AT-101 Art.-no.: 2.510526 Rev.: c *2.
Sales and Service Information The SCHILLER sales and service centre network is world-wide. For the address of your local distributor, contact your nearest SCHILLER subsidiary. In case of difficulty a complete list of all distributors and subsidiaries is provided on our internet site: http://www.schiller.ch. Sales information can also be obtained from: sales@schiller.ch Address Headquarters SCHILLER AG Altgasse 68 CH-6341 Baar, Switzerland Web: Artikel-Nr.: 2.510526 Rev.: c Issue date: 25.05.
AT-101 User Guide Art.-no.: 2.510526 Rev.: c Contents 1 Safety notes .............................................. 3 1.1 Responsibility of the User .................................................. 3 1.2 Intended Use ........................................................................ 3 1.3 Organisational Measures ..................................................... 3 1.4 Safety-conscious Operation ................................................ 4 1.5 Safety Facilities ................
AT-101 Overview.............................................................................. 25 Page 2 4.4.1 4.4.2 4.4.3 Automatic Mode ............................................................................... 26 Manual Mode ................................................................................... 27 Screen (and Manual Printout) Settings ............................................ 28 4.5 Memory (option).................................................................. 30 4.5.
AT-101 User Guide Safety notes Responsibility of the User 1 1.1 1 Safety notes 1.1 Responsibility of the User V V V V V V V 1.2 Intended Use V V V V V V V Art.-no.: 2.510526 Rev.: c 1.3 This device must only be used by qualified doctors or trained medical personnel. The numerical and graphical results and any interpretation given must be examined with respect to the overall clinical condition of the patient and the general recorded data quality.
1 1.4 Safety notes Safety-conscious Operation 1.4 AT-101 Safety-conscious Operation V Make sure that the staff has read and understood the operating instructions - particularly the "Safety Notes" chapter. V Do not touch the unit casing during defibrillation. V To ensure patient safety, none of the electrodes including the neutral electrode, nor the patient or any person with simultaneous patient contact, must come in contact with conductive parts, even when these are earthed.
AT-101 User Guide 1.6 V V V V V V V V V Operation with other Devices Maintenance Danger of electric shock! Do not open the device. No serviceable parts inside. Refer servicing to qualified technician authorised by SCHILLER only. Before cleaning and to isolate the mains power supply, switch the unit off and disconnect it from the mains by removing the plug. Do not use high temperature sterilisation processes (such as autoclaving). Do not use E-beam or gamma radiation sterilisation.
1 1.8 Safety notes Safety Symbols and Pictograms AT-101 1.8 Safety Symbols and Pictograms 1.8.1 Used symbols in this document The safety level is classified according ANSI Z535.4. The following overview shows the used safety symbols and pictograms used in this manual. For a direct danger which could lead to severe personal injury or to death. For a possibly dangerous situation, which could lead to heavy bodily injury or to death.
AT-101 User Guide 1.8.2 Safety notes Safety Symbols and Pictograms 1 1.8 Used symbols on the device Potential equalization CF symbol. This unit is classified safe for internal and external use. However, It is only defibrillation protected when used with the original SCHILLER patient cable! Inappropriate disposal can lead to environmental pollution. Units/components and accessories no longer required can be returned to SCHILLER AG for disposal.
1 1.9 Safety notes Terms of Warranty AT-101 1.9 Terms of Warranty The SCHILLER AT-101 is warranted against defects in material and manufacture for the duration of one year (as from date of purchase). Excluded from this guarantee is damage caused by an accident or as a result of improper handling. The warranty entitles free replacement of the defective part. Any liability for subsequent damage is excluded. The warranty is void if unauthorized or unqualified persons attempt to make repairs.
AT-101 User Guide Introduction Features 2 2.1 2 Introduction 2.1 Features The SCHILLER AT-101 is a 12-channel ECG unit designed to record, display, and analyse resting ECGs. The unit has been extensively researched to give an ergonomic, clear interface that‘s easy to use without compromising functionality. The AT-101 has the following features: 2.1.1 Standard Features • Alphanumeric keypad and dedicated soft key interface for easy, user friendly operation.
2 2.2 Introduction Operating Philosophy Overview 2.2 AT-101 Operating Philosophy Overview There are broadly four types of data display as follows: Data Acquisition and ECG Recording Screen In this screen the real-time ECG is displayed. From this screen a continuous printout can be initiated and/or an auto recording can be made. In auto mode 10 seconds of ECG data is analysed and averaged and the results given on a printout.
AT-101 Introduction Operating Philosophy Overview User Guide 2.2.2 2 2.2 Main Components of the AT-101 (1) (2) (3) (4) LCD Display Softkey control Keypad and dedicated function keys Printer 1 2 3 4 2.2.3 Back Panel V Art.-no.: 2.510526 Rev.: c (1) (2) (3) (4) (5) (6) (7) All externally connected hardware must be approved by SCHILLER. Connection of any hardware not approved by SCHILLER is at the owner‘s risk. The unit guarantee may also be invalid. See also safety note paragraph 1.6.
2 2.3 Introduction Keypad AT-101 2.3 Keypad HR: 78 / min FILTER OFF LEAD TEST 1 MANUAL PRINT 2 MENU 3 Art.-no.: 2.510526 Rev.: c (1) Softkeys - the function of these keys changes depending on the screen displayed. The function of these keys is shown on the screen above the keys. If nothing is written above a softkey, it has no function for the current screen. (2) Auto Mode recording (in Auto mode 1). Press the SHIFT followed by the START key (2) for auto mode 2.
AT-101 4 17 Introduction Keypad User Guide 5 6 7 8 9 10 16 11 12 2 2.3 13 15 14 (4) The top figures on the number keys ‘1‘and ‘2‘(designated < and >), change the lead group displayed on the screen, forward and backward resp.
2 2.4 Introduction LCD Screen AT-101 2.4 LCD Screen The display will vary according to the current task being carried out. In all screens however, the top and bottom lines always display the same information: the top line displays system information, and the bottom line always gives the softkey options. The following is an example of a typical resting ECG screen.
AT-101 User Guide Operation Start-up and Initial Preparation 3 3.1 3 Operation 3.1 Start-up and Initial Preparation Danger of electrical shock. Do not operate the unit if the earth connection is suspect or if the mains lead is damaged or suspected of being damaged. V 3.1.1 Connecting AT-101 (1) (2) (3) (4) Potential equalisation Mains connection (100 - 115 or 220 - 240 V) RS-232 (see safety note paragraph 1.6) Printer (see safety note paragraph 1.6) Fig. 3.1 1. 2. 5 6 3. Art.-no.: 2.
3 3.1 Operation Start-up and Initial Preparation 3.1.2 AT-101 Battery Operation Important 1 HR: 78 / min The unit can either be operated from the mains supply or from the built-in rechargeable battery. The power source is indicated on the top line of the LCD. The internal battery provides power for up to 3 hours. • When the unit is running on battery power a battery symbol (1) is displayed.
AT-101 User Guide 3.1.6 Operation Start-up and Initial Preparation 3 3.1 Inserting Printing Paper Important The device is delivered without printing paper installed. Only use original SCHILLER printing paper. The thermo-paper is sensitive to heat, humidity and chemical vapours. Store the paper in a cool and dry area. 1 3.1.7 1. 2. Press the locking catch (1) to the right. Open the printer door upward. 3. 4. 5. Insert paper and pull it down. Close the cover.
3 3.2 Operation Entering Patient Data AT-101 3.2 Entering Patient Data In this screen a new patient can be entered, or a the details of a selected patient can be modified. « Press the patient data key. Last Name First name Pat. # Born Age Gender Height Weight BP Medications : _ : : : : : : : : : (dd-mm-yyyy) cm kg mmHg Last Name Enter patients name (maximum 20 characters) First Name Enter patients first name (maximum 20 characters) Pat. No.
AT-101 User Guide Resting ECG Electrode Placement 4 4.1 4 Resting ECG V 4.1 The guidelines for patient electrode placement are provided as an overview only. They are not a substitute for medical expertise. Electrode Placement Art.-no.: 2.510526 Rev.: c The colours shown here are according to Code 1 (European) requirements. The equivalent code 2 colours are given on paragraph 4.2.3.
4 4.1 Resting ECG Electrode Placement AT-101 A minimal resistance between skin and electrode is required to obtain the best ECG signal and ensure the highest quality ECG recording. Therefore please note the following points: 1. 2. 3. 4. Ensure that the patient is warm and relaxed. Shave electrode area before cleaning. Thoroughly clean the area with alcohol. When applying the electrodes, ensure that a layer of gel is between the electrode and the skin. 5.
AT-101 Resting ECG Further Lead Combinations User Guide 4.2 Further Lead Combinations 4.2.1 Nehb Leads 4 4.2 The Nehb leads are bipolar chest leads. They are of special interest for the diagnosis of changes in the posterior ventricle wall. Three leads are arranged in the form of a triangle, also called the “small cardiac triangle”. Nehb dorsal (D) is measured between the electrode positions Nax and Nst; Nehb anterior (A) between Nap and Nst, and Nehb inferior (J) between Nap and Nax.
4 4.2 Resting ECG Further Lead Combinations 4.2.2 AT-101 Electrode Positions for Additional Leads The clips from the chest electrodes C1 through C3 have to be removed and connected to the electrodes C7 through C9 placed on the patients back in the appropriate positions. All other electrodes can be placed in their normal position. The user defined lead order must be set in the Setup menu: SETUP > ECG SETTINGS > 4 x NEXT > posterior and precordials options. Set on or off to display the additional leads.
AT-101 Resting ECG Further Lead Combinations User Guide 4.2.3 4 4.2 Electrodes and Neutral Electrodes Identification and Colour Code The electrode placements shown in this handbook are labelled with the colours according to Code 1 requirements. The equivalent Code 2 colours are given below.
4 4.3 Resting ECG Skin/Electrode Resistance AT-101 4.3 Skin/Electrode Resistance 4.3.1 High Electrode Resistance Indication HR: 78 / min If an electrode resistance is too high for a good recording, or an electrode becomes dislodged during a recording, the electrode indication (1) flashes on the screen and an audible beep is heard. The electrode(s) must be reapplied. FILTER OFF MANUAL PRINT LEAD TEST Fig. 4.1 MENU Data acquisition screen 4.3.
AT-101 Resting ECG Modes of Operation and Procedural Overview User Guide 4.4 4 4.4 Modes of Operation and Procedural Overview Prepare Patient Connect Electrodes Switch unit on Press the Patient Key and enter data Last Name First name Pat. # Born Age Gender Height Weight BP Medications : _ : : : : : : : : : ECG REST (dd-mm-yyyy) cm kg mmHg MEMORY SETUP General Settings Auto Format Settings see paragraph 5.2.
4 4.4 Resting ECG Modes of Operation and Procedural Overview 4.4.1 AT-101 Automatic Mode Two, user defined automatic mode formats are available. The following can be programmed freely for each of the 2 formats before recording: • Lead Format • Chart Speed • With the optional interpretation program it is also possible to select the rhythm lead(s), measurement table, average cycles with optional markings and interpretation statements for the printout.
AT-101 User Guide 4.4.2 Resting ECG Modes of Operation and Procedural Overview 4 4.4 Manual Mode Manual mode provides a direct printout of the real-time ECG with full control of parameter selection. « To start the manual recording of a real-time ECG, press the MANUAL printout soft key (1). « To stop the manual recording (printout), press the STOP key (2), or the stop softkey.
4 4.4 Resting ECG Modes of Operation and Procedural Overview 4.4.3 AT-101 Screen (and Manual Printout) Settings The following can be freely chosen during data acquisition, for both the display and for a manual printout, using the top line of keys of the keypad: Lead Group by means of the LEAD FORWARD and LEAD BACKWARD key.
AT-101 Chart Speed User Guide Resting ECG Modes of Operation and Procedural Overview 4 4.4 Select speed 5, 10, 25 or 50mm/s Key 7 is a toggle key - press once and 5 is selected, press a second time and 10mm/ s is selected. When the 25 or 50mm/s key is pressed, the same speed is set on both the screen and the (manual) printout. When 5 or 10 mm/s is selected, this affects the manual printout speed only.
4 4.5 Resting ECG Memory (option) AT-101 4.5 Memory (option) The memory option allows approximately 40 recordings (depending on size and parameters specified when the recording was taken) to be stored, edited, printed, and transmitted over the RS-232 interface. When no more recordings can be stored, the message ‘Memory Full‘ is displayed.
AT-101 User Guide 4.5.1 Resting ECG Memory (option) 4 4.5 Transmitting the Recordings V V V When non-medical devices are connected to the interface ensure that both units are securely connected to the same earth potential. When operating the unit on battery and simultaneously using non-medical devices, the interface must be fully isolated. An external device must only be connected using the original interface cable assembly.
4 4.5 Resting ECG Memory (option) Network/Modem Transmission with SCM AT-101 To transmit recordings over the network or telephone, proceed as follows: 1. 2. 3. 4. Set Data output to Comm modul - see page 43 Set Communication mode to Net or MODEM - see page 43 Enter initialisation codes - see page 43 Connect the AT-101 to the your network with the RJ45 or telephone line with the RJ11. 5. Press the TRANSMIT softkey Art.-no.: 2.510526 Rev.
AT-101 User Guide Setup Entering the SETUP Menu 5 5.1 5 Setup 5.1 Entering the SETUP Menu To enter the setup screen press the following keys. MENU ECG REST MEMORY 1. Press the softkey MENU. 2. Press the function key FN and the softkey SETUP. Note: The Setup text above the key appears first if the FN key is pressed. SETUP SETUP 5.1.1 Navigating in the Setup Screens In setup screens where there are two choices, navigation to the next screen and selection of specific settings.
5 5.2 Setup ECG Settings AT-101 5.2 ECG Settings 1. Press the softkey MENU. 2. Press the function key FN and the softkey SETUP. Note: The Setup text above the key appears first if the FN key is pressed. 3. Press the softkey ECG SETTINGS. MENU ECG REST MEMORY SETUP SETUP ECG SETTINGS SYSTEM SETINGS MENU The following pages detail the programmable ECG parameters: « Use the SELECT softkey (1) to select the different settings. « Use the UP/DOWN softkeys (2) to highlight the various options.
AT-101 User Guide 5.2.1 Setup ECG Settings 5 5.2 Automatic Format 1 and 2 Internal Printer Two separate Auto formats can be defined for the internal printer. NEXT General Lead Interpretation Filter Auto. Format 2 external Auto.
5 5.2 Setup ECG Settings AT-101 5.2.2 Automatic Format 1 and 2 External Printer Two separate Auto formats can be defined for a external printer. NEXT General Lead Interpretation Filter Auto. Format 2 external Auto. Format 1 external external Auto Format 2 internal Automatic Format 1 internal Parameter Options Description ECG Printout No Printout No printout of the ECG given at the end of an auto mode recording (the recording can be stored in the memory and printed at a later time if required).
AT-101 User Guide 5.2.3 Setup ECG Settings 5 5.2 Filters There are five different filters which can be set individually as follows. NEXT General Lead Interpretation Filter Auto. Format 2 external Auto. Format 1 external external Auto Format 2 internal Automatic Format 1 internal ECG Settings Parameter Options Description Baseline filter 0.05, 0.15 or 0.3 Hz The set value is the lower limit of the frequency range and is normally set to 0.05 Hz. The settings 0.15 and 0.
5 5.2 Setup ECG Settings AT-101 5.2.4 NEXT General Lead Interpretation (option) Filter Auto. Format 2 external Auto. Format 1 external Auto Format 2 internal external Automatic Format 1 internal Interpretation (Only with version C) The interpretation settings enable the user to determine whether or not certain comments will be added to the interpretation statements on the ECG printout. Furthermore, the patient’s age can be assumed (<30 or >30).
AT-101 Setup ECG Settings User Guide 5.2.5 5 5.2 Leads Defining Lead Sequence & Printout The required settings can be selected as follows: NEXT General Lead Interpretation Filter Auto. Format 2 external Auto. Format 1 external Auto Format 2 internal external Automatic Format 1 internal ECG Settings ECG Settings Parameter Options Description Lead Sequence Standard or Cabrera Select between Standard lead sequence or Cabrera. Lead groupings are shown on page 28.
5 5.3 Setup System Settings AT-101 5.3 System Settings The SYSTEM SETTINGS are entered by selecting MENU SETUP and SYSTEM SETTINGS from the initial screen: 1. Press the softkey MENU 2. Press the function key FN and the softkey SETUP. Note: The Setup text above the key appears first if the FN key is pressed. 3. Press the softkey SYSTEM SETTINGS. 4. Press the softkey UNIT.
AT-101 User Guide 5.3.1 Setup System Settings 5 5.3 Unit « Press softkey UNIT UNIT COMM TEST AND INFO EXIT Parameter Options Description User Identification (User ID) Enter user ID The user identification is printed on all recordings. The user ID can be the department, doctor or hospital etc. Select User ID and a blinking cursor is present - enter up to 30 characters via the keypad. Note If the unit is reset to the default settings (see following), the user identification must be re-entered.
5 5.3 Setup System Settings AT-101 5.3.2 Communication « Press softkey COMM UNIT COMM TEST AND INFO EXIT Parameter Options Description Baudrate 9600 Select a Baud rate according to the modem/computer used. Most computers can connect at 115200 Baud and the standard modem speed is 57600 Baud. If problems are experienced during transmission reduce the Baud rate.
AT-101 User Guide 5.3.3 Setup System Settings 5 5.3 Communication with SCM The SCHILLER Communication Module (SCM) option enables the device to transmit data via modem or network to a server. Parameter Data Output Options Description RS-232 • Data transmittion via RS-232 port. (see detailed setting chapter 5.3.2) • Selection the Schiller communication Module (see below the detailed settings) • Data transmission over a network e.g.
5 5.3 Setup System Settings AT-101 5.3.4 Test and Information « Press softkey TEST AND INFO to display following screen: UNIT COMM TEST AND INFO EXIT A code of the options installed is given after the software version. These are as follows: AT-101 V1.0 Ctm 070.1234567 Basic configuration RI5.73 26.09.2003 M C Copyright © 2002-03 SCHILLER AG, Switzerland COMM TEST SOFTWARE BASE INIT. EXIT Optional configuration m = Memory t = Thrombolysis Art.-no.: 2.510526 Rev.
AT-101 User Guide 5.3.4.1 PRINT SETUP COMM TEST SOFTWARE BASE INIT. EXIT Setup System Settings 5 5.3 Print Setup « To obtain a printout press the PRINT SETUP softkey. A printout of the defined settings will be produced and gives the following information, depending on the installed software: Printout for Internal and external Print Setup Menu Parameter ECG Format (1 and 2) Speed Internal & external Leads Filter Interpretation Art.-no.: 2.510526 Rev.
5 5.3 Setup System Settings AT-101 5.3.4.2 PRINT SETUP COMM TEST SOFTWARE BASE INIT. EXIT 5.3.4.3 Communications Test When this is selected, test options are given for the RS-232 communication port. Use this test if the RS-232 port is suspected of malfunction. A special test plug is used to carry out the UART test. Installing New Software Options (Upgrade) Use the upgrade option to install any available software options (e.g. Measurement).
AT-101 5.3.4.5 PRINT SETUP COMM TEST SOFTWARE BASE INIT. Setup System Settings User Guide EXIT 5 5.3 Default Settings To reset the unit to the base default settings, press the BASE INIT softkey. As the unit resets to the default values a message is briefly displayed on the LCD. The base settings (Defaults) are given on the following page.
6 6.1 Care & Maintenance Service interval AT-101 6 Care & Maintenance 6.1 Service interval The device must be serviced in regular intervals. The test results must be documented and be compared with the values in the accompanying documents. Maintenance work not described in this chapter, e.g. battery changes, may only be accomplished by a qualified technician authorised by SCHILLER AG. The following table gives information about interval and competence of maintenance which can be required.
AT-101 User Guide 6.3 Care & Maintenance Maintenance interval for the battery 6 6.3 Maintenance interval for the battery Important The battery is maintenance free during its normal life. The battery should remain charged during storage. If the storage period exceeds three months, recharge the battery. • during normal operation no maintenance necessary. • If not used every 3 months. • replace the battery approx.
6 6.4 Care & Maintenance Changing the fuse and mains voltage 6.4 AT-101 Changing the fuse and mains voltage V The mains voltage may only be changed by qualified personnel. V Before the fuse and mains voltage are changed, the device must be disconnected from the mains and remove the mains plug. See paragraph 3.1.4. V The fuse may only be replaced by the indicated fuse type of the table below.
AT-101 User Guide 6.5 Cleaning 6.5.1 Cleaning the Casing V Care & Maintenance Cleaning 6 6.5 Switch the unit off before cleaning and disconnect the mains. Do not, under any circumstances, immerse the apparatus into a cleaning liquid or sterilise with hot water, steam, or air. The casing of the AT-101 can be cleaned with a soft damp cloth on the surface only. Where necessary a domestic non-caustic cleaner can be used for grease and finger marks. 6.5.
6 6.6 Care & Maintenance Replacing the Recording Paper 6.6 AT-101 Replacing the Recording Paper The recording paper must be replaced as soon as the end of the paper is indicated by a red stripe on the lower edge. After the indication first appears, there are about 8 pages left. However, we recommend that the paper be replaced immediately. If no paper is left, the printing process is interrupted and a warning is given on the screen. To replace the paper proceed as follows: 1 1. 2.
AT-101 6.7 Error Care & Maintenance Fault-Finding User Guide 6 6.7 Fault-Finding Cause Remedy Unit does not switch on, • No mains supply, Green mains in- « Check mains supply Blank Screen dicator off • Contrast wrong adjusted « Check contrast. Press the function key (FN) and then the UP/DOWN cursors keys to change the contrast. « Press the OFF key. Wait a few seconds and switch on again.
6 6.7 Care & Maintenance Fault-Finding AT-101 6.7.1 Accessories and Disposables V Always use SCHILLER replacement parts and disposables, or products approved by SCHILLER. Failure to do so may endanger life and invalidate the guarantee. Art.-no.: 2.510526 Rev.: c Your local representative stocks all the disposables and accessories available for the AT-101. A full list of all SCHILLER representatives can be found on the SCHILLER website (www.schiller.ch). In case of difficulty contact our head office.
AT-101 User Guide Technical Data System 7 7.1 7 Technical Data 7.1 System Dimensions 290 x 198 x 76 mm, approx. 2.6 kg Built-in monitor 76 x 57 mm effective display area, 320 x 240 dots resolution Power supply Mains Voltage Power consumption Battery Battery Capacity Battery Life Recharging time • 220 - 240 V (nominal), 50 / 60 Hz; 100 - 115 V (nominal), 50 / 60 Hz • Max.
7 7.2 Technical Data Technical Data for ECG AT-101 7.
AT-101 User Guide 7.3 Safety standard Technical Data Safety Standards 7 7.3 Safety Standards IEC/EN 60601-1 IEC/EN 60601-2-25 IEC/EN 60601-1-2 Protection class I according to IEC/EN 60601-1 (with internal power supply) Conformity/Classification CE/IIa according Directive 93/42/EEC Protection This device is not designed for outdoor use (IP 20) Art.-no.: 2.510526 Rev.
Technical Data Safety Standards AT-101 Art.-no.: 2.510526 Rev.: c 7 7.
Index AT-101 8 User Guide 8 Index A Abnormal ECG ...................................... Accessories and Disposables ............... Age Assumed to be ............................... Auto Mode recording ............................. Auto Sensitivity ...................................... Auto-Centering ...................................... Automatic Format 1 and 2 ..................... Automatic Mode .................................... Auto-Storage .........................................
Art.-no.: 2.510526 Rev.
