Lode Corival Ergometer, User Manual
Contents
1. Operator Manual Corival 10w min start at 30 rpm n 0 min esc The ergometer is ready for use with the selected protocol When the test subject exceeds the 30 rpm the protocol will run You will see the following screen 1 t 00 59 6 00 01 10 W 58 rpm 83 min rec In this example the screen shows that this is the first stage t 00 59 with 59 sec to go the timer is showing 1 sec of total exercise time the timer will stop the registration when the RPM drops below 30 The workload P is 10 watt the pedaling frequency is 58 RPM and the heart rate is 83 beats per minute The three displayed parameters are those selected under SYSTEM PARAMETERS SET DISPLAY At the bottom line you will find the recovery button on the left which will bring the workload immediately to the programmed recovery workload and the OK button In case the optional BPM is installed you will find instead of this OK button a BPM button which allow you to measure the blood pressure with the optional automatic blood pressure module see the appendix concerning Blood pressure in this manual The next steps will automatically follow With the V A buttons you can go the next stage or previous stage when you do not want to follow the protocol as programmed B 3 7 4 Blood Pressure Measurement When your controller is extended with the optional automatic blood pressure module you can either program a measurement interval see Protocol edit B 3 7 1 and Example Progra2. 5 With the V A keys you can scroll through the alphabet confirm use OK to go to the next position 6 The program screen appears the underscore showing the programming parameter test Step P OW t 00 00 1S aP 050W dt 060s esc next 7 Confirm the S with use the W key to decrease the workload to 10 watt 8 Press the confirmation button OK until you reach the following screen Adjust time dt to 60 seconds using the V A keys 9 Select T with the V A keys and adjust the Torque to 10 Nm and the duration to 30 seconds with the same keys Press the confirmation test button Torq P 10W t 01 00 2T T 10Nm dt 030s esc next 10 Select L with the V A keys and confirm the constant a 0 041 change the duration to 10 seconds Press the confirmation button 11 Select H with the V A keys and change the heart rate in 120 m for a duration of 180 seconds press the confirmation button 12 Select P with the V A keys and change the Workload to 150 in duration of 300 seconds press the confirmation button 13 Select P with the VW A keys and change the Workload to minus 60 in 60 seconds press the confirmation button Lode 21 Operator Manual Corival test Ramp P 160W t 09 40 6P dP O60W dt 060s esc next 14 Select Recovery the V A keys and change the Workload to 35 and press the confirmation button 15 After confirmation you will automatically go to the BPM menu 16 Select No BPM when the BPM module is
3. Corival can be controlled separately using the LEM software 5 3 RS 232 specifications See user guide for detailed information 5 4 Analog in out This connector can be used to connect the Corival to other analog controlling instruments See user guide for detailed information Lode 13 Operator Manual Corival A Maintenance The Corival is designed mechanically and electronically for durability and accuracy but it is recommended to have the load settings calibrated regularly The frequency of calibration depends on the intensity of usage The calibration is performed using calibration equipment specially designed by the manufacturer A l Cleaning The housing of the Corival ergometer and all other external surfaces can be cleaned with a cloth dampened with non aggressive liquid A 2 Replacing fuses You will not need a certified technician to replace fuses of the Corival Always disconnect the power cord first Unplug the mains cable The fuses are part of the main unit With a screwdriver unscrew the fuse holders replace the broken one and place them back again Note make sure that the fuses that are in the Corival match the set voltage 115V 2 x 1 25A slow 230V 2 x 0 63A slow A 3 Adapting the Voltage You are allowed to adjust the voltage set for the Corival to local requirements Execute the following steps to do this It is recommended to let a technician perform the voltage selection Always disconnect the p
4. different ergometry specific settings can be carried out as described previously in the standard manual On the programmable control panel you can select the desired menu set p slope SET DISPLAY settings The menu displayed in capitals and repeated with an abbreviation under the confirmation button is the one which can be activated Selecting one of these menus will show you a more extended display then described previously in this manual As you can see with the example of SET DISPLAY On Esc off on Where the function POWER is the same as described previously in this manual power indication on or off the button SYS will bring you back to the system parameters menu With the V A keys you can select the power indication to be ON or OFF and NEXT will bring you to the next item of the SET DISPLAY menu Beside the parameters RPM HEART RATE TORQUE TIMER and DISTANCE two more are parameters are added TARGET HEART RATE and ENERGY Selecting the target HR parameter will show you the target heart rate programmed in the heart rate controlled protocol beside the actual heart rate For instance 2 t 00 48 6 01 12 P 23 W 61 rpm 91 min t 100 min recovery ok Selecting the energy parameter will show you the total amount of mechanical energy delivered by the test subject going into the ergometer in the form of mechanical motion during the exercise test Instead of 2 items you can show 4 items out of your selection at o
5. in can correspond with a workload of 100 W 200 W 500 W Lode 10 Operator Manual Corival 3 4 5 ECG Trigger When the blood pressure option 928815 is used a heart rate trigger signal is obligatory 3 4 6 TC Bytes The Test code TC Bytes offer in case of malfunction or poor performance of the BP option 928815 the possibility to make error codes visible Your local distributor can help you diagnose the problem with the Error Code 3 4 7 RS232 Protocol When the ergometer is externally controlled via RS232 a protocol should be selected here 3 4 8 Language You can choose different languages for the ergometer 3 4 9 Device No When RS232 communication is used with the ergometer it is identified with a so called device number This offers the possibility of looping through ergometers Lode 11 Operator Manual Corival 4 Specifications 4 1 Technical Specifications Principle Mains voltage Frequency Patient capacity Power consumption Workload Device control Accuracy Read out load Read out pedaling speed Output load Output pedaling speed Input voltage for external control Safety class Corival and Corival P Safety class Corival PB Leakage current Isolation resistance Earthway resistance Zero load Noise level 4 2 Fuses 115V 230V Lode eddy current brake 115 230 VAC adjustable 50 Hz 60 Hz 350 Ib 160 kg 120 VA 0 999 W HYP 0 999 W LIN manual external analog external digital
6. in this example TESTPROTOCOL and confirm with OK The following screen will appear testprotocol Delete esc Confirm with OK when you agree and the message deleted will appear on the screen Lode 24 Operator Manual Corival C Heart rate option 928824 C 1 Connecting the Heart rate system option 928824 To install a heart rate option purchased afterwards follow the instructions given in the user guide supplied with the ergometer Installation of the Heart rate option itself has to be done by service personnel only C 2 Using the Heart rate option The heart rate option is automatically recognized by the ergometer The Polar belt should be mounted around the chest of the test subjects at heart level with Polar trade mark pointing forwards from the middle of the chest The belt should not be to loose If you have a weak signal check following tips e Wet the contacts on the right and left backside of the Polar belt for good contact e Stay near the receiver within a range of 1 meter which is located in the display unit at the test subjects side below the readout e Due to the integration measurement principle it can take a few seconds before the readout on the display shows the correct value Be patient e The test subject should be positioned in such way that a straight virtual line can be drawn between the Polar trade mark on the belt and the receiver inside the display unit Lode 25 Operator Manual Corival D Blood
7. pressure option 928815 With option 928815 it is possible to perform stand alone or external controlled blood pressure measurements After installation Appendix D 3 the BP module is recognized automatically at start up of the ergometer indicated by the following screen for a few seconds LODE CORIVAL BPM Initialized D 1 Using the BP system Caution Carefully read the instructions in Appendix D 2 Patient Hook up and D 2 3 Notes on blood pressure measurement before continuing Only well trained medical personnel familiar with BP measurement should operate the BP system When you are in the MANUAL TERMINAL or ANALOG mode you can go to the BP measurement by pressing button The following menu appears P 90W 69 rpm DISP START MAN In the upper line of the display still your selected readout parameters appear The buttons below have the following functions y DISP Toggle the display between your readout parameters and the pressure p mm Hg Pressure is indicated as lower case p and workload with upper case P P O mm Hg DISP START MAN A START The BP measurement starts P 120 mm Hg DISP STOP MAN With the same button the BP can be aborted at any time and the pressure will be released MAN TERM ANA Return to the operation mode where you started from MANUAL TERMINAL or ANALOG During the first BP measurement of the test subject the cuff inflates to 180 mm Hg For each subsequent BP measurement the last meas
8. Operator Manual Corival V2 English Lowe Lode BV Groningen The Netherlands Operator Manual Corival PRECAUTIONS Caution This device should only be sold by or on the order of authorized persons Caution Not suitable for use in the presence of flammable anaesthetics Service of this device is restricted to factory trained personnel only Note The voltage selector 115 230VAC is inside the ergometer The back panel has to be unscrewed Voltage selection should be done by a technician LIST OF SYMBOLS USED On Off switch External Input External Output Type B Electrical Safety This is the operator manual for the Lode Corival Ergometer If you need more detailed information we refer to your local distributor or the user guide only available in English Lowe Operator Manual Corival Table of Contents 1 DESCRIPTION OF THE CORIVAL ERGOMETER 1 1 MANUAL CONTROL QUICK START 1 2 ANALOG EXTERNAL CONTROL 1 3 TERMINAL DIGITAL EXTERNAL CONTROL VIA RS232 2 MAIN MENU 3 SYSTEM PARAMETER 3 1 SET DISPLAY 3 1 1 Power 3 1 2 RPM 3 1 3 Heartrate 3 1 4 Torque 3 1 5 Timer 3 1 6 Distance 3 2 SET P SLOPE 3 3 SET MODE 3 3 1 Hyperbolic 3 3 2 HR controlled 3 3 3 Linear 3 3 4 Fixed Torque 3 4 SETTINGS 3 4 1 Default Startmenu 3 4 2 Keyboard On Off 3 4 3 Test Functions 3 4 4 P In Out Analog 3 4 5 ECG Trigger 3 4 6 TC Bytes 3 4 7 RS232 Protocol 3 4 8 Language 3 4 9 Device No 4 SPECIFICA
9. TES RS232 PROTOCOL LANGUAGE DEVICE NO WW WW WwW WW WW Operator Manual Corival 3 System parameter In the System Parameters different specific ergometer settings can be carried out 3 1 Set display This function allows you to adjust the parameters which can be read out on the display during exercising If more then 2 are set to ON they are shown in groups of 2 scrolling Choosing default allows you to go to factory settings for the display parameters Press the button to go to the next parameter and switching the actual parameter ON OFF is done with V A keys 3 1 1 Power Power indication in watts can be switched ON or OFF using the VW A keys The power displayed is the actual power of the brake When rpm drops below 25 rpm the load is removed at once because the pedal torque becomes very high Load is put on the brake when rpm is greater or equal to 30 rpm 3 1 2 RPM Swith ON of OFF the Cadence readout in Revolutions per minute The rpm can always be read out by the LED bargraph on top of the display independent of this adjustment 3 1 3 Heartrate Switch ON or OFF the Heartrate indication in beats per minute The symbol is used in the display 3 1 4 Torque Switch ON or OFF the Torque in the readout The Torque is displayed in Newtonmeter 3 1 5 Timer Switches the Timer ON or OFF in the readout The timer is shown in the display as 0 mmi ss The timer starts when you enter manual terminal or analog mode
10. TIONS 4 1 TECHNICAL SPECIFICATIONS 4 2 FUSES 5 COMMUNICATION PORTS 5 1 RS232 5 2 LOOP CONNECTION 5 3 RS 232 SPECIFICATIONS 5 4 ANALOG IN OUT A Maintenance A l Cleaning A 2 Replacing fuses A3 Adapting the Voltage B Programmable Control Unit Top 928810 B 1 Installing the Programmable Control Unit Top option 928810 B 2 Control panel Corival with Programmable Control Unit option 928810 B 3 Using the Programmable Control Unit B 3 1 Menu structure programmable control unit B 3 2 Manual menu B 3 3 Analog menu B 3 4 Terminal menu B 3 5 System parameters menu B 3 6 Operation from basic control panel B 3 7 Protocol C Heart rate option 928824 C 1 Connecting the Heart rate system option 928824 C2 Using the Heart rate option Lowe O O O nO DODO nana 6 HAND MN Operator Manual Corival D Blood pressure option 928815 D 1 Using the BP system D 2 Patient Hook up D 2 1 Apply the cuff D 2 2 Position of the cuff D 3 Installing the BP cuff D 3 1 Analog ECG trigger D 4 Abort codes BP system D 5 Cleaning and disinfection D 6 Cleaning of the cuff 26 26 27 27 27 29 29 29 30 30 Lowe Operator Manual Corival 1 Description of the Corival ergometer The control panel consists of the following elements Led indicator for rpm Display A directed to test subject Down button Up button Confirmation button Ergometer type indication AMNBRWNE Fig 1 Control Panel standard Corival The ba
11. W dt 060s Esc ok On top the protocol name is mentioned The second line will give you information about the status of the programmed momentary workload P and time t The third line is the actual program line The stage number with the type of stage is mentioned followed by the programmable parameters workload in the above example and time Those parameters are displayed as A Power dP and A time dt AP is the change in power expressed in watts At is the change in time expressed in seconds The underlined character is the item which can be changed in the example mentioned above S Pressing the V A keys give you the ability to toggle between the possibilities for programming a stage in a protocol S T L H P and Recovery S step the workload can be adjusted or and the duration of this hyperbolic stage can be determined the load is independent of the RPM T torque fixed torque the torque in Nm can be adjusted with certain duration L linear the workload is coupled with RPM with constant a as the adjustable parameter for the desired duration load P a N W goes up with square of cadence H heart rate the workload is regulated as a function of the adjustable heart rate for a certain duration in this heart rate controlled step P proportional the workload is increased linear as a function of time ramp protocol It will take the total duration time to reach the programmed workload R Repeat repeat steps until
12. a way that vibrations and movement artefacts are avoided Use the ringstrap to fix the tubes to the wrist to avoid tensions on the cuff due to moving and pulling tubes During the measurement which starts with inflation the arm with the cuff should be kept in rest With ergometry it is most convenient for the patient to take the arm from the handlebar of the ergometer and relax the arm with the cuff Lode 28 Operator Manual Corival The intervals of the measurements should not be too short Intervals of 2 minutes and more result in long pauses between the stenoses so that venous congestion and artiospasm can be avoided D 3 Installing the BP cuff To install a BP option purchased afterwards follow the instructions given in the user guide supplied with the ergometer Installation of the BP module itself has to be done by service personnel only D 3 1 Analog ECG trigger The BP module offers the possibility to use an analog heart rate input signal as a trigger for the BP measurement Use this option if your ECG device has only an analog output available instead of TTL Refer to the user guide for this modification which has to been done by service personnel only D 4 Abort codes BP system Error message Display Possible error cause CHECK ECG 0 0 mmHg ECG trigger not connected SIGNAL ECG trigger properties not correct ECG trigger polarity not correct QRS pulse width smaller than 10 ms CUFF 0 0 mmHg Strong arm move
13. and the rpm increases above 30 The timer is reset when one of these modes is left 3 1 6 Distance Switches the distance ON or OFF The distance is shown in the display as gt 99 9 km expressing the distance in km A fictive formula is used see user guide holding only for average cycle conditions and it should not be used for diagnostic purposes 3 2 Set P slope The load regulation steepness is set by this parameter to the default norm value of 25 watt sec or to unlimited 3 3 Set mode Set mode is used to define which parameter like workload torque heart rate and linear constant alpha has to be adjusted during exercising in MANUAL mode with V A keys Lode Operator Manual Corival 3 3 1 Hyperbolic Hyperbolic mode means that the workload P can be adjusted in watt The workload is kept constant independent of rpm 3 3 2 HR controlled Heart rate can be adjusted and the workload is regulated until the adjusted heart rate is reached This means when heart rate increases above the adjusted level load is decreased and the other way around 3 3 3 Linear In linear mode the workload P is coupled with rpm using the following formula P W a n min The linear coupling constant a is the adjustable parameter in this case 3 3 4 Fixed Torque In Fixed Torque mode the workload is regulated such that the torque is kept at a set fixed value according the formula T Nm P 60 2 n n min 3 4 Settings U
14. ck panel of the Corival contains the following elements Mains on off switch Mains connector Fuse Fuse Dealer information label if used RS232 in RS232 out Analog i o Protective Earth connector SOOO ON O BG or Fig 2 Back panel connections Lode i Operator Manual Corival Adjustability The ergometer is adjustable to test subjects of all sizes and ages e The height of the saddle can be adjusted by tilting the handle on the back underneath the saddle e The height of the handlebars can be adjusted by loosening the screw knob in front of the ergometer Moving the ergometer The ergometer can be moved by turning it over to the right appr 30 when you are in front of the handlebar A wheel in the middle of the ergometer drops out You can now drive the ergometer to its location Turn it over to the left appr 30 and the wheel in the middle will fold in The ergometer is ready for use Instructions for installing the Corival ergometer 1 Place the ergometer in the location where it will be used 2 Check at your supplier whether the voltage set for the ergometer is set correct 3 Connect the power cord first to the socket of the ergometer and then connect it to the line voltage 4 Switch the power switch on The indicator lamp in the switch lights up If the following initialisation screen with the software version will appear for a few seconds the ergometer is ready for use 1 1 Manual control qu
15. ct patient hook up is very important Experience has shown that a lot of troubles can be avoided when the rules below are kept in mind Especially BP measurement using Korotkoff tones under stress requires accurate preparation D 2 1 Apply the cuff On the inside of the upper arm you can feel the brachial artery Palpate the brachial artery to ensure proper placement The best place for the microphone is where you can most clearly feel the pulse Fig 23 Palpating the arm Upper clothing should be taken off Pulled up garments should not jam the upper arm Fig 23 Palpating the arm D 2 2 Position of the cuff Lode 27 Operator Manual Corival The cuff should be placed on the upper arm so that it is positioned about 2 cm above the elbow close to the heart level Fig 24 Cuff position Place the microphone on the position that you palpated _ S Fig 24 Cuff position Caution Never place the cuff so that the microphone is located in the elbow Pull the cuff so tight that it neither moves nor ties off the arm of the patient By fasten the cuff too tight or too loose error measurements are caused Wrap the end of the cuff around the upper arm and close the Velcro fastening Fig 25 Mounting the cuff ee fo i 1 i 4 ie f A Fig 25 Mounting the cuff Ensure that the air hose from the monitor to the cuff is not compressed crimped or damaged During ergometry the air hose should be handled and attached in such
16. hone removal The cuff can be washed at 30 C The air hose can be cleaned with mild non alcoholic disinfectant There may not remain any liquid in the air hose afterwards Lode 30 Operator Manual Corival The air hose can easily be put back in the cuff if beforehand both ends are rolled up to the hose entry Fig 34 Placing the air hose Slip the microphone back in the bag Fig 35 Placing the microphone and close the Velcro fastening Fig 35 Placing the microphone Lode 31
17. ick start If the Corival is switched on the default startup menu is the entrance to the MAIN MENU Press the confirmation button to enter the main menu Select with the arrow keys V A the MANUAL MODE Press and you will see the following screen P OW 0 rpm MANUAL With the V A keys the workload can be in or decreased The workload will rise with 25 watt sec when the rpm is above 30 Keeping the pressed for a few seconds allows you to go up one or more menu levels During cycling the display shows the following information e the top line shows 1 or more ergometry parameters e the bottom right corner shows the current control mode e at the bottom left position the selected adjustable parameter is shown Operator Manual Corival 1 2 Analog external control Execute the following steps to control the Corival externally using the analog in output 1 Connect the external controling device e g ECG system with a correct cable to the analog i o port 2 Start the ergometer and go in the main menu to ANALOG 3 Now the ergometer can be controlled by an external device with an analog signal 1 3 Terminal digital external control via RS232 For digital external control using the RS232 serial port execute the following steps for the basic Corival 1 Connect the Corival to the external control device i e ECG system PC using a correct RS232 cable 2 Switch on the ergometer and select the menu TERMINAL on the dis
18. lt 3W for P lt 100W lt 3 for 1OOW lt P lt 500W lt 5 for P gt S500W digital 0 999 resolution 1 W analog 0 180 rpm or digital 0 255 100 200 or 500 W 4 1 volt max 999 W 100 min 4 1 volt 100 200 or 500 W 4 1 volt max 999 W I type B IEC 601 1 chapter 18 19 and 20 Ila type B IEC 601 1 chapter 18 19 and 20 lt 0 4 mA gt 4 MQ lt 0 2 Q lt 8 W at 60 rpm 60dB at workload 200W 60rpm 80cm from crank 2 x 1 25A slow 2 x 0 63A slow 12 Operator Manual Corival 5 Communication ports This chapter describes the communication ports in the back panel of the Corival RS232 two ports for RS232 in and loop connection RS232 out Analog in out 5 1 RS232 The Corival has two RS232 connectors for loop connecting a number of Corivals and for communication with a personal computer or an ECG device When the ergometer is controlled externally always use the RS232 in port Via RS232 an ergometer can be monitored and settings can be entered with a computer 5 2 Loop connection It is possible to control several Corival ergometers with one external device using RS232 Connect the RS232 in connector to the external device Connect the RS232 out connector to the RS232 in connector of the following Corival ergometer and so on The maximum number of Corival ergometers that can be connected in this way is 8 Use the device number option in SYSTEM PARAMETERS to give each Corival a unique number In this way each
19. max workload you have to enter the workload step and the duration of the step only once Recovery the recovery stage is the last stage of a protocol with a fixed workload and an unlimited duration only 1 recovery stage in 1 protocol After the confirmation of the workload during the recovery stage the menu PROGRAM BPM will appear Toggle with the V A keys for the measurement possibilities No BPM no BPM module available select this option when the BPM is not installed or no automatic blood pressure measurement during this protocol Repeat allows you to program a repeat time in minutes during the exercise stages Lode 20 Operator Manual Corival EOS End Of Stage automatic measurement at every end of the exercise step with the possibility to program the measurement time before the end of the stage Recovery time If you have programmed automatic BP measurement in the protocol you get the possibility to program the repeat time of the BP measurement during the recovery stage After the programming of the BPM the menu PROTOCOL will appear again You can RUN EDIT or DELETE one of the protocols now B 3 7 2 Example Programming Protocol For the purpose of clarification we will program a demonstration protocol with all possibilities Execute the following steps to get into the programming mode 1 Select PROTOCOL in the MAIN MENU confirm 2 Select PROTOCOL edit confirm 3 Select New confirm 4 Give a protocol name test
20. ments during the blood OVERPRESSURE pressure measurement Air hose is bent or blocked AIR LEAK 0 0 mmHg Cuff is loose or not connected Air hose or air bubble leak Air hose not connected SERVICE Fatal error Get in touch with the company REQUIRED Lode CHECK ECG Poor patient hook up irregular ECG signal or MICROPHONE poor trigger signal AND Abnormal microphone signal or damaged microphone CHECK Wrong Microphone placement or defect MICROPHONE microphone CHECK ECG ECG trigger signal failed during blood pressure measurement ARTIEACE Bad or irregular ECG signal during the blood pressure measurement AND Excessive movements of the patient during the blood pressure measurement 8 ARTIFACT ARM BP Excessive movements of the patient during the value blood pressure measurement Operator Manual Corival e E a E CUFF INFLATION Maximum cuff pressure adjusted too low TOO LOW e Inflation pressure adjusted too low Repeat measurement D S Cleaning and disinfection Entry and connection cables like the air hose from the cuff should not be sterilized in hot steam or cold gas or plunged in disinfectants D 6 Cleaning of the cuff For the cleaning of the cuff you can take out the air hose Fig 31 Air hose removal Fig 31 Air hose removal Now you can open the Velcro fastening of the cuff and take out the microphone Fig 32 Microp
21. mmable side To go back to the default control situation you have to restart the ergometer without pressing any button The TEST FUNCTIONS are only available at the basic control panel They are meant for service personnel only Contact your supplier in case service of the device is required If accidentally you get into to the TEST FUNCTIONS it can cause damage to the ergometer operation and guarantee will be lost B 3 7 Protocol In this paragraph the program possibilities under the menu PROTOCOL will be described protocol run PROTOCOL EDIT protocol delete Prot Prot You can select the menus PROTOCOL EDIT PROTOCOL RUN and PROTOCOL DELETE B 3 7 1 Protocol edit The menu PROTOCOL EDIT allows you to program new exercise protocols or edit an existing protocol The memory capacity will allow you to save 50 protocols all existing of maximal 15 steps each Pressing this menu will show you the list of protocols which have already been made and the menu NEW Lode 19 Operator Manual Corival With the V A keys you can select the desired protocol in this example name1 to edit Select NEW to program a new exercise protocol and give the protocol a useful name maximal 10 characters with the V A keys The allowed characters for the name are 0 9 a z and Move the cursor with the confirmation button OK to the 10 position and the program screen will appear Name 1 Step P OW t 00 00 1S dP 050
22. mming Protocol B 3 7 2 or press the BP button see appendix on BP measurement to start manual a BP measurement You will see the selected display parameters BPM P 30W 60 rpm 114 min esc DISP START Pressing PROT protocol will bring you back to the normal exercise protocol screen Pressing DISP V A will allow you to toggle between the BP parameters and de default selected parameters START will start the blood pressure measurement Pressing DISP again will show as next display the actual pressure p and each heart rate beat and Korotkoff sound on the second line Lode 23 Operator Manual Corival BPM p 123 mmHg vl P 30W 60 rpm esc DISP START Whenever the test subject is allowed to or has to stop the exercise test the recovery button has to be pressed The following will appear on screen Rec P 50W t 10 30 P 50W 60 rpm 174 min esc esc In this example the recovery phase will bring the workload down to 50 watt The timer is showing 10 30 seconds and will go on with the registration during the recovery as long as the RPM is above 30 the BPM can still be measured when BPM is displayed at the confirmation button To stop the recovery phase press the END button to go back to the PROTOCOL menu In the menus MANUAL TERMINAL or ANALOG the BP function is the same as described above B 3 7 5 Protocol delete This function allows you to delete a protocol Select the protocol which you do want to remove
23. nce they will scroll in groups of 2 When you select 4 parameters there will be no scrolling but a fixation on the Lode 18 Operator Manual Corival display of these parameters You can program the parameters also up to 4 without scrolling at the basic control panel as well but you have to switch the control over to the basic side first as is described in the next paragraph The menu SETTINGS will give you the opportunity to select PROTOCOL as a default startmenu besides the previously described menus ANALOG MANUAL TERMINAL and SYSTEM PARAMETERS An extra option for the Programmable control unit in the menu SETTINGS is the CONTRAST adjustment for the P display Adjusting contrast shows direct effect on the display Only after confirmation with SAVE the new contrast is kept B 3 6 Operation from basic control panel With the basic control panel as described previously in this manual you had the possibility to switch your KEYBOARD ON or OFF With the programmable control panel the basic test subject side of the unit is default OFF It is possible to control the ergometer with the buttons of the basic control panel instead of the programmable control panel You can use this option for service purposes or to program the display of the basic control panel During the startup of the ergometer you can press one of the buttons at the basic side to switch operation to this basic control panel you will then loose the control function of the progra
24. nder settings all device specific and interface adjustments can be made It concerns to all those items not related directly to ergometry 3 4 1 Default Startmenu Normally your ergometer starts in the main menu But you can modify this menu to your own desired settings This is convenient when your ergometer is used often in the same setting The following menus can be selected as startmenu MAIN MENU MANUAL TERMINAL ANALOG At the next startup of your ergometer the selected menu will be activated 3 4 2 Keyboard On Off If you do not want to interrupt a training or you do not want the test subject to interrupt the training by pressing a key accidentally the possibility is offered to disable the keyboard Now you wonder how to get back the control to the keyboard Act as follows Switch off the ergometer Switch it on again while keeping the button pressed Now you have back the control Go to SYSTEM PARAMETERS KEYBOARD ON OFF and set it to ON At the next startup of the ergometer the keyboard is enabled again 3 4 3 Test Functions For servicing and calibration of the device a number of diagnostic tools is available in the software They are hidden under Test functions You need a safety code to enter the TESTFUNCTIONS 3 4 4 P In Out Analog The ergometer can be controlled by an external device which has an analog output only This is done using the ANALOG mode With P In out Analog the analog scaling can be adjusted 1 V analog
25. nds by P OW 0 rpm At the same time the programmable control panel shows for a few seconds P display LODE ver X YZ With an installed Bloodpressure Option it is followed for approximately 1 second by indicating correct operation of the BP device Lode 15 Operator Manual Corival LODE ERGOMETER BPM initialized Then the main menu appears system parameter TERMINAL manual The menu displayed in capitals can be selected As extra reminder the first 4 letters of the selectable mode are showed above the confirmation button With the V A keys you can scroll through the other menus and select SYSTEM PARAMETERS MANUAL ANALOG or PROTOCOL With the right confirmation button the menu in capital can be selected The left escape button is used to go back one level in the menu structure The ergometer is now ready for use If nothing appears in the display s check whether the power cord and the control unit have been properly connected or contact your supplier B 3 1 Menu structure programmable control unit 0 MAIN MENU 1 ANALOG 1 MANUAL 1 TERMINAL 1 SYSTEM PARAMETER 2 SET DISPLAY POWER RPM HEARTRATE TORQUE TIMER DISTANCE TARGET HR ENERGY 2 SET P SLOPE 2 SET MODE 3 HYPERBOLIC 3 HR CONTROLLED 3 LINEAR 3 FIXED TORQUE 2 SETTINGS 3 DEFAULT STARTMENU 3 P IN OUT ANALOG 3 CONTRAST 3 ECG TRIGGER 3 TC_BYTES 3 RS232 PROTOCOL 3 LANGUAGE Lode 16 p 2 Ld Le Lo be
26. not installed or select Repeat with the V A keys and choose 2 minutes for the repeat time confirm with and choose 2 minutes for the repeat time in the recovery stage The protocol TEST with BPM is ready now you can go to protocol RUN to test this special protocol not for normal use To edit an existing protocol you have to select the desired protocol first You can change the name or confirm the name with OK ten times Now you can walk through the stages with the confirmation button until you reach the stage you want to edit You have to scroll through the total protocol and define the recovery stage before you leave this menu otherwise the changes will not be saved B 3 7 3 Protocol Run The menu PROTOCOL RUN is used to select the desired protocol for the exercise test Select Protocol Run and three previously programmed protocols will appear on screen To scroll through the total list use the arrows for instance 10w min 25w 2 min ramp 400w esc If you want to select e g the protocol 10 w min use the Wkey until a space appears in front of the name of the protocol the selectable item is always on the 2 line and confirm with ok The following message will appear on screen 10w min 1 P 0W t 00 00 1S dP 10W dt 060s esc ok This screen is used to check the selected protocol in this case the name is 10w min the first step will start with 10 watt for 1 minute Press the confirmation button to go on Lose 22
27. ower cord first The voltage selector is inside the unit Unscrew the back panel using a screwdriver Shift the main unit outside for approximately 10 cm The voltage selector is located behind the fuses near the transformer Adjust the voltage with a screwdriver to your local mains voltage Shift back the main unit and screw it Take care not to jam wires or tubes Contact your local dealer for a maintenance contract or ask Lode LODE BV Tel 31 505712811 Service department Fax 3150 5716746 Zernikepark 16 Email ask lode nl 9747 AN Groningen Internet www lode nl The Netherlands Lode 14 Operator Manual Corival B Programmable Control Unit Top 928810 B 1 Installing the Programmable Control Unit Top option 928810 When the option 928810 is ordered later on it should replace the standard Control Unit Replacement should be carried out by service personnel only For the description we refer to our user guide supplied with this ergometer B 2 Control panel Corival with Programmable Control Unit option 928810 1 Display B 4x20 characters directed to operator Infrared window only active for option 928820 One step back button Down button Up button Confirmation button n Ne amp B 3 Using the Programmable Control Unit Check if the ergometer is properly installed In the display of the basic control panel the following appears for a few seconds LODE ERGOMETER TYPE Followed after a few seco
28. play 3 Be sure that the correct protocol has been selected under the menu SYSTEM PARAMETERS SETTINGS RS232 PROTOCOL For a list of available protocols and ECG system we refer to the user guide or your local dealer If you usually control your ergometer from an ECG system in the TERMINAL MODE you can set this mode as default startup menu The Corival is now ready for digital external control Another option to control the ergometer from a pc is with the Lode Ergometry Manager LEM article 92890X software This uses the Lode 38k4 protocol Lode Operator Manual Corival 2 Main menu When the ergometer is started after pressing the confirmation button you enter the MAIN MENU The following submenus are selectable from the main menu TERMINAL e MANUAL ANALOG e SYSTEM PARAMETER Use the arrow keys V A to scroll through the menus Press the button to select a menu Keeping the pressed for a few seconds allows you to go up one or more menu levels wherever you are in the menu The complete menu structure is shown below In front of each menu the level depth is indicated 0 MAIN MENU 1 ANALOG 1 MANUAL 1 TERMINAL 1 SYSTEM PARAMETER 2 SET DISPLAY 3 POWER 3 RPM 3 HEARTRATE 3 TORQUE 3 TIMER 3 DISTANCE 2 SET P SLOPE 2 SET MODE 3 HYPERBOLIC 3 HR CONTROLLED 3 LINEAR 3 FIXED TORQUE 2 SETTINGS 3 DEFAULT STARTMENU KEYBOARD ON OFF TEST FUNCTIONS P IN OUT ANALOG ECG TRIGGER TC_BY
29. ured SYSTOLIC value 50 mm Hg is used as a maximum inflation limit Be aware that in case of an error D 4 the inflate limit can go up to 260 mmHg worst case Above 300 mm Hg or if a measurement lasts longer than 180 seconds the hardware releases pressure immediately for safety reasons Deflation is done 40 mm Hg below the last measured DIASTOLIC pressure The used deflate rate is approximately 4 mm H g heartbeat Lode 26 Operator Manual Corival Under DISP V an extra menu is available especially useful during deflation Besides the pressure also the real time heart rate and Korotkoff tone are indicated Each heart rate is shown with the symbol and Korotkoff as J When BP has finished the SYSTOLIC and DIASTOLIC values are shown in the upper line S D 120 80 mmHg DISP START MAN With the DISP Y the average heart rate during the BP can be made visible BPM HR 64 m DISP START MAN When DISP is pressed once more you are back in the normal screen So the BP readings are available only once after the measurement A list of most occurring warnings and errors is given in D 4 Abort codes BP system The built in BP module offers in case of malfunction or poor performance the possibility to make error codes visible See for more information the user guide supplied with this ergometer Caution The interpretation of the error codes should be done only by experts Ask your supplier for more information D 2 Patient Hook up Corre
30. w Operator Manual Corival 3 DEVICE NO 1 PROTOCOL 2 PROTOCOL EDIT 2 PROTOCOL RUN 2 PROTOCOL DELETE Compared to the standard version the menus are added B 3 2 Manual menu Selecting the manual mode will show you default the following display at the programmable control panel BPM is displayed when this option is available otherwise another MENU possibility is active With the W A keys you can increase or decrease the parameter of the selected mode In the middle the adjustable parameter is shown f i the load P to be set with SYSTEM PARAMETERS gt SET MODE B 3 3 Analog menu Selecting the ANALOG menu will show the following screen at the programmable panel Notice O m Only displayed if BPM option is being installed The ergometer is now ready for external control with an analog signal as previously described See for more information about analog control the user guide only available in English supplied with the ergometer B 3 4 Terminal menu Selecting the TERMINAL menu will show the following screen at the programmable panel TERMINAL OW 0 m Notice O m Only displayed if BPM option is being installed Lose 17 Operator Manual Corival The ergometer is now ready for digital external control For more information about digital external control using the RS 232 serial port see the user guide supplied with the ergometer B 3 5 System parameters menu In the SYSTEM PARAMETERS
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