Manual - PMS (Instruments)
Contents
1. Continuous Mode Review ECG Transmit Data Date 8 Time Erase All Data Attention c Press to enter Review ECG mode d The newest ECG data file will be placed at the top and highlighted The highlighted file will display the calculated 14 ECG parameters HR ST QRS and message will be displayed on the right side of the screen The file number will be displayed at the bottom right corner Note The device can store up to 20 data 2006 09 25 HR 072 2006 09 24 ST 40 15 2006 09 23 QRS 0 12 2006 09 21 Regular 2006 09 21 20 e Press E to go to next file f Press to play ECG waveform of highlighted file g To speed up press and hold Release E to return to normal speed h To exit press 9 i To stop press To start again press 2 4 3 Transmit Data a Press to enter menu selection when the device is on b Press until Transmit Data is highlighted Continuous Mode Review ECG Transmit Data Date amp Time Erase All Data Attention c Press to send data to PC NOTE Make sure the USB cable is connected to the device and the PC Make sure the software Shows connected 2 4 4 Set and Adjust Date and Time Please make sure you set the right date and time before using the device Adjust the date and time when needed The date and time are important information of an ECG data file a Press to power on the device b Press to enter menu selection c P2. and displays real time electrocardiogram ECG Electrical signals of the heart can be obtained using two methods The first method is by placing thumbs on InstantCheck s specially designed dry conducting electrodes The second method is by using external electrode cable and adhesive ECG electrode pads InstantCheck records 30 seconds of Modified ECG signal for each measurement After measurement the device will instantly display the average of 3 parameters on the LCD panel the average heart rate HR ST segment and ORS interval These parameters are not the traditional standard ECG readings but rather a Modified Lead I ECG InstantCheck can transfer all recorded measurements to a personal computer through USB connection for management and analysis of ECG data t InstantCheck uses two conducting electrodes to measure cardiac activities unlike traditional ECG device which requires at least 3 electrodes ECG measured by InstantCheck is designated as a modified Lead ECG These parameters from InstantCheck are for reference only For interpretation of the parameters please consult professional physicians Additional standard 12 lead ECG test may need to be performed 1 2 Benefits of InstantCheck InstantCheck is a recording device used to monitor the electrical activities of the heart anytime and anywhere It is designed to be small portable and easy to use With InstantCheck you can e lake measurements anytime a
3. 17 2 5 PRODUCT SPECIFICATIONS erarnrsnnonovnsnenonovavssnosevensennnenennsnnn 19 INSTANTCHECK SOFTWARE nunvnvannvannvnnnnnnnnvanannvnnnnnnnnnnnnner 20 3 1 SYSTEM REQUIREMENTS 2ccccccececececcccccecececcacacececeaeavaeecs 20 3 2 INSTALLATION sa 20 3 3 TRANSMIT DATA arararnvnnnnnnnnnnnarnvnvnsnrnnnnsnnnnnnnnannnavnnensnnnnnnnsne 21 3 4 SOFTWARE INTERFACE waswnanwnanwnnzwanwwazwwanwwazunanwanwwaazwa 24 3 5 USER AND FILE MANAGEMENT savavnvnnnnnnnnnnnnnnnavnvnnnnnnsnnnnnnnsne 25 3 5 1 Add a new WISER w wwwanawwnnwwnzzwwanwwanuwanzwwanuwa 26 3 5 2 Display or Change User s information 27 3 5 3 Search for USEeTY w wwwmwwanwanwwanwanwanwwnzwnzwanwa 28 3 5 4 Delete Save Preview and Print a File 28 3 5 5 Review ECG trace and Parameters 29 3 5 6 Redefine ECG parameters 30 3 5 7 Reading the Graph aa 31 3 5 8 ECG Waves and ParameterSs w swanwwanwanua 32 FREQUENTLY ASKED QUESTIONS evavavnnnnnnnnvannnnnannnnnnnnnnen 34 GLOSSARY Line 38 REFPRENGES ae 41 CONTACT INFORMATION sevavavnvnvnnnnnnnnnnnnvnnnnnnnnnnunnnnnnnnnnnnnnnn 41 INTRODUCTION 1 1 What is InstantCheck InstantCheck is a personalized non invasive handheld heart monitoring device It allows users to measure and record electrical activities of the heart anywhere and anytime It records
4. Institute ECG Library eMedicine o e NI HeartCenterOnline CONTACT INFORMATION Manufacturer DailyCare BioMedical Inc www americanheart org www nhlbi nih gov www ecglibrary com www emedicine com www heartcenteronline com 8F 25 3 Ji Lin Rd Chungli 320 Taiwan ROC Website www dcbiomed com Email sales dcbiomed com 41
5. Please DO NOT use any cleaning solutions or organic solvents to prevent damaging the device Can InstantCheck use other external power supply NO InstantCheck is to be operated by two replaceable 1 5V AAA alkaline batteries Please do not use other external power supply which may be hazardous and may damage the system and the device Can InstantCheck use accessories other than the ones provided in the standard package All standard package accessories meet special specifications of medical device regulations Please DO NOT use any other accessories other than the ones provided in the standard package to avoid hazards and subsequent damages to the device and to avoid hazards 36 Q16 A16 Q17 A17 Q18 A18 Q19 A19 Q20 A20 Q21 A21 What to do if the parameters measured by InstantCheck do not correspond with the user s condition In case of an emergency physical condition users Should contact emergency services immediately or go report immediately to the hospital If the measured parameters do not correspond with user s condition please make sure all standard operating procedures are followed If not please contact a physician for further check up Can any other fingers be used beside the thumbs for measurement of ECG You may use other fingers other than the thumbs for measurment using InstantCheck Please make sure you place the fingers gently on the electrodes and do not move and talk duri
6. installation does not start double click on 20 the autorun exe application file in the CD to install manually Follow the Setup Wizard instruction on the screen 3 3 Transmit Data All data files recorded in InstantCheck can be transferred to PC for analysis through the USB port on the left side of InstantCheck shown in Figure 4 Slide the socket cover to expose the USB socket USB Figure 4 InstantCheck USB port Steps for file transfer Please follow the following steps 1 Start the InstantCheck software by selecting DailyCare BioMedical gt InstantCheck from the File Menu or by clicking on the Bm on your desktop 2 A Disconnected status will be shown initially on the bottom 21 left of the main menu Connect one end of the USB cable small to the USB socket on the hardware first A Then connect the other end of the USB cable to the USB port on the computer B Wg JG 3 When the USB connection detected it will be indicated on the bottom left corner of the software screen 22 4 Press until G Transmit Data is highlighted Then press OK to transmit data to PC Arrow gt will appear on the LCD panel indicating the transferring of data Data transmission progress window will pop up on the monitor User name OCEM Total records 6 Received record 1 Receiving data please keep connecting In the software please select the rig
7. movement of the body and other strong environment EMI Electro Magnetic Interference noise etc No P wave or small Lead signal Please try using Lead II by using the external electrode cable and adhesive ECG pad Please the red end on right arm and the blue end on left leg What are some of the factors that may affect the measurement by InstantCheck Besides the factors mentioned in Q2 the followings are some of the factors that may also affect measurements a Thumbs may be greasy which may affect the transmission of signals Please use clean water to clean the thumbs first b Thumbs may be too dry DO NOT use cream Please use external auxiliary electrode cable amp adhesive ECG electrode pads c Contact pressure between the thumbs and the electrodes may be too strong Please place the thumbs on the electrodes GENTLY Even when users have followed the regular procedure described in the User s Manual to operate InstantCheck the user may still experience a weak signal Please contact the distributor retailer or visit DailyCare BioMedical s website www dcbiomed com 34 Q4 A4 Q5 A5 Q6 A6 Q7 AT Q8 A8 Q9 Why do you need to use auxiliary electrode cable How do you use the optional auxiliary electrodes The auxiliary electrode cable is for users who cannot hold InstantCheck steadily without shaking or users whose thumbs are too dry or if the signals are too small using dry electrod
8. NOTICE 2007 DailyCare BioMedical Inc All rights reserved No part of this publication may be reproduced in any manner whatsoever without written permission from the owner Proprietary rights of DailyCare BioMedical are involved with the Subject matter of this document and all manufacturing reproduction use and sales rights pertaining to such subject matter are expressly reserved The recipient by accepting this document agrees that the information contained herein will not be copied or reproduced in whole or in part nor its contents revealed in any manner or to any person except to meet the purpose for which this document was prepared and delivered without the express permission of DailyCare BioMedical Printed in Taiwan MEDICAL DEVICE WARRANTY DailyCare BioMedical warrants each new device to be free from defects in material and workmanship This warranty is not transferable This warranty is effective for a continuous period of one year from initial date of shipment against the original order to the original purchaser This warranty covers parts labor and transportation costs when upon examination by the manufacturer the device is determined to be in fact defective In order to implement the provisions of warranty repair the purchaser must notify DailyCare BioMedical concerning suspected defects and then if so instructed ship the instrument to the designated facility correctly packed in an appropriate shipping contai
9. dicated High QRS Value If QRS value is too high QRS gt 0 12sec it will be indicated 2 Irregular Heart Rate Heart rhythm is IRREGULAR If this warning appears frequently regardless if you have any uncomfortable symptoms or not please consult your physician 3 Impossible to Analyze Acquired signals CANNOT be analyzed Please measure again Please measure again ATTENTION The parameters and messages provided by the device are for reference ONLY If you feel any discomfort regardless of the results from the device please consult an appropriate physician Measured data by InstantCheck may be provided for a physician for reference and further analysis 1 4 Common Causes of Abnormal ECG Tracings Individuals with high risk factors might have abnormal ECG tracings These include people who smoke who have high cholesterol who are over weighted or who have a family history of heart complications Please consult your physician if you are concerned about your ECG recording and symptoms to get more information about your condition 1 5 Basic Function of the Heart The heart has 4 chambers that act together to pump blood 4 throughout the body The 2 smaller upper chambers are called atria and the larger lower chambers are called ventricles The right atrium receives oxygen depleted blood coming back from the body via 2 large veins the superior vena cava and inferior vena cava The right atrium pumps this blood into
10. es For detailed instructions please follow the steps described in P 10 of the User s Manual Please buy extra adhesive ECG electrode pads from a qualified medical device store Can InstantCheck be stopped or powered off in the middle of the measurement During the 30 seconds measurement InstantCheck can be stopped or powered off The measured data will be saved if you stop in the middle of the measurement If you power off the device in the middle of the measurement the data will not be saved Will static electricity affect the measurement of InstantCheck InstantCheck is CE certified and has passed electromagnetic interference and compatibility tests Under normal circumstances static electricity will not affect the operation of InstantCheck However strong EMI Electro Magnetic Interference may affect the operation of the device How do you manage EGG signals if multiple people use a single InstantCheck device Data cannot be managed on the InstantCheck device directly If there is more than one user please use the software provided for data management Why does the temperature of InstantCheck rise after the batteries are inserted The rise in temperature is caused by the improper direction polarities of the poles of the batteries when inserted Please remove the batteries quickly and then reinsert the batteries correctly Please allow the InstantCheck to drop to a normal operating temperature before making any measurement
11. ht user before you transfer the data into the user s file After data files have been successfully transferred to the PC and when you start your next measurement InstantCheck hardware will erase its memory automatically If gt flashes after pressing or during file transfer it means the connection between InstantCheck and the PC has failed Please close and start the software again and or reconnect the USB cable 23 3 4 Software Interface DailyCare BioMedical InstantCheck 4 0 Analysis Software File Help fi fy Gh h Si KG DCBM j i Medic NG edicta E Arab Health L File Information InstantCheck Software User Interface InstantCheck has a simple analysis interface This analysis and database management system is divided into four main parts 1 User and file management 2 Average ECG parameters display and remarks 3 Connection status of ECG to PC 4 ECG diagram analysis display Maximum of 30 seconds 24 3 5 User and file management Instant heck Electrocardio gram Analysis Software ara mae ai User management File Management Function Keys Description Add user Display and change user s infor
12. ing Start NOTE Both auxiliary electrode and USB sockets on the device are to be used only with the standard accessories provided Warranty will NOT cover damages that result from NOT complying with the instructions 2 3 Display Panel InstantCheck has large LCD panel to display operating steps results of ECG measurements and date time settings 2 3 1 LCD Display A hapi C 72 BPM 030 E Figure 2 LCD Display Panel During measuring Fi G 2006 01 01 12 00 H Regular Heart Rate cee HR 082 7 S JG High ORS Value QRS 0 08 K Irregular Heart Rate 9 0 F u I 1 Impossible to Analyze Please measure again Figure 3 LCD Display Panel After measuring 11 gt 2 3 2 LCD Display Description Item Scale Indicator Amplitude Indicator Dynamic Heart rate ECG trace Timer Date Time Messages mua HR ST QRS Data Stored Descriptions ECG scale Unit amplitude 1mV Heart rate during measurement EGG waveform display during measuring and review mode Timer Year Month Day Hour Minute The messages may include Regular Heart Rate Fast Slow Heart Rate High Low ST High ORS Irregular Heart Rate and Please Measure Again dem indicates the battery is normal I indicates the battery is low Average Heart Rate Reference range 60 lt HR lt 100bpm ST segment Reference range 2 lt ST lt 2mm QRS interval Reference range 0 08 l
13. livolt MV This denotes the electrical strength of the signal Therefore each big square represent 0 5 mV and each small square represent 0 1mV The X axis represents time in seconds Each big square 31 represent 0 2 seconds Therefore each small square represents 0 04 seconds Waveform Analysis bpm mm ms ms ms ms TA AA an HERA Figure 31 ECG graph 3 5 8 ECG Waves and Parameters The following is a summary of the ECG wave morphologies and parameters that users can use as a guide to interpret their ECG recordings For more technical information please refer to the reference section gt P wave The P wave results from atria contraction P wave is generally about 1 box wide or 1 box tall P wave that exceeds these might indicate atria hypertrophy l e enlargement gt PR Interval The PR interval is measured from the start of the P wave to the start of Q wave It represents the duration of atria depolarization Normal duration is from 0 12 to 0 20 seconds If the PR interval is greater than 32 0 20 seconds then an AV block might be present gt ORS Duration The ORS duration is measured from the start of Q wave to the end of S wave It represents the duration of ventricle depolarization Normal duration is from 0 08 0 12 seconds If duration is longer it might indicate presence of bundle branch blocks or WPW gt QT QT The T QT is measured from the start of the Q wave t
14. mation Delete selected user Search for user Delete selected file Email ECG data Save ECG waveform as graphic file Preview ECG report for printing Print ECG report 25 Detailed descriptions of Function Keys are as follows 3 5 1 Add a new User Click on function key The Create new user window will appear as shown below Create new User User Information NAME SEE Mak O Female WEGHT HEIGHT Enter user Information such as name sex ID weight date of birth DOB and height NOTE Name has to be keyed to create a new user Click on and a new user will be added to the patient information user list Name of user must be keyed Otherwise a warning window will appear Repeat step 1 and 2 to add more new users Click on to close the user management window 26 3 5 2 Display or Change User s information 1 Select a file user first File Help EEE DCEM amp 20070117 1619 18 20000204 1715 12 Fl 20000127 154 03 El 20000119 2123 06 20000103 2329 15 Medica 8 Arab Health 2 Select function key The user s information will appear as shown below User Information View User Information NAME David Wu SEX Male O Female WEIGHT 75 50 01 05 175 HEIGHT 3 You can change the values on the table Then click or X The values will be saved automatically 21 3 5 3 Search for User 1 Selec
15. ner for examination and servicing LIMITATIONS AND EXCLUSIONS This warranty does not cover repairs necessitated by any damage to equipment caused by mishandling neglect abuse customer modification or failure of the user to follow the published operating instructions Repaired devices are warranted for a period of 30 days and are subject to the limitations and exclusions described in this document DailyCare BioMedical reserves the right to make design changes in its products without incurring the obligation to incorporate these changes in products previously delivered This warranty applies unless DailyCare BioMedical has agreed to and provided a written exception to this policy ATTENTION DailyCare BioMedical assumes no responsibility for any personal injuries or damages sustained by or through use of this product InstantCheck will NOT tell you if you have heart problems Only your physician can do that You should NOT interpret the measurement results yourself is NOT a diagnostic device It is only an ECG recorder is NOT a substitute for a traditional ECG diagnosis is NOT recommended for users with pacemakers What you should not do Do NOT operate InstantCheck at the same time with other electrical devices Do NOT connect InstantCheck to the PC via USB cable when measuring Do NOT use accessories other than those provided by the manufacturer Do NOT subject the device to water and liquid spillage Do NOT clean
16. ng measurement You may choose to use external electrode cable and ECG pads for better ECG trace measurement Can InstantCheck be used while the user is standing up sitting down or lying down Will the measurements make any difference Different body positions may affect the cardiac signals slightly However by following the standard operating procedure closely InstantCheck is able to record ECG signals correctly After exercising can ECG be measured using InstantCheck Will the measurement be correct Yes ECG can be recorded after exercise During measurement please remain in a stable position to avoid noise interference Can InstantCheck be used during commuting During commuting if user is able to keep a stable position InstantCheck can be used to measure ECG The usage of InstantCheck is not recommended during the operation of any vehicle Can conducting gel or other fluids be used when using InstantCheck InstantCheck is designed to be operated without any conducting gel or other fluids Please Do Not apply any conducting gel or other fluids to avoid damaging the thumb electrodes and the device 3 GLOSSARY Aorta The main trunk of the systemic arteries carrying blood from the left side of the heart to the arteries of all limbs and organs except the lungs Arrhythmia Irregularity in the force or rhythm of the heart beat Atrioventricular AV Node A small mass of specialized cardiac muscle fibers located in
17. nywhere InstantCheck is available anytime to periodically monitor the heart throughout the day e Manage ECG recordings over time InstantCheck software allows users to manage their ECG recording to monitor ECG changes over time e Provide your physicians with these historic data Data generated by InstantCheck can be used as a reference when diagnosing for conditions in the future 1 3 ECG Variables wave Figure 1 Normal ECG Waveform Lead I Figure 1 is a presentation of a normal ECG waveform from Lead I InstantCheck has algorithms that will identify and compute parameters in the table listed below Table 1 is a list of ECG parameters measured by InstantCheck Table 1 InstantCheck Output Parameters Parameters Reference Range Average Heart Rate HR 60 lt HR lt 100 bom ST Segment ST 2 lt ST lt 2 mm QRS Interval QRS 0 08 sec lt QRS lt 0 12 sec PR Interval 0 12 0 20 sec QT QT 0 32 0 44 sec 0 41 0 44 sec The hardware only shows HR ST and QRS PR and QT QTc will be provided in analysis software Table 2 InstantCheck Output Messages 1 Regular Heart Rate Heart rhythm is REGULAR Fast Heart Rate If heart rate is too fast HR gt 100bpm it will be indicated Slow Heart Rate If heart rate is too slow HR lt 60bpm it will be indicated High ST Value If ST value is too high ST gt 2mm it will be indicated Low ST Value If ST value is too low ST lt 2mm it will be in
18. o the end of T wave QI interval represents the duration of activation and recovery of the ventricular muscle This duration varies inversely with the heart rate The normal QT is approximately 0 41 seconds or an accurate measurement it is corrected with the heart rate with the following formula to get QT QT QT sqrt RR gt ST Segment The ST segment is measured from end of S wave J point to the start of T wave This segment is important in identifying pathology such as myocardial infarction elevation and ischemia depression To learn more about the analysis of ECG parameters please refer to the list of references provided in the Reference Section 33 FREOUENTLY ASKED QUESTIONS Q1 A1 Q2 A2 Q3 A3 What is InstantCheck InstantCheck is a handheld ECG monitor The main function of InstantCheck is to record ECG tracings anywhere and anytime Users only need to place both thumbs on the electrodes and their ECG will be recorded The parameters measured will be displayed on the LCD screen Together with the software users can transfer data files to PC for analysis and management of data Why does Noise appear Why does P wave sometimes disappear during measurement InstantCheck measures the micro electrical activities emitted by the heart Noise means there is the interference with the recording of these signals due to poor contact between the thumbs and the electrodes excessive
19. pling Rate Measurement Time Display Input Output Power Supply Size Weight Environmental Conditions Storage temperature Operating temperature Humidity Measurement Range Average heart rate ST segment QRS interval gt 20 M Ohm 3 mV 0 1 40 Hz gt 95 dB 12 bit 250 samples sec 30 seconds 240 X 128 Dot matrix LCD display Dry conduction electrodes and or external auxiliary electrodes USB interface 1 5V AAA X 2 124 x 78 x22 mm 150 g excluding batteries 4F 122F 20 C 50 C 50 F 104 F 10 C 40 C 25 Mm 95 45 to 180 bom 3 to 3 mm lt 0 20 sec 19 InstantCheck SOFTWARE 3 1 System Reguirements Operating System Windows 98 98SE 2000 XP Hardware Requirements gt CPU Pentium Ill and above Dual CPU not supported gt Memory 100MB and above gt Hard disk capacity 100MB and above gt Data transmission media Universal Serial Bus USB gt Screen resolution 1024 x 768 3 2 Installation z AM Software Installation Daily cafe Englinsh Manual DailyCare Homepage InstantCheck l Real Time Display Heart Function Monitor Exit DallyCare ai BT o BI 254 Join Hd PE Chasg Li 136 Tahan ROC i aring for EVETY beat of your heart ahas were hbar cre im Figure 3 InstantCheck Software Main Page Insert InstantCheck software CD into the CD ROM Select Software Installation from the main page and setup will run automatically If auto
20. ress again until Date and Time option is highlighted Continuous Mode Review ECG Transmit Data Date amp Time Erase All Data Attention d Press to enter adjustment mode e The digit to be changed will be highlighted Press to go to next digit to change Press to increase the number f When time is set device will go back to main menu 16 2 4 5 Erase all ECG Data You have the option to erase and clear all ECG data stored a Press 5 to enter menu selection b Press 5 again until Erase All Data is highlighted Continuous Mode Review ECG Transmit Data Date amp Time gt Erase All Data Attention c Press to enter d Message will show to confirm again if you want to erase all data Press to select Yes or No Press to confirm 2 4 6 Attention a Press to enter menu selection e Press again until Attention is highlighted Continuous Mode Review ECG Transmit Data Date 8 Time Erase All Data f Press to enter and the following message will show The device will not tell if you have heart problems Only your physician can do that NOTE This message is to remind that user that if you feel any discomfort regardless of the results of the measurement by the device you should consult your physician 18 2 5 Product Specifications Input impedance Input dynamic range Bandwidth CMRR Common Mode Rejection Ratio A D conversion Sam
21. s Can the parameters measured by InstantCheck be used for clinical diagnosis 35 Ao Q10 A10 Q11 A11 Q12 A12 Q13 A13 Q14 A14 Q15 A15 The ECG tracings recorded by InstantCheck is not for clinical diagnostic purposes It is only to be used for physician s reference and to be used for personal home care health management Why does the data recorded in the InstantCheck disappear after batteries are replaced Data will remain in the memory for approximately 2 minutes only during battery replacement Thus please replace batteries as quickly as possible to preserve data What is the maximum memory of InstantCheck hardware InstantCheck can store up to 20 data files in its memory only When the 20 files limit is exceeded InstantCheck has a looping memory and will delete the oldest data and save the newest data Please try to transfer data files to the PC regularly It is important to save all ECG data for personal health management How do you transfer InstantCheck s ECG data files by internet ECG report can be saved as JPG file using the software You can send the report as an attached file to your physician for reference using your regular email account How do you maintain InstantCheck When the dry conduction electrodes on InstantCheck are used regularly grease and dirt may accumulate which may affect the recording of signal Please use a clean wiping cloth to remove grease and dirt
22. seriptions a Gr External electrode cable Insert external electrode cable in this Protection mechanism to make sure L Sliding socket cover USB cable and external electrode cable is NOT used at the same time Insert USB cable provided by the M USB socket device ONLY 2 1 2 Product Package Standard Package MI InstantCheck x 1 MI InstantCheck Software CD x 1 MI InstantCheck User s Manual x 1 Mi Carrying Case x 1 M USB Cable x 1 MI Auxiliary Electrode Cable x 1 Not Included 1 Electrode gel pad These pads can be purchased at qualified local drug stores 2 AAA alkaline battery InstantCheck needs two batteries to operate 2 1 3 Product Label Manufactured by XXXXX XX XXXXX PRODUCT BATCH Heiene Fones a NO ACCOMPANYING DailyCare BioMedical Inc JI IJI DOCUMENT 8F 25 3 Ji Lin Chungli 320 Ti D ungli 320 Taiwan XXXXXXXXXX CERTIFIED CE MARKING NOTIFIED TYPEBF fete GE Model RMH4 0 BODY NO 0197 EQUIPMENT Made in Taiwan Two 1 5V AAA size batteries InstantCheck is TYPE B EQUIPMENT WITH F TYPE APPLIED PART IN EN IEC60601 1 STANDARD 2 2 Taking a Measurement 2 2 1 Dry thumb conduction electrodes Wash and dry your hands before use Sit down and place your hands comfortably on a table or on your laps Open the lid and press once to power on the device Press PD Start to start measuring Each measurement onl
23. t function key A window will appear You can search by User Name or by ID Please type in your search characters in the String field 2 Select to start finding If the user is found the name will be highlighted in Blue 3 5 4 Delete Save Preview and Print a File 1 Select the file you will like to delete save email preview or print by clicking on the file name first El 20061030 0933 03 a 20061030 0932 02 28 3 5 5 Review ECG trace and Parameters DailyCare BioMedical InstantCheck 4 0 Analysis Software PER File Help AHE 4400804 DCBM Ex 20070117 1619 18 Ea 20000204 1715 12 Es 20000127 1541 03 Es 20000119 2123 06 Ex 20000103 2329 15 Medica Ex 20000108_0838_05 Ex 20000107 0958 20 Arab Health z 20000101 0002 20 Es 20070131 1954 15 Es 20070130 2159 16 Ex 20070130 1923 02 Comment File Information 014277 2000 15 41 1 Select a user and click on a file 2 A 30 second ECG trace will be shown on the right side of the screen in quadrant 1 Q1 NOTE If you stop ECG measurement in less than 30 seconds you will not have the full 30 seconds ECG trace 3 The average ECG parameters HR PR QRS QT QTc ST will be displayed in q
24. t QRS lt 0 12sec Shows how many data sets have stored The device has a looping memory and can store up to 20 data sets 2 4 Menu Press to power on the device and press to enter Menu mode In Menu press menu button to select next Press OK to enter Press to start measurement anytime Below is a list of choices in the menu tome T dr Continuous Mode Special measuring mode ECG will be continuously displayed on the LCD The user can manually stop measurement Only the last 30 seconds of data will be stored Review ECG Select a file to review the ECG parameters and waveform NOTE Please set the Date amp Time before use 2 4 1 Continuous Mode This is an alternative recording mode Selecting this mode will allow you to measure and display your ECG waveform continuously for up to 5 minutes You can choose to stop anytime or manual stop anytime Only the last 30 seconds will be recorded and stored in memory 13 a Press to enter menu selection when the device is on b Continuous mode will be highlighted Continuous Mode Review ECG Transmit Data Date 8 Time Erase All Data Attention c Press to start measuring and displaying ECG waveform on LCD d Press again when you want to manually stop The device will record the last 30 seconds of data 2 4 2 Review ECG Data a Press to enter menu selection when the device is on b Press again until Review ECG is highlighted
25. t of obstruction of local blood supply as by a thrombus or embolus P Wave Atrial Depolarization contraction Normal duration is 0 06 0 11 second Parameters distinguishing characteristic or feature PR Interval Atrial and AV node depolarization Regular duration is 0 12 0 20 seconds QRS Interval Ventricular depolarization Regular duration is no longer than 0 1 second QT Interval Ventricular refractory time Duration varies according to rate age and sex Right Atrium Top right chamber of the heart Right Ventricle Bottom right chamber of the heart Right Left Bundle Branch Either of the parts of the bundle of His passing respectively to the right and left ventricles Sinoatrial SA Node 39 A small mass of specialized cardiac muscle fibers located in the posterior wall of the right atrium of the heart that acts as a pacemaker by generating at regular intervals the electric impulses of the heartbeat ST Segment ST segment represents the period from the end of ventricular depolarization to the beginning of ventricular repolarization Superior Vena Cava A large vein formed by the union of the two brachiocephalic veins and the azygos vein that receives blood from the head neck upper limbs and chest and empties into the right atrium of the heart T Wave Ventricular Repolarization Usually 0 5mV or less in Lead I II and IIl 40 REFERENCES American Heart Association National Heart Lung and Blood
26. the right ventricle which then pumps the blood into the lungs which Is oxygenated The blood then comes back into the left atrium which is then pumped into the left ventricle The left ventricle then pumps the blood back to the circulatory system via the aorta the largest artery in the body The pressure that the left ventricle exerts to keep the blood moving throughout the whole body is the blood pressure 1 6 Conduction System of the Heart The chambers of the heart pump with the automatic discharge of electricity from the sinoatrial SA node a group of specialized cells in the right atrium On average there are 60 to 100 times discharges per minute When the SA node discharges both atria contract and the electrical impulse is relayed to the atrioventricular AV node that is between the 2 ventricles The electrical wave that is propagated at the AV node causes both ventricles to contract and pump blood The normal delay between the atrium and ventricle contractions is 0 12 to 0 20 seconds By studying the electrical activity that results when heart muscle cells contract we gain insight to the health and workings of the heart These electrical activities can be detected recorded and studied with ECG monitoring device for example InstantCheck PRODUCT DESCRIPTION 2 1 Product Design ET XXXXX XX XXXXX MT A ie ce Model RMH4 0 Mada in Taiwan Two 1 54 AAA size batteries Fe OVE Descriptions hems De
27. the wall of the right atrium of the heart that receives heartbeat impulses from the sinoatrial node and directs them to the walls of the ventricles Bundle of His A slender bundle of modified cardiac muscle that passes from the atrioventricular node in the right atrium to the right and left ventricles by way of the septum and that maintains the normal sequence of the heartbeat by conducting the wave of excitation from the right atrium to the ventricles called also atrioventricular bundle His bundle Electrocardiogram The curve traced by an electrocardiograph Electrocardiograph An instrument used in the detection of heart abnormalities It measures electrical potentials on the body surface and generates a record of the electrical currents associated with heart muscle activity Heart Rate HR The number of heartbeat per unit time usually in minutes Hypertrophy non tumorous enlargement of an organ or a tissue as a result of an increase in the size rather than number of constituent cells Inferior Vena Cava Large vein formed by the union of the two common iliac veins that receives blood from the lower limbs and the pelvic and abdominal viscera and empties into the right atrium of the heart 38 Left Atrium Top left chamber of the heart Left Ventricle Bottom left chamber of the heart mm One mm is one small sguare on the electrocardiograph Myocardial Infarction Formation of an area of tissue that undergo necrosis as a resul
28. uadrant 2 Q2 4 You can also select a particular section of the ECG trace by 29 clicking left click once to start and left click again to end the section in Q1 The average ECG parameters will be displayed in Q2 accordingly 3 5 6 Redefine ECG parameters This section is highly recommended for doctors only The power of the device lies in the algorithm which identifies and defines P Q R S and T wave intervals to generate the parameters observed on the file The algorithm is highly precise and accurate which is observed in a correlation study with standard EGG device In order to present a flexible format the software is developed with the ability to redefine the waves This should only be done by a medical professional who has great experience with ECG analysis and interpretation Therefore users are strongly advised against performing the function in this section unless under the guidance of a medical professional 30 Waveform Analysis bpm mm ms ms ms ms Steps to redefine ECG waves 1 ECG parameters will be calculated automatically 2 If you click on the vertical bars on the ECG waveform it will change to a red bar Use the left and right arrow key to move it The software will automatically recalculate the parameters 3 Left click on the ECG waveform after you have finish adjusting the bar 3 5 Reading the Graph The Y axis represents voltage in mV The bar indicated below represents 1mil
29. with alcohol acetones or any other flammable chemical agents Do NOT place the device and its accessories under direct sunlight and harsh environments Do NOT disassemble InstantCheck It may cause device malfunction device failure or damage and you will loose all warranty Table of Contents NA Aaa ATTENTION aaa AG HI INTRODUCTION AE 1 1 1 WHAT IS INSTANTGHECK rerenorarevarennvrnnnrnnnrennrennnennnennnenneenneene 1 1 2 BENEFITS OF INSTANTGHECK a 2 T2 EOG VARIABLE a PAANAN NAA 3 1 4 COMMON CAUSES OF ABNORMAL ECG TRACINGS 4 1 5 BASIC FUNCTION OF THE HEART 2 4 1 6 CONDUCTION SYSTEM OF THE HEART 7077 5 PRODUCT DESCRIPTION mamana AN 6 2 A PRODUCT DESIGN IA E 6 2 Ba GA 6 2 1 2 Prout PACKAGE IA 8 2 1 3 Product Label rnarnnnnnnnnnnnnrnnnnnnennnnnennnnnnnnvennennenuenneene 8 2 2 TAKING A MEASUREMENT 00111 9 2 2 1 Dry thumb conduction electrodes 9 2 2 2 Optional external electrode cable 10 2 9 DISPLAY PANEL munne EE 11 AG EG DD DIa EE EN 11 2 3 2 LCD Display Description a 12 P BING 13 2 4 1 CONTINUOUS Mode rarerarernrnnnenanennrnnvennnenunernrnnnennvennr 13 2 4 2 Review ECG Data rarrnrnrarannnnnnnnavnnnnnannvnnnnsnnnnnnnnnnnne 14 24S DN 15 2 4 4 Set and Adjust Date and Time 16 2 4 5 Erase all ECG Data anrnrararnnnnnnnnvnnnnnavnvnnnnsnnnvnnsnsnnne 17 2
30. y takes 30 seconds Press JOK anytime during measurement to STOP Simply press again to start the next measurement Place right and left thumbs GENTLY on the conduction electrodes Calm and relax yourself with regular breathing Do NOT Move and do NOT Talk during measurement You can press 5 for three seconds to power off the device manually anytime during measurement Data will NOT be saved The device will power off automatically if left idle for more than 1 minutes NOTE If measurement is stopped in less than 30 seconds not enough data will be recorded The ECG parameters will not be recorded The hardware and software will only show ECG trace measured 2 2 2 Optional external electrode cable InstantCheck has optional electrode cable as an alternative way for users to take ECG readings instead of dry thumb conduction electrode Please only use one method at a time Please follow the steps below when using the auxiliary electrodes Slide the socket cover to expose the optional electrode cable socket and connect one end of the cable to the device Connect the split ends of the cable to the adhesive ECG electrode pads Users can buy qualified electrode pads from qualified medical device and pharmacy stores Place the RED electrode on the right arm and the BLUE electrode on the left arm as shown Do NOT put your thumbs on the dry conduction electrodes when using this method Start the measurement by press
Download Pdf Manuals
Related Search