Electrocardiografo IVY BIOMEDICAL 7800 (Manual)
Electrocardiografo IVY BIOMEDICAL 7800 (Manual)
Electrocardiografo IVY BIOMEDICAL 7800 (Manual)
© 2019 IVY Biomedical Systems Inc. All Rights Reserved. Part No. 3232-00-16
Part No. 2718-55-16
Rev.16 EN
TABLE OF CONTENTS
TABLE OF CONTENTS
1.0 USER RESPONSIBILITY .......................................................................................................................... 1
This product will perform in conformity with the description contained in this Operation Manual and accompanying
labels and/or inserts, when assembled, operated, maintained and repaired in accordance with the instructions
provided. This product must be checked periodically. A defective Product should not be used. Parts that are broken,
missing, plainly worn, distorted or contaminated should be replaced immediately. Should such repair or replacement
become necessary, Ivy Biomedical Systems, Inc. recommends that a telephone call or written request for service
advice be made to Ivy Biomedical Systems, Inc.’s Service Department. This product or any of its parts should not be
repaired other than in accordance with instructions provided by Ivy Biomedical Systems, Inc.’s trained personnel.
The product must not be altered without the prior written approval of Ivy Biomedical Systems, Inc.’s Quality
Assurance Department. The user of this Product shall have the sole responsibility for any malfunction which results
from improper use, faulty maintenance, improper repair, damage or alteration by anyone other than Ivy Biomedical
Systems, Inc.
CAUTION: US Federal law restricts this device to sale by or on the order of a licensed medical practitioner.
Multi-language translations of this Operation Manual may be found on the Ivy Biomedical
website: www.ivybiomedical.com.
_____________________________________________________________________________
2 Model 7600/7800 Operation Manual
WARRANTY
3.0 WARRANTY
All products manufactured by Ivy Biomedical Systems, Inc. under normal use, are warranted to be free from defects
in material and workmanship and to operate within published specifications, for a period of 13 months from date of
original shipment.
All accessories such as patient cables and lead wires, supplied by Ivy Biomedical Systems, Inc. under normal use,
are warranted to be free from defects in material and workmanship and to operate within published specifications,
for a period of 90 days from date of original shipment.
If an examination by Ivy Biomedical Systems, Inc. discloses such product(s) or component part(s) to have been
defective, then Ivy’s obligation is limited at Ivy’s option, to repair or replacement.
When a product or products need to be returned to the manufacturer for repair or examination, contact service
personnel at Ivy Biomedical Systems to obtain a Return Material Authorization number (RMA #) and the correct
packing instructions:
All products being returned for warranty repair shall be shipped prepaid to:
Ivy will send the shipment of the repaired or replacement product to customer at Ivy’s expense.
4.0 INTRODUCTION
This manual provides information on the correct use of the Model 7600/7800 Cardiac Trigger monitor. It is up to the
user to ensure that any applicable regulations regarding the installation and operation of the monitor are observed.
The Model 7600/7800 is ME EQUIPMENT (Medical Electrical Equipment) that is intended to monitor patients
under medical supervision. The Model 7600/7800 monitor must be operated by trained and qualified medical
personnel only.
We recommend that you read this manual before operating the equipment. This manual is written to include all
options. If your monitor does not include all options, menu selections and display data for those options will not
appear on your monitor.
Use the Monitor Description section for general descriptions of controls and displays. For details on the use of each
option, refer to the section of the manual dealing with the appropriate option.
Boldface type is used in text to refer to the labeling on user controls. Brackets [ ] surround menu selections used
with the programmable touch keys.
Manufacturer’s Responsibility
The manufacturer of this equipment is responsible for the effects on safety, reliability, and performance of the
equipment only if:
• Assembly operations, extensions, re-adjustments, or repairs are carried out by persons authorized by the
manufacturer
Incorrect operation or failure of the user to maintain the monitor in accordance with proper maintenance procedures
relieves the manufacturer or his agent from all responsibility for consequent non-compliance, damage, or injury.
This manual explains how to set up and use the Model 7600/7800. Important safety information is located
throughout the manual where appropriate. READ THE ENTIRE SAFETY INFORMATION SECTION BEFORE
YOU OPERATE THE MONITOR.
5.0 SAFETY
5.1 Essential Performance
List of Essential Performance functions (defined in the IEC 60601-1 Test Report):
• To monitor and display the patient’s heart rate accurately (within limits of 60601-2-27).
• To monitor and display the patient’s ECG waveform accurately (within limits of 60601-2-27).
• To produce an R-Wave gating output pulse to provide proper, accurate, reliable triggering.
• To produce an alarm signal when operator intervention is required.
5.2 Electrical
This product is intended to be operated from a mains power source of 100-120V~ or 200-230V~, 50/60 Hz and a
maximum ac power consumption of 45VA.
WARNING: To avoid risk of electric shock, this equipment must only be connected to a supply mains with
protective earth. Connect the monitor only to a three-wire, grounded, hospital grade receptacle. The three-conductor
plug must be inserted into a properly wired three-wire receptacle; if a three-wire receptacle is not available, a
qualified electrician must install one in accordance with the governing electric code.
WARNING: Do not under any circumstances remove grounding conductor from the power plug.
WARNING: The power cable supplied with this equipment provides for this protection. Do not attempt to
defeat this protection by modifying the cable or by using ungrounded adapters or extension cables. The power cord
and plug must be intact and undamaged. To disconnect the equipment from the mains power; unplug the power
cord.
WARNING: If there is any doubt about the integrity of the protective ground conductor arrangement, do not
operate the monitor until the ac power source protective conductor is fully functional.
WARNING: For power interruptions exceeding 30 seconds, the monitor must be turned on manually by
pressing the Power On/Standby switch. When monitor power is restored, the monitor will return to manufacturer's
DEFAULT settings. (An option is available which will allow monitor to use the last used or STORED settings.)
WARNING: To avoid unacceptable RISK caused by power interruptions, connect the monitor to an
appropriate medical-grade uninterruptable power source (UPS).
WARNING: Do not place the monitor in any position that may cause it to fall on the patient. Do not lift the
monitor by the power supply cord or patient cable.
WARNING: Carefully route monitor cables (patient cables, power cords, etc.) to reduce the possibility of a
tripping hazard.
WARNING: Do not position the monitor in a way that would cause difficulty to the operator to disconnect it
from the power source.
WARNING: Electric shock hazard! Do not remove covers or panels. Refer service to trained and
qualified service personnel.
WARNING: Disconnect the monitor from its power source when serviced. Refer service to trained and
qualified service personnel.
WARNING: All replaceable parts should be replaced by trained and qualified service personnel.
WARNING: To avoid electrical shock, disconnect the monitor from its power source before changing fuses.
Replace fuse only with same rating and type: T 0.5AL, 250V.
WARNING: If unit is accidentally wet, immediately disconnect the monitor from its power source.
Discontinue use until dry and then test unit for proper operation before reuse on a patient.
WARNING: This unit uses a common isolation path for the ECG leads and Electrodes. Do not allow the
ECG leads and/or Electrodes to come in contact with other conductive parts including earth ground. Do not connect
any non-isolated accessories to the ECG input when connected to a patient, as this may compromise the safety of the
unit. When attached to other devices, ensure that the total chassis leakage currents of all units do not exceed 300
μA.
WARNING: The synchronized output pulse is not designed to synchronize a defibrillator discharge or a
cardioversion procedure.
WARNING: To ensure proper monitor ventilation, do not use the monitor without the bottom cover feet or
the optional bottom cover mounting plate.
5.3 Explosion
WARNING: Explosion hazard! Do not use this equipment in the presence of flammable anesthetics or
other flammable substance in combination with air, oxygen-enriched environment or nitrous oxide.
WARNING: Carefully route patient cables to reduce the possibility of patient entanglement or strangulation.
Patient connections are electrically isolated. For all connections use isolated probes. Don’t let patient connections
contact other conductive parts, including earth ground. See instructions for patient connections in this manual.
Leakage current is limited internally by this monitor to less than 10 μA. However, always consider cumulative
leakage current that can be caused by other equipment used on the patient at the same time as this monitor.
To ensure that the leakage current protection remains within the specifications, use only the patient cables specified
in this manual. This monitor is supplied with protected lead wires. Do not use cables and leads with unprotected
lead wires having exposed conductors at the cable end. Unprotected lead wires and cables may pose an
unreasonable risk of adverse health consequences or death.
Line isolation monitor transients may resemble actual cardiac waveforms and thus inhibit heart rate alarms. To
minimize this problem, ensure proper electrode placement and cable arrangement.
If an alarm condition occurs while the alarms are set to off, neither visual nor audio alarms will be present.
5.5 MRI
WARNING: MR-unsafe! Do not expose the Model 7600 and Model 7800 to a magnetic resonance (MR)
environment. The Model 7600 and Model 7800 may present a risk of projectile injury due to the presence of
ferromagnetic materials which can be attracted by the MR magnet core.
WARNING: Thermal injury and burns may occur due to the metal components of the device which can heat
during MR scanning.
WARNING: The device may not function properly due to the strong magnetic and radiofrequency fields
generated by the MR scanner.
5.6 Pacemakers
WARNING – PACEMAKER PATIENTS: Rate meters might continue to count the pacemaker rate during
occurrences of cardiac arrest or some arrhythmias. Do not rely entirely on rate meter ALARM SIGNALS. Keep
pacemaker PATIENTS under close surveillance. See the SPECIFICATIONS section in this manual for disclosure of
the pacemaker pulse rejection capabilities of this instrument. AV sequential and dual chamber pacemaker pulse
rejection have not been evaluated; do not rely on pacemaker rejection with patients with dual chamber pacemakers.
This equipment is protected against electrosurgery potentials. To avoid the potential of electrosurgery burns at
monitoring sites, ensure proper connection of the electrosurgery return circuit as described by the manufacturer’s
instructions. If improperly connected, some electrosurgery units might allow energy to return through the ECG
electrodes. This equipment returns to normal operation in less than 10 seconds.
WARNING: The minimum patient physiological “R-wave” signal amplitude is 0.5 mV.
The use of the Model 7600/7800, below the above amplitude value, may cause inaccurate results.
5.10 EMC
This equipment has been certified to be protected to emissions and immunity according to IEC-60601-1-2:2014 for
use in hospital and small clinic.
CAUTION: Medical Equipment needs special precautions regarding EMC and needs to be installed and put
into service according to the EMC information provided in the Operation Manual.
CAUTION: Portable and mobile RF communications equipment can affect medical electrical equipment.
WARNING: This device has not been tested for use in the presence of various potential EMC/EMI sources
such as diathermy, radio frequency identification (RFID), electromagnetic security systems (e.g. metal detectors),
etc. Caution should be used if operating this device in the presence of such devices.
WARNING: The Model 7600/7800 should not be used adjacent to or stacked with other equipment.
However, if adjacent or stacked use is necessary, the Model 7600/7800 should be observed to verify normal
operation in the configuration in which it will used.
5.11 Accessories
WARNING: The use of accessories other than those specified in the Accessories Section of this manual may
result in increased emissions or decreased immunity of the equipment.
0 % U T ; 250/300 0 % U T ; 250/300
cycles. cycles.
Electric shock hazard: Do not remove covers or panels. Refer service to qualified service
personnel.
• The Model 7600/7800 monitor is intended primarily for use on patients in applications requiring precision
R-wave synchronization such as timed imaging studies.
• The Model 7600/7800 includes an AUTO lead select feature (Trigger lead only). When selected, this
feature will determine which lead (I, II or III) provides the best quality ECG signal and, thus, a more
reliable cardiac trigger.
• The Model 7600/7800 has an electrically isolated RS-232 micro-D connector that provides two-way
communications between the monitor and the external console for the transfer of ECG data.
• The Model 7600/7800 is available with different options; not all options are included in all monitors. An
optional integral recorder is available. Set up of recorder functions is made through the monitor touch screen
menus.
• The Model 7600/7800 is not intended for use with any other physiological monitoring unit.
• The Model 7800 has special hardware and software that allows for the measurement of skin to electrode
impedance.
• The Model 7800 provides two Ethernet channels from a single RJ45 connector. The first channel provides
two way communications between the monitor and the CT console for the transfer of ECG data, trigger
timing data and the receipt of patient identification information. The second channel provides ECG data to
the CT Gantry display. These functions will only operate when the Model 7800 is electrically connected to
a CT console and CT gantry capable of displaying ECG data.
• The Model 7800 has a USB drive that allows the operator to store and retrieve ECG data on a USB
memory stick device.
• The Model 7800 has an Auxiliary 9-pin D-subminiature connector that provides a customized interface for
specific installations.
The Model 7000 Series Cardiac Trigger Monitor is intended to perform ECG monitoring and R-wave pulse
detection on adult, geriatric, pediatric and neonatal patients. R-Wave synchronization is typically used for gating
nuclear scanners, CT scanners, or other imaging devices.
6.3 Contraindications
The Model 7000 Series is limited to use by trained and qualified medical professionals. This device is not intended
for use as life support equipment or for performing cardiac diagnostics. The product is not intended for use in home
care monitoring or for use in an MRI environment.
Degree of protection against electric shock: Type CF applied part. Defibrillator proof: ECG
Degree of protection against harmful ingress of water: Ordinary Equipment IPX1 per IEC-60529
Methods of Maintenance and Cleaning: See Maintenance and Cleaning section of this manual
Degree of safety of application in the presence of a Equipment not suitable for use in the presence of a
flammable anesthetic mixture with air or oxygen flammable anesthetic mixture
or nitrous oxide:
Basic Keys
When the monitor is plugged into an ac power source, the Power On/Standby switch, when
pressed, provides power to the monitor’s electronic circuits. Press this key again to disconnect
power from the monitor’s electronic circuits.
WARNING: To disconnect the monitor from mains power, unplug the ac power cord.
The Alarm Mute switch disables the audible alarms. Press this key again to return the alarms to
normal function.
Measure Impedance
Touch Key
(Model 7800 Only)
4-Lead ECG Simulator
Impedance RA, RL, LL, LA
Readings in kΩ
(Model 7800 Only)
Power On/Standby
Switch (Basic Key)
6.6 Display
HEART RATE: Displayed in large numerals in beats per minute (BPM) on the upper part of the screen.
ECG: Dual simultaneous ECG waveforms are displayed across the screen moving from left to right. The trigger
ECG trace is displayed on the top and the second ECG trace is displayed on the bottom.
SETUP: Selections are made through the touch screen menus. Lead selects are displayed to the right of their
respective traces. Filter ON/OFF is displayed on the upper right hand corner of the display. Alarm limits are
displayed directly under the heart rate.
Impedance Measurement (Model 7800 Only): Displays the measured value of the impedance between the
patient’s skin and each individual ECG electrode (RA, LA, LL, RL). Impedance measurements are located at the
upper left hand corner of the display.
XRAY Status (Model 7800 Only): Displays the status of the CT Scanner X-ray. The XRAY status message is
located in the upper left hand corner of the display. Displayed messages are either: XRAY OFF, XRAY ON, or
XRAY DISCONNECT.
ALARM MUTE: A REMINDER SIGNAL indicating that the audible alarms have been turned
off.
Note: ALARM MUTE is equivalent to AUDIO OFF.
The following alarm indications are displayed in reverse video. Alarm indications appear on the center of the screen
and flash once per second.
LEAD OFF: A TECHNICAL ALARM indicating that a lead has become detached. The
LEAD OFF alarm message will appear within 1 second of detection.
CHECK LEAD: A TECHNICAL ALARM indicating that an imbalance between leads has been
detected. The CHECK LEAD alarm message will appear within 1 second of
detection.
HR HIGH: A PATIENT ALARM indicating that the high heart rate limit has been exceeded
for three seconds.
HR LOW: A PATIENT ALARM indicating that the low heart rate limit has been exceeded
for three seconds.
ASYSTOLE: A PATIENT ALARM indicating that the interval between heartbeats has
exceeded six seconds.
WARNING: The monitor powers on with audible alarms paused for 30 seconds. Other configuration options
are available upon request.
Pressing a programmable touch key will display other menu levels or activate an appropriate function. Menu functions
are described in the Menu Structure.
MAIN MENU:
HIGH
9-pin D-subminiature
RJ45 Connector
AUXILIARY
ETHERNET
(Model 7800 Only)
(Model 7800 Only)
Serial Number
Label
PEQ Ground
Fuses
(Behind Panel)
Power Entry Module
Mains Power Input Model 7800 shown
The fuses are located behind the cover of the power entry module. To replace the fuses, unplug the ac power cord.
Remove the power entry module cover and replace the fuse(s) only with same rating and type: T 0.5AL, 250V.
CAUTION: When the monitor is connected to another piece of equipment, always make sure that each piece
of connected equipment has its own separate ground connection.
Do not attempt to connect cables to these connectors without contacting your Biomedical Engineering Department.
This is to ensure the connection complies with leakage current requirements of one of the following applicable
standards: ANSI/AAMI ES60601-1:2005, CAN/CSA-C22.2 No.60601-1:08, and CE-MDD 93/42/EEC. The
maximum non-destructive voltage that may be applied to these connectors is 5V.
SYNCHRONIZED OUTPUT: A BNC type connector with a pulse output synchronized with the peak of the R-wave.
The synch pulse amplitude is factory configurable: 0 to +5V, +5V to 0V, -10V to +10V, or +10V to -10V. Available
synch pulse widths: 1ms, 50ms, 100ms and 150ms.
PEQ GROUND: Potential Equalization - A ground connection that can be used to ensure that no potential differences
can develop between this equipment and other electrical equipment.
FUSE: Replace only with the same type and rating of fuse as indicated on the fuse rating label: T 0.5AL, 250V.
ECG OUTPUT: This is a ¼ inch stereo jack with an ECG analog waveform output on the tip, synchronized pulse
output on the ring, and common on the sleeve. Limit to 100Hz bandwidth.
RS-232: An electrically isolated RS-232 micro-D connector for device communication. The RS-232 connector
provides 6V and -6Vwith a maximum current of 20mA.
AUXILIARY (Model 7800 only): A 9-pin D-subminiature connector that provides a customized interface for
specific installations. The auxiliary output provides +5V and -12V with a maximum current of 12mA.
ETHERNET (Model 7800 Only): This is a two-channel Ethernet output that provides an Ethernet protocol
(10Base-T, IEEE 802.3) from a single RJ45 connector. The first channel connects the Model 7800 and the CT
scanner console to share data and control options. A second Ethernet channel from the same connector provides
ECG data to the CT gantry display.
SERIAL NUMBER LABEL: The serial number label indicates the model and a unique serial number for the
monitor.
WARNING: The use of ACCESSORY equipment not complying with the equivalent safety requirements of
this equipment may lead to a reduced level of safety of the resulting system. Consideration relating to the choice of
accessories shall include:
CAUTION: Underwriters Laboratory (UL) has not tested/approved the Model 7600/7800 with Roll
Stand (Ivy P/N: 590441) as a system.
1. Assemble the Roll Stand (Ivy P/N: 590441) by following the GCX Light Duty Roll Stand Assembly
Instructions (DU-RS-0025-02).
2. Align the monitor and its adapter plate with the roll stand mounting adapter (Fig.1).
Fig. 1 Fig. 2
3. Pull down the safety pin and slide the monitor onto the roll stand mounting adapter (Fig. 2). Release the
safety pin and make sure the safety pin is engaged in the monitor’s adapter plate. (The adapter plate has a
hole to allow the safety pin to secure the monitor.)
4. Tighten the two nylon screws in the roll stand mounting adapter by turning them clockwise.
CAUTION: Grounding reliability can only be achieved when the equipment is connected to an equivalent
receptacle marked “Hospital Grade”.
2. Press the Power On/Standby switch at the left side of the front panel to turn power on.
3. Connect the patient cable to the ECG connector on the side panel.
WARNING: Carefully route monitor cables (patient cables, power cords, etc.) to reduce the possibility of a
tripping hazard.
Use the following procedure to set the date and time. The time is indicated in the upper right hand corner of the
display.
When all date, clock and audio settings are correct, press [MAIN MENU] to return to the main monitoring screen.
CAUTION: The [SPEED] touch key also changes the speed of the recorder.
Default/Stored settings may be customized (password required) by a Responsible Organization. For information on
how to activate this feature, contact Ivy Biomedical Systems at (203) 481-4183.
The ECG Synchronized Output produces a trigger pulse starting at the peak of each R-wave, which is available on
the SYNCHRONIZED OUTPUT BNC connector and on the ECG OUTPUT (ring on the ¼” stereo jack)
connector on the rear panel of the monitor. Connect the Synchronized Output from the monitor to the device being
synchronized.
The following shows the timing of the trigger pulse compared to the ECG waveform.
5V
0V
TR-Wave
rigger-Spot
Peak 100 m s
Trigger Mark
Trigger Mark
The Synchronized trigger output is always active. A portion of the ECG waveform corresponding to the timing of
the synch pulse is highlighted in red.
With some patients’ ECGs the shape of a tall T wave or deep S wave sometimes matches the criteria used to detect
the R wave. When this situation occurs the monitor correctly detects the R wave and then falsely detects the T wave
or S wave causing double triggering. The polarity control algorithm (P-Lock) reduces the number of false triggers
when tall T waves or deep S waves occur. The P-Lock algorithm allows the Model 7600/7800 to detect and trigger
only at the peak of the R wave, rejecting most of the tall T waves and deep S waves that might have caused false
triggers.
WARNING: This monitor is supplied with protected lead wires. Do not use cables and leads with
unprotected lead wires having exposed conductors at the cable end. Unprotected lead wires and cables may pose an
unreasonable risk of adverse health consequences or death.
CAUTION: ECG Electrodes are intended for single-use only. Do not attempt to reuse.
CAUTION: ECG Patient connections are electrically isolated Type CF For ECG connections use
insulated probes. Don’t let patient connections contact other conductive parts, including earth. See instructions for
patient connections in this manual.
CAUTION: Leakage current is limited internally by this monitor to less than 10 μA. However, always
consider cumulative leakage current that can be caused by other equipment used on the patient at the same time as
this monitor.
CAUTION: The Model 7600/7800 is compatible with HF electrosurgical devices. When used with HF
electrosurgical devices, applied parts of the equipment are provided with protection against burning of the patient.
To avoid the potential of electrosurgery burns at ECG monitoring sites, ensure proper connection of the
electrosurgery return circuit as described by manufacturer’s instructions. If improperly connected, some
electrosurgery units might allow energy to return through the electrodes.
CAUTION: Line isolation monitor transients may resemble actual cardiac waveforms and thus inhibit heart
rate alarms. To minimize this problem, ensure proper electrode placement and cable arrangement.
Use only high quality silver/silver-chloride ECG Electrodes or equivalent. For best ECG performance, use ECG
Electrodes supplied by Ivy Biomedical Systems (see Accessories).
5. Use the procedures described in the following sections for alarm limit settings, lead selection, amplitude
adjustment and enabling or disabling the filter.
ECG electrodes vary in both construction and quality among the different manufacturers. However, typically there
are two main groups: long term monitoring electrodes and short term monitoring electrodes. Ivy recommends the
use of short term monitoring electrodes which stabilize faster due to their higher chloride content. For the best
performance, Ivy recommends the Ivy ECG Electrodes (Ivy P/N: 590436).
Prior to applying the ECG electrodes to the patient’s skin, Ivy recommends preparing the electrode location by
rubbing the skin with a dry gauze pad or a skin prep gel such as Nuprep gel (Ivy P/N: 590291). Alternatively, it may
be necessary to remove cream or powder from the patient’s skin using warm soapy water.
The Model 7800 has unique hardware and software which allows the measurement and identification of the
impedance value between the patient’s skin and each individual ECG electrode (RA, LA, LL and RL).
The purpose of the impedance measurement is to verify proper skin preparation and proper ECG electrode
application and to assure a good ECG signal and therefore a reliable trigger pulse. Ivy recommends that the
impedance value of each ECG connection be less than 50,000Ω (50kΩ). The use of the wrong type of ECG
electrodes, improper application or poor skin preparation can increase the electrode impedance value, causing an
imbalance between the leads which can allow noise to be induced into the ECG signal which can cause inaccurate
trigger pulses.
• The impedance value of each ECG electrode can be measured by pressing the Measure Impedance touch
key on the screen. Note: ECG is not monitored during impedance measurements. ECG recovers within 8
seconds after pressing the Measure Impedance touch key.
• The impedance value is displayed in the top left hand portion of the display.
• Impedance values of less than 50kΩ are displayed in blue.
• Should any electrode impedance value be over 50kΩ, the appropriate lead(s) will flash the value in red
indicating that the value is outside the recommended range.
• If the measurements are in red, remove the ECG electrodes and clean the skin with a gauze pad or a skin
prep gel such as Nuprep gel (Ivy P/N: 590291) before re-applying a fresh ECG electrode.
• For proper skin preparation follow the instructions indicated on the ECG electrode packaging.
• Re-measure skin impedance after 1-2 minutes of repositioning electrodes on the patient’s skin.
Measure
Impedance
Touch Key
Impedance
Values
in kΩ
1. Press the [ECG MENU] touch key from the main menu. The following menu appears.
2. Press the first programmable touch key [SIZE] to adjust the ECG waveform amplitude. Selections are: 5, 10,
20, and 40mm/mV.
1. Press the [ECG MENU] touch key from the main menu. The above menu appears.
2. Press the second programmable touch key [FILTER] to change the ECG NOTCH FILTER selection. Select
between FILTER ON and FILTER OFF. The FILTER status indicator is shown in the upper right hand portion
of the display. The FILTER sets the frequency response of the displayed waveform as follows:
Use the following procedure to change the lead selection of the Trigger ECG vector (top ECG waveform) and the
Second ECG vector (bottom ECG waveform).
1. Press the [DISPLAY MENU] touch key from the main menu. The following menu appears.
2. Press the first programmable touch key [TRIGGER] to select the desired ECG lead for the top ECG
waveform. Selections are: Lead I, Lead II, Lead III, and AUTO. The selected lead will appear to the right
of the top ECG waveform.
3. Press the second programmable touch key [SECOND] to select the desired ECG lead. Selections are:
Lead I, Lead II, and Lead III. The selected lead will appear to the right of the bottom ECG waveform.
If the amplitude of the ECG signal is between 300µV and 500µV (3-5mm of amplitude at size 10mm/mV) for a
period of eight seconds a LOW SIGNAL message will be displayed in yellow.
If the trigger function appears to be erratic while the message is displayed, verify the following:
• Select the TRIGGER lead with the highest amplitude, typically Lead II or AUTO.
• The proper placement of the ECG electrodes. The ECG electrodes may need to be repositioned.
• The ECG electrodes still have moist conductive gel.
9.9 Pacemaker
Use the following procedure to activate or deactivate the pacemaker detection function:
1. Press the [ECG MENU] touch key from the main menu.
2. Press the [PACER DET] touch key to toggle between pacer detection ON and OFF.
• When a pacemaker has been detected, a P will start flashing in the heart symbol.
• The message PACER DETECT OFF will appear in red if the pacer detection circuit is not active.
WARNING – PACEMAKER PATIENTS: Rate meters might continue to count the pacemaker rate during
occurrences of cardiac arrest or some arrhythmias. Do not rely entirely on rate meter ALARM SIGNALS. Keep
pacemaker PATIENTS under close surveillance. See the SPECIFICATIONS section in this manual for disclosure of
the pacemaker pulse rejection capabilities of this instrument. AV sequential pacemaker pulse rejection has not been
evaluated; do not rely on pacemaker rejection with patients with dual chamber pacemakers.
1. Press the [OPTIONS MENU] touch key from the main menu. The menu shown below appears.
2. Use the programmable up/down arrow touch keys to set the high and low heart rate limits.
Each time you press a key, the corresponding limit changes by 5 BPM. The current HR limits are shown in the upper
portion of the display directly under the heart rate reading.
When the Model 7800 is interfaced via the rear panel AUXILIARY connector to a CT scanner, the monitor can
store ECG data and transfer this data to a USB Memory Stick.
1. XRAY ON: The CT Scanner X-Ray is active or “ON”. The Model 7800 will store ECG data during this
time.
3. XRAY DISCONNECT: The Model 7800 and the CT scanner are NOT interfaced correctly.
X-RAY Status
STORING DATA
11.1 ECG Data Transfer Using the USB Port (Model 7800 Only)
The Model 7800 has a USB port that allows the user to connect a USB memory stick and retrieve up to 200 ECG
events and measured impedance data stored in the monitor.
ECG data is stored in the monitor’s memory when the X-RAY signal from the CT scanner becomes active. The
ECG data storage stops 10 seconds after the X-RAY signal becomes inactive.
The ECG data can be downloaded to a memory stick device (1GB minimum) by following these steps:
1. Plug a USB memory stick into the USB port on the side of the monitor.
2. From the [OPTIONS MENU], press the [USB MENU] touch key.
3. Press [COPY TO USB DRIVE] touch key.
4. When all the data has been downloaded on to the memory stick, press [CLEAR MEMORY] to delete the
ECG data from the monitor memory or press MAIN MENU to return to the main menu.
CAUTION: The Model 7800 USB port is used only for the transfer of internal data to an external media
using a standard USB type memory drive (memory stick) with a minimum capacity of 1GB. The connection of any
other type of USB device to this port could result in damage to the monitor.
WARNING: The USB memory device used with this port MUST NOT BE POWERED FROM AN
EXTERNAL SOURCE.
USB Port
1. Press the paper eject button to open the door at the front of the recorder.
Press Here
If the door does not open completely, pull it toward you until it is completely open.
2. Reach in and remove the spent paper core by pulling it gently toward you.
3. Place a new paper roll between the two round tabs of the paper holder.
4. Pull some paper from the roll. Make sure the sensitive (shiny) side of the paper faces the print head. The
shiny side of the paper normally faces inside the roll.
Print
Head
Pinch
Roller
6. Hold the paper against the pinch roller and close the door.
1. Press the [OPTIONS MENU] touch key from the main menu. .
2. Press the third programmable touch key [REC MODE] to select the recorder mode.
All Recorder Modes - To print, press the [PRINT] key in the main menu. Press [PRINT] again to stop
printing.
Direct - To print in DIRECT recorder mode, press the [PRINT] key in the main menu. Press [PRINT]
again to stop printing.
The speed of the plot and vertical resolution are the same as the display. The plot is labeled with the speed
of the plot in mm/s, the recorder mode and the parameters.
Timed - TIMED mode starts by pressing PRINT and prints for 30 seconds.
Delay - Delay mode automatically prints 30 or 40 seconds of ECG waveform after the occurrence of an
alarm condition depending on the speed selected:
XRAY (Model 7800 Only) - Xray mode automatically prints 20 seconds of ECG waveform after the
occurrence of an X-ray:
Press the [SPEED] touch key in the [DISPLAY MENU] select the recorder speed. Selections are 25, and 50
mm/s.
NOTE: The [SPEED] touch key also changes the speed of the ECG trace.
WARNING: The monitor powers on with audible alarms paused for 30 seconds.
Note: Other options are available upon request.
The following messages are REMINDER SIGNALS that appear in the upper left hand corner of the monitor’s
display. Reminder messages are displayed in white letters on a red background.
The Alarm Mute key allows the user to toggle between pausing audible alarms for 120 seconds and enabling
audible alarms:
1. To pause audible alarms for 120 seconds, momentarily press the key once.
Note: The PAUSE alarm message will appear in the upper left hand corner of the display.
The Alarm Mute key also allows the user to disable audible alarms:
1. To disable audible alarms, press and hold the key for three seconds.
Note: The ALARM MUTE reminder signal will appear in the upper left hand corner of the display.
WARNING: All alarms are considered HIGH PRIORITY and require immediate attention.
HR HIGH: The high heart rate alarm limit has been exceeded for three seconds.
HR LOW: The low heart rate alarm limit has been exceeded for three seconds.
LEAD OFF: A lead has become detached. The LEAD OFF alarm message will appear within 1 second
of detection.
CHECK LEAD: An imbalance between leads has been detected. The CHECK LEAD alarm message will
appear within 1 second of detection.
SYSTEM ERROR: A monitor malfunction has been detected. Contact qualified service personnel.
CAUTION: Under normal operation, no internal adjustment or calibration is required. Safety tests should be
done by qualified personnel only. Safety checks should be performed at regular intervals or in accordance with local
or governmental regulations. In the event that service is necessary, refer to the Service Manual for this equipment.
If the alarms are paused or muted, press the key to turn alarms on. Unplug the patient cable. Check that the
LEAD OFF message is displayed and the audio alarm is on. With INTERNAL TEST ON, check for the following:
1) LEAD OFF message disappears, and 2) Monitor starts counting QRS.
The Model 7600/7800 has an integrated ECG simulator that is used to verify the integrity of the patient cable, lead
wires and electronic circuits involved in the processing of the ECG signal.
Turn on the monitor by pressing the front panel Power On/Standby key. Listen for three audio beeps. Plug in the
patient cable. Attach the four lead wires to the simulator terminals that are located on the right side panel of the
monitor. The terminals have four color-coded labels for easy identification. The simulator generates an ECG
waveform and heart rate range between 10-250 BPM (user selectable).
To turn the simulator on and set the heart rate, follow the procedure below:
1. Press the DISPLAY MENU touch key from the main menu. Next, press the [TEST MENU] touch key.
2. Press the SIM RATE touch key to turn the simulator on and toggle through the heart rate options.
3. Press the keys ↑FINE TUNE↓ to change the heart rate in increments of one.
4. Check that the displayed heart rate is equivalent to the selected Simulator Rate. Check that two ECG traces
are displayed.
NOTE: When the simulator is on, the SIMULATOR ON message is displayed in yellow on the screen.
SIMULATOR ON
message
If the alarms are paused or muted, press the key to turn alarms on.
1. Set the SIM RATE to OFF. Check that the ASYSTOLE alarm message is displayed and the audio alarm is
present.
2. Unplug the patient cable. Check that the LEAD OFF message is displayed and the audio alarm is present.
CAUTION: The above simulator test should be performed each time prior to monitoring a patient. If the
above indications are not present, contact qualified service personnel.
15.0 TROUBLESHOOTING
When necessary, clean the exterior surfaces of the monitor with a cloth or swab dampened with water. Do not allow
liquids to enter the interior of the instrument.
CAUTION:
• Use cleaning solution sparingly. Excessive solution can flow into the monitor and cause damage to internal
components.
• Do not touch, press or rub the display and covers with abrasive cleaning compounds, instruments, brushes,
rough surface materials, or bring them into contact with anything that could scratch the display or the
covers.
• Do not use petroleum based or acetone solutions or other harsh solvents to clean the monitor.
Wipe the cables using a cloth dampened with water. Never submerge the cables in any liquid or allow liquids to
enter the electrical connections.
17.0 ACCESSORIES
590432 Low Noise, Four Lead ECG Patient Cable, 10 ft. Long, Colors: White, Green, Red, Black
590433 Set of Four Shielded Lead Wires, 24 Inches Long, Colors: White, Green, Red, Black
590435 Set of Four Radiotranslucent Lead Wires, 30 Inches Long, Colors: White, Green, Red, Black
590442 Set of Four Radiotranslucent Lead Wires, 36 Inches Long, Colors: White, Green, Red, Black
590436 Radiotranslucent ECG electrodes- One Bag of 40 electrodes (10 pouches of 4 electrodes)
590436-CS Radiotranslucent ECG electrodes- One Case of 600 electrodes (15 bags of 40 electrodes)
590446 Low Noise, Four Lead ECG Patient Cable, 10 ft. Long, IEC Colors: Red, Black, Green, Yellow
590447 Set of Four Shielded Lead Wires, 24 Inches Long, IEC Colors: Red, Black, Green, Yellow
590451 Set of Four Radiotranslucent Lead Wires, 30 Inches Long, IEC Colors: Red, Black, Green, Yellow
590452 Set of Four Radiotranslucent Lead Wires, 36 Inches Long, IEC Colors: Red, Black, Green, Yellow
18.0 DISPOSAL
WEEE Directive 2012/19/EU - Do not dispose of WEEE products in general waste. At the end of life of the product,
contact Ivy Biomedical Systems, Inc.’s Customer Service for return instructions.
The Model 7600/7800 and its accessories are in compliance with the RoHS2 Directive 2011/65/EU.
Table of toxic or hazardous substances and elements for the Model 7600/7800
Part Toxic or Hazardous Substances and Elements
Name
Pb Hg Cd Cr (VI) PBB PBDE
Model 7600/7800
X O O O O O
Final Assembly
Packing Assembly O O O O O O
Accessory Option O O O O O O
O: Indicates that this toxic or hazardous substance contained in all of the homogeneous materials for this part is
below the limit requirement in SJ/T11363-2006.
X: Indicates that this toxic or hazardous substance contained in at least one of the homogeneous materials used for
this part is above the limit requirement in SJ/T11363-2006.
The data above represents best information available at the time of publication.
19.0 SPECIFICATIONS
ECG
Lead Selection:
Trigger Lead: LI, LII, LIII, and AUTO - menu selectable.
Second Lead: LI, LII and LIII – menu selectable.
Patient Cable: 4-lead patient cable with 6-Pin AAMI standard connector.
Isolation: Isolated from ground related circuits by >4 kV rms, 5.5 kV peak
Frequency Response
LCD Display and Recorder: Filtered: 1.5 to 40 Hz
or
3.0 to 25 Hz (Configuration Dependent)
Frequency Response
ECG output: Unfiltered: 0.67 to 100 Hz
Noise: <20 µV peak-to-peak, referred to the input with all leads connected
through a 51 kΩ/47 nF to ground
Electrosurgical Interference
Protection: Standard. Recovery time < 5 seconds
Cardiotach
Range: 10 to 350 BPM (Pediatric / Neonate)
10 to 300 BPM (Adult)
Accuracy: ±1% ±1 BPM
Resolution: 1 BPM
Sensitivity: 300 µV peak
Heart Rate Averaging: Exponential averaging calculated once a second with a maximum
response time of 8 seconds.
Response Time – Model 7600:
– Change from 80 to 120 BPM: 8 seconds
– Change from 80 to 40 BPM: 8 seconds
Response to irregular rhythm: A1: 40 BPM, A2: 60 BPM, A3: 120 BPM, A4: 90 BPM
(According to IEC specification 60601-2-27, 201.7.9.2.9.101-b-4)
CAUTION: Pacemaker pulses are not present in any rear panel outputs.
Alarms
High Rate: 15 to 250 BPM in 5 BPM increments
Low Rate: 10 to 245 BPM in 5 BPM increments
Asystole: R to R interval >6 seconds
Lead Off: Detached lead
Check Lead: Imbalance between leads > 0.5V
Time to alarm for Tachycardia:
B1 and B2: < 10 seconds
Note: B1 Half Amplitude produces a LOW SIGNAL warning message
in < 5 seconds (Not an alarm)
(According to IEC specification 60601-2-27, 201.7.9.2.9.101-b-6)
Alarm Sound Pressure Level: 76 dBA (Alarm volume set to Low) to
88 dBA (Alarm volume set to High)
Alarm Tones: Conforms to IEC 60601-1-8:2006 Table 3, High Priority Alarms
Test Mode
Internal:
ECG 1 mV/100 ms referred to input @ 70 BPM
Simulator:
ECG waveform amplitude: 1mV
Simulator Range: 10 – 250 BPM.
Simulator Rate: In steps of 30, 60, 90, 120, 150, 180, 210 and 240 BPM.
Adjustable in increments of 1 BPM.
Recorder
Writing Method: Direct Thermal
Number of Traces: 2
Modes: Direct - Manual Recording
Timed - Print button initiates a 30 second recording
Delay - Records 20 seconds before and 20 seconds after the occurrence
of an alarm at 25mm/s. Records 15 seconds before and 15 seconds after
the occurrence of an alarm at 50mm/s.
XRAY (Model 7800 Only) – Records 10 seconds before and 10
seconds after the occurrence of an X-ray
Operating Environment
Temperature Range: 5°C to 40°C
Relative Humidity: 0% to 90% non-condensing
Altitude: -100 meters to +3,600 meters
Atmospheric Pressure: 500-1060 mbar
Protection against ingress of fluids: IPX1 – Protection against vertically falling drops of water
Storage Environment
Temperature Range: -40°C to +70°C
Relative Humidity: 5% to 95%
Altitude: -100 meters to +14,000 meters
Power Requirements
Voltage Input: 100-120V~; 200-230V~
Line Frequency: 50/60 Hz
Fuse Rating and Type: T 0.5AL, 250V
Maximum ac Power
Consumption: 45 VA
Power Recovery: Automatic, if power is restored within 30 seconds
Regulatory
Medical Equipment
With respect to electric-shock, fire and
mechanical hazards only in accordance with
Ivy Biomedical Systems, Inc. has declared that this product conforms with the European Council Directive 93/42/EEC Medical Device Directive
when it’s used in accordance with the instructions provided in the Operation and Service Manuals.
Eurasian Conformity (EAC): This product passed all conformity assessment (approval) procedures that correspond to the requirements of
applicable technical regulations of the Customs Union.