SECA CT6i User Manual
SECA CT6i User Manual
SECA CT6i User Manual
ESAOTE S.P.A
Via Di Caciolle 15
50127 Firenze
Italy
Tel: +39 0 55 4229 1
Fax: +39 0 55 4229 208
Internet Web Site http://www.esaote.com
ESAOTE S.P.A
Via Di Caciolle 15
50127 Firenze
Italy
Tel: +39 0 55 4229 1
Fax: +39 0 55 4229 208
Internet Web Site http://www.esaote.com
P80Six User Guide - English
Guía para el Usuario del P80Six - Español
Manual do Utilizador de P80Six - Português
Associated Documents
Guide to the Interpretation and Measurement Program E/ D
Article Number 9740440008
Distributed by:
ESAOTE S.P.A
Via Di Caciolle 15
50127 Firenze
Italy
TEL: +39 0 55 4229 1
FAX: +39 0 55 4229 208
Manufactured by:
SCHILLER AG
Altgasse 68
CH-6340 Baar, Switzerland
SAG (2.510286 c)
Associated Documents
Guide to the Interpretation and Measurement Program E/ D
Article Number 9740440008
Distributed by:
ESAOTE S.P.A
Via Di Caciolle 15
50127 Firenze
Italy
TEL: +39 0 55 4229 1
FAX: +39 0 55 4229 208
Manufactured by:
SCHILLER AG
Altgasse 68
CH-6340 Baar, Switzerland
SAG (2.510286 c)
DECLARATION OF CONFORMITY
Electrocardiograph: ESAOTE P-80 Six
We, the undersigned, hereby declare that the medical device (class II a) specified above conforms with the
Essential Requirements listed in Annex I, of EC Directive 93/42/EEC
G1 01 03 41505 001 Annex II, Section 3 of the Directive 93/42/EEC Medical Devices
Markus Bütler
Quality Assurance Manager
DECLARATION OF CONFORMITY
Electrocardiograph: ESAOTE P-80 Six
We, the undersigned, hereby declare that the medical device (class II a) specified above conforms with the
Essential Requirements listed in Annex I, of EC Directive 93/42/EEC
G1 01 03 41505 001 Annex II, Section 3 of the Directive 93/42/EEC Medical Devices
Markus Bütler
Quality Assurance Manager
Donde Obtener Servicio y Asesoramiento Comcercial
Onde obter Assistência Técnica e de Vendas
Copyright Notice
© Copyright 1996 & 1998 by SCHILLER AG. All rights reserved. You may not reproduce,
transmit, transcribe, store in a retrieval system or translate into any language, in any form or by
any means, electronic, mechanical, magnetic, optical, chemical, manual or otherwise, any part
of this publication without express written permission of SCHILLER AG. PHYSICIAN‘S RESPONSIBILITY
Disclaimer
The Information in this guide has been carefully checked for reliability; however no guarantee
is given as to the correctness of the contents and SCHILLER makes no representations or warranties
regarding the contents of this manual. We reserve the right to revise this document and make
changes in the specification of the product described within at any time without obligation to
notify any person of such revision or change.
Copyright Notice
© Copyright 1996 & 1998 by SCHILLER AG. All rights reserved. You may not reproduce,
transmit, transcribe, store in a retrieval system or translate into any language, in any form or by
any means, electronic, mechanical, magnetic, optical, chemical, manual or otherwise, any part PHYSICIAN‘S RESPONSIBILITY
of this publication without express written permission of SCHILLER AG.
THE P80SIX ELECTROCARDIOGRAPH IS
Terms of Warranty PROVIDED FOR THE EXCLUSIVE USE OF
The ESAOTE P80Six is warranted against defects in material and manufacture for the duration QUALIFIED PHYSICIANS OR PERSONNEL UNDER
of one year (as from date of purchase). Excluded from this guarantee is damage caused by an THEIR DIRECT SUPERVISION. THE NUMERICAL
accident or as a result of improper handling. The warranty entitles free replacement of the AND GRAPHICAL RESULTS FROM A RECORDING
defective part. Any liability for subsequent damage is excluded. The warranty is void if MUST BE EXAMINED WITH RESPECT TO THE
unauthorized or unqualified persons attempt to make repairs. PATIENTS OVERALL CLINICAL CONDITION. THE
RECORDING PREPARATION QUALITY AND THE
In case of a defect, contact your dealer or the manufacturer. GENERAL RECORDED DATA QUALITY, WHICH
The manufacturer can only be held responsible for the safety, reliability, and performance of the COULD EFFECT THE REPORT DATA ACCURACY,
apparatus if: MUST ALSO BE TAKEN INTO ACCOUNT.
• assembly operations, extensions, readjustments, modifications, or repairs are carried IT IS THE PHYSICIANS RESPONSIBILITY TO
out by persons authorized by him, and MAKE THE DIAGNOSIS OR TO OBTAIN EXPERT
OPINION ON THE RESULTS, AND TO INSTITUTE
• the P80Six and approved attached equipment are used in accordance with the CORRECT TREATMENT IF INDICATED.
manufacturers instructions.
FEDERAL LAW IN THE USA RESTRICTS THIS
THERE ARE NO EXPRESS OR IMPLIED WARRANTIES WHICH EXTEND BEYOND THE DEVICE TO SALE BY OR ON THE ORDER OF A
WARRANTIES HEREINABOVE SET FORTH. ESAOTE MAKES NO WARRANTY OF PHYSICIAN
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE
PRODUCT OR PARTS THEREOF.
Safety Notices
TO PREVENT ELECTRIC SHOCK DO NOT DISASSEMBLE THE UNIT. NO SERVICEABLE PARTS INSIDE. REFER SERVICING TO
QUALIFIED PERSONNEL ONLY.
DO NOT USE THIS UNIT IN AREAS WHERE THERE IS ANY DANGER OF EXPLOSION OR THE PRESENCE OF FLAMMABLE GASES
SUCH AS ANAESTHETIC AGENTS.
IN THE EVENT OF ACCIDENTAL LCD BREAKAGE AND RESULTANT LEAKAGE OF FLUID, DO NOT INHALE, INGEST OR MAKE
CONTACT WITH THE SKIN. IF CONTACT IS MADE RINSE IMMEDIATELY.
THIS PRODUCT IS NOT DESIGNED FOR STERILE USE.
THIS PRODUCT IS NOT DESIGNED FOR OUTDOOR USE.
SWITCH THE UNIT OFF BEFORE CLEANING AND DISCONNECT FROM THE MAINS.
DO NOT, UNDER ANY CIRCUMSTANCES, IMMERSE THE UNIT OR CABLE ASSEMBLIES IN LIQUID.
THE DEVICE MUST ONLY BE OPERATED USING BATTERY POWER IF THE EARTH CONNECTION IS SUSPECT OR IF THE MAINS
LEAD IS DAMAGED OR SUSPECTED OF BEING DAMAGED.
DO NOT USE HIGH TEMPERATURE STERILISATION PROCESSES (SUCH AS AUTOCLAVING). DO NOT USE E-BEAM OR GAMMA
RADIATION STERILISATION.
DO NOT USE SOLVENT CLEANERS
USE ONLY ACCESSORIES AND OTHER PARTS RECOMMENDED OR SUPPLIED BY ESAOTE. USE OF OTHER THAN RECOMMENDED
OR SUPPLIED PARTS MAY RESULT IN INJURY INACCURATE INFORMATION AND/ OR DAMAGE TO THE UNIT.
THE P80SIX COMPLIES WITH EMC REGULATIONS FOR MEDICAL PRODUCTS WHICH AFFORDS PROTECTION AGAINST EMISSIONS
AND ELECTRICAL INTERFERENCE. HOWEVER SPECIAL CARE MUST BE EXERCISED WHEN THE UNIT IS USED WITH HIGH
FREQUENCY EQUIPMENT.
IT MUST BE ENSURED THAT NEITHER THE PATIENT NOR THE ELECTRODES (INCLUDING THE NEUTRAL ELECTRODE) COME
INTO CONTACT WITH OTHER PERSONS OR CONDUCTING OBJECTS (EVEN IF THESE ARE EARTHED).
THERE IS NO DANGER WHEN USING THE ECG UNIT FOR A PACEMAKER PATIENT OR WITH SIMULTANEOUS USE OF OTHER
ELECTRICAL STIMULATION EQUIPMENT. HOWEVER, THE STIMULATION UNITS SHOULD ONLY BE USED AT A SUFFICIENT
DISTANCE FROM THE ELECTRODES. IN CASE OF DOUBT, THE PATIENT SHOULD BE DISCONNECTED FROM THE RECORDER.
THIS UNIT IS CF CLASSIFIED ACCORDING TO IEC 601-1. THIS MEANS THAT THE PATIENT CONNECTION IS FULLY
ISOLATED AND DEFIBRILLATION PROTECTED. THE MANUFACTURER CAN ONLY GUARANTEE PROTECTION AGAINST
DEFIBRILLATION VOLTAGE HOWEVER, WHEN THE ORIGINAL ESAOTE PATIENT CABLE IS USED.
IF SEVERAL UNITS ARE COUPLED THERE IS A DANGER OF SUMMATION OF LEAKAGE CURRENT
DO NOT TOUCH THE CASING DURING DEFIBRILLATION
IF THE PATIENT CABLE SHOULD BECOME DEFECTIVE AFTER DEFIBRILLATION, LEAD OFF WILL BE DISPLAYED AND AN
ACOUSTIC ALARM GIVEN
Contents - User Guide P80Six
ENGLISH
INTRODUCTION ................................................................ 2 SETTINGS FOR AUTOMATIC MODE .............................. 21
Average Cycles ........................................................... 22
OPERATION MODES ......................................................... 4
Measurements and Markings ..................................... 23
Automatic Mode ............................................................ 4
Interpretation .............................................................. 24
Manual Mode ................................................................ 5
Interpretation Settings ................................................ 25
LOCATION & POWER ........................................................ 6 Selecting Rhythm Leads ............................................. 26
Location ........................................................................ 6
PATIENT CABLE CONNECTIONS ................................... 27
Power Supply ............................................................... 6
Standard Leads .......................................................... 29
BASIC INFORMATION ....................................................... 7
RECORDING AN ECG IN AUTOMATIC MODE ............... 30
Switching On and Off .................................................... 7
Potential Equalisation ................................................... 7 RECORDING AN ECG IN MANUAL MODE ..................... 32
KEYBOARD ........................................................................ 8 CARE & MAINTENANCE ................................................. 34
Care of your P80Six ................................................... 34
INDICATORS ...................................................................... 9
Self-test ...................................................................... 34
GENERAL SETTINGS ...................................................... 10 12 Monthly Check ....................................................... 35
Defaults ...................................................................... 11 Cleaning the Print Head ............................................. 35
Language .................................................................... 14
REPLACING THE RECORDING PAPER ......................... 36
Baseline Filter ............................................................. 15
Mains Filter ................................................................. 16 TROUBLE SHOOTING ..................................................... 38
Myogram Filter ............................................................ 17
Defining Lead Sequence & Printout ........................... 18 ORDERING INFORMATION ............................................. 39
Acoustic QRS Indication ............................................. 19 TECHNICAL DATA ............................................................ 40
Time / Date ................................................................. 20 Available Configurations ............................................. 44
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ENGLISH
INTRODUCTION ................................................................ 2 SETTINGS FOR AUTOMATIC MODE .............................. 21
Average Cycles ........................................................... 22
OPERATION MODES ......................................................... 4 Measurements and Markings ..................................... 23
Automatic Mode ............................................................ 4 Interpretation .............................................................. 24
Manual Mode ................................................................ 5 Interpretation Settings ................................................ 25
LOCATION & POWER ........................................................ 6 Selecting Rhythm Leads ............................................. 26
Location ........................................................................ 6 PATIENT CABLE CONNECTIONS ................................... 27
Power Supply ............................................................... 6 Standard Leads .......................................................... 29
BASIC INFORMATION ....................................................... 7 RECORDING AN ECG IN AUTOMATIC MODE ............... 30
Switching On and Off .................................................... 7
Potential Equalisation ................................................... 7 RECORDING AN ECG IN MANUAL MODE ..................... 32
KEYBOARD ........................................................................ 8 CARE & MAINTENANCE ................................................. 34
Care of your P80Six ................................................... 34
INDICATORS ...................................................................... 9 Self-test ...................................................................... 34
GENERAL SETTINGS ...................................................... 10 12 Monthly Check ....................................................... 35
Defaults ...................................................................... 11 Cleaning the Print Head ............................................. 35
Language .................................................................... 14 REPLACING THE RECORDING PAPER ......................... 36
Baseline Filter ............................................................. 15
Mains Filter ................................................................. 16 TROUBLE SHOOTING ..................................................... 38
Myogram Filter ............................................................ 17
Defining Lead Sequence & Printout ........................... 18 ORDERING INFORMATION ............................................. 39
Acoustic QRS Indication ............................................. 19 TECHNICAL DATA ............................................................ 40
Time / Date ................................................................. 20 Available Configurations ............................................. 44
P80Six Page 1
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Introduction
MAINS AND
POTENTIAL EQUALISATION
CONNECTORS
Page 2 P80Six
06.2001
Introduction
MAINS AND
POTENTIAL EQUALISATION
CONNECTORS
Page 2 P80Six
06.2001
Introduction
ENGLISH
The P80Six is a 12-channel ECG recorder. All ECG signals are simultaneously processed to
provide instant ECG recordings. Two automatic recording modes can be individually preset to
enable one button ECG recording of preferred print formats .
Individual lamps are provided to give power, paper error, filter, lead group and lead off
indications.
In addition, any detected disturbance (i.e. loose electrode or end of paper), gives an audible
alarm and the corresponding indicator lamp flashes.
P80Six Page 3
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Introduction
ENGLISH
The P80Six is a 12-channel ECG recorder. All ECG signals are simultaneously processed to
provide instant ECG recordings. Two automatic recording modes can be individually preset to
enable one button ECG recording of preferred print formats .
Individual lamps are provided to give power, paper error, filter, lead group and lead off
indications.
In addition, any detected disturbance (i.e. loose electrode or end of paper), gives an audible
alarm and the corresponding indicator lamp flashes.
P80Six Page 3
06.2001
Operation Modes
Automatic Mode
Automatic Mode provides a printout giving 10 seconds of ECG recording of all 12 leads in 2 different
formats.
The following can be programmed freely in each of the formats before recording:
• Lead Format
• Chart Speed
• With the optional interpretation program installed it is also possible to select the measurement
table, average cycles with optional markings and interpretation statements for the printout.
Page 4 P80Six
06.2001
Operation Modes
Automatic Mode
Automatic Mode provides a printout giving 10 seconds of ECG recording of all 12 leads in 2 different
formats.
The following can be programmed freely in each of the formats before recording:
• Lead Format
• Chart Speed
• With the optional interpretation program installed it is also possible to select the measurement
table, average cycles with optional markings and interpretation statements for the printout.
Page 4 P80Six
06.2001
Operation Modes
ENGLISH
Manual Mode
Manual Mode provides a real time printout of 6 leads that are selected and indicated on the
keyboard.
• Lead Group
• Chart Speed
• Sensitivity
• Myogram Filter
P80Six Page 5
06.2001
Operation Modes
ENGLISH
Manual Mode
Manual Mode provides a real time printout of 6 leads that are selected and indicated on the
keyboard.
• Lead Group
• Chart Speed
• Sensitivity
• Myogram Filter
P80Six Page 5
06.2001
Location & Power
Location
Do not keep or operate the apparatus in a wet, moist, or dusty environment. Also, avoid exposure
to direct sunlight or heat from other sources. Do not allow the unit to come into contact with acidic
vapours or liquids, as such contact may cause irreparable damage. The unit should not be
placed near X-ray or diathermy units, large transformers or motors.
The unit must be placed on a flat surface. The unit should not be operated in areas where there
is any danger of explosion.
Power Supply
The unit can either be operated from the built-in rechargeable battery, or from the mains.
The mains connection is on the rear of the unit. The mains indicator lamp is always lit when the
unit is connected to the mains supply.
A battery indicator lamp confirms battery operation. When the battery capacity is limited, the
indicator flashes. To recharge the battery, connect the apparatus to the mains supply by means
of the supplied power cable. A totally discharged battery needs less than 15 hours to be fully
recharged (60% in less than 3 hours, 90% in less than 7 hours).
A fully charged battery lasts approximately 6 hours of normal use. The unit can remain connected
to the mains supply without any danger of damage to either the battery or the unit.
Page 6 P80Six
06.2001
Location
Do not keep or operate the apparatus in a wet, moist, or dusty environment. Also, avoid exposure
to direct sunlight or heat from other sources. Do not allow the unit to come into contact with acidic
vapours or liquids, as such contact may cause irreparable damage. The unit should not be
placed near X-ray or diathermy units, large transformers or motors.
The unit must be placed on a flat surface. The unit should not be operated in areas where there
is any danger of explosion.
Power Supply
The unit can either be operated from the built-in rechargeable battery, or from the mains.
The mains connection is on the rear of the unit. The mains indicator lamp is always lit when the
unit is connected to the mains supply.
A battery indicator lamp confirms battery operation. When the battery capacity is limited, the
indicator flashes. To recharge the battery, connect the apparatus to the mains supply by means
of the supplied power cable. A totally discharged battery needs less than 15 hours to be fully
recharged (60% in less than 3 hours, 90% in less than 7 hours).
A fully charged battery lasts approximately 6 hours of normal use. The unit can remain connected
to the mains supply without any danger of damage to either the battery or the unit.
Page 6 P80Six
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Basic Information
ENGLISH
Switching On and Off
ON OFF
The P80Six is switched on by means of the on key and off by means of the off
key.
The unit is switched off after 5 minutes (30 seconds if battery capacity is limited) if no key is
pressed and the patient cable is not connected.
Potential Equalisation
If the P80Six is used in conjunction with other patient connected equipment, we recommend that
the potential equalisation stud ( ) on the rear of the unit is connected to the hospital/ building
common ground with the yellow/green ground cable..
When working from an emergency vehicle, the vehicle common ground can be used.
P80Six Page 7
06.2001
Basic Information
ENGLISH
Switching On and Off
ON OFF
The P80Six is switched on by means of the on key and off by means of the off
key.
The unit is switched off after 5 minutes (30 seconds if battery capacity is limited) if no key is
pressed and the patient cable is not connected.
Potential Equalisation
If the P80Six is used in conjunction with other patient connected equipment, we recommend that
the potential equalisation stud ( ) on the rear of the unit is connected to the hospital/ building
common ground with the yellow/green ground cable..
When working from an emergency vehicle, the vehicle common ground can be used.
P80Six Page 7
06.2001
Keyboard
ON
QRS BEEP
COPY
Automatic ECG sensitivity adjustment from
10 to 5 mm/mV in order to avoid overlapping
Copy stored ECG traces in automatic mode only
AUTO START
STOP
Switch myogram filter (muscle tremor filter) Key for 1 mV indication mark on output
on or off during manual recording. Use this key also
for baseline recentering
Lead group selector (forward) SHIFT
Lead group selector (backward) Key for initiation of setups and selection of
second format for printout
Page 8 P80Six
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Keyboard
ON
QRS BEEP
COPY
Automatic ECG sensitivity adjustment from
10 to 5 mm/mV in order to avoid overlapping
Copy stored ECG traces in automatic mode only
AUTO START
STOP
Switch myogram filter (muscle tremor filter) Key for 1 mV indication mark on output
on or off during manual recording. Use this key also
for baseline recentering
Lead group selector (forward) SHIFT
Lead group selector (backward) Key for initiation of setups and selection of
second format for printout
Page 8 P80Six
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Indicators
ENGLISH
Mains indicator (lit when mains connected)
II aVF III Indicator lamp for selected lead group in manual mode only
V2 V4 V5
P80Six Page 9
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Indicators
ENGLISH
Mains indicator (lit when mains connected)
II aVF III Indicator lamp for selected lead group in manual mode only
V2 V4 V5
P80Six Page 9
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General Settings
Each parameter is set by means of a code. This code comprises a combination starting with the
SHIFT key followed by a number of keys and is always confirmed with the STOP key. As soon
as the SHIFT key is pressed, the keyboard is dedicated to the programming function.
The setting is remembered and the keyboard is only released for other functions when the STOP
key is pressed. Once the settings have been confirmed, they are stored in the memory even
when the unit is switched off. As an example, if you want to set the language on your P80Six to
English, proceed as follows:
Program sequence
Start programming /
CONFIRM SETTING
Switch to numerical keyboard
On the following pages the programmable parameters and the programming sequences are
described in detail.
STOP
NOTE THAT THE SETTINGS ARE ALWAYS CONFIRMED BY PRESSING THE KEY.
Page 10 P80Six
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General Settings
Each parameter is set by means of a code. This code comprises a combination starting with the
SHIFT key followed by a number of keys and is always confirmed with the STOP key. As soon
as the SHIFT key is pressed, the keyboard is dedicated to the programming function.
The setting is remembered and the keyboard is only released for other functions when the STOP
key is pressed. Once the settings have been confirmed, they are stored in the memory even
when the unit is switched off. As an example, if you want to set the language on your P80Six to
English, proceed as follows:
Program sequence
Start programming /
CONFIRM SETTING
Switch to numerical keyboard
On the following pages the programmable parameters and the programming sequences are
described in detail.
STOP
NOTE THAT THE SETTINGS ARE ALWAYS CONFIRMED BY PRESSING THE KEY.
Page 10 P80Six
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General Settings
ENGLISH
Defaults
Default Settings
Setting P80Six P80Six with Interpretation Option
Language English English
Leads Standard (S) Standard (S)
P80Six Page 11
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General Settings
ENGLISH
Defaults
Default Settings
Setting P80Six P80Six with Interpretation Option
Language English English
Leads Standard (S) Standard (S)
P80Six Page 11
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General Settings
Setup Printout
Entry Key Sequence Action
SHIFT 0 1 1 Printout of programmed settings
A printout of the defined settings will be produced and gives the following information, depending
on the installed software:
Page 12 P80Six
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General Settings
Setup Printout
Entry Key Sequence Action
SHIFT 0 1 1 Printout of programmed settings
A printout of the defined settings will be produced and gives the following information, depending
on the installed software:
Page 12 P80Six
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General Settings
ENGLISH
Baseline Filter 0.05, 0.15 or 0.30 Hz
Mains Filter 50, 60 Hz or OFF (-)
Myogram Filter 25 or 35 Hz, ON (+) or OFF (-)
Interpretation settings: N/A: +/- ('normal/abnormal' is written (+) or suppressed (-); U: +/-
('unconfirmed report' is written (+) or suppressed (-); A30: +/- (pa-
tient age is assumed to be < 30 (-) or >30 (+); S: +/- (low (-) or
high (+) sensitivity)
Reset Setup
Entry Key Sequence Action
SHIFT 0 6 6 Reset to default base settings.
P80Six Page 13
06.2001
General Settings
ENGLISH
Baseline Filter 0.05, 0.15 or 0.30 Hz
Mains Filter 50, 60 Hz or OFF (-)
Myogram Filter 25 or 35 Hz, ON (+) or OFF (-)
Interpretation settings: N/A: +/- ('normal/abnormal' is written (+) or suppressed (-); U: +/-
('unconfirmed report' is written (+) or suppressed (-); A30: +/- (pa-
tient age is assumed to be < 30 (-) or >30 (+); S: +/- (low (-) or
high (+) sensitivity)
Reset Setup
Entry Key Sequence Action
SHIFT 0 6 6 Reset to default base settings.
P80Six Page 13
06.2001
General Settings
Language
Select Language
Entry Key Sequence Language Confirm
1 German
2 English
3 French
4 Swedish
Press
SHIFT 0 2 5 American STOP
Key
6 Italian
7 Spanish
8 Portuguese
9 Russian
Notes: Once selected, the language remains active. However, when the unit is reset
to the default settings, the default language will be English.
Page 14 P80Six
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General Settings
Language
Select Language
Entry Key Sequence Language Confirm
1 German
2 English
3 French
4 Swedish
Press
SHIFT 0 2 5 American STOP
Key
6 Italian
7 Spanish
8 Portuguese
9 Russian
Notes: Once selected, the language remains active. However, when the unit is reset
to the default settings, the default language will be English.
Page 14 P80Six
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General Settings
ENGLISH
There are three different filters which can be set individually as follows:
• Baseline filter
• Mains filter
• Myogram filter
Baseline Filter
The digital Baseline filter suppresses excessive baseline drifts. The setting options are as
follows:
Baseline Filter
Entry Key Sequence Filter Setting Confirm
0 0.05 Hz (Default)
Press
SHIFT 5 1 0.15 Hz STOP
Key
3 0.30 Hz
The set value is the lower limit of the frequency range and is normally set to 0.05 Hz. The settings
0.15 and 0.30 Hz should only be used when absolutely necessary, as the possibility exists that
they could affect the original ECG signal, especially the ST segments.
P80Six Page 15
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General Settings
ENGLISH
There are three different filters which can be set individually as follows:
• Baseline filter
• Mains filter
• Myogram filter
Baseline Filter
The digital Baseline filter suppresses excessive baseline drifts. The setting options are as
follows:
Baseline Filter
Entry Key Sequence Filter Setting Confirm
0 0.05 Hz (Default)
Press
SHIFT 5 1 0.15 Hz STOP
Key
3 0.30 Hz
The set value is the lower limit of the frequency range and is normally set to 0.05 Hz. The settings
0.15 and 0.30 Hz should only be used when absolutely necessary, as the possibility exists that
they could affect the original ECG signal, especially the ST segments.
P80Six Page 15
06.2001
General Settings
Mains Filter
The Mains filter is an adaptive digital interference filter designed to suppress AC interference
without attenuating or distorting the ECG.
Set the mains filter in accordance with the frequency of your local mains supply as follows:
Mains Filter
Entry Key Sequence Filter Setting Confirm
5 Mains Filter 50 Hz
Press
SHIFT 8 6 Mains Filter 60 Hz STOP
Key
9 Mains Filter off
Page 16 P80Six
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General Settings
Mains Filter
The Mains filter is an adaptive digital interference filter designed to suppress AC interference
without attenuating or distorting the ECG.
Set the mains filter in accordance with the frequency of your local mains supply as follows:
Mains Filter
Entry Key Sequence Filter Setting Confirm
5 Mains Filter 50 Hz
Press
SHIFT 8 6 Mains Filter 60 Hz STOP
Key
9 Mains Filter off
Page 16 P80Six
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General Settings
ENGLISH
Myogram Filter
The Myogram filter suppresses disturbances caused by strong muscle tremor. The cutoff
frequency of the myogram filter is set to 25 or 35 Hz. The myogram filter is switched on and off
manually with the FILTER key. Switching on or off can also be programmed as default when the
unit is switched on. When the filter is active, the 'FILTER' lamp on the unit is lit.
Myogram Filter
Entry Key Sequence Setting Confirm
2 Myogram Filter 25 Hz
3 Myogram Filter 35 Hz
Press
SHIFT 8 Myo. Filt. ON when switching on unit STOP
1
(marked on printout with +) Key
Myo. Filt. OFF when switching on unit
8
(marked on printout with –)
An ECG recorded in auto mode is stored unfiltered. It is therefore possible to print the stored ECG
either with or without passing the myogram filter.
P80Six Page 17
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General Settings
ENGLISH
Myogram Filter
The Myogram filter suppresses disturbances caused by strong muscle tremor. The cutoff
frequency of the myogram filter is set to 25 or 35 Hz. The myogram filter is switched on and off
manually with the FILTER key. Switching on or off can also be programmed as default when the
unit is switched on. When the filter is active, the 'FILTER' lamp on the unit is lit.
Myogram Filter
Entry Key Sequence Setting Confirm
2 Myogram Filter 25 Hz
3 Myogram Filter 35 Hz
Press
SHIFT 8 Myo. Filt. ON when switching on unit STOP
1
(marked on printout with +) Key
Myo. Filt. OFF when switching on unit
8
(marked on printout with –)
An ECG recorded in auto mode is stored unfiltered. It is therefore possible to print the stored ECG
either with or without passing the myogram filter.
P80Six Page 17
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General Settings
Lead Groups
Standard Cabrera
I V1 II V4 aVL V1 II V4
II V2 aVF V5 I V2 aVF V5
III V3 III V6 -aVR V3 III V6
aVR V4 V2 V7 II V4 V2 V7
aVL V5 V4 V8 aVF V5 V4 V8
aVF V6 V5 V9 III V6 V5 V9
* Leads V7, V8 and V9 are only available when leads V1, V2 and V3 resp. are moved to the corresponding positions (manual
mode).
Page 18 P80Six
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General Settings
Lead Groups
Standard Cabrera
I V1 II V4 aVL V1 II V4
II V2 aVF V5 I V2 aVF V5
III V3 III V6 -aVR V3 III V6
aVR V4 V2 V7 II V4 V2 V7
aVL V5 V4 V8 aVF V5 V4 V8
aVF V6 V5 V9 III V6 V5 V9
* Leads V7, V8 and V9 are only available when leads V1, V2 and V3 resp. are moved to the corresponding positions (manual
mode).
Page 18 P80Six
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- General Settings
ENGLISH
The selectable printout forms are:
Simultaneous All ECG leads are printed in the same time segment (in
automatic mode only).
Auto-Centering ON All ECG traces are centred dynamically for optimal use of
paper width.
Auto-Centering OFF ECG traces are set to a fixed baseline position and may
possibly overlap.
QRS BEEP
The acoustic QRS indication can be switched on or off at any time by pressing the key.
P80Six Page 19
06.2001
General Settings
ENGLISH
The selectable printout forms are:
Simultaneous All ECG leads are printed in the same time segment (in
automatic mode only).
Auto-Centering ON All ECG traces are centred dynamically for optimal use of
paper width.
Auto-Centering OFF ECG traces are set to a fixed baseline position and may
possibly overlap.
QRS BEEP
The acoustic QRS indication can be switched on or off at any time by pressing the key.
P80Six Page 19
06.2001
General Settings
Time / Date
Page 20 P80Six
06.2001
General Settings
Time / Date
Page 20 P80Six
06.2001
Settings for Automatic Mode
Two separate formats for the automatic ECG output can be selected as follows:
ENGLISH
Automatic ECG Format
Entry Key
Setup Format
Sequence
1 Setup Format 1
SHIFT
2 Setup Format 2
With this the 2 automatic mode formats are defined as detailed on the following pages.
P80Six Page 21
06.2001
ENGLISH
Two separate formats for the automatic ECG output can be selected as follows:
Entry Key
Setup Format
Sequence
1 Setup Format 1
SHIFT
2 Setup Format 2
With this the 2 automatic mode formats are defined as detailed on the following pages.
P80Six Page 21
06.2001
Settings for Automatic Mode
Average Cycles
Note: Lead selection for the 2 rhythm leads is defined on page 26.
Page 22 P80Six
06.2001
Average Cycles
Note: Lead selection for the 2 rhythm leads is defined on page 26.
Page 22 P80Six
06.2001
Settings for Automatic Mode
ENGLISH
Measurements and Markings
P80Six Page 23
06.2001
ENGLISH
Measurements and Markings
P80Six Page 23
06.2001
Settings for Automatic Mode
Interpretation (Option)
Interpretation
Entry Key Sequence Output Format Confirm
1 5 Interpretation is omitted. Press
SHIFT or 4 STOP
2 6 Interpretation is printed. Key
Page 24 P80Six
06.2001
Interpretation (Option)
Interpretation
Entry Key Sequence Output Format Confirm
1 5 Interpretation is omitted. Press
SHIFT or 4 STOP
2 6 Interpretation is printed. Key
Page 24 P80Six
06.2001
Settings for Automatic Mode
ENGLISH
Interpretation Settings
The Interpretation settings enable the user to determine whether or not certain comments will be
added to the interpretation statements on the ECG printout. Furthermore, the patient's age can be
defined (< or > 30) and if low or high sensitivity should be applied. Low sensitivity will suppress
certain nonspecific ECG diagnosis; this may be advisable when carrying out ECGs for screening.
Interpretation Settings
2 'Normal/abnormal' is printed.
7 Low sensitivity
8 High sensitivity
P80Six Page 25
06.2001
ENGLISH
Interpretation Settings
The Interpretation settings enable the user to determine whether or not certain comments will be
added to the interpretation statements on the ECG printout. Furthermore, the patient's age can be
defined (< or > 30) and if low or high sensitivity should be applied. Low sensitivity will suppress
certain nonspecific ECG diagnosis; this may be advisable when carrying out ECGs for screening.
Interpretation Settings
2 'Normal/abnormal' is printed.
7 Low sensitivity
8 High sensitivity
P80Six Page 25
06.2001
Settings for Automatic Mode
The rhythm leads are printed out as defined. Two separate rhythm leads can be selected. The
following formats can be set:
Rhythm Leads
Entry Key
Setup Lead
Sequence
3 Setup Rhythm Lead 1
SHIFT
4 Setup Rhythm Lead 2
Page 26 P80Six
06.2001
The rhythm leads are printed out as defined. Two separate rhythm leads can be selected. The
following formats can be set:
Rhythm Leads
Entry Key
Setup Lead
Sequence
3 Setup Rhythm Lead 1
SHIFT
4 Setup Rhythm Lead 2
Page 26 P80Six
06.2001
Patient Cable Connections
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The accessory kit of the electrocardiograph includes a 10-lead patient cable. This cable is
plugged into the patient cable socket on the right-hand side of the unit and secured with the two
screws.
The P80Six is CF rated. The patient connection is fully isolated and defibrillation protected.
Protection against defibrillation voltage is however only ensured, if the original ESAOTE patient
cable (Part-no. 9740410001 / USA: 9740410002) is used. Make sure that during ECG recording
neither the patient nor the conducting parts of the patient connection or the electrodes (including
the neutral electrode) come into contact with other persons or conducting objects (even if these
are earthed).
P80Six Page 27
06.2001
ENGLISH
The accessory kit of the electrocardiograph includes a 10-lead patient cable. This cable is
plugged into the patient cable socket on the right-hand side of the unit and secured with the two
screws.
The P80Six is CF rated. The patient connection is fully isolated and defibrillation protected.
Protection against defibrillation voltage is however only ensured, if the original ESAOTE patient
cable (Part-no. 9740410001 / USA: 9740410002) is used. Make sure that during ECG recording
neither the patient nor the conducting parts of the patient connection or the electrodes (including
the neutral electrode) come into contact with other persons or conducting objects (even if these
are earthed).
P80Six Page 27
06.2001
Patient Cable Connections
The quality of the ECG is dependent on the preparation and the resistance between the skin and
the electrode. To ensure a good quality ECG and minimise the skin/electrode resistance,
remember the following points:
4. Place the C4 electrode first - in the fifth intercostal space on midclavicular line.
Then place:
Following these simple guidelines will ensure good results every time.
Page 28 P80Six
06.2001
The quality of the ECG is dependent on the preparation and the resistance between the skin and
the electrode. To ensure a good quality ECG and minimise the skin/electrode resistance,
remember the following points:
4. Place the C4 electrode first - in the fifth intercostal space on midclavicular line.
Then place:
Following these simple guidelines will ensure good results every time.
Page 28 P80Six
06.2001
Patient Cable Connections
ENGLISH
Standard Leads
C3 - GREEN
1 C4 - BROWN
2
3
4
C1 - RED 5
C6 - VIOLET
IEC AHA
N Black RL Green
C5 - BLACK
C2 - YELLOW
R Red RA White
RIGHT ARM - RED LEFT ARM - YELLOW C1 White/Red V1 Brown/Red
C2 White/Yellow V2 Brown/Yellow
C3 White/Green V3 Brown/Green
C4 White/Brown V4 Brown/Blue
C5 White/Black V5 Brown/Orange
C6 White/Violet V6 Brown/Violet
L Yellow LA Black
F Green LL Red
P80Six Page 29
06.2001
ENGLISH
Standard Leads
C3 - GREEN
1 C4 - BROWN
2
3
4
C1 - RED 5
C6 - VIOLET
IEC AHA
N Black RL Green
C5 - BLACK
C2 - YELLOW
R Red RA White
RIGHT ARM - RED LEFT ARM - YELLOW C1 White/Red V1 Brown/Red
C2 White/Yellow V2 Brown/Yellow
C3 White/Green V3 Brown/Green
C4 White/Brown V4 Brown/Blue
C5 White/Black V5 Brown/Orange
C6 White/Violet V6 Brown/Violet
L Yellow LA Black
F Green LL Red
P80Six Page 29
06.2001
Recording an ECG in Automatic Mode
In automatic mode, a full 12-lead ECG is printed in one of two predefined formats with a
sensitivity of 10 mm/mV. These two formats are selected by the user to suit his specific needs
and requirements (as detailed previously).
AUTO GAIN
mm
mV
When the key is pressed before recording in automatic mode, the unit detects very large
waveform amplitudes and sets the sensitivity for the extremity and/or precordial leads to 5 mm/
mV to reduce the overlapping of traces.
AUTO START
Page 30 P80Six
06.2001
In automatic mode, a full 12-lead ECG is printed in one of two predefined formats with a
sensitivity of 10 mm/mV. These two formats are selected by the user to suit his specific needs
and requirements (as detailed previously).
AUTO GAIN
mm
mV
When the key is pressed before recording in automatic mode, the unit detects very large
waveform amplitudes and sets the sensitivity for the extremity and/or precordial leads to 5 mm/
mV to reduce the overlapping of traces.
AUTO START
Page 30 P80Six
06.2001
Recording an ECG in Automatic Mode
ENGLISH
The printout provides you with the following information:
- ECG recording of all leads in either Standard or Cabrera format according to selection
- Sensitivity
- Heart Rate
- Speed
- Filter Settings
- Patient Data field to manually insert patient data
and if set:
- Average Cycles (Interpretation option only)
- Intervals (Interpretation option only)
- Axis (Interpretation option only)
- Sokolow Index (ECG index for hypertrophy; Interpretation option only)
- Detailed Measurement Table (Interpretation option only)
- Interpretation (Interpretation option only)
COPY
SHIFT COPY
P80Six Page 31
06.2001
ENGLISH
The printout provides you with the following information:
- ECG recording of all leads in either Standard or Cabrera format according to selection
- Sensitivity
- Heart Rate
- Speed
- Filter Settings
- Patient Data field to manually insert patient data
and if set:
- Average Cycles (Interpretation option only)
- Intervals (Interpretation option only)
- Axis (Interpretation option only)
- Sokolow Index (ECG index for hypertrophy; Interpretation option only)
- Detailed Measurement Table (Interpretation option only)
- Interpretation (Interpretation option only)
COPY
SHIFT COPY
P80Six Page 31
06.2001
Recording an ECG in Manual Mode
Manual mode provides a direct printout of the real-time ECG with full control of parameter
selection.
* Leads V7, V8 and V9 are only available when leads V1, V2 and V3 resp. are moved to the
corresponding positions.
Page 32 P80Six
06.2001
Manual mode provides a direct printout of the real-time ECG with full control of parameter
selection.
* Leads V7, V8 and V9 are only available when leads V1, V2 and V3 resp. are moved to the
corresponding positions.
Page 32 P80Six
06.2001
Recording an ECG in Manual Mode
ENGLISH
MAN START
- On the lower edge chart speed, sensitivity and filter settings (if on) are given.
1mV
To re-centre the ECG traces, press the key during operation.
STOP
WARNING:
AFTER HEAVY ARTEFACTS OR LEAD OFF, THE INDICATION OF THE HEART RATE
MAY NOT BE RELIABLE.
P80Six Page 33
06.2001
ENGLISH
MAN START
- On the lower edge chart speed, sensitivity and filter settings (if on) are given.
1mV
To re-centre the ECG traces, press the key during operation.
STOP
WARNING:
AFTER HEAVY ARTEFACTS OR LEAD OFF, THE INDICATION OF THE HEART RATE
MAY NOT BE RELIABLE.
P80Six Page 33
06.2001
Care & Maintenance
The patient cable should not be exposed to excessive mechanical stress. Whenever disconnect-
ing the leads, hold the plugs and not the cables. Align the leads in such a way as to prevent
anyone stumbling over them or any damage caused by the wheels of instrument trolleys. The
cable can be wiped with soapy water. Sterilization, if required, should be done with gas only and
not with steam. To disinfect, wipe the cable with any standard hospital disinfectant.
The casing of the P80Six should be cleaned with a soft cloth on the surface only.
Self-test
Initiate Self-Test
Entry Key Sequence Action
SHIFT 0 3 3 Printout of Self-test
Page 34 P80Six
06.2001
The patient cable should not be exposed to excessive mechanical stress. Whenever disconnect-
ing the leads, hold the plugs and not the cables. Align the leads in such a way as to prevent
anyone stumbling over them or any damage caused by the wheels of instrument trolleys. The
cable can be wiped with soapy water. Sterilization, if required, should be done with gas only and
not with steam. To disinfect, wipe the cable with any standard hospital disinfectant.
The casing of the P80Six should be cleaned with a soft cloth on the surface only.
Self-test
Initiate Self-Test
Entry Key Sequence Action
SHIFT 0 3 3 Printout of Self-test
Page 34 P80Six
06.2001
Care & Maintenance
ENGLISH
12 Monthly Check
The unit should undergo a technical safety check every 12 months. This safety check should
extend to include the following:
If the printer is used a lot, a residue of printers ink (from the grid on the printer paper) can build
up on the print head. This can cause the print quality to deteriorate. We recommend therefore
that every month the print head is cleaned with alcohol as follows:
• Remove the paper tray. The printhead is found under, and in from, the paper tray
release catch.
• With a tissue dampened with alcohol, gently rub the print head to remove the ink
residue. If the printhead is badly soiled, the colour of the grid ink will show on the
tissue.
P80Six Page 35
06.2001
ENGLISH
12 Monthly Check
The unit should undergo a technical safety check every 12 months. This safety check should
extend to include the following:
If the printer is used a lot, a residue of printers ink (from the grid on the printer paper) can build
up on the print head. This can cause the print quality to deteriorate. We recommend therefore
that every month the print head is cleaned with alcohol as follows:
• Remove the paper tray. The printhead is found under, and in from, the paper tray
release catch.
• With a tissue dampened with alcohol, gently rub the print head to remove the ink
residue. If the printhead is badly soiled, the colour of the grid ink will show on the
tissue.
P80Six Page 35
06.2001
Replacing the Recording Paper
The recording paper must be replaced as soon as the end of the paper is indicated by a red stripe
on the lower edge. After the indication first appears, there are about 8 pages left. However, we
recommend that the paper be replaced immediately.
If no paper is left, the printing process is interrupted and the paper warning lamp starts to blink.
After the paper has been replaced, the printout is restarted by pressing COPY or MAN START
or AUTO START.
A step-by-step description of how to change the paper is given on the next page.
Page 36 P80Six
06.2001
The recording paper must be replaced as soon as the end of the paper is indicated by a red stripe
on the lower edge. After the indication first appears, there are about 8 pages left. However, we
recommend that the paper be replaced immediately.
If no paper is left, the printing process is interrupted and the paper warning lamp starts to blink.
After the paper has been replaced, the printout is restarted by pressing COPY or MAN START
or AUTO START.
A step-by-step description of how to change the paper is given on the next page.
Page 36 P80Six
06.2001
Replacing the Recording Paper
• Place fingers under the retaining bar and pull directly
ENGLISH
upwards. The paper tray cover releases.
• Withdraw the cover from the unit. DO NOT FORCE,
THE PAPER TRAY COVER RUNS FREELY OVER
THE DEDICATED RUNNERS.
ESAOTE can only guarantee perfect printouts when ESAOTE original chart paper or chart paper
of the same quality is used.
P80Six Page 37
06.2001
ENGLISH
upwards. The paper tray cover releases.
• Withdraw the cover from the unit. DO NOT FORCE,
THE PAPER TRAY COVER RUNS FREELY OVER
THE DEDICATED RUNNERS.
ESAOTE can only guarantee perfect printouts when ESAOTE original chart paper or chart paper
of the same quality is used.
P80Six Page 37
06.2001
Trouble Shooting
Page 38 P80Six
06.2001
Trouble Shooting
Page 38 P80Six
06.2001
Ordering Information
Your local representative stocks all the disposables and accessories available for the P80Six. In case of difficulty or
ENGLISH
to obtain the address of your local dealer, please contact the head office. Our staff will be pleased to help process your
order or to provide any details for all ESAOTE products.
Complete Units
P80Six Basic, 230 V; Complete with standard accessories ................................................. 9840400110
P80Six Interpretation, 230 V; Complete with standard accessories .................................... 9840400120
Standard Accessories:
Patient cable EURO colours; pack of paper; set of ten electrodes
ECG gel; User Guide
P80Six Basic, 115 V; Complete with standard accessories ................................................. 9840400111
P80Six Interpretation, 115 V; Complete with standard accessories .................................... 9840400121
Standard Accessories:
Patient cable USA colours; pack of paper; set of ten electrodes
ECG gel; User Guide.
Accessories
- 10-lead Patient Cable, Euro ............................................................................................ 9740410001
- 10-lead Patient Cable, USA ............................................................................................ 9740410002
- 4 Extremity clamp-electrodes .......................................................................................... 9610020000
- 4 Extremity clamp-electrodes, USA colour ..................................................................... 9610020001
- 6 Suction electrodes ........................................................................................................ 9610054000
- ECG electrode cream (100 ml) ...................................................................................... ´9210091133
- Recording Paper, Z-folded (1 Pack) ................................................................................ 9690029100
- Carrying Case ............................................................................................................... To be defined
- Trolley ..............................................................................................................................9704250100
- Patient Cable Holder ....................................................................................................... 9101341000
- User Guide I, F, D ............................................................................................................9740440011
- User Guide GB, E, P ....................................................................................................... 9740440015
P80Six Page 39
06.2001
Ordering Information
ENGLISH
Your local representative stocks all the disposables and accessories available for the P80Six. In case of difficulty or
to obtain the address of your local dealer, please contact the head office. Our staff will be pleased to help process your
order or to provide any details for all ESAOTE products.
Complete Units
P80Six Basic, 230 V; Complete with standard accessories ................................................. 9840400110
P80Six Interpretation, 230 V; Complete with standard accessories .................................... 9840400120
Standard Accessories:
Patient cable EURO colours; pack of paper; set of ten electrodes
ECG gel; User Guide
P80Six Basic, 115 V; Complete with standard accessories ................................................. 9840400111
P80Six Interpretation, 115 V; Complete with standard accessories .................................... 9840400121
Standard Accessories:
Patient cable USA colours; pack of paper; set of ten electrodes
ECG gel; User Guide.
Accessories
- 10-lead Patient Cable, Euro ............................................................................................ 9740410001
- 10-lead Patient Cable, USA ............................................................................................ 9740410002
- 4 Extremity clamp-electrodes .......................................................................................... 9610020000
- 4 Extremity clamp-electrodes, USA colour ..................................................................... 9610020001
- 6 Suction electrodes ........................................................................................................ 9610054000
- ECG electrode cream (100 ml) ...................................................................................... ´9210091133
- Recording Paper, Z-folded (1 Pack) ................................................................................ 9690029100
- Carrying Case ............................................................................................................... To be defined
- Trolley ..............................................................................................................................9704250100
- Patient Cable Holder ....................................................................................................... 9101341000
- User Guide I, F, D ............................................................................................................9740440011
- User Guide GB, E, P ....................................................................................................... 9740440015
P80Six Page 39
06.2001
Technical Data
Page 40 P80Six
06.2001
Technical Data
Page 40 P80Six
06.2001
Technical Data
ENGLISH
Data Record: Listing of ECG recording data
0 to 150 Hz (IEC)
0 to 150 Hz (AHA)
P80Six Page 41
06.2001
Technical Data
ENGLISH
Data Record: Listing of ECG recording data
0 to 150 Hz (IEC)
0 to 150 Hz (AHA)
P80Six Page 41
06.2001
Technical Data
Digital resolution: 5 µV
Page 42 P80Six
06.2001
Technical Data
Digital resolution: 5 µV
Page 42 P80Six
06.2001
Technical Data
ENGLISH
RL 93/42/EEC
EN 60601-1:1990
IEC 601-1
IEC 601-2-25:1993
pr EN 1441:1994
EMC: CISPR 111: 1985, EN 55011: 1992
IEC 801-2: 1991
IEC 801-3: 1984
IEC 801-4: 1988
IEC 801-5:
Safety Class: I according to IEC 601-1 (with internal power supply)
IIa according to RL 93/42/EEC, CE-0123
Technical Data
ENGLISH
Safety Standard: CF according to IEC and complying with the following
RL 93/42/EEC
EN 60601-1:1990
IEC 601-1
IEC 601-2-25:1993
pr EN 1441:1994
EMC: CISPR 111: 1985, EN 55011: 1992
IEC 801-2: 1991
IEC 801-3: 1984
IEC 801-4: 1988
IEC 801-5:
Safety Class: I according to IEC 601-1 (with internal power supply)
IIa according to RL 93/42/EEC, CE-0123
Available Configurations
Page 44 P80Six
06.2001
Technical Data
Available Configurations
Page 44 P80Six
06.2001