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01.54.107033-1.6 SE-12 Series Electrocardiograph User Manual - EDAN 2 PDF

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0% found this document useful (0 votes)
616 views182 pages

01.54.107033-1.6 SE-12 Series Electrocardiograph User Manual - EDAN 2 PDF

Uploaded by

Felix Lee
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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About this Manual

P/N: 01.54.107033-16

Release Date: April 2013

Statement
This manual will help you understand the operation and maintenance of the product better. It is
reminded that the product shall be used strictly complying with this manual. User’s operation
failing to comply with this manual may result in malfunction or accident for which the
manufacturer can not be held liable.

The manufacturer owns the copyrights of this manual. Without prior written consent of the
manufacturer, any materials contained in this manual shall not be photocopied, reproduced or
translated into other languages.

Materials protected by the copyright law, including but not limited to confidential information
such as technical information and patent information are contained in this manual, the user shall
not disclose such information to any irrelevant third party.

The user shall understand that nothing in this manual grants him, expressly or implicitly, any
right or license to use any of the intellectual properties of the manufacturer.

The manufacturer holds the rights to modify, update, and ultimately explain this manual.

Product Information
Product Name: Electrocardiograph

Model: SE-12, SE-12 Express

Responsibility of the Manufacturer


The manufacturer only considers itself responsible for any effect on safety, reliability and
performance of the equipment if:

Assembly operations, extensions, re-adjustments, modifications or repairs are carried out by


persons authorized by the manufacturer, and

The electrical installation of the relevant room complies with national standards, and

I
The instrument is used in accordance with the instructions for use.

Upon request, the manufacturer may provide, with compensation, necessary circuit diagrams, and
other information to help qualified technician to maintain and repair some parts, which the
manufacturer may define as user serviceable.

Terms Used in this Manual


This guide is designed to give key concepts on safety precautions.

WARNING

A WARNING label advises against certain actions or situations that could result in personal
injury or death.

CAUTION

A CAUTION label advises against actions or situations that could damage equipment, produce
inaccurate data, or invalidate a procedure.

NOTE

A NOTE provides useful information regarding a function or a procedure.

II
Table of Contents
Chapter 1 Safety Guidance ........................................................................................................... 1
1.1 Intended Use ........................................................................................................................... 1
1.2 Warnings and Cautions ........................................................................................................... 1
1.2.1 Safety Warnings ............................................................................................................... 2
1.2.2 Li-ion Battery Care Warnings .......................................................................................... 5
1.2.3 General Cautions .............................................................................................................. 6
1.2.4 Preparation and Operation Warnings (for SE-12 Express Exercise ECG) ....................... 7
1.2.5 Contraindications (for SE-12 Express Exercise ECG)..................................................... 8
1.3 List of Symbols ....................................................................................................................... 9

Chapter 2 Introduction ................................................................................................................ 12


2.1 Top Panel .............................................................................................................................. 13
2.2 Keyboard and Keys .............................................................................................................. 14
2.3 Front Panel ............................................................................................................................ 18
2.4 Rear Panel ............................................................................................................................. 19
2.5 Right Panel ........................................................................................................................... 20
2.6 Bottom Panel ........................................................................................................................ 24
2.7 Features ................................................................................................................................. 26

Chapter 3 Operation Preparations ............................................................................................. 28


3.1 Connecting the Patient Cable to the Electrocardiograph and Electrodes ............................. 28
3.1.1 Connecting the Patient Cable to the Electrocardiograph ............................................... 29
3.1.2 Connecting the Patient Cable to Electrodes (for Resting ECG) .................................... 29
3.1.3 Connecting the Patient Cable to Electrodes (for Exercise ECG) ................................... 30
3.2 Preparing the Patient ............................................................................................................. 30
3.2.1 Instructing the Patient .................................................................................................... 30
3.2.2 Preparing the Skin .......................................................................................................... 31
3.3 Attaching Electrodes to the Patient ....................................................................................... 31
3.3.1 Electrode Placement (for Resting ECG) ........................................................................ 32
3.3.2 Electrode Placement (for Exercise ECG) ....................................................................... 34
3.3.3 Attaching the Reusable Electrodes (for Resting ECG) .................................................. 35
3.3.3.1 Attaching the Limb Electrodes ................................................................................ 35
3.3.3.2 Attaching the Chest Electrodes ................................................................................ 35
3.3.4 Attaching the Disposable Electrodes .............................................................................. 36

III
3.4 Inspection Before Power-On ................................................................................................ 37
3.5 Turning On/Off the Electrocardiograph................................................................................ 38
3.6 Loading/Replacing Recorder Paper ...................................................................................... 39

Chapter 4 Basic Operation Guidance ........................................................................................ 44


4.1 Navigation Tips..................................................................................................................... 44
4.1.1 Selecting Menu Functions .............................................................................................. 44
4.1.2 Entering Data ................................................................................................................. 45
4.1.3 Selecting an Item ............................................................................................................ 46
4.2 Configuring the Electrocardiograph ..................................................................................... 46
4.3 Screen Description ................................................................................................................ 47
4.3.1 About the Main Screen ................................................................................................... 47
4.3.2 About the System Setup Screen ..................................................................................... 51
4.3.3 About the Order Manager Screen ................................................................................... 52
4.3.4 About the File Manager Screen ...................................................................................... 53
4.4 Work Mode Description........................................................................................................ 56

Chapter 5 Entering Patient Information ................................................................................... 57


5.1 Entering Patient Information Manually ................................................................................ 57
5.2 Entering Patient Information by Using a Bar Code Reader (Optional) ................................ 58
5.3 Entering Patient Information by Acquiring Orders .............................................................. 58

Chapter 6 Printing ECG Reports ............................................................................................... 60


6.1 Printing an ECG Report ........................................................................................................ 60
6.1.1 Auto Mode...................................................................................................................... 60
6.1.2 Manual Mode ................................................................................................................. 61
6.1.3 Rhythm Mode................................................................................................................. 62
6.1.4 R-R Analysis Mode ........................................................................................................ 63
6.1.5 VCG Mode (Only Configurable for SE-12 Express) ..................................................... 64
6.2 Copy Printing ........................................................................................................................ 66
6.3 Freezing ECG Waves ............................................................................................................ 66
6.4 Printing a Stored ECG Report .............................................................................................. 68
6.4.1 Printing on the File Manager Screen1/2......................................................................... 68
6.4.2 Printing on the Preview Screen ...................................................................................... 68
6.5 Resting ECG Reports............................................................................................................ 69
6.5.1 Auto ECG Report ........................................................................................................... 69

IV
6.5.2 Rhythm ECG Report ...................................................................................................... 73
6.5.3 Manual ECG Report ....................................................................................................... 74
6.5.4 R-R Analysis ECG Report ............................................................................................. 75
6.5.5 VCG Report ................................................................................................................... 78
6.5.6 Auto ECG Report Printed by the USB Printer ............................................................... 82
6.5.7 Auto ECG Report of Patient with Pacemaker ................................................................ 83
6.5.8 Nehb Lead ECG Report ................................................................................................. 84

Chapter 7 Transmitting ECG Data............................................................................................. 85


7.1 Transmitting ECG Data to the PC ........................................................................................ 85
7.1.1 Transmitting ECG Data in DAT Format Through Serial Cable ..................................... 85
7.1.2 Transmitting ECG Data in DAT Format through Ethernet Cable .................................. 86
7.1.3 Transmitting ECG Data in SCP/FDA-XML/PDF/DICOM Format through Ethernet
Cable ....................................................................................................................................... 86
7.2 Real-time Transmission to PC ECG ..................................................................................... 87

Chapter 8 Managing Orders ....................................................................................................... 89


8.1 Loading Orders ..................................................................................................................... 89
8.2 Examining Orders ................................................................................................................. 90
8.3 Deleting Orders..................................................................................................................... 90
8.4 Searching Orders .................................................................................................................. 90
8.5 Setting Orders ....................................................................................................................... 91
8.5.1 Factory Defaults of Orders ............................................................................................. 91
8.5.2 Order Setup .................................................................................................................... 91

Chapter 9 Managing Files ........................................................................................................... 93


9.1 Transmitting Files ................................................................................................................. 93
9.2 Exporting Files ..................................................................................................................... 93
9.3 Deleting Files ........................................................................................................................ 94
9.4 Searching Files ..................................................................................................................... 94
9.5 Importing Files ..................................................................................................................... 95
9.6 Editing Patient Information .................................................................................................. 95
9.7 Printing Files......................................................................................................................... 95
9.8 Previewing a File .................................................................................................................. 95

Chapter 10 System Setup............................................................................................................. 98


10.1 Factory Defaults ................................................................................................................. 98

V
10.2 Work Mode Setup ............................................................................................................. 103
10.3 Filter Setup ....................................................................................................................... 104
10.4 Record Info Setup ............................................................................................................. 105
10.4.1 Setup 1........................................................................................................................ 105
10.4.2 Setup 2........................................................................................................................ 109
10.4.3 Setup 3........................................................................................................................ 110
10.5 Patient Information Setup ................................................................................................. 111
10.6 Transmission Setup ........................................................................................................... 113
10.7 Lead Setup ........................................................................................................................ 114
10.8 Display&Sound Setup ...................................................................................................... 115
10.9 Date&Time Setup ............................................................................................................. 116
10.10 File Setup ........................................................................................................................ 117
10.11 System Maintenance Setup ............................................................................................. 119
10.12 Other Setup ..................................................................................................................... 120

Chapter 11 Operation Instructions for Exercise ECG (Configurable for SE-12 Express).. 122
11.1 About the Main Screen of Exercise ECG ......................................................................... 122
11.2 Operation Preparations ..................................................................................................... 127
11.3 Exercise Test ..................................................................................................................... 131
11.4 Factory Defaults of Exercise ECG.................................................................................... 132
11.5 System Setup for Exercise ECG ....................................................................................... 134
11.5.1 General Information Setup ......................................................................................... 135
11.5.2 Record Information Setup .......................................................................................... 137
11.5.3 Managing Protocols.................................................................................................... 139
11.6 Exercise ECG Reports ...................................................................................................... 142
11.6.1 12-Lead Report ........................................................................................................... 142
11.6.2 12-Lead Peak Report .................................................................................................. 143
11.6.3 Summary Report ........................................................................................................ 144
11.6.4 ST Scope Report ......................................................................................................... 145
11.6.5 Average Template Report ........................................................................................... 146
11.6.6 Summary Average Template Report ........................................................................... 147
11.6.7 Trend Graph Report .................................................................................................... 148

Chapter 12 Hint Information .................................................................................................... 149

Chapter 13 FAQ ......................................................................................................................... 151

VI
Chapter 14 Cleaning, Care and Maintenance ......................................................................... 155
14.1 Cleaning ............................................................................................................................ 155
14.1.1 Cleaning the Main Unit and the Patient Cable ........................................................... 155
14.1.2 Cleaning the Reusable Electrodes (for Resting ECG) ............................................... 155
14.1.3 Cleaning the Print Head ............................................................................................. 156
14.1.4 Cleaning the Treadmill ............................................................................................... 156
14.2 Disinfection ...................................................................................................................... 156
14.3 Care and Maintenance ...................................................................................................... 157
14.3.1 Recharge and Replacement of Battery ....................................................................... 157
14.3.2 Recorder Paper ........................................................................................................... 158
14.3.3 Visual inspection ........................................................................................................ 159
14.3.4 Maintenance of the Main Unit and the Patient Cable ................................................ 159

Chapter 15 Accessories .............................................................................................................. 161

Chapter 16 After-Sales Service ................................................................................................. 163

Appendix 1 Technical Specifications ........................................................................................ 164


A1.1 Safety Specifications ....................................................................................................... 164
A1.2 Environment Specifications ............................................................................................. 165
A1.3 Physical Specifications .................................................................................................... 165
A1.4 Power Supply Specifications ........................................................................................... 165
A1.5 Performance Specifications ............................................................................................. 166

Appendix 2 EMC Information .................................................................................................. 168

Appendix 3 Abbreviation ........................................................................................................... 173

VII
SE-12 Series Electrocardiograph User Manual Safety Guidance

Chapter 1 Safety Guidance

This chapter provides important safety information related to the use of SE-12 series
electrocardiograph.

1.1 Intended Use

The intended use of SE-12 series electrocardiograph is to acquire ECG signals from adult and
pediatric patients through body surface ECG electrodes. The electrocardiograph is only intended
to be used in hospitals or healthcare facilities by doctors and trained healthcare professionals. The
cardiogram recorded by the electrocardiograph can help users to analyze and diagnose heart
disease. However, the interpreted ECG with measurements and interpretive statements is offered
to clinicians on an advisory basis only.

WARNING

1. This equipment is not designed for intracardiac use or direct cardiac application.

2. This equipment is not intended for home use.

3. This equipment is not intended for treatment or monitoring.

4. This equipment is intended for use on adult and pediatric patients only.

5. The results given by the equipment should be examined based on the overall clinical
condition of the patient, and they can not substitute for regular checking.

1.2 Warnings and Cautions

In order to use the electrocardiograph safely and effectively, and avoid possible dangers caused
by improper operation, please read through the user manual and be sure to be familiar with all
functions of the equipment and proper operation procedures before use.
Please pay more attention to the following warning and caution information.

-1-
SE-12 Series Electrocardiograph User Manual Safety Guidance

1.2.1 Safety Warnings

WARNING

1. The electrocardiograph is intended to be used by qualified physicians or personnel


professionally trained. They should be familiar with the contents of this user manual
before operation.

2. Only qualified service engineers can install this equipment, and only service
engineers authorized by the manufacturer can open the shell.

3. EXPLOSION HAZARD - Do not use the electrocardiograph in the presence of


flammable anesthetic mixtures with oxygen or other flammable agents.

4. SHOCK HAZARD - The power receptacle must be a hospital grade grounded outlet.
Never try to adapt the three-prong plug to fit a two-slot outlet.

5. Make sure that the power is turned off and the power cord is disconnected from the
AC socket before connecting or disconnecting equipment. Otherwise, electrical
shock or other injuries may happen to the patient or operator.

6. If the integrity of the external protective conductor is in doubt, the equipment should
be powered by an internal li-ion rechargeable battery.

7. Do not use this equipment in the presence of high static electricity or high voltage
equipment which may generate sparks.

8. Only the patient cable and other accessories supplied by the manufacturer can be
used. Or else, the performance and electric shock protection can not be guaranteed.
The electrocardiograph has been safely tested with the recommended accessories,
peripherals, and leads, and no hazard is found when the electrocardiograph is
operated with cardiac pacemakers or other stimulators.

9. Make sure that all electrodes are connected to the patient correctly before operation.

10. Ensure that the conductive parts of electrodes and associated connectors, including
neutral electrodes, do not come in contact with earth or any other conducting objects.

11. If reusable electrodes with electrode gel are used during defibrillation, the
electrocardiograph recovery will take more than 10 seconds. The manufacturer
recommends the use of disposable electrodes at all times.

-2-
SE-12 Series Electrocardiograph User Manual Safety Guidance

WARNING

12. Electrodes of dissimilar metals should not be used; otherwise it may cause a high
polarization voltage.

13. The disposable electrodes can only be used for one time.

14. Do not touch the patient, bed, table or the equipment while using the ECG together
with a defibrillator.

15. Do not touch accessible parts of non-medical electrical equipment and the patient
simultaneously.

16. The use of equipment that applies high frequency voltages to the patient (including
electrosurgical equipment and some respiration transducers) is not supported and
may produce undesired results. Disconnect the patient data cable from the
electrocardiograph, or detach the leads from the patient prior to performing any
procedure that uses high frequency surgical equipment.

17. If the wireless AP technology is used, in order to maintain compliance with the FCC
RF exposure guidelines, the wireless AP should be installed and operated with a
minimum distance of 20cm between the radiator and the human body. There should
be no shield in or around the room where the wireless AP is used.

18. Fix attention on the examination to avoid missing important ECG waves.

19. SHOCK HAZARD - Don’t connect non-medical electrical equipment, which has been
supplied as a part of the system, directly to the wall outlet when the non-medical
equipment is intended to be supplied by a multiple portable socket-outlet with an
isolation transformer.

20. SHOCK HAZARD - Don’t connect electrical equipment, which has not been supplied
as a part of the system, to the multiple portable socket-outlet supplying the system.

21. Do not connect any equipment or accessories that are not approved by the
manufacturer or that are not IEC/EN 60601-1-1 approved to the electrocardiograph.
The operation or use of non-approved equipment or accessories with the
electrocardiograph is not tested or supported, and electrocardiograph operation and
safety are not guaranteed.

22. Any non-medical equipment (such as the external printer) is not allowed to be used
within the patient vicinity (1.5m/6ft.).

-3-
SE-12 Series Electrocardiograph User Manual Safety Guidance

WARNING

23. Do not exceed the maximum permitted load when using the multiple portable
socket-outlet(s) to supply the system.

24. Multiple portable socket-outlets shall not be placed on the floor.

25. Do not use the additional multiple portable socket-outlet or extension cord in the
medical electrical system, unless it’s specified as part of the system by the
manufacturer. And the multiple portable socket-outlets provided with the system shall
only be used for supplying power to equipment which is intended to form part of the
system.

26. Accessory equipment connected to the analog and digital interfaces must be certified
according to the respective IEC/EN standards (e.g. IEC/EN 60950 for data
processing equipment and IEC/EN 60601-1 for medical equipment). Furthermore all
configurations shall comply with the valid version of the standard IEC/EN 60601-1-1.
Therefore anybody, who connects additional equipment to the signal input or output
connector to configure a medical system, must make sure that it complies with the
requirements of the valid version of the system standard IEC/EN 60601-1-1. If in
doubt, consult our technical service department or your local distributor.

27. Connecting any accessory (such as external printer) or other device (such as the
computer) to this electrocardiograph makes a medical system. In that case,
additional safety measures should be taken during installation of the system, and the
system shall provide:

a) Within the patient environment, a level of safety comparable to that provided by


medical electrical equipment complying with IEC/EN 60601-1, and

b) Outside the patient environment, the level of safety appropriate for non-medical
electrical equipment complying with other IEC or ISO safety standards.

28. All the accessories connected to system must be installed outside the patient vicinity,
if they do not meet the requirements of IEC/EN 60601-1.

29. You should purchase computer, printer, treadmill, ergometer and BP monitor from the
manufacturer. Otherwise, the manufacturer will not be held responsible for the
maintenance of the PC hardware, operating system and other accessories.

30. If multiple instruments are connected to a patient, the sum of the leakage currents
may exceed the limits given in the IEC/EN 60601-1 and may pose a safety hazard.
Consult your service personnel.

-4-
SE-12 Series Electrocardiograph User Manual Safety Guidance

WARNING

31. The potential equalization bar can be connected to that of other equipment when
necessary. Make sure that all the equipment is connected to the potential
equalization terminal.

1.2.2 Li-ion Battery Care Warnings

WARNING

1. Improper operation may cause the internal li-ion battery (hereinafter called battery) to
be hot, ignited or exploded, and it may lead to the decrease of the battery capacity. It
is necessary to read the user manual carefully and pay more attention to warning
messages.

2. Only qualified service engineers authorized by the manufacturer can open the battery
compartment and replace the battery, and batteries of the same model and
specification as manufacturer configuration should be used.

3. DANGER OF EXPLOSION -- Do not reverse the anode and the cathode when
installing the battery.

4. Do not heat or splash the battery or throw it into fire or water.

5. Do not destroy the battery; Do not pierce battery with a sharp object such as a needle;
Do not hit with a hammer, step on or throw or drop to cause strong shock; Do not
disassemble or modify the battery.

6. When leakage or foul smell is found, stop using the battery immediately. If your skin
or cloth comes into contact with the leakage liquid, cleanse it with clean water at once.
If the leakage liquid splashes into your eyes, do not wipe them. Irrigate them with
clean water first and go to see a doctor immediately.

7. Properly dispose of or recycle the depleted battery according to local regulations.

8. Only when the device is off can the battery be installed or removed.

9. Remove the battery from the electrocardiograph when the electrocardiograph isn’t
used for a long time.

10. If the battery is stored alone and not used for a long time, we recommend that the
battery be charged at least once every 6 months to prevent over-discharge.

-5-
SE-12 Series Electrocardiograph User Manual Safety Guidance

1.2.3 General Cautions

CAUTION
1. Avoid liquid splash and excessive temperature. The temperature must be kept
between 5 ºC and 40 ºC during operation, and it should be kept between -20 ºC and
55 ºC during transportation and storage.

2. Do not use the equipment in a dusty environment with bad ventilation or in the
presence of corrosive.

3. Make sure that there is no intense electromagnetic interference source around the
equipment, such as radio transmitters or mobile phones etc. Attention: large medical
electrical equipment such as electrosurgical equipment, radiological equipment and
magnetic resonance imaging equipment etc. is likely to bring electromagnetic
interference.

4. Ruptured fuse must only be replaced with that of the same type and rating as the
original.

5. The device and accessories are to be disposed of according to local regulations after
their useful lives. Alternatively, they can be returned to the dealer or the manufacturer
for recycling or proper disposal. Batteries are hazardous waste. Do NOT dispose of
them together with house-hold garbage. At the end of their lives hand the batteries
over to the applicable collection points for the recycling of waste batteries. For more
detailed information about recycling of this product or battery, please contact your
local Civic Office, or the shop where you purchased the product.

6. Federal (U.S.) law restricts this device to sale by or on the order of a physician.

-6-
SE-12 Series Electrocardiograph User Manual Safety Guidance

1.2.4 Preparation and Operation Warnings (for SE-12 Express

Exercise ECG)

WARNING

1. Test the safety stop (mushroom type) and safety stop (cord type) of the treadmill
before using the system.

2. During the exercise test, ensure that there are at least 2 experienced physicians
present. One of them observes the patient and deals with the emergency.

3. Make sure that there is necessary valid first-aid equipment such as defibrillators,
blood-pressure meters etc, and necessary valid medication in the exercise test room.

4. Turn off the system power and disconnect the power cord from the wall outlet after
using the system.

5. Make sure that the power is turned off and the power cord is disconnected from the
AC socket before defibrillation.

6. Keep the four feet of the machine on the ground and make sure that it’s stably
working.

7. The treadmill must be powered by the specific power outlet.

8. Examine the treadmill/ergometer carefully before using it.

9. The patient undergoing the exercise test should wear suitable clothes and shoes.

10. Keep hands, hair, jewelry, and loose clothing away from moving parts.

11. Don’t let the patient stand on the running belt when starting the treadmill. The patient
should stand on the foot rails and hold the handrails during start-up. Wait until the
running belt is moving before placing feet on the belt.

12. To avoid the static electricity, the patient should not wear loose clothing or clothing
(such as nylon) that easily produces static electricity.

13. Stop exercising immediately when the patient feels uncomfortable or something
abnormal in the operation.

14. Press down the safety stop (mushroom type) or pull out the safety stop (cord type) to
stop the treadmill immediately when an emergency happens.

-7-
SE-12 Series Electrocardiograph User Manual Safety Guidance

1.2.5 Contraindications (for SE-12 Express Exercise ECG)

Absolute Contraindications:

1. Acute MI (within 2 days)


2. High-risk unstable angina
3. Hemodynamic compromise caused by uncontrolled cardiac arrhythmia
4. Symptomatic severe aortic stenosis
5. Heart failure with clinic episode uncontrolled
6. Acute pulmonary embolus or pulmonary infarction
7. Acute myocarditis or pericarditis
8. The patient opposes the test.

Relative Contraindications:

1. Left main coronary stenosis


2. Moderate stenotic valvular heart disease
3. Serum Electrolyte abnormalities
4. Severe hypertension (systolic blood pressure >200 mmHg or diastolic blood
pressure >110 mmHg)
5. Tachyarrhythmias or bradyarrhythmias
6. Hypertrophic cardiomyopathy
7. Patients can not cooperate because of mental impairment or physical disability
8. High-degree AV block

-8-
SE-12 Series Electrocardiograph User Manual Safety Guidance

1.3 List of Symbols

External output

External input

Equipment or part of CF type with defibrillator proof

Caution

Consult Instructions for Use

Potential equalization

Patient Cable Socket

USB socket

Net port

Mains supply

Battery indicator

Battery recharging indicator

Delete key

Enter key

-9-
SE-12 Series Electrocardiograph User Manual Safety Guidance

Esc key/Reset key

Shift key

Fn key

Power On/Off key

1mV/COPY key

MODE key

SLEEP/WAKE UP key

PRINT/STOP key

Tab key/Feed paper key

UP/DOWN Arrow key

LEFT/RIGHT Arrow key / Lead switch key

Gender key

- 10 -
SE-12 Series Electrocardiograph User Manual Safety Guidance

Age Group key

Recycle

Part Number

Serial Number

Date of Manufacture

Manufacturer

Authorized Representative in the European Community

The symbol indicates that the device complies with the


European Council Directive 93/42/EEC concerning medical
devices.
With respect to electrical shock, fire and mechanical hazards
only in accordance with UL 60601-1and CAN/CSA C22.2
No. 601.1
Federal (U.S.) law restricts this device to sale by or on the
Rx only (U.S.)
order of a physician.

It indicates that the device should be sent to the special


agencies according to local regulations for separate collection
after its useful life.

- 11 -
SE-12 Series Electrocardiograph User Manual Introduction

Chapter 2 Introduction

SE-12 series electrocardiograph gathers ECG signals of 12 leads simultaneously. It displays the
operation menu, ECG parameters as well as electrocardiograms.
The 12-channel ECG waves can be viewed on the LCD screen and printed out by using a
high-quality thermal recorder. The sampled ECG data can be saved, transmitted and exported.
The manual, auto, rhythm, R-R analysis or VCG (only configurable for SE-12 Express) mode can
be chosen freely.
For SE-12 Express, the exercise ECG function is optional. When a patient with coronary heart
disease runs, the added heart load will cause myocardium hypotension, and then the ECG will
change abnormally. Therefore, the exercise ECG function of SE-12 Express can be used to
diagnose concealed coronary heart disease and atypical angina pectoris, prescribe the workload
for patients with myocardial infarction before they leave hospital, and assess the effect of the
treatment.
SE-12 series electrocardiograph can be powered by the mains supply or battery.
With a high resolution thermal recorder, a 32-bit processor and a large-capacity memorizer,
SE-12 series electrocardiograph has advanced performance and high reliability. The compact size
makes it suitable for clinic and hospital uses.
SE-12 series electrocardiograph has two models: SE-12 and SE-12 Express.
SE-12 adopts 320×240 dot single color LCD screen; SE-12 Express adopts 800×600 multicolor
LCD screen.
Configuration: main unit, power cord, patient cable, chest electrodes, limb electrodes, disposable
electrodes, alligator clips, thermal recorder paper, fuses, battery.
NOTE: The pictures and windows in this manual are for reference only.

- 12 -
SE-12 Series Electrocardiograph User Manual Introduction

2.1 Top Panel

Indicators

LCD Screen

Recorder Keyboard

Figure 2-1 SE-12 Express

Indicators

LCD Screen
Recorder

Keyboard

Figure 2-2 SE-12

- 13 -
SE-12 Series Electrocardiograph User Manual Introduction

2.2 Keyboard and Keys

C
D
E

F
Q

P
G
H
O

N M L K J I

Figure 2-3 SE-12 Express Keyboard

C
D
E

F
Q
G
P
H
O

N M L K J I
Figure 2-4 SE-12 Keyboard

- 14 -
SE-12 Series Electrocardiograph User Manual Introduction

Name Explanation
When the main screen is displayed, press this key to display
the main screen of the exercise test.
When the main screen of the exercise test is displayed, press
this key to enter the pretest phase. The length of the pretest
Pretest
phase is not fixed.
When the main screen of the exercise test is displayed and
the exercise test is terminated, press this key to enter the no
testing state.

Press to enter the exercise phase. In the exercise phase, press


Exercise
this key to enter the next stage of the exercise phase.

Press to enter the recovery phase. In the recovery phase,


Recovery
A press this key to enter the next stage of the recovery phase.
NOTE:
Only if Press to display a pop-up dialog box, and then you can
Test end
the decide whether the exercise test should be terminated.
stress
Press to display the Input BP dialog box, and then enter the
ECG Enter BP
BP values manually.
function
is During the exercise test, press this key to review 10s data
activated, Recall and print out the 12-channel ECG report of the reviewed 10s
can data.
these During the exercise test, press this key to sample 10s data
keys be 12-lead and print out the 12-channel ECG report of the sampled 10s
available. data.
During the exercise test, press this key to print out the
Medians
average template report.

Press to display the Comment dialog box, and then you can
Comment annotate in the dialog box. The annotations will be displayed
in the summary report.

Press Speed Load +/- to change the speed of the treadmill


during the exercise phase.
Press Speed Load +/- to change the power of the ergometer
Speed Load +/-
during the exercise phase.
NOTE: The two keys are available for the customized
protocol only.

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SE-12 Series Electrocardiograph User Manual Introduction

Press Grade +/- to change the grade of the treadmill during


the exercise phase.
Grade +/-
NOTE: The two keys are available for the customized
protocol only.
Before the exercise test, press the Start tmill key to test the
connection between the electrocardiograph and the treadmill,
and then press the Stop tmill key to stop the connection test.
During the exercise test, press the Stop tmill key to stop the
Start/Stop tmill test temporarily, and then press the Start tmill key to restart
the test.
NOTE: Pressing the Stop tmill key cannot add the
timing of the current phase during the exercise
test.
B Function Key Press to select menu functions on the screen.
Press to quickly select the gender for the patient when
C Gender Key Gender is selected in the Patient Information Setup
window.
D Delete Key Press to delete characters.
Press to quickly select the age group on the main screen
E Age Group Key when you set Age to Age Group in the Patient Information
Setup window.
F Enter Press to confirm operation.
Press to move the cursor:
Pressing Tab can move the cursor forward, and pressing
Shift + Tab can move the cursor backward.
Press to feed paper:
G Tab/Feed paper
If Paper Marker is set to Yes, pressing Tab can advance the
recorder paper to the next black marker; if Paper Marker is
set to No, pressing Tab can advance the paper for 2.5cm.
Pressing Tab again can stop advancing the paper.
Press Fn and a letter key to type special characters.
H Fn
Pressing Fn + a can type è.
Press to move the cursor (Up, Down, Left, Right)
I Arrow Keys In the manual mode or on the previewing screen, press the
Left or Right arrow to switch the lead groups.

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SE-12 Series Electrocardiograph User Manual Introduction

Pressing Shift + Up/Down can turn pages on the Order


Manager screen and the File Manager screen.
Pressing the Up or Down arrow can switch the display style
during the exercise test. When the display style is 3×1,
pressing the Left or Right arrow can switch the lead group.
Press to start or stop printing reports
J PRINT/STOP Pressing Shift + PRINT/STOP can quickly enable or
disable the print out function in the auto or rhythm mode.
In the manual mode, pressing the 1mV/COPY key can insert
a 1mV calibration mark during the printing course.
K 1mV/COPY In the auto, rhythm or VCG (only configurable for SE-12
Express) mode, pressing the 1mV/COPY key can print the
ECG report which was printed out last time.
SLEEP/WAKE
L Press to rest/waken the electrocardiograph
UP
Press to select a working mode among the auto, manual,
rhythm, R-R analysis and VCG (only configurable for SE-12
Express) modes.
M MODE NOTE: Only if a working mode is selected in the Work
Mode Setup window, can the working mode be
selected by pressing the MODE key when the
main screen is displayed.
N Power On/Off Power-on/Power-off
Press to add a space between typed characters or
O Spacebar
select/deselect a checkbox
Press to cancel operation
NOTE: A large polarization voltage may cause baseline
P Esc/Reset drift. On the main screen, pressing Esc can
decrease the polarization voltage and draw the
baseline to zero quickly.
Press Shift + Tab to move the cursor backward.
Press Shift and a number key to input the special character in
the top right corner of the key.
Q Shift If Caps Lock is set to Off, pressing Shift + P can type a
capital P.
If Caps Lock is set to On, pressing Shift + P can type a
lowercase p.

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SE-12 Series Electrocardiograph User Manual Introduction

2.3 Front Panel

A B C

Figure 2-5 SE-12 Express Front Panel

A B C

Figure 2-6 SE-12 Front Panel

Symbol Name Explanation

Mains supply When the device is powered by the mains supply,


A
indicator this indicator is lit.

When the device is powered by battery, this


B Battery indicator
indicator is lit.

Battery recharging When the battery is being recharged, this indicator


C
indicator is lit.

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SE-12 Series Electrocardiograph User Manual Introduction

2.4 Rear Panel

B C D

Figure 2-7 SE-12 Express Rear Panel

B C D

Figure 2-8 SE-12 Rear Panel

Name Explanation

A Mains Supply Socket AC SOURCE: alternating current supply socket

Potential Equalization Potential equalization conductor provides a


B
Conductor connection between the unit and the potential equalization
bus bar of the electrical installation.

C Handle Part for people to hold

D Heat Emission Hole Path for internal heat emission

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SE-12 Series Electrocardiograph User Manual Introduction

2.5 Right Panel

C D

A B E F

Figure 2-9 SE-12 Express Right Panel

C D
G

A B E F

Figure 2-10 SE-12 Right Panel

Name Explanation

A Patient Cable Socket Connecting to the patient cable

Connecting to a PC
In the exercise test, only the treadmill/ergometer
B Serial Port 1
recommended by the manufacturer can be
connected.

C USB Socket 1 (Optional) Standard USB socket, connecting to a PC

Standard USB socket, connecting to a U disk, a


D USB Socket 2 (Optional) bar code reader or a USB printer recommended
by the manufacturer

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SE-12 Series Electrocardiograph User Manual Introduction

E External Input / Output Socket Connecting to the external signal device

In the exercise test, only the BP Monitor


F Serial Port 2 recommended by the manufacturer can be
connected.

G Net port Standard net port, connecting to a PC

1) Patient Cable Socket

: Applied part of type CF with defibrillator proof

: Caution
Definitions of corresponding pins:

Pin Signal Pin Signal Pin Signal


1 C2 / V2 6 SH 11 F / LL
C1 / V1
2 C3 / V3 7 NC 12
or NC
3 C4 / V4 8 NC 13 C1 / V1
RF (N) /RL
4 C5 / V5 9 R / RA 14
or NC
5 C6 / V6 10 L / LA 15 RF (N) / RL

NOTE: The left side of “/” is European standard, and the right side is American standard.

2) Serial Port 1

WARNING
The isolated intensity of serial port 1 is 1500V AC and the maximum voltage applied
should not exceed +15V DC.

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SE-12 Series Electrocardiograph User Manual Introduction

Definitions of corresponding pins:

Pin Signal Pin Signal Pin Signal


1 NC 4 NC 7 NC
2 RxD (input) 5 GND 8 NC
3 TxD (output) 6 NC 9 NC

3) Serial Port 2
6

8 2

7 1

5 3

4
Definitions of corresponding pins:

Pin Signal Pin Signal


1 TxD (output) 5 NC
2 RxD (input) 6 NC
3 NC 7 GND
4 NC 8 GND

4) External Input/Output Socket

Definitions of corresponding pins:

Pin Signal Pin Signal


1 GND 4 GND
2 GND 5 ECG Signal (input)
3 GND 6 ECG Signal (output)

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SE-12 Series Electrocardiograph User Manual Introduction

5) USB Socket 1/USB Socket 2 (Optional)

CAUTION
Only the USB equipment recommended by the manufacturer can be connected to the
USB interface.

Definitions of corresponding pins:

Pin Signal Pin Signal


1 +5V 3 D+
2 D- 4 GND

WARNING
1. Accessory equipment connected to the analog and digital interfaces must be certified
according to the respective IEC/EN standards (e.g. IEC/EN 60950 for data
processing equipment and IEC/EN 60601-1 for medical equipment). Furthermore all
configurations shall comply with the valid version of the standard IEC/EN 60601-1-1.
Therefore anybody, who connects additional equipment to the signal input or output
connector to configure a medical system, must make sure that it complies with the
requirements of the valid version of the system standard IEC/EN 60601-1-1. If in
doubt, consult our technical service department or your local distributor.

2. If multiple instruments are connected to a patient, the sum of the leakage currents
may exceed the limits given in the IEC/EN 60601-1 and may pose a safety hazard.
Consult your service personnel.

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SE-12 Series Electrocardiograph User Manual Introduction

2.6 Bottom Panel

D
C D

Figure 2-11 SE-12 Express Bottom Panel

D
C D

Figure 2-12 SE-12 Bottom Panel

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SE-12 Series Electrocardiograph User Manual Introduction

Name Explanation

A Speaker Hole Path for sound from speaker

B Battery Compartment Compartment for battery

C Fuse The specification is: T1AL250VP Ø5×20

D Heat Emission Hole Path for internal heat emission

E Label Position for product information label

1) Battery Compartment

The rated voltage and the rated capacity of the battery pack are as follows:

SE-12 Express: Rated Voltage: 14.8V; Rated Capacity: 4400mAh

SE-12: Rated Voltage: 14.8V; Rated Capacity: 2200mAh

WARNING
1. Improper operation may cause the battery to be hot, ignited or exploded, and it may
lead to the decrease of the battery capacity. Therefore, it is necessary to read the
user manual carefully and pay more attention to warning messages.

2. When leakage or foul smell is found, stop using the battery immediately. If your skin
or cloth comes into contact with the leakage liquid, cleanse it with clean water at once.
If the leakage liquid splashes into your eyes, do not wipe them. Irrigate them with
clean water first and go to see a doctor immediately.

3. Only qualified service engineers authorized by the manufacturer can open the battery
compartment and replace the battery, and batteries of the same model and
specification must be used.

4. Only when the device is off can the battery be installed or removed.

NOTE: If the battery has not been used for two months or more, you should recharge it
before using it again.

2) Fuse

There are two fuses of the same specification installed on the bottom of the main unit. The
specification is: T1AL250VP Ø5×20.

WARNING
Ruptured fuses must only be replaced with those of the same type and rating as the
original.

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SE-12 Series Electrocardiograph User Manual Introduction

2.7 Features

♦ Supporting AC and DC power supply modes, internal rechargeable li-ion battery with
professional battery powered circuit, battery management and protection systems
♦ Supporting multi-language
♦ Full alphanumeric keyboard (For SE-12 Express, touch screen is available)
♦ ECG signals of 12 leads are gathered and amplified simultaneously, 12-channel waves
are displayed and recorded simultaneously
♦ Correct detection for failure electrodes
♦ Convenient operation of recording by pressing the PRINT/STOP key with high
efficiency
♦ High resolution thermal recorder, recording frequency response ≤150Hz
♦ Supporting external USB printer
♦ Supporting accurate digital filter to decrease the polarization voltage and other
interferences
♦ Supporting rolled and folded paper recorded with high resolution waveforms,
calibration mark, gain, speed and filter
♦ The auto, manual, rhythm, R-R analysis and VCG (only configurable for SE-12 Express)
modes can be chosen freely
♦ Flexible printing formats
♦ Supporting ECG waves displaying with grid
♦ Automatic baseline adjustment for optimal printing
♦ Convenient operation of system setup and file management
♦ Multiple file formats: DAT, PDF and optional formats (SCP/FDA-XML/DICOM)
♦ Measurement function and interpretation function
♦ Supporting bar code reader
♦ ECG data can be transmitted to the PC software through the serial cable, net cable, or
wireless AP (optional)
♦ Real-time transmission to PC ECG
♦ Supporting order function

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SE-12 Series Electrocardiograph User Manual Introduction

The following features are only for the exercise test function of SE-12 Express
(optional)

♦ Real-time analysis, ST segment and trend are applied while sampling

♦ Real-time display and print of 12-lead simultaneous ECG waveforms with average
template

♦ ST segment analysis while sampling; ST position is adjustable while sampling;

♦ Providing average templates of three rhythm leads in every stage to observe the change
of ST segments between every two stages

♦ Automatically forming elaborate reports, including Summary Report, ST Scope Report,


Summary Average Template Report and Trend Graph Report

♦ Supporting magnifying or minifying the average templates

♦ Providing saving PDF files to U disk and transmitting PDF files to the server by
implanting FTP protocol.

♦ Providing classical exercise protocols; exercise protocols can be edited and created

♦ Providing 30 exercise stages at most in a user-defined protocol

♦ Automatically controlling and adjusting the speed and grade of the treadmill or the
power of the ergometer

♦ Supporting multi-types of treadmill or ergometer

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SE-12 Series Electrocardiograph User Manual Operation Preparations

Chapter 3 Operation Preparations


WARNING

Before use, the equipment, patient cable and electrodes should be checked. Replace
them if there is any evident defectiveness or aging which may impair the safety or the
performance, and make sure that the equipment is in proper working condition.

3.1 Connecting the Patient Cable to the Electrocardiograph


and Electrodes
WARNING

The performance and electric shock protection can be guaranteed only if the original
patient cable and electrodes of the manufacturer are used.

The patient cable includes the main cable and lead wires which can be connected to electrodes.

Connecting to the
Lead Wires
Patient Cable Socket

Main Cable

Connecting to
Electrodes

Patient Cable for Resting ECG

Main Cable
Lead Wires

Screw
Electrode Connector

Connecting to the
Patient Cable Socket

Patient Cable for Exercise ECG

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SE-12 Series Electrocardiograph User Manual Operation Preparations

3.1.1 Connecting the Patient Cable to the Electrocardiograph

Connect the patient cable to the patient cable socket on the right side of the main unit, and then
secure them with two screws.

3.1.2 Connecting the Patient Cable to Electrodes (for Resting

ECG)

Align all lead wires of the patient cable to avoid twisting, and connect the lead wires to the
reusable electrodes or the alligator clips. Firmly attach them.
The identifiers and color codes of electrode connectors used comply with IEC/EN requirements.
In order to avoid incorrect connection, the identifiers and color codes are specified in Table 3-1.
Moreover the equivalent codes according to American requirements are given in Table 3-1 too.

Table 3-1 Electrode Connectors and Their Identifiers and Color Codes

European American
Electrode Connectors Identifier Color Code Identifier Color Code
Right arm/Right deltoid R Red RA White
Left arm/Left deltoid L Yellow LA Black
Right leg/Upper leg as
N or RF Black RL Green
close to torso as possible

Left leg/Upper leg as


F Green LL Red
close to torso as possible

Chest 1 C1 White/Red V1 Brown/Red


Chest 2 C2 White/Yellow V2 Brown/Yellow
Chest 3 C3 White/Green V3 Brown/Green
Chest 4 C4 White/Brown V4 Brown/Blue
Chest 5 C5 White/Black V5 Brown/Orange
Chest 6 C6 White/Violet V6 Brown/Violet

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SE-12 Series Electrocardiograph User Manual Operation Preparations

3.1.3 Connecting the Patient Cable to Electrodes (for Exercise

ECG)

The identifiers and color codes of electrodes used comply with IEC/EN requirements. In order to
avoid incorrect connections, the electrode identifiers and color codes are specified in Table 3-2.
Moreover the equivalent codes according to American requirements are given in Table 3-2 too.

Table 3-2 Electrodes and Their Identifiers and Color Codes

European American
Electrodes Color Code Electrodes Color Code
R Red RA White
L Yellow LA Black
N or RF Black RL Green
F Green LL Red
C1 White/Red V1 Brown/Red
C2 White/Yellow V2 Brown/Yellow
C3 White/Green V3 Brown/Green
C4 White/Brown V4 Brown/Blue
C5 White/Black V5 Brown/Orange
C6 White/Violet V6 Brown/Violet

3.2 Preparing the Patient

3.2.1 Instructing the Patient

Before attaching the electrodes, greet the patient and explain the procedure. Explaining the
procedure decreases the patient’s anxiety. Reassure the patient that the procedure is painless.
Privacy is important for relaxation. When possible, prepare the patient in a quiet room or area
where others can’t see the patient. Make sure that the patient is comfortable. The more relaxed
the patient is, the less the ECG will be affected by noise.

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SE-12 Series Electrocardiograph User Manual Operation Preparations

3.2.2 Preparing the Skin

Thorough skin preparation is very important. The skin is a poor conductor of electricity and
frequently creates artifacts that distort the ECG signals. By performing methodical skin
preparation, you can greatly reduce the possibility of noise caused by muscle tremor and baseline
drift, ensuring high-quality ECG waves. There is natural resistance on the skin surface due to dry,
dead epidermal cells, oils and dirt.
To Prepare the Skin
Shave hair from electrode sites, if necessary. Excessive hair prevents a good connection.
Wash the area thoroughly with soap and water.
Dry the skin with a gauze pad to increase capillary blood flow to the tissues and to remove the
dead, dry skin cells and oils.

3.3 Attaching Electrodes to the Patient

Two kinds of electrode can be used, one is the reusable electrode (including chest electrodes and
limb electrodes), and the other is the disposable electrode.

WARNING

1. Make sure that all electrodes are connected to the patient correctly before operation.

2. Ensure that the conductive parts of electrodes and associated connectors, including
neutral electrodes, do not come in contact with earth or any other conducting objects.

NOTE: The quality of ECG waveform will be affected by the contact resistance between
the patient and the electrode. In order to get a high-quality ECG, the
skin-electrode resistance must be minimized while connecting electrodes.

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SE-12 Series Electrocardiograph User Manual Operation Preparations

3.3.1 Electrode Placement (for Resting ECG)

The electrodes’ positions on the body surface are shown in the following table and figure.

Standard 12-Lead Placement

Only for the Disposable Electrodes

Only for the Reusable Electrodes

European American
Electrode Placement
Label Label

C1 V1 Fourth intercostal space at the right border of the sternum

C2 V2 Fourth intercostal space at the left border of the sternum

C3 V3 Fifth rib between C2 and C4

C4 V4 Fifth intercostal space on the left midclavicular line

C5 V5 Left anterior axillary line at the horizontal level of C4

C6 V6 Left midaxillary line at the horizontal level of C4

L LA Right arm/Right deltoid

R RA Left arm/Left deltoid

F LL Right leg/Upper leg as close to torso as possible

N RL Left leg/Upper leg as close to torso as possible

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SE-12 Series Electrocardiograph User Manual Operation Preparations

NEHB Placement

European American
Electrode Placement
Label Label

Nst A1 Attachment point of the second rib to the right sternal edge

Nax A2 Fifth intercostal space on the left posterior axillary line

Nap V4 Left mid-clavicular line in the fifth intercostal space

R RA Right arm

L LA Left arm

N or RF RL Right leg

F LL Left leg

Frank Lead Placement (for VCG)

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SE-12 Series Electrocardiograph User Manual Operation Preparations

European American
Electrode Placement
Label Label
C1 V1 Right mid-axillary line on the same horizontal level as C3 and C4
C2 V2 Sternum at the level of C3 and C4
C3 V3 Mid-clavicular line in the fifth intercostals space
C4 V4 Left mid-axilary line on the same horizontal level as C3
C5 V5 Center of spine on the same horizontal level as C3 and C4
C6 V6 Neck, avoid carotid artery and jugular vein
L LA Right arm/Right deltoid
R RA Left arm/Left deltoid
F LL Right leg/Upper leg as close to torso as possible
N RL Left leg/Upper leg as close to torso as possible

3.3.2 Electrode Placement (for Exercise ECG)

The Precordial Electrodes’ Positions on Body Surface:


European American
Electrode Placement
Label Label
C1 V1 Fourth intercostal space at the right border of the sternum
C2 V2 Fourth intercostal space at the left border of the sternum
C3 V3 Fifth rib between C2 and C4
C4 V4 Fifth intercostal space on the left midclavicular line
C5 V5 Left anterior axillary line at the horizontal level of C4
C6 V6 Left midaxillary line at the horizontal level of C4

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SE-12 Series Electrocardiograph User Manual Operation Preparations

The Extremity Electrodes’ Positions on Body Surface:

European American
Electrode Placement
Label Label

R/L RA / LA Below the right/left clavicle

N/F RL / LL Below the right/left rib

3.3.3 Attaching the Reusable Electrodes (for Resting ECG)

3.3.3.1 Attaching the Limb Electrodes

Connecting to a Lead Wire

Reed
Clamp

Limb Electrode

Limb Electrode Connection:


1) Ensure that the electrodes are clean;
2) Clean the electrode area which is a short distance
above the ankle or the wrist with 75% alcohol;
3) Daub the electrode area on the limb with gel evenly;
4) Place a small amount of gel on the metal part of the
limb electrode clamp;
5) Connect the electrode to the limb, and make sure that
the metal part is placed on the electrode area above
the ankle or the wrist;
6) Attach all limb electrodes in the same way.

3.3.3.2 Attaching the Chest Electrodes

Suction Bulb

Metal Cup Connecting to a Lead Wire

Chest Electrode

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SE-12 Series Electrocardiograph User Manual Operation Preparations

Chest Electrode Connection:


1) Ensure that the electrodes are clean;
2) Clean the electrode area on the chest surface with 75% alcohol;
3) Daub the round area of 25mm in diameter on each electrode site with gel evenly;
4) Place a small amount of gel on the brim of the chest electrode’s metal cup;
5) Place the electrode on the chest electrode site and squeeze the suction bulb.
Unclench it and the electrode is adsorbed on the chest;
6) Attach all chest electrodes in the same way.
NOTE: Long-time measurement with a strong negative pressure on the suction
bulb may cause reddening of the skin. When using the electrode on kids
or patients with delicate skin, squeeze the suction bulb lightly.

3.3.4 Attaching the Disposable Electrodes

CAUTION
The disposable electrodes can only be used for one time.

Disposable Electrode: Alligator Clip:

Disposable electrodes must be used together with alligator clips.


Disposable Electrode Connection
1) Align all lead wires of the patient cable to avoid twisting, and connect the alligator clips to
the lead wires.
2) Clean the electrode areas on the body surface with 75% alcohol.
3) Attach the disposable electrodes to the electrode positions on the body surface.
4) Clip the disposable electrodes with the alligator clips.
The quality of ECG waveform will be affected by the contact resistance between the patient and
the electrode. In order to get a high-quality ECG, the skin-electrode resistance must be minimized
while connecting electrodes.

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SE-12 Series Electrocardiograph User Manual Operation Preparations

3.4 Inspection Before Power-On

In order to avoid safety hazards and get good ECG records, the following inspection procedures
are recommended before operation.

WARNING

The electrocardiograph is intended to be used by qualified physicians or personnel


professionally trained, and they should be familiar with the contents of this user manual
before operation.

1) Environment:

♦ Make sure that there is no electromagnetic interference source around the equipment,
especially large medical electrical equipment such as electrosurgical equipment,
radiological equipment, magnetic resonance imaging equipment etc. Turn off these
devices when necessary.
♦ Keep the examination room warm to avoid muscle tremor voltages in ECG signals
caused by cold.

2) Power Supply:

♦ If the mains supply is used, please check whether the power cord is connected to the
unit well. The grounded three-slot outlet should be used.
♦ When the battery capacity is low, recharge the battery before use.

3) Patient Cable:

♦ Make sure that the patient cable is connected to the unit firmly, and keep it far away
from the power cord.
4) Electrodes:
♦ Make sure that all electrodes are connected to lead wires of the patient cable
correctly.
♦ Ensure that the chest electrodes do not contact with each other.
5) Patient:
♦ The patient should not come into contact with conducting objects such as earth, metal
parts etc.
♦ Ensure that the patient is warm and relaxed, and breathes calmly.

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SE-12 Series Electrocardiograph User Manual Operation Preparations

3.5 Turning On/Off the Electrocardiograph

WARNING
1. If the integrity of the external protective conductor is in doubt, the equipment should
be powered by the battery.

2. Potential equalization conductor of the unit should be connected to the potential


equalization bus bar of the electrical installation when necessary.

The electrocardiograph can be powered by either the mains supply or the battery.

To turn on the Electrocardiograph:

♦ When operating on AC power


Make sure that the mains supply meets the requirements (refer to A1.4 Power Supply

Specifications) before power-on, and then press on the keyboard to turn on the
unit. The mains supply indicator ( ) is lit, and the logo will be displayed on the LCD
screen after self-test.
If the battery is weak when the mains supply is used, it will be recharged automatically
at the same time. Both the mains supply indicator ( ) and the battery recharging
indicator ( ) will be lit.
♦ When operating on battery power

Press on the keyboard to turn on the unit, and then the battery indicator ( ) will
be lit and the battery symbol will be displayed. The logo will be displayed on the LCD
screen after self-test.
Because of the consumption during the storage and transport course, the battery capacity
may not be full. If the symbol and the hint information Battery Weak are displayed,
which means the battery capacity is low, please recharge the battery first.

CAUTION

1. If the electrocardiograph is turned off because of low battery capacity or unexpected


power failure, the settings or the current ECG report may not be saved.

2. The electrocardiograph cannot print an ECG report when the battery is weak.

3. The use of electrocardiograph accessories (such as barcode reader) will deplete


battery power at a faster rate. The battery will require more frequent charging if these
accessories are used with the electrocardiograph.

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SE-12 Series Electrocardiograph User Manual Operation Preparations

To turn off the Electrocardiograph:

♦ When operating on AC power

Hold down the key to display the hint System is shutting down… on the screen.
Then the device will be off a few seconds later. Remove the plug from the outlet.
♦ When operating on battery power

Hold down the key to display the hint System is shutting down… on the screen.
Then the device will be off a few seconds later.
NOTE:
1. When turning off the device, follow the above sequence strictly, or else there may be
something wrong on the screen.

2. Do not hold down the key when the device displays the hint information System
is shutting down… on the screen.

3.6 Loading/Replacing Recorder Paper


Two kinds of recorder paper can be used. One is the folded thermal paper, and the other is the
rolled thermal paper.
NOTE:
1. When the folded thermal paper is used, the paper roller is unnecessary and must be
taken out.
2. When using the paper of 216mm in width, the two movable parts should be removed.
3. The exit edge can help you tear the recorder paper.

CAUTION

Make sure that the recorder paper, is installed in the center of the recorder, and the paper
edge is parallel with the casing edge in the direction of advancing paper, in order to avoid
paper deviation or damage to the paper edge.

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SE-12 Series Electrocardiograph User Manual Operation Preparations

When the recorder paper runs out or is not loaded, the hint message No Paper will appear on the
screen. Then you should load or replace the recorder paper immediately.

Groove

Movable Movable
Part 1 Part 2
Paper Tray
Exit Edge
(Edge for
tearing paper)
Casing Button

Exit
Paper Roller

Casing

Loading/Replacing Process of Folded Paper:

1) Press the casing button downwards and remove the casing to open the recorder.

2) Remove the remainder paper from the paper tray if necessary.

- 40 -
SE-12 Series Electrocardiograph User Manual Operation Preparations

3) Take off the wrapper of the new folded paper, and then put it in the paper tray.

4) Pull the paper out with the grid side facing the thermal print head, and replace the casing
on the recorder.

5) Press down the recorder casing firmly.


6) Advance the recorder paper.
When the main screen is displayed, if Paper Marker is set to Yes, you can press

to advance the recorder paper to the next black marker; if Paper Marker is

set to No, you can press to advance the paper for 2.5cm. Press
again to stop advancing the paper.

- 41 -
SE-12 Series Electrocardiograph User Manual Operation Preparations

Loading/Replacing Process of Rolled Paper:


1) Press the casing button downwards and remove the casing to open the recorder.

2) Take out the paper roller, and remove remainder paper from the roller if necessary.
3) Take off the wrapper of the new thermal paper roll, and then put the paper roll through
the roller.
4) Place the paper and the roller gently in the recorder with the roller pin clicking into the
groove.
Groove

5) Pull the paper out with the grid side facing the thermal print head, and replace the casing
on the recorder.

- 42 -
SE-12 Series Electrocardiograph User Manual Operation Preparations

6) Press down the recorder casing firmly.


7) Set Paper Marker to No in the Record Info Setup1 window.
8) Advance the recorder paper.

When the main screen is displayed, you can press to advance the paper for

2.5cm. Press again to stop advancing the paper.

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

Chapter 4 Basic Operation Guidance

The following sections provide an overview of the main operations and functions.
You can operate the electrocardiograph by using the touch screen (optional).

CAUTION
Do not touch the LCD screen with sharp things such as pencils or pens; otherwise, it will
be damaged.

4.1 Navigation Tips

4.1.1 Selecting Menu Functions

Press F7 below to
open the main screen2.

Press F1, F2, F3, F4, F5 or F6 to select the corresponding menu function.
 To select Patient, press the function key F1 below Patient on the main screen1.
 To select File, press the function key F1 below File on the main screen2.
For details about the main screen, please refer to Section 4.3.1 “About the Main Screen”.

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

4.1.2 Entering Data

Take the Patient Information window for example:

1. Press F1 below Patient on the main screen1 to open the Patient Information window.
2. Press Tab or Shift + Tab to move the cursor to the Name textbox.
 To input patient name, press the letter or numeric keys on the keyboard.
 To input the special character in the top right corner of the key, press Fn and a letter key.
For example, press Fn + a to input è.
 To input the special character in the top right corner of the key, press Shift and a numeric
key.
For example, press Shift + 3 to input #.
 When Caps Lock is set to Off in the Other Setup window, pressing Shift and a letter
key can input a capital letter.
For example, pressing Shift + P can type a capital P.
 When Caps Lock is set to On in the Other Setup window, pressing Shift and a letter
key can input a lowercase letter.
For example, pressing Shift + P can type a lowercase p.
3. Press Bksp on the keyboard to erase the typed information.
4. Press Enter to confirm, or press Tab or Shift + Tab to move the cursor to the OK button, and
then press Enter to confirm.
5. Press Esc to cancel the operation, or press Tab or Shift + Tab to move the cursor to the
Cancel button, and then press Enter to cancel the operation.
6. Press Shift+Bksp to refresh all patient information except for the Gender, Age Group,
Exam.Room, Physician and Technician information after you print an ECG report.

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

4.1.3 Selecting an Item

Take the Work Mode Setup window for example:

Check Box

Textbox

Dropdown
List Box

1. In the Work Mode Setup window, press Tab or Shift + Tab to move the cursor among
different check boxes. Press spacebar to select a check box, and a check mark √ appears in the
box.
2. In the Work Mode Setup window, press Tab or Shift + Tab to move the cursor to a list box
or dropdown. Press the Up or Down arrow to highlight an option.
3. In the Work Mode Setup window, press Tab or Shift + Tab to move the cursor to a textbox.
Enter data in the selected textbox.
4. Press Enter to confirm, or press Tab or Shift + Tab to move the cursor to the OK button, and
then press Enter to confirm.
5. Press Esc to cancel the operation, or press Tab or Shift + Tab to move the cursor to the
Cancel button, and then press Enter to cancel the operation.

4.2 Configuring the Electrocardiograph

For details on configuring the system settings and the order settings, please refer to Chapter 10
“System Setup”, Chapter 11.5 “System Setup for Exercise ECG” (Only Configurable for SE-12
Express) and Section 8.5 “Setting Orders”.

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

4.3 Screen Description

4.3.1 About the Main Screen


After the electrocardiograph is turned on, the main screen appears.

C D E F G H I
B
J
A

Q P O N M L K

Figure 4-1 SE-12 Express Main Screen1

B C D E F G H I

A J

Q P O N M L K
Figure 4-2 SE-12 Main Screen1

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

U T S
Figure 4-3 SE-12 Express Main Screen2

U T S

Figure 4-4 SE-12 Main Screen2

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

Name Explanation
Patient Name: within 60 ASCII characters or the equivalent
A Name number of other characters that can be supported by equivalent
memory used by 60 ASCII characters
When ID Mode is set to Manual, the patient ID is within 30
ASCII characters.
When ID Mode is set to Auto, ID can be automatically generated
after you press Shift+Bksp to refresh the patient information. The
patient ID is 0~1999, 999, 999.
B ID
When ID Mode is set to Time, press Shift+Bksp to refresh the
patient information, and then the patient ID can be automatically
generated according to the time when you press the
PRINT/STOP key to print an ECG report. Entering the patient
ID manually is not supported.
Patient Age
C Age The patient age value and the age unit can be set in the Patient
Information window.
D Gender Patient Gender (Male/Female/Cleared)
Including DEMO, Module Error, Overload, Lead Name (When
the leads are off, the lead names will be shown in black on a
E Hint Information 1 yellow background in SE-12 Express, while in SE-12, they will
be shown in black on a white background.) For details, please
refer to Chapter 12 “Hint Information”.
Including No Paper, Paper Error, Battery Weak, Sampling,
Analyzing, Recording, Testing, Learning, Transmitting, Loading
F Hint Information 2 Orders, Detecting, Memory Full, U Disk, USB Printer, Lead
Off, USB Scanner. For details, please refer to Chapter 12 “Hint
Information”.
Manual, Auto, Rhythm, R-R Analysis and VCG (only
configurable for SE-12 Express)
If Print Out is set to Off in the Record Info Setup1 window,
G Work Mode
appears in the auto or rhythm mode. For details, please
refer to Section 10.4.1 “Setup1”.
H Heart Rate Actual Heart Rate
Current system time. For details, please refer to Section 10.9
I Current Time
“Date&Time Setup”.
J Battery Symbol Identify the current capacity of the battery

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

K Press to open the main screen2.


Press to display the System Setup screen. For details, please refer
L Setup
to Chapter 10 “System Setup”.
EMG Filter: Off, 25Hz, 35Hz or 45Hz
Lowpass Filter: 75Hz, 100Hz or 150Hz
M Filter
NOTE: This setup modified on the main screen is only
effective for the current patient.
Gain: 2.5 mm/mV, 5 mm/mV, 10 mm/mV, 20 mm/mV or 10/5
mm/mV
N Gain
NOTE: This setup modified on the main screen is only
effective for the current patient.
In the manual mode, Speed can be set to 5mm/s, 6.25mm/s,
10mm/s, 12.5mm/s, 25mm/s or 50mm/s. In the auto, rhythm and
VCG (only configurable for SE-12 Express) modes, Speed can be
set to 25mm/s or 50mm/s. In the R-R analysis mode, Speed can
O Speed
only be set to 25mm/s and cannot be modified.
NOTE: This setup modified on the main screen is effective
for both the display speed and the paper speed, but
only for the current patient.
Freezing ECG waves. For details, please refer to Section 6.3
P Freeze
“Freezing ECG Waves”.
Press to open the Patient Information window. For details,
Q Patient
please refer to Chapter 5, “Entering Patient Information”.
R ECG waveform Display ECG waveform
S Press to return to the main screen1.
Press to open the Order Manager screen. For details, please refer
T Order
to Chapter 8 “Managing Orders”.
Press to open the File Manager screen. For details, please refer to
U File
Chapter 9 “Managing Files”.
For SE-12 Express electrocardiograph configured with the touch screen:
1. You can directly touch A or B to open the Patient Information window.
2. You can directly touch I to open the Date&Time Setup window.
3. You can touch D to switch the gender between Male and Female for the patient.
4. You can touch G to switch the work mode among Manual, Auto, Rhythm, R-R analysis
and VCG modes.
5. You can touch E to check whether electrodes are placed properly on the patient. If electrodes
are placed improperly on the patient, the identifier for the improperly placed electrode blinks.

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

4.3.2 About the System Setup Screen

Select Setup on the main screen1 to display the System Setup screen.
NOTE: If you set the system password in the System Maintenance window, you need
enter the password before opening the System Setup screen. For details, refer
to Section 10.11, “System Maintenance Setup”.

On the System Setup screen, move the cursor on an item, and then press Enter to open the setup
window of the item.

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

4.3.3 About the Order Manager Screen

Select Order on the main screen2 to open the Order Manager screen.
You can press Load to load orders and select a loaded order to start an order examination.
Or, you can press Esc to return to main screen1.

I H G F E D C

Figure 4-5 Order Manager Screen

Name Explanation
For example, 2/200
200 is the total number of orders that can be stored in the
A Order Count electrocardiograph.
2 is the current number of orders stored in the
electrocardiograph.
Orders will be loaded and displayed in the order list.
The order information includes ID, Name, Request No., Order
B Order List
Date, Exam.Room and State.
State includes: √ indicates an order with examination

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

No mark indicates an order without examination.

C Return Press to return to the main screen1.

D Del All Press to delete all the orders from the electrocardiograph.

E Delete Press to delete the selected order from the electrocardiograph.

F Search Press to search for orders on the Order Manager screen.

G Setup Press to make the related settings.

H Load Press to load orders to the electrocardiograph.

Press to return to main screen1 for starting examination of the


I Examine
selected order.

Once the electrocardiograph is turned on, you can open the Order Manager screen by pressing
Patient if orders without examination exist on the Order Manager screen.
After you press Esc on the Order Manager screen to return to main screen1, you cannot open
the Order Manager screen by pressing Patient until you complete an order examination next
time.

4.3.4 About the File Manager Screen

Switch to the File Manager Screen 1/2

 To open the File Manager screen1, select File on the main screen2.
 To open the File Manager screen2, select a file on the File Manager screen1, and then
press Select.
 To return to the previous screen, select Return.

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

I H G F E D C

Figure 4-6 File Manager Screen1

P O N M L K J

Figure 4-7 File Manager Screen2

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

Name Explanation
For example, 1/200
200 is the total number of files that can be stored in the
A File Count electrocardiograph.
1 is the current number of files stored in the
electrocardiograph.
Files will be loaded and displayed in the file list.
The file information includes ID, Name, Time, Mode and State.
State includes: No mark
T indicates the file is transferred successfully.
B File List
E indicates the file is exported successfully.
C indicates the file has been edited.
NOTE: A file can be displayed in more than one state at
the same time.
C Return Press to return to the main screen.
D Import Press to import files from the U disk to the electrocardiograph.
E Search Press to open the SearchInfo Setup window.
Press to highlight a file on the File Manager screen1, and then
F Select press Select to select the file and display the File Manager
screen2.
G Del All Press to delete all the files from the electrocardiograph.
Press to export all the files from the electrocardiograph to the
H Export All
U disk.
I Trans All Press to transmit all the files to the PC.
J Return Press to return to the File Manager screen1.
K Preview Press to open the file preview screen.

L Delete Press to delete the selected file from the electrocardiograph.

Press to export the selected file from the electrocardiograph to


M Export
the U disk.

N Trans Press to transmit the selected file to the PC.

O Record Press to print the selected file.

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SE-12 Series Electrocardiograph User Manual Basic Operation Guidance

Press to open the Patient Information window. Then you can


P Edit
edit the patient information.

4.4 Work Mode Description

There are five work modes in SE-12 series electrocardiograph.


AUTO: In the auto mode, the ECG data can be analyzed, saved, printed and
transmitted. The lead groups are switched automatically according to the
lead sequence during the printing course. After the ECG waves of one lead
group are printed within a certain time, the system switches to print ECG
waves of another lead group automatically. 1mV calibration marks will be
printed at the beginning of an ECG report.
MANU: In the manual mode, you can determine the lead group to be displayed and
printed. Pressing the Left or Right arrow can switch among the lead groups.
RHYT: In the rhythm mode, the ECG data can be saved and transmitted. You can
print 60s rhythm-lead ECG waveform of one lead in the Single Lead style
or 20s rhythm-lead ECG waveform of three leads in the Three Leads style.
R-R: In the R-R analysis mode, you can select a lead to print its R-R histogram,
R-R trend chart, 180s compressed ECG waveform and all the R-R interval
values.

VCG In the VCG mode, X, Y, Z waves and frontal, horizontal, sagittal planes can
(only configurable be displayed. 10s sampled ECG data can be analyzed, and vector waves,
for SE-12 Express) vector loops, measure information, diagnosis information can be printed.

For details on printing ECG reports in the Auto, Manual, Rhythm, R-R or VCG (only
configurable for SE-12 Express) mode, please refer to Section 6.1 “Printing an ECG Report”.

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SE-12 Series Electrocardiograph User Manual Entering Patient Information

Chapter 5 Entering Patient Information

5.1 Entering Patient Information Manually

Operation procedures are as follows:


1. Configure the Patient Information Setup window. (Optional)

1) Select the desired items.

2) Select a mode from the ID list box.

For details, please refer to Section 10.5 “Patient Information Setup”.

2. Select Patient on the main screen1 to open the Patient Information window.

3. Enter data in a desired textbox.

4. Press Enter to confirm or press Esc to return to the main screen.

First Name Within 30 ASCII characters

Last Name Within 30 ASCII characters

Age Age Unit: Years, Months, Weeks or Days

Gender Patient Gender (Male/Female/Empty)

BP Patient Systolic Blood Pressure/Diastolic Blood Pressure

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SE-12 Series Electrocardiograph User Manual Entering Patient Information

Race Patient Race (unknown/ Oriental/ Caucasian/ Black/ Indian/ Mongolian/


Hispanic/ Asian/ Pacific/ Chinese/ Malay/ other)

Pacemaker Select Yes to detect very small pacemaker pulses. However, when
Pacemaker is set to Yes, the system is very sensitive, and should not be
close to equipment emitting high frequency radiation. High frequency
radiation can interfere with pacemaker pulse detection and normal ECG
acquisition.
NOTE: Pacemaker is recommended to be set to No unless it is
known that the majority of the electrocardiograph usage
will be on patients with pacemakers.

NOTE: The total number of supported characters may be fewer if special Latin characters
are entered.

5.2 Entering Patient Information by Using a Bar Code Reader


(Optional)
Operation procedures are as follows:
1. Configure the bar code
For more detailed information about configuring the bar code, please contact the
manufacturer or the local distributor.
2. Connect the bar code reader to USB socket 2 on the right panel of the electrocardiograph.
3. When the main screen is displayed, scan the patient’s bar code with the bar code reader, and
then the patient information will appear in the corresponding box.
NOTE: Only two-dimensional bar code readers recommended by the manufacturer can
be used.

5.3 Entering Patient Information by Acquiring Orders

NOTE: To use the order function, the Smart ECG Viewer software of the manufacturer
must be installed in the PC.
Operation procedures are as follows:
1. Connect the electrocardiograph to the PC with Ethernet cable recommended by the
manufacturer.

2. Log into the Smart ECG Viewer software.


3. Set Remote IP, Local IP, Gateway and Subnet Mask in the Transmission Setup window.

4. Select Order Acquired function.

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SE-12 Series Electrocardiograph User Manual Entering Patient Information

1) Select Setup-> Patient Info to open the Patient Information Setup window.
2) Select On from the Order Acquired list box, and then press Enter to confirm.

5. Select Patient on the main screen1 to open the Patient Information window.

Enter the patient ID manually in the ID textbox or connect a bar code reader, press Order, and
then the matched order will be loaded from Smart ECG Viewer software and the order
information will be displayed in the corresponding textboxes.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

Chapter 6 Printing ECG Reports

NOTE:
1. The working mode can not be changed during the printing course. Stop printing
reports before changing the working mode.
2. Within three seconds after returning to the main screen, if you press the PRINT/STOP
key to print an ECG report in the auto quick mode or the manual mode, the recorder
will not respond.
3. If Print Out is set to Off in the Record Info Setup1 window, the ECG report can be
saved and transmitted, but cannot be printed out by pressing the PRINT/STOP key in
the auto and rhythm modes.
4. When the main screen is displayed, pressing the MODE key can select a working mode.

6.1 Printing an ECG Report

6.1.1 Auto Mode

The auto mode is the most common electrocardiograph usage and is applied to normal ECG test.
10s ECG data can be sampled, analyzed, and printed by pressing the PRINT/STOP key.
Operation Method:
1. Set Mode Options, Auto DispStyle, Preview, Sampling Mode, Record Style, Rhythm
Lead1/2/3, or Lead Sequence (Optional)
1) Select AUTO from the Mode Option list in the Work Mode Setup window.
2) Select a style from the Auto DispStyle list in the Work Mode Setup window.
3) Select a mode from the Sampling Mode list in the Work Mode Setup window.
4) Select On or Off from the Preview list box in the Work Mode Setup window.
5) Select a style from the Record Style list in the Record Info Setup window.
6) Select a lead from the Rhythm Lead1/2/3 list in the Lead Setup window.
7) Select a sequence from the Lead Sequence list in the Lead Setup window.
8) Press Enter to confirm.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

2. Print an auto ECC report.

6.1.2 Manual Mode


In the manual mode, the sampling or print time can be adjusted manually according to clinic
needs. ECG data of arbitrary length can be sampled or printed.
Operation Method:
1. Set Mode Options, Manual Style or Lead Sequence (Optional)
1) Select MANU from the Mode Option list in the Work Mode Setup window.
2) Select a style from the Manual Style list in the Work Mode Setup window.
3) Select a sequence from the Lead Sequence list in the Lead Setup window.
4) Press Enter to confirm.

2. Print a manual ECC report.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

6.1.3 Rhythm Mode

The rhythm mode contributes to discover the abiogenetic or frequent arrhythmia. The
rhythm-lead ECG waveform of one lead or three leads can be sampled or printed for a long time.
Operation Method:
1. Set Mode Options, Rhythm Style, Rhythm Lead1/2/3 or Lead Sequence(Optional)
1) Select RHYT from the Mode Option list in the Work Mode Setup window.
2) Select a style from the Rhythm Style list in the Work Mode Setup window.
3) Select a lead from the Rhythm Lead1/2/3 list in the Lead Setup window.
4) Select a sequence from the Lead Sequence list in the Lead Setup window.
5) Press Enter to confirm.

2. Press the PRINT/STOP key to begin sampling, the sampling time will be displayed on the
main screen. When the sampling time reaches 60s in the Single Lead style or 20s in the
Three Leads style, it begins to print an ECG report.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

6.1.4 R-R Analysis Mode

The R-R analysis mode contributes to get the related indicators of HRV (Heart Rate Variability).
HRV analysis refers to the variability between durations of the two following heart rates, and it is
a predicted indicator to sudden death caused by acute myocardial infarction and vicious
arrhythmia. For healthy persons, RR Histogram presents open and multi-peak; for patient with
the low variability caused by cardiovascular diseases (such as myocardial infarction or heart
failure), RR Histogram presents a single peak.
Operation Method:
1. To set Mode Options or Rhythm Lead1
1) Select R-R from the Mode Option list in the Work Mode Setup window.
2) Select a lead from the Rhythm Lead1 list in the Lead Setup window.
3) Press Enter to confirm.

2. Press the PRINT/STOP key to begin sampling, the sampling time will be displayed on the
main screen. When the sampling time reaches 180s, it begins to analyze and print an ECG
report.
3. It will stop automatically after a complete R-R analysis report is printed. During the printing
course, pressing the PRINT/STOP key again can stop printing the ECG report.
NOTE: In the R-R analysis mode, you can not set the speed. The constant speed is
25mm/s and the printing speed is 5mm/s, because in the R-R analysis mode, the
ECG wave length is compressed to one fifth of the original wave length.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

6.1.5 VCG Mode (Only Configurable for SE-12 Express)

VCG (Vectorcardiogram) is stereo images to show phase shifts of heart activities. As an advance
and a complement to the cardiogram diagnosis, VCG excels in diagnosis of myocardial infarction,
intraventricular conduction block and ventricular hypertrophy.
NOTE:
1. Auto diagnosis of VCG reports are for reference only. Except the diagnosis to
myocardial infarction, atrial hypertrophy, ventricular hypertrophy, pre-excitation
syndrome, bundle branch block, myocardial injury and coronary heart disease,
cardiograms are diagnosed as normal VCG.
2. VCG reports cannot be saved to the electrocardiograph or be transmitted.
Operation Method:
1. Prepare for the operation.
For details, please refer to Chapter 3 “Operation Preparations”.
2. Set Mode Options, Preview, VCG Record Info, or QRS Gain (Optional)
1) Select VCG from the Mode Option list in the Work Mode Setup window.
2) Select On or Off from the Preview list box in the Work Mode Setup window.
3) Select VCG record information to be printed out in the Record Info Setup3 window.
4) Select a value from the QRS Gain list box in the Record Info Setup3 window.

NOTE: Pressing F2 twice in the Record Info Setup window can display the
Setup3 window.
5) Press Enter to confirm.
3. If Preview is set to On in the Work Mode Setup window, pressing the PRINT/STOP key
can preview an ECG report.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

1) Select Waveform to display the waveform screen.

2) Select Loop to display the loop screen.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

3) Select Measure to display the measure screen which shows the measurement
information.

6.2 Copy Printing

In the auto, rhythm and VCG (only configurable for SE-12 Express) modes, pressing the
1mV/COPY key can print the ECG report which was printed out last time. Pressing the
PRINT/STOP key can stop printing the ECG report.

6.3 Freezing ECG Waves

You can freeze the ECG waves displayed on the main screen.
Operation Method:
1) Press F3 to set the paper speed, press F4 to set the gain, and press F5 to set the filter on the
main screen1.
2) Select Freeze to display the freezing screen.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

Figure 6-1 Freezing Screen (Auto/Manual/Rhythm/R-R Analysis mode)

Figure 6-2 VCG Freezing Screen (only configurable for SE-12 Express)

NOTE: Within 10 seconds after returning to the main screen, pressing F2 can not
display the freezing screen.
3) Press PRINT/STOP or select Record on the freezing screen to print the current waveform.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

6.4 Printing a Stored ECG Report

6.4.1 Printing on the File Manager Screen1/2

Operation Method:
1. Select a file on the File Manager screen1.
2. Press PRINT/STOP to print the file, or press Select to display the File Manager screen2,
and then press PRINT/STOP to print the file.
3. Or, press PRINT/STOP again to stop printing the file.

6.4.2 Printing on the Preview Screen

Operation Method:
1. Select a file on the File Manager screen1, and then press Select to display the File Manager
screen2.
2. Select Preview on the File Manager screen2 to open the preview screen.
3. Press PRINT/STOP or select Record on the preview screen to print the selected file.
4. Or, press PRINT/STOP again to stop printing the file.
NOTE: Rhythm data can not be previewed.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

6.5 Resting ECG Reports

6.5.1 Auto ECG Report

Quick Mode

(a)

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

(b)
The above figure (a) and (b) show an ECG report in the auto mode. Template is selected, and
Record Style is set to 6×2+1R.
The ECG report includes:

6×2+1R ECG waves

Current Date and Time


Patient Information: Name, ID, Gender, Age
Measure Information:
HR Heart Rate
P P wave duration: the average P-wave duration from several selected
dominant beats;
PR P-R interval: the average P-R interval from several selected dominant beats;
QRS QRS complex duration: the average QRS complex duration from several
selected dominant beats;
QT/QTc Q-T interval: the average Q-T interval from several selected dominant beats /
Normalized QT interval;
P/QRS/T Dominant direction of the average integrated ECG vectors;

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

RV5/SV1 The maximum of the amplitude of R or R’ wave of one selected dominant


beat from lead V5 / The maximum absolute value of the amplitude of S or S’
wave of one selected dominant beat from lead V1;
RV5+SV1 Sum of RV5 and SV1;
(optional)
RV6/SV2 The maximum of the amplitude of R or R’ wave of one selected dominant
(optional) beat from lead V6 / The maximum absolute value of the amplitude of S or S’
wave of one selected dominant beat from lead V2;
Average Template: Average template shows the average value of 10s sampled ECG
signals of every lead.
The broken lines on the template are position markers. They
respectively mark the start and end points of the P and QRS
waves, and the end point of the T wave.

Diagnosis Information: Diagnosis information shows the auto diagnosis result.

Bottom Information: 0.67~100Hz (0.67Hz DFT Filter, 100Hz Lowpass Filter),


AC50 (50Hz AC Filter)
25mm/s (Paper Speed)
10mm/mV (Gain)
60 (Heart Rate)
2*5s+1r (12 leads are printed in 2 groups of 6 with the ECG wave
of one lead on the bottom, and every group is printed for about 5s)
Time Scale (0-10s)
V1.9 (Software Version)
SEMIP V1.6 (Algorithm Version),
SE-12 Express (Electrocardiograph Model)
Institution Name
Report Confirmed by

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

Save Paper Mode

(a)

(b)

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

The above figure (a) and (b) show an ECG report in the auto mode. Template is selected, and
Record Style is set to 6×2+1R.

6.5.2 Rhythm ECG Report

The above figure shows an ECG report in the rhythm mode, and Rhythm Style is set to Three
Leads.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

6.5.3 Manual ECG Report

The above figure shows an ECG report in the manual mode, and Manual Style is set to 12
channels.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

6.5.4 R-R Analysis ECG Report

(a)

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

(b)

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

The above figure (a) and (b) show an ECG report in the R-R analysis mode.
Figure (a) shows:
Current Date & Current Time
Patient Information
Measuring Time
Gain, Speed, Filter

(1mV calibration mark)

II (Lead name)
180s compressed ECG wave of Lead II
80 (Heart Rate)
RR Avg Interval (Average RR interval)
RR Max Interval (Maximum RR interval)
RR Min Interval (Minimum RR interval)
Max/Min (Ratio of Maximum RR interval to Minimum RR interval)
SDNN (Standard Deviation of Normal to Normal Intervals)
RMSSD (Root Mean Square Successive Difference)
RR Histogram
RR Trend
Figure (b) shows:
All the RR interval values within the measuring time

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

6.5.5 VCG Report

(a)

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

(b)

(c)

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

The above figure (a), (b) and (c) show an ECG report in the VCG mode. XYZ Wave, Measure
and Analysis are selected, and QRS Gain is set to 20mm/mV.

Figure (a) shows:

Current Date & Current Time


Patient Information
XYZ waves, 0.67~100Hz (0.67Hz DFT Filter, 100Hz Lowpass Filter),
60 (Heart Rate)
Gain, Speed, Filter

Figure (b) shows:

Average templates of X, Y and Z leads


Vector ECG of Frontal Plane, Right Sagittal Plane, Horizontal Plane
Measure Information (HR, PR, QRS, QT/QTc, P/QRS/T)
P/QRS/T Loop: Gain of the Loops in the three coordinates
P Loop: Gain of P Loop in the P Loop coordinate.
T Loop: Gain of T Loop in the T Loop coordinate.
: The duration between the two points is 2 ms.
The percent values of 0.00%, 58.98 %, 13.88% and 17.05% in the square represent the area
percentages of QRS loop in every quadrant.
Diagnosis Information:
60 (Heart Rate)
Gain, Speed, Filter

Figure (c) shows: The following Vector ECG parameter list

Item Definition

Degree The angle of the Max vector of QRS/P/T loop

The position of the maximal amplitude of QRS/P/T loop


Max Vector
(mV)

Amplitude The amplitude of the Max vector of QRS/P/T loop (mV)

Direction Rotation direction of QRS/P/T loop

CW Clockwise

CCW Counter-clockwise

8 ‘8’ font ring

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

0.01 (amplitude) The amplitude at 0.01s from QRS loop

0.01 (angle) The angle at 0.01s from QRS loop

0.02 (amplitude) The amplitude at 0.02s from QRS loop

0.02 (angle) The angle at 0.02s from QRS loop

0.03 (amplitude) The amplitude at 0.03s from QRS loop

0.03 (angle) The angle at 0.03s from QRS loop

0.04 (amplitude) The amplitude at 0.04s from QRS loop

0.04 (angle) The angle at 0.04s from QRS loop

Initial Vector Start point of QRS loop

Terminal Vector End point of QRS loop

ST Vector The position of ST vector in vector loop

Length/Width The ratio of length to width in T loop

The degree between the Max vector of T loop and the


TR Degree
Max vector of QRS loop (degree)

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

6.5.6 Auto ECG Report Printed by the USB Printer

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

6.5.7 Auto ECG Report of Patient with Pacemaker

The above figure shows the ECG report of a patient with a pacemaker.

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SE-12 Series Electrocardiograph User Manual Printing ECG Reports

6.5.8 Nehb Lead ECG Report

The above figure shows the ECG report of Nehb lead.

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SE-12 Series Electrocardiograph User Manual Transmitting ECG Data

Chapter 7 Transmitting ECG Data

7.1 Transmitting ECG Data to the PC

ECG data in DAT/PDF/SCP/FDA-XML/DICOM format can be transmitted to the PC. To


transmit ECG data in DAT format, the Smart ECG Viewer software of the manufacturer must be
installed in the PC. To transmit ECG data in PDF/SCP/FDA-XML/DICOM format, the FTP
receiving software must be installed in the PC.

CAUTION
It is forbidden to connect or disconnect a U disk or a USB printer during the transmission
course.

7.1.1 Transmitting ECG Data in DAT Format Through Serial Cable

1. If the PC has RS232 socket, connect the PC RS232 socket to the electrocardiograph RS232
socket with an RS232 cable.

2. If the PC has no RS232 socket, you can connect the PC USB socket to the electrocardiograph
RS232 socket by RS232-USB Assembly.

Figure 7-1 RS232-USB Assembly


3. Set Auto Transmission to On and Transmission Mode to UART in the Transmission Setup
window.

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SE-12 Series Electrocardiograph User Manual Transmitting ECG Data

4. Log into the Smart ECG Viewer software.


5. In the auto or rhythm mode, ECG data will be transmitted through the serial cable
automatically after an ECG report is printed out.

7.1.2 Transmitting ECG Data in DAT Format through Ethernet

Cable

1. Log into the Smart ECG Viewer software.


2. Connect the electrocardiograph to the PC with an Ethernet cable recommended by the
manufacturer.
NOTE:
1) If the wireless AP transmission is used, please refer to the user manual delivered
with the wireless AP.
2) There should be no shield in or around the room where the wireless AP is used, or
else the wireless transmission may fail.
3. Configure the Transmission Setup window.
NOTE: For more information on configuring network settings, see your Network
Administrator.
1) Set Auto Transmission to On and Transmission Mode to Ethernet in the
Transmission Setup window.
2) Set the Server IP item to the IP of the PC.
For details, please refer to Section 10.6 “Transmission Setup”.
3) Press Enter to confirm, and then press Esc to return to the main screen.
4. Set File Format to DAT in the File Setup window.
5. In the auto or rhythm mode, ECG data will be transmitted through the net cable automatically
after an ECG report is printed out.

7.1.3 Transmitting ECG Data in SCP/FDA-XML/PDF/DICOM Format

through Ethernet Cable

NOTE: SCP/FDA-XML/DICOM function can be activated on the Advanced Setup


screen. For details, please contact the manufacturer or the local distributor.
1. Log into the FTP receiving software.
2. Connect the electrocardiograph to the PC with an Ethernet cable recommended by the
manufacturer.

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SE-12 Series Electrocardiograph User Manual Transmitting ECG Data

3. Configure the Transmission Setup window.


1) Set Auto Transmission to On.
2) Set IP addresses
For details, please refer to Section 10.6 “Transmitting Setup”.
3) Set the FTP User Name, FTP Password and FTP Path items.
a) The user name and the password you input in the FTP User Name and FTP
Password items must be available for FTP server.
b) The path you input in the FTP Path item must be the subdirectory of the path you
input in the FTP receiving software.
NOTE: For more information about FTP server, see your Network Administrator.
3. Set File Format to SCP/FDA-XML/PDF/DICOM in the File Setup window.
4. In the auto or rhythm mode, ECG data will be transmitted through the net cable
automatically after an ECG report is printed out.

7.2 Real-time Transmission to PC ECG


NOTE: To use the real-time transmission function, the PC ECG software of the
manufacturer must be installed in the PC.

1. Double-click on the shortcut icon to start up the PC ECG software..

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SE-12 Series Electrocardiograph User Manual Transmitting ECG Data

1) Select System Setting -> Device tab.


2) Select SE Serial Machine from the Sampling Device drop-down list.
3) After setup, click on the OK button to confirm.
2. Connect USB socket 1 of the electrocardiograph to the USB socket of the PC by using the
high-speed USB cable.

For details, please contact the manufacturer or the local distributor.


3. Start the real-time transmission
The electrocardiograph transmits to the PC the ECG signals acquired from the patient.
Acquisition and transmission are simultaneous. The ECG signals are displayed on the PC
monitor and eventually analyzed. For more details, refer to the user manual of the PC ECG
software.

In the real-time transmission, the electrocardiograph functions as an ECG sampling box to the PC
ECG software.

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SE-12 Series Electrocardiograph User Manual Managing Orders

Chapter 8 Managing Orders

NOTE: To use the order function, you must install the Smart ECG Viewer software of the
manufacturer.

8.1 Loading Orders

Before loading orders, please configure the Order Setup screen. For details, please refer to
Section 8.5 “Setting Orders”.
Operation procedures are as follows:
1. Connect the electrocardiograph to the PC installed with the Smart ECG Viewer software by
using an Ethernet cable recommended by the manufacturer.
2. Set Remote IP, Local IP, Gateway and Subnet Mask in the Transmission Setup window.
For details, please refer to Section 10.6 “Transmission Setup”.
3. Select Load on the Order Manager screen to load orders from the Smart ECG Viewer
software, and then a hint will be displayed as follows.

NOTE: If orders are modified on the Smart ECG Viewer software, the corresponding
orders existing on the Order Manager screen will be refreshed after you load
orders from the software.
4. If you select Exam.Room Filter on the Order Setup screen, orders will be filtered after you
press Load.
For details, please refer to Section 8.5 “Setting Orders”.
5. If 200 orders already exist on the Order Manager screen, the following hint pops up after
you press Load.

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SE-12 Series Electrocardiograph User Manual Managing Orders

8.2 Examining Orders

Select an order on the Order Manager screen, and then select Examine or press Enter to return
to main screen1 for starting an examination.
NOTE: If you select Delete After Examination on the Order Setup screen, the order will
be deleted from the Order Manager screen after you examine the selected order.
Otherwise, the order will be marked by √ mark on the Order Manager screen
after you examine the selected order.

8.3 Deleting Orders

Pressing Del All on the Order Manager screen can delete all the orders from the
electrocardiograph.
Or, you can select an order on the Order Manager screen, select Delete to delete the selected
order from the electrocardiograph.

8.4 Searching Orders

Select Search on the Order Manager screen to display the following window.

Select the search type, such as ID, Name, Request No., Exam. Room, Time, enter the search
information, and then press Enter to confirm. All the orders which meet the requirements will be
searched and displayed on the Order Manager screen.
NOTE: The time mode in the SearchInfo Setup window is the mode you select in the
Date & Time Setup window.

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SE-12 Series Electrocardiograph User Manual Managing Orders

8.5 Setting Orders

8.5.1 Factory Defaults of Orders

Items Default

Condition Default

Sequence Ascending

Delete After Examination Deselect

Exam. Room Filter Deselect

8.5.2 Order Setup

Select Setup on the Order Manager screen to make settings of orders.

Item Description

Condition Choose from: Default, ID, Order Date, Request No. or State
Select Default, orders will be displayed in sequence of the time when the
orders are loaded from the Smart ECG Viewer software.
Select ID, Order Date, Request No. or State, orders will be displayed in
sequence of the selected condition on the Order Manager screen.

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SE-12 Series Electrocardiograph User Manual Managing Orders

Item Description

Sequence Choose from: Ascending or Descending


NOTE:
1. When Condition is set to State and Sequence is set to Ascending,
orders without examination will be displayed on the top of the Order
Manager screen.
2. When Condition is set to State and Sequence is set to Descending,
orders with examination will be displayed on the top of the Order
Manager screen.

Delete After Select this item, the order will be deleted from the Order Manager
Examination screen after the order is examined.

Exam.Room Filter Select this item, a check mark √ appears in the box before Exam.Room
Filter.
You can enter an exact exam.room in the textbox, such as
Electrocardiograph. All the orders which meet the requirements will be
searched and displayed on the Order Manager screen.
Deselect this item or enter nothing in the textbox, all the orders will be
searched and displayed on the Order Manager screen.

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SE-12 Series Electrocardiograph User Manual Managing Files

Chapter 9 Managing Files

If you want to save the ECG data in the electrocardiograph, you should set Auto Save to to ECG
in the File Setup window. Then the ECG data in the auto or rhythm mode will be saved on the
File Manager screen automatically. For details, please refer to Section 10.10 “File Setup”.
On the File Manager screen, files can be printed, transmitted, exported, displayed, edited
searched or deleted. SE-12 series electrocardiograph can accommodate 200 files.

CAUTION

1. When files are being printed, transmitted, deleted or exported, you can not turn off
the electrocardiograph.

2. Do not cut off the mains supply directly when no battery is installed in the device, or
else, the stored data may be lost.

9.1 Transmitting Files

Make configuration in accordance with Section 7.1 “Transmitting ECG Data” before you transmit
files.
Pressing Trans All on the File Manager screen1 can transmit all the files from the
electrocardiograph.
Or, select Trans on the File Manager screen2, and then press Enter to transmit the selected file
from the electrocardiograph.
NOTE: If you select Delete After Trans. Or Export in the File Setup window, the files
will be deleted from the File Manager screen after they are transferred.

CAUTION
It is forbidden to connect or disconnect a U disk or a USB printer during the transmission
course.

9.2 Exporting Files

1. Connect the U disk recommended by the manufacturer to the electrocardiograph.


2. Select DAT/SCP/FDA-XML/PDF/DICOM from the File Format list box in the File Setup
window.
3. Select Export All on the File Manager screen1 to export all the files to the directory of
ECGDATA\ECG-X\Export\Export Date and Time of the U disk.

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SE-12 Series Electrocardiograph User Manual Managing Files

4. Or select a file on the File Manager screen1, and then press Select to display the File
Manager screen2. Select Export on the File Manager screen2 to export the selected file to
the directory of ECGDATA\ECG-X\Export\Export Date and Time of the U disk.
NOTE:
1. Please insert the U disk recommended by the manufacturer. Please set the format to
FAT or FAT32 when formatting the U disk.
2. X in the directory of ECGDATA\ECG-X\Export\Export Date and Time can be set in
the Device No. textbox in the Transmission Setup window.
3. If you select Delete After Trans. Or Export in the File Setup window, the files will be
deleted from the File Manager screen after they are exported.

9.3 Deleting Files

Pressing Del All on the File Manager screen1 can delete all the files from the electrocardiograph.
Or, select Delete on the File Manager screen2 to delete the selected file from the
electrocardiograph.

9.4 Searching Files

Select Search on the File Manager screen1 to display the following window.

Select the search type, such as ID, Name, Time, enter the search information, and then press
Enter to confirm. All the files which meet the requirements will be searched and displayed on the
File Manager screen.
NOTE: The time mode in the SearchInfo Setup window is the mode you select in the
Date & Time Setup window.

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SE-12 Series Electrocardiograph User Manual Managing Files

9.5 Importing Files

Operation procedures are as follows:


1. Connect the U disk recommended by the manufacturer to the electrocardiograph.
2. Save files to the directory of ECGDAT\Import of the U disk.
3. Select Import on the File Manager screen1 to import files from the directory of
ECGDAT\Import of the U disk to the electrocardiograph.
NOTE: Only the ECG files in DAT format produced by the electrocardiograph of the
manufacturer can be imported.

9.6 Editing Patient Information

Press Select on the File Manager screen1 to display the File Manager screen2, and then select
Edit to open the Patient Information window.

NOTE: The Address item can be defined in the User-defined text box in the Patient
Information Setup window. For details, please refer to Section 10.5 “Patient
Information Setup”.
For details on inputting data, please refer to Section 4.1.2, “Entering Data”.

9.7 Printing Files

You can press PRINT/STOP on the File Manager screen1/2 or the preview screen to print ECG
reports. For details, please refer to Section 6.4 “Printing a Stored ECG Report”.

9.8 Previewing a File

1. Select Preview on the File Manager screen2 to open the file preview screen.
2. Select Waveform to display the waveform screen.

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SE-12 Series Electrocardiograph User Manual Managing Files

You can press the Left or Right arrow key to switch between the lead groups when
previewing a file on the waveform screen.
3. Select Template to display the template screen.

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SE-12 Series Electrocardiograph User Manual Managing Files

4. Select Measure to display the measure screen which shows the measurement information.

5. Select Diagnosis to show Minnesota Code and Diagnosis Information.

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SE-12 Series Electrocardiograph User Manual System Setup

Chapter 10 System Setup

Select Setup on the main screen1 to display the System Setup screen.

10.1 Factory Defaults

Work Mode Setup

Default
Items Default
(Only in the U.S.)

Auto, Manual, Rhythm,


Mode Options Auto, Manual, Rhythm
R-R

Manual Style 6 channels 6 channels

Auto Display Style 6×2 3×4+1R

Rhythm Style Three Leads Three Leads

Sampling Mode Real-time Sample Real-time Sample

Duration
60 min 60 min
(Periodic Sample)
Interval
1 min 1 min
(Periodic Sample)

Preview Off Off

Auto Extend Record Off Off

Filter Setup

Default
Items Default
(Only in the U.S.)

AC filter On On

EMG filter Off Off

DFT filter 0.67Hz 0.67Hz

Lowpass filter 100Hz 100Hz

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SE-12 Series Electrocardiograph User Manual System Setup

Record Info Setup1

Default
Items Default
(Only in the U.S.)

Record Style 6×2 3×4+1R

Record Mode Save Paper Save Paper

Record Sequence Sequential Sequential

Gain 10mm/mV 10mm/mV

AGC Off Off

Print Out On On

Paper Marker Yes Yes

Record Device Thermal Thermal

Speed 25mm/s 25mm/s

Sample Time 10s 10s

Record Info Setup2

Default
Items Default
(Only in the U.S.)
Measure / Analysis / Time
On On
Scale
Template / Position Marker
/ Minnesota Code / Device Off Off
No.

Baseline Adjustment Horizontal Horizontal

RR Interval List Off Off

Grid of Thermal Report Off Off

Grid of USB Report On On

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SE-12 Series Electrocardiograph User Manual System Setup

Record Info Setup3


(VCG function needs to be activated)

Default
Items Default
(Only in the U.S.)

XYZ Wave / Measure /


Off Off
Analysis

QRS Gain 20mm/mV 20mm/mV

Patient Information Setup

Default
Items Default
(Only in the U.S.)

Gender / Pacemaker On On

First\Last Name / BP / Race


/ Height / Weight /
Medication / Room No. /
Off Off
Department / Physician /
Technician / Ref-Physician /
Exam. Room

ID Mode Auto Manual

ID Hint On On

Age Mode Age D.O.B

H/W Unit cm/kg inch/lb.

BP Unit mmHg mmHg

Prompt Confirmed By Confirmed By

Patient Information
On On
Refreshed

Order Acquired Off Off

User-defined Cleared Cleared

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SE-12 Series Electrocardiograph User Manual System Setup

Transmission Setup

Default
Items Default
(Only in the U.S.)

Auto Transmission Off Off

Transmission Mode Ethernet Ethernet

FTP User Name / FTP


Cleared Cleared
Password/ FTP Path

Lead Setup

Default
Items Default
(Only in the U.S.)

Lead Sequence Standard Standard

Nehb Off Off

Rhythm Lead 1 II II

Rhythm Lead 2 V1 V1

Rhythm Lead 3 V5 V5

Display & Sound Setup

Default
Items Default
(Only in the U.S.)

Brightness 10 10

Key Volume Medium Medium

Hint Volume Medium Medium

QRS Volume Off Off

Notify Volume Medium Medium

Display Colors Option 1 Option 1

Antialiasing Off Off

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SE-12 Series Electrocardiograph User Manual System Setup

Grid On On

Date & Time Setup

Default
Items Default
(Only in the U.S.)

Date Mode DD-MM-YYYY DD-MM-YYYY

Time Mode 24 Hours 24 Hours

Power Off/ LCD Off Cleared Cleared

File Setup

Default
Items Default
(Only in the U.S.)

Auto Save To ECG To ECG

File Format DAT PDF

Delete After Trans. Or


Off Off
Export
Replace When Memory
Off Off
Full

SCP File Compression On On

Maintenance Setup

Default
Items Default
(Only in the U.S.)

System Password Cleared Cleared

Other Setup

Default
Items Default
(Only in the U.S.)

External Input Off Off

External Output Off Off

Caps Lock Off Off

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SE-12 Series Electrocardiograph User Manual System Setup

10.2 Work Mode Setup


Select Work Mode on the System Setup screen, and then press Enter to open the Work Mode
Setup window.

Figure 10-1 Work Mode Setup Window

Item Description
Mode Options Select a working mode.
Choose from: MANU, AUTO, RHYT, R-R or VCG (only configurable
for SE-12 Express)
Auto DispStyle Select a style to display the ECG waves of 12 leads in the auto mode.
Choose from: 3×4, 3×4+1R, 3×4+3R, 6×2, 6×2+1R or 12×1
Manual Style Select a style to display and print the ECG waves in the manual mode.
Choose from: 3 channels, 6 channels or 12 channels
Rhythm Style Select a style to print the ECG waves of the appointed rhythm lead.
Choose from: Single Lead or Three Leads
Sampling Mode Choose from: Pre-Sample, Real-time Sample, Triggered Sample or
(Only available in Periodic Sample
the auto mode) Select Pre-Sample, 10s ECG data sampled before pressing the
PRINT/STOP key will be printed out.
NOTE: When Sampling Mode is set to Pre-Sample, if you press
the PRINT/STOP key before the electrocardiograph
samples for 10s, the recorder will not respond.

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SE-12 Series Electrocardiograph User Manual System Setup

Item Description
Sampling Mode Select Real-time Sample, 10s ECG data sampled after pressing the
(Only available in PRINT/STOP key will be printed out.
the auto mode) Select Triggered Sample, after pressing the PRINT/STOP key, if
Arrhythmia ECG data, including Asystole, Ventricular
Fibrillation/Ventricular Tachycardia, 5>PVCS>=3, Paired PVCS,
Bigeminy, Trigeminy, R ON T, single PVC and Missed Beat, is detected
during the learning course, the printing will be triggered automatically.
Select Periodic Sample, first you should set Duration and Interval.
NOTE: ID and patient information will not be changed while carrying
out the periodic printing.
Duration In the auto mode, when Sampling Mode is set to Periodic Sample, if
& Interval Interval is set to 2 min, Duration is set to 24 min, after pressing the
PRINT/STOP key, the printing will be performed every two minutes and
come to 12 times.
Preview Enable or disable the preview function in the auto or VCG (only
configurable for SE-12 Express) mode.
Choose from: On or Off
Auto Arrhythmia Choose from: On or Off
Detection Select On, if arrhythmia is detected in the auto mode, a hint will pop up to
ask you whether to print an extra rhythm report after the 12-lead ECG
report.

10.3 Filter Setup


Select Filter on the System Setup screen, and then press Enter to open the Filter Setup window.

Figure 10-2 Filter Setup Window

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SE-12 Series Electrocardiograph User Manual System Setup

Item Description

AC Filter Choose from: On or Off


NOTE: AC frequency can be set to 50Hz or 60Hz on the Advanced
Setup screen according to local mains supply
specifications.

DFT Filter DFT Filter greatly reduces the baseline fluctuations without affecting the
ECG signals. The purpose of this filter is to keep the ECG signals on the
baseline of the printout.
Choose from: 0.05Hz, 0.15Hz, 0.25Hz, 0.32Hz, 0.5Hz or 0.67Hz
The set value is the low limit of the frequency range.

EMG Filter EMG Filter suppresses disturbance caused by strong muscle tremor.
The cutoff frequency can be set to 25Hz, 35Hz or 45Hz.

Lowpass Filter Lowpass Filter restricts the bandwidth of input signals.


The cutoff frequency can be set to 75Hz, 100Hz or 150Hz.
All the input signals whose frequency is higher than the set cutoff
frequency will be attenuated.
NOTE: Only when EMG Filter is set to Off, can the setting of
Lowpass Filter be effective.

10.4 Record Info Setup

Select Record Info on the System Setup screen, and then press Enter to open the Record Info
Setup window.

10.4.1 Setup 1

Press F1 to switch to the Setup 1 window.

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SE-12 Series Electrocardiograph User Manual System Setup

Figure 10-3 Record Info Setup1

Item Description
Record Style Select a style to print the ECG waves of 12 leads in the auto mode.
Choose from: 3×4, 3×4+1R, 3×4+3R, 6×2, 6×2+1R or 12×1
Record Mode Choose from: Save Paper or Quickly
Select Save Paper, 10s after pressing the PRINT/STOP key on the main
screen, an ECG report is printed in the auto mode. The patient
information, measure information, interpretation and ECG waves are
printed at the same paper.
Select Quickly, pressing the PRINT/STOP key on the main screen to
begin printing an ECG report immediately in the auto mode, the patient
information, measure information, interpretation and ECG waves are
printed on the different pieces of paper.
NOTE:
1. Only when Sampling Mode is set to Real-time Sample,
Quickly is available.
2. When Record Style is set to 3×4, 3×4+1R or 3×4+3R, only
Save Paper is available. When Record Style is set to 12×1,
only Quickly is available
Record Sequence Choose from: Sequential or Synchronous
Select Sequential, the lead group is printed one by one in a certain
sequence. The start time of a lead group is just the end time of the
previous lead group.

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SE-12 Series Electrocardiograph User Manual System Setup

Item Description

Record Sequence Select Synchronous, the lead group is printed one by one in a certain
sequence. All leads are printed with the same start time.

Gain You can set the indicated height of 1mV ECG on the paper.
Choose from: 2.5mm/mV, 5mm/mV, 10mm/mV, 20mm/mV or
10/5mm/mV.
10/5mm/mV means that the gain of limb leads is set to 10mm/mV, while
the gain of chest leads is set to 5mm/mV.

AGC AGC means auto gain control.


(not available in Choose from: On or Off
the VCG mode) Select On, the gain can be automatically adjusted according to actual
signals.

Record Device Choose from: Thermal, HP 2010/1050/2000 or HP 2015/2035


You should connect the corresponding USB printer HP 2010/1050/2000
and HP 2015/2035 to the electrocardiograph.

WARNING

If the printer used is not the type listed above, additional safety measures (such as
applying an isolation transformer to supply the medical system) should be taken when the
safety of the medical system has not been evaluated. If in doubt, consult our technical
service department or your local distributor.

CAUTION
It is forbidden to connect or disconnect a U disk or a USB printer during the transmission
course.

Options Corresponding USB Printers


HP Deskjet 2010

HP HP Deskjet 1050
2010/1050/2000 HP Deskjet 2000
HP Deskjet 2050
HP Laserjet P2015
HP2035
HP Laserjet P2035

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SE-12 Series Electrocardiograph User Manual System Setup

Item Description
Record Device NOTE:
1. During the USB printing course,pressing the PRINT/STOP key
again can not stop printing ECG reports.
2. For details of the ECG report printed by the USB printer, please
refer to 6.5.6, “ECG Reports Printed by the USB Printer”.
3. USB printing is ineffective in the auto periodic sampling mode,
auto 11~24s sampling mode, manual mode and R-R analysis
mode.
4. Make sure that paper is installed in the USB printer before
printing. Error may occur if no paper is loaded in the USB
Printer.
Print Out Choose from: On or Off
(Only available Select On, the ECG report can be printed out by pressing the
in the auto and PRINT/STOP key.
rhythm modes) Select Off, the ECG report can be saved, but cannot be printed out by
pressing the PRINT/STOP key.
Speed Choose from: 5mm/s, 6.25mm/s, 10mm/s, 12.5mm/s, 25mm/s or
50mm/s
In the manual mode, select 5mm/s, 6.25mm/s, 10mm/s, 12.5mm/s,
25mm/s or 50mm/s.
Only 25mm/s and 50mm/s are available in the auto, rhythm and VCG
(only configurable for SE-12 Express) modes.
Only 25mm/s is available in the R-R analysis mode.
Paper Marker Paper Marker is used to identify the start point of each page of the
recorder paper.
Choose from: Yes or No
Select Yes if the paper with black markers on the bottom is used, and the
device can identify the start point of each page of the recorder paper while
printing ECG reports.
Sample Time If Record Style is set to 12×1, you can set the time period.
If the time period is set from 11 to 24 seconds, in the auto mode, after
pressing the PRINT/STOP key, the ECG waves of the set time period are
printed.
NOTE: If the time period is set from 11 to 24 seconds, the ECG data
sampled will not be analyzed or stored.

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SE-12 Series Electrocardiograph User Manual System Setup

10.4.2 Setup 2

Press F2 to switch to the Setup 2 window.

Figure 10-4 Record Info Setup2

Item Description
Auto Record Info Select the item printed in the ECG reports.
NOTE:
1. Template, Position Marker, Measure, Analysis and
Minnesota Code are available only in the auto mode, and Time
Scale and Device No. are available in all the work modes.
2. To get more information about the above contents, please refer
to Section 6.5.1, “Auto ECG Reports”.
Baseline Choose from: Horizontal, Auto or Off
Adjustment Select Horizontal, the baselines of the lead groups are adjusted
(not available in simultaneously, and the baselines of the leads in the same row are on the
the VCG mode) same line.
Select Auto, the baselines of the lead groups are adjusted respectively.
Select Off, the baselines of the lead groups are adjusted equally in the
ECG reports.
RR Record Info Select RR Interval List, the item will be printed in the ECG reports.
Grid of Report Select Thermal Report or USB Report, the grid will be printed while
printing ECG reports with the thermal recorder or USB printer.

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SE-12 Series Electrocardiograph User Manual System Setup

10.4.3 Setup 3

NOTE:
1. Only if the VCG function is activated, can the Record Info Setup3 window appear.
For details on activating the VCG function, please contact the manufacturer or the
local distributor.
2. Pressing F2 twice in the Record Info Setup window can display the Setup3 window.

Figure 10-5 Record Info Setup3

Item Description

VCG Record Info Select the item printed in the ECG reports.

QRS Gain Choose from: 10mm/mV, 20mm/mV, 40mm/mV or 80mm/mV

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SE-12 Series Electrocardiograph User Manual System Setup

10.5 Patient Information Setup


Select Patient Info on the System Setup screen, and then press Enter to open the Patient
Information Setup window.

Figure 10-6 Patient Information Setup Window

Item Description
Patient Options Select the item displayed in the Patient Information window.
NOTE:
1. Pacemaker appears in the Patient Information window after it
is selected in the Patient Information Setup window. Set
Pacemaker to Yes in the Patient Information window, and the
Pacemaker information will be displayed on the report printed
out.
2. Pacemaker is recommended to be set to No unless it is known
that the majority of the electrocardiograph usage will be on
patients with pacemakers.
ID Choose from: Auto, Time or Manual
Select Manual, the patient ID is within 30 ASCII characters.
Select Auto, ID can be automatically generated after you press
Shift+Bksp to refresh the patient information. The patient ID is 0~1999,
999, 999.
Select Time, press Shift+Bksp to refresh the patient information, and
then the patient ID can be automatically generated according to the time
when you press the PRINT/STOP key to print an ECG report. Entering
the patient ID manually is not supported.

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SE-12 Series Electrocardiograph User Manual System Setup

Item Description
ID Hint Choose from: On or Off
In the auto, rhythm or VCG (only configurable for SE-12 Express) mode,
when ID is set to Manual and ID Hint is set to On, if you do not input
the patient ID before pressing the PRINT/STOP key, a hint will pop up
to remind you to input the patient ID.
Age Choose from: Age, D.O.B or Age Group
Select Age, you can enter the patient age manually in the Patient
Information window.
Select D.O.B, the D.O.B textbox appears and the Age textbox becomes
unavailable in the Patient Information window, you can enter the
birthday of the patient, and the system will calculate the patient age
automatically.
Select Age Group, the Age Group textbox appears in the Patient
Information window and the 0 key (or Age Group key) can be available.
For details, please refer to Section 2.2 “Keyboard and Keys”.
H/W Unit Choose from: cm/kg or inch/lb
BP Unit Choose from: mmHg or kPa
Prompt Choose from: Confirmed By or Unconfirmed
Select Confirmed By, the physician’s name is printed in the ECG reports
if it is input in the Patient Information window.
Select Unconfirmed, Unconfirmed Report is printed in the ECG reports.

PatInfo Refreshed Choose from: On or Off


Select On, the patient information will be refreshed after the ECG report
is printed out and all the leads are off.

Order Acquired Choose from: On or Off


Select On, the Order item will be displayed in the Patient Information
window and you can acquire orders by clicking it.

User-defined Input customized information such as Address, the information will be


displayed in the Patient Information window.

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SE-12 Series Electrocardiograph User Manual System Setup

10.6 Transmission Setup


Select Transmission on the System Setup screen, and press Enter to open the Transmission
Setup window.

Figure 10-7 Transmission Setup Window

Item Description
Device No. Type the Device No., within 7 ASCII characters
Auto Transmission Choose from: On or Off
Select On, ECG data will be transmitted automatically after an ECG
report is printed out in the auto or rhythm mode.
Transmission
Choose from: Ethernet or UART
Mode
FTP Information Enter data in the FTP Path, FTP User Name textboxes.
IP Addresses Set Server IP, Local IP, Gateway, Subnet Mask
For the cross-network transmission,
a) Set the first two sections of the Local IP item to the first two sections
of the IP of the PC.
b) Set the third section of the Local IP item to the network segment of
the electrocardiograph which depends on the configuration of Router.
c) The last section of the Local IP item can be set at random.
For the same network transmission,
a) Set the first three sections of the Local IP item to the first three
sections of the IP of the PC.
b) The last section of the Local IP item can be set at random, but it can’t
be the same as the last section of the IP of the PC.

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SE-12 Series Electrocardiograph User Manual System Setup

10.7 Lead Setup

Select Lead on the System Setup screen, and press Enter to open the Lead Setup window.

Figure 10-8 Lead Setup Window

Item Description

Rhythm Lead1/2/3 Choose from: І, П, Ш, aVR, aVL, aVF, V1, V2, V3, V4, V5, or V6
In the auto mode:
When Record Style is set to 3×4+1R or 6×2+1R, the rhythm lead
selected in the Rhythm Lead1 list box will be printed in the ECG reports;
When Record Style is set to 3×4+3R, 3 rhythm leads selected
respectively in the Rhythm Lead1/2/3 list box will be printed in the ECG
reports.
In the rhythm mode:
When Rhythm Style is set to Single Lead, 60s wave of the rhythm lead
selected in the Rhythm Lead1 list box will be printed in the ECG reports;
When Rhythm Style is set to Three Leads, 20s waves of three rhythm
leads selected respectively in the Rhythm Lead1/2/3 list box will be
printed in the ECG reports.
In the R-R analysis mode:
The R-R analysis report of the rhythm lead selected in the Rhythm Lead1
list box will be printed.

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SE-12 Series Electrocardiograph User Manual System Setup

Item Description
Lead Sequence Choose from: Standard or Cabrera

Lead
Lead group 1 Lead group 2 Lead group 3 Lead group 4
Sequence
Standard І, II, Ш aVR, aVL, aVF V1, V2, V3 V4, V5, V6

Cabrera aVL, І, -aVR II, aVF, Ш V1, V2, V3 V4, V5, V6

Nehb Choose from: On or Off.


Lead Sequence: I, II, III, ND, NA, NI
NOTE: If you set Nehb to On, the working mode is fixed to be
manual.

10.8 Display&Sound Setup


Select Display&Sound on the System Setup screen, and then press Enter to open the
Display&Sound Setup window.

Figure 10-9 Display&Sound Setup Window

Item Description
Brightness Set the brightness within 0~20.
Key Volume Choose from: Low, Medium, High or Off
Select Low, Medium or High, the electrocardiograph gives a short sound
when you press keys on the keyboard.
Select Off, there is no sound.

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SE-12 Series Electrocardiograph User Manual System Setup

Item Description

Hint Volume Choose from: Low, Medium, High or Off


Select Low, Medium or High, the electrocardiograph gives a sound
when a hint such as Lead Off, Overload, Battery Weak etc. is displayed.
Select Off, there is no hint sound.

QRS Volume Choose from: Low, Medium, High or Off


Select Low, Medium or High, the electrocardiograph gives a sound
when an R wave is detected.
Select Off, there is no sound when an R wave is detected.

Notify Volume Choose from: Low, Medium, High or Off


Select Low, Medium or High, the electrocardiograph gives a sound after
ECG report is printed.
Select Off, there is no sound after ECG report is printed.

Display Colors Choose from: Monochrome, Option1 or Option2

Antialiasing Reserved for future use.

Grid Choose from: On or Off


Select On, the waveforms will be displayed with a background grid.

10.9 Date&Time Setup

Select Date&Time on the System Setup screen, and press Enter to open the Date&Time Setup
window.

Figure 10-10 Date &Time Setup Window

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SE-12 Series Electrocardiograph User Manual System Setup

NOTE: Please set DATE&TIME correctly when it’s the first time you use the
electrocardiograph.

Item Description

Date&Time Enter the current date and time displayed on the main screen and in the
ECG reports.

Date Mode Choose from: DD-MM-YYYY, MM-DD-YYYY or YYYY-MM-DD

Time Mode Choose from: 24 Hours or 12 Hours

Power Off Time Input the power-off time manually.


If you enter 0 Minutes or nothing, this function will not be effective.
NOTE:
1. Power-off time is counted from the time when you last press the
keys on the keyboard.
2. Only when the device is powered by the battery, can the set
automatic power-off time be effective.

LCD off Time Input the LCD off time manually.


If you enter 0 Minutes or nothing, this function will not be effective.
NOTE: LCD Off time is counted from the time when you last press
the keys on the keyboard.

10.10 File Setup

Select File on the System Setup screen, and press Enter to open the File Setup window.

Figure 10-11 File Setup Window

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SE-12 Series Electrocardiograph User Manual System Setup

Item Description

Auto Save Choose from: Off, To ECG or To U Disk


Select Off, ECG data will not be saved.
Select To ECG, ECG data in the auto or rhythm mode will be saved in the
ECG automatically.
Select To U Disk, ECG data in the auto or rhythm mode will be
automatically saved to the directory of
ECGDATA\ECG-X\Store\Examination Date of the U disk after an ECG
report is printed out.
NOTE:
1. Please insert the U disk recommended by the manufacturer.
Please set the format to FAT or FAT32 when formatting the U
disk.
2. X in the directory of ECGDATA\ECG-X\Store\Examination
Date can be set in the Device No. textbox in the Transmission
Setup window.

File Format Select a file format of exported or transferred data.


To select SCP/FDA-XML/DICOM, you should first activate the
SCP/FDA-XML/DICOM function on the Advanced Setup screen. For
details, please contact the manufacturer or the local distributor.

Delete After Trans. Choose from: On or Off


Or Export Select On, the files will be automatically deleted from the File Manager
screen after they are transmitted to the PC or exported to the U disk.

Replace When Choose from: On or Off


Memory Full Select On, if the stored files reaches 200, the files will replace the earliest
one automatically.

SCP File Choose from: On or Off


Compression Select On, the SCP file will be compressed.

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SE-12 Series Electrocardiograph User Manual System Setup

10.11 System Maintenance Setup

Select Maintenance on the System Setup screen, and press Enter to open the System
Maintenance window.

Figure 10-12 System Maintenance Window

Item Description

Export Settings Press to export the system settings to the U disk.

Import Settings Press to load the system settings from the U disk to the
electrocardiograph.

Back up Settings Press to back up the system settings to the ECG memory.

Load Backup
Press to load the backup settings from the ECG memory.
Settings

Record System Press to print the system settings.


Settings Pressing this button again can stop printing system settings.

Load Factory
Press to restore the factory settings.
Settings

System Password Type a password that allows you to access the System Setup window.

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SE-12 Series Electrocardiograph User Manual System Setup

10.12 Other Setup


Select Other on the System Setup screen, press Enter to open the Other Setup window.

Figure 10-13 Other Setup Window

Item Description

Institution Input the institution name manually within 40 ASCII characters.


NOTE: The total number of supported characters may be fewer if
special Latin characters are entered.

Language Select the language displayed on the main screen and in the ECG reports.

Caps Lock Choose from: On or Off


Select On to create capital letters. Pressing Shift and a letter key can input
a lowercase letter.
Select Off to create lowercase letters. Pressing Shift and a letter key can
input a capital letter.

External Input The external input socket is equipped in the electrocardiograph, through
which the electrocardiograph can receive signals from the external
equipment.
Choose from: On or Off
Select On, the electrocardiograph will display the signals which it
receives from external input port.

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SE-12 Series Electrocardiograph User Manual System Setup

Item Description

External Output The external output socket is equipped in the electrocardiograph, through
which the electrocardiograph can send rhythm lead signals to the external
equipment.
Choose from: Off, Standard or Triggered
Select Standard, the electrocardiograph sends ECG signals of rhythm
lead 1.
Select Triggered, the electrocardiograph sends pulses with the height of
5V and the width of 45ms, based on the data of rhythm lead 1.
NOTE: If external output function is enabled, you cannot use the
touch screen of SE-12 Express.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

Chapter 11 Operation Instructions for Exercise ECG


(Configurable for SE-12 Express)
Exercise ECG test contributes to discover myocardial ischemia, including the treadmill test and
the ergometer test. The patients with stable chest pain or unstable chest pain but drug controlled,
the heart blood reserve function and myocardial ischemia existence to be estimated after
myocardial infarction or cononary artery reconstruction surgery need to do exercise test.
Diagnosis of exercise test contributes to:
1. Diagnose the coronary artery ischemic disease
2. Estimate the severity, fatalness and prognosis of the known or suspicious coronary heart
disease
3. Provide early fatalness evaluation of the acute myocardial infarction before discharge
4. Evaluate the heart status of patients in different age groups and genders with other heart
diseases or coronary artery reconstruction.

11.1 About the Main Screen of Exercise ECG


NOTE: Some keys are used in operating SE-12 Express, please refer to Section 2.2
“Keyboard and Keys” for details.

D E F G H I J K

C L
B
A M

V N

U T S R Q P O

Figure 11-1 Main Screen of ST Trend

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

Figure 11-2 Main Screen of Template

Z
Figure 11-3 Closeup View of Template

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

When ID Mode is set to Manual, the patient ID is within 30


ASCII characters.
When ID Mode is set to Auto, the patient ID is 0~1999, 999,
999.
A ID
When ID Mode is set to Time, the patient ID can be
automatically generated according to the time when you press
the Pretest key to start an exercise test. Entering the patient ID
manually is not supported.

Patient Name: within 60 ASCII characters or the equivalent


B Name number of other characters that can be supported by equivalent
memory used by 60 ASCII characters

HR Overrange!, Sys. Overrange!, Dia. Overrange!, Saving,


No Paper, Paper Error, U disk, USB Scanner
NOTE:
1. The above hint information is listed in a priority-ranked
sequence. HR Overrange!, Sys. Overrange! and Dia.
C Hint Information1 Overrange! have the same priority to be displayed.
2. If more than one fault occurs, the hint information
which has the same priority will be displayed in a
circulative mode.
3. If more than one fault occurs, only the hint information
with a higher priority will be displayed.

Lead X Off, DEMO, Module Error, Overload, TM-400


Treadmill hint information (including Lanyard Off,
Transmission Communication Error, Transducer Error,
Incline Error, Great Interference, No Speed Signal, Abnormal
Speed, UART Error)
NOTE:
1. Lead X Off has a high priority to be displayed. The
D Hint Information2
other hint information of Hint Information2 has a
normal priority to be displayed.
2. If more than one fault occurs, the hint information
which has the same priority will be displayed in a
circulative mode.
3. If more than one fault occurs, the hint information
which has a high priority will be displayed.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

E Current Protocol The selected protocol name


The total time counted from the beginning of the pretest phase
F Total Time
to the end of the exercise test.
The current phase and stage of the exercise test
Current Phase and
G NOTE: Before or after the exercise test, state name is
Stage
displayed.
The left number is the total exercise phase time, which is
Total Exercise Phase counted from the beginning to the end of the exercise phase.
H
Time and Stage Time The right number is the stage time, which shows the running
time of the current stage.
When the treadmill is used, the current speed, grade and
Current Speed or
workload of the treadmill will be displayed on the main screen;
I Rotation Speed, Grade
When the ergometer is used, the current rotation speed and
or Power, Workload
power of the ergometer will be displayed on the main screen.
Current examination time. For details, please refer to Section
J Current Time
10.9 “Date&Time Setup”.
K Battery Symbol Identify the current capacity of the battery
Systolic Blood Pressure
The left number is the systolic blood pressure, and the right
L and Diastolic Blood
number is the diastolic blood pressure.
Pressure
The left number is the current heart rate, and the right number is
Current Heart Rate and the target heart rate.
M
Target Heart Rate 75% is the percentage of the current heart rate to the target heart
rate.
N ST Trend Display 3-lead ST trends.
During the exercise test or when the test is terminated:
This button changes into Template on the ST Trend screen,
press it to display the 3-lead average templates;
O Template Button / Exit
No testing:
This button changes into Exit, press it to exit the main screen of
the exercise test.
During the exercise test or test is terminated:
This button changes into Lead, press it to open the Lead Setup
window.
P Lead / Setup
No testing:
This button changes into Setup, press it to open the System
Setup screen.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

EMG Filter: Off, 25Hz, 35Hz or 45Hz


Q Filter
Lowpass Filter: 75Hz, 100Hz or 150Hz

Gain: 2.5 mm/mV, 5 mm/mV, 10 mm/mV, 20 mm/mV, 10/5


R Gain
mm/mV

Post J is the length after J point of ST segment.


Press to set Post J to 0, 20ms, 40ms, 60ms or 80ms.
NOTE: J point is the connection point between the end of
S Post J: 80ms QRS complex and the start of ST segment. It is the
standard point to fix the position of ST segment.
Please select a proper option based on the
patient’s actual ECG waves.
During the exercise test:
This button changes into Hold, press it to keep the current speed
and grade until it is pressed again.
NOTE: The test cannot enter the next stage automatically in
Hold state.
T Hold / Trans No testing:
This button changes into Hold, and it does not respond to any
operations.
Test is terminated:
This button changes into Trans, press it to transmit the file to
the PC.

Press to open the Patient Information window. It is invalid in


U Patient
the exercise test.

V ECG waveforms Display real-time ECG waveforms.


Press to display the 3-lead average template waves which are
updated every 10 seconds and the positions of the calibration
lines. The Template button will change into the ST Trend
button.
W Average Template The 3 leads can be selected in the Lead Setup window of the
exercise test.

Press or to magnify or minify the selected lead


average wave.
During the exercise test:
X ST Trend Button / Exit This button changes into ST Trend on the Average Template
screen, press it to display the 3-lead ST trends.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

No testing or test is terminated:


This button changes into Exit, press it to exit the main screen of
the exercise test.

Closeup View of
Y Closeup view of the selected lead.
Waveforms

Press to set the gain to 20mm/mV or 40mm/mV.


Z Gain and Speed
Press to set the speed to 50mm/s or 100mm/s.

11.2 Operation Preparations

1. Turn on the electrocardiograph


NOTE: Turn on the electrocardiograph before connecting the treadmill or the ergometer;
or else, the start-up of the electrocardiograph may be abnormal.
2. Connect the electrocardiograph to the treadmill or the ergometer.

CAUTION

Only the treadmill/ergometer recommended by the manufacturer can be connected to


Serial Port 1 and Serial Port 2.

1) Connect the electrocardiograph to the treadmill

RS232 port

RS232

NOTE: The position of the RS232 port may be different on different treadmills.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

2) Connect the RS232 port of the ergometer to the RS232 port of the electrocardiograph
with an RS232 cable.
NOTE: The position of the RS232 port may be different on different ergometers.
3) Connect the electrocardiograph to the ergometer

RS232 port

4) Connect the RS232 port of the ergometer to the RS232 port of the electrocardiograph
with an RS232 cable.

NOTE: The position of the RS232 in port may be different on different ergometers.
3. Connect the electrocardiograph to the stress BP monitor

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

4. Connect the power cords, and connect the earth wire (when necessary)
5. Load the recorder paper
6. Turn on the stress BP monitor and treadmill/ergometer
7. Set the electrocardiograph
1) Activate the stress ECG function.
For details, please contact the manufacturer or the local distributor.
2) After turning on the electrocardiograph, press Pretest on the keyboard to open the main
screen of the exercise test.
3) Select Setup on the main screen1 to open the System Setup screen.
4) Configure the System Setup screen.
For details, please refer to Section 13.4 “System Setup for Exercise Test”.
8. Set the treadmill or the ergometer for external control

1) For TM-400 treadmill

It is ready for external control and needn’t be set.

2) For Lode Treadmill Valiant

Hold down the following two keys for 10 seconds, and then you will enter the service
menu of the Valiant.

By default, the Valiant is shipped with the Lode RS232 communication protocol. It
should be set to the Trackmaster RS232 protocol. You can change the communication
protocol by following the procedures below:
a) Select Prot id and select the second RS232 protocol which is the Trackmaster
communication protocol
b) Select Baudrate and set this to 4800 Baud
c) Press the red button to leave the service menu
d) Turn off the Valiant

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

3) For Lode ergometer


By default, the Corival ergometer is shipped with the LODE RS232 communication
protocol. It should be set to the ERGOLINE P4 protocol. You can change the RS232
protocol by following the procedures below:
a) Turn on the ergometer and press Enter
b) You will be in MAINMENU
c) Select, by using the Up/Down keys, the menu SYSTEM PARAMETER and press
Enter
d) Select, by using the Up/Down keys, the menu SETTINGS and press Enter
e) Select, by using the Up/Down keys, the menu RS232 PROTOCOL and press
Enter
f) Select, by using the Up/Down keys, ERGOLINE P4 and press Enter
g) Save the selected RS232 protocol or restore the default RS232 protocol, which is
also the LODE PROTOCOL.
h) Turn off the ergometer
4) For controlling the Lode ergometer by SE-12 Express
The ergometer should be set in the ANALOG mode. The ANALOG mode should be
selected as follows.
a) Turn on the ergometer and press Enter
b) You will be in MAINMENU
c) Select, by using the Up/Down keys, the menu SYSTEM PARAMETER and press
Enter
d) Select, by using the Up/Down keys, the menu SETTINGS and press Enter
e) Press Enter to confirm the menu DEFAULTSTARTMENU and press Enter
f) The Lode ergometer is now ready for external control
NOTE: You can also let the ergometer start up in the ANALOG mode every time
you turn on the ergometer, by using the default start menu.
If you turn off the ergometer, it will start up in the ANALOG mode every time the
ergometer is turned on again. For details on setting other models for external control,
please refer to the connection instruction of the models.
9. Select Patient on the main screen1 to open the Patient Information window, and then enter
the patient information. For details on entering patient information, please refer to Chapter 5,
“Entering Patient Information”.
NOTE: If you do not enter the patient age or the birthday before pressing the Pretest key
to begin the exercise test, a hint will pop up to remind you to input the patient age.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.3 Exercise Test

The following method is recommended when operating SE-12 Express electrocardiograph


connected with a treadmill.
Operation Method:
1. Instruct the patient, attach the disposable electrodes to the patient, and then apply the stress
BP monitor to the patient. For details, please refer to Chapter 3 Operation Preparations.
2. Instruct the patient to lay on the bed, oberserve the ECG waveforms and the supine blood
pressure.
3. Select a protocol for the patient and configure the System Setup screen. For details, please
refer to Section 11.5 “System Setup for Exercise ECG”.
NOTE: You cannot change the settings of the System Setup screen after staring an
exercise test.
4. Press the Pretest key to begin the pretest phase.
5. Press the Exercise key to enter the exercise phase, and then observe the ECG waveforms,
heart rate, blood pressure, the patient’s state and ST trend during the exercise test. If the
stress BP monitor is connected, the patient’s blood pressure is measured once at a phase, and
you should print or save an ECG report after the main screen displays the BP value.
6. When the target value is reached, such as the target heart rate, press the Recovery key to
enter the recovery phase, and then instruct the patient to walk on the treadmill for 1 minute.
Observe the ECG waveforms, heart rate, blood pressure and the patient’s state during the
recovery stage.
7. Instruct the patient to sit on the bed, and then observe the ECG waveforms and the blood
pressure for 6~8 minutes.
8. When the patient’s heart rate resumes the normal value, press the Test end key to terminate
the exercise test. Press the PRINT/STOP key to print the final report. Select Trans on the
main screen of excersice screen to tranmist the report to the PC.
9. Take off the patient cable and electrodes, press the Pretest key to exit the test, and then
prepare for the next patient.

WARNING
1. During the exercise test, ensure that there are at least 2 experienced physicians
present. One of them observes the patient and deals with the emergency.

2. Remind patients to take care not to fall down from the treadmill.

3. Press down the emergency stop switch of the treadmill before defibrillating to avoid
the hazard to the patient and the operator.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.4 Factory Defaults of Exercise ECG

General Information Setup

Default
Items Default
(Only in the U.S.)

Display Style 6×2 3×4+1R

Speed Unit mph mph

Post J 60ms 60ms

Device Style Treadmill Treadmill

Treadmill Model TMX425 TMX425

Ergometer Model Ergoline Ergoline

BP Monitor Tango Tango

Normal BP Range (Sys./Dia.)


Maximum 220/90 mmHg
Minimum 110/60 mmHg
Max Predicted HR=220-Age
Target HR= Max Predicted HR*85%

Filter Setup

Default
Items Default
(Only in the U.S.)

AC filter On On

EMG filter Off Off

DFT filter 0.67Hz 0.67Hz

Lowpass filter 100Hz 100Hz

Recorder Setup

Default
Items Default
(Only in the U.S.)

Gain 10mm/mV 10mm/mV

Paper Marker Yes Yes

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

Record Info Setup


Default
Items Default
(Only in the U.S.)
12-Lead Report: Record
6×2+1 3×4+1R
Style
12-Lead Report: ST Info On On
Manual Report Print Print
Pretest Report Print Print
Exercise Report: Auto
Print Print
Report
Exercise Report: Print Time Late Stage Late Stage
Recovery Report: Auto
Print Print
Report
Recovery Report: Start
20s 20s
Time
Recovery Report: Interval 2min 2min
Final Report: Summary / ST
Scope / Trend Graph / Print Print
Summary Template Report
Final Report: Edit
Off Off
Conclusion
Transmission Setup
Default
Items Default
(Only in the U.S.)
Transmit After Saving Off Off
FTP User Name/FTP
Password/ Cleared Cleared
FTP Path
Lead Setup
Default
Items Default
(Only in the U.S.)
Lead Sequence Standard Standard
Rhythm Lead 1 II II
Rhythm Lead 2 V1 V1
Rhythm Lead 3 V5 V5

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.5 System Setup for Exercise ECG

After turning on the electrocardiograph, press Pretest on the keyboard to open the main screen of
the exercise test, and then select Setup to open the System Setup screen.

Figure 11-4 System Setup screen for Exercise Test

On the System Setup screen, move the cursor on an item, and then press Enter to open the setup
window of the item.
NOTE:
1. If you set the system password in the System Maintenance window, you need enter
the password before opening the System Setup screen. For details, refer to Section
10.11, “System Maintenance Setup”.
2. Except for the General Information Setup window, the Record Information Setup
window and the Protocol Manager screen, the changes of the System Setup screen
are synchronous in both Resting and Exercise ECG tests.
3. The setting methods of filter, recorder and lead of the exercise ECG are the same as
those of the resting ECG. For details about the setting methods, please refer to
Section 10.3 “Filter Setup”, Section 10.4.1 “Setup 1”, Section 10.6 “Transmission
Setup” and Section 10.7 “Lead Setup”.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.5.1 General Information Setup

Select General Info on the System Setup screen, and then press Enter to open the General
Information Setup window.

Figure 11-5 General Information Setup window

Item Description

Display Style Choose from: 3×1, 3×4+1R, 6×2 or 12×1


NOTE: Pressing the Up or Down arrow can switch the display style
during the exercise test. When the display style is 3×1,
pressing the Left or Right arrow can switch the lead group.

Speed Unit Choose from: mph or km/h

Post J Post J is the length after J point of ST segment.


Choose from: 0ms, 20ms, 40ms, 60ms or 80ms.
NOTE: J point is the connection point between the end of QRS
complex and the start of ST segment. It is the standard point
to fix the position of ST segment. Please select a proper
option based on the patient’s actual ECG waves.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

Item Description

Device Type Choose from: Treadmill or Ergometer


NOTE:
1. You should test whether the treadmill is controlled by SE-12
Express well when SE-12 Express is connected to the treadmill
for the first time.
2. Do not stand on the treadmill when testing it for the first time.
3. Before the exercise test, be sure to be familiar with the user
manual of the treadmill or the ergometer.
4. If you have any questions about the operation, please contact
us or your local distributor.

Device Model Choose from (Treadmill): TM400(M), TMX425, TM-400 or LODE


Choose from (Ergometer): Ergoline, Ergosana, LODE (ergo)

BP Monitor Choose from: Off, Tango or In Ergometer


NOTE: Connect the electrocardiograph to the stress BP monitor
before the exercise test.

Normal BP You can set the normal range of the systolic/diastolic blood pressure. If
Range the patient’s blood pressure values exceed the normal BP ranges, the hint
information will be displayed on the main screen.

Max Predicted HR The following formulas are applied to calculate the target heart rate.
and Target HR Max Predicted HR = 220 - Age
Target HR = Max Predicted HR * 85%
NOTE:
1. 220 and 85 are default values, and you can modify them in
different situations.
2. The range of Max Predicted HR you can enter is from 120 to
250.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.5.2 Record Information Setup

Select Record Info on the System Setup screen, and then press Enter to open the Record Info
Setup window.

Figure 11-6 Record Info Setup Window

Item Description

Record Style Select the style of 12-lead report printed in the ECG reports.
Choose from: 3×4+1 or 6×2+1
ST Info Choose from: On or Off
Select On to print out the 12-lead ECG report with ST information during
the exercise test.
Manual Report Choose from: Print, Print&Save or Save.
Select Print, Print&Save or Save to print out, print and save or save the
12-lead ECG report after you press the Recall, 12ld or Medians key
during the exercise test.
For details, please refer to Section 2.2 “Keyboard and Keys”.
Pretest Report Choose from: Close, Print, Print&Save or Save.
Select Print, Print&Save or Save to print out, print and save or save the
12-lead ECG report of the pretest phase automatically at the 20s of the
pretest phase.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

Item Description

Exercise Report - Choose Close, Print, Print&Save or Save from the Auto Report
Auto Report list box.
Select Print, Print&Save or Save to print out, print and save or save
the 12-lead ECG report of the exercise phase automatically during
the exercise test.
NOTE: If Auto Report is not set to Close, the 12-lead peak
report including the last 10s ECG data of the exercise
phase will be automatically printed out or saved.

Exercise Report - Choose from: Early Stage, Middle Stage or Late Stage
Print Time Select Early Stage, Middle Stage or Late Stage to print out the
12-lead ECG report automatically at the early, middle or late period
of each stage of the exercise phase.

Recovery Report - Choose from: Close, Print, Print&Save or Save


Auto Report Select Close, Print, Print&Save or Save to print out, print and save
or save the 12-lead report of the recovery phase automatically during
the exercise test.

Recovery Report - Input the start time manually to print the first recovery report.
Start Time For example, if you fill 20 in the Start Time textbox, the first
recovery report will be printed out 20s after entering the recovery
phase.
Recovery Report - Set the interval to print the later recovery reports.
Interval For example, if you select 1 min in the Interval pull-down list, the
later recovery reports will be printed out every 1 min.
NOTE: The time range of Interval is 20-60s.
Final Report - Choose from: Close, Print, Print&Save or Save
Summary Report / Select Print, Print&Save or Save to print out, print and save or save
ST Scope Report / the selected final report after you press the PRINT/STOP key when
Trend Graph Report / the exercise test is terminated.

Sum Template Report NOTE: During the printing course, you can press the
PRINT/STOP key to stop printing the current report.
Final Report - Choose from: On or Off
Edit Conclusion Select On, a hint pops up you to edit conclusion before the Summary
Report is printed out.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.5.3 Managing Protocols

Select Protocol on the System Setup screen, and press Enter to open the Protocol Manager
(treadmill or ergometer) screen.

Figure 11-7 Protocol Manager Screen

NOTE: The Protocol Manager (treadmill or ergometer) screen can be displayed


according to the Device Type setting you configure in the General Information
Setup window. Managing treadmill protocols is taken for an example in this
manual; therefore there is no further description for managing ergometer
protocols.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

1. Adding Protocols

Select Add on the Protocol Manager screen to display the following window.

Enter the new protocol name in the Protocol Name textbox, and then enter the stage information
of every stage, including the time, speed and grade. After that, press Enter to confirm.
NOTE:
1) When Time of a stage in the exercise phase is set to 00, this stage and its following
stages in the exercise phase will not be carried out.
2) “1/3” in the Add Protocol window stands for “the current page/ the total pages”.
3) Pressing Shift + Left/Right can turn pages in the on the Add Protocol window.

2. Editing Protocols

Select a protocol on the Protocol Manager screen by pressing the Up or Down arrow, and select
Edit to display the Edit Protocol dialog box.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

Edit the protocol name or the stage information of every stage, including the time, speed and
grade. After that, press Enter to confirm.
NOTE: For the Bruce or Modified Bruce protocol, only the stage information of the pretest
and recovery phases can be edited.

3. Setting Default Protocols

Select a protocol on the Protocol Manager screen by pressing the Up or Down arrow, and press
Select to set the selected protocol as the default protocol.

4. Deleting Protocols

Pressing Del All on the Protocol Manager screen can delete all the protocols from the
electrocardiograph.
Or, you select a protocol on the Protocol Manager screen, select Delete, and then press Enter to
delete the selected protocol from the electrocardiograph.
NOTE: Only the customized treadmill protocol can be deleted.

5. Restoring Protocols

Pressing Restore on the Protocol Manager screen can restore the factory settings.

6. Return

Pressing Return on the Protocol Manager screen can return to the System Setup screen for the
exercise test.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.6 Exercise ECG Reports

11.6.1 12-Lead Report

The above figure shows a 12-lead ECG report in Exercise Stage 2 during the exercise test.
The 12-Lead report includes:
6×2+1R ECG waves
Current Date and Time
Patient Information: Name, ID, Gender, Age
Stage Information
Measure Information
Average Template
Bottom Information

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.6.2 12-Lead Peak Report

The above figure shows a peak report during the exercise test.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.6.3 Summary Report

The above figure shows the summary report during the exercise test.
The summary report includes:
Current Date and Time
Patient Information: Name, ID, Gender, Age, height, weight, Room No.
Stage and measuring information at each phase
Comment
Measure Information
Trend graphs of HR and workload
Conclusion
Bottom Information

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.6.4 ST Scope Report

The above figure shows the ST scope report during the exercise test.
The ST scope report includes:
Patient Information: Name, ID, Gender, Age
Information of Max ST Ascend
Information of Max ST Descend

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.6.5 Average Template Report

The above figure shows the average template waves in Exercise Stage 2 during the exercise test.

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.6.6 Summary Average Template Report

The above figure shows the average template waves at each phase

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SE-12 Series Electrocardiograph User Manual Operation Instructions for Exercise ECG

11.6.7 Trend Graph Report

The above figure shows the trend graph report during the exercise test.

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SE-12 Series Electrocardiograph User Manual Hint Information

Chapter 12 Hint Information

Hint information and the corresponding causes provided by the electrocardiograph are listed in
Table 12-1.

Table 12-1 Hint Information and Causes for Resting ECG

Hint Information Causes


Electrodes fall off the patient or the patient cable falls off the unit,
Lead off
or a high polarization voltage occurs.
Battery Weak The battery is weak.

No Paper Recorder paper runs out or is not loaded.

Testing The ECG data is being sampled periodically.

When Paper Marker is set to Yes, the electrocardiograph


advances the recorder paper to the next black marker. If it
Paper Error
advances the paper for 300mm and can not find the next black
marker, the hint Paper Error is displayed.

Testing The ECG data is being sampled periodically.

Sampling/Analyzing/
ECG signals are being sampled / analyzed / recorded.
Recording
The self-study process of arrhythmia arithmetic in the Trigger
Learning
Sample mode
The examining process of arrhythmia data in the Trigger Sample
Detecting
mode
ECG data is being transmitted from the electrocardiograph to the
Transmitting
PC through the net or serial cable in the auto or rhythm mode.

Loading Order… Orders are being loaded to the electrocardiograph.

Memory Full The amount of files on the File Manager screen reaches 200.

Module Error There is something wrong with the signal sample module.

DEMO The system is in the demonstration mode.

Overload The direct current offset voltage on an electrode is too high.

U Disk / USB Printer A U disk, a USB printer or a bar code reader is connected to the
/ USB Scanner USB interface.

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SE-12 Series Electrocardiograph User Manual Hint Information

Table 12-2 Hint Information and Causes for Exercise ECG

Hint Information Causes

Battery Weak The battery is weak.

No Paper Recorder paper runs out or is not loaded.

When Paper Marker is set to Yes, the electrocardiograph


advances the recorder paper to the next black marker. If it
Paper Error
advances the paper for 300mm and can not find the next black
marker, the hint Paper Error is displayed.

Module Error There is something wrong with the signal sample module.

DEMO The system is in the demonstration mode.

Lead X off Electrodes fall off the patient or the patient cable falls off the unit.

Overload The direct current offset voltage on an electrode is too high.

HR Overrange! Heart rate exceeds the normal range.

Sys. Overrange! Systolic blood pressure exceeds the normal range.

Dia. Overrange! Diastolic blood pressure exceeds the normal range.

The safety stop (mushroom type) is revolved and the safety stop
Lanyard Off
(cord type) is pulled out.

The transducer and the main control board lines are not connected
Trans.Comm Err
well.

Transducer Err The transducer doesn’t work well or is not connected well.

Incline Err The incline motor doesn’t work well or is not connected well.

Great Interference There is great magnetic interference around the transducer.

No Speed Signal The speed sensor doesn’t work well or is not connected well.

The speed set in the electrocardiograph is different from the actual


Abnormal Speed speed of the running belt; the signal cable is not connected well,
parts, the speed sensor are loose, or great magnetic field exists.

UART Error The serial cable is not connected well.

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SE-12 Series Electrocardiograph User Manual FAQ

Chapter 13 FAQ

1. Operating Problems

Q1: I was trying to select a file from the file list on the File Manage screen, but the file was in
the middle of the long list. Is there any way to make the selection faster?
A1: Actually, the system provides a method for fast moving: pressing Shift + Up or Down arrow
can move the cursor up or down in the file list very fast.

Q2: I was just about to input the age when I suddenly realized that I had entered the Name
textbox unintentionally, can I just go back without pressing Tab for a whole circle?
A2: As a matter of fact, the system does take such unintentionalities into consideration by
providing Shift + Tab as the way back, as the Microsoft Windows operating system does.

Q3: I want to save the ECG data without printing, could it be possible?
A3: Yes, you can set Print Out to Off in the Record Info Setup1 window. Or, in the auto or
rhythm mode, you can directly press Shift + PRINT/STOP to enable or disable the print out
function. The ECG data will be collected and saved without printing. In the same way, if the
transmission settings are configured, the ECG data could be transmitted to the PC without
printing.

Q4: The screen of SE-12 series electrocardiograph is too shiny. Could it be possible to weaken
the brightness of the screen?
A4: There is a setup item named brightness in the Display & Sound Setup window, you can
press the Left or Right arrow to change the value, which would lead to the change of the
brightness of the screen, please refer to Section 10.8, “Display & Sound Setup”.

Q5: I want to input the patients’ phone number in the Patient Information window, but there is
no such item. Can I add it manually?
A5: Yes, there is a user-defined item for entering patient information. It works in this way: first
input the name of the item in the User-defined textbox in the Patient Information Setup
window, e.g. Tel. Then return to the main screen1, and open the Patient Information window,
the Tel item will be displayed in this window. Now it’s possible to input the phone number of
the patient in the Tel textbox. For details, please refer to Section 10.5 “Patient Information
Setup” and Section 4.1.2 “Entering Data”.

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SE-12 Series Electrocardiograph User Manual FAQ

Q6: Memory Full is displayed on the main screen; Or, the hint Memory full! Replace the earliest
file? pops up every time when I save an ECG report to the electrocardiograph. What am I
supposed to do?
A6: Memory Full is used to remind you that the amount of stored file reaches 200.
The display of the pop-up hint Memory full! Replace the earliest file? is related to the
settings of the File Setup window.
Select Off from the Replace When Memory Full list box, when the amount of stored files
reaches 200 and you save an ECG report to the electrocardiograph, the hint Memory full!
Replace the earliest file? pops up.
Select On from the Replace When Memory Full list box, when the amount of stored files
reaches 200 and you save an ECG report to the electrocardiograph, the hint Memory full!
Replace the earliest file? does not pop up.
You can deal with the hint as follows:
1) You can just delete several stored files from the electrocardiograph to ensure the amount
of stored file not to reach 200.
2) When Memory Full is displayed on the main screen, you can set Auto Save to To U
Disk to save the added ECG reports. However, the amount of stored files in the
electrocardiograph still reaches 200.

2. Printing Problems

Q1: I was encountered with paper-jam, what was I supposed to do?


A1: If it happened for the first time, it might be the result of an inappropriate placement of the
paper. In this case, please open the recorder casing, pull the paper out of the paper tray, tear
the pages with rumples, and then put the paper in the paper tray again, adjust the position of
the paper carefully and close the casing.

Q2: The hint Paper Error is displayed on the screen, what should I do?
A2: It might be the result of unsuccessful detection of the black markers, first open the recorder
casing so as to clear the error information, and then check whether the black marker is on the
bottom of the paper. Reload the paper in the paper tray. If it doesn’t work, change the paper.
If the problem still exists, please contact the manufacturer or the local distributor for further
disposal.

Q3: The hint No Paper is displayed on the screen, what should I do?
A3: Check whether the paper runs out, or the black marker is just facing the black marker
detection window on the thermal printing head, as the following figure shows.

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SE-12 Series Electrocardiograph User Manual FAQ

Reload the paper in the paper tray, close the recorder casing firmly. If the problem still exists,
please contact the manufacturer or the local distributor for further disposal.
Q4: I want to print the hospital name in the report, but I can’t find the place to enter it, where is
it?
A4: Please open the Other Setup window, and move the cursor to the Institution textbox, and
then input the hospital name. The content you input in this textbox will be printed in the
report. For details, please refer to Section 10.12, “Other Setup”.

Q5: I pressed the PRINT/STOP key, but the ECG didn’t start printing, what’s wrong with it?
A5: The system will not respond to the PRINT/STOP key during the first 3s after you return to
the main screen. Therefore, you have to wait for a few seconds, and then you are able to start
the printing by pressing the PRINT/STOP key.
If you wait for a few seconds, but you still unable to start the printing by pressing the
PRINT/STOP key, please check whether there is any error information displayed on the
screen.
If the hint No Paper or Paper Error is displayed on the screen, please deal with it according
to the above-mentioned measures.
If the hint Transmitting… is displayed on the screen, which means that the ECG is
transmitting the data to the PC, please wait a few seconds. You can start the printing after the
data is transmitted.
If the problem still exists, please contact the manufacturer or the local distributor for further
disposal.

Q6: I set the filter, speed and gain on the main screen1, but these settings were changed after
printing.
A6: The filter, speed and gain which are set on the main screen1 will not be saved, and they are
changed when you exit the main screen1 or after printing. If you want to save these settings,
please set them in the Record Info Setup window and the Filter Setup window.

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SE-12 Series Electrocardiograph User Manual FAQ

3. Transmitting Problems
Q1: The ECG doesn’t respond to any keys after a long time of transmission. It transmits nothing
for there is no new data appearing on the screen of the PC software. What should I do?
A1: Some error may occur during the transmission course, for example, the connection between
the ECG and the net cable may loosen. In this case, please connect the net cable well. If it
doesn’t work, please restart the ECG.
If the problem still exists, please contact the manufacturer or the local distributor for further
disposal.
4. Main Unit Problems
Q1: After power-on, the ECG stays on the logo screen and doesn’t open the main screen. I have
restarted the machine several times, but there is no better change.
A1: The reason for this problem might be: there is a key pressed down, without springing up.
Find that key, and make it spring up, the problem should be solved.

Q2: I was doing the examination when the machine suddenly gave out a sound and displayed the
hint Lead Off. What should I do?
A2: The corresponding electrodes are not connected well. Please find out which lead is off by
checking the Lead Name area on the main screen (please refer to Section 4.3.1, “About the
Main Screen”). The lead whose name is highlighted is off. Please check whether the
corresponding electrode of the lead is connected to the patient skin well, and then make sure
that the patient cable socket is connected to the patient cable firmly.
If none of the above-mentioned measures takes effect, please contact the manufacturer or the
local distributor for further disposal.

5. Exercise Test Problems


Q1: Before the exercise test, the treadmill cannot be started after I press the Start tmill key to test
the connection. What should I do?
A1: Set Device Type to Treadmill and select a model from the Device Model list in the General
Information Setup window. Then make sure the RS232 cable between the
electrocardiograph and the treadmill is connected well, the treadmill is powered on and the
power switch is switched to On.
If the problem still exists, please contact the manufacturer or the local distributor for further
disposal.

Q2: I press the Stop tmill key to stop the test temporarily during the exercise test, but in a while,
the treadmill cannot be started after I press the Start tmill key. What should I do?
A1: Press the Stop tmill key, 1 minute later press the Start tmill key to start the treadmill.

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SE-12 Series Electrocardiograph User Manual Cleaning, Care and Maintenance

Chapter 14 Cleaning, Care and Maintenance

CAUTION
1. Turn off the power before cleaning and disinfection. The mains supply must be
switched off if it is used.

2. Prevent the detergent from seeping into the equipment.

14.1 Cleaning

CAUTION

Any remainder of detergent should be removed from the unit and the patient cable after
cleaning.

14.1.1 Cleaning the Main Unit and the Patient Cable

To clean the cardiograph:


1. Unplug the AC power cord.
2. Wipe the external surfaces of the electrocardiograph with a soft cloth dampened in any of the
approved cleaning solutions listed below.
To clean the patient cable:
1. Dampen a soft cloth with one of the disinfectants or cleaning agents listed below.
2. Wring excess moisture from the cloth before cleaning.
Recommended Cleaning Solutions
♦ Mild soap and water
♦ 75% alcohol

14.1.2 Cleaning the Reusable Electrodes (for Resting ECG)

1. Remove the remainder gel from the electrodes with a clean soft cloth first.
2. Take suction bulbs and metal cups of chest electrodes apart, and take clamps and metal parts
of limb electrodes apart.
3. Clean them in warm water and make sure there is no remainder gel.
4. Dry the electrodes with a clean dry cloth or air dry naturally.

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SE-12 Series Electrocardiograph User Manual Cleaning, Care and Maintenance

CAUTION
Do not clean the unit and accessories with abrasive fabric and avoid scratching the
electrodes.

14.1.3 Cleaning the Print Head

1. Open the recorder casing and remove the paper.


2. Wipe the print head gently with a clean soft cloth damped in 75% alcohol.
For stubborn stain, soak it with a little alcohol first and wipe it off with a clean soft cloth.
3. After air drying, load the recorder paper and shut the recorder casing.

Dirty and soiled thermal print head will deteriorate the printing definition. So it should be cleaned
at least once a month regularly.

CAUTION
Prevent the detergent from seeping into the main unit while cleaning. Do not immerse the
unit or the patient cable into liquid under any circumstances.

14.1.4 Cleaning the Treadmill

For details on cleaning the treadmill, please refer to Treadmill User Manual.

14.2 Disinfection

Disinfection of the main unit is not necessary need in daily maintenance, it is only necessary in
operating room. In that case, please use hospital standard disinfectant.
NOTE: Clean and disinfect the chest and limb electrodes after each use.

CAUTION
1. Do not use high-temperature, high-pressure vapour or ionizing radiation as
disinfection methods.

2. Do not use chloric disinfectant such as chloride, sodium hypochlorite etc.

3. Always clean and disinfect reusable electrodes after patient use.

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SE-12 Series Electrocardiograph User Manual Cleaning, Care and Maintenance

14.3 Care and Maintenance

CAUTION
Operate the cardiograph, charge the battery, and store the battery at a temperature of
40℃ (104ºF) or lower. Exposure to higher temperature may reduce battery life, damage
the battery, and degrade overall cardiograph performance.

14.3.1 Recharge and Replacement of Battery

1) Capacity Identification
The battery capacity can be identified according to the battery symbol in the top right corner
of the LCD screen.

-> -> ->

Capacity is from full to empty.

2) Recharge
SE-12 series electrocardiograph is equipped with the recharge control circuit together with
the battery. When the unit is connected to the mains supply, the battery will be recharged
automatically. Then the battery recharging indicator ( ) and the mains supply indicator
( ) will be lit at the same time. During the recharging course, the symbol flashes in
the top right corner of the LCD screen. After the battery is fully recharged, the symbol stops
flashing, and the battery recharging indicator ( ) is black.
Because of the capacity consumption during the storage and transport course, the battery
capacity is not full when it is used for the first time. Battery recharge should be considered
before the first use.

NOTE: The battery will automatically stop charging if you print an ECG report.

CAUTION
Repeated undercharging of the battery will damage the battery and reduce battery life.

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SE-12 Series Electrocardiograph User Manual Cleaning, Care and Maintenance

3) Replacement
When the useful life of the battery is over, or foul smell and leakage are found, please
contact the manufacturer or the local distributor for replacement.

WARNING
1. Only qualified service engineers authorized by the manufacturer can open the battery
compartment and replace the battery, and the battery of the same model and
specification provided by the manufacturer must be used.

2. Danger of explosion -- Do not reverse the anode and the cathode when installing the
battery.

3. When the battery’s useful life is over, contact the manufacturer or the local distributor
for disposal or dispose of the battery according to local regulations.
4. Remove the battery from the electrocardiograph when the electrocardiograph isn’t
used for a long time.
5. If the battery is stored alone and not used for a long time, we recommend that the
battery be charged at least once every 6 months to prevent over-discharge.

CAUTION

If the battery has been fully charged and requires recharging after printing only a few
ECGs, consider replacement.

14.3.2 Recorder Paper

NOTE: Recorder paper provided by the manufacturer should be used. Other paper may
shorten the life of the thermal print head. The deteriorated print head may lead to
illegible ECG reports and block the advance of the paper.
Storage Requirements:
 Recorder paper should be stored in a dry, dark and cool area, avoiding excessive
temperature, humidity and sunshine.
♦ Do not put the recorder paper under fluorescence for a long time.
♦ Make sure that there is no polyvinyl chloride or other chemicals in the storage
environment, which will lead to color change of the paper.
♦ Do not overlap the recorder paper for a long time, or else the ECG reports may
trans-print each other.

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SE-12 Series Electrocardiograph User Manual Cleaning, Care and Maintenance

14.3.3 Visual inspection

Perform a visual inspection of all equipment and peripheral devices daily. If you notice any items
that need repair, contact a qualified service engineer to make the repairs.
 Check the case and display screen for cracks or other damage.
 Regularly inspect all plugs, cords, cables, and connectors for fraying or other damage.
 Verify that all cords and connectors are securely seated.
 Inspect keys and controls for proper operation.

14.3.4 Maintenance of the Main Unit and the Patient Cable

CAUTION
Besides the maintenance requirements recommended in this manual, comply with local
regulations on maintenance and measurement.

The following safety checks should be performed at least every 12 months by a qualified person
who has adequate training, knowledge, and practical experience to perform these tests.

a) Inspect the equipment and accessories for mechanical and functional damage.
b) Inspect the safety related labels for legibility.
c) Inspect the fuse to verify compliance with the rated current and circuit-breaking
characteristics.
d) Verify that the device functions properly as described in the instructions for use.
e) Test the protection earth resistance according to IEC/EN 60601-1: Limit: 0.1 ohm.
f) Test the earth leakage current according to IEC/EN 60601-1: Limit: NC 500μA, SFC
1000μA.
g) Test the enclosure leakage current according to IEC/EN 60601-1: Limit: NC 100μA,
SFC 500μA.
h) Test the patient leakage current according to IEC/EN 60601-1: Limit: NC a.c. 10μA, d.c.
10μA; SFC a.c. 50μA, d.c. 50μA.
i) Test the patient auxiliary current according to IEC/EN 60601-1: Limit: NC a.c. 10μA,
d.c. 10μA; SFC a.c. 50μA, d.c. 50μA.
j) Test the patient leakage current under single fault condition with mains voltage on the
applied part according to IEC/EN 60601-1: Limit: 50μA (CF).
The leakage current should never exceed the limit. The data should be recorded in an equipment
log. If the device is not functioning properly or fails any of the above tests, the device has to be
repaired.

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SE-12 Series Electrocardiograph User Manual Cleaning, Care and Maintenance

WARNING
Failure on the part of the responsible individual hospital or institution employing this
equipment to implement a satisfactory maintenance schedule may cause undue
equipment failures and possible health hazards.

1) Main Unit
♦ Avoid excessive temperature, sunshine, humidity and dirt.
♦ Put the dustproof coat on the main unit after use and prevent shaking it violently when
moving it to another place.
♦ Prevent any liquid from seeping into the equipment; otherwise the safety and the
performance of the electrocardiograph can not be guaranteed.
2) Patient Cable
♦ Integrity of the patient cable, including the main cable and lead wires, should be
checked regularly. Make sure that it is conductible.
♦ Do not drag or twist the patient cable with excessive stress while using it. Hold the
connector plug instead of the cable when connecting or disconnecting the patient cable.
♦ Align the patient cable to avoid twisting, knotting or crooking in a closed angle while
using it.
♦ Store the lead wires in a big wheel to prevent any people from stumbling.
♦ Once damage or aging of the patient cable is found, replace it with a new one
immediately.
3) Reusable Electrodes
♦ Electrodes must be cleansed after use and make sure there is no remainder gel on them.
♦ Keep suction bulbs of chest electrodes away from sunshine and excessive temperature.
♦ After long-term use, the surfaces of electrodes will be oxidized because of erosion and
other causes. By this time, electrodes should be replaced to achieve high-quality ECG
records.

CAUTION
The device and accessories are to be disposed of according to local regulations after
their useful lives. Alternatively, they can be returned to the dealer or the manufacturer for
recycling or proper disposal.

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SE-12 Series Electrocardiograph User Manual Accessories

Chapter 15 Accessories

WARNING

Only the patient cable and other accessories supplied by the manufacturer can be used.
Or else, the performance and electric shock protection can not be guaranteed.

Accessory Part Number

01.57.107581 (Snap Style)


ECG Cable (European)
01.57.107583 (Grabber Style)

01.57.107582 (Snap Style)


ECG Cable (American)
01.57.107584 (Grabber Style)

Patient Cable (American) 01.57.107048

Patient Cable (European) 01.57.106902

ECG Chest Electrodes 02.04.110842

ECG Limb Electrodes 02.04.110843

Pediatric Disposable Adhesive Electrodes 11.57.40024

Disposable Neonatal Electrode 11.57.40109

Adult Disposable Adhesive Electrodes 11.57.471056

Disposable Resting Tab electrodes (1 piece) 11.57.040189

Power cord (European) 01.13.36014

Power cord(American) 01.13.036106

Power cord (American) 11.13.36015

Rechargeable Li-ion Battery 21.21.064146

Snap/Banana Socket Adapters 01.13.107449

Clip/Snap/Banana Socket Adapter 01.57.040172

Alligator Clip/Banana Socket Adapters 01.57.040173

Paper Roller 01.51.30340

Thermal Recorder Paper 01.57.107371

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SE-12 Series Electrocardiograph User Manual Accessories

Fuse 11.21.64073

Input/Output Connector 11.13.19907

Grounding Wire 11.13.114214

03.24.38952
Smart ECG Viewer Software
03.24.38953

Snap Clip 01.57.040172

Electrode Gel 11.25.78047

RS232 Cable 11.13.20117

Ethernet Cable 11.13.20096

Smart ECG viewer Software Key/TINY-SPRO 01.18.47116

Smart ECG viewer Software Key/USB 12.01.47194

External Ink-jet Printer


01.18.052250
(HP Deskjet 1050)

External Ink-jet Printer


01.18.052251
(HP Deskjet 2010)

External Ink-jet Printer


01.18.052256
(HP Deskjet 2050)

U Disk 11.18.78105

ECG Bag 11.56.78118

MT-801 Trolley 03.28.107634

12V Vehicle-carried Inverter 11.21.64056

Bar Code Reader 11.23.068003

Wireless AP 11.17.047338

SE-12 series electrocardiograph and accessories are available by contacting the manufacturer or
your local distributor.

NOTE: The chest electrodes, limb electrodes, pediatric chest electrodes and pediatric
limb electrodes are not available in the U.S.

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SE-12 Series Electrocardiograph User Manual After-Sales Service

Chapter 16 After-Sales Service

If you have any question about maintenance, technical specifications or malfunctions of devices,
contact your local distributor.

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SE-12 Series Electrocardiograph User Manual Technical Specifications

Appendix 1 Technical Specifications

A1.1 Safety Specifications

IEC 60601-1:1988+A1:1991+A2:1995
EN 60601-1:1990+A1:1993+A2:1995
IEC60601-1-2:2001+A1:2004
Comply with: EN 60601-1-2:2001+A1:2006
IEC/EN60601-2-25
ANSI/AAMI EC11
IEC/EN 60601-2-51

Anti-electric-shock type: Class І with internal power supply

Anti-electric-shock degree: CF type with defibrillation-proof

Degree of protection against


Ordinary equipment (Sealed equipment without liquid proof)
harmful ingress of water:

Disinfection/sterilization Refer to the user manual for details


method:

Degree of safety of
Equipment not suitable for use in the presence of flammable
application in the presence
gas
of flammable gas:

Working mode: Continuous operation

EMC: CISPR 11 Group 1, Class A

Patient NC <10μA (AC) / <10μA (DC)


Leakage
Current: SFC <50μA (AC) / <50μA (DC)

Patient NC <10μA (AC) / <10μA (DC)


Auxiliary
Current: SFC <50μA (AC) / <50μA (DC)

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SE-12 Series Electrocardiograph User Manual Technical Specifications

A1.2 Environment Specifications

Transport & Storage Working

Temperature: -20℃ (-4ºF) ~ +55℃ (+131ºF) +5ºC (+41ºF) ~ +40ºC (+104ºF)

25%~93% 25%~80%
Relative Humidity:
Non-Condensing Non-Condensing

Atmospheric Pressure: 700hPa ~1060hPa 860hPa ~1060hPa

A1.3 Physical Specifications


SE-12: 420mm×330mm×105mm (16.5in×13.0in×4.1in)
Dimensions
SE-12 Express: 420mm×330mm×120mm (16.5in×13.0in×4.7in)

SE-12: approx. 5.0kg (11.0 lbs); SE-12 Express: approx. 6.5kg (14.3 lbs)
Weight
(Excluding recorder paper and battery)

320×240 dot single color LCD Screen


Display
800×600 multicolor LCD Screen

A1.4 Power Supply Specifications


Operating Voltage = 100V-240V~

Mains Supply: Operating Frequency = 50Hz/60Hz

Input Current = 0.9-0.4A


SE-12 Express: Rated voltage = 14.8V
SE-12: Rated voltage = 14.8V
SE-12 Express: Rated capacity = 4400mAh
SE-12: Rated capacity = 2200mAh

When the battery is fully charged, SE-12 can work normally


Internal Li-ion Battery Pack:
about 4 hours, and it can continually print about 1.5 hours in
the manual mode or print about 300 ECG reports of 3×4+1R
in the auto mode; SE-12 Express can work normally about 5
hours, and it can continually print about 2.5 hours in the
manual mode or print about 350 ECG reports of 3×4+1R in
the auto mode.

Fuse: T1AL250VP Ø5×20

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SE-12 Series Electrocardiograph User Manual Technical Specifications

A1.5 Performance Specifications

Recording

Recorder: Thermal dot-matrix recorder

8 dots per mm / 200 dots per inch (amplitude axes)


Printing Density
40 dots per mm / 1000 dots per inch (time axes, @ 25 mm/s)

Folded thermal paper: 210mm×295mm×100pages


Folded thermal paper: 215mm×280mm×100pages
Recorder Paper:
(Optional)
Rolled thermal paper: 210mm×30m (Optional)

Effective Width: 203mm

5mm/s, 6.25mm/s, 10mm/s, 12.5mm/s, 25mm/s, 50mm/s


Paper Speed:
(±3%)

Accuracy of data: ±5% (x-axis), ±5%(y-axis)

HR Recognition

Technique: Peak-peak detection

HR Range: 30 BPM ~300 BPM

Accuracy: ±1 BPM

ECG Unit

Leads: 12 standard leads

Acquisition Mode: simultaneously 12 leads

A/D Resolution: 24 bits

Time Constant: ≥3.2s

Frequency Response: 0.05Hz ~ 150Hz (-3dB)

Gain: 2.5, 5, 10, 20, 10/5, AGC (mm/mV)

Input Impedance: ≥50MΩ (10Hz)

Input Circuit Current: ≤0.01μA

Input Voltage Range ≤±5 mVpp

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SE-12 Series Electrocardiograph User Manual Technical Specifications

Calibration Voltage: 1mV±2%

DC Offset Voltage: ±600mV

Noise: ≤12.5 μVp-p

Multichannel crosstalk ≤0.5mm

AC Filter: On/Off

DFT Filter: 0.05Hz/0.15Hz/0.25Hz/0.32Hz/0.5Hz/0.67Hz


Filter
EMG Filter: Off/25Hz/35Hz/45Hz

LOWPASS Filter:150Hz/100Hz/75Hz

CMRR ≥115dB

Sampling Frequency 1000 Hz

Pacemaker Detection

Amplitude ±2 to ±700 mV

Width 0.1 to 2.0 ms

Sampling Frequency 10,000/sec/channel

External Input/Output (Optional)

≥100kΩ; Sensitivity 10mm/V±5%;


Input
Single ended

≤100Ω; Sensitivity 1V/mV±5%;


Output
Single ended

NOTE:
1. Test the accuracy of input signal reproduction according to the methods described in
clause 4.2.7.2 in ANSI/AAMI EC11: 1991/(R) 2001/(R) 2007, and the result complies
with the clause 3.2.7.2 in ANSI/AAMI EC11: 1991/(R) 2001/(R) 2007.
2. Overall System Error is tested using the method described in AAMI EC11 3.2.7.1.
Overall System Error is not more than ±5%.
3. Frequency Response is tested using the method described in AAMI EC11 3.2.7.2
methods A and D.

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SE-12 Series Electrocardiograph User Manual EMC Information

Appendix 2 EMC Information

Guidance and manufacture’s declaration - electromagnetic emissions –


for all EQUIPMENT and SYSTEMS

Guidance and manufacture’s declaration – electromagnetic emission

The 12-channel electrocardiograph is intended for use in the electromagnetic environment


specified below. The customer or the user of the 12-channel electrocardiograph should
assure that it is used in such an environment.

Emission test Compliance Electromagnetic environment – guidance

The 12-channel electrocardiograph uses RF


RF emissions energy only for its internal function.
Group 1 Therefore, its RF emissions are very low and
CISPR 11
are not likely to cause any interference in
nearby electronic equipment.

RF emission
Class A
CISPR 11
The 12-channel electrocardiograph is
Harmonic
suitable for use in all establishments, other
emissions Class A
than domestic and those directly connected
IEC/EN 61000-3-2
to the public low-voltage power supply
Voltage network that supplies buildings used for
fluctuations/ flicker domestic purposes.
Complies
emissions
IEC/EN 61000-3-3

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SE-12 Series Electrocardiograph User Manual EMC Information

Guidance and manufacture’s declaration – electromagnetic immunity - for all


EQUIPMENT and SYSTEMS

Guidance and manufacture’s declaration – electromagnetic immunity

The 12-channel electrocardiograph is intended for use in the electromagnetic environment


specified below. The customer or the user of 12-channel electrocardiograph should assure that
it is used in such an environment.

IEC/EN 60601 test Electromagnetic


Immunity test Compliance level
level environment - guidance

Electrostatic 6 kV contact 6 kV contact Floors should be wood,


discharge (ESD) 8 kV air 8 kV air concrete or ceramic tile. If
IEC/EN 61000-4-2 floor are covered with
synthetic material, the
relative humidity should
be at least 30%.

Electrical fast 2 kV for power 2 kV for power Mains power quality


transient/burst supply lines supply lines should be that of a typical
IEC/EN 61000-4-4 commercial or hospital
environment.

Surge 1 kV line to line 1 kV line to line Mains power quality


IEC/EN 61000-4-5 2 kV line to 2 kV line to should be that of a typical
ground ground commercial or hospital
environment.

Power frequency 3A/m 3A/m Power frequency magnetic


(50Hz/60Hz) fields should be at levels
characteristic of a typical
magnetic field
location in a typical
IEC/EN 61000-4-8
commercial or hospital
environment.

Voltage dips, short <5% UT <5% UT Mains power quality


interruptions and (>95% dip in UT) (>95% dip in UT) should be that of a typical
voltage variations commercial or hospital
for 0.5 cycle for 0.5 cycle
on power supply environment. If the user of

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SE-12 Series Electrocardiograph User Manual EMC Information

input lines 40% UT 40% UT the 12-channel


IEC/EN 61000-4-11 (60% dip in UT) (60% dip in UT) electrocardiograph
for 5 cycles for 5 cycles requires continued
operation during power
mains interruptions, it is
70% UT 70% UT
recommended that the
(30% dip in UT) (30% dip in UT) 12-channel
for 25 cycles for 25 cycles electrocardiograph be
powered from an
<5% UT <5% UT uninterruptible power
supply or a battery.
(>95% dip in UT) (>95% dip in UT)
for 5 sec for 5 sec

NOTE UT is the a.c. mains voltage prior to application of the test level.

Guidance and manufacture’s declaration – electromagnetic immunity - for EQUIPMENT


and SYSTEMS that are not LIFE-SUPPORTING

Guidance and manufacture’s declaration – electromagnetic immunity

The 12-channel electrocardiograph is intended for use in the electromagnetic environment


specified below. The customer or the user of the 12-channel electrocardiograph should assure
that it is used in such an environment.
Immunity IEC/EN 60601 test Compliance Electromagnetic environment -
test level level guidance
Portable and mobile RF
communications equipment should be
used no closer to any part of the
12-channel electrocardiograph,
including cables, than the
recommended separation distance
Conducted RF 3 Vrms 3Vrms
calculated from the equation applicable
IEC/EN 150 kHz to 80 MHz
to the frequency of the transmitter.
61000-4-6
Recommended separation distance
d  1 .2 P
3 V/m 3 V/m
Radiated RF 80 MHz to 2.5 GHz
d  1.2 P 80 MHz to 800 MHz
IEC/EN
61000-4-3
d  2.3 P 800 MHz to 2.5 GHz

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SE-12 Series Electrocardiograph User Manual EMC Information

Where P is the maximum output power


rating of the transmitter in watts (W)
according to the transmitter
manufacturer and d is the
recommended separation distance in
metres (m).
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey,a should be
less than the compliance level in each
frequency range.b
Interference may occur in the vicinity
of equipment marked with the
following symbol:

NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV
broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the 12-channel
electrocardiograph is used exceeds the applicable RF compliance level above, the
12-channel electrocardiograph should be observed to verify normal operation. If
abnormal performance is observed, additional measures may be necessary, such as
reorienting or relocating the 12-channel electrocardiograph.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

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SE-12 Series Electrocardiograph User Manual EMC Information

Recommended separation distances between portable and mobile


RF communications equipment and the EQUIPMENT or SYSTEM - for EQUIPMENT or
SYSTEM that is not LIFE-SUPPORTING

Recommended separation distances between


portable and mobile RF communications equipment and the 12-channel
Electrocardiograph

The 12-channel electrocardiograph is intended for use in an electromagnetic environment in


which radiated RF disturbances are controlled. The customer or the user of the 12-channel
electrocardiograph can help prevent electromagnetic interference by maintaining a minimum
distance between portable and mobile RF communications equipment (transmitters) and the
12-channel electrocardiograph as recommended below, according to the maximum output
power of the communications equipment.

Rated Separation distance according to frequency of transmitter(m)


maximum
output power of 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
transmitter
d  1 .2 P d  1 .2 P d  2 .3 P
(W)

0.01 0.12 0.12 0.23

0.1 0.38 0.38 0.73

1 1.2 1.2 2.3

10 3.8 3.8 7.3

100 12 12 23

For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacturer.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE 2 : These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.

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SE-12 Series Electrocardiograph User Manual Abbreviation

Appendix 3 Abbreviation

Abbreviation Statement

LCD Liquid Crystal Display

BP Blood Pressure

ECG Electrocardiogram/Electrocardiograph

HR Heart Rate

aVF Left Foot Augmented Lead

aVL Left Arm Augmented Lead

aVR Right Arm Augmented Lead

LA Left Arm

LL Left Leg

RA Right Arm

RL Right Leg

ID Identification

AC Alternating Current

USB Universal Serial Bus

AGC Auto Gain Control

NC Normal Condition

SFC Single Fault Condition

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