Schiller at 1 ekg machines user_manual

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Schiller at 1 ekg machines user_manual
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Schiller at 1 ekg machines user_manual

  1. 1. AT-1Art.-no.:2.510171rev.:g*2.510171*3-Channel Electrocardiograph3-Kanal-ElektrokardiographElectrocardiographe à 3 canauxUser GuideGebrauchsanweisungMode d’emploi
  2. 2. ENGLISHDEUTSCHENGLISHDEUTSCHFRANÇAISFRANÇAISAT-13-Channel Electrocardiograph3-Kanal-ElektrokardiographElectrocardiographe à 3 canauxAT-13-Channel Electrocardiograph3-Kanal-ElektrokardiographElectrocardiographe à 3 canaux
  3. 3. AAAAATTTTT-1 User Guide - English-1 User Guide - English-1 User Guide - English-1 User Guide - English-1 User Guide - EnglishAAAAATTTTT-1Gebrauchsanweisung -Deutsch-1Gebrauchsanweisung -Deutsch-1Gebrauchsanweisung -Deutsch-1Gebrauchsanweisung -Deutsch-1Gebrauchsanweisung -DeutschMode demploi pour l’AMode demploi pour l’AMode demploi pour l’AMode demploi pour l’AMode demploi pour l’ATTTTT-1 - F-1 - F-1 - F-1 - F-1 - FrançaisrançaisrançaisrançaisrançaisArticle Number 2.510171gArticle Number 2.510171gArticle Number 2.510171gArticle Number 2.510171gArticle Number 2.510171ga Sept. 1995, b Jun. 1999, c Feb. 2000, d Feb. 2001, e Jan. 2002f Aug. 2004, g Nov. 2005Associated DocumentGuide to the SCHILLER Interpretation and Measurement Program E/ D/ F Article Number 2.510179SCHILLER AGAltgasse 68CH - 6341 Baar, SwitzerlandPhone: ++ 41 41 766 42 42Fax: ++ 41 41 761 08 80www.schiller.chAAAAATTTTT-1User Guide - English-1User Guide - English-1User Guide - English-1User Guide - English-1User Guide - EnglishAAAAATTTTT-1 Gebrauchsanweisung -Deutsch-1 Gebrauchsanweisung -Deutsch-1 Gebrauchsanweisung -Deutsch-1 Gebrauchsanweisung -Deutsch-1 Gebrauchsanweisung -DeutschMode demploi pour l’AMode demploi pour l’AMode demploi pour l’AMode demploi pour l’AMode demploi pour l’ATTTTT-1 - F-1 - F-1 - F-1 - F-1 - FrançaisrançaisrançaisrançaisrançaisArticle Number 2.510171 gArticle Number 2.510171 gArticle Number 2.510171 gArticle Number 2.510171 gArticle Number 2.510171 ga Sept. 1995, b Jun. 1999, c Feb. 2000, d Feb. 2001, e Jan. 2002f Aug. 2004, g Nov.2005Associated DocumentGuide to the SCHILLER Interpretation and Measurement Program E/ D/ F Article Number 2.510179SCHILLER AGAltgasse 68CH - 6341 Baar, SwitzerlandPhone: ++ 41 41 766 42 42Fax: ++ 41 41 761 08 80www.schiller.ch
  4. 4. ENGLISHDEUTSCHENGLISHDEUTSCHFRANÇAISFRANÇAISWhere to Obtain SerWhere to Obtain SerWhere to Obtain SerWhere to Obtain SerWhere to Obtain Service and Sales Advicevice and Sales Advicevice and Sales Advicevice and Sales Advicevice and Sales AdviceKundendienst und VKundendienst und VKundendienst und VKundendienst und VKundendienst und Verkerkerkerkerkaufs-/Beratungsstellenaufs-/Beratungsstellenaufs-/Beratungsstellenaufs-/Beratungsstellenaufs-/BeratungsstellenCoordonnées de nos serCoordonnées de nos serCoordonnées de nos serCoordonnées de nos serCoordonnées de nos services d’assistance technique et commercialevices d’assistance technique et commercialevices d’assistance technique et commercialevices d’assistance technique et commercialevices d’assistance technique et commercialeThe SCHILLER sales and service centre network is worldwide.For the address of your local distributor, contact your nearestSCHILLER subsidiary. In case of difficulty a complete list of alldistributors and subsidiaries is provided on our internet site:http://www.schiller.chSCHILLER besitzt ein weltweites Netz von Kundendienst-, Verkaufs- undBeratungsstellen. Fragen Sie bei der nächsten SCHILLER-Niederlassung nach Ihrer lokalen Vertretung. Eine vollständige Listealler Vertreter und Niederlassungen finden Sie auf unserer Internet-Site:http://www.schiller.chSCHILLER entretient un réseau international composé de servicesclients, de services commerciaux et d’agences de conseil. Pour obtenirles coordonnées de votre représentant local, veuillez vous adresser àla filiale SCHILLER la plus proche de votre domicile. Vous trouverezune liste complète de tou(te)s les représentants et filiales sur notrehttp://www.schiller.chWhere to Obtain SerWhere to Obtain SerWhere to Obtain SerWhere to Obtain SerWhere to Obtain Service and Sales Advicevice and Sales Advicevice and Sales Advicevice and Sales Advicevice and Sales AdviceKundendienst und VKundendienst und VKundendienst und VKundendienst und VKundendienst und Verkerkerkerkerkaufs-/Beratungsstellenaufs-/Beratungsstellenaufs-/Beratungsstellenaufs-/Beratungsstellenaufs-/BeratungsstellenCoordonnées de nos serCoordonnées de nos serCoordonnées de nos serCoordonnées de nos serCoordonnées de nos services d’assistance technique et commercialevices d’assistance technique et commercialevices d’assistance technique et commercialevices d’assistance technique et commercialevices d’assistance technique et commercialeThe SCHILLER sales and service centre network is worldwide.For the address of your local distributor, contact your nearestSCHILLER subsidiary. In case of difficulty a complete list of alldistributors and subsidiaries is provided on our internet site:http://www.schiller.chSCHILLER besitzt ein weltweites Netz von Kundendienst-, Verkaufs- undBeratungsstellen. Fragen Sie bei der nächsten SCHILLER-Niederlassung nach Ihrer lokalen Vertretung. Eine vollständige Listealler Vertreter und Niederlassungen finden Sie auf unserer Internet-Site:http://www.schiller.chSCHILLER entretient un réseau international composé de servicesclients, de services commerciaux et d’agences de conseil. Pour obtenirles coordonnées de votre représentant local, veuillez vous adresser àla filiale SCHILLER la plus proche de votre domicile. Vous trouverezune liste complète de tou(te)s les représentants et filiales sur notrehttp://www.schiller.ch
  5. 5. iiENGLISHENGLISHAT-1Operating InstructionsEnglishAT-1Operating InstructionsEnglish
  6. 6. iiiiImportant Information ivSafety Information viiShort Form Instructions 1Introduction 3Modes of Operation 4Automatic Mode 4a. without external printer connected or printer switched off 4b. with external printer connected and switched on 4Modes of Operation 5Manual Mode 5Automatic Mode 6a. without external printer connected or printer switched off 6b. with external printer 7Manual Mode 8Location & Power 10Switching On and Off 11Keyboard 13Settings 14Default Settings 17Language 18Filters 19Baseline Filter 19Important Information ivSafety Information viiShort Form Instructions 1Introduction 3Modes of Operation 4Automatic Mode 4a. without external printer connected or printer switched off 4b. with external printer connected and switched on 4Modes of Operation 5Manual Mode 5Automatic Mode 6a. without external printer connected or printer switched off 6b. with external printer 7Manual Mode 8Location & Power 10Switching On and Off 11Keyboard 13Settings 14Default Settings 17Language 18Filters 19Baseline Filter 19
  7. 7. iiiiiiENGLISHENGLISHMains Filter 20Myogram Filter 21Defining Lead Sequence & Printout 22Acoustic QRS Indication 24Time / Date 24Automatic Mode (ECG) Settings, Internal Printer 26Automatic Mode (ECG) Settings, External Printer 30Automatic Mode (ECG) Settings 34Service Printout 36Installing Software Options 38Patient Cable Connections 39Settings in Automatic Mode 41Patient Data Field 41Measurements 42Heart Rate (HR) 42Intervals 42Electrical Axes 43Care & Maintenance 48Replacing the Recording Paper 50Thermal Paper Handling 52Trouble Shooting 53Technical Data 55Mains Filter 20Myogram Filter 21Defining Lead Sequence & Printout 22Acoustic QRS Indication 24Time / Date 24Automatic Mode (ECG) Settings, Internal Printer 26Automatic Mode (ECG) Settings, External Printer 30Automatic Mode (ECG) Settings 34Service Printout 36Installing Software Options 38Patient Cable Connections 39Settings in Automatic Mode 41Patient Data Field 41Measurements 42Heart Rate (HR) 42Intervals 42Electrical Axes 43Care & Maintenance 48Replacing the Recording Paper 50Thermal Paper Handling 52Trouble Shooting 53Technical Data 55
  8. 8. ivivDisposal Instructionsand Battery CareBattery Care and Disposal Instructions° DO NOT DISPOSE OF THE BATTERY BY FIRE OR INCINERATOR - DANGER OFEXPLOSION° DO NOT ATTEMPT TO RECHARGE THE BATTERY - DANGER OF EXPLOSION° DO NOT OPEN THE BATTERY CASING - DANGER OF ACID BURNOnly dispose of the battery in official recycling centres or municipallyapproved areas. Alternatively, used batteries can be returned to SCHILLERAG for disposal.Unit Disposal InstructionsUnits no longer required can be returned to SCHILLER AG fordisposal. Alternatively dispose of the unit in municipally ap-proved recycling centres.This equipment has been tested and found to comply with the limits for a class A digital device, pursuant toboth Part 15 of the FCC (Federal Communications Commission) Rules and the radio interference regulationsof the Canadian Department of Communications. These limits are designed to provide reasonable protec-tion against harmful interference when the equipment is operated in a commercial environment. This equip-ment generates, uses and can radiate radio frequency energy and, if not installed and used in accordancewith this instruction manual, may cause harmful interference to radio communications. Operation of this equip-ment in a residential area is likely to cause harmful interference in which case the user will be required tocorrect the interference at his own expense.Disposal Instructionsand Battery CareBattery Care and Disposal Instructions° DO NOT DISPOSE OF THE BATTERY BY FIRE OR INCINERATOR - DANGER OFEXPLOSION° DO NOT ATTEMPT TO RECHARGE THE BATTERY - DANGER OF EXPLOSION° DO NOT OPEN THE BATTERY CASING - DANGER OF ACID BURNOnly dispose of the battery in official recycling centres or municipallyapproved areas. Alternatively, used batteries can be returned to SCHILLERAG for disposal.Unit Disposal InstructionsUnits no longer required can be returned to SCHILLER AG fordisposal. Alternatively dispose of the unit in municipally ap-proved recycling centres.This equipment has been tested and found to comply with the limits for a class A digital device, pursuant toboth Part 15 of the FCC (Federal Communications Commission) Rules and the radio interference regulationsof the Canadian Department of Communications. These limits are designed to provide reasonable protec-tion against harmful interference when the equipment is operated in a commercial environment. This equip-ment generates, uses and can radiate radio frequency energy and, if not installed and used in accordancewith this instruction manual, may cause harmful interference to radio communications. Operation of this equip-ment in a residential area is likely to cause harmful interference in which case the user will be required tocorrect the interference at his own expense.Important InformationImportant Information
  9. 9. vvENGLISHENGLISHPower SupplyThe mains connection is on the rear of the unit.The power supply voltage is set by the factory for 100-115V (nom. 110V) or 220-240V (nom. 230V) working.The setting is indicated by the indented metal strip on the fuse panel. Contact your dealer if the voltageneeds to be changed.The mains indicator lamp on the keyboard is always lit when the unit is connected to the mains supply. The unitcan either be operated from the mains supply or from the built-in rechargeable battery.Changing a Mains FuseIf it is necessary to change a fuse, always replace with the correct rating i.e. 2x200mAT for 230V, or2x315mAT for 110V.To change a fuse press the two retaining lugs on the side of the fuse panel (situated below the mains connec-tor on the back panel). Remove the fuse panel and replace the fuse(s). Click back the fuse panel.Power SupplyThe mains connection is on the rear of the unit.The power supply voltage is set by the factory for 100-115V (nom. 110V) or 220-240V (nom. 230V) working.The setting is indicated by the indented metal strip on the fuse panel. Contact your dealer if the voltageneeds to be changed.The mains indicator lamp on the keyboard is always lit when the unit is connected to the mains supply. The unitcan either be operated from the mains supply or from the built-in rechargeable battery.Changing a Mains FuseIf it is necessary to change a fuse, always replace with the correct rating i.e. 2x200mAT for 230V, or2x315mAT for 110V.To change a fuse press the two retaining lugs on the side of the fuse panel (situated below the mains connec-tor on the back panel). Remove the fuse panel and replace the fuse(s). Click back the fuse panel.Important InformationImportant Information
  10. 10. viviTerms of WarrantyThe SCHILLER AT-1 is warranted against defects in material andmanufacture for the duration of one year (as from date of purchase).Excluded from this guarantee is damage caused by an accidentor as a result of improper handling. The warranty entitles freereplacement of the defective part. Any liability for subsequentdamage is excluded. The warranty is void if unauthorized orunqualified persons attempt to make repairs.In case of a defect, contact your dealer or the manufacturer.The manufacturer can only be held responsible for the safety,reliability, and performance of the apparatus if:* assembly operations, extensions, readjustments,modifications, or repairs are carried out by personsauthorized by him, and* the AT-1 and approved attached equipment are usedin accordance with the manufacturers instructions.THERE ARE NO EXPRESS OR IMPLIED WARRANTIES WHICH EXTENDBEYOND THE WARRANTIES HEREINABOVE SET FORTH. SCHILLER MAKESNO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULARPURPOSE WITH RESPECT TO THE PRODUCT OR PARTS THEREOF.About this HandbookThe philosophy of SCHILLER is one of continuous improvement. Ouraim is to provide the user with the most up-to-date information andthe latest technological developments.Your suggestions and comments are welcome on all SCHILLERdocumentation. Please contact the SCHILLER TechnicalDocumentation Department.PHYSICIAN‘S RESPONSIBILITYTHE AT-1 ELECTROCARDIOGRAPH IS PROVIDED FOR THEEXCLUSIVE USE OF QUALIFIED PHYSICIANS OR PERSONNELUNDER THEIR DIRECT SUPERVISION. THE NUMERICAL ANDGRAPHICAL RESULTS FROM A RECORDING MUST BE EXAMINEDWITH RESPECT TO THE PATIENTS OVERALL CLINICAL CONDITION.THE RECORDING PREPARATION QUALITY AND THE GENERALRECORDED DATA QUALITY, WHICH COULD EFFECT THE REPORTDATA ACCURACY, MUST ALSO BE TAKEN INTO ACCOUNT.IT IS THE PHYSICIANS RESPONSIBILITY TO MAKE THE DIAGNOSISOR TO OBTAIN EXPERT OPINION ON THE RESULTS, AND TOINSTITUTE CORRECT TREATMENT IF INDICATED.FEDERAL LAW IN THE USA RESTRICTS THIS DEVICE TO SALE BY ORON THE ORDER OF A PHYSICIANNOTESTerms of WarrantyThe SCHILLER AT-1 / AT-1 smartprint is warranted against defects inmaterial and manufacture for the duration of one year (as fromdate of purchase). Excluded from this guarantee is damage causedby an accident or as a result of improper handling. The warrantyentitles free replacement of the defective part. Any liability forsubsequent damage is excluded. The warranty is void ifunauthorized or unqualified persons attempt to make repairs.In case of a defect, contact your dealer or the manufacturer.The manufacturer can only be held responsible for the safety,reliability, and performance of the apparatus if:* assembly operations, extensions, readjustments,modifications, or repairs are carried out by personsauthorized by him, and* the AT-1 / AT-1 smartprint and approved attachedequipment are used in accordance with themanufacturers instructions.THERE ARE NO EXPRESS OR IMPLIED WARRANTIES WHICH EXTENDBEYOND THE WARRANTIES HEREINABOVE SET FORTH. SCHILLER MAKESNO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULARPURPOSE WITH RESPECT TO THE PRODUCT OR PARTS THEREOF.About this HandbookThe philosophy of SCHILLER is one of continuous improvement. Ouraim is to provide the user with the most up-to-date information andthe latest technological developments.Your suggestions and comments are welcome on all SCHILLERdocumentation. Please contact the SCHILLER TechnicalDocumentation Department.PHYSICIAN‘S RESPONSIBILITYTHE AT-1 / AT-1 SMARTPRINT ELECTROCARDIOGRAPH ISPROVIDED FOR THE EXCLUSIVE USE OF QUALIFIED PHYSICIANSOR PERSONNEL UNDER THEIR DIRECT SUPERVISION. THENUMERICAL AND GRAPHICAL RESULTS FROM A RECORDINGMUST BE EXAMINED WITH RESPECT TO THE PATIENTS OVERALLCLINICAL CONDITION. THE RECORDING PREPARATION QUALITYAND THE GENERAL RECORDED DATA QUALITY, WHICH COULDEFFECT THE REPORT DATA ACCURACY, MUST ALSO BE TAKENINTO ACCOUNT.IT IS THE PHYSICIANS RESPONSIBILITY TO MAKE THE DIAGNOSISOR TO OBTAIN EXPERT OPINION ON THE RESULTS, AND TOINSTITUTE CORRECT TREATMENT IF INDICATED.FEDERAL LAW IN THE USA RESTRICTS THIS DEVICE TO SALE BY ORON THE ORDER OF A PHYSICIANImportant InformationImportant Information
  11. 11. viiviiENGLISHENGLISHDO NOT USE SOLVENT CLEANERS.THIS UNIT COMPLIES WITH EMC REGULATIONS FOR MEDICAL PRODUCTS WHICH AFFORDS PROTECTION AGAINST EMISSIONSAND ELECTRICAL INTERFERENCE. HOWEVER SPECIAL CARE MUST BE EXERCISED WHEN THE UNIT IS USED WITH HIGH FREQUENCYEQUIPMENT.BEFORE USING THE UNIT, ENSURE THAT AN INTRODUCTION REGARDING THE UNIT FUNCTIONS AND THE SAFETY PRECAUTIONSHAS BEEN PROVIDED BY A PRODUCT REPRESENTATIVE.CAUTIONSSWITCH THE UNIT OFF BEFORE CLEANING AND DISCONNECT FROM THE MAINS.THE DEVICE MUST ONLY BE OPERATED USING BATTERY POWER IF THE EARTH CONNECTION IS SUSPECT OR IF THE MAINS LEAD ISDAMAGED OR SUSPECTED OF BEING DAMAGED.USE ONLY ACCESSORIES AND OTHER PARTS RECOMMENDED OR SUPPLIED BY SCHILLER AG. USE OF OTHER THAN RECOM-MENDED OR SUPPLIED PARTS MAY RESULT IN INJURY INACCURATE INFORMATION AND / OR DAMAGE TO THE UNIT.IT MUST BE ENSURED THAT NEITHER THE PATIENT NOR THE ELECTRODES (INCLUDING THE NEUTRAL ELECTRODE) COME INTOCONTACT 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 ELECTRI-CAL STIMULATION EQUIPMENT. HOWEVER, THE STIMULATION UNITS SHOULD ONLY BE USED AT A SUFFICIENT DISTANCE FROM THEELECTRODES. IN CASE OF DOUBT, THE PATIENT SHOULD BE DISCONNECTED FROM THE RECORDER.IF SEVERAL UNITS ARE COUPLED THERE IS A DANGER OF SUMMATION OF LEAKAGE CURRENTS. WHEN OPERATING SEVERALDEVICES FOR MEDICAL AND NON-MEDICAL APPLICATION DO NOT USE ANY EXTENSION CABLES OR DISTRIBUTION BOXES FORTHE CONNECTION.EARTH MUST BE CONNECTED WHEN THE EXTERNAL PRINTER IS USED.NOTESDO NOT USE SOLVENT CLEANERS.THIS UNIT COMPLIES WITH EMC REGULATIONS FOR MEDICAL PRODUCTS WHICH AFFORDS PROTECTION AGAINST EMISSIONSAND ELECTRICAL INTERFERENCE. HOWEVER SPECIAL CARE MUST BE EXERCISED WHEN THE UNIT IS USED WITH HIGH FREQUENCYEQUIPMENT.BEFORE USING THE UNIT, ENSURE THAT AN INTRODUCTION REGARDING THE UNIT FUNCTIONS AND THE SAFETY PRECAUTIONSHAS BEEN PROVIDED BY A PRODUCT REPRESENTATIVE.CAUTIONSSWITCH THE UNIT OFF BEFORE CLEANING AND DISCONNECT FROM THE MAINS.THE DEVICE MUST ONLY BE OPERATED USING BATTERY POWER IF THE EARTH CONNECTION IS SUSPECT OR IF THE MAINS LEAD ISDAMAGED OR SUSPECTED OF BEING DAMAGED.USE ONLY ACCESSORIES AND OTHER PARTS RECOMMENDED OR SUPPLIED BY SCHILLER AG. USE OF OTHER THAN RECOM-MENDED OR SUPPLIED PARTS MAY RESULT IN INJURY INACCURATE INFORMATION AND / OR DAMAGE TO THE UNIT.IT MUST BE ENSURED THAT NEITHER THE PATIENT NOR THE ELECTRODES (INCLUDING THE NEUTRAL ELECTRODE) COME INTOCONTACT 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 ELECTRI-CAL STIMULATION EQUIPMENT. HOWEVER, THE STIMULATION UNITS SHOULD ONLY BE USED AT A SUFFICIENT DISTANCE FROM THEELECTRODES. IN CASE OF DOUBT, THE PATIENT SHOULD BE DISCONNECTED FROM THE RECORDER.IF SEVERAL UNITS ARE COUPLED THERE IS A DANGER OF SUMMATION OF LEAKAGE CURRENTS. WHEN OPERATING SEVERALDEVICES FOR MEDICAL AND NON-MEDICAL APPLICATION DO NOT USE ANY EXTENSION CABLES OR DISTRIBUTION BOXES FORTHE CONNECTION.EARTH MUST BE CONNECTED WHEN THE EXTERNAL PRINTER IS USED.Safety InformationSafety Information
  12. 12. viiiviiiWARNINGSTO PREVENT ELECTRIC SHOCK DO NOT DISASSEMBLE THE UNIT. NO SERVICEABLE PARTS INSIDE. REFER SERVICING TO QUALIFIEDPERSONNEL ONLY.DO NOT USE THIS UNIT IN AREAS WHERE THERE IS ANY DANGER OF EXPLOSION OR THE PRESENCE OF FLAMMABLE GASES SUCHAS ANAESTHETIC AGENTS.THIS PRODUCT IS NOT DESIGNED FOR STERILE USE.THIS PRODUCT IS NOT DESIGNED FOR OUTDOOR USE.DO NOT, UNDER ANY CIRCUMSTANCES, IMMERSE THE UNIT OR CABLE ASSEMBLIES IN LIQUID.DO NOT USE HIGH TEMPERATURE STERILISATION PROCESSES (SUCH AS AUTOCLAVING). DO NOT USE E-BEAM OR GAMMARADIATION STERILISATION.THIS UNIT IS CF CLASSIFIED ACCORDING TO IEC EN 60601-1. THIS MEANS THAT THE PATIENT CONNECTION IS FULLYISOLATED AND DEFIBRILLATION PROTECTED. SCHILLER CAN ONLY GUARANTEE PROTECTION AGAINST DEFIBRILLATION VOLTAGEHOWEVER, WHEN THE ORIGINAL SCHILLER PATIENT CABLE IS USED.DO NOT TOUCH THE CASING DURING DEFIBRILLATION.IF THE PATIENT CABLE SHOULD BECOME DEFECTIVE AFTER DEFIBRILLATION, LEAD OFF WILL BE DISPLAYED AND AN ACOUSTICALARM GIVEN.WARNINGSTO PREVENT ELECTRIC SHOCK DO NOT DISASSEMBLE THE UNIT. NO SERVICEABLE PARTS INSIDE. REFER SERVICING TO QUALIFIEDPERSONNEL ONLY.DO NOT USE THIS UNIT IN AREAS WHERE THERE IS ANY DANGER OF EXPLOSION OR THE PRESENCE OF FLAMMABLE GASES SUCHAS ANAESTHETIC AGENTS.THIS PRODUCT IS NOT DESIGNED FOR STERILE USE.THIS PRODUCT IS NOT DESIGNED FOR OUTDOOR USE.DO NOT, UNDER ANY CIRCUMSTANCES, IMMERSE THE UNIT OR CABLE ASSEMBLIES IN LIQUID.DO NOT USE HIGH TEMPERATURE STERILISATION PROCESSES (SUCH AS AUTOCLAVING). DO NOT USE E-BEAM OR GAMMARADIATION STERILISATION.THIS UNIT IS CF CLASSIFIED ACCORDING TO IEC EN 60601-1. THIS MEANS THAT THE PATIENT CONNECTION IS FULLYISOLATED AND DEFIBRILLATION PROTECTED. SCHILLER CAN ONLY GUARANTEE PROTECTION AGAINST DEFIBRILLATION VOLTAGEHOWEVER, WHEN THE ORIGINAL SCHILLER PATIENT CABLE IS USED.DO NOT TOUCH THE CASING DURING DEFIBRILLATION.IF THE PATIENT CABLE SHOULD BECOME DEFECTIVE AFTER DEFIBRILLATION, LEAD OFF WILL BE DISPLAYED AND AN ACOUSTICALARM GIVEN.Safety InformationSafety Information
  13. 13. 1AT-1 User Guide Art. No. 2.510171 g1AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHAAAAATTTTT-1-1-1-1-1ShorShorShorShorShort Ft Ft Ft Ft Form Instructionsorm Instructionsorm Instructionsorm Instructionsorm InstructionsAutomatic ECG Recording with external printerconnected and switched on:Prepare skin, hook up patient.Switch unit on, press ONPress AUTO to record andprint externallywith external printer NOT connected orswitched off:To record and print on internal printer:Prepare skin, hook up patient.For AUTO Format 1 pressFor Auto Format 2 press and thenPress COPY for additional copies.Manual ECG Recording (internal printer only)Prepare skin, hook up patient.Switch unit on, press ONPress MAN STARTChange lead group withPress STOP to stop the printout.Electrode hook-up checkPress for print-out ofelectrode dc offsets.Best results are obtained when the electrode voltagereadings (right column) are between +50mV and -50mV.Filter On/OffPress to switch the (Myogram) filter On / Off.System ConfigurationPress to print systemsettings.AAAAATTTTT-1-1-1-1-1ShorShorShorShorShort Ft Ft Ft Ft Form Instructionsorm Instructionsorm Instructionsorm Instructionsorm InstructionsAutomatic ECG Recording with external printerconnected and switched on:Prepare skin, hook up patient.Switch unit on, press ONPress AUTO to record andprint externallywith external printer NOT connected orswitched off:To record and print on internal printer:Prepare skin, hook up patient.For AUTO Format 1 pressFor Auto Format 2 press and thenPress COPY for additional copies.Manual ECG Recording (internal printer only)Prepare skin, hook up patient.Switch unit on, press ONPress MAN STARTChange lead group withPress STOP to stop the printout.Electrode hook-up checkPress for print-out ofelectrode dc offsets.Best results are obtained when the electrode voltagereadings (right column) are between +50mV and -50mV.Filter On/OffPress to switch the (Myogram) filter On / Off.System ConfigurationPress to print systemsettings.
  14. 14. 22IntroductionIntroductionIntroductionIntroductionIntroductionIntroductionIntroductionIntroductionIntroductionIntroduction
  15. 15. 3AT-1 User Guide Art. No. 2.510171 g3AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHIntroductionIntroductionIntroductionIntroductionIntroductionNOTE:NOTE:NOTE:NOTE:NOTE: The only difference between AThe only difference between AThe only difference between AThe only difference between AThe only difference between ATTTTT-1 and A-1 and A-1 and A-1 and A-1 and ATTTTT-1 smar-1 smar-1 smar-1 smar-1 smartprint is that Atprint is that Atprint is that Atprint is that Atprint is that ATTTTT-1-1-1-1-1smarsmarsmarsmarsmartprint has a connector for an external ink-jet printertprint has a connector for an external ink-jet printertprint has a connector for an external ink-jet printertprint has a connector for an external ink-jet printertprint has a connector for an external ink-jet printer, which, which, which, which, whichmakes it possible to generate printouts in A4 size.makes it possible to generate printouts in A4 size.makes it possible to generate printouts in A4 size.makes it possible to generate printouts in A4 size.makes it possible to generate printouts in A4 size.The ECG unit is a 3-channel ECG recorder with all (12) ECG signals simultaneously processed toprovide instant ECG recordings. Three automatic recording modes - two for the internal printerand one for the external printer - can be individually preset to enable one button ECGrecording of preferred print formats.Individual lamps are provided to give power, paper error, filter, lead group and lead offindications. In addition, any detected disturbance (i.e. loose electrode or end of paper),gives an audible alarm and the corresponding indicator lamp flashes.The ECG unit includes the following features:• Low weight and compact dimensions• Printout from integrated quality thermal printer - OR - from external A4 inkjet printer• Built-in rechargeable battery for mains-independent use - 2 hours normal use on onebattery charge• Simple one key operation for main functions• Automatic or manual recording modes• Selectable printing formats - external and internal printer• Choice of 10 languages (AT-1) and 9 languages (AT-1 smartprint) for printing.• Interpretation program option (including measurements) for children and adultsIntroductionIntroductionIntroductionIntroductionIntroductionNOTE:NOTE:NOTE:NOTE:NOTE: The only difference between AThe only difference between AThe only difference between AThe only difference between AThe only difference between ATTTTT-1 and A-1 and A-1 and A-1 and A-1 and ATTTTT-1 smar-1 smar-1 smar-1 smar-1 smartprint is that Atprint is that Atprint is that Atprint is that Atprint is that ATTTTT-1-1-1-1-1smarsmarsmarsmarsmartprint has a connector for an external ink-jet printertprint has a connector for an external ink-jet printertprint has a connector for an external ink-jet printertprint has a connector for an external ink-jet printertprint has a connector for an external ink-jet printer, which, which, which, which, whichmakes it possible to generate printouts in A4 size.makes it possible to generate printouts in A4 size.makes it possible to generate printouts in A4 size.makes it possible to generate printouts in A4 size.makes it possible to generate printouts in A4 size.The ECG unit is a 3-channel ECG recorder with all (12) ECG signals simultaneously processed toprovide instant ECG recordings. Three automatic recording modes - two for the internal printerand one for the external printer - can be individually preset to enable one button ECGrecording of preferred print formats.Individual lamps are provided to give power, paper error, filter, lead group and lead offindications. In addition, any detected disturbance (i.e. loose electrode or end of paper),gives an audible alarm and the corresponding indicator lamp flashes.The ECG unit includes the following features:• Low weight and compact dimensions• Printout from integrated quality thermal printer - OR - from external A4 inkjet printer• Built-in rechargeable battery for mains-independent use - 2 hours normal use on onebattery charge• Simple one key operation for main functions• Automatic or manual recording modes• Selectable printing formats - external and internal printer• Choice of 10 languages (AT-1) and 9 languages (AT-1 smartprint) for printing.• Interpretation program option (including measurements) for children and adults
  16. 16. 44Modes of OperationModes of OperationModes of OperationModes of OperationModes of OperationAutomatic Modea. without external printer connected or printer switched offAutomatic Mode provides a printout giving 10 seconds of ECG recording of all 12 leads with achoice of 2 different formats (only for S version).The following can be programmed freely for each of the 2 formats before recording:• Lead Format• Chart Speed• With the optional interpretation program installed it is also possible to select themeasurement table, average cycles with optional markings and interpretationstatements for the printout.For further information see paragraph `Automatic Mode (ECG) Settings` on page 26.b. with external printer connected and switched onOnly one Automatic Mode format possible. Other details as above.For further information see paragraph `Automatic Mode (ECG) Settings` on page 30.Modes of OperationModes of OperationModes of OperationModes of OperationModes of OperationAutomatic Modea. without external printer connected or printer switched offAutomatic Mode provides a printout giving 10 seconds of ECG recording of all 12 leads with achoice of 2 different formats (only for S version).The following can be programmed freely for each of the 2 formats before recording:• Lead Format• Chart Speed• With the optional interpretation program installed it is also possible to select themeasurement table, average cycles with optional markings and interpretationstatements for the printout.For further information see paragraph `Automatic Mode (ECG) Settings` on page 26.b. with external printer connected and switched onOnly one Automatic Mode format possible. Other details as above.For further information see paragraph `Automatic Mode (ECG) Settings` on page 30.
  17. 17. 5AT-1 User Guide Art. No. 2.510171 g5AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHModes of OperationModes of OperationModes of OperationModes of OperationModes of OperationManual ModeManual Mode provides a real-time printout of 3 selected leads and is only possible on theinternal thermal printer.The following can be freely selected before or during recording:• Lead Group• Chart Speed• Sensitivity• Myogram FilterFor further information see paragraph `Manual Mode` on page 8.Modes of OperationModes of OperationModes of OperationModes of OperationModes of OperationManual ModeManual Mode provides a real-time printout of 3 selected leads and is only possible on theinternal thermal printer.The following can be freely selected before or during recording:• Lead Group• Chart Speed• Sensitivity• Myogram FilterFor further information see paragraph `Manual Mode` on page 8.
  18. 18. 66Automatic ModeAutomatic ModeAutomatic ModeAutomatic ModeAutomatic Modea. without external printer connected or printer switched offIn automatic modeautomatic modeautomatic modeautomatic modeautomatic mode, a full 12-lead ECG is printed in one of two predefined formats with selectablesensitivity. These formats (see Settings) are selected by the user to suit his specific needs andrequirements.When the AUTO GAIN key is pressed before recording in automatic mode, the unit detectsvery large waveform amplitudes and sets the sensitivity for the extremity and/or precordial leadsaccordingly to reduce the overlapping of traces.To start the automatic ECG recording in Format 1, press the AUTO START key:To start the automatic recording in Format 2, press the ALT key followed by the AUTO STARTkey:+Depending upon which option is included, the printout gives the following:• ECG recording of all leads in either Standard or Cabrera format according to selection• Sensitivity• Heart RateAutomatic ModeAutomatic ModeAutomatic ModeAutomatic ModeAutomatic Modea. without external printer connected or printer switched offIn automatic modeautomatic modeautomatic modeautomatic modeautomatic mode, a full 12-lead ECG is printed in one of two predefined formats with selectablesensitivity. These formats (see Settings) are selected by the user to suit his specific needs andrequirements.When the AUTO GAIN key is pressed before recording in automatic mode, the unit detectsvery large waveform amplitudes and sets the sensitivity for the extremity and/or precordial leadsaccordingly to reduce the overlapping of traces.To start the automatic ECG recording in Format 1, press the AUTO START key:To start the automatic recording in Format 2, press the ALT key followed by the AUTO STARTkey:+Depending upon which option is included, the printout gives the following:• ECG recording of all leads in either Standard or Cabrera format according to selection• Sensitivity• Heart Rate
  19. 19. 7AT-1 User Guide Art. No. 2.510171 g7AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHAutomatic ModeAutomatic ModeAutomatic ModeAutomatic ModeAutomatic Mode• Speed• Filter Settings• Interpretation statements (with option C)• Average Cycles (with options M, C)• Intervals (with options M, C)• Axes (with options M, C)• Detailed Measurement Table (with options M, C)To obtain an extra printout of the ECG recording in Format 1, simply press the COPY key:To obtain an extra printout of the second format, press the ALT key followed by the COPY key:-Note: The Auto mode settings for the two formats are detailed in the paragraph entitled Automatic Mode (ECG) Settings` on page 26.b. with external printerWith the external printer connected and switched on, only one Auto Mode format (selectable)is available.TTTTTo staro staro staro staro start the automatic ECG recording in Automatic Mode, press the AUTO STt the automatic ECG recording in Automatic Mode, press the AUTO STt the automatic ECG recording in Automatic Mode, press the AUTO STt the automatic ECG recording in Automatic Mode, press the AUTO STt the automatic ECG recording in Automatic Mode, press the AUTO START kART kART kART kART key:ey:ey:ey:ey:For further information see paragraph `Automatic Mode (ECG) Settings` on page 30.Automatic ModeAutomatic ModeAutomatic ModeAutomatic ModeAutomatic Mode• Speed• Filter Settings• Interpretation statements (with option C)• Average Cycles (with options M, C)• Intervals (with options M, C)• Axes (with options M, C)• Detailed Measurement Table (with options M, C)To obtain an extra printout of the ECG recording in Format 1, simply press the COPY key:To obtain an extra printout of the second format, press the ALT key followed by the COPY key:-Note: The Auto mode settings for the two formats are detailed in the paragraph entitled Automatic Mode (ECG) Settings` on page 26.b. with external printerWith the external printer connected and switched on, only one Auto Mode format (selectable)is available.TTTTTo staro staro staro staro start the automatic ECG recording in Automatic Mode, press the AUTO STt the automatic ECG recording in Automatic Mode, press the AUTO STt the automatic ECG recording in Automatic Mode, press the AUTO STt the automatic ECG recording in Automatic Mode, press the AUTO STt the automatic ECG recording in Automatic Mode, press the AUTO START kART kART kART kART key:ey:ey:ey:ey:For further information see paragraph `Automatic Mode (ECG) Settings` on page 30.
  20. 20. 88Manual ModeManual ModeManual ModeManual ModeManual ModeManual modeManual modeManual modeManual modeManual mode provides a real-time ECG printout of 3 selected leads with full control of parameterselection. This is only possible on the internal thermal printer.To start the manual recording of a real-time ECG, press the MAN START Printout keyTo stop the manual recording (printout) press the STOP keyThe printout provides you with the following:• Three (selected) leads with lead identification.• On the lower edge, the chart speed and filter settings (if on).• At the top, the heart rate as current average of 4 beats, trace sensitivity.The following can be freely chosen during or before the recording:Lead Group by means of the LEAD FORWARDand LEAD BACKWARD keyManual ModeManual ModeManual ModeManual ModeManual ModeManual modeManual modeManual modeManual modeManual mode provides a real-time ECG printout of 3 selected leads with full control of parameterselection. This is only possible on the internal thermal printer.To start the manual recording of a real-time ECG, press the MAN START Printout keyTo stop the manual recording (printout) press the STOP keyThe printout provides you with the following:• Three (selected) leads with lead identification.• On the lower edge, the chart speed and filter settings (if on).• At the top, the heart rate as current average of 4 beats, trace sensitivity.The following can be freely chosen during or before the recording:Lead Group by means of the LEAD FORWARDand LEAD BACKWARD key
  21. 21. 9AT-1 User Guide Art. No. 2.510171 g9AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHManual ModeManual ModeManual ModeManual ModeManual ModeThe following lead groups are selectable:• I, II, III aVR, aVL, aVF(Cabrera: aVL, I, -aVR / II, aVF, III)• V1, V2, V3 / V4, V5, V6Chart Speed Select speed 5, 25 or 50 mm/s by means of the SPEED keys:Sensitivity Select 5, 10 or 20 mm/mV by means of the SENSITIVITY keys:Myogram Filter Switch the filter ON or OFF with the FILTER key:25 Hz or 35 Hz is displayed on the bottom line of the printout when the filter isswitched on.Recentering To re-centre the ECG traces, press the 1mV keyManual ModeManual ModeManual ModeManual ModeManual ModeThe following lead groups are selectable:• I, II, III aVR, aVL, aVF(Cabrera: aVL, I, -aVR / II, aVF, III)• V1, V2, V3 / V4, V5, V6Chart Speed Select speed 5, 25 or 50 mm/s by means of the SPEED keys:Sensitivity Select 5, 10 or 20 mm/mV by means of the SENSITIVITY keys:Myogram Filter Switch the filter ON or OFF with the FILTER key:25 Hz or 35 Hz is displayed on the bottom line of the printout when the filter isswitched on.Recentering To re-centre the ECG traces, press the 1mV key
  22. 22. 1010LLLLLocation & Pocation & Pocation & Pocation & Pocation & PowerowerowerowerowerLocationDo not keep or operate the apparatus in a wet, moist, or dusty environment. Also, avoid exposure todirect sunlight or heat from other sources. Do not allow the unit to come into contact with acidicvapours or liquids, as such contact may cause irreparable damage. The unit should not be placednear X-ray or diathermy units, large transformers or motors. The unit must be placed on a flat surfaceand must not be operated in areas where there is any danger of explosion.Power SupplyThe mains connection is on the rear of the unit. The mains indicator lamp on the keyboard is always litwhen the unit is connected to the mains supply. The unit can either be operated from the mains supplyor from the built-in rechargeable battery. The power source is indicated by the respective indicatorlamp. When battery capacity is limited, the battery symbol flashes on and off.To recharge the battery, connect the apparatus to the mains supply by means of the supplied powercable. A totally discharged battery needs less than 15 hours to be fully recharged (60% in less than 3hours, 90% in less than 7 hours). A fully charged battery gives approximately 2 hours of normal use. Theunit can remain connected to the mains supply without any danger of damage to either the battery orthe unit.LLLLLocation & Pocation & Pocation & Pocation & Pocation & PowerowerowerowerowerLocationDo not keep or operate the apparatus in a wet, moist, or dusty environment. Also, avoid exposure todirect sunlight or heat from other sources. Do not allow the unit to come into contact with acidicvapours or liquids, as such contact may cause irreparable damage. The unit should not be placednear X-ray or diathermy units, large transformers or motors. The unit must be placed on a flat surfaceand must not be operated in areas where there is any danger of explosion.Power SupplyThe mains connection is on the rear of the unit. The mains indicator lamp on the keyboard is always litwhen the unit is connected to the mains supply. The unit can either be operated from the mains supplyor from the built-in rechargeable battery. The power source is indicated by the respective indicatorlamp. When battery capacity is limited, the battery symbol flashes on and off.To recharge the battery, connect the apparatus to the mains supply by means of the supplied powercable. A totally discharged battery needs less than 15 hours to be fully recharged (60% in less than 3hours, 90% in less than 7 hours). A fully charged battery gives approximately 2 hours of normal use. Theunit can remain connected to the mains supply without any danger of damage to either the battery orthe unit.
  23. 23. 11AT-1 User Guide Art. No. 2.510171 g11AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHSwitching On and OffSwitching On and OffSwitching On and OffSwitching On and OffSwitching On and OffThe AT-1 is switched on with the green ON keyand off by means of the red OFF keyThe unit is automatically 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 EqualisationIf the AT-1 is used in conjunction with other patient connected equipment, we recommend thatthe potential equalisation stud on the rear of the unit is connected to the building commonground with the yellow/green ground cable (Part-no. 2.310005). When working from anemergency vehicle, the vehicle common ground can be used.WARNING !WARNING !WARNING !WARNING !WARNING !THE UNIT MUST BE GROUNDED WHEN THE EXTERNAL PRINTER IS CONNECTED.Switching On and OffSwitching On and OffSwitching On and OffSwitching On and OffSwitching On and OffThe AT-1 is switched on with the green ON keyand off by means of the red OFF keyThe unit is automatically 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 EqualisationIf the AT-1 is used in conjunction with other patient connected equipment, we recommend thatthe potential equalisation stud on the rear of the unit is connected to the building commonground with the yellow/green ground cable (Part-no. 2.310005). When working from anemergency vehicle, the vehicle common ground can be used.WARNING !WARNING !WARNING !WARNING !WARNING !THE UNIT MUST BE GROUNDED WHEN THE EXTERNAL PRINTER IS CONNECTED.
  24. 24. 1212KKKKKeyboardeyboardeyboardeyboardeyboardKKKKKeyboardeyboardeyboardeyboardeyboard
  25. 25. 13AT-1 User Guide Art. No. 2.510171 g13AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHKKKKKeyboardeyboardeyboardeyboardeyboardKKKKKeyboardeyboardeyboardeyboardeyboard
  26. 26. 1414SettingsSettingsSettingsSettingsSettingsEach parameter is set by means of a code. This code comprises a combination of keys starting with the ALALALALALTTTTT keyfollowed by two or three numbers. The setting is confirmed with the STOPSTOPSTOPSTOPSTOP key. As soon as the ALALALALALTTTTT key is pressed,the keyboard is dedicated to the programming function.Note: The Alternative (ALT) function is only active for 4 seconds. If a programming key isnot pressed within 4 seconds, the unit reverts to standard mode. The ALT key mustagain be pressed to activate the programming mode.The setting is remembered and the keyboard released for other functions when the STOPSTOPSTOPSTOPSTOP key is pressed. Once asetting has been confirmed, it is stored in the memory even when the unit is switched off.ExampleIf you want to set the language on your ECG unit to English, the key sequence given in the table (see page 18),isALALALALALT - 0 - 2 - 2 - STOPT - 0 - 2 - 2 - STOPT - 0 - 2 - 2 - STOPT - 0 - 2 - 2 - STOPT - 0 - 2 - 2 - STOP.....On the following pages the programmable parameters and the programming sequences are described in detail.SettingsSettingsSettingsSettingsSettingsEach parameter is set by means of a code. This code comprises a combination of keys starting with the ALALALALALTTTTT keyfollowed by two or three numbers. The setting is confirmed with the STOPSTOPSTOPSTOPSTOP key. As soon as the ALALALALALTTTTT key is pressed,the keyboard is dedicated to the programming function.Note: The Alternative (ALT) function is only active for 4 seconds. If a programming key isnot pressed within 4 seconds, the unit reverts to standard mode. The ALT key mustagain be pressed to activate the programming mode.The setting is remembered and the keyboard released for other functions when the STOPSTOPSTOPSTOPSTOP key is pressed. Once asetting has been confirmed, it is stored in the memory even when the unit is switched off.ExampleIf you want to set the language on your ECG unit to English, the key sequence given in the table (see page 18),isALALALALALT - 0 - 2 - 2 - STOPT - 0 - 2 - 2 - STOPT - 0 - 2 - 2 - STOPT - 0 - 2 - 2 - STOPT - 0 - 2 - 2 - STOP.....On the following pages the programmable parameters and the programming sequences are described in detail.
  27. 27. 15AT-1 User Guide Art. No. 2.510171 g15AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHSettings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)The defined formats and settings for your unit can be checked as follows:ALALALALALT - 0 - 1 - any numberT - 0 - 1 - any numberT - 0 - 1 - any numberT - 0 - 1 - any numberT - 0 - 1 - any numberA printout of the defined settings will be produced and gives the following information,depending on the installed software.Unit designationUnit designationUnit designationUnit designationUnit designation Software version, Software option installed (C = Interpretation)and interpretation versionSerial numberSerial numberSerial numberSerial numberSerial number Serial number of the unitSettings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)The defined formats and settings for your unit can be checked as follows:ALALALALALT - 0 - 1 - any numberT - 0 - 1 - any numberT - 0 - 1 - any numberT - 0 - 1 - any numberT - 0 - 1 - any numberA printout of the defined settings will be produced and gives the following information,depending on the installed software.Unit designationUnit designationUnit designationUnit designationUnit designation Software version, Software option installed (C = Interpretation)and interpretation versionSerial numberSerial numberSerial numberSerial numberSerial number Serial number of the unit
  28. 28. 1616Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)LeadsLeadsLeadsLeadsLeads Standard (S) or Cabrera (C)ECG FormatECG FormatECG FormatECG FormatECG Format Long (ooo), Short (o) or Suppressed (-)M ECGM ECGM ECGM ECGM ECG Average cycles as defined in auto ECG recording setup (e.g. 4 *3 (25 mm/s) + 2)MeasurementsMeasurementsMeasurementsMeasurementsMeasurements Enabled (+) or Suppressed (-)MarksMarksMarksMarksMarks Enabled (+) or Suppressed (-)Interpretationnterpretationnterpretationnterpretationnterpretation Enabled (+) or Suppressed (-)Selected Rhythm leadsSelected Rhythm leadsSelected Rhythm leadsSelected Rhythm leadsSelected Rhythm leads Leads selected for R1 and R2Automatic CenteringAutomatic CenteringAutomatic CenteringAutomatic CenteringAutomatic Centering Enabled (+) or Suppressed (-)Paper typePaper typePaper typePaper typePaper type Z-foldedPrintout of signalsPrintout of signalsPrintout of signalsPrintout of signalsPrintout of signals Sequential or SimultaneousBaseline FilterBaseline FilterBaseline FilterBaseline FilterBaseline Filter 0.05, 0.15 or 0.30 HzMains FilterMains FilterMains FilterMains FilterMains Filter 50, 60 Hz or OFF (-)Myogram FilterMyogram FilterMyogram FilterMyogram FilterMyogram Filter 25 or 35 Hz, ON (+) or OFF (-)Interpretation settings:Interpretation settings:Interpretation settings:Interpretation settings:Interpretation settings: N/A:+/- ‘normal/abnormal’ is written (+) or suppressed (-)U:+/- ‘unconfirmed report’ is written (+) or suppressed (-)A30:+/- patient age is assumed to be < 30 (-) or >30 (+)S: +/- low (-) or high (+) sensitivitySettings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)LeadsLeadsLeadsLeadsLeads Standard (S) or Cabrera (C)ECG FormatECG FormatECG FormatECG FormatECG Format Long (ooo), Short (o) or Suppressed (-)M ECGM ECGM ECGM ECGM ECG Average cycles as defined in auto ECG recording setup (e.g. 4 *3 (25 mm/s) + 2)MeasurementsMeasurementsMeasurementsMeasurementsMeasurements Enabled (+) or Suppressed (-)MarksMarksMarksMarksMarks Enabled (+) or Suppressed (-)Interpretationnterpretationnterpretationnterpretationnterpretation Enabled (+) or Suppressed (-)Selected Rhythm leadsSelected Rhythm leadsSelected Rhythm leadsSelected Rhythm leadsSelected Rhythm leads Leads selected for R1 and R2Automatic CenteringAutomatic CenteringAutomatic CenteringAutomatic CenteringAutomatic Centering Enabled (+) or Suppressed (-)Paper typePaper typePaper typePaper typePaper type Z-foldedPrintout of signalsPrintout of signalsPrintout of signalsPrintout of signalsPrintout of signals Sequential or SimultaneousBaseline FilterBaseline FilterBaseline FilterBaseline FilterBaseline Filter 0.05, 0.15 or 0.30 HzMains FilterMains FilterMains FilterMains FilterMains Filter 50, 60 Hz or OFF (-)Myogram FilterMyogram FilterMyogram FilterMyogram FilterMyogram Filter 25 or 35 Hz, ON (+) or OFF (-)Interpretation settings:Interpretation settings:Interpretation settings:Interpretation settings:Interpretation settings: N/A:+/- ‘normal/abnormal’ is written (+) or suppressed (-)U:+/- ‘unconfirmed report’ is written (+) or suppressed (-)A30:+/- patient age is assumed to be < 30 (-) or >30 (+)S: +/- low (-) or high (+) sensitivity
  29. 29. 17AT-1 User Guide Art. No. 2.510171 g17AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHSettings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Default SettingsTo reset the unit to the basic defaultsettings, proceed as follows:ALALALALALT - 0 - 6 - 6T - 0 - 6 - 6T - 0 - 6 - 6T - 0 - 6 - 6T - 0 - 6 - 6SETTINGS S = STANDARD M = MEASUREMENTSC = WITHINTERPRETATIONLANGUAGE AS SET AS SET AS SETLEADS STANDARD (S) STANDARD (S) STANDARD (S)AUTO FORMAT 1ECG: 25MM/S, SHORT (O)ECG : 25MM/S, SHORT (O) ECG : 25MM/S, SHORT (O)M ECG :6*2 (50MM/S + 1) M ECG: 6*2 (50MM/S + 1)PATIENT DATA FORMENABLED +MEASUREMENTS:SUPRESSED (-)MEASUREMENTS:SUPRESSED (-)MARKS: ENABLED (+) MARKS: ENABLED (+)INTERPRETATION:ENABLED (+)AUTO FORMAT 2ECG: 25MM/S, LONG (OOO)ECG : 25MM/S, LONG(OOO)ECG : 25MM/S, LONG(OOO)M ECG: -- M ECG: NONEPATIENT DATA FORMENABLED +MEASUREMENTS:SUPRESSED (-)MEASUREMENTS:SUPRESSED (-)MARKS: ENABLED (+) MARKS: ENABLED (+)INTERPRETATION:DISABLED (-)RHYTHM LEADS V1, II V1, IIAUTOM.CENTERINGENABLED (+) ENABLED (+) ENABLED (+)PAPER Z - FOLD Z - FOLD Z - FOLDPRINTOUT OFSIGNALSSEQUENTIAL SEQUENTIAL SEQUENTIALBASELINE FILTERSETTING0.05HZ 0.05HZ 0.05HZMAINS FILTERSETTINGS50HZ (60HZ) 50HZ (60HZ) 50HZ (60HZ)MYOGRAMFILTER SETTING35HZ, OFF (-) 35HZ, OFF (-) 35HZ, OFF (-)INTERPRETATIONSETTINGSN/A: SUPRESSED (-)U: ENABLED (+)A30: UNDER THIRTY (-)S: LOW (-)EXTERNALPRINTERECG: 25MM/S, SHORT (O)ECG : 25MM/S, SHORT (O) ECG : 25MM/S, SHORT (O)M ECG: 6*2 (50MM/S) + 2 M ECG: 6*2 (50MM/S) + 2PATIENT DATA FORMENABLED +MEASUREMENTS:SUPRESSED (-)MEASUREMENTS:SUPRESSED (-)MARKS: ENABLED (+) MARKS: ENABLED (+)INTERPRETATION:ENABLED (+)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Default SettingsTo reset the unit to the basic defaultsettings, proceed as follows:ALALALALALT - 0 - 6 - 6T - 0 - 6 - 6T - 0 - 6 - 6T - 0 - 6 - 6T - 0 - 6 - 6SETTINGS S = STANDARD M = MEASUREMENTSC = WITHINTERPRETATIONLANGUAGE AS SET AS SET AS SETLEADS STANDARD (S) STANDARD (S) STANDARD (S)AUTO FORMAT 1ECG: 25MM/S, SHORT (O)ECG : 25MM/S, SHORT (O) ECG : 25MM/S, SHORT (O)M ECG :6*2 (50MM/S + 1) M ECG: 6*2 (50MM/S + 1)PATIENT DATA FORMENABLED +MEASUREMENTS:SUPRESSED (-)MEASUREMENTS:SUPRESSED (-)MARKS: ENABLED (+) MARKS: ENABLED (+)INTERPRETATION:ENABLED (+)AUTO FORMAT 2ECG: 25MM/S, LONG (OOO)ECG : 25MM/S, LONG(OOO)ECG : 25MM/S, LONG(OOO)M ECG: -- M ECG: NONEPATIENT DATA FORMENABLED +MEASUREMENTS:SUPRESSED (-)MEASUREMENTS:SUPRESSED (-)MARKS: ENABLED (+) MARKS: ENABLED (+)INTERPRETATION:DISABLED (-)RHYTHM LEADS V1, II V1, IIAUTOM.CENTERINGENABLED (+) ENABLED (+) ENABLED (+)PAPER Z - FOLD Z - FOLD Z - FOLDPRINTOUT OFSIGNALSSEQUENTIAL SEQUENTIAL SEQUENTIALBASELINE FILTERSETTING0.05HZ 0.05HZ 0.05HZMAINS FILTERSETTINGS50HZ (60HZ) 50HZ (60HZ) 50HZ (60HZ)MYOGRAMFILTER SETTING35HZ, OFF (-) 35HZ, OFF (-) 35HZ, OFF (-)INTERPRETATIONSETTINGSN/A: SUPRESSED (-)U: ENABLED (+)A30: UNDER THIRTY (-)S: LOW (-)EXTERNALPRINTERECG: 25MM/S, SHORT (O)ECG : 25MM/S, SHORT (O) ECG : 25MM/S, SHORT (O)M ECG: 6*2 (50MM/S) + 2 M ECG: 6*2 (50MM/S) + 2PATIENT DATA FORMENABLED +MEASUREMENTS:SUPRESSED (-)MEASUREMENTS:SUPRESSED (-)MARKS: ENABLED (+) MARKS: ENABLED (+)INTERPRETATION:ENABLED (+)
  30. 30. 1818Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)LanguageThe language is selected as follows:Language Selection AT-1Entry Key Sequence Language ConfirmALT 0 21 GermanPressSTOP key2 English3 French4 Swedish5 American6 Italian7 Spanish8 Portugese9 Dutch0 RussianLanguage Selection AT-1 smartprintEntry Key Sequence Language ConfirmALT 0 21 GermanPressSTOP key2 English3 French4 Swedish5 American6 Italian7 Spanish8 Portugese9 DutchConfirm the selection by pressingNote: The difference between English and American is the mains filter setting - English =50Hz; American = 60Hz and the physical units.Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)LanguageThe language is selected as follows:Language Selection AT-1Entry Key Sequence Language ConfirmALT 0 21 GermanPressSTOP key2 English3 French4 Swedish5 American6 Italian7 Spanish8 Portugese9 Dutch0 RussianLanguage Selection AT-1 smartprintEntry Key Sequence Language ConfirmALT 0 21 GermanPressSTOP key2 English3 French4 Swedish5 American6 Italian7 Spanish8 Portugese9 DutchConfirm the selection by pressingNote: The difference between English and American is the mains filter setting - English =50Hz; American = 60Hz and the physical units.
  31. 31. 19AT-1 User Guide Art. No. 2.510171 g19AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHSettings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)FiltersThere are three different filters which can be set individually as follows:• Baseline filter• Mains filter• Myogram filterBaseline FilterThe digital Baseline filterBaseline filterBaseline filterBaseline filterBaseline filter suppresses excessive baseline drifts. The setting options are asfollows:Baseline FilterEntry Key Sequence Filter Setting ConfirmALT 50 0.05 Hz (default)Press STOPkey1 0.15 Hz3 0.30 HzSettings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)FiltersThere are three different filters which can be set individually as follows:• Baseline filter• Mains filter• Myogram filterBaseline FilterThe digital Baseline filterBaseline filterBaseline filterBaseline filterBaseline filter suppresses excessive baseline drifts. The setting options are asfollows:Baseline FilterEntry Key Sequence Filter Setting ConfirmALT 50 0.05 Hz (default)Press STOPkey1 0.15 Hz3 0.30 Hz
  32. 32. 2020Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Confirm the selection by pressingNote: 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, asthe possibility exists that they could affect the original ECG signal, especially theST segments.Mains FilterThe Mains filterMains filterMains filterMains filterMains filter is an adaptive digital interference filter designed to suppress AC interferencewithout attenuating or distorting the ECG.Set the mains filter in accordance with the frequency of your local mains supply as follows:Mains FilterEntry KeySequenceFilter Setting ConfirmALT 85 Mains Filter 50 HzPress STOPkey6 Mains Filter 60 Hz9 Mains Filter OffSettings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Confirm the selection by pressingNote: The set value is the lower limit of the frequency range and is normally set to 0.05Hz. 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, especiallythe ST segments.Mains FilterThe Mains filterMains filterMains filterMains filterMains filter is an adaptive digital interference filter designed to suppress AC interferencewithout attenuating or distorting the ECG.Set the mains filter in accordance with the frequency of your local mains supply as follows:Mains FilterEntry KeySequenceFilter Setting ConfirmALT 85 Mains Filter 50 HzPress STOPkey6 Mains Filter 60 Hz9 Mains Filter Off
  33. 33. 21AT-1 User Guide Art. No. 2.510171 g21AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHSettings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Myogram FilterThe Myogram filterMyogram filterMyogram filterMyogram filterMyogram filter suppresses disturbances caused by strong muscle tremor. The set value will be the newupper limit of the frequency range as soon as the FILFILFILFILFILTERTERTERTERTER key is pressed on or programmed as default when theunit is switched on. When the Myogram filter is on, the value, i.e. 35 Hz is displayed on the bottom line of theprintout.Myogram FilterEntry Key Sequence Setting ConfirmALT 82 Myogram Filter 25 HzPress STOPkey3 Myogram Filter 35 Hz1Myogram Filter active when the unit is firstswitched on (marked on printout with +)8Myogram Filter off when the unit is firstswitched on (marked on printout with -)Confirm the selection by pressingthe STOPSTOPSTOPSTOPSTOP keyThe myogram filter is switched on and off manuallywith the FILFILFILFILFILTER KEYTER KEYTER KEYTER KEYTER KEYNote: An ECG recorded in auto mode is storedunfiltered. It is therefore possible to print thestored ECG either with or without passing themyogram filter. Filter ON is indicated in thebottom information line of the printout. Whenthe FILTERFILTERFILTERFILTERFILTER key is pressed again, the filter isswitched off and the `35 Hz` indication on thebottom information line of the printout isremoved. The cutoff frequency of the myogramfilter is set to either 25 or 35 Hz.Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Myogram FilterThe Myogram filterMyogram filterMyogram filterMyogram filterMyogram filter suppresses disturbances caused by strong muscle tremor. The set value will be the newupper limit of the frequency range as soon as the FILFILFILFILFILTERTERTERTERTER key is pressed on or programmed as default when theunit is switched on. When the Myogram filter is on, the value, i.e. 35 Hz is displayed on the bottom line of theprintout.Myogram FilterEntry Key Sequence Setting ConfirmALT 82 Myogram Filter 25 HzPress STOPkey3 Myogram Filter 35 Hz1Myogram Filter active when the unit is firstswitched on (marked on printout with +)8Myogram Filter off when the unit is firstswitched on (marked on printout with -)Confirm the selection by pressingthe STOPSTOPSTOPSTOPSTOP keyThe myogram filter is switched on and off manuallywith the FILFILFILFILFILTER KEYTER KEYTER KEYTER KEYTER KEYNote: An ECG recorded in auto mode is storedunfiltered. It is therefore possible to print thestored ECG either with or without passing themyogram filter. Filter ON is indicated in thebottom information line of the printout. Whenthe FILTERFILTERFILTERFILTERFILTER key is pressed again, the filter isswitched off and the `35 Hz` indication on thebottom information line of the printout isremoved. The cutoff frequency of the myogramfilter is set to either 25 or 35 Hz.
  34. 34. 2222Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Defining Lead Sequence & PrintoutThe required settings can be selected as follows:Sequences, Print & Auto-centeringEntry Key Sequence Definition ConfirmALT 71 Standard Lead SequencePress STOPkey2 Cabrera Lead Sequence3 Simultaneous Print4 Sequential Print5 Auto-centering ON6 Auto-centering OFF7 Z-fold paperConfirm the selection by pressing the STOP keySettings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Defining Lead Sequence & PrintoutThe required settings can be selected as follows:Sequences, Print & Auto-centeringEntry Key Sequence Definition ConfirmALT 71 Standard Lead SequencePress STOPkey2 Cabrera Lead Sequence3 Simultaneous Print4 Sequential Print5 Auto-centering ON6 Auto-centering OFF7 Z-fold paperConfirm the selection by pressing the STOP key
  35. 35. 23AT-1 User Guide Art. No. 2.510171 g23AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHSettings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)The selectable printout forms are:SimultaneousSimultaneousSimultaneousSimultaneousSimultaneous All ECG leads are printed in the same time segment (in automaticmode only).SequentialSequentialSequentialSequentialSequential Each group is a contiguous time segment of approximately 2.5 or5 seconds (in automatic mode only).Auto-Centering ONAuto-Centering ONAuto-Centering ONAuto-Centering ONAuto-Centering ON All ECG traces are centred dynamically for optimal use of paperwidth.Auto-Centering OFFAuto-Centering OFFAuto-Centering OFFAuto-Centering OFFAuto-Centering OFF ECG traces are set to a fixed baseline position and may possiblyoverlap.The Standard and Cabrera lead groups available for the AT-1 / AT-1smartprint are:Lead GroupsStandard CabreraI aVR V1 V4 aVL II V1 V4II aVL V2 V5 I aVF V2 V5III aVF V3 V6 -aVR III V3 V6Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)The selectable printout forms are:SimultaneousSimultaneousSimultaneousSimultaneousSimultaneous All ECG leads are printed in the same time segment (in automaticmode only).SequentialSequentialSequentialSequentialSequential Each group is a contiguous time segment of approximately 2.5 or5 seconds (in automatic mode only).Auto-Centering ONAuto-Centering ONAuto-Centering ONAuto-Centering ONAuto-Centering ON All ECG traces are centred dynamically for optimal use of paperwidth.Auto-Centering OFFAuto-Centering OFFAuto-Centering OFFAuto-Centering OFFAuto-Centering OFF ECG traces are set to a fixed baseline position and may possiblyoverlap.The Standard and Cabrera lead groups available for the AT-1 / AT-1smartprint are:Lead GroupsStandard CabreraI aVR V1 V4 aVL II V1 V4II aVL V2 V5 I aVF V2 V5III aVF V3 V6 -aVR III V3 V6
  36. 36. 2424Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Acoustic QRS IndicationThe acoustic QRS beep can be switched on or off at any time by pressing the QRS BEEP key.Time / DateThe required settings can be selected as follows:Setting the Time and DateKey Sequence Enter Data ConfirmationTime ALT 0 5 1 HHMMSS beepDate ALT 0 5 2 DDMMYY beepSeasonal Time VariationTime change Key SequenceWintertime toSummertime (+1Hr)ALT 0 5 4Summertime toWintertime (-1Hr)ALT 0 5 5Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Acoustic QRS IndicationThe acoustic QRS beep can be switched on or off at any time by pressing the QRS BEEP key.Time / DateThe required settings can be selected as follows:Setting the Time and DateKey Sequence Enter Data ConfirmationTime ALT 0 5 1 HHMMSS beepDate ALT 0 5 2 DDMMYY beepSeasonal Time VariationTime change Key SequenceWintertime toSummertime (+1Hr)ALT 0 5 4Summertime toWintertime (-1Hr)ALT 0 5 5
  37. 37. 25AT-1 User Guide Art. No. 2.510171 g25AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHSettings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Note: If the battery has been disconnected for more than half an hour, the clock oscillatormust be restarted before setting the time. To do this the following key sequencemust be pressed:ALALALALALT - 0 - 5 - 9T - 0 - 5 - 9T - 0 - 5 - 9T - 0 - 5 - 9T - 0 - 5 - 9This will start the oscillator and the time can be set.Note: The time and date only appear on the AUTO printout from the external printer.Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Settings (cont.)Note: If the battery has been disconnected for more than half an hour, the clock oscillatormust be restarted before setting the time. To do this the following key sequencemust be pressed:ALALALALALT - 0 - 5 - 9T - 0 - 5 - 9T - 0 - 5 - 9T - 0 - 5 - 9T - 0 - 5 - 9This will start the oscillator and the time can be set.Note: The time and date only appear on the AUTO printout from the external printer.
  38. 38. 2626Automatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterTwo separate Auto formats can be defined for the internal printer in the AT-1/AT-1smartprint.When defining auto format 1 the key sequenceALALALALALT - 1T - 1T - 1T - 1T - 1precedes the setting. When defining auto format 2 the key sequenceALALALALALT - 2T - 2T - 2T - 2T - 2precedes the setting.The automatic mode formats are detailed on the following pages. The ECG format is set asfollows:ECG Format Internal PrinterEntry Key Sequence Printout ConfirmALT 1 or 2 15 No leads printedPress STOP key6 Leads are printed in short form (3 sheets)7 Leads are printed in long form (6 sheets)8 Chart Speed 25mm/s9 Chart Speed 50mm/sAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterTwo separate Auto formats can be defined for the internal printer in the AT-1/AT-1smartprint.When defining auto format 1 the key sequenceALALALALALT - 1T - 1T - 1T - 1T - 1precedes the setting. When defining auto format 2 the key sequenceALALALALALT - 2T - 2T - 2T - 2T - 2precedes the setting.The automatic mode formats are detailed on the following pages. The ECG format is set asfollows:ECG Format Internal PrinterEntry Key Sequence Printout ConfirmALT 1 or 2 15 No leads printedPress STOP key6 Leads are printed in short form (3 sheets)7 Leads are printed in long form (6 sheets)8 Chart Speed 25mm/s9 Chart Speed 50mm/s
  39. 39. 27AT-1 User Guide Art. No. 2.510171 g27AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAverage CyclesThe Average cycles are defined as follows:Note: Lead selection for the rhythm lead(s) is defined on page 35Average Cycles (interpretation option only) Internal printerEntry Key Sequence Printout ConfirmALT 1 or 2 25 No average lead cycles are printedPress STOPkey64 x 3 (25 mm/s). The averagecomplexes are printed in 4 groups ofthree leads at a chart speed of 25mm/s74 x 3 (50 mm/s). The averagecomplexes are printed in 4 groups ofthree leads at a chart speed of 50mm/s86 x 2 (50 mm/s) + 1 rhythm lead(25mm/s). The average complexes areprinted in 6 groups of two leads at achart speed of 50mm/s912 x 1 (25 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted out for all 12 leads at a chartspeed of 50mm/sAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAutomatic Mode (ECG) Settings, Internal PrinterAverage CyclesThe Average cycles are defined as follows:Note: Lead selection for the rhythm lead(s) is defined on page 35Average Cycles (interpretation option only) Internal printerEntry Key Sequence Printout ConfirmALT 1 or 2 25 No average lead cycles are printedPress STOPkey64 x 3 (25 mm/s). The averagecomplexes are printed in 4 groups ofthree leads at a chart speed of 25mm/s74 x 3 (50 mm/s). The averagecomplexes are printed in 4 groups ofthree leads at a chart speed of 50mm/s86 x 2 (50 mm/s) + 1 rhythm lead(25mm/s). The average complexes areprinted in 6 groups of two leads at achart speed of 50mm/s912 x 1 (25 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted out for all 12 leads at a chartspeed of 50mm/s
  40. 40. 2828Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Measurements and Markings (M and C versions only)To define the measurements and markings proceed as follows:Measurements (M and C Options Only) Internal printerEntry Key Sequence Printout ConfirmALT 1 or 2 35Detailed table of measurement resultsomitted - however, the values of electricalaxes, intervals, and heart rate are notsuppressed.Press STOPkey6Detailed table of measurement results isprinted7 Reference markings are omitted8Reference markings (beginning and end ofP wave and QRS, and end of T wave)are added to the ECG average cyclesAutomatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Measurements and Markings (M and C versions only)To define the measurements and markings proceed as follows:Measurements (M and C Options Only) Internal printerEntry Key Sequence Printout ConfirmALT 1 or 2 35Detailed table of measurement resultsomitted - however, the values of electricalaxes, intervals, and heart rate are notsuppressed.Press STOPkey6Detailed table of measurement results isprinted7 Reference markings are omitted8Reference markings (beginning and end ofP wave and QRS, and end of T wave)are added to the ECG average cycles
  41. 41. 29AT-1 User Guide Art. No. 2.510171 g29AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHAutomatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Interpretation (C version only)To print or suppress interpretation statements on the printout proceed as follows:Interpretation (Interpretation Option Only) Internal printerEntry Key Sequence Printout ConfirmALT 1 or 2 45 Interpretation is omittedPress STOPkey6 Interpretation is printedConfirm the selection by pressing the STOP keyFull details of the interpretation option are given in the SCHILLER ECG Measurement andInterpretation booklet (art. No. 2.510179).Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Automatic Mode (ECG) Settings, Internal Printer (cont.)Interpretation (C version only)To print or suppress interpretation statements on the printout proceed as follows:Interpretation (Interpretation Option Only) Internal printerEntry Key Sequence Printout ConfirmALT 1 or 2 45 Interpretation is omittedPress STOPkey6 Interpretation is printedConfirm the selection by pressing the STOP keyFull details of the interpretation option are given in the SCHILLER ECG Measurement andInterpretation booklet (art. No. 2.510179).
  42. 42. 3030Automatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterOne Auto format can be defined for the external printer in the AT-1smartprint. When definingthe auto format the key sequenceALALALALALT - 9T - 9T - 9T - 9T - 9precedes the setting.The automatic mode format is detailed on the following pages. The ECG format is set asfollows:ECG Format External printerEntry Key Sequence Printout ConfirmALT 9 11 1 page A4 with 12 leads at 25mm/s (1x12)Press STOP key2One page with the first 8 leads printed for 5s and the last 4leads printed for 10s5 No leads printed6 1 page A4 with 12 leads printed in short form (2x6)7 2 pages A4 each with 6 leads printed in long form (6 + 6)8 Chart Speed 25mm/s9 Chart Speed 50mm/s01 page A4 with 4 groups of 3 leads (4x3) at 25mm/s+ 1 rhythm (25mm/s)Automatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterOne Auto format can be defined for the external printer in the AT-1smartprint. When definingthe auto format the key sequenceALALALALALT - 9T - 9T - 9T - 9T - 9precedes the setting.The automatic mode format is detailed on the following pages. The ECG format is set asfollows:ECG Format External printerEntry Key Sequence Printout ConfirmALT 9 11 1 page A4 with 12 leads at 25mm/s (1x12)Press STOP key2One page with the first 8 leads printed for 5s and the last 4leads printed for 10s5 No leads printed6 1 page A4 with 12 leads printed in short form (2x6)7 2 pages A4 each with 6 leads printed in long form (6 + 6)8 Chart Speed 25mm/s9 Chart Speed 50mm/s01 page A4 with 4 groups of 3 leads (4x3) at 25mm/s+ 1 rhythm (25mm/s)
  43. 43. 31AT-1 User Guide Art. No. 2.510171 g31AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAverage CyclesThe Average cycles are defined as follows:Note: Lead selection for the rhythm lead(s) is defined on page 35Average Cycles (interpretation option only) External printerEntry Key Sequence Printout ConfirmALT 9 25 No average lead cycles are printedPress STOPkey64 x 3 (25 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted in 4 groups of three leads at achart speed of 25mm/s74 x 3 (50 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted in 4 groups of three leads at achart speed of 50mm/s86 x 2 (50 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted in 6 groups of two leads at achart speed of 50mm/s912 x 1 lead (25mm/s) + 2 rhythm leads(25mm/s)Automatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAutomatic Mode (ECG) Settings, External PrinterAverage CyclesThe Average cycles are defined as follows:Note: Lead selection for the rhythm lead(s) is defined on page 35Average Cycles (interpretation option only) External printerEntry Key Sequence Printout ConfirmALT 9 25 No average lead cycles are printedPress STOPkey64 x 3 (25 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted in 4 groups of three leads at achart speed of 25mm/s74 x 3 (50 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted in 4 groups of three leads at achart speed of 50mm/s86 x 2 (50 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted in 6 groups of two leads at achart speed of 50mm/s912 x 1 lead (25mm/s) + 2 rhythm leads(25mm/s)
  44. 44. 3232Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Measurements and Markings (M and C versions only)To define the measurements and markings proceed as follows:Measurements (M and C Options Only) External printerEntry Key Sequence Printout ConfirmALT 9 35Detailed table of measurement resultsomitted - however, the values of electricalaxes, intervals, and heart rate are notsuppressed.Press STOPkey6Detailed table of measurement results isprinted7 Reference markings are omitted8Reference markings (beginning and end ofP wave and QRS, and end of T wave)are added to the ECG average cyclesAutomatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Measurements and Markings (M and C versions only)To define the measurements and markings proceed as follows:Measurements (M and C Options Only) External printerEntry Key Sequence Printout ConfirmALT 9 35Detailed table of measurement resultsomitted - however, the values of electricalaxes, intervals, and heart rate are notsuppressed.Press STOPkey6Detailed table of measurement results isprinted7 Reference markings are omitted8Reference markings (beginning and end ofP wave and QRS, and end of T wave)are added to the ECG average cycles
  45. 45. 33AT-1 User Guide Art. No. 2.510171 g33AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHAutomatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Interpretation (C version only)To print or suppress interpretation statements on the printout proceed as follows:Interpretation (Interpretation Option Only) External printerEntry Key Sequence Printout ConfirmALT 9 45 Interpretation is omittedPress STOPkey6 Interpretation is printedConfirm the selection by pressing the STOP keyFull details of the interpretation option are given in the SCHILLER ECG Measurement andInterpretation booklet (art. No. 2.510179).Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Automatic Mode (ECG) Settings, External Printer (cont.)Interpretation (C version only)To print or suppress interpretation statements on the printout proceed as follows:Interpretation (Interpretation Option Only) External printerEntry Key Sequence Printout ConfirmALT 9 45 Interpretation is omittedPress STOPkey6 Interpretation is printedConfirm the selection by pressing the STOP keyFull details of the interpretation option are given in the SCHILLER ECG Measurement andInterpretation booklet (art. No. 2.510179).
  46. 46. 3434Automatic Mode (ECG) SettingsAutomatic Mode (ECG) SettingsAutomatic Mode (ECG) SettingsAutomatic Mode (ECG) SettingsAutomatic Mode (ECG) SettingsInterpretation Settings (C version only)The interpretation settings enable the user to determine whether or not certain comments willbe added to the interpretation statements on the ECG printout. Furthermore, the patient’s agecan be defined (<30 or >30) and if low or high sensitivity should be applied. Low sensitivity willsuppress certain non-specific and less important ECG diagnosis; this may be advisable whencarrying out ECGs for screening.Interpretation SettingsEntry KeySequenceSetting ConfirmALT 61"Normal" / "Abnormal" is notprintedPress STOPkey2 "Normal" / "Abnormal" is printed3 "Unconfirmed report" is not printed4 "Unconfirmed report" is printed5 Patient age assumed to be < 306 Patient age assumed to be > 307 Low sensitivity8 High sensitivityAutomatic Mode (ECG) SettingsAutomatic Mode (ECG) SettingsAutomatic Mode (ECG) SettingsAutomatic Mode (ECG) SettingsAutomatic Mode (ECG) SettingsInterpretation Settings (C version only)The interpretation settings enable the user to determine whether or not certain comments willbe added to the interpretation statements on the ECG printout. Furthermore, the patient’s agecan be defined (<30 or >30) and if low or high sensitivity should be applied. Low sensitivity willsuppress certain non-specific and less important ECG diagnosis; this may be advisable whencarrying out ECGs for screening.Interpretation SettingsEntry KeySequenceSetting ConfirmALT 61"Normal" / "Abnormal" is notprintedPress STOPkey2 "Normal" / "Abnormal" is printed3 "Unconfirmed report" is not printed4 "Unconfirmed report" is printed5 Patient age assumed to be < 306 Patient age assumed to be > 307 Low sensitivity8 High sensitivity
  47. 47. 35AT-1 User Guide Art. No. 2.510171 g35AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHAutomatic Mode (ECG) Settings (cont.)Automatic Mode (ECG) Settings (cont.)Automatic Mode (ECG) Settings (cont.)Automatic Mode (ECG) Settings (cont.)Automatic Mode (ECG) Settings (cont.)Selecting Rhythm LeadsThe rhythm leads are printed out asdefined. Two separate rhythm leadscan be selected. The followingformats can be set:Rhythm Leads (interpretation option only)Entry KeySequenceSetup FormatALT3 Define rhythm lead one4 Define rhythm lead twoThe 2 rhythm leads are defined asfollows:Extremity LeadsEntry Key Sequence Lead ConfirmALT 3 or 4 81 IPressSTOP key2 II3 III4 aVR5 aVL6 aVFPrecordial LeadsEntry Key Sequence Lead ConfirmALT 3 or 4 91 V1PressSTOP key2 V23 V34 V45 V56 V6Confirm the selection by pressingthe STOP keyExtremity LeadsEntry Key Sequence Lead ConfirmALT 3 or 4 81 IPressSTOP key2 II3 III4 aVR5 aVL6 aVFPrecordial LeadsEntry Key Sequence Lead ConfirmALT 3 or 4 91 V1PressSTOP key2 V23 V34 V45 V56 V6Confirm the selection by pressingthe STOP keyAutomatic Mode (ECG) Settings (cont.)Automatic Mode (ECG) Settings (cont.)Automatic Mode (ECG) Settings (cont.)Automatic Mode (ECG) Settings (cont.)Automatic Mode (ECG) Settings (cont.)Selecting Rhythm LeadsThe rhythm leads are printed out asdefined. Two separate rhythm leadscan be selected. The followingformats can be set:Rhythm Leads (interpretation option only)Entry KeySequenceSetup FormatALT3 Define rhythm lead one4 Define rhythm lead twoThe 2 rhythm leads are defined asfollows:
  48. 48. 3636Service PrintoutService PrintoutService PrintoutService PrintoutService PrintoutThe service printout provides information about the patient cable and electrodes and givesthe values of certain reference voltages and important internal offset values. These values arefor information only. To obtain the service printout pressALALALALALT - 0 - 3 - 3T - 0 - 3 - 3T - 0 - 3 - 3T - 0 - 3 - 3T - 0 - 3 - 3ECG Reference Voltage This provides measurements and setting facilities for the referencevoltage used for accurate measurement of ECG signalsService PrintoutService PrintoutService PrintoutService PrintoutService PrintoutThe service printout provides information about the patient cable and electrodes and givesthe values of certain reference voltages and important internal offset values. These values arefor information only. To obtain the service printout pressALALALALALT - 0 - 3 - 3T - 0 - 3 - 3T - 0 - 3 - 3T - 0 - 3 - 3T - 0 - 3 - 3ECG Reference Voltage This provides measurements and setting facilities for the referencevoltage used for accurate measurement of ECG signals
  49. 49. 37AT-1 User Guide Art. No. 2.510171 g37AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHService PrintoutService PrintoutService PrintoutService PrintoutService Printout• Uref + This gives the value of the reference voltage used in the multiplexer circuit on the ECGAmplifier. The value of the reference voltage is 2000 mV ±20 mV.• Uref - This is a negative reference voltage used on the ECG Amplifier board. The value of thisvoltage should be -2000 mV ±20 mV.• Udif This is the sum of the two reference values above (Uref+and Uref-). This value must be4000 mV ± 20 mV.• Uoff This is the value of the offset voltage on the multiplexer circuit. This value should bebetween + 150 mV and - 150 mV.• Calib This value is the Udif value divided by 4. The nominal value is 1000 ±5 mV.Electrode dc offset This gives the voltage drop in the patient cable and can indicate any faults in thepatient cable or patient electrode. The value given is the dc voltage between the leftleg electrode and all other electrodes. The measurements obtained will indicate anycable short circuits or open circuits. The measured voltage value will depend on wherethe electrodes are connected. The voltage readings that can be expected are asfollows:• With patient connected: ± 100mV• With patient simulator connected: ± 20 mV. This will depend on the patient simulatorused and must be taken as a flexible measurement.• With all electrodes shorted together: ± 20 mV• No patient cable connected: -350 to -450mVTPH TEMP This is the measured ambient temperature that the processor uses to correct print quality.This reading should be ambient temperature ± 5o.EPROM This is the checksum for the EPROM. Its value varies from one software version to another.Service PrintoutService PrintoutService PrintoutService PrintoutService Printout• Uref + This gives the value of the reference voltage used in the multiplexer circuit on the ECGAmplifier. The value of the reference voltage is 2000 mV ±20 mV.• Uref - This is a negative reference voltage used on the ECG Amplifier board. The value of thisvoltage should be -2000 mV ±20 mV.• Udif This is the sum of the two reference values above (Uref+and Uref-). This value must be4000 mV ± 20 mV.• Uoff This is the value of the offset voltage on the multiplexer circuit. This value should bebetween + 150 mV and - 150 mV.• Calib This value is the Udif value divided by 4. The nominal value is 1000 ±5 mV.Electrode dc offset This gives the voltage drop in the patient cable and can indicate any faults in thepatient cable or patient electrode. The value given is the dc voltage between the leftleg electrode and all other electrodes. The measurements obtained will indicate anycable short circuits or open circuits. The measured voltage value will depend on wherethe electrodes are connected. The voltage readings that can be expected are asfollows:• With patient connected: ± 100mV• With patient simulator connected: ± 20 mV. This will depend on the patient simulatorused and must be taken as a flexible measurement.• With all electrodes shorted together: ± 20 mV• No patient cable connected: -350 to -450mVTPH TEMP This is the measured ambient temperature that the processor uses to correct print quality.This reading should be ambient temperature ± 5o.EPROM This is the checksum for the EPROM. Its value varies from one software version to another.
  50. 50. 3838Installing Software OptionsInstalling Software OptionsInstalling Software OptionsInstalling Software OptionsInstalling Software OptionsTo upgrade the ECG unit, for example from standard to M version, type the following:ALALALALALT - 0 - 4 -T - 0 - 4 -T - 0 - 4 -T - 0 - 4 -T - 0 - 4 - followed by the upgrade code (obtainable from SCHILLER).Acceptance of the code is indicated by a series of beeps.CAUTIONCAUTIONCAUTIONCAUTIONCAUTIONMORE THAN 10 UNSUCCESSFUL ATTEMPTS TO ENTER THE CODE BLOCKS THE UNIT.Installing Software OptionsInstalling Software OptionsInstalling Software OptionsInstalling Software OptionsInstalling Software OptionsTo upgrade the ECG unit, for example from standard to M version, type the following:ALALALALALT - 0 - 4 -T - 0 - 4 -T - 0 - 4 -T - 0 - 4 -T - 0 - 4 - followed by the upgrade code (obtainable from SCHILLER).Acceptance of the code is indicated by a series of beeps.CAUTIONCAUTIONCAUTIONCAUTIONCAUTIONMORE THAN 10 UNSUCCESSFUL ATTEMPTS TO ENTER THE CODE BLOCKS THE UNIT.
  51. 51. 39AT-1 User Guide Art. No. 2.510171 g39AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHPPPPPatient Cable Connectionsatient Cable Connectionsatient Cable Connectionsatient Cable Connectionsatient Cable Connections1. Ensure that the patient is warm and relaxed.2. Shave electrode area before cleaning.3. Thoroughly clean the area with alcohol.4. Place the C4 electrode first - in the fifth intercostalspace on midclavicular line. Then place:• C1 in fourth intercostal space at the right sternalborder• C2 in fourth intercostal space at the left sternalborder• C3 between, and equidistant to, C4 and C2• C6 on left midaxillary line on the same level as C4• C5 between, and equidistant to, C4 and C6The electrode placements shown on the following page arelabelled with the colours according to IEC requirements. Theequivalent AHA colours are given on the following table.The accessory kit of the electrocardiographincludes a 10-lead patient cable. This cable isplugged into the patient cable socket on theright-hand side of the unit and secured withthe two screws.The ECG unit is CF rated. The patientconnection is fully isolated and defibrillationprotected. Protection against defibrillationvoltage is however only ensured, if the originalSCHILLER patient cable (Part-no. 2.400070 / USA:2.400071) is used. Make sure that during ECGrecording neither the patient nor theconducting parts of the patient connection orthe electrodes (including the neutralelectrode) come into contact with otherpersons or conducting objects (even if theseare earthed).The quality of the ECG is dependent on thepreparation and the resistance between theskin and the electrode. To ensure a goodquality ECG and minimise the skin/electroderesistance, remember the following points:PPPPPatient Cable Connectionsatient Cable Connectionsatient Cable Connectionsatient Cable Connectionsatient Cable ConnectionsThe accessory kit of the electrocardiographincludes a 10-lead patient cable. This cable isplugged into the patient cable socket on theright-hand side of the unit and secured withthe two screws.The ECG unit is CF rated. The patientconnection is fully isolated and defibrillationprotected. Protection against defibrillationvoltage is however only ensured, if the originalSCHILLER patient cable (Part-no. 2.400070 / USA:2.400071) is used. Make sure that during ECGrecording neither the patient nor theconducting parts of the patient connection orthe electrodes (including the neutralelectrode) come into contact with otherpersons or conducting objects (even if theseare earthed).The quality of the ECG is dependent on thepreparation and the resistance between theskin and the electrode. To ensure a goodquality ECG and minimise the skin/electroderesistance, remember the following points:1. Ensure that the patient is warm and relaxed.2. Shave electrode area before cleaning.3. Thoroughly clean the area with alcohol.4. Place the C4 electrode first - in the fifth intercostalspace on midclavicular line. Then place:• C1 in fourth intercostal space at the right sternalborder• C2 in fourth intercostal space at the left sternalborder• C3 between, and equidistant to, C4 and C2• C6 on left midaxillary line on the same level as C4• C5 between, and equidistant to, C4 and C6The electrode placements shown on the following page arelabelled with the colours according to IEC requirements. Theequivalent AHA colours are given on the following table.
  52. 52. 4040PPPPPatient Cable Connectionsatient Cable Connectionsatient Cable Connectionsatient Cable Connectionsatient Cable ConnectionsIECIECIECIECIEC AHAAHAAHAAHAAHAN Black RL GreenR Red RA WhiteC1 White/Red V1 Brown/RedC2 White/Yellow V2 Brown/YellowC3 White/Green V3 Brown/GreenC4 White/Brown V4 Brown/BlueC5 White/Black V5 Brown/OrangeC6 White/Violet V6 Brown/VioletL Yellow LA BlackF Green LL RedStandard LStandard LStandard LStandard LStandard LeadseadseadseadseadsPPPPPatient Cable Connectionsatient Cable Connectionsatient Cable Connectionsatient Cable Connectionsatient Cable ConnectionsIECIECIECIECIEC AHAAHAAHAAHAAHAN Black RL GreenR Red RA WhiteC1 White/Red V1 Brown/RedC2 White/Yellow V2 Brown/YellowC3 White/Green V3 Brown/GreenC4 White/Brown V4 Brown/BlueC5 White/Black V5 Brown/OrangeC6 White/Violet V6 Brown/VioletL Yellow LA BlackF Green LL RedStandard LStandard LStandard LStandard LStandard Leadseadseadseadseads
  53. 53. 41AT-1 User Guide Art. No. 2.510171 g41AT-1 User Guide Art. No. 2.510171 gENGLISHENGLISHSettings in Automatic ModeSettings in Automatic ModeSettings in Automatic ModeSettings in Automatic ModeSettings in Automatic ModePatient Data FieldA patient data field can be included on the auto mode printout for manual insertion of name and age etc.Auto Format 1 ALALALALALT - 1 - 4T - 1 - 4T - 1 - 4T - 1 - 4T - 1 - 4 .Auto Format 2 ALALALALALT - 2 - 4T - 2 - 4T - 2 - 4T - 2 - 4T - 2 - 4 .thenkey `55555`Patient data field omitted.`66666` Patient datafield printed.Confirm the selection by pressing the STOPSTOPSTOPSTOPSTOP key .Settings in Automatic ModeSettings in Automatic ModeSettings in Automatic ModeSettings in Automatic ModeSettings in Automatic ModePatient Data FieldA patient data field can be included on the auto mode printout for manual insertion of name and age etc.Auto Format 1 ALALALALALT - 1 - 4T - 1 - 4T - 1 - 4T - 1 - 4T - 1 - 4 .Auto Format 2 ALALALALALT - 2 - 4T - 2 - 4T - 2 - 4T - 2 - 4T - 2 - 4 .thenkey `55555` Patient data field omitted.`66666` Patient data field printed.Confirm the selection by pressing the STOPSTOPSTOPSTOPSTOP key .
  54. 54. 4242MeasurementsMeasurementsMeasurementsMeasurementsMeasurementsNote: This section gives the measurements that are calculated by the ECG unit software.Heart Rate (HR)Average heart rate (HRHRHRHRHR) calculated on the basis of the entire 10 second recording and shown as the number ofbeats per minute.IntervalsParameterParameterParameterParameterParameter DescriptionDescriptionDescriptionDescriptionDescriptionRR Average time interval between two consecutive QRS complexes.P Duration of the P wave (of averaged ECG complexes)PQ P-Q interval: the period of time between the beginning of the P wave and thebeginning of the QRS complex (of averaged ECG complexes)QRS The duration of the QRS complex from the beginning of the Q wave to the end ofthe S wave (of averaged ECG complexes)QT Interval between the beginning of the QRS (beginning of ventricular depolarisation)and the end of the T wave (end of repolarisation phase) (of averaged ECGcomplexes)QTC Normalised QT interval. As the QT interval is dependent on the heart rate, it isoften converted to the normalised QTC interval i.e. the QT the patient wouldshow at a heart rate of 60 / min. Usually, the QTC amounts to 390 + 40 ms.The conversion is according to Bazetts` formula : QTC = QT x1000RRMeasurementsMeasurementsMeasurementsMeasurementsMeasurementsNote: This section gives the measurements that are calculated by the AT-1/AT-1smartprint software.Heart Rate (HR)Average heart rate (HRHRHRHRHR) calculated on the basis of the entire 10 second recording and shown as the number ofbeats per minute.IntervalsParameterParameterParameterParameterParameter DescriptionDescriptionDescriptionDescriptionDescriptionRR Average time interval between two consecutive QRS complexes.P Duration of the P wave (of averaged ECG complexes)PQ P-Q interval: the period of time between the beginning of the P wave and thebeginning of the QRS complex (of averaged ECG complexes)QRS The duration of the QRS complex from the beginning of the Q wave to the end ofthe S wave (of averaged ECG complexes)QT Interval between the beginning of the QRS (beginning of ventricular depolarisation)and the end of the T wave (end of repolarisation phase) (of averaged ECGcomplexes)QTC Normalised QT interval. As the QT interval is dependent on the heart rate, it isoften converted to the normalised QTC interval i.e. the QT the patient wouldshow at a heart rate of 60 / min. Usually, the QTC amounts to 390 + 40 ms.The conversion is according to Bazetts` formula : QTC = QT x1000RR

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