REF 9515-177-50-ENG Rev F ELI 150c/ELI 250c 12-LEAD RESTING ELECTROCARDIOGRAPH USER MANUAL Manufactured by Mortara Instrument, Inc., Milwaukee, Wisconsin U.S.A. CAUTION: Federal law restricts this device to sale by or on the order of a physician.
Copyright © 2018 by Mortara Instrument, Inc. 7865 N. 86th Street Milwaukee, Wisconsin 53224 For patent information, please visit www.welchallyn.com/patents This document contains confidential information that belongs to Mortara Instrument, Inc. No part of this document may be transmitted, reproduced, used, or disclosed outside of the receiving organization without the express written consent of Mortara Instrument, Inc. Mortara is a registered trademark of Mortara Instrument, Inc.
TECHNICAL SUPPORT AND SERVICE Headquarters Mortara Instrument, Inc. 7865 North 86th Street Milwaukee, WI 53224 U.S.A. Tel: 414.354.1600 Tel: 800.231.7437 Fax: 414.354.4760 Internet: http://www.mortara.com European Union Representative Via Cimarosa, 103/105 40033 Casalecchio di Reno (Bologna) Italia Tel: +39 051 2987811 Fax: +39 051 6133582 E-mail: clienti.mortarait @ welchallyn.com Service/Technical Support Group Mortara Instrument, Inc. 7865 North 86th Street Milwaukee, WI 53224 U.S.A. Tel: 414.354.
NOTICES Manufacturer’s Responsibility Mortara Instrument, Inc. is responsible for the effects on safety and performance only if: • Assembly operations, extensions, readjustments, modifications, or repairs are carried out only by persons authorized by Mortara Instrument, Inc. • The device is used in accordance with the instructions for use. Responsibility of the Customer The user of this device is responsible for ensuring the implementation of a satisfactory maintenance schedule.
WARRANTY INFORMATION Your Mortara Warranty MORTARA INSTRUMENT, INC. (hereinafter referred to as “Mortara”) hereby warrants that Mortara products (hereinafter referred to as “Product/s”) shall be free from defects in material and workmanship under normal use, service, and maintenance for the warranty period of such Product/s from Mortara or an authorized distributor or representative of Mortara. The warranty period is defined as twenty-four (24) months following the date of shipment from Mortara.
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USER SAFETY INFORMATION Warning: Means there is the possibility of personal injury to you or others. Caution: Means there is the possibility of damage to the device. Note: Provides information to further assist in the use of the device. Warning(s) This manual gives important information about the use and safety of this device.
USER SAFETY INFORMATION This device was designed to use the electrodes specified in this manual. Proper clinical procedure must be employed to prep the electrode sites and to monitor the patient for excessive skin irritation, inflammation, or other adverse reactions. Electrodes are intended for short-term use and should be removed from the patient promptly following testing. To avoid potential for spread of disease or infection, single-use disposable components (e.g., electrodes) must not be reused.
USER SAFETY INFORMATION Use of the GPRS or WLAN module may interfere with other equipment operating in the vicinity. Check with local authorities or spectrum management officials in your facility to determine if restrictions apply to the use of this feature in your area. Do not transmit via the GPRS or WLAN module with a missing or damaged antenna. Replace a damaged antenna immediately. Use only the antenna supplied for use with this device.
USER SAFETY INFORMATION Note(s) Patient movements may generate excessive noise that may affect the quality of the ECG traces and the proper analysis performed by the device. Proper patient preparation is important to proper application of ECG electrodes and operation of the device.
USER SAFETY INFORMATION This device is intended to be used in a hospital or doctor’s office setting, and should be used and stored according to the environmental conditions specified below: Operating temperature: Operating humidity: +10° to +40°C (+50° to +104°F) 10% to 95% RH, non-condensing Storage temperature: Storage humidity: -40° to +70°C (-40° to +158°F) 10% to 95% RH, non-condensing Atmospheric pressure: 500 hPa to 1060 hPa WAM™ (wireless acquisition module) must be paired to electrocar
USER SAFETY INFORMATION WLAN Option Wireless options transmit at 2.4 GHz. Other nearby wireless devices may cause interference. If possible, move or turn off other devices to minimize potential interference. The following table shows the channels allocated in different geographic areas in the world. Please consult with your IT personnel in order to set the device on the proper channels. Specification Description Technology IEEE 802.11 b/g, WiFi compliant 2.400 – 2.4835 GHz (U.S.
EQUIPMENT SYMBOLS AND MARKINGS Symbol Delineation CAUTION The caution statements in this manual identify conditions or practices that could result in damage to the equipment or other property, or loss of data. WARNING The warning statements in this manual identify conditions or practices that could lead to illness, injury, or death. In addition, when used on a patient applied part, this symbol indicates defibrillation protection is in the cables.
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GENERAL CARE Precautions Turn off the device before inspecting or cleaning. Do not immerse the device in water. Do not use organic solvents, ammonia-based solutions, or abrasive cleaning agents which may damage equipment surfaces. Inspection Inspect your equipment daily prior to operation. If you notice anything that requires repair, contact an authorized service person to make the repairs. Verify that all cords and connectors are securely seated.
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ELECTROMAGNETIC COMPATIBILITY (EMC) Electromagnetic compatibility with surrounding devices should be assessed when using the device. An electronic device can either generate or receive electromagnetic interference. Testing for electromagnetic compatibility (EMC) has been performed on the device according to the international standard for EMC for medical devices (IEC 60601-1-2). This IEC standard has been adopted in Europe as the European Norm (EN 60601-1-2).
ELECTROMAGNETIC COMPATIBILITY (EMC) Table X-1 Guidance and Manufacturer’s Declaration: Electromagnetic Emissions The equipment is intended for use in the electromagnetic environment specified in the table below. The customer or the user of the equipment should ensure that it is used in such an environment. Emissions Test Compliance Electromagnetic Environment: Guidance RF Emissions CISPR 11 Group 1 The equipment uses RF energy only for its internal function.
ELECTROMAGNETIC COMPATIBILITY (EMC) Table X-3 Guidance and Manufacturer’s Declaration: Electromagnetic Immunity The equipment is intended for use in the electromagnetic environment specified in the table below. The customer or the user of the equipment should ensure that it is used in such an environment.
ELECTROMAGNETIC COMPATIBILITY (EMC) Table X-4 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Equipment The equipment is intended for use in the electromagnetic environment in which radiated RF disturbances are controlled.
TABLE OF CONTENTS INTRODUCTION SECTION 1 Manual Purpose ............................................................................................................................................................. 1 Audience ........................................................................................................................................................................ 1 Indications for Use.................................................................................................
TABLE OF CONTENTS LAN Transmission ...................................................................................................................................................... 48 WLAN Transmission ................................................................................................................................................... 50 GPRS Mobile Transmission ................................................................................................................................
INTRODUCTION SECTION 1 Manual Purpose This manual is intended to provide the user with information about: Using and understanding the ELI™ 150c or ELI 250c electrocardiograph, the function and feature keys, and the display screen. Preparing the device for use. (Section 2) Acquiring, printing, and storing an ECG. (Section 3) System settings. (Section 4) Connectivity and transmitting ECGs. (Appendix A) Maintenance and troubleshooting. (Appendix B) NOTE: This manual may contain screen shots.
SECTION 1 System Description The device is a 12-lead diagnostic electrocardiograph used for acquiring, viewing, and printing adult and pediatric 12-lead ECG data. The device is optionally equipped with Mortara Instrument’s VERITAS™ resting ECG interpretation algorithm with age and gender specific criteria. If this option is enabled (see Section 4) the VERITAS algorithm can provide an over-reading physician with a silent second opinion through diagnostic statements output on the ECG report.
SECTION 1 System Illustrations* *ELI 250c shown Figure 1-1 Figure 1-2, Left Side 3
SECTION 1 Figure 1-3, Rear Figure 1-4, Base 4
SECTION 1 Display and Keyboard* *ELI 250c shown Figure 1-5 Automatic Feature Keys Automatic feature keys are used as a one-touch operation for: ECG Acquisition Rhythm Printing Transmit and/or Download Order List; Time Sync Stop 5
SECTION 1 Display Overview The device features a ¼ VGA 320 x 240 pixels LCD color display for valuable preview of ECG waveform, function key labels, and other parameters as explained below. During ECG acquisition, notification messages will also appear on the display. (See Section 3, ECG Acquisition, Printing, Storage.) Figure 1-6 Heart Rate (HR): When a patient is connected to the electrocardiograph, his/her HR is displayed in real time.
SECTION 1 Function Keys: Function keys activate the LCD label adjacent to each function key. LCD labels/functions change depending upon the screen displayed. If the label is blank, the function key is not active. Battery Indicator: Indicates available battery power. (See Section 2, Applying Power.) Acquisition Module: Displays type of acquisition module being used. Clock: Time display with hour, minutes, and seconds resolution. (See Section 2 for setting a new time and date.
SECTION 1 ELI 150c Specifications 8 Feature Specifications Instrument Type 12-lead electrocardiograph Input Channels Simultaneous acquisition of all 12 leads Standard Leads Acquired I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6 Waveform Display Backlit, ¼ VGA color LCD (320 x 240); 3, 4+4, or 6+6 lead presentation Input Impedance Input Dynamic Range Electrode Offset Tolerance Common Mode Rejection Pacemaker Pulse Display Meets or exceeds requirements of ANSI/AAMI/IEC 60601-2-25 Patient Le
SECTION 1 ELI 250c Specifications Feature Specifications Instrument Type 12-lead electrocardiograph Input Channels Simultaneous acquisition of all 12 leads Standard Leads Acquired I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6 Waveform Display Backlit, ¼ VGA color LCD (320 x 240); 3, 4+4, or 6+6 lead presentation Input Impedance Input Dynamic Range Electrode Offset Tolerance Common Mode Rejection Pacemaker Pulse Display Patient Leakage Current Chassis Leakage Current Meets or exceeds requirem
SECTION 1 Accessories Replacement Lead sets and Accessories Part Number Description 9293-046-07 COMBINER WAM LEADS 10 POS IEC & AHA GRAY 9293-046-60 LEAD SET WAM 10 WIRE BANANA AHA GRAY 9293-046-61 LEAD SET WAM 10 WIRE BANANA IEC GRAY 9293-046-62 RPLCE LD SET WAM/AM12 LIMBS BANA AHA GRY 9293-046-63 RPLCE LD SET WAM/AM12 LIMBS BANA IEC GRY 9293-046-64 RPLCE LD SET WAM/AM12 V1-V3 BANA AHA GRY 9293-046-65 RPLCE LD SET WAM/AM12 C1-C3 BANA IEC GRY 9293-046-66 RPLCE LD SET WAM/AM12 V4-V6 BANA AH
SECTION 1 Acquisition Modules Part Number 9293-048-52 30012-019-52 Description WIRED PATIENT CABLE (AM12) WIRELESS ACQUISITION MODULE (WAM) Power Cords Part Number Description 3181-008 POWER CORD US/CAN HOSPITAL 5-15P+320-C13 3181-012-01 POWER CORD AUSTRALIA AS3112+IEC320-C13 3181-015-01 POWER CORD UK BS1363+IEC320-C13 3181-002 POWER CORD INTN’L CEE7/7+IEC320-C13 3181-017-01 POWER CORD CHINESE Manuals Part Number Description 9515-001-50-CD PHYSICIAN'S GUIDE ADULT & PEDIATRIC UM 9515-166-5
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EQUIPMENT PREPARATION SECTION 2 Initial Startup With its initial use, the device requires the user to set certain configurations prior to obtaining any ECGs. The device will automatically display a language configuration page followed by AC filter frequency, height/weight units, a set time/date configuration page (including daylight savings time selection), and a configuration page to pair the WAM™ (wireless acquisition module) if it will be used.
SECTION 2 Loading Paper Figure 2-2 1. Remove all packaging including cardboard backing from the paper stack. 2. Facing the front of the device, use the release latch on the left side and slide the paper tray cover to the left. 3. Place the stack of thermal paper into the paper tray such that the grid side of the paper is up when it is pulled over the paper tray cover. The paper cue mark (a small black rectangle) should be in the lower left corner. 4.
SECTION 2 A4 Paper Use With The ELI 250c If the ELI 250c was ordered with A4 paper, the paper tray spacer will be inserted in the paper tray and the configuration option to use A4 paper will be set to YES. A paper tray spacer will not be provided if the device was purchased with standard paper. To insert the paper tray spacer: Figure 2-3 1. Slide paper tray spacer towards rear wall of writer tray. Align the bottom four plastic arms with the four openings in the base of the writer tray.
SECTION 2 Figure 2-4 2. The paper tray spacer should be parallel with the rear wall of the writer tray. Figure 2-5 3. Gently press paper tray spacer in place. 4. Set configuration option to use A4 paper. (See Section 4.) 5. 16 Gently press on the top three plastic arms to remove the paper tray spacer.
SECTION 2 Applying Power 1. Plug the power cord into an AC wall outlet and into the back of the device. (Reference Figure 1-3.) 2. Press the power ON/OFF button located on the face panel of the device. (Reference Figure 1-5.) When using AC power, the battery indicator is clear when charging and illuminates in white when fully charged. When using battery power, the battery indicator illuminates in green with a 35% to 100% charge and in yellow with a 20% to 35% charge.
SECTION 2 Setting Time and Date 1. From real-time ECG view, select F6 (More) followed by F5 (Set Time/Date). 2. Use Enter, Tab, F1 (▲), or F2 (▼) to move through each row. Use the keyboard to type in desired values for the date and time (using a 24-hour clock). NOTE: To set time immediately via auto synchronization press F3 (Sync). 3. Use F3 (►) to move through the selections for setting Time Zone and Daylight Savings. To use Daylight Savings, select Yes.
RECORD AN ECG SECTION 3 Patient Preparation Before attaching the electrodes, assure the patient fully understands the procedure and what to expect. Privacy is very important in assuring the patient is relaxed. Reassure the patient that the procedure is painless and that the electrodes on their skin are all that they will feel. Make sure the patient is lying down and is comfortable. If the table is narrow, tuck the patient’s hands under his/her buttocks to ensure their muscles are relaxed.
SECTION 3 For accurate V-lead placement and monitoring, it is important to locate the 4 th intercostal space. The 4th intercostal space is determined by first locating the 1st intercostal space. Because patients vary with respect to body shape, it is difficult to palpate the 1st intercostal space with accuracy. Thus, locate the 2nd intercostal space by first palpating the little bony prominence called the Angle of Louis, where the body of the sternum joins the manubrium.
SECTION 3 Patient Demographic Entry Patient demographic information can be entered before acquisition. The entered patient ID fields will remain populated until you acquire the ECG; however, if you disconnect the leads from the patient, turn off the electrocardiograph, or change a configuration setting before acquisition, the patient information will be cleared. To access the patient demographic data entry menu, press F1 (ID) from real-time ECG view.
SECTION 3 Entering Symbols Punctuation characters, symbols, and/or accented alphanumeric characters (language dependent) can be entered using the SYM key on the keyboard. Selecting SYM will display 10 special characters at a time. Use F1 (Prev) or F2 (Next) to move to the previous/next set of special characters. Each special character will have a numeric character located below it. Using the keyboard, press the desired numeric key to add the corresponding special character.
SECTION 3 NOTE: The algorithm detecting electrode misplacements is based on normal physiology and ECG lead order, and tries to identify the most likely switch; however, it is advisable to check the other electrode positions in the same group (limb or chest). WAM Low Battery – displays when a low battery signal for the WAM is detected. Searching for WAM – displays when the WAM is not detected. Occurs usually when the WAM is out of range or not powered on.
SECTION 3 Printing If Auto-Print is enabled in the configuration, an ECG is printed following acquisition. To print a manual printout, select F3 (Print). Toggle through the available waveform display formats (3, 8 or 12 lead) by selecting F2 (Leads). A preview of the full 10-seconds of ECG waveform is available in the acquired ECG view.
SECTION 3 During 3-channel rhythm printing, the available lead groups are: 1. Default (user-selected in configuration) 2. I-II-III 3. aVR, aVL, aVF 4. V1-V2-V3 5. V4-V5-V6 During 6-channel rhythm printing, the available lead groups are: 1. Default (user-selected in configuration) 2. I-II-III-aVR-aVL-aVF 3. V1-V2-V3-V4-V5-V6 During 12-channel rhythm printing (ELI 250c only), the complete 12 leads are printed simultaneously. During rhythm printing, place the printer in Standby mode by pressing F6 (Stby).
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SYSTEM SETTINGS SECTION 4 Setting Technician Password 1. 2. 3. From real-time ECG view, select F6 (More) followed by F5 (Set Time/Date). While holding down • (SHIFT), depress ALT and P simultaneously. If required, enter password. This will automatically advance you to the set passwords display. NOTE: The factory default password is “admin” (lowercase, no quotation marks); it is suggested that the password be changed after installation of the unit. 4.
SECTION 4 Summary of Configuration Menus Configuration Parameter Definition Software Version Displays software version on printout and display Cart Number Numeric field 0 to 65535 Site Number Numeric field 0 to 4095 Site Name Alphanumerical field (30 digits) Telephone Number Alphanumerical field (45 digits) Language Available software languages Volume Numerical field 0 to 8 Battery Timeout 10 min, 30 min, 60 min ECG Storage Normal or expanded (optional) — configured at time of purchase
SECTION 4 Summary of Configuration Menus (continued) Configuration Parameter Definition 6 Rhythm Lead 2 V1-V6, I, II, III, aVR, aVL, aVF 6 Rhythm Lead 3 V1-V6, I, II, III, aVR, aVL, aVF 6 Rhythm Lead 4 V1-V6, I, II, III, aVR, aVL, aVF 6 Rhythm Lead 5 V1-V6, I, II, III, aVR, aVL, aVF 6 Rhythm Lead 6 V1-V6, I, II, III, aVR, aVL, aVF Plot Format 3, 3+1, 3+3, 6 channel; Cabrera or standard (ELI 150c) 3+1, 3+3, 6, 6+6, 12 channel; Cabrera or standard (ELI 250c) 3+1 Rhythm Lead V1-V6, I, II, III
SECTION 4 Summary of Configuration Menus (continued) Configuration Parameter Definition WEP Key Numeric (1 digit) (not on printout); valid range 1-4 WEP Key ID Alphanumerical field (26 digits) A-F, 0-9 (not on printout) PSK Passphrase Alphanumeric field (64 digits) (not on printout) LEAP User Name Alphanumeric field (32 digits) (not on printout) LEAP Password Alphanumeric field (32 digits) (not on printout) PEAP User Name Alphanumeric field (63 digits) (not on printout) PEAP Password Alpha
SECTION 4 Configuration Settings Software Version Identifies the software version of your electrocardiograph. Cart Number Indicates which electrocardiograph acquired or transmitted a particular ECG. Site Number Identifies the site of your device. Site numbers designate the hospital, clinic, or institution for ECG records stored in an E-Scribe system and must be defined for transmitting and retrieving ECGs from that system. You can use up to four digits for the site number.
SECTION 4 If an unknown language is visible, use the following steps to revert to the language of your country: 1. 2. 3. 4. 5. 6. 7. F6 (More) from real-time ECG view. Select F5 (Set Time/Date). Simultaneously press (SHIFT) + ALT + C. Enter password (“admin”) Press F2 (▼) four times. Press F3 (►) until the desired language appears. F6 (Exit) to return to real-time ECG view. Alphabets of specific languages may require use of special characters in demographic fields.
SECTION 4 AC Filter The device removes 60 Hz or 50 Hz interference. The setting you select depends on the line frequency in your country. Always use the 60 Hz setting in the U.S. If AC interference is present, check to see that the proper AC filter is selected. Paper Speed Configure to 25 mm/s or 50 mm/s for default ECG printouts. For rhythm printouts and display, speeds of 5 mm/s or 10 mm/s are also available. See Section 3 to change speeds for display or rhythm printing.
SECTION 4 Number of Copies Defines the number of printed copies when an ECG is taken. A zero (0) setting prints no ECG; one (1) prints the original; two (2) prints the original plus 1 copy, and so on. Up to 9 copies may be selected. Copies with Interpretation Defines whether or not printed copies will include interpretation. The clinician may request the first ECG printout with the interpretation included. Additional copies may be printed with or without the interpretation.
SECTION 4 Rhythm Formats Defines the default values for rhythm printing. It is possible to set a 3 or 6-channel default rhythm format for the ELI 150c. For the ELI 250c, a 3, 6, or 12-channel default rhythm format is possible. Define rhythm leads one through three to customize a 3-channel rhythm printout or define rhythm leads one through six to customize the 6-channel rhythm printout. Plot Format Defines the default for one of the available plot formats in either standard or Cabrera presentation.
SECTION 4 Rhythm Leads Displays continuous rhythm of selected ECG leads and permits printing of selected leads. User may toggle between selected leads, system set leads, or I, II, III, aVR, aVL, and aVF followed by V1, V2, V3, V4, V5, and V6. NOTE: Rhythm acquisition is not stored in memory, only printed. NOTE: See Section 3 to acquire a rhythm printout. Bar Code Scanner Enabling this option will allow for the use of a Mortara approved USB bar code scanner.
SECTION 4 DHCP Defines whether the Dynamic Host Communication Protocol (DHCP) will be used to obtain an IP address. If DHCP is Yes, the network will automatically and dynamically assign an IP address. If DHCP is No, you must enter the IP address, def gateway, and sub net mask. NOTE: All parameters related to network connection must be entered under the direction of the IT Manager of the facility where the device is installed. See Appendix A for more information on device connectivity settings.
SECTION 4 WLAN MAC Shows the MAC address of the device’s wireless module for configuring access points. SSID Service Set Identifier (SSID) is the name of the wireless network. All ELI 150c electrocardiographs that will transmit to the same network must have the same SSID name. This field is case sensitive. WPA-PSK/WPA2-PSK Allows for implementation of the “personal mode” of WPA. This mode of encryption employs Temporal Key Integrity Protocol (TKIP) which dynamically changes keys as the system is used.
SECTION 4 Access Point Password Access Point Password can be up to 120 characters in length. Comm. Protocol Select UNIPRO OR DICOM. DICOM is only available if the DICOM option has been installed. NOTE: This parameter must be entered under the direction of the IT Manager of the facility where the device is installed. NOTE: Units ship by default with Comm. Protocol set to UNIPRO or DICOM. The UNIPRO or DICOM setting is not supported by E-Scribe or ELI Link versions prior to V4.00.
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ECG DIRECTORY SECTION 5 The standard ECG directory saves up to 40 individual ECG records. The optional expanded memory permits up to 200 individual ECG records. To access the ECG directory, select F6 (More) followed by F1 (Directory of Stored ECGs) from the real-time ECG view. NOTE: A password may be required in order to enter the ECG directory. Obtain the password from the department Administrator.
SECTION 5 ECG Order List To display the ECG order list, select F4 (Order) from the patient ID screen. The ECG order list is comparable to the ECG directory in looks and in practice; you can sort the list by name, ID, or date.
CONNECTIVITY AND ECG TRANSMISSION APPENDIX A ECG Transmission You may transmit ECGs to ELI Link, or to a third party EMR using an optional factory installed internal modem, LAN, WLAN, or optional integrated GPRS mobile connection (GPRS option applies to ELI 150c only): all the mentioned transmission modes can use the Mortara UNIPRO or DICOM communication protocol. NOTE: Units ship by default with Comm Protocol set to UNIPRO. The UNIPRO setting is not supported by E-Scribe versions prior to V8.
APPENDIX A Modem Transmission For a modem transmission, set the Sync media to modem. Connect the device to a standard telephone jack with the provided phone line cable. Plug the cable into the telephone jack located on the back of the device and the other end into a telephone wall jack. Confirm telephone number in the configuration settings. CAUTION: Use only No. 26 AWG or larger telecommunication line cord. Modem Initialization The modem initialization string is country specific.
APPENDIX A MODEM COUNTRY CODE LIST Country Code Country Code Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Georgia Germany Ghana 34 34 34 34 34 34 34 34 34 34 34 1 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34
APPENDIX A Country Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey, C.I. Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey C.I.
APPENDIX A Country Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands South Africa Spain Sri Lanka Sudan Surinam Code 34 34 34 34 30 30 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34 30 34 30 34 35 34 34 34 34 Country Tanzania, United Republic of Thailand Thaiti Togo Tonga
APPENDIX A LAN Transmission For a LAN transmission, connect the ethernet cable to the LAN connection at the rear of the device and set the Sync media to LAN in the configuration. It is necessary that the IT Manager of your facility set the device’s LAN configuration values. NOTE: Addresses are always entered as 4 sets of 3 digits; therefore, an address of 192.168.0.7 must be entered on the device as 192.168.000.007.
APPENDIX A If your wireless security environment is WPA or WPA2 (Wi-fi Protected Access) then you will need to enter: Security: WPA-PSK or WPA2-PSK Passphrase: NOTE: The passphrase length is limited to 64 characters. If your wireless security environment is LEAP then you will need to enter: Security: WPA-LEAP LEAP User Name LEAP Password NOTE: LEAP user name and password are limited to 32 characters.
APPENDIX A WLAN Transmission For a WLAN transmission, set the Sync media to WLAN. It is necessary that the IT Manager of your facility configure the wireless access point(s) and E-Scribe workstation. It is also required that your IT Manager provide the device’s WLAN configuration values. The device can be configured for Dynamic Host Communication Protocol (DHCP) or static IP. Wireless security encryption options include WEP, WPA, WPA2, LEAP, and PEAP.
APPENDIX A If your wireless security environment is LEAP then you will need to enter: Security: WPA-LEAP LEAP User Name LEAP Password NOTE: LEAP user name and password are limited to 32 characters. If your wireless security environment is PEAP then you will need to enter: Security: WPA2-PEAP PEAP User Name PEAP Password NOTE: PEAP user name and password are limited to 63 characters. NOTE: When saving the WLAN configuration, the device may require several seconds to complete the saving procedure.
APPENDIX A GPRS Mobile Transmission CAUTION: GPRS mobile hookup time will vary depending on location. It may require between 5 and 60 seconds to initiate a communication link. Signal loss at the onset of transmission or during transmission may occur due to environmental variables. NOTE: The location for antenna for GPRS and WLAN are interchangeable. GPRS option applies to ELI 150c only. GSM (Global System for Mobile communications) is a world standard for digital cellular communications.
APPENDIX A If a wireless network carrier is not detected at the time of transmission (due to environmental conditions, i.e., poor signal), relocate or reposition the unit for a better signal and reattempt transmission. In order to change a network carrier, you must scan the wireless network to determine what is detected and available for use. Select F5 (Scan), a “scanning networks…” message will appear on the LCD. Once the scanning process is completed, the Select Networks screen is available.
APPENDIX A NOTE: The site number must be configured in the electrocardiograph and recognized as an established, valid site number at the E-Scribe before downloading the custom ID. TIP: Confirm the baud rate in the configuration settings before downloading the custom ID from ELI Link or E-Scribe (applies to ELI 150c only).
APPENDIX A Transmission using the optional USBD (device) port to a PC The optional USBD port permits transmission of stored patient records to a PC using a direct USB cable. The patient records will be transmitted to an ELI Link application (requires V3.10 or later) and then exported and saved in various formats (see the ELI Link user manual). Connecting the ELI 150c or ELI 250c to a PC When connecting the device to a PC for the first time, the proper USB driver will need to be installed prior to use.
APPENDIX A Network Test Network test sends a command to the server to verify there is a network connection. The status will display for the clinician to review. The test information is also placed into the Log File for review. To view the log type select F6 (More) from the real-time display, followed by F4 (Network Test). When test is completed, select either F3 (Log) to review the log files or F6 (Exit).
MAINTENANCE AND TROUBLESHOOTING APPENDIX B System Troubleshooting Chart LCD Message Problem Correction BATTERY LOW – CHARGE UNIT Unable to acquire ECG or unable to print. Charge the battery with AC power. LEAD FAULT, NO ECG CAPTURE Lead fail. Correct faulty lead. NO ANSWER Unable to transmit ECG. Check for correct phone number. Ensure modem and E-SCRIBE are online. Device is not responding Press and hold the On/Off button for 10 seconds.
APPENDIX B Transmission Troubleshooting Chart (continued) LCD Message Problem Correction Log File Any of the above information will be presented in the Log File Contact Technical Support CAN’T CONNECT TO REMOTE LINK A link to the access point was established, but the link to the destination failed. Ensure the IP address is correct. If problem persists, contact Mortara Technical Service. TIME SYNC FAULT Possible incorrect version of ELI Link or E-Scribe. Install latest version.
APPENDIX B Power Off the Device To completely shutdown the device, disconnect the AC power cord then press the ON/OFF button. Such a shutdown should always be performed prior to authorized repair of the device. Test Operation After cleaning and inspecting the device, proper operation of the unit may be confirmed by using an ECG simulator to acquire and print a standard 12-lead ECG of known amplitude. Printing should be dark and even across the page.
APPENDIX B Cleaning the Thermal Printer To clean the printer 1. Disconnect the power source. 2. Clean the exterior surface of the unit with a damp cloth using a solution of mild dishwashing detergent diluted in water. 3. After washing, thoroughly dry off the unit with a clean, soft cloth or paper towel. To clean the print head NOTE: Do not let soap or water come into contact with the writer, plugs, jacks, or vents. 60 1. Open writer door. 2. Lightly rub print head with an alcohol pad. 3.
