Bionet America CardioCare 2000
ECG/ EKG Electro Cardio-Gram SOP and Sample Lab Prepared by: Bob Morrison FVCC, Instrumentation Specialist Aug 09 FVCC:BioTech;Morrison 7/18/2014
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ECG; CardioCare 2000 Equipment Controls Printer Door
Power Switch, LAN and Serial Connectors on rear
LCD (control display)
Function Control Pad
Printer Door Release
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Patient Cable Connection Port
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ECG: CardioCare2000 Control Panel Signal Level , 5, 10, 20, or aut Print speed; 12.5, 25, or 50
Activate filer on baseline drift
Activate/eliminate EMG CH:Channel form; 3ch+1rhy, RHY; rhythym channel Menu for Patient Info; COMMAND key, activates MENU mode for setting Patient info, filters, printing, other SYS settings. FVCC:BioTech;Morrison 7/18/2014
Prints, then allows exit from Setup Menu Records 10s, then prints report Monitor Mode: continuous printing
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ECG: LCD Panel Display, Typical Startup Display
ECG signal level; 5, 10, 20, or Aut (autogain)
1
0
1
0
Heart Rate
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Printing Speed 12.5, 25, or 50
1 0
2
.
5
6
C
H
Base Line Filter status (on/off)
+
O
F
F
1
R
H
Channel Form for output: 3ch+1rhy 6ch+1rhy 12ch rhy 60x 1rhy
EMG Filter status (on/off)
Y
O
F
F
a
V
R
Rhythm Channel Setting of: I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6
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ECU: Menu Structure, Preparation Mode •
Preparation Mode: Initial condition when system starts up and LCD displays heart rate and system settings – 1; SENS, signal level, (10mm/mV initial setting) – 2; SPD, Display Speed, (25mm/s initial setting) – 3; BASE, Base line filter, (on is initial setting) – 4; MUSC, EMG filter, (on is initial setting) – 6; FORM, Channel form , (6ch+1rhy initial setting) – 7; LEAD, Rhythm lead (II is initial setting – 8; PAT, Patient Info – 9; MON; Monitor Mode – 0; REC ; Record mode
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ECG: Laboratory Experiment Example ( J. Fickas, A&PII) 1. Make sure the EGC unit is plugged in and turned on and wait for a standard menu to display as shown on slide page 4. 2. Press button 7 (LEAD) until the screen displays “Lead II” 3. Press button 6 (FORM) until the screen displays “3ch + 1Rhy” 4. Place sticky tabs (attach pads) on each limb at/near the locations shown on the diagram and then attach limb leads. - Limb leads are marked (RA – right arm etc. ) 5. While sitting very still, press the 0 (RECORD) button to begin the reading session. The reading is done and then processed before it prints. 6. Calculate your HR from the reading printout using the information and table in your lab instructions (worksheet on next slide). RA
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LA
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ECG: Lab Experiment Worksheet ( J. Fickas, A&PII) # of mm between the “R” peaks of two consecutive QRS complexes = ______________ sec x 25 mm/sec x 60 sec/min = ______________ beats/min (each tiny square within the larger square is a mm) Blood Pressure at Rest-laying down
Blood Pressure Standing Up
Blood Pressure after running 2 min.
HR from ECG at rest
HR from ECG after running stairs for 2min
Normal
Your Measurement
The heart rate (HR) is the number of beats the heart makes in one minute. The average heart rate is 72 beats/minute. Stroke Volume (SV) is the amount of blood ejected from the heart in one beat. The average stroke volume is 70 ml. Cardiac Output (CO) is the amount of blood ejected by the heart in one minute. CO can be found by the following equation: CO = HR x SV Using the average SV, calculate your CO at rest: _____________________________ Now calculate your CO after running the stairs: _____________________________ FVCC:BioTech;Morrison 7/18/2014
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ECG; CardioCare 2000 Features Bionet America CardioCare 2000 Model: EKG2000, SNs: EI1200195, E11100124, E11100125 Test Standard: IEC601-1 Protection Class: I The CardioCare 2000; 12 channel resting ECG suitable for use in private practice, ER, or hospital use. Designed for maximum ease of use and convenience. Software upgradeable and networkable. Simultaneous 12 Channel Resting ECG; Acquires 10 full seconds of ECG data simultaneously from 10 leads to produce an accurate 12 channel printout with analysis in under 60 seconds! ECG Interpretation Program; Over 80 kinds of interpretation results based on the advanced Minnesota Code are provided to aid your diagnosis. The interpretation algorithms are expanded with regular software updates. A4 Full Size Paper ; in 1,3,6 and 12ch formats. Full size print-outs improve readability and make for easier filing in the patient chart. A convenient Copy button lets you generate ECG copies in any of the available formats. Low Maintenance Cost; uses normal fax paper which costs about ¼ the cost of ECG paper. It will even generate it's own grid!
Link to Minnesota Code for EKG Analysis…. Pdf
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ECG; CardioCare 2000 Supplies and Consumables
Attach Pads
Printer Paper
Patient Electrode Leads
Link to Bionet Software Upgrade Manual … pdf
Alligator Clips FVCC:BioTech;Morrison 7/18/2014
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ECG: CardioCare 2000 Specifications
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ECG: CardioCare 2000 Specifications (cont)
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ECG: Background Info; Typical Leads Placement
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ECG: Background Info; Wave Basics
P wave: the sequential activation (depolarization) of the right and left atria QRS complex: right and left ventricular depolarization (normally the ventricles are activated simultaneously) ST-T wave: ventricular repolarization U wave: origin for this wave is not clear - but probably represents "afterdepolarizations" in the ventricles PR interval: interval onset of atrial depolarization (P wave) to onset of ventricular depolarization (QRS complex) QRS duration: duration of ventricular muscle depolarization QT interval: duration of ventricular depolarization and repolarization RR interval: duration of ventricular cardiac cycle (an indicator of ventricular rate) PP interval: duration of atrial cycle (an indicator of atrial rate) FVCC:BioTech;Morrison 7/18/2014
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