Welch Allyn X12-600-15 Part 15.242 Medical Telemetry Transmitter User Manual x12 Manual

Mortara Instrument Inc Part 15.242 Medical Telemetry Transmitter x12 Manual

Manual

   REF 9502-036-50                   Ambulatory X-12 Operator’s Manual     ______________________________________________________________________________           CAUTION:  Federal law restricts this device for sale to and use by or on the order of a physician.
                  ®     Copyright© 2001 by Mortara Instrument, Inc. 7865 N. 86th Street Milwaukee, Wisconsin 53224           This document contains confidential information that belongs to Mortara Instrument, Inc.  No part of this document may be transmitted, reproduced, used, or disclosed outside of the receiving organization without the express written consent of Mortara Instrument, Inc.  Mortara is a registered trademark of Mortara Instrument, Inc.  Ambulatory X-12 is a trademark of Mortara Instrument, Inc.  REF 9500-067-01
 i Technical Support and Service Following are telephone numbers and addresses for contacting various technical support and service personnel.  Mortara Instrument, Inc. 7865 N. 86th St. Milwaukee, WI 53224 Telephone Number: 414-354-1600 Toll-free Telephone Number: 800-231-7437 Toll-free Service Number: 888-MORTARA Fax:  414-354-4760 E-mail address:  sales@mortara.com  24 hour technical support Over 120 trained field service technicians Same day shipment of replacement parts Biomedical training classes Extended warranties/service contracts  Sales Support/Supplies & Accessories  Mortara Instrument, Inc. 7865 N. 86th St. Milwaukee, WI 53224 Phone:  414-354-1600 Fax:  414-354-4760 Internet:  http://www.mortara.com   European Economic Community Representative  Mortara Rangoni Via Oradour, 7 40016 San Giorgio di Piano Bologna, Italy Phone:  39-51-6650-701 Fax:  39-51-6651-012  Additional International Support Offices  Mortara France (France) Immeubles Burolines - Bat. 2 2 Ter, Rue Marcel Doret 31700 Blagnac Telephone number:  33-561-164000 Fax number:  33-561-164001  Mortara Instrument, Inc., GMBH (Germany) Henricistr. 124 45136 Essen Telephone number:  49-201-268311 Fax:  49-201-268313  Mortara Instrument, Inc., B.V.  (The Netherlands). H. Dunantplein 6 3731 CL De Bilt Postbus 131 3720 AC Bilthoven Telephone number:  31-30-2205050 Fax:  31-30-2201531
 ii Notices  Manufacturer’s Responsibility  Mortara Instrument, Inc., is responsible for the effects on safety, and performance only if  • Assembly operations, extensions, re-adjustments, modifications or repairs are carried out by persons authorized by Mortara Instrument,  • The electrical installation of the relevant room complies with the requirements of appropriate regulations, and  • The Ambulatory X-12 is used in accordance with the instructions for use.  Responsibility of the Customer  The user of  this product is responsible for ensuring the implementation of a satisfactory maintenance schedule.  Failure to do so may cause undue failure and possible health hazards.  Equipment Identification  Mortara Instrument equipment is identified by serial numbers on the back or bottom of the device.  Care should be taken so that these numbers are not defaced.  Information pertinent to tracking and manufacturing is found under the battery compartment of the product and may be called upon if service of the device is required.  Copyright and Trademark Notices  This document contains information that is protected by copyright.  All rights are reserved.  No part of this document may be photocopied, reproduced or translated to another language without prior written consent of Mortara Instrument, Inc.  The information contained in this document is subject to change without notice.  Other Important Information  The information in this document is subject to change without notice.    Mortara Instrument, Inc., makes no warranty of any kind with regard to this material, including, but not limited to implied warranties of merchant ability and fitness for a particular purpose.  Mortara Instrument, Inc., assumes no responsibility for any errors of omissions that may appears in this document.  Mortara Instrument makes no commitment to update nor to keep current the information contained in this document.
 iii Warranty Information Your Mortara Warranty  MORTARA INSTRUMENT, INC. (hereinafter referred to as “Mortara”) hereby warrants that Mortara products (hereinafter referred to as “Products”) shall be free from defects in material and workmanship under normal use, service and maintenance for one year of such Product from Mortara or an authorized distributor or representative of Mortara. Normal use, service and maintenance means operation and maintenance in accordance with appropriate instructions and/or information guides. This Warranty does not apply to damage to the Products caused by any or all of the following circumstances or conditions: a) Freight damage; b) Parts and/or accessories of the Products not obtained from or approved by Mortara; c) Misapplication, misuse, abuse and failure to follow the Product instruction sheets and/or information guides; d) Accident, a disaster affecting the Products; e) Alterations or modifications to the Products not authorized by Mortara; f) Other events outside of Mortara’s reasonable control or not arising under normal operating conditions. THE REMEDY UNDER THIS WARRANTY IS LIMITED TO THE REPAIR OR REPLACEMENT WITHOUT CHARGE FOR LABOR OR MATERIALS, OR ANY PRODUCTS FOUND UPON EXAMINATION BY MORTARA TO HAVE BEEN DEFECTIVE. This remedy shall be conditioned upon receipt of notice by Mortara of any alleged defects promptly after discovery thereof within the warranty period. Mortara’s obligations under the foregoing warranty will further be conditioned upon the assumption by the purchaser of the Products (i) of all carrier charges with respect to any Products returned to Mortara’s principal place or any other place as specifically designated by Mortara or an authorized distributor or representative of Mortara, and (ii) all risk of loss in transit. It is expressly agreed that the liability of Mortara is limited and that Mortara does not function as an insurer. A purchaser of a Product, by its acceptance and purchase thereof, acknowledges and agrees that Mortara is not liable for loss, harm or damage due directly or indirectly to an occurrence or consequence therefrom relating to the Products. If Mortara should be found liable to anyone under any theory (except the expressed warranty set forth herein) for loss, harm or damage, the liability of Mortara shall be limited to the lesser of the actual loss, harm or damage, or the original purchase price of the Product when sold. EXCLUDED FROM THE LIMITED WARRANTY SET FORTH ABOVE ARE CONSUMABLE ITEMS SUCH AS PAPER, BATTERIES, ELECTRODES, PATIENT CABLES, LEAD WIRES AND MAGNETIC STORAGE MEDIUMS.EXCEPT AS SET FORTH HEREIN WITH RESPECT TO REIMBURSEMENT OF LABOR CHARGES, A PURCHASER’S SOLE EXCLUSIVE REMEDY AGAINST MORTARA FOR CLAIMS RELATING TO THE PRODUCTS FOR ANY AND ALL LOSSES AND DAMAGES RESULTING FROM ANY CAUSE SHALL BE THE REPAIR OR REPLACEMENT OF DEFECTIVE PRODUCTS TO THE EXTENT THAT THE DEFECT IS NOTICED AND MORTARA IS NOTIFIED WITHIN THE WARRANTY PERIOD. IN NO EVENT, INCLUDING THE CLAIM FOR NEGLIGENCE, SHALL MORTARA BE LIABLE FOR INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES, OR FOR ANY OTHER LOSS, DAMAGE OR EXPENSE OF ANY KIND, INCLUDING LOSS OF PROFITS, WHETHER UNDER TORT, NEGLIGENCE OR STRICT LIABILITY THEORIES OF LAW, OR OTHERWISE. THIS WARRANTY IS EXPRESSLY IN LIEU OF ANY OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO THE IMPLIED WARRANTY OF MERCHANT ABILITY AND THE WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE.
 iv User Safety Information    Warning: Means there is the possibility of personal injury to you or others.     Caution: Means there is the possibility of damage to the equipment.   Note:  Provides information to further assist in the use of the device.  Federal law restricts this device to sale by or on the order of a physician.    Warning(s)  •  Device (Ambulatory X-12) transmits data reflecting a patient’s physiological condition to a properly equipped electrocardiograph and when reviewed by a trained physician or clinician can be useful in determining a diagnosis.  However, the data should not be used as a sole means for determining a patient’s diagnosis.  •  To maintain designed operator and patient safety, peripheral equipment and accessories used that can come in direct patient contact, must be in compliance with UL 2601-1, IEC 601-1 and IEC 601-2-25.  •  To maintain designed operator and patient safety, only use parts and accessories supplied with the device and available through Mortara Instrument, Inc..  •  To avoid the possibility of serious injury or death during patient defibrillation, do not come into contact with device or patient cables.  Additionally, proper placement of defibrillator paddles in relation to the electrodes is required to minimize harm to the patient.  •  A possible explosion hazard exists, do not use the device in the presence of flammable anesthetics.  • Defibrillation protection is guaranteed only if the original patient cable is used.  • Simultaneous connection to other equipment may increase leakage current.  • Some stimulators may cause interference with the signal.  •  ECG electrodes could cause skin irritation and should be examined daily.  Reposition and change electrodes every 24 hours, though it may be necessary to do so sooner if signs of irritation or inflammation occur.  •  Before attempting to use the device for clinical applications the operator must read and understand the contents of the manual and any documents accompanying the device.
 v   Caution(s)  •  To prevent possible damage to the keypad, do not use sharp or hard objects to depress keys, only use fingertips.  •  Do not attempt to clean the device or patient cables by submersing into a liquid, autoclaving, or steam cleaning. •  Wipe the exterior surface of the device and patient cables with a sterilizing disinfectant, then dry with a clean cloth.  •  Conductive parts of the patient cable, electrodes and associated Type CF connections, including the neutral conductor of the patient cable and electrode, should not come into contact with other conductive parts, including earth ground.  •  The Ambulatory X-12 and Patient Cable should be cleaned between each use.   •  Do not pull or stretch patient cables as this could result in mechanical and/or electrical failures.  Patient cables should be stored after forming them into a loose loop.  • The Ambulatory X-12 will only work with electrocardiographs that are equipped with the appropriate option.  • No user serviceable parts are inside.  Any modification of this device may alter defibrillator protection.  Any modification to any part of this device is to be performed by qualified service personnel only.  • The following equipment may cause interference with the RF channel: microwave ovens, diathermy units with LANs (spread spectrum), amateur radios and government radar.     Warning(s)  In some countries the use of the X-12 transmitter (2400 MHz version) has been limited as follows:           Spain: use is limited to channels in the range 8B to E6 (inclusive).  France: use is limited to channels in the range 8E to A5 (inclusive).   The channel setting of the X-12, when used in the above listed countries, must be set accordingly, as explained in this manual at section 2.   In the United States and Canada, use of the X-12 transmitter (600 MHz version) is regulated by Federal Communications Commission (FCC) rules, Part 15. •   The X-12 must be used solely on the premises of health care facilities (see Part 15, section 15.242a). •   A health care facility operating the X-12 must coordinate with the directors of existing nearby TV stations and Radio Astronomy Observatories to ensure compatible use.  Minimum separation distances from such facilities may apply.  It may be necessary to obtain written authorization from such facilities prior to installation and use of the X-12 (Part 15, section 15.242d,e).
 vi  Notes  •  Proper patient preparation is important to proper application of ECG electrodes and operation of the device.  •  Patient cables should be checked for cracks or breakage in its exterior properties prior to use.  • As defined by IEC 601-1 and IEC 601-2-25, the device is classified as follows:     - Internally powered   - Type CF applied parts   - Ordinary equipment    - Not suitable for use in the presence of flammable anesthetics - Continuous operation
 vii Equipment Symbols  Symbol Delineation     Attention, consult accompanying documents     Attention, consult accompanying documents. Compliance with Directive 1999/5/EC     Defibrillator-proof type CF input     Battery       Enables lead check test     Toggles through each lead    Indicates compliance to applicable EEC Directives    ON (power)     OFF (power)
 viii Table of Contents   1  Introduction     Manual Purpose ......................................................................................... 1-1 Audience..................................................................................................... 1-1 System Description..................................................................................... 1-1 Equipment Included.................................................................................... 1-1 Features...................................................................................................... 1-1 Using the Ambulatory X-12 Telemetry Module in Conjunction with Mortara Electrocardiographs.................................................................................... 1-2 Ambulatory X-12 Transmitter...................................................................... 1-2 Ambulatory X-12 Specifications.................................................................. 1-3 Supplies ...................................................................................................... 1-4   Operation 2    Read Instructions ....................................................................................... 2-1 Electrocardiograph Equipped with Wireless Option ................................... 2-2 Ambulatory X-12 Transmitter Back View.................................................... 2-2 Power Supply.............................................................................................. 2-3 Battery Installation ...................................................................................... 2-3 Patient Preparation..................................................................................... 2-4 Lead Fail ..................................................................................................... 2-4 Lead Check................................................................................................. 2-4 Transmitting ................................................................................................ 2-5 Miscellaneous............................................................................................. 2-5 Removal and Installation of Antenna.......................................................... 2-6   3  Maintenance and Troubleshooting    Cleaning the Ambulatory X-12 Transmitter and Patient Cable .................. 3-1 Periodic Maintenance ................................................................................. 3-1 Disposal of Waste Material......................................................................... 3-1 Trouble Shooting ........................................................................................ 3-2   Appendix  System Information LogA    System Information Log.............................................................................. A-1  Glossary ......................................................................................... G-1  Index ................................................................................................... I-1
 ix
____________________________________________________________________________Section 1 1-1  1  Introduction    Manual Purpose  The Ambulatory X-12 Operator's Manual explains how to operate the transmitter  (Ambulatory X-12).  You can use this manual as a learning tool as well as a source of reference information.  It explains how to acquire and transmit 12-lead cardiac signals without direct connections to an electrocardiograph:  Audience  This manual is written for clinical professionals.  They are expected to have working knowledge of medical procedures and terminology as required for monitoring cardiac patients.  System Description  The Mortara Instrument Ambulatory X-12 Telemetry Module represents the state-of-the-art in Wireless Electrocardiographic Technology.  It provides a means to acquire and transmit 12-lead cardiac signals without direct connections to an electrocardiograph.  Design innovations implemented in the Ambulatory X-12 Telemetry Module achieve real-time acquisition, RF transmission of simultaneous 12-lead ECG data with diagnostic quality to the Mortara Receiver Module while allowing the patient to be ambulatory.  In addition, by using a very high monitoring frequency to transmit cardiac signals, the diagnostic bandwidth of the signals is maintained.  The Ambulatory X-12 affords the patient complete freedom of movement.  Unlimited range can also be obtained with addition of the Mortara Antenna Network Box(s).  Equipment Included  The following equipment is necessary to use the Ambulatory X-12 Telemetry Module:  • Ambulatory X-12 (transmitter),   • Two AA batteries, 1.5V,   • Mortara Receiver Module with Antennas,  • Patient cable  • Antenna Network (optional)
Ambulatory X-12______________________________________________________________________ 1-2 Features  • Continuous 12-lead signal acquisition and transmission,   • User selectable channel,   • User lead check (LC), nine selections,  • Automatic notification of lead fail,  • AA battery operation,  • Notification of low battery  Using the Ambulatory X-12 in Conjunction With Mortara Electrocardiographs  See the appropriate Mortara operator’s manual for electrocardiograph.   Figure 1-a Ambulatory X-12 Transmitter
____________________________________________________________________________Section 1 1-3 Ambulatory X-12 Specifications    Environmental  Temperature Operating  Temperature Storage  Humidity Operating  Humidity Storage  Atmospheric Pressure  10° C to 32° C 0° C to 45° C 20% to 80% 10% to 90% 700 - 1060 millibars Dimensions  14 cm x 6.6 cm x 2.5 cm, 5.5” x 2.6” x 1”   Weight, with and without battery  With: 8.3 ounces, (240 grams) Without: 6.7 ounces, (200 grams)   Batteries  2, AA alkaline, 30 hour typical life   Display  LCD of lead fail, lead quality, power ON/OFF, low battery   Frequency range 1) 608.48 to 631.52 MHz, or 904.76 to 925.16 MHz, or 2400.96 MHz   to 2482.56MHz   Function keys (2)   One provides multi-purpose call or activation;  the other provides lead quality activation   Leads connector  Single-block, 10 lead   Tunable   Yes   Number of channels  256   Leads transmitted  12    NOTE:  Manufacturer does not supply accessories for direct cardiac applications.  15 meters with no barriers  Operating Range Performance 2)  1)Operating frequency range is dependent on Ambulatory X-12 part number 2)Based on ELI 100 (electrocardiograph) equipped with wireless option
Ambulatory X-12______________________________________________________________________ 1-4 Ambulatory X-12 Supply List   Standard Ambulatory X-12 orders include the following accessories:  • REF 9293-017-XX Resting Patient Cable (international or domestic)) • REF 4800-001  Two AA Batteries • REF 9502-036-50  Operator’s Manual • REF 9503-031-01 Short Form Instruction Card • REF 34999-002-50 Carrying Case with Strap  Refer to the respective Mortara electrocardiograph’s manual for electrode supplies.  To order additional supplies, contact a Mortara Instrument customer service representative at:   Mortara Instrument, Inc.  7865 N. 86th Street  Milwaukee, WI 53224  Phone: 1-888-MORTARA (667-8272)  Fax: (414) 354-4760  Internet:  http://www.mortara.com
____________________________________________________________________________Section 2 2-1  Operation 2    Please Read Instructions before Operating this Device  The user of this device is cautioned that any changes or modifications not expressly approved by Mortara Instrument, Inc., could void the user’s authority to operate the equipment.  This cable complies with part 15 of the FCC rules.  Operation is subject to the following two conditions:  •  This device may not cause harmful interference.  •  This device must accept any interference received, including interference that may cause  undesired operation.  Operating frequencies are 608.48-631.52 MHz, or 904.76-925.16 MHz, or 2400.96-2452.96 MHz operating frequency range.  FCC ID:  HJR-X12-600-15 FCC ID:  HJR-X12-915 FCC ID:  HJR-X12-2500  This device is defibrillator-protected in compliance with AAMI standards and IEC 601-2-25.
Ambulatory X-12______________________________________________________________________ 2-2 Electrocardiograph  Figure 2-a Electrocardiograph Equipped with Wireless Option     Figure 2-b Ambulatory X-12, Back View Battery Compartment, Inner View
____________________________________________________________________________Section 2 2-3  Power Supply  Two disposable AA batteries (industrial AA’s), which you insert into the unit’s battery compartment, are used to power the Ambulatory X-12.  The typical life of two AA batteries is 30 hours.    When you turn the unit on, ON appears on the LCD screen to the lower left of the torso.     NOTE:  Alkaline batteries are recommended .   Battery Installation and Ambulatory X-12 Operation  To install the new batteries and operate the Ambulatory X-12:  n Position the Ambulatory X-12 with its back facing you.  (See the illustration which follows.)   o Grasp the device with one hand on each side, placing your right and left thumbs on the back’s grooved sections of the battery compartment.  Then gently push your thumbs down and away to remove the battery compartment.    p Turn the compartment over and insert one new battery in each battery slot.  To be sure of correct placement, align the positive (+) and negative (-) locators of each battery with the respective designator in each battery slot.  (See the previous illustration, “Ambulatory X-12, Back View, with Battery Compartment Removed.”  q Push the ON/OFF switch, located next to the channel selectors, to the ON position.  r Re-insert the battery compartment.  s When the Ambulatory X-12 is not in use, push the ON/OFF switch to the OFF position.  Note: If the batteries are not functioning, or the ON/OFF switch is in the OFF position, the message ON will not appear on the LCD screen, and the leads will not flash on the torso.
Ambulatory X-12______________________________________________________________________ 2-4 Patient Preparation  Correct electrode placement is important for acquiring a successful ECG (see Patient Hookup below).  Although most resting cardiograms are completely successful without patient preparation, consider performing some patient preparation procedures to remove oils, lotions, and hair from the skin, particularly on obese individuals.    Patient Hookup   Figure 2-c Patient Hook-Up  The 12-lead patient cable is attached to the patient, and the patient cable input connector is inserted into the receptacle located on the right topside of the Ambulatory X-12.  WARNING: QRS morphology may be slightly different from the standard ECG because of different position of lower limb electrodes.  To reduce these differences, try to position LL electrode as low as possible, e.g., iliac crest, leg root.  Lead Fail  A lead in failure is displayed as a blinking lead designator located on the torso.  If the patient cable is not attached, the LL, V1, V2, V3, V4, V5, and V6 lead designators blink on the torso.  Lead Check  To check the electrode contact quality, you may review the impedance measured for each of the leads.  The Ambulatory X-12 presents this information in the impedance check graph located on the left side of the display in the triangular box on the left of the LCD.  To interpret the impedance check graph, read the instructions on the back of the Ambulatory X-12.  NOTE: Ambulatory X-12 is not waterproof.  Prevent liquid from penetrating, and avoid submerging in any liquid.  Sterilization is not allowed.  The greater the impedance, the more the signal quality is compromised.  Increments of impedance are represented as black bars located within the rectangular box.  Six black bars represent minimum impedance, or optimal signal quality; one bar represents maximum impedance, poor signal quality, or lead fail.
____________________________________________________________________________Section 2 2-5 To check the impedance of each lead:  n  Press and hold down the Test key located on the front of the Ambulatory X-12 until the message LC (Lead Check) appears on the bottom of the display.  The LA (left arm) lead designator appears on the upper right section of the torso.  The impedance check graph depicts the value measured for the LA (left arm) lead.  o Press the Call key to check the remaining leads:  LL (left arm), V1, V2, V3, V4, V5, V6, RA (right arm).  p  To exit the impedance check mode, continue to press the Call key until the LC message is erased.    Once signal quality is confirmed, you are ready to initiate monitoring on the electrocardiograph.  Transmitting  Refer to the appropriate appendix of the Mortara electrocardiograph operator’s manual for setting up the Wireless Patient Cable.  CAUTION:  Failure to properly set up the electrocardiograph with the Ambulatory X-12 Telemetry Module will result in poor or non-operation of the Ambulatory X-12.  Miscellaneous  Channel Number  The Ambulatory X-12 transmits the patient's cardiac signals to the electrocardiograph using a specific channel number.  The Ambulatory X-12 is preset at the facility with a channel number of 80H.  You may, however, choose individually from any of the 256 channels.  If you experience ECG signal loss, for instance, you might want to change the transmission channel.  The two-channel selector dials are located on the inside of the battery compartment,  ABCDEF0123456789ABCDEF0123456789  Figure 2-d  Channel Selector Dials  By adjusting the slot located on the inside of the inner circle of each dial, you may select a new channel.  Each dial is numbered in a hexadecimal format, beginning with the alphanumeric value of 0 and ending with F (0, 1, 2, 3, 4, 5, 6, 7, 8, 9, A, B, C, D, E and F).  Select one number from a choice of 16 alphanumeric values for each dial.  The left dial represents the first alphanumeric value and the right dial the second.  The total number of two alphanumeric combinations is 256.  To change the currently selected channel, insert a small, flat screwdriver in the slot located in the circle of the dial.  Turn the screwdriver clockwise, and release when the arrow inside the circle is aligned with the desired number.
Ambulatory X-12______________________________________________________________________ 2-6  Removal and Installation of Antenna  When attached directly to a Electrocardiograph:  n  To remove an antenna, gently rotate the ridged band counterclockwise while simultaneously pushing in on the band.  The small post is released in the diagonal groove, freeing the antenna from the connector.  o  To install an antenna, position the small post in the groove.  Push in the antenna and gently rotate the ridged band, allowing the post to engage and lock in the curved end portion of the groove.  When a Telementry Receiver Processor Card is used:  Antenna should not be removed.  If necessary to tighten or clean, the antenna screws on and off in clockwise/counterwise manner.
____________________________________________________________________________Section 3 3-1  Maintenance and Troubleshooting 3    Cleaning the Ambulatory X-12 and Patient Cable  Turn off the Ambulatory X-12, and clean the outside with a damp cloth (possibly moistened with alcohol).  Dry the equipment completely before use.  WARNING:  The Ambulatory X-12 is not water-proof.  Prevent liquid from penetrating, and avoid submerging the Ambulatory X-12 in any liquid.  Sterilization is not allowed.  Periodic Maintenance  Check the Ambulatory X-12 and patient cable everyday to be sure they are not damaged or broken.  Disposal of Waste Materials  The Ambulatory X-12 needs two alkaline batteries and disposable electrodes.  Their disposal must be in accordance with the following procedures:  Batteries: chemical waste Electrodes: normal waste
Ambulatory X-12______________________________________________________________________ 3-2 Troubleshooting  PROBLEM  POSSIBLE CAUSE  SUGGESTED SOLUTIONS No or noisy waveform  1. Mismatched frequency setting    2. Frequency channel selected has interference    3. Bent pins on patient cable interface connector  4. Poor signal from electrode 1. Ensure frequency setting at electrocardiograph (receiver) is the same as the Ambulatory X-12’s.  2. Select a different frequency for both the electrocardiograph (refer to the appropriate manual) and Ambulatory X-12.  3. Contact Mortara Service Department at 1-888-MORTARA (667-8272).  4a. +Verify good prep before placing electrodes on patient.  4b.Verify electrodes are good (not beyond expiration date).  4c.Perform lead check test. Blinking lead on torso  1. Cable is not attached    2. Poor lead placement or attachment 1. Check cable to ensure it is connected to the Ambulatory X-12 and patient electrodes.  2a.Verify good prep before placing electrodes on patient.  2b.Verify electrodes are good (not beyond expiration date).  2c.Perform lead check test. Display does not show ON  1. Ambulatory X-12 not       turned ON    2. Dead batteries  3. No batteries 1. Remove battery compartment door batteries and turn switch to ON.  2. Install new batteries.  3. Install new batteries.  Display shows Lb  Low battery  Replace batteries with new batteries.  WARNING:  If you are not able to correct the Ambulatory X-12 Telemetry Module’s questionable operating state using the above guide, do not attempt to service it yourself.  Contact Mortara Service at 1-888-MORTARA (667-8272).
__________________________________________________________________________Appendix A A-1  Appendix  System Information LogA    The following system information log is provided for your convenience.  You need this information to set up your system if it needs servicing.  Be sure to update the information log when you add options or your system has been serviced.  Record the model and serial number of all components, dates of removal, and/or replacement of components, and the name of the vendor from whom the component was purchased and/or installed.  In addition to having records of this information, the system information provides a warranty record of when your system was placed in service.  System Information Log  Manufacturer:  Mortara Instrument, Inc. 7865 N. 86th St. Milwaukee, WI 53224                   Telephone Numbers:  Domestic: 800-231-7437 European: +39-51-6650-701  Sales Department: 800-231-7437 Service Department: 888-MORTARA   Product Information:  Name of Unit/Product: ____________________  Date of Purchase: ___/___/_____  Purchased Unit From: ____________________  Serial Number: _______________  Software Version: _____________
Ambulatory X-12______________________________________________________________________ A-2  System Information Log    For questions and service information, when calling have serial number and part number available.    (The Serial Number and Part Number (REF) are found under the batteries , in the battery compartment on the back side of the unit.  Similar to the one pictured below.)  Figure A-a Serial Number (SN) Part Number (REF) Location Notes:
_____________________________________________________________________________Glossary G-1 Glossary   TERM DEFINITION   Limb lead  Bipolar lead that represents the differences of electrical potential between two selected sites (leads I, II, III).   Muscle noise  Grossly uneven baseline caused by patient body tremor or other muscle movement.  The artifact may be so large that it overtakes the complex.   Precordial leads  (V1-V6) Unipolar chest leads.
Ambulatory X-12______________________________________________________________________ G-2
________________________________________________________________________________Index I-1 Index  A  Ambulatory X-12 Transmitter 1-2 Ambulatory X-12 Specifications 1-3 Audience 1-1  B  Back View 2-2 Battery Installation 2-3  E  Electrocardiograph equipped with wireless option  2-2  I  Introduction 1-1  L  Leads 2-4  M  Maintenance and Troubleshooting 3-1 Manual Purpose 1-1 Miscellaneous 2-5  O  Operation 2-1  P  Patient Preparation 2-4 Power Supply 2-3  R  Removal and Installation of Antenna 2-6  S  Supplies 1-4 System Description 1-1 System Information Log A-1   T  Transmitting 2-5  U  Using the Ambulatory X-12 Telemetry Module with other Mortara Electrocardiographs 1-2
Ambulatory X-12______________________________________________________________________ I-2

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