repairs are carried out by persons authorized by Mortara Instrument, • The electrical installation of the relevant room complies with the requirements of appropriate regulations, and • The Ambulatory X-12 is used in accordance with the instructions for use.
Warranty Information Your Mortara Warranty MORTARA INSTRUMENT, INC. (hereinafter referred to as “Mortara”) hereby warrants that Mortara products (hereinafter referred to as “Products”) shall be free from defects in material and workmanship under normal use, service and maintenance for one year of such Product from Mortara or an authorized distributor or representative of Mortara.
User Safety Information Warning: Caution: Means there is the possibility of personal injury to you or others. Means there is the possibility of damage to the equipment. Provides information to further assist in the use of the device. Note: Federal law restricts this device to sale by or on the order of a physician.
Caution(s) • To prevent possible damage to the keypad, do not use sharp or hard objects to depress keys, only use fingertips. • • Do not attempt to clean the device or patient cables by submersing into a liquid, autoclaving, or steam cleaning. Wipe the exterior surface of the device and patient cables with a sterilizing disinfectant, then dry with a clean cloth.
Notes • Proper patient preparation is important to proper application of ECG electrodes and operation of the device. • Patient cables should be checked for cracks or breakage in its exterior properties prior to use.
Equipment Symbols Symbol Delineation Attention, consult accompanying documents Attention, consult accompanying documents.
Table of Contents 1 Introduction Manual Purpose ......................................................................................... 1-1 Audience..................................................................................................... 1-1 System Description..................................................................................... 1-1 Equipment Included.................................................................................... 1-1 Features...............................
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____________________________________________________________________________Section 1 1 Introduction Manual Purpose The Ambulatory X-12 Operator's Manual explains how to operate the transmitter (Ambulatory X-12). You can use this manual as a learning tool as well as a source of reference information. It explains how to acquire and transmit 12-lead cardiac signals without direct connections to an electrocardiograph: Audience This manual is written for clinical professionals.
Ambulatory X-12______________________________________________________________________ Features • Continuous 12-lead signal acquisition and transmission, • User selectable channel, • User lead check (LC), nine selections, • Automatic notification of lead fail, • AA battery operation, • Notification of low battery Using the Ambulatory X-12 in Conjunction With Mortara Electrocardiographs See the appropriate Mortara operator’s manual for electrocardiograph.
____________________________________________________________________________Section 1 Ambulatory X-12 Specifications Environmental Temperature Operating Temperature Storage Humidity Operating Humidity Storage Atmospheric Pressure 10° C to 32° C 0° C to 45° C 20% to 80% 10% to 90% 700 - 1060 millibars Dimensions 14 cm x 6.6 cm x 2.5 cm, 5.5” x 2.6” x 1” Weight, with and without battery With: 8.3 ounces, (240 grams) Without: 6.
Ambulatory X-12______________________________________________________________________ Ambulatory X-12 Supply List Standard Ambulatory X-12 orders include the following accessories: • • • • • REF 9293-017-XXResting Patient Cable (international or domestic)) REF 4800-001Two AA Batteries REF 9502-036-50 Operator’s Manual REF 9503-031-01Short Form Instruction Card REF 34999-002-50Carrying Case with Strap Refer to the respective Mortara electrocardiograph’s manual for electrode supplies.
____________________________________________________________________________Section 2 2 Operation Please Read Instructions before Operating this Device The user of this device is cautioned that any changes or modifications not expressly approved by Mortara Instrument, Inc., could void the user’s authority to operate the equipment. This cable complies with part 15 of the FCC rules. Operation is subject to the following two conditions: • This device may not cause harmful interference.
Ambulatory X-12______________________________________________________________________ Electrocardiograph Figure 2-a Electrocardiograph Equipped with Wireless Option Figure 2-b Ambulatory X-12, Back View Battery Compartment, Inner View 2-2
____________________________________________________________________________Section 2 Power Supply Two disposable AA batteries (industrial AA’s), which you insert into the unit’s battery compartment, are used to power the Ambulatory X-12. The typical life of two AA batteries is 30 hours. When you turn the unit on, ON appears on the LCD screen to the lower left of the torso. NOTE: Alkaline batteries are recommended .
Ambulatory X-12______________________________________________________________________ Patient Preparation Correct electrode placement is important for acquiring a successful ECG (see Patient Hookup below). Although most resting cardiograms are completely successful without patient preparation, consider performing some patient preparation procedures to remove oils, lotions, and hair from the skin, particularly on obese individuals.
____________________________________________________________________________Section 2 To check the impedance of each lead: n Press and hold down the Test key located on the front of the Ambulatory X-12 until the message LC (Lead Check) appears on the bottom of the display. The LA (left arm) lead designator appears on the upper right section of the torso. The impedance check graph depicts the value measured for the LA (left arm) lead.
Ambulatory X-12______________________________________________________________________ Removal and Installation of Antenna When attached directly to a Electrocardiograph: n To remove an antenna, gently rotate the ridged band counterclockwise while simultaneously pushing in on the band. The small post is released in the diagonal groove, freeing the antenna from the connector. o To install an antenna, position the small post in the groove.
____________________________________________________________________________Section 3 3 Maintenance and Troubleshooting Cleaning the Ambulatory X-12 and Patient Cable Turn off the Ambulatory X-12, and clean the outside with a damp cloth (possibly moistened with alcohol). Dry the equipment completely before use. WARNING: The Ambulatory X-12 is not water-proof. Prevent liquid from penetrating, and avoid submerging the Ambulatory X-12 in any liquid. Sterilization is not allowed.
Ambulatory X-12______________________________________________________________________ Troubleshooting PROBLEM POSSIBLE CAUSE SUGGESTED SOLUTIONS No or noisy waveform 1. Mismatched frequency setting 1. Ensure frequency setting at electrocardiograph (receiver) is the same as the Ambulatory X-12’s. 2. Frequency channel selected has interference 3. Bent pins on patient cable interface connector 4. Poor signal from electrode 2.
__________________________________________________________________________Appendix A Appendix A System Information Log The following system information log is provided for your convenience. You need this information to set up your system if it needs servicing. Be sure to update the information log when you add options or your system has been serviced.
Ambulatory X-12______________________________________________________________________ System Information Log For questions and service information, when calling have serial number and part number available. (The Serial Number and Part Number (REF) are found under the batteries , in the battery compartment on the back side of the unit. Similar to the one pictured below.
_____________________________________________________________________________Glossar y Glossary TERM DEFINITION Limb lead Bipolar lead that represents the differences of electrical potential between two selected sites (leads I, II, III). Muscle noise Grossly uneven baseline caused by patient body tremor or other muscle movement. The artifact may be so large that it overtakes the complex. Precordial leads (V1-V6) Unipolar chest leads.
Ambulatory X-12______________________________________________________________________ G-2
________________________________________________________________________________Inde x Index A Ambulatory X-12 Transmitter 1-2 Ambulatory X-12 Specifications 1-3 Audience 1-1 Transmitting 2-5 U Using the Ambulatory X-12 Telemetry Module with other Mortara Electrocardiographs 1-2 B Back View 2-2 Battery Installation 2-3 E Electrocardiograph equipped with wireless option 2-2 I Introduction 1-1 L Leads 2-4 M Maintenance and Troubleshooting3-1 Manual Purpose 1-1 Miscellaneous 2-5 O Operation 2-1 P Patient Pr
Ambulatory X-12______________________________________________________________________ I-2
